Nursing 1600 Quiz 4 ATI Practice Questions With Rationales
1. A nurse is reinforcing teaching a parent of a child who has a fracture of the epiphyseal plate. Which of the
following is an appropriate statement by the nurse?
a. “The blood supply to the bone is disrupted.”
R Children heal fractures in less time than adults because of the generous blood supply to the bone
and the epiphyseal plate.
b. “Normal bone growth can be affected.”
R A fracture of the epiphyseal plate can affect growth in a child. Therefore, it needs to be detected and
treated rapidly.
c. “Bone marrow can be lost through the fracture.”
R The epiphyseal plate is the cartilage growth plate. Therefore, bone marrow is not lost through this
type of fracture.
d. “The healing process will take longer.”
R Children heal fractures in less time than adults because of the generous blood supply to the bone
and the epiphyseal plate.
2. A nurse is planning care for a child who has juvenile rheumatoid arthritis. Which of the following is an
appropriate action for the nurse to take?
a. Administer opioids on a schedule.
R NSAIDs are used to control pain. Therefore, administering opioids on a schedule is not an
appropriate action for the nurse to take.
b. Schedule prolonged periods of complete joint immobilization daily.
R Physical mobility will assist in preserving function and maintaining mobility. Therefore,
prolonged periods of complete joint immobilization is not an appropriate action for the nurse to
take.
c. Apply cool compresses for 20 minutes every hour.
R Heat is beneficial for relieving pain and stiffness. Therefore, applying cool compresses for 20
minutes every hour is not an appropriate action for the nurse to take.
d. Maintain night splints to the affected joint.
R Maintaining night splints to the affected joints will assist in range of motion. Therefore, this is
an appropriate action for the nurse to take.
3. A school nurse is screening an 11-year-old client for idiopathic scoliosis. Which of the following instructions
should the nurse give the client for this examination?
a. “Lie prone on the examination table.”
R With the client in this position, the nurse might notice some asymmetry due to scoliosis.
However, this position does not exaggerate the manifestations of this disorder and is not part of
the standard scoliosis screening procedure.
b. “Touch your chin to your chest and then look up at the ceiling.”
R These movements might help the nurse test flexion and hyperextension of the neck to evaluate the
cervical spine.
They are not part of the standard scoliosis screening procedure.
c. “Turn to the side and remain in a relaxed position.”
R Scoliosis is a lateral curvature of the spine that the nurse might not detect from a side view. This
position might help the nurse note kyphosis, a convex thoracic curvature of the thoracic spine, or
lordosis, an abnormal lumbar curvature.
d. “Bend forward from the waist with your head and arms downward.”
R Called the Adams position, this posture will make any asymmetry of the ribs and flanks
easier for the nurse to recognize.
4. A nurse is caring for a toddler who has a fractured right femur and is in Bryant’s traction. When monitoring to
,Nursing 1600 Quiz 4 ATI Practice Questions With Rationales
determine if the traction is appropriately assembled, the nurse expects to observe which of the following?
a. Skin straps maintaining the leg in an extended position.
R Skin straps maintaining the leg in an extended position is appropriate for Buck extension traction.
b. Weights attached to a pin that is inserted in the femur.
R Weights attached to a pin that is inserted in the femur are appropriate for skeletal traction.
c. A padded sling under the knee of the affected leg.
R A padded sling under the knee of the affected leg is appropriate for Russell traction.
d. The buttocks elevated slightly of f of the bed.
,Nursing 1600 Quiz 4 ATI Practice Questions With Rationales
R The buttocks elevated slightly off of the bed is appropriate for Bryant traction. The child’s hips
are flexed at a 90- degree angle with the legs suspended by pulleys and weights. The weights
must hang freely from the bed to maintain alignment.
5. A nurse is reinforcing teaching to a parent and a school-age child following application of a fiberglass cast for a
radius fracture. Which of the following statements by the parent or child indicates the need for further teaching?
a. “I will try not to move my fingers very much while I have the cast on.”
R The child should move his fingers frequently to promote circulation and maintain range of motion.
b. “I will have my arm in a sling whenever I am walking around.”
R The child should keep the injured extremity elevated as often as possible to prevent swelling and
pain.
c. “I will keep an ice bag on my son’s cast to decrease swelling.”
R The parent should keep an ice bag on the child’s cast for the first 24 to 36 hr to decrease swelling
from the injury.
d. “I will notify the provider if I notice any discoloration of my son’s fingers.”
R The parent should immediately report any change in skin color of the fingers that are distal to
the cast as this can indicate neurovascular impairment. Swelling may have caused the cast to
become too tight and intervention is necessary to prevent permanent tissue and muscle
damage.
6. A nurse is caring for a 6 month old who is postoperative following a myringotomy. Which of the following is
an appropriate method to determine the infant’s pain level?
a. FLACC pain scale
R The FLACC pain scale is appropriate to use with infant and children between the ages of 2 months
and 7 years.
b. OUCHER pain scale
R The OUCHER pain scale is appropriate to use with children between the ages of 3 and 13 years.
c. FACES pain scale
R The FACES pain scale is appropriate to use with children as young as 3 years of age.
d. Visual analog pain scale
R The visual analog pain scale is appropriate to use with children as young as 41⁄2 years of age.
7. A nurse is collecting data regarding the pain level of a 4-year-old client on the second postoperative day. Which
of the following actions should the nurse take?
a. Ask the client what number the pain is on a scale from 1 to 10.
R An ordinal scale is not appropriate to use with a 4-year-old client.
b. Tell the client to point to a face on a FACES Pain Rating Scale.
R The FACES Pain Rating Scale is an age appropriate pain assessment tool for a 4- year-old client.
c. Have the parent report the pain level for the client.
R The nurse should use an age appropriate pain rating scale for a 4-year-old client. The parent
may not be able to accurately report the client's pain level.
d. Request an assistive personnel to evaluate the client's pain level.
R Determining a 4-year-old client's pain level is not within the scope of practice of an assistive
personnel.
8. A nurse is reinforcing teaching to the mother of a 2-month-old infant who had a Pavlik harness applied one week
earlier for the treatment of developmental hip dysplasia. Which of the following statements made by the mother
indicates an understanding of the teaching?
a. “I adjust the harness straps each day.”
R The mother should only adjust the straps with medical supervision.
b. “I use triple-diapering when his harness is removed.”
R Triple-diapering is not recommended for hip dysplasia as it can worsen development of the hip.
c. “I put a shirt under the straps of the harness.”
, Nursing 1600 Quiz 4 ATI Practice Questions With Rationales
R The mother should place a shirt under the straps of the harness to prevent the straps from
rubbing and causing skin irritation.
d. “I gently massage lotion on his skin around the harness clasps.”
R The mother should not use lotions and powders on the skin because they can cake and irritate the
skin.
9. A nurse is caring for a child with Legg-Calve-Perthes disease that is in Buck extension traction. Which of the
following is an appropriate action for the nurse to take?
a. Reposition the child every 2 hr.
R This is an appropriate action by the nurse. The child should be repositioned every 2 hr to prevent
skin breakdown.
1. A nurse is reinforcing teaching a parent of a child who has a fracture of the epiphyseal plate. Which of the
following is an appropriate statement by the nurse?
a. “The blood supply to the bone is disrupted.”
R Children heal fractures in less time than adults because of the generous blood supply to the bone
and the epiphyseal plate.
b. “Normal bone growth can be affected.”
R A fracture of the epiphyseal plate can affect growth in a child. Therefore, it needs to be detected and
treated rapidly.
c. “Bone marrow can be lost through the fracture.”
R The epiphyseal plate is the cartilage growth plate. Therefore, bone marrow is not lost through this
type of fracture.
d. “The healing process will take longer.”
R Children heal fractures in less time than adults because of the generous blood supply to the bone
and the epiphyseal plate.
2. A nurse is planning care for a child who has juvenile rheumatoid arthritis. Which of the following is an
appropriate action for the nurse to take?
a. Administer opioids on a schedule.
R NSAIDs are used to control pain. Therefore, administering opioids on a schedule is not an
appropriate action for the nurse to take.
b. Schedule prolonged periods of complete joint immobilization daily.
R Physical mobility will assist in preserving function and maintaining mobility. Therefore,
prolonged periods of complete joint immobilization is not an appropriate action for the nurse to
take.
c. Apply cool compresses for 20 minutes every hour.
R Heat is beneficial for relieving pain and stiffness. Therefore, applying cool compresses for 20
minutes every hour is not an appropriate action for the nurse to take.
d. Maintain night splints to the affected joint.
R Maintaining night splints to the affected joints will assist in range of motion. Therefore, this is
an appropriate action for the nurse to take.
3. A school nurse is screening an 11-year-old client for idiopathic scoliosis. Which of the following instructions
should the nurse give the client for this examination?
a. “Lie prone on the examination table.”
R With the client in this position, the nurse might notice some asymmetry due to scoliosis.
However, this position does not exaggerate the manifestations of this disorder and is not part of
the standard scoliosis screening procedure.
b. “Touch your chin to your chest and then look up at the ceiling.”
R These movements might help the nurse test flexion and hyperextension of the neck to evaluate the
cervical spine.
They are not part of the standard scoliosis screening procedure.
c. “Turn to the side and remain in a relaxed position.”
R Scoliosis is a lateral curvature of the spine that the nurse might not detect from a side view. This
position might help the nurse note kyphosis, a convex thoracic curvature of the thoracic spine, or
lordosis, an abnormal lumbar curvature.
d. “Bend forward from the waist with your head and arms downward.”
R Called the Adams position, this posture will make any asymmetry of the ribs and flanks
easier for the nurse to recognize.
4. A nurse is caring for a toddler who has a fractured right femur and is in Bryant’s traction. When monitoring to
,Nursing 1600 Quiz 4 ATI Practice Questions With Rationales
determine if the traction is appropriately assembled, the nurse expects to observe which of the following?
a. Skin straps maintaining the leg in an extended position.
R Skin straps maintaining the leg in an extended position is appropriate for Buck extension traction.
b. Weights attached to a pin that is inserted in the femur.
R Weights attached to a pin that is inserted in the femur are appropriate for skeletal traction.
c. A padded sling under the knee of the affected leg.
R A padded sling under the knee of the affected leg is appropriate for Russell traction.
d. The buttocks elevated slightly of f of the bed.
,Nursing 1600 Quiz 4 ATI Practice Questions With Rationales
R The buttocks elevated slightly off of the bed is appropriate for Bryant traction. The child’s hips
are flexed at a 90- degree angle with the legs suspended by pulleys and weights. The weights
must hang freely from the bed to maintain alignment.
5. A nurse is reinforcing teaching to a parent and a school-age child following application of a fiberglass cast for a
radius fracture. Which of the following statements by the parent or child indicates the need for further teaching?
a. “I will try not to move my fingers very much while I have the cast on.”
R The child should move his fingers frequently to promote circulation and maintain range of motion.
b. “I will have my arm in a sling whenever I am walking around.”
R The child should keep the injured extremity elevated as often as possible to prevent swelling and
pain.
c. “I will keep an ice bag on my son’s cast to decrease swelling.”
R The parent should keep an ice bag on the child’s cast for the first 24 to 36 hr to decrease swelling
from the injury.
d. “I will notify the provider if I notice any discoloration of my son’s fingers.”
R The parent should immediately report any change in skin color of the fingers that are distal to
the cast as this can indicate neurovascular impairment. Swelling may have caused the cast to
become too tight and intervention is necessary to prevent permanent tissue and muscle
damage.
6. A nurse is caring for a 6 month old who is postoperative following a myringotomy. Which of the following is
an appropriate method to determine the infant’s pain level?
a. FLACC pain scale
R The FLACC pain scale is appropriate to use with infant and children between the ages of 2 months
and 7 years.
b. OUCHER pain scale
R The OUCHER pain scale is appropriate to use with children between the ages of 3 and 13 years.
c. FACES pain scale
R The FACES pain scale is appropriate to use with children as young as 3 years of age.
d. Visual analog pain scale
R The visual analog pain scale is appropriate to use with children as young as 41⁄2 years of age.
7. A nurse is collecting data regarding the pain level of a 4-year-old client on the second postoperative day. Which
of the following actions should the nurse take?
a. Ask the client what number the pain is on a scale from 1 to 10.
R An ordinal scale is not appropriate to use with a 4-year-old client.
b. Tell the client to point to a face on a FACES Pain Rating Scale.
R The FACES Pain Rating Scale is an age appropriate pain assessment tool for a 4- year-old client.
c. Have the parent report the pain level for the client.
R The nurse should use an age appropriate pain rating scale for a 4-year-old client. The parent
may not be able to accurately report the client's pain level.
d. Request an assistive personnel to evaluate the client's pain level.
R Determining a 4-year-old client's pain level is not within the scope of practice of an assistive
personnel.
8. A nurse is reinforcing teaching to the mother of a 2-month-old infant who had a Pavlik harness applied one week
earlier for the treatment of developmental hip dysplasia. Which of the following statements made by the mother
indicates an understanding of the teaching?
a. “I adjust the harness straps each day.”
R The mother should only adjust the straps with medical supervision.
b. “I use triple-diapering when his harness is removed.”
R Triple-diapering is not recommended for hip dysplasia as it can worsen development of the hip.
c. “I put a shirt under the straps of the harness.”
, Nursing 1600 Quiz 4 ATI Practice Questions With Rationales
R The mother should place a shirt under the straps of the harness to prevent the straps from
rubbing and causing skin irritation.
d. “I gently massage lotion on his skin around the harness clasps.”
R The mother should not use lotions and powders on the skin because they can cake and irritate the
skin.
9. A nurse is caring for a child with Legg-Calve-Perthes disease that is in Buck extension traction. Which of the
following is an appropriate action for the nurse to take?
a. Reposition the child every 2 hr.
R This is an appropriate action by the nurse. The child should be repositioned every 2 hr to prevent
skin breakdown.
