examination of the abdomen is performed correctly by the nurse in which order
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Nursing Elites

ATI RN

ATI Nursing Care of Children

1. Examination of the abdomen is performed correctly by the nurse in which order?

Correct answer: D

Rationale: The correct order for abdominal examination is inspection, auscult

2. Which actions by the nurse demonstrate overinvolvement with patients and their families? (Select all that apply.)

Correct answer: C

Rationale: Overinvolvement includes personal actions like buying clothes, showing favoritism, and spending off-duty time with patients, which can blur professional boundaries.

3. Which muscle is contraindicated for the administration of immunizations in infants and young children?

Correct answer: B

Rationale: The dorsogluteal muscle is contraindicated for immunizations in infants and young children due to the risk of injury to the sciatic nerve. The anterolateral thigh is the preferred site.

4. At which age can most infants sit steadily unsupported?

Correct answer: C

Rationale: Most infants can sit steadily without support by 8 months, indicating advanced gross motor skill development.

5. Which congenital heart defect causes a "boot-shaped" heart on a chest x-ray?

Correct answer: A

Rationale: The correct answer is A: Tetralogy of Fallot. Tetralogy of Fallot, a congenital heart defect with four distinct abnormalities, often presents with a "boot-shaped" heart on chest x-ray due to right ventricular hypertrophy. This characteristic finding is due to the specific combination of defects in this condition. Coarctation of the aorta (choice B), Transposition of the great arteries (choice C), and Ventricular septal defect (choice D) do not typically result in a "boot-shaped" heart on a chest x-ray like Tetralogy of Fallot does.

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