NURS 328 ATI PRACTICE Exam Questions
With Complete Solutions
A nurse is preparing to perform a physical examination on a 10-
year-old 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
cold correct answer: C
rationale: School-age children are interested in learning and
building language skills. Therefore, the nurse should explain the
function of the equipment using correct medical terminology
A nurse is obtaining the blood pressure 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. Release the cuff pressure at a rate of 4 to 5 mmHg per second
c. Ensure the cuff bladder encircle 50% of the extremity
d. Select a cuff width that covers 40% of the upper arm correct
answer: D
rationale: A. The arm should be positioned and supported with
the cubital fossa at the level of the heart; B. Cuff pressure
release is at a rate of 2-3mmHg; C. The cuff bladder length
encircles 80-100% of upper arm
,A nurse is performing an annual physical examination on an
adolescent. Which of the following should the nurse include in
the general survey?
a. The adolescent's deep tendon reflexes are 2+ bilaterally
b. The adolescent is able to read small print at a distant of 14
inches
c. The adolescent demonstrates fine motor coordination
d. The adolescent makes good eye contact correct answer: D
rationale: The general survey includes identifying the client's
demeanor, mood, and interactions with others
A nurse is inspecting the skin of a toddler. Which of the
following findings should the nurse report to the provider?
a. Presence of fine hair on the lower arms and legs
b. Telangiectatic nevi on the back of the neck
c. Mongolian spot across the buttocks
d. Ecchymotic area on the abdomen correct answer: D
rationale: Although bruising on the extremities is a common
finding in children, bruising in other areas should be
investigated to determine the cause
A nurse is preparing to obtain a temperature on an 18-month old
toddler during a well child examination. 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 rectal electronic thermometer 2.5 (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 correct answer: D
A nurse is assessing the reflexes of a 6 month-old infant. Which
of the following reflex findings should the nurse expect?
a. Positive extrusion reflex
b. Negative plantar grasp reflex
c. Positive Babinski reflex
d. Negative sucking reflex correct answer: C
rationale: The Babinski reflex is elicited by stroking up the side
of the foot and across the ball of the foot. A positive Babinski
reflex is present when this action causes the toes to fan
outwards. This is an expected finding through the first year of
life, after which it begins to fade
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 correct answer: B
rationale: A barrel-shaped chest is expected in an infant. As the
child grows, the lateral diameter will increase more than the
posterior diameter
A nurse is performing a cardiac assessment on a preschooler.
The nurse should plan to auscultate the apical pulse at which of
the following precordial landmarks?
a. Along the sternal border at the third intercostal space
With Complete Solutions
A nurse is preparing to perform a physical examination on a 10-
year-old 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
cold correct answer: C
rationale: School-age children are interested in learning and
building language skills. Therefore, the nurse should explain the
function of the equipment using correct medical terminology
A nurse is obtaining the blood pressure 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. Release the cuff pressure at a rate of 4 to 5 mmHg per second
c. Ensure the cuff bladder encircle 50% of the extremity
d. Select a cuff width that covers 40% of the upper arm correct
answer: D
rationale: A. The arm should be positioned and supported with
the cubital fossa at the level of the heart; B. Cuff pressure
release is at a rate of 2-3mmHg; C. The cuff bladder length
encircles 80-100% of upper arm
,A nurse is performing an annual physical examination on an
adolescent. Which of the following should the nurse include in
the general survey?
a. The adolescent's deep tendon reflexes are 2+ bilaterally
b. The adolescent is able to read small print at a distant of 14
inches
c. The adolescent demonstrates fine motor coordination
d. The adolescent makes good eye contact correct answer: D
rationale: The general survey includes identifying the client's
demeanor, mood, and interactions with others
A nurse is inspecting the skin of a toddler. Which of the
following findings should the nurse report to the provider?
a. Presence of fine hair on the lower arms and legs
b. Telangiectatic nevi on the back of the neck
c. Mongolian spot across the buttocks
d. Ecchymotic area on the abdomen correct answer: D
rationale: Although bruising on the extremities is a common
finding in children, bruising in other areas should be
investigated to determine the cause
A nurse is preparing to obtain a temperature on an 18-month old
toddler during a well child examination. 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 rectal electronic thermometer 2.5 (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 correct answer: D
A nurse is assessing the reflexes of a 6 month-old infant. Which
of the following reflex findings should the nurse expect?
a. Positive extrusion reflex
b. Negative plantar grasp reflex
c. Positive Babinski reflex
d. Negative sucking reflex correct answer: C
rationale: The Babinski reflex is elicited by stroking up the side
of the foot and across the ball of the foot. A positive Babinski
reflex is present when this action causes the toes to fan
outwards. This is an expected finding through the first year of
life, after which it begins to fade
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 correct answer: B
rationale: A barrel-shaped chest is expected in an infant. As the
child grows, the lateral diameter will increase more than the
posterior diameter
A nurse is performing a cardiac assessment on a preschooler.
The nurse should plan to auscultate the apical pulse at which of
the following precordial landmarks?
a. Along the sternal border at the third intercostal space
