ATI PEDS Questions with 100% Correct Answers 2022 GUARANT... - $50.45 Add To Cart
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PEDS 1 EXAM 2022 (NEW!) – 70 QUESTIONS WITH 100% CORRECT ANSWERS 1. A nurse is providing education about dietary modifications to the parents of a sch... [Show More] ool-age child who has glomerulonephritis. Which of the following information should the nurse include in the teaching? - 2. A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure? 3. A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the following findings is the nurse's priority? - 4. A nurse is providing anticipatory guidance to a parent of a 1-month-old infant. The nurse should include that it is recommended to start the series of which of the following immunization first? - 5. A nurse is reviewing the laboratory report of a toddler who has hemolytic uremic syndrome. Which of the following findings should the nurse expect? 6. A nurse is caring for a school-age-child who is experiencing a sickle cell crisis. Which of the following action should the nurse take? -. 7. A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider? - 8. A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching? - 9. A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5lb) and is postoperative following open-heart surgery. Which of the following findings should the nurse report to the provider? - 10. A nurse is providing dietary teaching to a parent of a 10-month-old infant who has phenylketonuria. Which of the following responses by the parent indicates an understanding of the teaching? 11. A nurse is providing teaching to the parents of a preschool-age child who has celiac disease. Which of the following instructions should the nurse include? - 12. A nurse is administering albuterol by metered dose inhaler for a preschool-age child who is experiencing an asthma exacerbation. Which of the following findings should the nurse report to the provider? 13. A nurse is caring for a school-age child who is 1hr postoperative following a tonsillectomy. Which of the following actions should the nurse take? (Select all that apply.) 14. A nurse is caring for a school-age child who has heart failure. Which of the following findings should the nurse expect? ( 15. A nurse in an emergency department is assessing a toddler who has a head injury. Which of the following findings should the nurse report to the provider? 16. A nurse is caring for a toddler who is in the terminal stage of neuroblastoma. The parents ask, "How can we help our child now?" Which of the following responses by the nurse is appropriate? - 17. A nurse is preparing to administer cephalexin 25 mg/kg PO to a child who has otitis media and weighs 22 kg (48.5lb). Available is cephalexin solution 250 mg/5mL. How many mL should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - 18. During a well-baby visit, the parent of a 2-week-old newborn tells the nurse, "My baby always keeps her head tilted to the right side." The nurse should further assess which of the following areas? - 19. A nurse is caring for a single mother of a 6-month-old infant. During a well-baby visit, the mother expresses feeling "inexperienced" in caring for the baby. The nurse should recommend which of the following community resources? - 20. A nurse is admitting an infant who has GERD. Which of the following is the priority assessment finding? 21. A nurse is caring for an infant who has severe dehydration. Which of the following clinical findings should the nurse expect? - 22. A nurse is teaching a group of female adolescents about healthy eating. Which of the following instructions should the nurse include in the teaching? - " 23. A nurse is preparing to administer immunizations to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care? 24. A nurse is caring for a child who has impetigo contagiosa that developed in the hospital. Which of the following actions should the nurse take? -. 25. A nurse is providing discharge teaching to the parents of a school-age child who has cystic fibrosis. Which of the following responses by the parents indicates an understanding of the teaching? - " 26. A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider? - 27. A nurse is providing teaching to the parents of a school-age child who has ADHD and a new prescription for methylphenidate. The nurse should explain that this medication will have which of the following therapeutic effects? - 28. A nurse is teaching an adolescent how to manage his cystic fibrosis. Which of the following statements y the adolescent indicates an understanding of the teaching. - 29. A nurse in a provider's office is caring for a preschool-age child who might have acute epiglottitis. Which of the following actions should the nurse take? 30. A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching? -. 31. A nurse is preparing to perform a venipuncture to collect a blood sample from an infant. Which of the following restraints should the nurse plan to use for this procedure? - 32. A nurse is reviewing the laboratory report of a school-age child who has rheumatic fever. Which of the following laboratory findings should the nurse expect? - 33. A nurse is administering an opioid to an adolescent who is in sickle cell crisis. Which statement is true regarding opioid pain management? 34. A nurse is planning care for an adolescent following repair of Meckel diverticulum. Which of the following actions should the nurse include in the plan of care? - 35. A nurse is preparing to perform peritoneal dialysis for a child who has an elevated serum creatinine level. After explaining the procedure, which of the following actions should the nurse plan to take? - 36. A nurse is caring for an adolescent who is 1 hr postoperative following an appendectomy. Which of the following findings should the nurse report to the provider? 37. A nurse is caring for a preschool-age child who is postoperative following a tonsillectomy and is clearing her throat frequently. Which of the following actions should the nurse take first? - 38. A nurse is planning care of r a toddler who has developed oral ulcers in response to chemotherapy. Which of the following actions should the nurse include in the plan of care? - 39. A nurse is planning care for a child immediately following the insertion of a chest tube for continuous suction with a closed drainage system. Which of the following interventions should the nurse include in the plan of care? - 40. A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first? - 41. A nurse is assessing an adolescent who has Crushing's syndrome. Which of the following should the nurse expect? - 42. A nurse is caring for a preschooler who has a brain tumor. Which of the following findings is the priority for the nurse to report to the provider? - 43. A charge nurse is planning care for an infant who has failure to thrive. Which of the following actions should the nurse include in the plan of care? - 44. A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome (SIDS). Which of the following statements by the parents indicates an understanding of the teaching? - 45. A nurse is caring for a child who has acute glomerulonephritis. Which of the following finding should the nurse expect? - 46. A nurse is assessing a 1-month-old infant at a well-child visit. Identify the location the nurse should stroke to elicit the rooting reflex. (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) - 47. A nurse is providing postoperative care for a child following an arterial cardiac catheterization. Which of the following actions should the nurse take? - 48. A nurse in a provider's office is providing teaching to the parents of preschooler who has Down syndrome. Which of the following statements by one of the parent indicates an understanding of the instructions? - 49. A nurse is teaching a parent of a 10-month-old infant about home safety. Which of the following instructions should the nurse include in the teaching? (Select all that apply) 50. A nurse is providing discharge teaching to a parent of a toddler who has a ventriculoperitoneal shunt. Which of the following statement by the parent indicates an understanding of the teaching? -. 51. A nurse in a provider's office is assessing the vital signs of a 2-year old child at a well-child visit. Which of the following findings should the nurse report to the provider? - 52. A nurse is assessing a 3-month-old infant who has diarrhea. Which of the following findings should the nurse expect? - 53. A nurse is preparing to administer imipenem/cilastatin 25 mg/kg to a child who weights 77 lb. How many mg should the nurse plan to administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - 54. A nurse is providing teaching to a parent of an infant who has a 1 cm (0.4 in) umbilical hernia. Which of the following instructions should the nurse include in the teaching? - 55. A nurse is admitting a child who has pertussis. Which of the following transmission-based precaution should the nurse initiate? - 56. A nurse is assessing a toddler who has a history of lead poisoning. Which of the following actions should the nurse take? -. 57. A nurse is reviewing the medical record of a 24-month-old child who has acute lymphocytic leukemia. Which of the following actions should the nurse take? (Click the exhibit button for additional information about the client. There are three tabs that contain separate categories of data.) - 58. A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse? 59. A nurse is providing teaching to the parent of a school-age child who has diabetes mellitus about managing diabetes during illness. Which of the following statement by the parent indicates an understanding of the teaching? 60. A nurse is providing discharge teaching to the parents of a toddler who has iron deficiency anemia and a new prescription for ferrous sulfate elixir. Which of the following instructions should the nurse include? -. 61. A nurse is caring for an infant who has tetralogy of fallot and is having a hypercyanotic episode after crying. Which of the following intervention should the nurse implement. - 62. A nurse is providing teaching to an adolescent who has vulvovaginitis. Which of the following statement should the nurse include in the teaching? - 63. A nurse is providing discharge instructions to the parents of a toddler who has heart failure and a new prescription for digoxin. Which of the following statements indicate an understanding of the instructions? - 64. A nurse is planning an in-service for parents of school-age children about the treatment of pediculosis capitis. Which of the following instructions should the nurse plan to include in the teaching? -. 65. A nurse is assessing an adolescent who has infectious mononucleosis. Which of the following findings should the nurse expect? - 66. A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of following findings should the nurse expect? - 67. A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take? - 68. A nurse in an emergency department is caring for a child following an overdose of acetylsalicylic acid. Which of the following mediations should the nurse plan to administer? - 69. A nurse is providing teaching to the parents of a toddler who is exhibiting negativism during mealtimes. Which of the following statements by the nurse is appropriate? - 70. A nurse in an emergency department is caring for a child who weighs 18 kg (39.7 lb) and indigested six 500 mg acetaminophen tablets 4 hr ago. Which of the following actions should the nurse take? - [Show Less]
Peds Priority One Questions with 100% Correct Answers 2022 (69 QUESTIONS) 1. A nurse is helping a school-age child who has celiac disease select menu i... [Show More] tems for the next day's meals and snacks. Which of the following foods should the nurse encourage the client to choose? - 2. A nurse is providing dietary teaching to a parent of a 10-month-old infant who has phenylketonuria. Which of the following responses by the parent indicates an understanding of the teaching? - " 3. A nurse is reviewing the results of the newborn screening for a newborn who is 1 week old. Results include total T4 0.8 mcg/dL, phenylalanine 0.7 mg/dL, and negative galactosemia. Which of the following interventions should the nurse include in the plan of care? - 4. A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? (Select all that apply). - 5. A nurse is planning care for an 8-month-old infant who has bronchiolitis. Which of the following actions should the nurse include in the plan of care? - 6. A nurse is providing discharge teaching to the parents of a preschool aged child who has heart-failure and a new prescription for digoxin oral solution. Which of the following instructions should the nurse include? - 7. A nurse is assessing a 24-month-old toddler. Which of the following findings should the nurse report to the provider? - 8. A nurse is assessing a child who is 2 hr postoperative following cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first? - 9. A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching? - 10. A nurse is collecting data from a toddler who weighs 20 kg (44 lb) and has a full-thickness burn to 10% of this body. Which of the following findings should the nurse report to the provider? - 11. A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority? 12. A nurse is providing teaching to a parent of an 11-month-old infant who has acute diarrhea and dehydration. Which of the following fluids should the nurse instruct the parent to provide to the infant? - 13. A nurse in an emergency department is caring for a child who experienced a submersion injury. Which of the following is the priority action for the nurse to take? - 14. A nurse is caring for a school-age child who is in 90 degree/90 degree skeletal traction. Which of the following actions should the nurse take? 15. A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis testing for cystic fibrosis. Which of the following statements should the nurse include in the teaching? 16. A nurse is assessing a preschool-age child who has celiac disease. Which of the following findings should the nurse expect? Inflammation caused by gluten foods. 17. A nurse is caring for a toddler who is postoperative following cleft palate repair. Which of the following actions should the nurse take? - 18. A nurse is caring for a 3-year-old child who is recovering from surgery. Which of the following methods should the nurse use to assess the child's pain level? - 19. A nurse is preparing to perform a venipuncture to collect a blood sample from an infant. Which of the following restraints should the nurse plan to use for this procedure? - 20. A nurse is reviewing the laboratory results of a preschool-age child who has hematuria. Which of the following results should the nurse report to the provider? 21. A nurse is planning care for a child immediately following the insertion of a chest tube for continuous suction with a close drainage system. Which of the following interventions should the nurse include in the plan of care? - 22. A nurse is planning care for a child who has osteomyelitis. Which of the following interventions should the nurse include in the plan of care? 23. A nurse in a family practice clinic is assessing a preschool-age child who recently experienced the death of a sibling. Which of the following reactions is an age-appropriate response to death? - 24. A nurse is teaching home care to the parents of a preschool-age child who has heart failure. Which of the following information should the nurse include in the teaching? - 25. A nurse is caring for a child who is 2 days postoperative following an appendectomy due to rupture of the appendix. The child's NG tube is set to low intermittent suction. Which of the following findings indicates that the child's gastrointestinal function has returned? - 26. A nurse in a PACU is caring for a school-age child immediately following a tonsillectomy. Which of the following actions should the nurse take? 27. A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs. Which of the following actions is appropriate for the nurse to take? - 28. A nurse is caring for a child who has bacterial meningitis. Which of the following criteria indicates the nurse should remove the child from droplet precautions? - 29. a nurse is creatind a plan of care for a newly-admitted adolescent who hasbacterial meningitis. How long should the nurse plan to maintain the adolescent in droplet precautions? - 30. A nurse is preparing to administer an enteral feeding to an adolescent who has NG tube. Which of the following actions should the nurse take first? 31. A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider? 32. A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect? - 33. A nurse is providing discharge teaching to the parents of a school-age child following placement of a ventriculoperitoneal shunt. The nurse should determine that the teaching was effective when the parents identify which of the following as an indicator that the shunt has been displaced? 34. A nurse is caring for a newly admitted toddler who has acute diarrhea. Which of the following actions should the nurse take first? - 35. A nurse is assessing a toddler who is 8 hr postoperative following a cardiac catheterization procedure. Which of the following findings should the nurse report ot the provider? - 36. A nurse is assessing a child who has measles. Which of the following areas should the nurse inspect for Koplik spots? - 37. A nurse is assessing a toddler who has cystic fibrosis. Which of the following findings should the nurse expect? 38. A nurse is caring for a child who is terminally ill. The parents tell the nurse that their child is going to be fine because they heard about another child who survived the same illness. Which of the following responses should the nurse take? - 39. A nurse is assessing an infant who has acute otitis media. Which of the following findings should the nurse expect? (Select all that apply) - 40. A nurse is caring for a child who is to receive the first dose of IV gentamicin. Which of the following actions should the nurse take? 41. A nurse is caring for an infant who has heart failure and is receiving digoxin. Which of the following findings indicates a positive response to the medication? - 42. A nurse is providing teaching to the parents of a child who is receiving radiation therapy. Which of the following instructions should the nurse include in the teaching? (Select all that apply). - 43. A nurse is caring for a 4-year-old child who has moderate dehydration. Which of the following findings should the nurse expect? - 44. A nurse is providing teaching to the parents of a child who has varicella about management of the disease. Which of the following instructions should the nurse include in the teaching? - 45. A nurse is providing education to a parent of a toddler who is experiencing sickle cell crisis. Which of the following statements by the parent indicates an understanding of the teaching? 46. A nurse in an emergency department is caring for a preschool-age child who has acute acetylsalicylic acid poisoning. Which of the following should the nurse expect? 47. A nurse is providing teaching to a parent of a child who has cystic fibrosis and a new prescription for dornase alfa. Which of the following instructions should the nurse include in the teaching? -. 48. A nurse is assessing a school-age child who has type 1 diabetes mellitus.. The nurse notes that the child is diaphoretic. Which of the following actions should the nurse take? - 49. A nurse is administering an opioid to an adolescent who is in sickle cell crisis. Which statement is true regarding opioid pain management? - 50. A nurse is preparing to administer immunizations to a 5-year-old child who is up-to-date with the current immunization schedule. Which of the following immunizations should the nurse plan to administer? 51. A nurse is caring for a 10-month-old child who was brought to the emergency department by his parents following a head injury. Which of the following actions should the nurse take first? - 52. A nurse is providing teaching to the parents of a school-age child who has ADHD. Which of the following instructions should the nurse include? - 53. A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider? - 54. A nurse is caring for a child during a tonic-clonic seizure Which of the following actions should the nurse take? (Select all that apply). - 55. A nurse is teaching a parent of a preschool-age child about management of sleep terrors. Which of the following instructions should the nurse include? 56. A nurse is planning post-op care for an adolescent following scoliosis repair with spinal instrumentation. Which of the following actions should the nurse include in the plan of care? - 57. A nurse is reviewing laboratory results of a school-age child. Which of the following findings should the nurse report to the provider? 58. A charge nurse is teaching a group of nurses about identifying child abuse. Which of the following findings should the nurse identify as a potential indicator of child abuse? 59. A nurse is providing teaching to a parent of an infant who has diaper rash. Which of the following statements by the parent indicates an understanding of the teaching? 60. A nurse is admitting a school-age child who has osteomyelitis. Which of the following actions should the nurse takes first? - 61. A nurse is preparing a parent's' education class about nutrition for toddlers. . The nurse should identify which of the following findings as an indication of protein deficiency? - 62. A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first? - 63. A nurse is providing teaching about medication administration to the parents of a toddler who has a new prescription of liquid ferrous sulfate. Which of the following instruction should the nurse include in the teaching? 64. A nurse is preparing to administer immunizations to a 3-month-old infant. Which of the following is an appropriate actions for the nurse to take to deliver atraumatic care? 65. A nurse is caring for a 4 year old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report ot the provider? 66. A school nurse is assessing a 7 year old student. The nurse should identify which of the following findings as a potential indicator of physical abuse? -. 67. A nurse is conducting a well-child visit with the parents of a 2-week-old newborn. The nurse should inform the parents that their newborn should receive the MMR immunization at what age? - 68. A nurse is teaching an adolescent who has MRSA infection. Which of the following statement by the adolescent indicates an understanding of the teaching? 69. A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teachings ? - [Show Less]
ATI pediatrics proctored exam Chapter 1: Family centered nursing care 1. Parenting styles -Dictatorial or authoritarian: -Parents try to control the ch... [Show More] ild’s behaviors and attitudes through unquestioned rules and expectations -Ex: The child is never allowed to watch television on school nights -Permissive: -Parents exert little or no control over the child’s behaviors, and consult the child when making decisions -Ex: The child assists with deciding whether he will watch television -Democratic or authoritative: -Parents direct the child’s behavior by setting rules and explaining the reason for each rule setting -Ex: The child can watch television for 1 hr on school nights after completing all of his homework and chores -Parents negatively reinforce deviations form the rules -Ex: The privilege is taken away but later reinstated based on new guidelines Chapter 2: Physical assessment findings 1. Vital signs -Usually vital signs are all high except for BP -Temperature: -3 – 6 months 99.5 -1 year 99.9 -3 year 99.0 -5 years 98.6 -7 years 98.2 -9 – 11 years 98.1 -13 years 97.9 -Pulse: -Newborn 80 – 180/min -1 weeks – 3 months 80 – 220/min -3 months – 2 years 70 – 150/min -2 – 10 years 60 – 110/min -10 years and older 50 – 90/min -Respirations: -Newborn – 1year 30 – 35/min -1 – 2 years 25 – 30/min -2 – 6 years 21 – 25/min -6 – 12 years 19 – 21/min -12 years and older 16 – 19/min-Blood pressure: -Low as a baby but increases the older they get -Infants: -Systolic: 65-78 -Diastolic: 41-52 2. Head -Fontanels should be flat -Posterior fontanel: -Closes by 6-8 weeks -Anterior fontanel: -Closes by 12-18 months 3. Teeth -Infants should have 6-8 teeth by 1 year old -Children and adolescents should have teeth that are white and smooth, and begin replacing the 20 deciduous teeth with 32 permanent teeth 4. Infant Reflexes Stepping Birth to 4 weeks Palmar Grasp Birth to 3 months Tonic Neck Reflex (Fencer Position) Birth to 3 – 4 months Sucking and Rooting Reflex Birth to 4 months Moro Reflex (Fall backward) Birth to 4 months Startle Reflex (Loud Noise) Birth to 4 months Plantar Reflex Birth to 8 months Babinski Reflex Birth to 1 year [Show Less]
a nurse is planning care for a child who has severe diarrhea. which of the following actions is the nurse priority? A. Introduce a regular diet B. Rehyd... [Show More] rate C. Maintain fluid therapy D. Assess fluid balance (Assess first the other three are interventions, before u intervene you have to assess how much fluid imbalance. Check for labs results because it will tell you what kind of fluid is to be given and how much fluid to be replaced. Priority is assessment first) A nurse is caring for a toddler who’s parent states that the child has a mass in his abdominal area and his urine is a pink color. Which of the following actions is the nurse’s priority? A. Schedule the child for an abdominal ultrasound B. Instruct the parent to avoid pressing on the abdominal area C. Determine if the child is having pain D. Obtain a urine specimen for a urinalysis A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse’s priority? A. Place the child on a no salt added diet B. Check the Childs weight daily C. Educate the parents about potential complications D. Maintain a saline lock (IV access that is attached to any fluids. For emergency) (inflammation of the kidneys caused by group A beta hemolytic streptococcus, infection. Fluid or fluid retention. Patient with kidney problems affect blood pressure -> High blood pressure because of fluid retention. Salt increases high blood pressure. Lower the salt intake of this patient) A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following is the nurse’s priority? A. Administer antibiotics when available B. Reduce environmental stimuli (because of increase of ICP and can cause seizures) C. Document intake and outputD. Maintain seizure precautions A nurse is collecting data from an adolescent. Which of the following represents the greatest risk for suicide? A. Availability of firearms B. Family conflict C. Homosexuality D. Active psychiatric disorder (Mark, mental problems, patients mind is unstable) A nurse is collecting data from an infant who has otitis media (middle ear infection). The nurse should expect which of the following findings? A. Tugging on the affected ear lobe B. Bluish green discharge from the ear canal (there’s usually no discharge, discharge only comes out if there’s opening in the ear drum) C. Increase in appetite (decrease in appetite) D. Erythema and edema of the affected auricle (usually no redness in the affected auricle) (otitis externa: infection of the outer ear) A nurse is reinforcing reaching with a parent of a 1 month old infant who is to undergo the initial surgery to treat Hirschsprung’s disease (a ganglionic megacolon, part of the colon isn’t connected to the nerves or not functioning, so there will be an increase size of the colon and stool gets stuck in there). Which of the following statements should indicate to the nurse that the parent understanding the goal of surgery? A. “I’m glad that the ostomy is only temporary “ (1st there going to cut the nonfunctioning of the colon, and then apply temporary colostomy, after a couple of months they will suture it together) B. “I’m glad my child will have normal bowel movements now” C. “I want to learn how to use the feeding tube as soon as possible” D. “the operation will straighten out the kink in the intestine” A nurse is caring for an infant who is 1 day postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take? A. Apply an antibiotic ointment to the suture site B. Clear oral secretions using a bulb syringeC. Feed the infant using a spoon D. Position the infant on her abdomen A nurse is reinforcing discharge instructions with a parent of a child who has cystic fibrosis. Which of the following statements by the parent indicates an understanding of the teaching? A. “I will make sure my child washes her hands before eating” B. “I will restrict the amount of salt in my child’s meal” C. “I will put my child in daycare to ensure that she socializes with other children” D. “I will provide low fat meals for my child A nurse working at a clinic speaks on the telephone with a parent of a 2-monthold infant. The parent tells the nurse that the infant has projectile vomiting followed by hunger after meals. Which of the following response by the nurse is appropriate? A. “Bring your infant into the clinic today to be seen” B. “Burp your child more frequently during feedings” C. “Give your infant an oral rehydrating solution” D. “You might want to try switching to different formula” A nurse is caring for a 4 year old child who is 2 days postoperative following the insertion of a ventriculoperitoneal shunt. Which of the following findings should the nurse identify as the priority . (causes icp hydrocephalus) A. lethargy (high pitched cry, respiratory changes, bradycardia, wide pulse pressure, irritability) B. lying flat on the unaffected side C. respiratory rate 20/min D. urine output 50 mL in 2hr a nurse is caring for a child following an open reduction and internal fixation of a fractured femur and application of a cast. The cast has a window cut in it for viewing of the incision. Which of the following actions should the nurse take first? A. Remove the window and view the incision B. Turn the client so the cast will dry on all sides C. Medicate the client for painD. Perform neurovascular checks of the affected extremity (check for infection, color, capillary refill, redness) A nurse is an urgent care clinic is assisting with the care of a toddler who ingested 30 tablets of aspirin. Which of the following substances should the nurse administer to the toddler? A. Activated charcoal (can work with toxin, poison. Given through ng tube absorbs toxins) B. Acetylcysteine (antidote for acetaminophen) C. A chelating agent (usually used for iron) D. Digoxin immune FAB A nurse is caring for a 3 year old client who has persistent otitis media. To help identify contributing factors, the nurse should ask the parents which of the following questions? A. Has your daughter been drinking 6 glasses of water a day B. Does anyone smoke in the same house as your daughter? (smoking can cause irritation, cause mucus in respiratory and causes otitis media?) (otitis media is purulent color) C. Does your daughter get water in her ears when you bathe her? (otitis externa, bluish green color) D. Has your daughter had a lot of earwax in her ears over the last month? A nurse is collecting data from a 2 year old toddler who has AIDS. The nurse should inspect inside the toddler mouth for which of the following opportunistic infections (fungus infections is usually opportunistic infections)? A. Candidiasis (also called oral thrush) B. Gingivitis C. Canker sores D. Koplik spots (measles, rubella) A nurse is caring for a 4 year old child who has dehydration. Which of the following findings should the nurse identify as the priority? A. Blood glucose 110 mg/dL B. Potassium 2.5 mEq/L C. Sodium 142 mEq/L D. Urine specific gravity 1.025A nurse is caring for a child who Is postoperative following the insertion of a ventriculorperitoneal shunt. The nurse should place the child in which of the following positions? A. On the nonoperative side B. A 45 deg head elevation C. Prone D. Supine A nurse is caring for an infant who is dehydrated and requires IV therapy. The nurse should monitor the infant response to therapy by performing which of the following actions? A. weighing the infants at the same time everyday B. Taking the infants vital signs every 2 hr. C. Measuring the infants head circumference twice per day D. Counting the number of wet diapers every shift A nurse is caring for a preschool age child who has croup. Which of the following findings should the nurse report to the provider? A. Barky cough B. Paroxysmal attacks of laryngeal spasm at night C. Hoarseness D. Drooling (that could mean it can mean there’s an epiglottitis causes obstruction of the airway) A nurse is collecting data from an infant who has hypertrophic pyloric stenosis. Which of the following findings should the nurse expect? A. Projectile vomiting B. Bile colored vomit C. Absent bowel sounds D. Fever A school nurse is screening an 11-year-old child for idiopathic scoliosis. Which of the following instructions should the nurse give the child for this examination? A. Lie prone on the examination table B. Touch your chin to your chest and then look up at the ceiling C. Turn to the side and remain in a relaxed positionD. Bend forward from the waist with your head and arms downward A nurse is collecting data from an infact. Which of the following sites is the most reliable location to check the infats pulse ? A. Carotid B. Apical C. Dorsalis pedis D. Temporal A nurse is reinforcing teaching with a parent of a child who has eczema. Which of th following instructions should the nurse include in the teaching A. Apply a cool wet compress to the affected area B. Launder clothing with fabric softener C. Give bubble baths every day D. Use a wool gloves in the winter time A nurse is caring for a child who has juvenile rheumatoid arthritis. Which of the following actions should the nurse take? A. Administer opioids on a schedule (Nsaids) B. Encourage the child to take daytime naps C. Apply cool compresses for 20 mins every hour D. Maintain night splints to the affected joint A nurse is reinforcing teaching with a parent of an 8-year-old child who has a fracture of the epiphyseal plate. Which of the following statements should the nurse include in the teaching. A. Fractures in a child take longer to heal than fractures in an adult B. Normal bone growth can be affected by the fracture C. Bone marrow can be lost through the fracture D. Your child will need to increase his calcium intake to 3,000 milligrams daily A nurse is collecting data from an 8 month old infant who has increased intracranial pressure (ICP) which of the following manifestations should the nurse expect? A. Insomnia (tired sleepy)B. Bulging fontanel C. Low pitched cry (high pitched) D. Positive babinski reflex A nurse is caring for a school age child who has a fracture to the right femur. Which of the following findings is the nurse priority? A. 2+ right pedal pulse B. respiratory rate 24/min C. capillary refill less than 2 seconds D. tingling in the right foot A nurse is caring for a child who has atopic dermatitis. Which of the following findings should the nurse expect? A. Nonpruritic erythematous papulse B. Rash with thick skin C. Maculopapular lesions between fingers and toes D. Inflamed area with white exudate A nurse is assisting with the care of a school age child who has respiratory failure due to pneumonia. Which of the following positons should the nurse encourage to allow maximal lung expansions? A. Prone B. Supine C. Side lying D. Upright (orthopnic positon, semi fowler, high fowler) A nurse in a provider’s office is reinforcing teaching with a parent of a school age child who has pediculosis capitis. Which of the following instructions should the nurse include in the teaching? A. Wash all bed linens and dry them in a dryer for at least 20 min B. Apply permethrin cream twice daily C. Apply an antifungal treatment ointment once every day D. Ensure that family pets are treated within 10 days A nurse is reinforcing teaching with the mother of an infant who has oral candidiasis and is breastfeeding which of the following instructions should the nurse include in the teaching?A. Wash hands prior to each breastfeeding B. Swab the infants mouth with salt water twice daily C. Change to formula feeding with a bottle D. Hand wash pacifier in warm soapy water each day A nurse is caring for a school age child who has mild persistent asthma. Which of the following findings should the nurse expect? (select all the apply) A. Symptoms are continual throughout the day B. Daytime symtoms occur more than twice per week C. Nighttime symptoms occur approximately twice per month D. Minor limitations occur with normal activity E. Peak expiratory fow (PEF) is greater than or equal to 80% of the predicted value A nurse is collecting data from a child who has acute appendicitis. Which of the following findings should the nurse expect? A. WBC 17,000/mm3 B. Left lower quadrant abdominal pain C. Hyperactive bowel sounds D. Bradycardia (tachycardia) A nurse is caring for a toddler who has a cast applied 2 hr ago due to multiple fractures of the right hand of the following findings should the nurse report immediately to the charge nurse? A. The fingers on the right hand have a capillary refill of 4 seconds B. The fingertips of the right hand are swollen and bruised C. The child is not attempting to move her right arm or fingers D. The parents report the child will not keep the arm elevated on the pillow A nurse is collecting data from a 3-year-old child who has acute diarrhea and dehydration. Which of the following findings indicates that oral rehydration therapy has been effective? A. Heart rate 130/min B. respiratory 24/min C. urine specific gravity 1.015 (1.010-1.015) higher urine specific gravity is dehydrationD. Capillary refill greater than 3 seconds A nrse is caring for a school age child who has a new plaster cast on her right arm. Which of the following actions should the nurse take? A. Position the casted arm in a dependent position (worsen the edema. Elevate it so there wont be edema, elevate it on a pillow ) B. Place a warm moist heat pack on the cast C. Administer diphenhydramine to relieve itching D. Move the casted arm with a firm grip A nurse is caring for a child who is to receive percussion, vibration, and postural drainage. Which of the following actions should the nurse take first? A. Administer albuterol by nebulizer (open the airway, and loosen the secretions it will be more effective to loosen it up) B. Percuss the upper posterior chest C. Perform vibration while the client exhales slowly through the nose D. Instruct the client to cough A nurse is caring for an infant who has spina bifida. Which of the following actions should the nurse take? A. Feed the infant through an BG tube B. Place the infant in prone position C. Cover the infants lesion with a dry cloth (cover infant with moist sterile cloth) D. Perform range of motion exercises to the infant’s hips A nurse is planning care for a child who has epiglottitis. Which of the following actions should the nurse plan to take? A. Obtain a throat culture B. prepare the child for a neck radiograph C. initiate airborne precaution (droplet) D. visualize the epiglottitis using a tongue depressor (it can stimulate spasm and cause airway obstruction) (manifestation of epiglottitis the patient has drooling) A nurse is caring for a child who is experiencing a seizure. Which of the followingActions should the nurse take? A. Elevate the childs legs on a pillow B. Restrain the childs arm C. Insert a padded tongue blade into the child’s mouth D. Place the child in a side lying position(for aspiration) A nurse is caring for an infant who has gastroesophageal reflux. The nurse should place the infant in which of the following positions after feeding? A. Prone (fundamentals) B. Upright (ATI) C. Left side D. Right side A nurse is contributing to the plan of care for a 2month old infant who has just undergone cleft palate repair. The nurse should contribute which of the following interventions to the clients plan of care? A. Feed the infant half strength formula for the first 48 hr. (NPO, start with clear liquids not half strength formula) B. Remove elbow restraints while the infant is sleeping (do not remove the restraint unattended because when they sleep they can still touch the operative site, u can remove it for a short period of time to just monitor) C. Keep the infant in a side lying position D. Administer pain medication PRN for the first 48 hr. (it should not be PRN it should be scheduled) A nurse is receiving hand off report for a toddler who has a fractured right femur and is in 90 degree /90 degree traction. The nurse should expect to observe which of the following? A. Skin straps maintaining the affected leg in an extended positon B. A skeletal pin in the distal end of the femur C. A padded sling under the knee of the affected leg D. The buttocks elevated slightly off of the bed A nurse is caring for a child who is having a tonic clonic seizure and vomiting. Which of th following action the nurse priority A. Place a pillow under the childs headB. Move the child into a side lying position C. Remove the childs eyeglasses D. Time the seizure A nurse is caring for a child who has tinea pedis. The childs parents ask the nurse what this infection is commonly called. The nurse should respond with which of the following common names A. Shingles B. Athletic foot C. Fever blisters D. Pinworms A nurse is caring for a 6-month-old infant who is postoperative following a myringotomy. Which of the following pain assessment scales should the nurse use to determine the infants pain level? A. FLACC B. Oucher C. FACES D. Visual analog scale A nurse is collecting data from a child who has spina bifida occulta. Which of the following findings should the nurse expect? A. Hip dislocation B. Flaccid paralysis of lower extremities C. Hydrocephalus D. Dimple in sacral area A nurse is caring for a 2 week old infant who’s mother requests additional information about sudden infant death syndrome (SIDS). Which of the following responses should the nurse make? A. You should place your baby on her back when sleeping to decrease the risk of SIDS B. SIDS is directly correlated to diphtheria, tetanus, and pertussis vaccines C. SIDS rates have been rising over the last 1- years D. Sleep apnea is the main cause of SIDSA nurse is caring for a newly admitted adolescents who has anorexia nervosa. Which of the findings should the nurse expect A. Diarrhea B. Hypertension C. Tachycardia D. Lanugo A nurse is collecting data from a child who has (beta) B-thalassemia. Which of the following findings should the nurse expect? A. Hyperactivity (hypoactivity) B. Increased appetite (decreased appetite) C. Fever D. Flushed of skin (pale skin) A nurse in a clinic is preparing to administer pre-k-kindergarten vaccines to a 5 year old child whose medical record indicates that his immunization are up to date which of the following vaccines should the nurse plan to adminiser A. Mealsles, mumps, rubella (MMR) B. Haemophilus influenza type B HIB C. Pneumococcal conjugate vaccine (PCV) D. Heptatits B (HBV) A nurse is caring for a toddler who is scheduled to have a lumbar puncture. Which of the following actoons should the nurse take? A. Ask another nurse to assist with holding the toddler in a prone position B. Restrain the toddler for 1 hr after the procedure C. Place the toddler in a side lying knee chest position D. Swaddle the toddler in a warm blanket A nurse is planning to speak to a group of adolescents about toxic shock syndrome (TSS) the nurse include that TSS is a commonly assoiciated with which of the folloqing? A. High absorbency tampons B. Mosquito bites C. International travelD. Multiple sexual partners A nurse is talking with a 13 year old female clients who is having her annual health screening visit. Which of the following comments by the client should concern the nurse? A My parents treat me like a baby sometimes B I start taking ibuprofen a few days before my period starts C None of the kids at my school like me and I don’t like them either D Theres a pimple on my face and iw orry that everyone will notice it A nurse is caring for a 6 month old child. The childs provider has ordered a diphtheria, tetanus, and pertussis (DTAP) vaccine to be administered. Which of the following should cause the nurse to question the administration of this vaccine? A. Febrile otitis media B. Evidence of sensitivity to egg atigens C. Temp of 40.5 C (104.9F) after last DTAP D. New onset of seizurs disorder in the childs sibling A nurse is caring for an adolescent. The nurse should expect that the adolescent is working on which of the following developmental tasks? A. Building a sense of trust (infant)trust vs mistrust B. Learning to use creative energies (school aged) C. Learning to perform tasks independently (toddler)autonomy vs shame and doubt D. Defining a sense of self (Adolescence) A nurse is selecting a toy for a 7 month old infant. Which of the following toys should the nurse choose? A. A set of blocks to build a block tower B. A colorful crib mobile that plays music C. A soft toy that squeaks or crackles when squeezed D. A wooden farm animal puzzle with large pieces A nurse is reinforcing teaching with the parents of an 8 month old infant who will be admitted for surgery. Which of the following instructions should the nurse include in the teaching?A. You will need to go home when it is not visiting hours B. You should bring the infants favorite blanket to the hospital C. You should begin to manipulate the infants bedtime based on the hospital visitng hours D. You should read the childs a story about hospitalization A nurse is collecting data regarding the pain level of a 3 year old child on the second postoperative day following an appendectomy. Which of the following actions should the nurse take? A. Use a numeric scale to assess the childs pain level B. Use the FACES scale to assess the childs pain level C. Use a color tool to assess the childs pain level D. Use the visual analog scale to assess the childs pain level A nurse in a pediatric clinic is collecting data from a preschool age child who has suspected impetigo contagiosa. Which of the following manifestations should the nurse expect to find with this skin infection? A. Scaly patches that have clear centers (ring worm) B. Red macule with honey colored crusts C. Firm brown papules with a roughened, finely papillomatous texture D. Reddened areas with white exudate A nurse is reinforcing teaching with an adolescent regarding administration of the Gardasil vaccine. The vaccine provides Immunity against which of the following sexually transmitted infections? A. Human papillomavirus (HPS) B. Herpes simplex virus ( HSV-2) C. Chlamydia trachomatis D. Gonorrhea A nurse is collecting data from a 7 month old infant which of the following findings should indicate to the nurse a need for further evaluation? A. Usees a unidextrous grasp B. Has a fear of strangers C. Sits leaning forward on both hands D. Babbles one syllable soundsA nurse is collecting data from a child who is postoperative following a tonsillectomy. Which of the following is a clinical manifestation of hemorrhage? A. Increased pain B. Poor fluid intake C. Drooling D. Continuous swallowing A nurse is assisting with the admission of a child who has pertussis. Which of the following actions should the nurse take? A. Initiate a protective environment B. Initiate airborne precautuons C. Initiate droplet precautions D. Initiate contact precautions A nurse is caring for a child who has erythema infectiousm. Which of the following findings should the nurse expect? A. Facial erythema B. Koplik spots (measles) C. Parotitis (mumps) D. Pruritus (itchiness. Chicken pox) A nurse is collecting data from an infant who has developmental dysplasia of the hip (DDH) which of the following findings should the nurse expect? A. Absent plantar reflexes B. Lengthened thigh on the affected side C. Inwardly turned foot on the affected side D. Asymmetric thigh folds A nurse is caring for a child who has nosebleed. Which of the following actions should the nurse take? A. Place the child in a sitting position and tilt her head back B. Apply ice at the opening of the nares for 5 min and then recheck for bleeding C. Place the child In a supine position with a pillow under her head D. Have the child sit with her head tilted forward and hold pressure on her nose for 10 mins (use ur fingers pinching the nose)A nurse is collecting data from a 1 year old child who has Wilms tumor. Which of the following findings should the nurse expect? A. Jaundice B. Swollen joints C. Abdominal mass D. Diarrhea A nurse is caring for a school age child who has acute glomerulonephritis. The child has peripheral edema and is producing 35mL of urine per hour. Which of the following diets should the nurse anticipate the provider will prescribe? A. Low sodium, fluid restricted B. Regular diet no added salt C. Low carbohydrate, low protein diet D. Low protein. Low potassium diet A nurse is preparing to administer vaccines to a 4 month old infant. Which of the following vaccines should the nurse to administer? A. Rotavirus B. Influenza C. MMR (measles, mumps, rubella) D. Varicella (VAR) A nurse is collecting data from an infant at well-child visit. The nurse should expect the infant to double his birth weight by which of the following ages? 3 months 6 months 9 months 12 months NURSE IS CARING for a child who reports being physically abused by a family member. Which of the following statements should the nurse make? A. I promise I wont tell anyone about this B. Lets discuss what you have told me with your family members C. Your family is bad for doing this to you,D. IT is not your fault that this happened A nurse is caring for a child who has acute diarrhea and reports that he is thirsty. Which of the following fluids should the nurse give the child? Birtth Cherry Gelain Apple juice Pedialyte A nurse is preparing to administer immunizations to a child who has an allergy to eggs. The nurse should know that an allergy to eggs is a contraindication for which of the following immunizations ? A Influenza (TIV) B Inactivated poliovirus (IPV) C Haemophilus Influenza tybe B (HiB) D Hepatitis B (Hep B) A NURSE on e medical-surgical unit is caring for a group of children. Which of the following findings should alert the nurse tha one of the children is a potential victim of abuse? A. A toddler who has multiple Bruises on the sins of both legs and his parents report that he is clumsy. B. A preschooler who has a BMI indicating Obesitiy. C. A school age child who cries when the nurse is giving him an injection D. An adolescent who asks to stay in the hospital because he likes the room A nurse is prepeating to administer IM injection to a preschool-age child. Which of the following actions should the nurse take? A. Ask the parents to hold the child B. Allow the child to hold a favorite toy. C. Administer the medication in the child’s room D. Tell the child the medicine will make him feel better.A nurse is contributing to the plan of care of an unconscious adolescent who ingested a non corrosive substance that has no recommended antitode. The nurse should recommend to perform gastric lavage with which of the following substances? A. 0.9% sodium chloride B. Syrup of Ipecac C. Osmotic Diarrheal agents D. Activated Charcoal (absorbs toxins in the stomach , Mixed with Saline for aspiration via NG tube ) A nurse is reinforcing teaching about preventing disease tansmission with the parents of a child who has a streptococcal infection. Which of the following instructions should the nurse include? A. Ill continue to encourage him to drink lots of fluids.” B. Ill take his temp. Q 4 hours” C. Ill give him acetaminophen for the pain D. Ill discard his toothbrush and buy another “ A nurse on a pedicatric unit is caring for a client who has brain tumor. To help ensure the lcients safety, which of the following actions should the nurse take? A. Do not allow the child to ambulate in his room alone. B. Limit contact with other pediatric clients. C. Initiate Seizure precautions for the child D. Have the child use a wheelchair for all out-of-bed activities A nurse is caring for a child who is having seizure. Which of the following actions should the nurse take? ( select all that apply ) A. Elbow B. Mummy C. Wrist D. JacketA nurse is caring for a child who is having seizure. Which of the following actions should the nurse take ( SELECT ALL THAT APPLY) A loosen restrictive clothing B place a tongue depressor in the child’s mouth C clear the area of hard objects D Place the child in prone positions E Restrain the child 83?...A nurse enters a school age child’s room to administer morning medications and finds the client sitting in a chair having a seizure. After lowering the client to the floor Lateral position A nurse is assiting with the care of a child with spina bifida. Which of the folloing precations should nurse take while caring for this child? Precautions for Spina Bifida -- Latex Precautions A nurse is assisting with the admission of an infant who has resp. Syncytial Virus (RSV) which of the following rooms should the nurse assign the infant? A. A semi-private room with an infant who has a croup B. A semi-private room with a toddler who has pneumonia C. A private room with contact/droplet precautions D. A private room with protective isolation A nurse is reinforcing teaching with new parents about risk factors for the sudden infant death syndrome (SIDS). Which of the following statements by a parent indicates an understanding of the teaching? A. “Our baby will sleep in my bed because I am breastfeeding.”B. I do not plan to offer my baby a pacifier during naps or at bedtime C. My baby will be placed on her back when sleeping D. We will place an antique quilt in out baby’s crib.” A nurse is caring for an adolescent client who is receiving carbamazepine for partial seizure disorder. Which of the following statements by the adolescent parent is the priority for the nurse to addresss?” A. He only sleeps 5 hours each night B. HE takes his medication between meals with water C. He seems to be getting a lot more bumps and bruises lately D. HE has not been eating as much lately” A nurse is caring for a toddler who has laryngotrachobronchitis ( LTB ) For which of the following findings should the nurse monitor to detect airway ob struction? A. Decreased Stridor (increase airway becomes more obstructive) B. Decreased Restlessness ( increase ) C. Increased Heart rate ( in order to deliver more blood pump more oxygen ) D. Decreased Temperature ( Increased Temperature ) A nurse is reinforcing teaching with the mother of a 2-month old infant whose provider applied a Paylik Harness 1 week earlier for the treatment of developmental hip dysplasia. Which of the following statements. Which of the following statements by the mother indicates an understanding of the teaching? A. I will adjust the harness straps every day.” B. I will place the diaper over the harness.” ( Under the Harness ) C. I will check my baby’s skin three times each day. D. I will gently massage lotion on his skin around the harness clasps.” (Build up in skin and cause irritation ) A nurse reinforcing teaching with the parents of a school-age child who has cystic fibrosis. Which of the following statements should the nurse make?A administer a bronchodilator to the child after chest percussion therapy .” ( B. a pigeon- shaped chase might become evident as the disease progressing. “ C. Bradycardia is an early indicator of pneumothorax.” D. Engage the child in daily aerobic exercise. “(help promote erection of the mucus. Endorphine will Rise. YEEEE) A nurse is a collecting data from an infant which of the following is a clinical manifestation of pyloric stenosis?” A. Absent Bowel sounds (appendeictis and hirchsprung disease) B. Increased Sodium Level (decrease because of vomiting) C. Projectile Vomiting after feedings D. Golf- ball size over the left quadrant (olive shaped mass) (On the right of Umbilicus ) A nurse is planning meals for a 2-year child who has a fractured jaw and is having difficult swallowing. The surgeon has prescribed a pureed diet. Which of the following food selections should the nurse make? A. scrambled egg (Pureed) B. Cottage Cheese (mechanical diet) C. Dried fruit D. Peas A nurse reincofrcing teaching the parents of a pre schooler who has a atopic dermatitis. Which of the following information should the nurse include? You’ll need to take the entire prescription of antibiotics even if your symptoms improved. The doctors may recommend anti-histamines to help control symptoms. You can relieve your child’s iscomfort by applying warm compression of the lesion The doctor will remove the lesions with the liquid nitrogenA nurse is contributing to the plan of care of a 14-month old toddler who is 24 hour post-OP following a cleft palate repair. Which of the following interventions should the nurse include in the plan? A. Provide soft foods for the toddler. B. Suction the toddler nose and mouth every hour C. Maintain elbow restraints on the toddler D. Give the toddler a hard – tipped sippy cup to drink liquids. A nurse is collecting data from an infant who has Gastroesophageal reflux (GERD) . Which of the following findings should the nurse expect? ( select all that apply) A. Vomiting B. Weight Loss C. Rigid Abdomen ( for Appendecitis ) D. Wheezing E. Pallor A nurse is caring for a toddlet who has intusussepction. Which of the following manifestations should the nurse expect? A. Drooping B. Increased Appetite C. Jaundice D. Mucus in Stools A nurse is caring for a 4-year old child who refuses to take his medication because of the bad taste. Which of the following strategies should the nurse use to medication A. Offer the child an ice pop prior to administering the medication ( numb the tongue …Nerves ) B. Tell the child the medicine tastes like candy C. Hide the medication in apple slices. D. Inform the child that if he does not take the medication he will need a shot.A nurse is reviewing the medical record of an adolescent and notes a calcium level of 11.5 mEq/L Which of the following findings should the nurse expect? ( 9- 10.5 = Normal Calcium level ) A. Diarrhea B. Muscle Hypotonicity C. Tachycardia ( HypoCalcemia ) D. Positive Chvostek’s sign ( HypoCalcemia) (Face twitching after a tap ) tappity tap A nurse is planning care for a 4-year old child who has been admitted to the hospital. Which of the following toys. Should the nurse plan to provide the child? A. Modeling Clay B. Brightly Colored mobile ( INFANTS ) C. 100- piece jigsaw puzzle ( TOO MUCH APPARENTLY ) D. Checkerboard and Checkers ( SCHOOL AGE 6-12 Y/O ) A nurse is reincofrcing teaching about elimination with an adolescent who is paralyzed from the waist down following a spinal cord injury. Which of the following statements by the adolescent indicates a need for further teaching ? A. “ I need to catheterize myself twice a day. “ ( Catheterize every 4-6 Hours ) B. I carry a water bottle with me because I drink a lot of water.” C. I used a suppository every night to have a bowel movements .” D. I do my wheelchair exercises sitting in my chair A parent asks a nurse about toys to provide for a 10-month old infant. Which of the following toys should suggest? A. Push- Pull Toy (B. Crib Gym C. Large-Piece puzzles D. Coloring book with crayons [Show Less]
ATI pediatrics proctored exam Chapter 1: Family centered nursing care 1. Parenting styles -Dictatorial or authoritarian: -Parents try to control the ch... [Show More] ild’s behaviors and attitudes through unquestioned rules and expectations -Ex: The child is never allowed to watch television on school nights -Permissive: -Parents exert little or no control over the child’s behaviors, and consult the child when making decisions -Ex: The child assists with deciding whether he will watch television -Democratic or authoritative: -Parents direct the child’s behavior by setting rules and explaining the reason for each rule setting -Ex: The child can watch television for 1 hr on school nights after completing all of his homework and chores -Parents negatively reinforce deviations form the rules -Ex: The privilege is taken away but later reinstated based on new guidelines Chapter 2: Physical assessment findings 1. Vital signs -Usually vital signs are all high except for BP -Temperature: [Show Less]
1. A nurse is caring for a 4 year old child who has superficial partial thickness burns over 50% of his body. When planning for the nutritional needs of t... [Show More] he child, which of the following actions should the nurse plan to take? Supplement the childs feeding with enteral feedings. 2. A nurse is caring for a child who has vesicular rash. The parents of the child asks the nurse what illness can cause this rash for 6 days. The nurse should expect that the child has which of the following conditions? varicella 3. A nurse is caring for a child who has been in Bucks traction for 2 days. Which of the following actions should the nurse take to prevent complications? Check for pulses in the affected leg every 4 hours. 4. A nurse is caring for a child who is in the emergency department after ingesting a bottle of acetaminophen. Which of the following medications should the nurse plan to administer? Acetylcysteine 5. A nurse is preparing to administer an intramuscular injection to a 2month old infant. In which of the following sites should the nurse plan to administer injection?Vastus lateralis 6. A nurse is teaching the parents of an infant who has congenital hypothyroidism. Which of the following statements should the nurse make? Your child will need to take thyroid hormone replacement for her entire life. 7. A nurse is teaching a group of parents of toddlers about G&D. A parent asks "why does my childs abd stick out?" Which of the following statements should the nurse make? Toddlers do not have well developed abdominal muscles. 8. A nurse is caring for a 10 year old child who should reduce his fat intake. Which of the following menu choices should the nurse suggest? Baked chicken sandwich on whole wheat bun. 9. A nurse is assessing an adolescent who has sustained a broken tibia. Following the application of cast, adolescent reports pain and tingling. Assess for manifestations of circulatory impairment 10. Preparing to administer diphenhydramine 5mg/kg/day PO divide equally every 8 hours to a child who weighs 50lb. 15 mL11. A nurse is caring for child who adheres to vegi diet and has superficial partial thickness burns. The nurse should recommend which food choice having highest protein content? 1/2 cup of peanut butter with apple slices 12. A nurse is caring for a 4 yo who has pneumonia. The childs mother left 2 hr ago and he is currently experiencing separation anxiety of despair. Inactive and thumb sucking 13. A nurse is caring for an 8 year old who has sickle cell anemia. Which of the following actions should the nurse take? Give the child flavored popsicles. 14. A nurse is teaching the parents of a child who has cerebral palsy. Which of the following statements should the nurse make? Will need botulinum toxin A to help with muscle spasticity. 15. A nurse is planning care for a 6 year old child who is reciving chemo. The child has platelet count of 20,000. Which intervention should the nurse include in the plan of care? Encourage quiet play16. Nurse is caring for a 4 month old who has acute otitis media and a fever of 38.3 (101) which of the following medications should the nurse administer? Amoxicillin 17. A school nurse is assessing child who has been stung by a bee. The childs hand is swelling and the nurse notes child has allergies to insect stings. What findings should nurse expect if child develops anaphylaxis? Nausea, Urticaria, stridor 18. Nurse caring for 2 day old infant who has myelomeningocele. Which following actions should nurse take? Monitor head circumference 19. Nurse is caring for child who has Tetralogy of Fallot. Which lab value should nurse expect to find? RBC 6.8 ml 20. Nurse is providing post op teaching for parent of 3 month old who is recovering from umbilical hernia repair. which of the following statements by parent indicates an understanding of teaching?... [Show Less]
Chapter 01: Perspectives of Pediatric Nursing MULTIPLE CHOICE 1. The clinic nurse is reviewing statistics on infant mortality for the United States versu... [Show More] s other countries. Compared with other countries that have a population of at least 25 million, the nurse makes which determination? a. The United States is ranked last among 27 countries. b. The United States is ranked similar to 20 other developed countries. c. The United States is ranked in the middle of 20 other developed countries. d. The United States is ranked highest among 27 other industrialized countries. ANS: A Although the death rate has decreased, the United States still ranks last in infant mortality among nations with a population of at least 25 million. The United States has the highest infant death rate of developed nations. 2. Which is the leading cause of death in infants younger than 1 year in the United States? a. Congenital anomalies b. Sudden infant death syndrome c. Disorders related to short gestation and low birth weight d. Maternal complications specific to the perinatal periodANS: A Congenital anomalies account for 20.1% of deaths in infants younger than 1 year compared with sudden infant death syndrome, which accounts for 8.2%; disorders related to short gestation and unspecified low birth weight, which account for 16.5%; and maternal complications such as infections specific to the perinatal period, which account for 6.1% of deaths in infants younger than 1 year of age. 3. What is the major cause of death for children older than 1 year in the United States? a. Heart disease b. Childhood cancer c. Unintentional injuries d. Congenital anomalies ANS: C Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. The leading cause of death for those younger than 1 year is congenital anomalies, and childhood cancers and heart disease cause a significantly lower percentage of deaths in children older than 1 year of age. 4. In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 years? a. Suicide and cancer b. Suicide and homicide c. Drowning and cancer d. Homicide and heart diseaseANS: B Suicide and homicide account for 16.7% of deaths in this age group. Suicide and cancer account for 10.9% of deaths, heart disease and cancer account for approximately 5.5%, and homicide and heart disease account for 10.9% of the deaths in this age group. 5. The nurse is planning a teaching session to adolescents about deaths by unintentional injuries. Which should the nurse include in the session with regard to deaths caused by injuries? a. More deaths occur in males. b. More deaths occur in females. c. The pattern of deaths does not vary according to age and sex. d. The pattern of deaths does not vary widely among different ethnic groups. ANS: A The majority of deaths from unintentional injuries occur in males. The pattern of death does vary greatly among different ethnic groups, and the causes of unintentional deaths vary with age and gender. 6. What do mortality statistics describe? a. Disease occurring regularly within a geographic location b. The number of individuals who have died over a specific period c. The prevalence of specific illness in the population at a particular timed. Disease occurring in more than the number of expected cases in a community ANS: B Mortality statistics refer to the number of individuals who have died over a specific period. Morbidity statistics show the prevalence of specific illness in the population at a particular time. Data regarding disease within a geographic region, or in greater than expected numbers in a community, may be extrapolated from analyzing the morbidity statistics. 7. The nurse should assess which age group for suicide ideation since suicide in which age group is the third leading cause of death? a. Preschoolers b. Young school age c. Middle school age d. Late school age and adolescents ANS: D Suicide is the third leading cause of death in children ages 10 to 19 years; therefore, the age group should be late school age and adolescents. Suicide is not one of the leading causes of death for preschool and young or middle school-aged children. 8. Parents of a hospitalized toddler ask the nurse, “What is meant by family-centered care?” The nurse should respond with which statement? a. Family-centered care reduces the effect of cultural diversity on the family.b. Family-centered care encourages family dependence on the health care system. c. Family-centered care recognizes that the family is the constant in a child’s life. d. Family-centered care avoids expecting families to be part of the decision-making process. ANS: C The three key components of family-centered care are respect, collaboration, and support. Family-centered care recognizes the family as the constant in the child’s life. The family should be enabled and empowered to work with the health care system and is expected to be part of the decision-making process. The nurse should also support the family’s cultural diversity, not reduce its effect. 9. The nurse is describing clinical reasoning to a group of nursing students. Which is most descriptive of clinical reasoning? a. Purposeful and goal directed b. A simple developmental process c. Based on deliberate and irrational thought d. Assists individuals in guessing what is most appropriate ANS: A Clinical reasoning is a complex developmental process based on rational and deliberate thought. When thinking is clear, precise, accurate, relevant, consistent, and fair, a logical connection develops between the elements of thought and the problem at hand.10. Evidence-based practice (EBP), a decision-making model, is best described as which? a. Using information in textbooks to guide care b. Combining knowledge with clinical experience and intuition c. Using a professional code of ethics as a means for decision making d. Gathering all evidence that applies to the child’s health and family situation ANS: B EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questioning what is the best approach. EBP involves decision making based on data, not all evidence on a particular situation, and involves the latest available data. Nurses can use textbooks to determine areas of concern and potential involvement. 11. Which best describes signs and symptoms as part of a nursing diagnosis? a. Description of potential risk factors b. Identification of actual health problems c. Human response to state of illness or health d. Cues and clusters derived from patient assessment ANS: D Signs and symptoms are the cues and clusters of defining characteristics that are derived from a patient assessment and indicate actual health problems. The first part of the nursing diagnosis is the problem statement, also known as the human response to the state of illness or health. The identification of actual health problems may be part of themedical diagnosis. The nursing diagnosis is based on the human response to these problems. The human response is therefore a component of the nursing diagnostic statement. Potential risk factors are used to identify nursing care needs to avoid the development of an actual health problem when a potential one exists. 12. The nurse is talking to a group of parents of school-age children at an after-school program about childhood health problems. Which statement should the nurse include in the teaching? a. Childhood obesity is the most common nutritional problem among children. b. Immunization rates are the same among children of different races and ethnicity. c. Dental caries is not a problem commonly seen in children since the introduction of fluoridated water. d. Mental health problems are typically not seen in school-age children but may be diagnosed in adolescents. ANS: A When teaching parents of school-age children about childhood health problems, the nurse should include information about childhood obesity because it is the most common problem among children and is associated with type 2 diabetes. Teaching parents about ways to prevent obesity is important to include. Immunization rates differ depending on the child’s race and ethnicity; dental caries continues to be a common chronic disease in childhood; and mental health problems are seen in children as young as school age, not just in adolescents. 13. The nurse is planning care for a hospitalized preschool-aged child. Which should the nurse plan to ensure atraumatic care? a. Limit explanation of procedures because the child is preschool aged. b. Ask that all family members leave the room when performing procedures. c. Allow the child to choose the type of juice to drink with the administration of oral medications.d. Explain that EMLA cream cannot be used for the morning lab draw because there is not time for it to be effective. ANS: C The overriding goal in providing atraumatic care is first, do no harm. Allowing the child a choice of juice to drink when taking oral medications provides the child with a sense of control. The preschool child should be prepared before procedures, so limiting explanations of procedures would increase anxiety. The family should be allowed to stay with the child during procedures, minimizing stress. Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescribed cream in time for morning laboratory draws to minimize pain. 14. Which situation denotes a nontherapeutic nurse–patient–family relationship? a. The nurse is planning to read a favorite fairy tale to a patient. b. During shift report, the nurse is criticizing parents for not visiting their child. c. The nurse is discussing with a fellow nurse the emotional draw to a certain patient. d. The nurse is working with a family to find ways to decrease the family’s dependence on health care providers. ANS: B Criticizing parents for not visiting in shift report is nontherapeutic and shows an underinvolvement with the parents. Reading a fairy tale is a therapeutic and age appropriate action. Discussing feelings of an emotional draw with a fellow nurse is therapeutic and shows a willingness to understand feelings. Working with parents to decrease dependence on health care providers is therapeutic and helps to empower the family. 15. The nurse is aware that which age group is at risk for childhood injury because of the cognitive characteristic of magical and egocentric thinking? a. Preschool b. Young school agec. Middle school age d. Adolescent ANS: A Preschool children have the cognitive characteristic of magical and egocentric thinking, meaning they are unable to comprehend danger to self or others. Young and middle school-aged children have transitional cognitive processes, and they may attempt dangerous acts without detailed planning but recognize danger to themselves or others. Adolescents have formal operational cognitive processes and are preoccupied with abstract thinking. 16. The school nurse is assessing children for risk factors related to childhood injuries. Which child has the most risk factors related to childhood injury? [Show Less]
ATI pediatrics proctored exam Chapter 1: Family centered nursing care 1. Parenting styles -Dictatorial or authoritarian: -Parents try to control the ch... [Show More] ild’s behaviors and attitudes through unquestioned rules and expectations -Ex: The child is never allowed to watch television on school nights -Permissive: -Parents exert little or no control over the child’s behaviors, and consult the child when making decisions -Ex: The child assists with deciding whether he will watch television -Democratic or authoritative: -Parents direct the child’s behavior by setting rules and explaining the reason for each rule setting -Ex: The child can watch television for 1 hr on school nights after completing all of his homework and chores -Parents negatively reinforce deviations form the rules -Ex: The privilege is taken away but later reinstated based on new guidelines Chapter 2: Physical assessment findings 1. Vital signs -Usually vital signs are all high except for BP -Temperature: -3 – 6 months 99.5 -1 year 99.9 -3 year 99.0 -5 years 98.6 -7 years 98.2 -9 – 11 years 98.1 -13 years 97.9 -Pulse: -Newborn 80 – 180/min -1 weeks – 3 months 80 – 220/min -3 months – 2 years 70 – 150/min -2 – 10 years 60 – 110/min -10 years and older 50 – 90/min -Respirations: -Newborn – 1year 30 – 35/min -1 – 2 years 25 – 30/min -2 – 6 years 21 – 25/min -6 – 12 years 19 – 21/min -12 years and older 16 – 19/min-Blood pressure: -Low as a baby but increases the older they get -Infants: -Systolic: 65-78 -Diastolic: 41-52 2. Head -Fontanels should be flat -Posterior fontanel: -Closes by 6-8 weeks -Anterior fontanel: -Closes by 12-18 months 3. Teeth -Infants should have 6-8 teeth by 1 year old -Children and adolescents should have teeth that are white and smooth, and begin replacing the 20 deciduous teeth with 32 permanent teeth 4. Infant Reflexes [Show Less]
Experience Overview Patient: Sophia Haddad Digital Clinical Experience Score70.9% This score measures your performance on the Student Performance Index in ... [Show More] relation to other students in comparable academic programs. Your instructor has chosen to scale your Student Performance Index score so that the average score on the index is a 80.0%. This score may not be your final grade if your instructor chooses to include additional components, such as documentation or time spent. Student Performance Index 39 out of 64 Proficiency Level: Beginning Beginning Developing Proficient Students rated as “beginning” are starting to develop their advanced practice competencies and clinical reasoning skills. In comparable programs, 50% of students perform at the level of a beginning practitioner. Review your results in the tabs on the left side of the page to identify areas for improvement. Subjective Data Collection 23 out of 31 Medication Selection 3 out of 9 Education and Empathy 1 out of 4 Patient Teaching9 out of 10 Prescription Writing 3 out of 10 Time 65 minutes total spent in assignment Interaction with patient 65 minutes Comments If your instructor provides individual feedback on this assignment, it will appear here. Click to return to main page content. © Shadow Health® 2012 - 2020 (800) 860-3241 | Help Desk | Terms of Service | Privacy Policy | Pa Subjective Data Collection: 23 of 31 (74.2%) Hover To Reveal... Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. Found: Indicates an item that you found. Available: Indicates an item that is available to be found. CategoryScored Items Experts selected these topics as essential components of a strong, thorough interview with this patient. Patient Data Not Scored A combination of open and closed questions will yield better patient data. The following details are facts of the patient's case. Chief Complaint (Patient) Finding: Established chief complaint Finding: Reports sore throat (Found) Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have. Example Question: Where is the pain? Finding: Reports fever symptoms (Found)Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have. Example Question: Why are you sick? Chief Complaint (Guardian) Finding: Confirmed patient's chief complaint Finding: Reports daughter has fever and sore throat (Found) Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting. Asking a pediatric patient's guardian about the chief complaint will allow them to voice any concerns or symptoms they may have. Example Question: Does your daughter have a fever? History of Present Illness (Patient) Finding: Asked about onset and duration of symptoms Finding: Reports sore throat before school this morning [Show Less]
Experience Overview Patient: Anita Douglas Digital Clinical Experience Score84.2% This score measures your performance on the Student Performance Index in ... [Show More] relation to other students in comparable academic programs. Your instructor has chosen to scale your Student Performance Index score so that the average score on the index is a 80.0%. This score may not be your final grade if your instructor chooses to include additional components, such as documentation or time spent. Student Performance Index 46 out of 62 Proficiency Level: Beginning Beginning Developing Proficient Students rated as “beginning” are starting to develop their advanced practice competencies and clinical reasoning skills. In comparable programs, 50% of students perform at the level of a beginning practitioner. Review your results in the tabs on the left side of the page to identify areas for improvement. Subjective Data Collection 27 out of 29 Medication Selection 1 out of 9 Education and Empathy 1 out of 5 Patient Teaching7 out of 9 Prescription Writing 10 out of 10 Time 52 minutes total spent in assignment Interaction with patient 52 minutes Comments If your instructor provides individual feedback on this assignment, it will appear here. Subjective Data Collection: 27 of 29 (93.1%) Hover To Reveal... Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. Found: Indicates an item that you found. Available: Indicates an item that is available to be found. Category Scored Items Experts selected these topics as essential components of a strong, thorough interview with this patient.Patient Data Not Scored A combination of open and closed questions will yield better patient data. The following details are facts of the patient's case. Chief Complaint Finding: Established chief complaint and reason for admittance Finding: Reports fever (Found) Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have. Example Question: Do you have a fever? Finding: Reports chest pain (Found) Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have. Example Question: Do you have chest pain? Finding: Reports cough (Found) Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have. Example Question: Do you have a cough? History of Present Illness Finding: Asked about additional symptoms Finding: Reports fatigue (Found) Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: Are you fatigued? Finding: Reports coughing up sputum (Found)Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: Do you cough anything up? Finding: Reports sinus congestion (Found) Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: Are you feeling congested? Finding: Reports muscle soreness (Found) Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: Are your muscles sore? Finding: Asked about onset and duration of symptoms [Show Less]
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