NURS 328 ATI – Questions With Appropriate
Solutions
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Terms in this set (71)
A nurse is preparing to C
perform a physical rationale: School-age children are interested in learning
examination on a 10-year- and building language skills. Therefore, the nurse should
old child. Which of the explain the function of the equipment using correct
following interventions medical terminology
should the nurse plan to
implement?
a. Allow the child to touch
and play with the
equipment
b. Play games while
performing the physical
examination
c. Explain how the
equipment works using
correct medical
terminology
d. Discuss the benefits of
performing the examination
with the cold
,A nurse is obtaining the D
blood pressure of a rationale: A. The arm should be positioned and
school-age child. Which of supported with the cubital fossa at the level of the
the following actions heart; B. Cuff pressure release is at a rate of 2-3mmHg;
should the nurse take? C. The cuff bladder length encircles 80-100% of upper
a. Position the arm at the arm
level of the umbilicus while
the child is sitting in a chair
b. Release the cuff pressure
at a rate of 4 to 5 mmHg
per second
c. Ensure the cuff bladder
encircle 50% of the
extremity
d. Select a cuff width that
covers 40% of the upper
arm
A nurse is performing an D
annual physical rationale: The general survey includes identifying the
examination on an client's demeanor, mood, and interactions with others
adolescent. Which of the
following should the nurse
include in the general
survey?
a. The adolescent's deep
tendon reflexes are 2+
bilaterally
b. The adolescent is able to
read small print at a distant
of 14 inches
c. The adolescent
demonstrates fine motor
coordination
d. The adolescent makes
good eye contact
,A nurse is inspecting the D
skin of a toddler. Which of rationale: Although bruising on the extremities is a
the following findings common finding in children, bruising in other areas
should the nurse report to should be investigated to determine the cause
the provider?
a. Presence of fine hair on
the lower arms and legs
b. Telangiectatic nevi on the
back of the neck
c. Mongolian spot across
the buttocks
d. Ecchymotic area on the
abdomen
A nurse is preparing to D
obtain a temperature on an
18-month old toddler
during a well child
examination. Which of the
following actions should
the nurse take?
a. Pull the pinna up and
back before placing the
tympanic thermometer in
the ear canal
b. Insert the lubricated tip
of rectal electronic
thermometer 2.5 (1 inch)
into the toddler's rectum
c. Place the tip of the oral
electronic thermometer
under the toddler's tongue
in a posterior sublingual
pocket
d. Place the thermometer
tip in the center of the
toddler's axilla against their
skin
, A nurse is assessing the C
reflexes of a 6 month-old rationale: The Babinski reflex is elicited by stroking up
infant. Which of the the side of the foot and across the ball of the foot. A
following reflex findings positive Babinski reflex is present when this action
should the nurse expect? causes the toes to fan outwards. This is an expected
a. Positive extrusion reflex finding through the first year of life, after which it begins
b. Negative plantar grasp to fade
reflex
c. Positive Babinski reflex
d. Negative sucking reflex
A nurse is inspecting the B
thorax of an infant. Which rationale: A barrel-shaped chest is expected in an infant.
of the following findings As the child grows, the lateral diameter will increase
should the nurse expect? more than the posterior diameter
a. Primarily thoracic
movement during
inspiration
b. A barrel-shaped chest in
which the anterior-
posterior are equal
c. Asymmetrical movement
of the chest during
respirations
d. A chest circumference
that is twice the
measurement of the head
circumference
Solutions
Save
Terms in this set (71)
A nurse is preparing to C
perform a physical rationale: School-age children are interested in learning
examination on a 10-year- and building language skills. Therefore, the nurse should
old child. Which of the explain the function of the equipment using correct
following interventions medical terminology
should the nurse plan to
implement?
a. Allow the child to touch
and play with the
equipment
b. Play games while
performing the physical
examination
c. Explain how the
equipment works using
correct medical
terminology
d. Discuss the benefits of
performing the examination
with the cold
,A nurse is obtaining the D
blood pressure of a rationale: A. The arm should be positioned and
school-age child. Which of supported with the cubital fossa at the level of the
the following actions heart; B. Cuff pressure release is at a rate of 2-3mmHg;
should the nurse take? C. The cuff bladder length encircles 80-100% of upper
a. Position the arm at the arm
level of the umbilicus while
the child is sitting in a chair
b. Release the cuff pressure
at a rate of 4 to 5 mmHg
per second
c. Ensure the cuff bladder
encircle 50% of the
extremity
d. Select a cuff width that
covers 40% of the upper
arm
A nurse is performing an D
annual physical rationale: The general survey includes identifying the
examination on an client's demeanor, mood, and interactions with others
adolescent. Which of the
following should the nurse
include in the general
survey?
a. The adolescent's deep
tendon reflexes are 2+
bilaterally
b. The adolescent is able to
read small print at a distant
of 14 inches
c. The adolescent
demonstrates fine motor
coordination
d. The adolescent makes
good eye contact
,A nurse is inspecting the D
skin of a toddler. Which of rationale: Although bruising on the extremities is a
the following findings common finding in children, bruising in other areas
should the nurse report to should be investigated to determine the cause
the provider?
a. Presence of fine hair on
the lower arms and legs
b. Telangiectatic nevi on the
back of the neck
c. Mongolian spot across
the buttocks
d. Ecchymotic area on the
abdomen
A nurse is preparing to D
obtain a temperature on an
18-month old toddler
during a well child
examination. Which of the
following actions should
the nurse take?
a. Pull the pinna up and
back before placing the
tympanic thermometer in
the ear canal
b. Insert the lubricated tip
of rectal electronic
thermometer 2.5 (1 inch)
into the toddler's rectum
c. Place the tip of the oral
electronic thermometer
under the toddler's tongue
in a posterior sublingual
d. Place the thermometer
tip in the center of the
toddler's axilla against their
skin
, A nurse is assessing the C
reflexes of a 6 month-old rationale: The Babinski reflex is elicited by stroking up
infant. Which of the the side of the foot and across the ball of the foot. A
following reflex findings positive Babinski reflex is present when this action
should the nurse expect? causes the toes to fan outwards. This is an expected
a. Positive extrusion reflex finding through the first year of life, after which it begins
b. Negative plantar grasp to fade
reflex
c. Positive Babinski reflex
d. Negative sucking reflex
A nurse is inspecting the B
thorax of an infant. Which rationale: A barrel-shaped chest is expected in an infant.
of the following findings As the child grows, the lateral diameter will increase
should the nurse expect? more than the posterior diameter
a. Primarily thoracic
movement during
inspiration
b. A barrel-shaped chest in
which the anterior-
posterior are equal
c. Asymmetrical movement
of the chest during
respirations
d. A chest circumference
that is twice the
measurement of the head
circumference
