ATI Notes Test B

A nurse is reinforcing teaching with the parents of preschoolers regarding the use of

booster seats in a motor vehicle. Which of the following instructions should the

nurse include in the teaching?

- Secure the child in the booster seat using the motor vehicle’s shoulder-lap

seat belt—booster seats do not have built in straps

A nurse is contributing to the plan of care for a child who is in Buck’s traction. Which

of the following interventions should the nurse include in the plan?

- Maintain the leg in an extended position—this position decreases the risk for

further injury to the extremity and minimizes the occurrence of muscle

spasms.

A guardian calls the clinic nurse after his child has developed symptoms of varicella

and asks when his child will no longer be contagious. Which of the following

responses should the nurse make?

- Six days after lesions appear if they are crusted—as long as they are crusted

over.

A nurse is caring for a toddler who has otitis media and a temperature of 102.4 F.

Which of the following actions should the nurse take first?

- Administer an antipyretic—to decrease the toddler’s body temperature

A nurse is caring for an adolescent who has acne and a new prescription for

isotretinoin. For which of the following adverse effects should the nurse monitor?

- Depression—experience mental status changes, such as suicidal thoughts,

aggression, emotional lability, and depression.