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ATI RN Nursing Care of Children Proctored Exam 2023
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ATI RN Nursing Care of Children Proctored Exam 2023 Test Bank
ATI RN Nursing Care of Children Proctored Exam 2023 Test Bank
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RN Nursing Care of Children Proctored Exam 2023 - Verified Question and Answers (70Q&A)
A nurse is providing education about dietary modifications to the parent of a school age child who has glomerulonephritis. Which of the following informati... [Show More] on should the nurse include in the teaching? A. Increase the child calcium intake B. Decrease the Child's sodium intake C. Increase the child's intake of carbohydrates D. Decrease the child's fat intake B. Decrease the Child's sodium intake 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? A. Minimize movement of the limbs B. Insert a tongue blade between the teeth C. Clear the area of hard object D. Place the child in a prone position C. Clear the area of hard object 3. A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the following findings is the nurse's priority? A. HbA1C 11.5% B. cholesterol 189 mg/dL C. Preprandial blood glucose 124 mg/dL D. Glycosuria A. HbA1C 11.5% 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 this series of which of the following immunization first? A. Varicella B. measles, mumps, rubella C. Inactivated poliovirus D. Hepatitis A tetra C. Inactivated poliovirus 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? A. Creatinine 0.3 mg/dL - normal B. Hbg 18 g/dL -this is elevated, Hbg should be decreased C. Urine casts absent - urine should be positive for casts, blood and protein D. BUN 28 mg/dL D. BUN 28 mg/dL 6. A nurse is caring for a school-age child who is experiencing a sickle cell crisis. Which of the following actions should the nurse take? (ATI pg. 126) A. Administer furosemide IV twice per day. B. Apply warm compresses to the affected areas C. Decrease the child's fluid intake D. Initiate contact precautions. B. Apply warm compresses to the affected areas 7. A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following finding to the provider? A. Rhinorrhea - Expected B. Tachypnea C. Pharyngitis - Expected D. Coughing (and sneezing) - Expected B. Tachypnea 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? A. You can drink milk on an empty stomach. B. You should consume flavored yogurt instead of plain yogurt. C. You can tolerate plain milk better than chocolate milk. D. You can replace milk with nondairy source of calcium D. You can replace milk with nondairy source of calcium 9. A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5 Ib) and is postoperative following open heart surgery. Which of the following findings should the nurse report to the provider? A. Skin temperature 36C (96.8 F) B. Pedal and posterior tibial pulses of 2+ C. Urine output of 15 mL in the last 2 hr - urine output should = 1mL/kg/hr =>24mL D. Drainage from the chest tube of 22 mL in the last hour C. Urine output of 15 mL in the last 2 hr - urine output should = 1mL/kg/hr =>24mL 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 indicate an understanding of the teaching? A. My daughter can't drink orange juice - has nothing to do with anything B. I will steam carrots and cut them into small pieces for her." C. I should ensure that my daughter eats one ounce of meat every day." - avoid high protein D. I will switch her to whole milk now that she is old enough." - avoid high protein B. I will steam carrots and cut them into small pieces for her." 11. A nurse is providing teaching to the parent of a preschool-age child who has celiac disease. Which of the following instructions should the nurse include? A. Your child will be on a gluten-free diet for the rest of her life." B. Your child will need to follow a low-protein diet temporarily." C. You should place your child on a high-fiber diet when she has an exacerbation." D. You should replace white flour with wheat flour when preparing meals for your child." A. Your child will be on a gluten-free diet for the rest of her life." 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? A. Respiratory rate 24 /min - expected/normal finding for this age child B. Peak flow rate of 80% - this is in the green zone, expected/desired finding C. Intercoastal retractions D. Elevated heart rate - expected side effect of albuterol C. Intercoastal retractions 13. A nurse is caring for a school-age child who is 1 hr postoperative following it tonsillectomy. Which of the following actions should the nurse take? (Select all that apply.) A. Administer an analgesic to the child on a scheduled basis. B. Observe the child for frequent swallowing C. Provide cranberry juice to the child. D. Maintained a child in supine position. E. Discourage the child from coughing A. Administer an analgesic to the child on a scheduled basis. B. Observe the child for frequent swallowing E. Discourage the child from coughing 14. A nurse is caring for a school-age child who has heart failure. Which of the following findings should the nurse expect? (select all that apply.) A. Tachycardia B. Weight loss C. Cyanosis D. Dyspnea E. Bounding peripheral pulses A. Tachycardia D. Dyspnea E. Bounding peripheral pulses 15. A nurse in an emergency department is assisting a toddler who has a head injury. Which of the following findings should the nurse report to the provider? A. Glasgow coma scale score of 15 - desired finding, GCS is 3-15 B. Respiratory rate 25/min - within normal limits (24-40) C. Vomiting- D. Negative Babinski reflex - positive babinski 0-12 months; expected negative in toddlers C. Vomiting 16. A nurse 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? A. Talk to your child about the meaning of death." B. Encourage your child's friends to visit." C. Stay close to your child." D. Change your child's schedule every day." C. "Stay close to your child." 17. A nurse is preparing to administer cephalexin 25 mg/kg PO to a child who has otitis media and weighs 22 kg (48.5 Ib). Available is Cephalexin solution 250 mg/5 mL how many mL should the nurse administer? (Round to the nearest whole number. Using a leading Zero if applies. Do not use a trailing zero.) 11 mL 18. During a well-baby visit, the parent of a 2- week-old newborn tells the nurse, "My baby always keeps her head tilt to the right side. The nurse should further assess which of the following areas? A.Sternocleidomastoid muscle B. Posterior fontanel C. Trapezius muscle D. Cervical vertebrae A.Sternocleidomastoid muscle 19. A nurse is caring for a single mother of a 6-month-old infant. During a well-baby visit, the mother expresses feeling "inexperience" in caring for the baby. The nurse should recommend which of the following community resources? A. Respite childcare B. Parent management training - this is a treatment center for aggressive, 'troubled' kids/teens C. Support group for postpartum depression D. Parent enhancement center D. Parent enhancement center 20. A nurse is admitting an infant who has GERD. Which of the following is the priority assessment finding? A. Regurgitation B. Wheezing C. Excessive crying D. Weight loss B. Wheezing 21. A nurse is caring for an infant who has severe dehydration. Which of the following clinical findings should the nurse expect? A. Capillary refill 3 seconds - >4seconds B. Rapid respirations - respiratory alkalosis compensation C. Bradycardia - it would be tachycardia D. Warm extremities - cold extremities is expected. B. Rapid respirations 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? A. Consume 1,500 to 1,700 calories per day." B. Decrease your vitamin D intake once you start to menstruate." C. Increase the amount of your dietary iron intake." D. Limit your sodium intake to 3,000 grams per day." C. 'Increase the amount of your dietary iron intake." 23. A nurse is preparing to administer immunization to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care? A. Provide a pacifier coated with an oral sucrose solution prior to the injections. B. Inject the immunizations into the deltoid muscle C. Apply eutectic mixture of local anesthetics (EMLA) cream immediately before the injections. - no, 60 minutes before hand D. Use a 20-gauge needle for the injections. - no, use 22-25gauge needle, 1/2"-1" long A. Provide a pacifier coated with an oral sucrose solution prior to the injections. 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? A. Report the disease to the state health department. B. Administer amphotericin B IV. C. Initiate contact isolation precautions. D. Applying lidocaine ointment topically. C. Initiate contact isolation precautions. 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 indicate an understanding of the teaching? A. I will limit my child's daily fluid intake." B. I will restrict the amount of sodium in my child's diet." C. I will give my child pancreatic enzymes with snacks and meals." D. .I will prepare low-fat meals with limited protein for my child." C. "I will give my child pancreatic enzymes with snacks and meals." 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? A. Creatinine 1.4 mg/dL - very far above expected finding B. Creatinine 0.3 mg/dL - 0.3-0.5mg/dL is normal for 1-5 years C. BUN 6 mg/dL - 7-17mg/dL is normal for 4-13 years D. BUN 12 mg/dL - 7-17mg/dL is normal for 4-13 years A. Creatinine 1.4 mg/dL 27. A nurse is providing teaching to the parent 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? A. Promoting rest B. Improving appetite C. Reducing anxiety D. Increasing focus D. Increasing focus 28. A nurse is teaching an adolescent how to manage his cystic fibrosis. which of the following statements by the adolescent indicates an understanding of the teaching? A. I will take fewer enzymes when I eat high-fiber foods." B. I will be excused from physical education classes." C. I will limit my calcium intake to prevent kidney stones." D. I will increase my intake of vitamin D D. I will increase my intake of vitamin D 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? A. Examine the oral mucosa using a tongue depressor. B. Obtain a sterile throat culture. C. Provide humidified oxygen via nasal cannula. D. Allow the child to sit in a comfortable position. C. Provide humidified oxygen via nasal cannula. 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? A. Administer as acyclovir PO two times per day. - this is herpes/antiviral medication B. Soak hairbrushes in boiling water for 10 minutes - for lice C. Apply bactericidal ointment to lesions. D. Seals soft toys in a plastic bag for 14 days. C. Apply bactericidal ointment to lesions. 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? A. Mummy B. Mitten C. Jacket D. Elbow A. Mummy 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? A. Decreased BUN B. Increased antistreptolysin O titer (ASO) C. Increased immunoglobulin G (IgG) D. Decreased erythrocyte sedimentation rate (ESR) B. Increased antistreptolysin O titer (ASO) 33. A nurses administering an opioid to an adolescent who is in sickle cell crisis. Which statement is true regarding opioid pain management? A. Oral opioid doses should be larger than parenteral doses - B. Oral opioids should not be combined with other types of pain relievers. C. Opioid doses should be titrated until sedation occurs - sedation is bad D. Opioid doses should be used for mild pain - no, moderate or severe pain A. Oral opioid doses should be larger than parenteral doses - 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? A. Administer total parenteral nutrition. B. Teach the client about ostomy care. C. Initiate long-term antibiotic therapy. D. Maintain an NG tube for decompression. [Show Less]
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Latest Update 2023 RN Nursing Care of Children Practice 2019 A ATI
RN Nursing Care of Children Practice 2019 A ATI 5.0 A nurse is creating a plan of care for a school-age child who has heart disease and has developed hear... [Show More] t failure. Which of the following interventions should the nurse include in the plan? Provide small, frequent meals for the child. The metabolic rate of a child who has heart failure is high because of poor cardiac function. Therefore, the nurse should provide small, frequent meals for the child because it helps to conserve energy. A nurse is teaching the parent of an infant who has a Pavlik harness for the treatment of developmental dysplasia of the hip. The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching? "I will place my infant's diapers under the harness straps." To prevent soiling of the harness, the parent should apply the infant's diaper under the straps. 1/60 Original A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart failure. Which of the following interventions should the nurse include in the plan? Provide small, frequent meals for the child. The metabolic rate of a child who has heart failure is high because of poor cardiac function. Therefore, the nurse should provide small, frequent meals for the child because it helps to conserve energy. A nurse is teaching the parent of an infant who has a Pavlik harness for the treatment of developmental dysplasia of the hip. The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching? "I will place my infant's diapers under the harness straps." To prevent soiling of the harness, the parent should apply the infant's diaper under the straps. A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury (AKI) and has a sodium level of 129 mEq/L. Which of the following interventions should the nurse include in the plan? Initiate seizure precautions for the child. A sodium level of 129 mEq/L indicates hyponatremia and places the child at increased risk for neurological deficits and seizure activity. The nurse should complete a neurologic assessment and implement seizure precautions to maintain the child's safety. A nurse is assessing a school-age child immediately following a perforated appendix repair. Which of the following findings should the nurse expect? Absence of peristalsis The nurse should expect absence of peristalsis immediately following a perforated appendix repair, until the bowel resumes functioning. A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the nurse take? Apply topical analgesic cream to the site 1 hr prior to the procedure. The nurse should apply a topical analgesic to the lumbar site 1 hr prior to the procedure to decrease the adolescent's pain while the lumbar needle is inserted. A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first? Epinephrine This child is most likely experiencing an anaphylactic reaction to the cefazolin. According to evidence- based practice, the nurse should first administer epinephrine to treat the anaphylaxis. Epinephrine is a beta adrenergic agonist that stimulates the heart, causes vasoconstriction of blood vessels in the skin and mucous membranes, and triggers bronchodilation in the lungs. A nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks. Which of the following statements by the parent indicates an understanding of the teaching? "I should keep my child indoors when I mow the yard." The nurse should instruct the parent to keep the preschooler indoors during lawn maintenance or when the pollen count is increased. Guarding against exposure to known allergens found outdoors, such as grass, tree, and weed pollen, will decrease the frequency of the preschooler's asthma attacks. A nurse is proving dietary teaching to the parent of a school-age child who has celiac disease. The nurse should recommend that the parent offer which of the following foods to the child? White rice The nurse should recommend that the parent offer white rice to the child because it is a gluten-free food. The nurse should instruct the parent that the child will remain on a lifelong gluten-free diet and the child should not consume oats, rye, barley, or wheat, and sometimes lactose deficiency can be secondary to this disease. A nurse is reviewing the laboratory report of a school-age child who is experiencing fatigue. Which of the following findings should the nurse recognize as an indication of anemia? Hematocrit 28% The nurse should recognize that this hematocrit level is below the expected reference range of 32% to 44% for a school-age child. The child can exhibit fatigue, lightheadedness, tachycardia, dyspnea, and pallor due to the decreased oxygen-carrying capacity. A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. Which of the following actions should the nurse plan to take? Perform a finger stick. The nurse should perform a finger stick on a toddler as a component of the sickle-turbidity test. If the test is positive, hemoglobin electrophoresis is required to distinguish between children who have the genetic trait and children who have the disease. A nurse is assessing a school-age child who has meningitis. Which of the following findings is the priority for the nurse to report to the provider? Petechiae on the lower extremities The presence of a petechial or purpuric rash on a child who is ill can indicate the presence of meningococcemia. This type of rash indicates the greatest risk of serious rapid complications from sepsis and should be reported immediately to the provider. A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should the nurse expect? Loud, harsh murmur The nurse should expect to hear a loud, harsh murmur with a ventricular septal defect due to the left-to- right shunting of blood, which contributes to hypertrophy of the infant's heart muscle. Upgrade to remove ads Only $2.99/month A nurse is creating a plan of care for an infant who has an epidural hematoma from a head injury. Which of the following interventions should the nurse include in the plan? Implement seizure precautions for the infant. An infant who has an epidural hematoma is at great risk for seizure activity. Therefore, the nurse should implement seizure precautions for the child. A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney? Serum creatinine 3.0 mg/dL Creatinine is a byproduct of protein metabolism and is excreted from the body through the kidneys. An elevated serum creatinine level, therefore, can be an indication that the kidneys are not functioning. The nurse should identify that the adolescent's serum creatinine level is higher than the expected reference range of 0.4 to 1.0 mg/dL for an adolescent and can indicate rejection of the kidney. A nurse in an emergency department is performing an admission assessment on a 2 week-old male newborn. Which of the following findings is the priority for the nurse to report to the provider? Substernal retractions When using the airway, breathing, and circulation approach to client care, the nurse should determine that the priority finding to report to the provider is substernal retractions. This finding indicates the newborn is experiencing increased respiratory effort, which could quickly progress to respiratory failure. A hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse that he cannot cope anymore and has decided to move out of the house. Which of the following statements should the nurse make? "Let's talk about some of the ways you have handled previous stressors in your life." This statement offers a general lead to allow the parent to express their feelings and previous actions when faced with stressful situations. It also helps the parent to focus on ways that they can cope with the current situation. A nurse in an emergency department is caring for an adolescent who has severe abdominal pain due to appendicitis. Which of the following locations should the nurse identify as McBurney's point? A. The nurse should identify this area of the client's abdomen as McBurney's point. This area of the right lower quadrant located about two-thirds of the way between the umbilicus and the client's anterosuperior iliac spine is the area where a client who has appendicitis is most likely to report pain and tenderness. A nurse is reviewing the laboratory report of a 7 year-old child who is receiving chemotherapy. Which of the following lab values should the nurse report to the provider? Hgb 8.5 g/dL A child receiving chemotherapy is at risk for anemia due to the chemotherapy effects on the blood- forming cells of the bone marrow. The development of anemia is diagnosed through laboratory testing of hemoglobin and hematocrit levels. The nurse should recognize that a hemoglobin level of 8.5 g/dL is below the expected reference range of 10 to 15.5 g/dL for a 7-year-old child and should be reported to the provider. [Show Less]
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ATI RN Nursing Care of Children Online Practice Exam 2023
ATI RN Nursing Care of Children Online Practice Exam Teaching the parents of a school-aged child who has a new diagnosis of osteomyelitis of the tibi... [Show More] a. The nurse should identify that which of the following statements by the parents indicates an understanding of the teaching? my child will have a cast until healing is complete. My child will receive antibiotics for several weeks. My child can return to playing sports once he is discharged. My child needs to be in contact isolation. Answer: b The nurse should instruct the parent that the child will receive antibiotic therapy for at least 4 weeks. Surgery might be indicated if the antibiotics are not successful. A - incorrect Weight bearing must be avoided with osteomyelitis. Therefore, the child is placed in a comfortable position with the limb supported. There is no indication for a cast. C- incorrect Weight bearing should be avoided to prevent complications and minimize pain. Therefore, it will be several weeks to months before the child can play contact sports. D- incorrect Contact isolation is NOT necessary, because osteomyelitis is not a communicable illness. A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the sound as which of the following? Click the audio button to listen. A- Biots respiration B- Chaney Stokes respiration C- tackypnea D - Bradypnea Answer- c The nurse should identify the sound heard during auscultation as tachypnea, which is a rapid, regular breathing pattern. This breathing pattern often occurs with anxiety, fever, metabolic acidosis, or severe anemia. A- Biot's respirations are periods of apnea alternating with two or three shallow breaths. B- Cheyne-Stokes respirations are periods of apnea alternating with periods of hyperventilation. D- Bradypnea is a slow, regular breathing pattern. anaphylactic reaction A nurse in an emergency department is caring for a school-age child who is experiencing an . Which of the following is the priority action by the nurse? A- Elevate the head of the child's bed B- insert a large-bore IV catheter for the child C- determine the allergen that caused the child's reaction D- administer IM epinephrine to the child Answer- d When using the urgent vs nonurgent approach to client care, the nurse determines that the priority action is administering IM epinephrine to the child. During an anaphylactic reaction, histamine release causes bronchoconstriction and vasodilation. This is an emergency because ultimately it causes decreased blood return to the heart. A- Elevating the head of the child's bed is important to facilitate breathing and circulation. However, it is not the priority action the nurse should take. B- Inserting a large bore IV catheter is important to facilitate administration of IV fluids and medications. However, it is not the priority action the nurse should take. C- Determining the allergen that caused the child's reaction is important to prevent any additional episodes of anaphylaxis. However, it is not the priority action the nurse should take. immunization to a four-year-old child The nurse is preparing to administer an . Which of the following actions should the nurse plan to take? A- Place the child in a prone position for the immunization B- request that the child's caregiver leave the room during the immunization C- administer the immunization using a 24 gauge needle D- inject the immunization slowly after aspirating for 3 seconds Answer - c The nurse should administer an immunization for a 4-year-old child using a 24-gauge needle to minimize the amount of pain experienced by the toddler. A- The nurse should place the child in an upright sitting position for the immunization because this decreases the child's fear and anxiety. B- The nurse should allow the caregiver to stay near the child during the immunization to provide a sense of security and reduce the child's anxiety level. D- The nurse should inject the immunization rapidly and avoid aspiration. These actions decrease the risk of needle displacement and lower the child's fear and anxiety level by decreasing the amount of time it takes to administer the immunization. A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. The nurse should identify which of the following laboratory values indicates effectiveness of the current treatment? A- Potassium 2.9 mEq/L B- sodium 140 C- urine specific gravity 1.035 D- BUN 25 mg Answer- b The nurse should identify that a sodium level of 140 mEq/L is within the expected reference range and indicates the current treatment regimen the infant is receiving for dehydration is effective. A- A potassium level of 2.9 mEq/L is below the expected reference range and indicates hypokalemia. C- A urine specific gravity of 1.035 is above the expected reference range and indicates concentrated urine. D- A BUN level of 25 mg/dL is above the expected reference range and indicates the kidneys are not excreting BUN as they should be. The nurse is providing teaching about Social Development to the parents of a preschooler. Which of the following play activities should the nurse recommend for the child? A- Play pat-a-cake B- using a push pull toy C- creating a scrapbook D- playing dress-up Answer - d The nurse should instruct the parents that at the preschool age, play should focus on social, mental, and physical development. Therefore, playing dress-up is a recommended play activity for this child. A- Playing pat-a-cake is a recommended play activity for an infant. B- Using a push pull toy is a recommended play activity for a toddler. C- Creating a scrapbook is a recommended play activity for a school-age child. A nurse is teaching the parents of a newborn about ways to prevent sudden infant death syndrome SIDS. Which of the following instructions should the nurse include? A- Place the infant in a prone position to sleep. B- Allow the infant to sleep on a large pillow. C- User soft mattress in the infant's crib. D- Give the infant a pacifier at bedtime. Answer- d The nurse should inform the parent that protective factors against SIDS include breastfeeding and the use of a pacifier when the infant is sleeping. A- The nurse should instruct the parent to place the infant in a supine position to sleep. Prone and side-lying positions are risk factors for SIDS. B- Placing the infant on a large pillow to sleep can increase the risk of suffocation, asphyxiation, and SIDS. C- The nurse should instruct the parent to use a firm mattress and avoid the use of waterbeds, beanbags, or soft mattresses when placing the infant to bed. The use of a soft mattress in the infant's crib is a risk factor for SIDS and can lead to asphyxiation. A nurse is assessing an infant who has pneumonia. Which of the following findings is the priority for the nurse to report to the provider? A- Nasal flaring B- WBC 11,300 C- diarrhea D- abdominal distension Answer- a When using the airway, breathing, circulation approach to client care, the nurse should place the priority on nasal flaring. Nasal flaring indicates that the infant is experiencing acute respiratory distress. B- The nurse should report a WBC of 11,300/mm3 because it is above the expected reference range and indicates infection. However, another finding is the priority for the nurse to report. C- The nurse should report diarrhea because it is a manifestation of pneumonia in infants and indicates the current treatment is not effective. However, another finding is the priority for the nurse to report. D- The nurse should report abdominal distension because it is a manifestation of pneumonia in infants and indicates the current treatment is not effective. However, another finding is the priority for the nurse to report. [Show Less]
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ATI Nursing Care of Children Assessment 2019 A- Questions and Answers Latest Update 2023
ATI Nursing Care of Children Assessment 2. A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the following mani... [Show More] festations should alert the nurse to a possible hemolytic transfusion reaction? • Flank pain 3. A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first? • Epinephrine 4. A nurse is teaching the guardian of a 6-month—old infant about car seat use. Which of the following statements by the guardian indicates an understanding of the teaching? • “I should secure the car seat using lower anchors and tethers instead of the seat belt.” 5. A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. Which of the following actions should the nurse plan to take? • Schedule the toddler for a yearly rescreening 6. A nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy. Which of the following findings should the nurse expect? (Select all that apply.) • Ankle clonus • Exaggerated stretch reflexes • Contractures 7. A nurse is assessing a school-age child immediately following a perforated appendix repair. Which of the following findings should the nurse expect? • Absence of peristalsis 8. 9. 10. 11. A nurse is assessing a 4 year old child at well-child visit. Which of the following developmental milestones should the nurse expect to observe? • Cuts an outlined shape using scissors 12. 13. A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart failure. Which of the following interventions should the nurse include in the plan? • Provide small, frequent meals for the child. 14. 15. 16. 17. A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. The nurse should identify that which of the following laboratory values indicates effectiveness of the current treatment? • Sodium 140 mEq/L 18. 19. 20. 21. 22. 23. 24. A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings is the nurse’s priority? • Tachypnea 25. A nurse is interviewing the parent of an 18-month-old toddler during a well-child visit. The nurse should identify which of the following findings indicates a need to assess the toddler for hearing loss? • The toddler received tobramycin during a hospitalization 2 weeks ago. 26. 27. 28. A nurse is assessing a 3-year-old toddler at a well-child visit. Which of following manifestations should the nurse report to the provider? • Respiratory rate 45/min 29. A nurse is caring for an infant who has respiratory synctivial virus (RSV). Which of the following actions should the nurse implement for infection control? • Have a designated stethoscope in the infant’s room. 30. 31. 32. 33. A nurse in an emergency department is performing a physical assessment on a 2-week-old male newborn. Which of the following findings is the priority for the nurse to report to the provider? • Substernal retractions 34. A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should the nurse expect? • Loud, harsh murmur 35. 36. A nurse is preparing to collect a sample form a toddler for a sickle-turbidity test. Which of the following actions should the nurse plan to take? • Perform a finger stick. 37. A nurse in an emergency department is caring for a schoolage child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse? • Administer epinephrine IM to the child 38. A nurse is receiving change-of-shift report for four children. Which of the following should the nurse see first? • A school-age who has sickle cell anemia and reports decreased vision in the left eye. 39. A nurse is caring for a school-age child who has experienced a tonic-clonic seizure. Which of the following actions should the nurse take during the immediate postictal period? • Place the child in a side-lying position 40. A nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks. Which of the following statements by the parent indicates an understanding of the teaching? • “I should keep my child indoors when I mow the yard.” 41. A nurse is caring for a preschooler whose father is going home for a few hours while another relative stays with the child. Which of the following statements should the nurse make to explain to the child when their father will return? • “Your daddy will be back after you eat.” 42. 43. A nurse in an emergency department is caring for a schoolage child who has appendicitis and rates their abdominal pain as 7 on a scale of 0 to 10. Which of the following actions should the nurse take? • Give morphine 0.05 mg/kg/IV 44. 45. 46. 47. A nurse is providing discharge teaching to the parent of a child who is 1 week postoperative following a cleft palate repair. For which of the following members of the interprofessional team should the nurse initiate a referral? • Speech therapist 48. A nurse is reviewing the laboratory report of a 7-year-old child who is receiving chemotherapy. Which of the following laboratory values should the nurse report to the provider? • Hgb 8.5 g/dL 49. A nurse is providing teaching about play activities for social development to the parents of a preschooler. Which of the following play activities should the nurse recommend for the child? • Playing dress-up 50. 51. A nurse is teaching the parent of an infant about ways to prevent sudden infant death syndrome (SIDS). Which of the following instructions should the nurse include? • “Give the infant a pacifier at bedtime.” 52. A nurse is caring for a toddler who is experiencing acute diarrhea and has moderate dehydration. Which of the following nutritional items should the nurse offer to the toddler? • Oral rehydration solution 53. 54. 55. 56. A nurse in an emergency department is caring for an adolescent who has severe abdominal pain due to appendicitis. Which of the following locations should the nurse identify as McBurney’s point? • A is correct: The nurse should identify this area of the client’s abdomen as McBurney’s ppoint. This area of the right lower quadrant located about two-thirds of the way between the umbilicus and the client’s anterosuperior iliac spine is the area where a client who has appendicitis is most likely to report pain and tenderness. 57. 58. A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching? • “I will give myself a shot of regular insulin 30 minutes before I eat breakfast.” 59. 60. ATI Nursing Care of Children Assessment 2019 B 1. 2. 3. A nurse is planning care to address nutritional needs for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan? • Increase fat content in the child’s diet to 40% of total calories 4. 5. A nurse is assessing a school-age child who has an infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure? • Difficulty concentrating 6. A nurse is assessing an infant who has pneumonia. Which of the following findings is the priority for the nurse to report to the provider? • Nasal flaring 7. 8. 9. 10. 11. A nurse in an emergency department is assessing a 3month-old infant who has rotavirus and is experiencing acute vomiting and diarrhea. Which of the following manifestation should the nurse identify as an indication that the infant has moderate to severe dehydration? • Sunken anterior fontanel 12. 13. A nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. Which of the following statements should the nurse take? • “You should offer your child high-protein meals and snacks throughout the day.” 14. A nurse in an emergency department is caring for a schoolage child who has epiglottitis. Which of the following actions should the nurse take? • Monitor the child’s oxygen saturation 15. 16. 17. 18. 19. 20. 21. A nurse is planning care for a newly admitted school-age child who has generalized seizure disorder. Which of the following interventions should the nurse plan to include? • Ensure the oxygen source is functioning in the child’s room. 22. 23. A nurse is creating a plan of care for a preschooler who has Wilms’ tumor and is scheduled for surgery. Which of the following should the nurse include? • Avoid palpating the abdomen when bathing the child before surgery. [Show Less]
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VATI Care of children Answered 2023
A nurse is providing nutritional teaching to the patents of a child who has acute glomerulonephritis with pitting edema. Which of the following foods shoul... [Show More] d the nurse recommend be eliminated from the child's diet? - Hot dogs -Results in edema, HTN, hematuria and proteinuria. Dietary changes requires limit foods high in sodium because of the edema and HTN. (Hot dogs, or other processed meats) A nurse in an emergency department is assessing a 5-year-old child who has a concussion. Which of the following manifestations should the nurse identify as an early indication of ICP? - Nausea -Early findings of ICP A nurse is creating a plan of care for a school-age child who has moderate partial thickness burns on both lower extremities. Which of the following interventions should the nurse include in the plan? - Maintain aseptic technique during the child dressing changes. -To prevent infection. Delayed wound healing can occur due to infection, which can also cause partial thickness wounds to develop into full thickness wounds. A charge nurse on a pediatric unit is reviewing informed consent guidelines with newly licensed nurse. For which of the following clients should the nurse obtain informed consent from a guardian? - A 15-year-old client who requires an open reduction of a fracture. -Sign consent prior to surgical procedures for a minor. A nurse is caring for a child who has terminal leukemia. The parents asks the nurse, "When will we know that our child is nearing the end of their life?" Which of the following statements should the nurse make? - Your child will lose movement in their legs. -Lose movement in the lower extremities. This progressive loss of movement will move up the body as death nears. A nurse is providing home care instructions to the parents of a child who is in the edema phase of nephrotic syndrome. Which of the following instructions should the nurse include in the teaching? - Provide quite activities for the child. -Provide quite activities, such as reading and coloring, during edema phase of nephritis to minimize oxygen consumption and preserve energy. A nurse is assessing a 2-year-old child following a surgical procedure. Which of the following pain tools should the nurse use? - Face, Legs, Activity, Cry Consolability (FLACC) scale. -The FLACC scale is used for infants and children from 2 months to 7 years. A nurse is providing discharge teaching to the parents of a school age child who has epilepsy and a new prescription for phenytoin extended release capsules. Which of the following instructions should the nurse include in the teaching? - Encourage the child to brush their teeth after each meal. - Dental hygiene, this medications can cause gingival hyperplasia, and good oral hygiene reduces the risk of this occurring. A nurse is caring for a 6 month old infant who has acute vomiting and diarrhea. Which of the following manifestations should the nurse identify as an indication of moderate hypovolemia? - Tachypnea -A hypovolemia worsens, breathing becomes hyperpneic. A nurse is caring for a toddler who is experiencing hyperglycemia. Which of the following manifestations should the nurse expect? - Lethargic mood. -Will be irritable and have a labile mood. A nurse is providing discharge teaching to the parent of a 5-year-old child who has leukemia and is receiving chemotherapy. Which of the following statements by the parent indicates an understanding of the teaching? - I will make sure to inspect my son's mouth every day for sores. -Increase risk for mucositis, therefore, the parent should inspect the mouth daily for lesions or ulcerations and report these to the provider. Open lesions can become infected in the child who is immunocompromised. A home health nurse is developing a plan of care for the parents of a toddler who has hemophilia A. Which of the following instructions should the nurse include? - Place knee pads on the child. -Take measures to make the environment safe. This can include measures such as installing carpet over ceramic tiled floors or placing knee and elbow pads on the child to protect the Childs joints form injury and bleeding. A nurse is planning care for a child who has cerebral palsy and is experiencing muscle spasms. Which of the following medications should the nurse expect to administer? - Baclofen -Centrally acting skeletal muscle relaxant that will decrease muscle spasm and sever spasticity. A nurse is providing discharge teaching to a group of guardians of infants about home safety. Which of the following statements should the nurse make? - Keep your infant restrained when they are in a highchair. -Restrain infant while sitting in a highchair using the included straps with a closure. This will prevent the infant from falling out of the chair and decrease the risk of injury. Avoid leaving their infant in a highchair unattended because of the risk of slipping down in the chair and strangling on the safety straps. A nurse is assessing a 4-year-old child who is 2 days postoperative following insertion of a ventriculoperitoneal shunt. Which of the following findings is the nurse's priority? - Lethargy -This can indicate a decrease level of consciousness or increased intracranial pressure, both of which requires immediate intervention. A nurse on a pediatric unit is admitting a 5-year-old child who has submersion injury and is awake and alert. The parent asks the nurse why the child needs to stay in the facility. Which of the following responses should the nurse make? - We need to observe your child for cerebral swelling. -Still at risk for a complication from the submersion injury. Complications can include respiratory compromise and cerebral edema during the first 24hrs after the submersion. A nurse is caring for a 3-year-old child who has viral meningitis. Which of the following finding should the nurse expect? - Nuchal rigidity -Which is caused by meningeal irritation. The child also might have fever and photophobia. A school nurse is providing dietary teaching for an 11-year-old child who has type 1 diabetes mellitus. The nurse should identify which of the following responses by the child indicates an understanding of the teaching? SATA - I should eat extra food on busy days when I am more active. I should increase my intake of sugar free fluids when I am sick. I should eat a snack 30mins before my baseball game states. -Food intake should be adjusted to compensate for the release of insulin into the circulatory system and prevent episodes of hypoglycemia. The recommended increase of carbs is 10-15g per hr. of moderate play or activity. -Fluids flush out ketones to prevent dehydrations. Recommend sugar free liquids, such as water, broth, and tea to the child. Continue with usual intake of mealtimes and follow their recommended meal plan as much as possible. -If the game is prolonged they should have a snack every 45mins to an hour. If they cannot tolerate the extra food, the next intervention is to decrease the insulin dose before the game. A nurse is teaching an adolescent how to use a peak expiratory flow meter (PEFM). The nurse should identify that which of the following statements by the child indicates an understanding of the teaching? - I will record the highest reading of the three attempts. -The child should forcefully exhale for 1sec as quickly as possible to measure the amount of air exhaled and repeat this process 3 times. The child should wait 30secs between attempts and record the highest of the the three readings. A nurse is providing a presentation for parents of a toddler about preventing childhood burns. Which of the following statements by a parent indicates and understanding of the teaching? - I will plug protective guards into my electrical outlets. -Plug protective guards into electrical outlets or place furniture in front of the outlets to protect the toddler from electrical shock or burns. A nurse in a pediatric clinic is providing teaching to the parent of an infant who has gastroesophageal reflux (GER). The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching? - I will add rice cereal to my baby's feedings. -Add rice cereal to formula or expressed breast milk to thicken the feeding. Thickened feeding can decrease the number of vomiting episodes the infant experiences. A nurse is planning care for a school age child who is experiencing a vaso-occlusive crisis. Which of the following actions should the nurse take first? - Encourage the child to increase their fluid intake. -The first action the nurse should take is to promote hydration through the use of oral and IV fluids. Hydration is important because it prevents further sickling of the cells and delays the hypoxia-ischemia cycle. A nurse is planning a community education series for teachers of children who have attention-deficit hyperactivity disorder (ADHD). Which of the following classroom strategies should the nurse include in the teaching? - Accompany verbal instructions with visual references. - Use visual references along with verbal instructions for child who have ADHD. Using both verbal and written instruction provides clear communication of expectations for the children. A nurse is admitting a child who has pertussis. Which of the following isolation precautions should the nurse initiate for the child? - Droplet -And other infections that is transmitted through respiratory droplets larger than 5 microns in size. (diphtheria, rubella, and scarlet fever require droplet precautions. Droplet precautions requires staff who provide care to wear a mask or respirator as PPE. A nurse is teaching a group of new parents about expected language development. The nurse should include that a child should begin to speak 10 or more words about which of the following ages? - 18 months -The toddler should also form simple word combinations. A nurse is providing teaching about home safety to the parents of an infant. Which of the following statements should the nurse make? - Place your infant on a firm mattress for sleeping. -Place infant in a supine position on a firm mattress for sleeping. This decease the risk for suffocation. A nurse is planning care for an adolescent client who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions is the nurse's priority? - Promoting bed rest. -Has a higher requirement of cellular oxygenation. Therefore, the nurse should reduce the clients metabolic demands for oxygen and limit cardiac oxygen consumption by encouraging rest. A nurse is teaching a female adolescent who reports frequent urinary tract infections. Which of the following instructions should the nurse include in the teaching? - Void at least every 3-4hrs. -Urinate as soon as they feel the urge and to avoid waiting to void. Urinary stasis increase the risk for infection. [Show Less]
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