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ATI PEDS NGN PROCTORED NEWEST 2024
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1 of 66
Term
A nurse in the ED is auscultating the lungs of an adolescent who is
experiencing dyspnea. The nurse should identify the sound as which of
the following?
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,B
The nurse should avoid placing the sensor on the wrist because this placement will
result in an inaccurate reading.
The nurse should secure the sensor to the great toe of the infant and then place a
snug-fitting sock on the foot to hold the sensor in place. The nurse should also
check the skin under the sensor site frequently for temperature, color, and the
presence of a pulse.
The nurse should secure the sensor to the index finger of a child and then use a
self-adhering bandage to hold the sensor in place; however, this site is not
recommended for pulse oximetry of an infant.
The nurse should avoid placing the sensor on the heel of the infant's foot because
this placement will result in an inaccurate reading.
A
The nurse should place the infant in a knee-chest position during a hypercyanotic
spell to decrease the return of desaturated venous blood from the legs and to
direct more blood into the pulmonary artery by increasing systemic vascular
resistance.
The nurse should administer morphine IV to the infant, instead of meperidine, to
decrease infundibular spasms that cause a decrease in pulmonary blood flow and
right-to-left shunting.
The nurse should continue the administration of IV fluids during a hypercyanotic
spell to decrease the viscosity of the infant's blood, which decreases the risk of a
cerebrovascular accident.
The nurse should apply oxygen at 100% via face mask to assist with dilation of the
pulmonary artery and improve oxygen supply to the brain.
, WheezesMY ANSWERThe nurse should identify the sound during auscultation
as wheezes, which are high-pitched, musical or whistling-like sounds heard
primarily on expiration as air passes through and vibrates narrowed airways.
CracklesThe nurse should identify crackles as high-pitched, short, and
noncontinuous sounds usually heard at the end of inspiration. Crackles occur
when air expands deflated alveoli or when the passage of air through small
airways is disrupted.
Pleural friction rubThe nurse should identify a pleural friction rub as a loud,
rough, grating sound that can be heard during inspiration or expiration. A
pleural friction rub occurs when the pleurae are inflamed and the surfaces
rub together.
RhonchiThe nurse should identify rhonchi as low-pitched, continuous sounds
that have a snore-like quality and are usually louder during expiration.
Rhonchi occur when the larger airways are obstructed.
A
The nurse should expect Kussmaul respirations in a child who has diabetic
ketoacidosis. These deep and rapid respirations are the body's attempt to eliminate
excess carbon dioxide and achieve a state of homeostasis.
The nurse should expect shallow respirations in a child who has respiratory
depression related to opioid administration. However, shallow respirations are not
an expected finding in a child who has ketoacidosis.
The nurse should expect paradoxic respirations in a child who has flail chest.
However, paradoxic respirations are not an expected finding in a child who has
ketoacidosis.
The nurse should expect periods of apnea lasting 20 seconds or more in a child
who has sleep apnea. However, periods of apnea are not an expected finding in a
child who has ketoacidosis.
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, 2 of 66
Term
A school nurse is providing an in service for faculty about improving
education for students who have ADHD. Which of the following
statements by a faculty member indicates an understanding of the
teaching?
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"I will plan to increase the amount of "I will give students who have ADHD
homework I assign to students who the same amount of time as other
have ADHD." students to complete tests."
"I will teach challenging
"I will allow students who have ADHD academic subjects to students
one rest break throughout the day." who have ADHD in the
morning."
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3 of 66
Term
A nurse is planning an educational program for school age children
and their parents about bicycle safety. Which of the following
information should the nurse plan to include?