ATI - Comprehensive Assessment of Child
C
A nurse is performing a screening for scoliosis on a school-age child. Which of the following instructions should the nurse provide? A) "Bend your knees and touch your toes." B) "Stand facing me with your hands on your hips." C) "Bend forward with your knees straight and your arms dangling." D) "Lie on your stomach with your arms extended over your head."
A
A nurse is assessing the reflexes of a 6-month-old infant. Which of the following reflex findings should the nurse expect? A) Positive Babinski reflex B) Negative plantar grasp reflex C) Positive extrusion reflex D) Negative sucking reflex
B
A nurse is inspecting the skin of a toddler. Which of the following findings should tenure report to the provider? A) Presence of fine hair on the lower arms and legs B) Ecchymotic area on the abdomen C) Mongolian spot across the buttocks D) Telangiectatic nevi on the back of the neck
B
A nurse is inspecting the thorax of an infant. Which of the following findings should the nurse expect? 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
B
A nurse is obtaining the bp of a school-age child. Which of the following actions should the nurse take? A) Position the arm at the level of the umbilicus while the child is sitting in a chair. B) Select a cuff width that covers 40% of the upper arm. C) Ensure the cuff bladder encircles 50% of the extremity. D) Release the cuff pressure at a rate of 4 to 5 mm Hg per second.
C
A nurse is performing a cardiac assessment on a preschooler. The nurse should plan to auscultate at the apical pulse at which of the following precordial landmarks? A) Along the sternal border at the third intercostal space B) At the second intercostal space, to the right of the sternum C) Left of the midclavicular line at the fourth intercostal space D) At the fifth intercostal space, left of the midclavicular line
B
A nurse is performing an abdominal exam on a preschooler. Which of the following actions should the nurse take during the assessment? A) Instruct the child to take a deep breath and hold it while the nurse palpates. B) Ask the child to "help" with the exam by placing their hand on top of the nurse's hand. C) Begin by palpating any identified tender areas. D) Position the child with legs and arms extended.
A
A nurse is performing an annual physical exam on an adolescent. Which of the following should the nurse include in the general survey? A) The adolescent makes good eye contact. B) The adolescent is able to read small print at a distance of 14 inches. C) The adolescent demonstrates fine motor coordination D) The adolescent's deep tendon reflexes are 2+ bilaterally.
D
A nurse is preparing to obtain a temp on a 18-month old toddler during a well child exam. 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 a rectal electronic thermometer 2.5 cm (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.
C
A nurse is preparing to perform a physical exam on a 10 yo child. Which of the following interventions 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 child.
