ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM 7 LATEST VERSIONS, 20202021ATI NURSING CARE OF CHILDREN PROCTORED EXAM NURSING CARE OF CHILDREN ATI PROCTORED EXAM COMPLETE SOLUTION GUIDE FOR EXAM PREPARATION 100% CORRECT ANSWERS

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A 5-year-old child presents with nasal congestion and a headache. To assess for sinus tenderness, you should palpate over the: A. sphenoid and frontal sinuses. B. maxillary and frontal sinuses. C. ... maxillary sinuses only. D. sphenoid sinuses only. ANS: C Only the maxillary and the frontal sinuses are accessible for physical examination; however, the young child does not develop frontal sinuses until 7 to 8 years of age. A 6-month-old who can hear well can be expected to: A. exhibit the Moro reflex. B. stop breathing in response to sudden noise. C. turn his or her head toward the source of sound. D. imitate simple words. ANS: C Six-month-old infants turn their head toward the source of sound; they start babbling, but they begin imitating speech sounds closer to 10 months of age. The Moro reflex and cessation of breathing in response to noise are lost by 3 months of age. A 23-year-old man comes to the urgent care clinic with intense left flank and lower left quadrant pain. One patient response to history of present illness questions that further supports a tentative diagnosis of renal calculi is: A. "My urine has been a bright yellow." B. "I have had fever and chills for 2 days." C. "I also have a headache and neck ache." D. "My left testicle and shoulder hurt as well." ANS: D Renal calculi present with hematuria, intermittent flank pain that radiates to the groin and genitals, and a positive Kehr sign (pain radiating to the left shoulder). A 29-year-old patient presents with a new complaint of productive cough with purulent sputum. He also complains of right lower quadrant abdominal pain. You suspect pneumonia in which lobe? A. Right lower B. Right upper C. Left upper D. Left lower ANS: A Right lower lobe pneumonia can stimulate the tenth thoracic nerve, causing right lower quadrant pain and simulating an abdominal process. A 44-year-old male patient who complains of a cough has presented to the emergency department. He admits to smoking 1 pack per day. During your inspection of his chest, the most appropriate lighting source to highlight chest movement is: A. bright tangential lighting. B. daylight from a window. C. flashlight in a dark room. D. fluorescent ceiling lights. ANS: A Bright tangential light is best for visualizing chest movements. A 51-year-old woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to: A. use topical over-the-counter hemorrhoid treatment for 1 week. B. exercise and eat more fiber. C. come to the laboratory for a stool guaiac test. D. eat six small meals a day. ANS: C Blood in the stools is an abnormal finding that should never be ignored, even if it can be explained by conditions other than colon cancer. She should have her stool checked for blood now as well as annually because she is older than 50 years. After thorough inspection of the abdomen, the next assessment step is: A. percussion. B. palpation. C. auscultation. D. rectal examination. ANS: C Assessment of the abdomen begins with inspection followed by auscultation. This break from the usual system examination sequence occurs because palpation and percussion can alter the frequency as well as the intensity of bowel sounds. Therefore, auscultation is done first. The American Thoracic Society suggests replacing the term rales with: A. wheezes. B. crunches. C. rhonchi. [Show More]

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