Bundle
Bundle for ATI PEDS exam latest 2023
10 Items
ATI PEDS CH 22- questions and answers. Graded A+
A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following is an appropriate action for the nurse to take? A.... [Show More] Offer chicken broth B. Initiate oral rehydration therapy C. Start hypertonic IV solution D. Keep NPO until the diarrhea subsides B A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of the following actions should the nurse take? A. Perform a tape test B. Collect stool specimen for culture C. Test the stool for occult blood D. Initiate IV fluids A A nurse is assessing a child who has a rotavirus infection. Which of the following are expected findings? (Select all that apply) A. Fever B. Vomiting C. Watery stools D. Bloody stools E. Confusion A, B, C A nurse is teaching a group of parents about Salmonella. Which of the following information should the nurse include in the teaching? (Select all that apply.) A. Incubation period is nonspecific B. It is a bacterial infection C. Bloody diarrhea is common D. Transmission can be from house pets E. Antibiotics are used for treatment B, C, D A nurse is teaching a group of parents about E. Coli. Which of the following information should the nurse include in the teaching? (Select all that apply.) A. Severe abdominal cramping occurs B. Watery diarrhea is present for more than 5 days C. It can lead to hemolytic uremic syndrome D. It is a foodborne pathogen E. Antibiotics are given for treatment A, C, D A nurse is assessing an infant who has hypertrophic pyloric stenosis. Which of the following findings should the nurse expect? (Select all that apply) A. Projectile vomiting B. Dry mucus membranes C. Currant jelly stools D. Sausage-shaped abdominal mass E. Constant hunger A, B, E A nurse is caring for a child who has Hirschsprung's disease. Which of the following actions should the nurse take? A. Encourage a high-fiber, low-protein, low-calorie diet B. Prepare the family for surgery C. Place an NG tube for decompression D. Initiate bed rest B A nurse is caring for an infant who is postoperative following cleft lip and palate repair. Which of the following actions should the nurse take? A. Remove the packing in the mouth B. Place the infant in an upright position C. Offer a pacifier with sucrose D. Assess the mouth with a tongue blade B A nurse is caring for a child who has Meckel's diverticulum. Which of the following manifestations should the nurse expect? (Select all that apply) A. Abdominal pain B. Fever C. Mucus, bloody stools D. Vomiting E. Rapid, shallow breathing A, C A nurse is teaching a parent of an infant about gastrointestinal reflux disease. Which of the following should the nurse include in the teaching? (Select all that apply.) A. Offer frequent feedings B. Thicken formula with rice cereal C. Use a bottle with a one-way valve D. Position baby upright after feedings E. Use a wide-based nipple for feedings A, B, D A nurse is teaching a parent of a child who has a urinary tract infection. Which of the following should the nurse include in the teaching? (Select all that apply.) A. Wear nylon underpants B. Avoid bubble baths C. Empty bladder completely with each void D. Provide information about manifestations of infection E. Wipe perineal area back to front B, C, D A nurse is planning care of a child who has a urinary tract infection. Which of the following should the nurse include? A. Administer an antidiuretic B. Restrict fluids C. Evaluate the child's self-esteem D. Encourage frequent voiding D A nurse is caring for a child who has enuresis. Which of the following is a complication of enuresis? A. Urinary tract infections B. Emotional problems C. Urosepsis D. Progressive kidney disease B A nurse is assessing an infant who has a suspected urinary tract infection. Which of the following are anticipated findings? (Select all that apply). A. Increase in hunger B. Irritability C. Decrease in urination D. Vomiting E. Fever B, D, E A nurse is assessing a child who has a urinary tract infection. Which of the following are manifestations of a urinary tract infection? (Select all that apply.) A. Night sweats B. Swelling of the face C. Pallor D. Pale-colored urine E. Fatigue B, C, E A nurse is caring for an infant who has a hydrocele. Which of the following actions should the nurse take? A. Prepare the child for surgery B. Explain to the parents that the issue will self-resolve C. Retract the foreskin and cleanse several times daily D. Refer the family for genetic counseling B A nurse is caring for a male infant who has an epispadias. Which of the following findings should the nurse expect? (Select all that apply) A. Bladder exstrophy B. Inability to retract foreskin C. Widened pubic symphysis D. Broad, spade-like penis E. Pain A, C, D A nurse is caring for an infant who has ambiguous genitalia. Which of the following actions should the nurse take? (Select all that apply). A. Prepare the child for surgery B. Obtain a detailed family history C. Gather supplies for a circumcision D. Refer the family for genetic counseling E. Explain the need for a chromosomal analysis A, B, D, E A nurse is caring for an infant who has obstructive uropathy. Which of the following findings should the nurse expect? (Select all that apply.) A. Decreased urine flow B. Urinary tract infection C. Metabolic alkalosis D. Concentrated urine E. Hydronephrosis B, E [Show Less]
- Exam
- $15.95
- 0
- 177
Pediatrics ATI Endocrine, GI, GU Quiz 100% accurate answers with verified content
A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an unde... [Show More] rstanding of the teaching? "I will keep my baby in an upright position after feedings" A school nurse is assessing an adolescent who reports feeling shaky and is having difficulty speaking and concentrating on the questions the nurse is asking. The nurse checks the adolescent's Blood glucose level and identifies a value of 55 mg/dL. Which of the following findings should the nurse expect? Tachycardia. A nurse is caring for an infant who has tracheoesophageal fistula. which of the following findings should the nurse expect? Coughing, apnea, cyanosis, frothy saliva A nurse is providing teaching to the parent of a child diagnosed with celiac disease. The nurse should include which of the following as an acceptable food choice for this child? a. Rice. Rice is naturally gluten-free, and is an acceptable food choice for a child with celiac disease. A parent calls a clinic and reports to a nurse that has 2 month old infant is hungry more than usually but has projectile vomiting immediately after eating. Which of the following responses should the nurse make? A. "bring your baby in to the clinic today" B. "Burp your baby more frequently during feedings" C. "Give your infant an oral rehydration solution" D. " Try switching to a different formula" A. "bring your baby in to the clinic today" A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect? A HTN B Polyuria C smokey brown urine D facial edema D facial edema A nurse is caring for an infant who has GERD. The nurse should place the infant in which of the following position following feedings? A. Prone B. In car seat C. Left side D. Right Side B In car seat A nurse is caring for an infant who is 24 hr postoperative following a cleft palate repair. Which of the following in an appropriate action by the nurse? a. Providing feedings with a rubber-tipped syringe. b. Suctioning the nasopharynx frequently. c. Administering opioids for pain. d. Changing the oral packing every 6 hr. c. Administering opioids for pain. 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 child's daily weight c. educate the parents about potential complications d. maintain a saline-lock b. check the child's daily weight A nurse is planning the care for a 10-month-old infant who is 8 hr postoperative following cleft palate repair. Which of the following interventions should the nurse include in the plan of care? a. Feed the infant with a spoon for 48 hr. b. Apply and release elbow restraints every hour. c. Keep the infant supine. d. Suction the mouth with an oral suction tube. b. Apply and release elbow restraints every hour. A nurse is assessing a school-age child whose blood glucose is 280 mg/dL. Which of the following findings should the nurse expect? a. Lethargy b. Pallor c. tremors d. Shallow respirations a. Lethargy A nurse is caring for a child who is admitted with suspected acute appendicitis. Which of the following manifestations should indicate to the nurse that the child's appendix is perforated? a. Sudden decrease in abdominal pain b. Absent Rovsing's sign c. Flaccid abdomen d. Low grade fever a. Sudden decrease in abdominal pain A nurse is reviewing the laboratory results of an adolescent who has chronic glomerulonephritis. Which of the following findings should the nurse expect? a. BUN 50 mg/dL b. serum potassium 3.8 mEq/L c. Absence of proteinuria d. serum phosphorus 4.0 mg/dL a. BUN 50 mg/dL A nurse is providing discharge teaching to the parents of a child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parents indicates an understanding of the teaching? a. the onset of low blood glucose usually occurs slowly b. my son might complain of feeling shaky when he has a low blood glucose level c. sweating can occur with hyperglycemia d. my son might have nausea and vomiting with hypoglycemia. b. my son might complain of feeling shaky when he has a low blood glucose level a nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take? a. teach the parents about cortisol replacement therapy b. place the child on a low sodium diet. c. monitor the chid for a fluid volume excess d. discuss the manifestations of hypoglycemia with the parents a. teach the parents about cortisol replacement therapy a nurse is providing teaching to 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? a. my morning blood glucose should be between 90 and 130 b. i should eat a snack half an hour before playing soccer c. i should not take my regular insulin when i am sick d. i can store unopened bottles of insulin in the freezer b. i should eat a snack half an hour before playing soccer the child's fasting blood glucose should be between 80 and 120 mg/ dL A nurse is caring for a 6 month old infant who has a prescription for clear liquids by mouth after a repair of an intussusception. Which fluid should a nurse select for the infant?A. Oral electrolyte solution B. Half-strength infant formula C. Half-strength orange juice D. Sterile water A. Oral electrolyte solution A nurse is providing teaching to a parent f a child who has Hirschsprung Disease is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching? a. im glad that my child ostomy is only temporary b. im glad my child will have normal bowel movements now c. i want to learn how to use my child feeding tube as soon as possible d. i want to learn how to empty my child urinary catheter bag a. im glad that my child ostomy is only temporary A nurse is caring for an infant who has gastroesophageal reflux. The nurse should recognize that which of the following finding's are associated with this condition? select all a. vomiting b. weight loss c. rigid abdomen d. wheezing e. fever Vomiting, Weight Loss, Wheezing A nurse is teaching a school-age child who has type 1 diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include? a. withhold insulin dose is feeling nauseous b. notify the provider if blood glucose levels are over 350 milligrams/deciliter c. test the urine for ketones d. limit fluid intake during meal time c. test the urine for ketones A 2-month-old infant has just undergone repair of a cleft lip and palate. The surgeon prescribes restraints. The nurse should apply which of the following restraints? a. Elbow b. Mummy c. Wrist d. Jacket a. Elbow **It is essential to apply elbow restraints immediately after surgery to keep the infant from rubbing the operative site. The nurse should remove them periodically to inspect the skin and allow the infant arm exercise. A nurse is caring for an infant who has inadequate motility of part of the intestine resulting in a mechanical obstruction. The nurse should identify this finding as a manifestation of which of the following disorders? A. Encopresis B. Enterocolitis C. Pyloric stenosis D. Hirschsprung's dx D. Hirschsprung's dx A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour. The nurse should place the client on which of the following diets? a. low sodium, fluid restricted b. regular diet, no added salt c. low-carbohydrate, low protein diet d. low-protein, low-potassium diet a. low sodium, fluid restricted A nurse is caring for a 6-week-old infant who has a pyloric stenosis. Which of the following clinical manifestations should the nurse expect? a. red currant jelly stools b. distended neck veins c. projectile vomiting d. ridged abdomen c. projectile vomiting a nurse is caring for a 2 month old infant who is postoperative following surgical repair of a cleft lip. which of the following actions should the nurse take a. encourage the parents to rock the infant b. offer the infant a pacifier c. administer ibuprofen as needed for pain d. position the infant on her abdomen a. encourage the parents to rock the infant [Show Less]
- Exam
- $11.45
- 0
- 110
Peds ATI 2023 A solutions (latest)
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 shoul... [Show More] d the nurse include in the plan? a. provide small, frequent meals for the child b. schedule time in the play room for the child c. weigh the child weekly d. maintain the child in a supine position A A nurse is teaching the parent of an infant who has 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? a. "I should remove the harness at night to allow my infant to stretch her legs." b. "I will need to adjust the straps on the harness once a week." c. "I should apply baby powder to my infant's skin twice daily." d. "I will place my infant's diaper under the harness straps." D 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? a. administer ibuprofen to the child for a temperature greater than 38 degrees C (100.4 degrees F) b. assess the child's blood pressure every 8hr c. weigh the child weekly at a various times of the day d. initiate seizure precautions for the child D A nurse is assessing a school-age child immediately following a perforated appendix repair. Which of the following findings should the nurse expect? a. purulent nasogastric drainage b. absence of peristalsis c. passage of dark stool with mucus d. WBC count 6000mm^3 B A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the nurse take? a. place a cardiac monitor on the adolescent prior to the procedure b. apply topical analgesic cream to the site 1hr prior to the procedure c. keep the adolescent in a semi-fowler's position for 4hrs following the procedure d. restrict fluids for 2hrs following procedure B 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? a. prednisone b. epinephrine c. diphenhydramine d. albuterol B 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? a. "I will use a humidifier in my child's room at night." b. "I will give my child a cough suppressant Q6hrs if he has a cough." c. "I should avoid using a wet mop on my floors when I am cleaning." d. "I house keep my child indoors when I mow the yard." D A nurse is providing 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? a. wheat crackers b. rye bread c. barley soup d. white rice D 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? a. hematocrit 28% b. hemoglobin 13.5 g/dL c. WBC count 8000mm^3 d. platelets 250000/mm^3 A A nurse is preparing to collect a sample form a toddler for a sickle-turbidity test. Which of the following actions should the nurse plant to take? a. obtain a sputum specimen b. perform an Allen test c. perform a finger stick d. obtain a stool specimen C 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? a. reports a headache as 6 on a 0-10 pain scale b. petechiae on the lower extremities c. nuchal rigidity d. positive Kernig's sign B A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should the nurse expect? a. loud, hard murmur b. dysrhythmias c. weak femoral pulses d. high BP A A nurse is creating a plan of care for an infant who has an epidural hematoma form a head injury. Which of the following interventions should the nurse include in the plan? a. position the infant side-lying with their head at a )-5 degree angle b. perform a neurological assessment Q4hrs c. suction the infant's nares to remove secretions d. implement seizure precautions for the infant D 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? a. negative leukocyte esterase b. serum creatinine 3.0 mg/dL c. negative urine protein d. urine output 40ml/hr B A nurse in an emergency department is performing a physical assessment on a 2 week old male newborn. Which of the following findings is priority for the nurse to report to the provider? a. excoriated scrotal area b. multiple capillary hemangiomas c. depressed posterior fontanel d. substernal retractions D A hospice nurse is caring for a preschooler who has a terminal illness. One of the preschooler's parents tells the nurse that they cannot cope anymore and are thinking about moving out of the house. Which of the following statements should the nurse make? a. "it is important that you provide emotional support for your family at this time." b. "You have to do what you feel is best. Everything will turn out fine." c. "I know how you feel. This is an extremely stressful time for your family." d. "Let's talk about some of the ways you have handled previous stressors in your life." D 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? a. hgb 8.5g/dL b. WBC 9500/mm^3 c. prealbumin 18mg/dL d. platelets 300000/mm^3 A A nurse is caring for a 15 year old client who is married and is scheduled for a surgical procedure. The client asks, "Who should sign my surgical consent?" Which of the following responses should the nurse make? a. "You can sign the consent form because you are married" b. "Your spouse should sign the consent form for you." c. "Your parent should sign the consent form for you" d. "You can appoint a legal guardian to sign the consent form." A [Show Less]
- Exam
- $14.45
- 0
- 204
ATI PEDS quiz 3 100% accurate answers. Latest 2023 (graded A+)
A nurse is assessing an adolescent who has Grave's disease. Which of the following should the nurse expect? a. weight gain b. bradycardia c. lethargy d... [Show More] . heat intolerance Heat intolerance A child is admitted with a suspected Wilms' tumor. The nurse should place which of the following signs above the bed? a. Do not palpate abdomen b. No venipuncture or blood pressure in left arm c. Contact precautions d. Collect all urine Do not palpate abdomen 00:51 01:42 A nurse is providing teaching to the parents of a child with newly diagnosed diabetes mellitus. Which of the following statements indicates understanding? a. the onset of low blood glucose occurs slowly b. may complain of feely shaky when he has hypoglycemia c. sweating can occur with hyperglycemia d. may have n/v with hypoglycemia may complain of feeling shaky with low blood glucose levels A nurse is caring for a 7-year old who has an upper respiratory infection and type 1 diabetes. Which statement by mother indicates need for further instruction? a. I will encourage her to drink half a cup of water or sugar-free fluids ever 30 minutes b. I will report any signs of confusion or breathing changes c. I will notify dr if temp is not controlled with tylenol d. I will continue to check blood sugar two times a day I will continue to check blood sugar twice daily A nurse is providing teaching to parents of child with iron deficiency anemia and is taking iron supplements. Which statement indicates understanding? a. take in one large dose every other day b. restricting fiber from diet will help with absorption c. if taken with meals it will be more effective d. blood count will need to be monitored routinely for several weeks blood levels will need to be monitored A nurse is teaching a school age child who has type 1 diabetes. which statement indicates understanding? a. morning glucose should be between 90-130 b. eat a snack half an hour before playing soccer c. I should not take regular insulin when sick d. I can store unopened insulin in freezer eat snack before soccer A nurse is teaching adolescent with type 1 diabetes. Which should the nurse include? a. glucagon for hyperglycemia b. influenza vaccine annually c. insulin into deltoid muscle d. take glyburide with breakfast influenza annually A nurse is assessing a school age child whose blood sugar is 280. which finding should the nurse expect? a. lethargy b. pallor c. tremors d. shallow respirations lethargy A nurse is providing teaching about iron deficiency anemia to parents of toddler. Which should be recommended as method to prevent it? a. avoid diet that consists primarily of milk b. fat soluble vitamins daily c. fluoridated water in diet d. limit intake of high protein foods avoid diet of mostly milk A nurse in special ed program is planning care for child with autism. Which should be included in plan of care? a. allow for adjustment of rules to correlate with behavior b. provide flexible schedule that adjusts to child's interests c. allow for imaginative play with peers without supervision d. Reward system for positive behavior Rewards for good behavior Discharge instructions for a child with sickle cell after an acute crisis should include which of the following? a. monitor child temp daily b. restrict outdoor play to 1 hour daily c. offer fluids to child multiple times daily d. apply cold compress for pain offer fluids often Which of the following is the most common malignant renal and intra-abdominal tumor of childhood? a. Ewing sarcoma b. osteosarcoma c. neuroblastoma d. wilms tumor Wilms tumor 00:13 01:42 A nurse is teaching about self-administration of insulin for a school-age child. Which indicates a need for further teaching? a. Aspirates before injecting b. given anywhere with adipose tissue c. rotate site after 5 injections in one area d. inject at 90 degree angle aspirate before injecting 4 year old with new diagnosis of diabetes type 1 and is distressed after insulin injection. Which of the following play activities should nurse recognize as therapeutic in helping child deal with injection a. needleless syringe and doll b. video game c. book about child with diabetes d. play in playroom syringe and doll Client is dying. Client says "my mother died in the hospital, but I did not get there before she died." which of the following should the nurse respond with? a. we will call in time for family to get here b. are you fearful of dying alone c. a staff member will be in your room at all times d. I will tell family of your concern so they can be here. are you fearful of dying alone sickle cell crisis has which of the following symptoms? a. high fever b. bradycardia c. pain d. constipation pain teaching about type 1 diabetes and illness management to a child and parents. which instruction should be included? a. if nauseous do not take insulin b. notify dr if blood sugar over 350 c. test urine for ketones d. limit fluid intake during meals test urine for ketones A child has addison's disease. Which of the following actions should nurse take? a. teach about steroids b. low sodium diet c. monitor for fluid overload d. discuss symptoms of hypoglycemia steroids Teaching parents how to control minor bleeding in child with hemophilia. Which indicates need for further teaching? a. rest b. elevation c. compression d. heat heat Which of the following should the oncology nurse expect in a child with a brain tumor? a. negative babinski reflex b. increased appetite c. hyporeflexia d. tachycardia hyporeflexia adolescent with hemophilia A is scheduled for wisdom teeth removal. Prior to procedure the client will receive which of the following? A. recombinant b. packed RBCs c. prophylactic antibiotics D. fresh frozen plasma Recombinant 17 year old with a relapse of leukemia and refusing treatment. mother insists on treatment. which action should nurse take? a. start IV as mother insists b. notify provider c. administer sedative to calm client d. offer an antiemetic notify provider Which of the following statements from the mother of a 6year old should concern the nurse? a. child squints to see board at school b. recently lost both front teeth c. child cheats at board games d. child acts bossy with friends squints to see board. Health program for parents of school-age boys. which of the following information about pubescent changes should nurse include? a. vocal changes signal beginning of puberty b. gynecomastia occurs late in puberty c. puberty may be delayed if scrotal changes have not occurred by age 11 d. height growth spurts occur toward the end of midpuberty growth spurt occurs toward end of puberty plan of care for child with sickle cell anemia. Which intervention should the nurse include? a. discourage high fluid intake b. apply cold compress to painful joints c. observe for hypokalemia d. administer meperidine for pain Q4hr hypokalemia Child who has leukemia and critically low platelets. Which precaution should nurse take? a. neutropenic b. bleeding c. contact d. droplet bleeding Child has leukemia. Which client should nurse place in the same room as this child? a. nephrotic syndrome b. ruptured appendix c. rheumatic fever d. cystic fibrosis Nephrotic syndrome [Show Less]
- Exam
- $9.95
- 0
- 183
Peds ATI Chapter 32 (Burns) questions and answers with top solutions. Latest 2023
1. A nurse is caring for a client who has a superficial partial thickness burn. Which of the following is an appropriate action for the nurse to take? A.... [Show More] Administer an IV infusion of 0.9% sodium chloride. B. Apply cool, wet compresses to affected area. C. Clean the affected area using a soft-bristle brush. D. Administer morphine sulfate. B B. Applying cool, wet compresses stops the burn process. Therefore, this is an appropriate action for the nurse to take. 2. A nurse is caring for a client who has major burns and suspected septic shock. Which of the following findings are consistent with septic shock? (Select all that apply.) A. Increased body temperature B. Altered sensorium C. Decreased capillary refill D. Decreased urine output E. Increased bowel sounds A B D A. Increased body temperature is a clinical manifestation of septic shock. B. Altered sensorium is a clinical manifestation of septic shock. D. Decreased urine output is a clinical manifestation of septic shock. 3. A nurse is caring for a client who has a major burn and is experiencing severe pain. Which of the following is an appropriate nursing intervention to manage this client's pain? A. Administer morphine sulfate IV via continuous infusion. B. Administer meperidine (Demerol) IM as needed. C. Administer acetaminophen (Tylenol) PO every 4 hr. D. Administer hydrocodone (Vicodin) PO every 6 hr. A A. Opioids administered IV via continuous infusion are recommended for clients who have major burns. 4. A nurse is caring for a client who has a skin graft. Which of the following clinical manifestations indicate infection? (Select all that apply.) A. Green color to subcutaneous fat B. Unstable body temperature C. Generation of granulation tissue D. Subeschar hemorrhage E. Change in skin color around the affected area A B D E A. Green color to subcutaneous fat is a clinical manifestation of infection. B. Unstable body temperature is a clinical manifestation of infection. D. Subeschar hemorrhage is a clinical manifestation of infection. E. A discoloration of the skin around the burn is a clinical manifestation of infection. 5. A nurse is caring for a client who has a moderate burn. Which of the following is an appropriate action for the nurse to take? A. Maintain immobilization of the affected area. B. Expose affected area to the air. C. Initiate a high-protein, high-calorie diet. D. Implement contact isolation. C C. A high-protein, high-calorie diet is initiated to meet increased metabolic demands and promote healing. [Show Less]
- Exam
- $8.45
- 0
- 162
OB /PEDS ---ATI / NCLEX Review 100% accurate answers. Rated A+
How long should you leave a diaphragm in after intercourse? 6 hours What type of lubricant is used with a diaphragm? Water-based lubricant ... [Show More] What should you do before inserting diaphragm? Empty bladder How often should a diaphragm be refitted? Every 2 years What are 2 reasons a diaphragm would need to be refitted? --Client gains/loses 15lbs --After full term pregnancy Risk associated with Estrogen-Progestin oral contraceptives? -increased risk of thrombosis -CVD -breast cancer -poor liver function Risk associated with Medroxyprogesterone (demo-Provera)? Decreased bone-mineral density & Osteoporosis When is an IUD contraindicated? (3) 1. non-monogamous women 2. no pregnancy hx 3. hx of pelvic inflammatory disease When is Norelgestromin/ethinyl estrialdol (transdermal patch) contraindicated? Hx of HTN or thromboembolism What is Nagele's rule? -take LMP date, subtract 3 months & add 7 days & add 1 year to obtain approximate due date (LMP: 3/15/16 = 12/22/17) When is Rhogam given? -anytime mother-fetal transfer of blood might occur - (ie: mva's, amniocentesis, abd trauma, routinely at 28 weeks, post-partrum if mom is Rh- & baby is Rh+, & w/ each pregnancy/miscarriage). How many weeks gestation is the Rubella titer given? 6 weeks. At how many weeks is a 1 hour glucose tolerance test done? 28 weeks At how many weeks is a GBS culture done? 36 weeks How often is a urine dipstick done? & what is this testing for? Done every visit to test for proteinuria. What percent increase in blood flow occurs during pregnancy? 50% What are 3 effects that occur during pregnancy d/t increased blood flow? Increased RR & HR & workload on the heart. How do you manage Hyperemesis? -dry toast/crackers in am -each a small snack w/ protein @ bedtime -Don't eat fatty foods. -Eat what sounds good instead of trying to eat all food groups. What should you do if the patient becomes dehydrated? 1) Monitor/check kidney function tests 2) Assess / monitor for : increased BUN & Creatinine; decreased urine output, & weight loss. What are risk factors for Abruptio placenta? (4) 1) HTN 2) Cocaine use 3) more than 1 fetus 4) polyhydramnios How soon should you resume sexual activity after delivery? 6 weeks What steps should you do when resuming sexual activity after delivery? 1) use water soluble lubrication (KY jelly) 2) use protection (ovulation can occur 1 month after delivery). When should you first start breastfeeding after delivery? Feed within 1 hour of delivery & then on demand (usually 8-12 feedings/24hrs) How should you treat engorgement? Use Cabbage leaves -(Warning: contain phytoestrogens which can decrease milk supply if used too often) What do you use/treat sore nipples with? Lanolin cream What do you use for flat nipples? Breast shells s/s of mastitis? (4) -fever -unilateral breast tenderness -chills -body aches s/s of candidiasis? (4) -pink -shiny nipples -fine rash -burning & stinging w/ feeding How many additional calories should a woman eat every day when pregnant? 300 calories / day How many additional calories should a woman eat per day, when breastfeeding? 400-500 / day What should you use when bottle feeding? a breast binder. -no stimulation to breasts When should you use oxytocin during labor? (2) 1) Induction 2) Augmentation of labor When should you turn the oxytocin off? -If client has prolonged OR late decelerations What RN interventions should be done if there are prolonged OR late decelerations? (5) 1) turn pt to side 2) increase IV fluid 3) give O2 per face mask @ 10-15 L/min 4) stimulate fetal scalp if needed 5) may need to give terbutaline What can STI's or any infection cause? preterm labor s/s of preterm labor? (4) 1) low back pain 2) diarrhea (could mean infection) 3) cramping 4) increased vaginal mucous What meds can be given if preterm labor occurs? Terbutaline, Magnesium sulfate, and Betamethasone What are 3 side effects of terbutaline? 1) HYPOkalemia 2) HYPERtension 3) HYPERgycemia How often is Terbutaline given? Terbutaline SQ q4hr -IF pt goes home, Terbutaline PO q4hr What does mg sulfate do? relaxes smooth muscles What should you check for when taking Mg sulfate? -Check DTR (deep tendon reflexes) -- expect decrease but NOT absence -Check RR (stop infusion if RR < 8-10) What medication is given as a steroid to mature baby's lungs? Betamethasone -Given to mom IM before delivery. When there is a rupture of membranes, what do you assess first? FHR -ensure there is no prolapsed cord Things to check during postpartum? -check fundus to assess for bleeding tendency (priority in 1st hour) -Fundus should be firm, round & right @ umbilicus 2 hrs after delivery. Where should the fundus be 2 hours after delivery, & what would it feel like? 1) Right @ umbilicus 2) Firm, round, & tight Why would the fundus deviate to right & rise up above the umbilicus? When the pt has a full bladder. -have them go to the bathroom. What is the frequency/length of time of normal contractions? - q2-3 minutes lasting 45-60 seconds What's a normal FHR ? 110-160/min s/s of preeclampsia? (8) 1) low hct 2) low platelets 3) increased creatinine 4) proteinuria 5) HTN 6) headache 7) blurry vision 8) epigastric pain (LATE sign indicates liver damage) What is a pt at an increased risk for d/t preeclampsia? DIC What med do you give as a seizure precaution? Magnesium sulfate What are seizure precautions? (3) 1) darkened cool room 2) side rails up x 4 3) padded bed rails What should you do if a pt has a seizure? (5) 1) turn pt on their side 2) give O2 3) Monitor FHR 4) check contractions 5) give IV bolus What should you have on hand incase of magnesium toxicity? Calcium gluconate What finding indicates a positive contraction stress test? Late decelerations w/ at least 1/2 of contractions What finding indicates a negative contraction stress test? No late decels How should a pt be positioned during a non-stress test (NST)? Position mom in bed, semi-fowlers, tilted to right or left. What indicates a "reactive" NST? in 20 mins, there are at least 2 accelerations going 15 beats above baseline for 15 minutes Non-reactive NST? Opposite of reactive What does a patient need to do during an NST? Push button when feeling fetal movements. How can you make a baby move during an NST? 1) Give mom a cold drink 2) Use acoustic stimulation What is a biophysical profile (BPP)? Combines NST w/ ultrasound to look @ status of infant (HR, muscle tone, breathing movements, gross body movements, amniotic fluid level) What is a normal amniotic fluid level? 10 or higher If a pt is unmedicated during labor, what can it lead to? & what should the RN help them to do? 1) Hyperventilation 2) breathing techniques s/s of hyperventilation? (2) 1) numbness & tingling in fingers 2) light headed Besides breathing techniques, what are other interventions that can be done during unmedicated labor? (5) 1) acupuncture / acupressure 2) music therapy 3)water therapy 4) effleurage (rhythmic rubbing of stomach) 5) counter-pressure to lower back What are 3 ways to monitor fetus? 1) internal 2) external (majority have this type) 3) doppler When is internal fetal monitoring done? when there are 1) fetal problems 2) those w/ difficulty monitoring What should the RN do before applying an external monitor? Leopolds maneuver What should be done for a pt who is having late decels? (5) 1) turn to side 2) elevate legs 3) increase IV 4) feel uterus for tachysystole 5) give O2 via face mask What are a few normal changes that occur during pregnancy? 1) weight gian 25-35lbs (2-4 lbs in 1st trimester then 1lb/week for last 2 trimesters) 2) chloasma --brown blotches on face (temporary) 3) linea nigra -line that appears vertically midline of abdomen 4) striae gravidarum- stretch marks How do you know when a woman is accepting these changes to her body? When she makes positive comments What is shoulder dystocia? Condition in which the baby's shoulders are unable to pass through the pubis symphis, once the head passes through. What is McRobert's position? (Done w/ shoulder dystocia) -hyperflexing the mother's legs tightly up to her abdomen. Allows for suprapubic pressure -allows for rotation of the pelvis and facilitating the release of the fetal shoulder What should you never do during shoulder dystocia? 1) Fundal pressure -- bc it could rupture the uterus! What should you do when there is a prolapsed cord? 1) notify MD 2) place pt in Trendelenberg (OR hands & knees position) 3) keep examining hand on fetal head while pushing head off cord 4) wrap cord in wet sterile saline gauze What does this acronym stand for? V C M E H I A O N L P E Variable Cord comp. Move pt/reposition Early Head comp. Initiate labor progress Accreted Ok No action needed Late Placental insuff. Execute orders STAT What does this acronym stand for? T B I D O D Turn pt B I D O2 Delivery What will the pt feel with a vaginal hematoma? Pressure in the vagina What is a pt w/ a vaginal hematoma at risk for? Hemorrhage What are RN interventions for vaginal hematoma? 1) apply ice packs to perineum 2) Observe hematoma to check for increased size What condition causes "destruction of platelets by antibodies"? Idiopathic thrombocytopenia purpura What is someone w/ Idiopathic thrombocytopenia purpura at risk for? Hemorrhaging What is the desired fetal position for delivery? LOA (left occiput anterior) or ROA (right occiput anterior) If a baby is occiput posterior position, what will the mother feel? Back pain OP position, what can be done to help the mother? -put pressure on lower back -have mother get in hands & knees position to relieve pain & help fetus rotate. At what times are Apgar scores done? & what 5 things does it assess? 1) 1 min & 5 min 2) color, tone, HR, Resp effort, reflexes (worth 2 points each) When discharging a newborn, how soon do they need to see their physician? in 2 weeks At what intervals does a PKU screen need to be done? after 24 hours & then again at 2 weeks How do you do a PKU test? Obtain blood by heel stick on sides of heel (not center). -use "spring-loaded blade" =more precise & goes in more shallowly -warm heel to bleed better -swaddle infant & give pacifier to soothe & decrease pain What should you do to provide security to the newborn? verify ID on mom & baby whenever you bring baby to the room & then on baby again when you re-enter the nursery. What are newborn meds? -Vitamin K (helps w/ clotting) -Hep B vaccine -Erythromycin ointment (prevents ophthalmia neonatorum caused by gonorrhead &/or clamydia) How soon do you give a newborn meds? w/in 2 hrs after birth (usually right after) -Vit K & erythromycin are given by state law -Hep B requires parental consent. What's included in a NB assessment? 1) Head circumference: just above ears & around head 2) chest circumference: @ nipple line 3) Length: with legs pulled straight 4) weight: no clothes or diaper on 5) Term NB will have breast engorgement w/ breast buds 6-10mm, overlapping suture lines, lanugo on shoulders & back, large diamondd shape anterior fontanel, & small triangle shaped posterior fontanel. What is should be included for parents discharge teaching when going home w/ a newborn? 1) water heater no higher than 120 degrees F 2) Crib slats no more than 2-3/8 inches apart, nothing in crib w/ baby (no large blankets/stuffed animals) 3) place car seat or bouncer on floor when infant is inside 4) car seat installed in back seat facing backward, 45 degree angle, shoulders & head supported. What indicates that a baby is "SGA" < 10th percentile What are SGA babies at risk for? 1) temp instability 2)feeding difficulties 3) respiratory distress. [Show Less]
- Exam
- $14.45
- 0
- 155
ATI Questions Peds Exam 2 questions and answers graded A+
A nurse is caring for a client who has suspected meningitis and a decreased level of consciousness. Which of the following actions by the nurse is appropri... [Show More] ate? Place the child on NPO status A nurse is reviewing cerebrospinal fluid analysis for a client who has suspected meningitis. Which of the following findings should the nurse identify as indicating viral meningitis? (select all that apply) A. Negative gram stain B. Normal glucose content E. Normal protein content A nurse is caring for a 4-month-old infant who has meningitis. Which of the following finding is associated with this diagnosis? High-pitched cry A nurse is caring for a school age client who possibly has Reye syndrome. Which of the following is a risk factor for developing Reye syndrome? Recent history of gastroenteritis A nurse is developing an in-service about viral and bacterial meningitis. The nurse should include that the introduction of which of the following immunizations decreased the incidence of bacterial meningitis in children? (select all that apply) B. Pneumococcal conjugate vaccine (PCV) D. Haemophilus influenzae type B (Hib) vaccine A nurse is caring for a child who has absence seizures. Which of the following findings should the nurse expect? (select all that apply A. Loss of consciousness B. Appearance of daydreaming C. Dropping held objects A nurse is caring for a child who just experienced a generalized seizure. Which of the following is the priority action for the nurse to take? A. Maintain the child in a side-lying position A nurse is providing teaching to the parent of a child who is to have an electroencephalogram (EEG). Which of the following responses should the nurse include in the teaching? A. Decaffeinated beverages should be offered on the morning of the procedure A nurse is teaching a group of parents about the risk factors for seizures. Which of the following factors should the nurse include in the teaching? (select all that apply) A. Febrile episodes B. Hypoglycemia C. Sodium imbalances A nurse is reviewing treatment options with the parent of a child who has worsening seizures. Which of the following treatment options should the nurse include in the discussion? (select all that apply A. Vagal nerve stimulator B. Additional antiepileptic medications C. Corpus callosotomy D. Focal resection A nurse is in the emergency department is assessing a child following a motor vehicle crash. The child is unresponsive, has spontaneous respirations of 22/min, and has a laceration on the forehead that is bleeding. Which of the following actions should the nurse take first? A. Stabilize the child's neck A nurse is caring for an adolescent who has a closed head injury. Which of the following findings are indications of increased intracranial pressure (ICP)? (select all that apply) A. Report of headache B. Alteration in pupillary response D. Increased sleeping A nurse is caring for a child who has ICP. Which of the following actions should the nurse take? (select all that apply) B. Maintain a quiet environment D. Administer a stool softener E. Maintain body alignment A nurse is assessing a child who has a concussion. Which of the following findings should the nurse expect? (select all that apply) A. Amnesia C. Bradycardia D. Respiratory depression E. Confusion A nurse is caring for a child who is taking mannitol for cerebral edema. Which of the following adverse effects should the nurse monitor the child for and report to the provider? C. Confusion A nurse is planning to perform a peripheral vision test on a child. Which of the following actions should the nurse take? C. Cover the child's eye while performing the test on the other eye A nurse is teaching a group of parents about possible manifestations of Down's syndrome. Which of the following findings should the nurse include in the teaching? (select all that apply) C. Protruding abdomen D. Broad, short feet, and hands E. Hypotonia A nurse is assessing a child who has myopia. Which of the following findings should the nurse expect? (select all that apply) A. Headaches C. Difficulty reading E. Poor school performance A nurse is assessing a toddler for possible hearing loss. Which of the following findings are indications of a hearing impairment? (select all that apply) A. Uses monotone speech B. Speaks loudly D. Appears shy A nurse is teaching the parent of an infant who has Down syndrome. Which of the following statements by the parent indicates an understanding of the teaching? B. I should place a cool mist humidifier in his room A nurse is completing a pain assessment of an infant. Which of the following pain scales should the nurse use? B. FLACC A nurse is planning care for a child following a surgical procedure. Which of the following interventions should the nurse include in the plan of care? D. Administer IV analgesics on a schedule A nurse is assessing an infant. Which of the following are manifestations of pain in an infant? (select all that apply) B. Loud cry C. Lowered eyebrows D. Rigid body A nurse is planning care for an infant who is experiencing pain. Which of the following interventions should the nurse include in the plan of care? (select all that apply) A. Offer a pacifier C. Use swaddling E. Encourage kangaroo care A nurse is preparing a toddler for an intravenous catheter insertion using atraumatic care. Which of the following actions should the nurse take? (select all that apply) A. Explain the procedure using the child's favorite toy D. Allow the child to make one choice regarding the procedure E. Apply lidocaine and prilocaine cream to three potential insertion sites A nurse is caring for a preschooler. Which of the following is an expected behavior of a preschool-age child? B. Relating fears to magical thinking A nurse on a pediatric unit is caring for a toddler. Which of the following behaviors is an effect of hospitalization? (select all that apply) B. Experiences separation anxiety C. Displays intense emotions D. Exhibits regressive behaviors A nurse is teaching a parent about parallel play in children. Which of the following statements should the nurse include in the teaching? D. The child plays independently when in a group A nurse is teaching a group of parents about separation anxiety. Which of the following information should the nurse include in the teaching? D. Kicking a stranger is an example A nurse is caring for a child who is dying. Which of the following are findings of impending death? (select all that apply) C. Difficulty swallowing E. Cheyne-stokes respirations A nurse is teaching a parent about complicated grief. Which of the following statements should the nurse make? B. Personal activities are affected when experiencing complicated grief A nurse is teaching a parent of a preschool child about factors that affect a child's perception of death. Which of the following factors should the nurse include in the teaching? B. Preschool children perceive death as temporary A nurse often cares for children who are dying. Which of the following are appropriate actions for the nurse to take to maintain professional effectiveness? (select all that apply) A. Remain in contact with the family after their loss B. Develop a professional support system C. Take time off from work A nurse is caring for a child who has a terminal illness and review palliative care with an assistive personnel (AP). Which of the following statements indicated understanding of the review? D. I will listen and respond as the family talks about their child's life A nurse is preparing to administer immunizations to a 4-month-old infant. Which of the following is an appropriate action for the nurse to take in providing atraumatic care? D. Provide sucrose solution on the pacifier A nurse is planning to administer recommended immunizations to a 2 month old infant. Which of the following vaccines should the nurse plan to give? (select all that apply) A. Rotavirus (RV) B. Diphtheria, tetanus, and acellular pertussis (DTaP) C. Haemophilus influenza E. Pneumococcal conjugate (PCV13) F. Inactivated poliovirus A nurse is planning to administer recommended immunizations to a 4 year old child. Which of the following vaccines should the nurse plan to give? (select all that apply) A. Inactivated poliovirus (IPV) C. Measles, mumps, rubella (MMR) D. Varicella (VAR) F. Diphtheria, tetanus, and acellular pertussis (DTaP) A nurse is preparing to administer the varicella vaccine to an adolescent. Which of the following questions should the nurse ask to determine whether there is a contraindication to administering the vaccine? C. Are you currently taking corticosteroid medication? A nurse is teaching a group of parents about complications of communicable diseases. Which of the following communicable diseases can lead to pneumonia? (select all that apply) B. Rubeola (measles) C. Pertussis (whooping cough) D. Varicella (chickenpox) A nurse is providing teaching for an adolescent client who has mononucleosis. The client has a fever, fatigue, swollen lymph nodes, sore throat, and a sore upper abdomen. Which of the following instructions should the nurse include in the teaching? (select all that apply) A. Take antibiotics until symptoms subside B. Drink plenty of liquids C. Avoid participating in strenuous activities D. Allow for periods of rest F. Gargle with saltwater every 2 to 3 hr. A nurse is assessing a client who has pertussis. Which of the following findings should the nurse expect? (select all that comply) A. Runny nose B. Mild fever C. Cough with whooping sound A nurse is teaching a group of parents about communicable diseases. The nurse should include that which of which of the following is the best method to prevent a communicable disease? D. Obtaining immunizations A nurse is teaching an adolescent to self-administer a corticosteroid medication using a metered dose inhaler (MDI). Which of the following instructions should the nurse include? (select all that apply) A. Shake the device prior to use B. Rinse and expectorate after administration C. Inhale slowly with medication administration A nurse is caring for a child who is receiving oxygen therapy and is on a continuous oxygen saturation monitor that has a reading of 89%. Which of the following actions should the nurse take first? C. Ensure proper placement of the sensor probe A nurse in the emergency department is assessing a newly admitted infant. Which of the following is an early indication of hypoxemia? C. Cyanosis A nurse is caring for a child who is receiving oxygen. Which of the following findings indicates oxygen toxicity? D. Unconsciousness A nurse is caring for a child who is receiving a bronchodilator medication by nebulized aerosol therapy. Which of the following actions should the nurse take? (select all that apply) B. Obtain vital signs prior to the procedure C. Tell the child to take deep breaths D. Determine if the child should use a mask E. Attach the device to an air source A nurse is caring for a child who has bronchiolitis. Which of the following actions should the nurse take? (select all that apply) C. Administer humidified oxygen D. Suction the nasopharynx as needed A nurse is teaching a group of parents about influenza. Which of the following information should the nurse include in the teaching? D. Oseltamivir should be given within 48 hours of onset of symptoms A nurse is caring for a child who is in the postoperative period following a tonsillectomy. Which of the following is a clinical finding of postoperative bleeding? C. Frequent swallowing and clearing of the throat A nurse is caring for a child in the postoperative period following a tonsillectomy. Which of the following actions should the nurse take? B. Administer analgesics on a schedule A nurse is assessing a child who has epiglottitis. Which of the following findings should the nurse expect? (select all that apply) A. Hoarseness and difficulty speaking B. Difficulty swallowing D. Drooling F. Stridor A nurse is assessing a child who has asthma. Which of the following findings are indications of deterioration in the child's respiratory status? (select all that apply) B. Wheezing C. Retraction of the sternal muscles E. Nasal flaring A nurse is teaching an adolescent about the appropriate use of his asthma medications should the nurse instruct the client to use as needed before exercise? D. Albuterol A nurse is planning care for a child who has asthma. Which of the following interventions should the nurse include in the plan of care? (select all that apply) B. Place the child in an upright position C. Monitor oxygen saturation D. Administer bronchodilators A nurse is teaching a child who has asthma how to use a peak flow meter. Which of the following information should the nurse include in the teaching? (select all that apply) A. Zero the meter before each use C. Perform three attempts A nurse is discussing risk factors for asthma with a group of newly licensed nurses. Which of the following conditions should the nurse include in the teaching? (select all that apply) A. Family history of asthma B. Family history of allergies C. Exposure to smoke D. Low birth weight A nurse is reviewing the diagnostic findings for a preschool age child who is suspected of having cystic fibrosis. Which of the following findings should the nurse identify as an indication of cystic fibrosis? A. Sweat chloride content 85 mEq/L A nurse is admitting a child who has cystic fibrosis. Which of the following medications should the nurse anticipate including in the plan of care? (select all the apply) A. Tobramycin C. Fat-soluble vitamins D. Albuterol E. Dornase alfa A nurse is performing an admission assessment for a child who has cystic fibrosis. Which of the following findings should the nurse expect? (select all that apply) A. Wheezing B. Clubbing of fingers and toes C. Barrel-shaped chest A nurse is providing discharge teaching for a child who has cystic fibrosis. Which of the following instructions should the nurse include? B. Administer pancreatic enzymes with meals and snacks A nurse is assessing an infant who has coarctation of the aorta, Which of the following findings should the nurse expect? (select all that apply) A. Weak femoral pulses B. Cool skin of lower extremities E. Heart failure A nurse is assessing an infant who has heart failure. Which of the following findings should the nurse expect? (select all that apply) B. Cool extremities C. Peripheral edema E. Nasal flaring [Show Less]
- Exam
- $14.95
- 0
- 138
Peds- ATI Practice Exam A 100% pass. Graded A+
A nurse in an urgent care clinic is assessing an adolescent who has an upper respiratory tract infection. Which of the following findings should the nurse ... [Show More] identify as a manifestation of pertussis? Dry, hacking cough Rationale: The nurse should identify that a dry, hacking cough is a manifestation of pertussis. This disease usually begins with indications of an upper respiratory tract infection, which includes a dry, hacking cough that is sometimes more severe at night. A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the following manifestations should alert the nurse to a possible hemolytic transfusion reaction? Flank pain Rationale: The nurse should recognize that flank pain is caused by the breakdown of RBCs and is an indication of a hemolytic reaction to the blood transfusion. 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 Rationale: 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 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." Rationale: Lower anchors and tethers, or the LATCH child safety seat system, should be used to secure an infant's car seat in the vehicle. This system provides anchors between the front cushion and the back rest for the car seat. Therefore, if this system is available, the seat belt does not have to be used. 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. Rationale: The nurse should schedule the toddler for a lead level rescreening in 1 year and educate the family on ways to prevent exposure. 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 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 Rationale: The nurse should expect absence of peristalsis immediately following a perforated appendix repair, until the bowel resumes functioning. 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. Rationale: 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 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." Rationale: To prevent soiling of the harness, the parent should apply the infant's diaper under the straps. 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% Rationale: 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 assessing a 4-year-old child at a well-child visit. Which of the following developmental milestones should the nurse expect to observe? Cuts an outlined shape using scissors. Rationale: The nurse should recognize that an expected developmental milestone of a 4-year-old child is using scissors to cut out a shape. A nurse is caring for a preschooler who is scheduled for hydrotherapy treatment for wound debridement following a burn injury. Which of the following actions should the nurse take prior to the procedure? Administer an analgesic to the child. Rationale: Hydrotherapy for debridement of a wound is an extremely painful procedure which requires analgesia and/or sedation. When pain is controlled, it leads to reduced physiological demands on the body caused by stress and decreases the likelihood of children developing depression and post-traumatic stress disorder. 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. Rationale: 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 parents of a school-age child who has a new diagnosis of osteomyelitis of the tibia. The nurse should identify that which of the following statements by the parents indicates an understanding of the teaching? "My child will receive antibiotics for several weeks." Rationale: 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 nurse is providing teaching to the parent of an infant who has diaper dermatitis. The nurse should instruct the parent to apply which of the following to the affected area? Zinc oxide Rationale: Diaper dermatitis is a common inflammatory skin disorder caused by contact with an irritant such as urine, feces, soap, or friction, and takes the form of scaling, blisters, or papules with erythema. Providing a protective barrier, such as zinc oxide, against the irritants allows the skin to heal. A school nurse is assessing an adolescent who has scoliosis. Which of the following findings should the nurse expect? A unilateral rib hump Rationale: When assessing an adolescent for scoliosis, the school nurse should expect to see a unilateral rib hump with hip flexion. This results from a lateral S- or C-shaped curvature to the thoracic spine resulting in asymmetry of the ribs, shoulders, hips, or pelvis. Scoliosis can be the result of a neuromuscular or connective tissue disorder, or it can be congenital in nature. 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 Rationale: The nurse should identify that a sodium level of 140 mEq/L is within the expected reference range of 134 to 150 mEq/L and indicates the current treatment regimen the infant is receiving for dehydration is effective. 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." Rationale: 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 school nurse is preparing to administer atomoxetine 1.2 mg/kg/day PO to a school aged child who weights 75 lbs. Available is atomoxetine 40 mg/capsule. How many capsules should the nurse administer per day? 1 capsule A nurse is caring for a school-age child who is receiving chemotherapy and is severely immunocompromised. Which of the following actions should the nurse take? Screen the child's visitors for indications of infection. Rationale: A child who is severely immunocompromised is unable to adequately respond to infectious organisms, resulting in the potential for overwhelming infection. Therefore, the nurse should screen the child's visitors for indications of infection. A nurse is caring for a 15 year-old client following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing syndrome of inappropriate antidiuretic hormone secretion (SIADH)? Mental confusion Rationale: A child who has a head injury can develop SIADH as a result of altered pituitary function, leading to an oversecretion of antidiuretic hormone. Oversecretion of antidiuretic hormone leads to a decrease in urine output, hyponatremia, and hypoosmolality due to overhydration. As the hyponatremia becomes more severe, mental confusion and other neurologic manifestations such as seizures can occur. A nurse in a provider's office if preparing to administer immunizations to a toddler during a well-child visit. Which of the following actions should the nurse plan to take? Withhold the measles, mumps, and rubella (MMR) vaccine. Rationale: The nurse should recognize that an allergy to neomycin with an anaphylactic reaction is a contraindication for receiving the MMR vaccine. Clients who have a severe allergy to eggs or gelatin should not receive this vaccine. A nurse is preparing to administer an immunization to a 4-year-old child. Which of the following actions should the nurse plan to take? Administer the immunization using a 24-gauge needle. Rationale: The nurse should administer an immunization for a 4-year-old child using a 22- to 25- gauge needle to minimize the amount of pain the child experiences. A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings is the nurses priority? Tachypnea Rationale: When using the airway, breathing, and circulation approach to client care, the nurse's priority finding is the toddler's tachypnea. Tachypnea is a result of the kidneys being unable to excrete hydrogen ions and produce bicarbonate, which leads to metabolic acidosis. The nurse is interviewing the parent of an 18-month-old toddler during a well-child visit. The nurse should identify that 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. Rationale: The nurse should identify tobramycin as an aminoglycoside, which is an ototoxic medication that can cause mild to moderate hearing loss, and should assess the toddler for a hearing impairment. A charge nurse in an emergency department is preparing an in-service for a group of newly licensed nurses on the clinical manifestations of child maltreatment. Which of the following manifestations should the charge nurse include as suggestive of potential physical abuse? Symmetric burns of the lower extremities Rationale: The nurse should include that symmetric burns to the lower extremities can indicate physical abuse. The patterns are usually characteristic of the method or object used, such as cigar or cigarette burns, or burns in the shape of an iron. The nurse is caring for a preschooler who has been receiving IV fluids via a peripheral IV catheter. When preparing to discontinue the IV fluids and catheter, which of the following actions should the nurse plan to take? First, the nurse should turn off the IV pump. Next, the nurse should occlude the IV tubing, and then remove the tape securing the catheter. Last, the nurse should apply pressure over the catheter insertion site. A nurse is assessing a 3-year-old toddler at a well-child visit. Which of the following manifestations should the nurse report to the provider? Respiratory rate 45/min Rationale: The nurse should identify that a respiratory rate of 45/min is above the expected reference range of 20 to 25/min for a 3-year-old toddler and can indicate respiratory dysfunction and acute respiratory distress. Therefore, the nurse should report this finding to the provider. A nurse is caring for an infant who has respiratory syncytial virus (RSV). Which of the following actions should the nurse implement for infection control? Have a designated stethoscope in the infant's room. Rationale: The nurse should initiate droplet precautions for an infant who has RSV because the virus is spread by direct contact with respiratory secretions. Therefore, designated equipment, such as a blood pressure cuff and a stethoscope, should be placed in the infant's room. 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 Rationale: 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 in the emergency department is caring for a toddler who has a partial thickness burns on their right arm. Which of the following actions should the nurse take? Cleanse the affected area with mild soap and water. Rationale: The nurse should wash the affected area with mild soap and water to remove any loose tissue that could cause infection. 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. Rationale: 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 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 Rationale: 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 nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should the nurse expect? Loud, harsh murmur Rationale: 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. A nurse is reviewing the lumbar puncture results of a school-age child suspected of having bacterial meningitis. Which of the following results should the nurse identify as a finding associated with bacterial meningitis? Increased protein concentration Rationale: The nurse should identify that an increased protein concentration in the spinal fluid is a finding that can indicate bacterial meningitis. 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. Rationale: 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 in an emergency department is caring for a school-age child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse? Administer epinephrine IM to the child. Rationale: When using the urgent vs. nonurgent approach to client care, the nurse should determine that the priority action is administering epinephrine IM to the child. During an anaphylactic reaction, histamine release causes bronchoconstriction and vasodilation. This is an emergency because ultimately this causes decreased blood return to the heart. A nurse is receiving change-of-shift report on four children. Which of the following children should the nurse see first? A school-age child who has sickle cell anemia and reports decreased vision in the left eye. Rationale: When using the urgent vs. nonurgent approach to client care, the nurse should determine the priority finding is a report of decreased vision in the left eye. This finding indicates that the child is experiencing a vaso-occlusive crisis and should be reported to the provider immediately. Therefore, the nurse should see this child first. 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. Rationale: The nurse should place the child in a side-lying position to prevent aspiration. 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." Rationale: 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 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." Rationale: Preschoolers make sense of time best when they can associate it with an expected daily routine, such as meals and bedtime. Therefore, the child comprehends time best when it is explained to them in relation to an event they are familiar with, such as eating. A nurse is admitting a school-age child who has Pertussis. Which of the following actions should the nurse take? Initiate droplet precautions for the child. Rationale: The nurse should initiate droplet precautions for a child who has pertussis, also known as whooping cough. Pertussis is transmitted through contact with infected large-droplet nuclei that are suspended in the air when the child coughs, sneezes, or talks. A nurse in an emergency department is caring for a school-age 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 0.05mg/kg IV Rationale: A pain level of 7 on a scale of 0 to 10 is considered severe. The nurse should administer an analgesic medication for pain relief. 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 Rationale: 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 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 Rationale: 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 caring for a 15 year-old client who is married and is scheduled for a surgical procedure. The client asks, "who should sign my surgical consent?" Which of the following responses should the nurse make? "You can sign the consent form because you are married." Rationale: The nurse should inform the adolescent that marriage gives adolescents the legal right to consent to surgical procedures and sign other legal documents that they would not otherwise be able to sign due to their age. The 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 inter professional team should the nurse initiate a referral? Speech therapist Rationale: The nurse should initiate a referral for a speech therapist for a child who is postoperative following a cleft palate repair. A child who has a cleft palate will require speech therapy immediately following the repair to support speech development and future articulation. 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 Rationale: 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. A 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? Playing dress-up Rationale: 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 nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the sound as which of the following? Tachypnea Rationale: 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 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." Rationale: 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 nurse is providing teaching to the parent of a school-age child who has a new prescription for oral nystatin for the treatment of oral candidiasis. Which of the following instructions should the nurse include? "Shake the medication prior to administration." Rationale: The nurse should instruct the parent to shake the medication prior to administration to disperse the medication evenly within the suspension. A nurse is caring for a school-age child who in in Buck's traction following a leg fracture 24 hr ago. Which of the following actions should the nurse take? Assess peripheral pulses once every 4 hr. Rationale: Buck's traction is a type of skin traction that can be used to immobilize extremities prior to surgery. The nurse should provide frequent neurovascular checks at least every 4 hr after the first 24 hr of placement in Buck's traction. The nurse should monitor and report signs of neurovascular impairment in the extremities such as cyanosis, edema, pain, absent pulses, and tingling. A nurse is assessing the vital signs of a 10-year-old child following a burn injury. The nurse should identify that which of the following findings in an indication of early septic shock? Temperature 39.1° C (102.4° F) Rationale: The nurse should identify that a temperature of 39.1° C (102.4° F) is above the expected reference range of 37° to 37.5° C (98.6° to 99.5° F) for a 10-year-old child. The nurse should expect a child who has early septic shock to have a fever and chills. 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 Rationale: A toddler who has acute diarrhea should consume an oral rehydration solution to replace electrolytes and water by promoting the reabsorption of water and sodium. This promotes recovery from dehydration. 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. (RLQ) 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 school nurse is assessing an adolescent who has multiple burns in various stages of healing. Which of the following behaviors should the nurse identify as a possible indication of physical abuse? Denies discomfort during assessment of injuries. Rationale: The nurse should suspect child maltreatment in the form of physical abuse if the adolescent has a blunted response to painful stimuli or injury. [Show Less]
- Exam
- $13.95
- 0
- 189
Peds ATI Exam Practice Questions 100% correct. Latest 2023
A nurse manager on a pediatric floor is preparing an education program on working with families for a group of newly hired nurses. Which of the following s... [Show More] hould the nurse include when discussing the developmental theory? A. Describe that stress is inevitable B. Emphasize that change with one family emmer effects the entire family C. Provide guidance to assist families in adapting to stress D. Defines consistencies in how families change D. Defines consistencies in how families change A nurse is assisting a group of parents of adolescents to develop skills that will improve communication within the family. The nurse hears one patient state "my son knows he better do what I say" which of the following parenting styles is the parent exhibiting? A. Authoritarian B. Permissive C. Authoritative D. Passive A. Authoritarian A nurse is performing family assessment. Which of the following should the nurse include? (select all that apply) A. Medical history B. Parents educational level C. Child's physical growth D. Support systems E. Stressors A. Medical history B. Parents educational level D. Support systems E. Stressors A nurse is preparing to assess a preschool-age child. Which of the following is an appropriate action by the nurse to prepare the child? A. Allow the child to role-play using miniature equipment. B. Use medical terminology to describe what will happen. C. Separate the child from her parent during the examination D. Keep medical equipment visible to the child A. Allow the child to role-play using miniature equipment. A nurse is assessing a holds ears. Which of the following is an expected finding? A. Light reflex is located at the 2 o'clock position B. Tympanic membrane is red in color C. Bony landmarks are not visible D. Cerumen is present bilaterally D. Cerumen is present bilaterally A nurse is checking the vital signs of a 3-year-old child during a well-child visit. Which of the following finding should the nurse report to the provider? A. Temperature 372. Degrees Celsius B. Heart rate 106/min C. Respirations 30/min D. Blood pressure 88/54 mm Hg C. Respirations 30/min A nurse is assessing a 6-month-old infant. Which of the following reflexes should the infant exhibit? A. Moro B. Plantar grasp C. Stepping D. Tonic neck B. Plantar grasp A nurse is performing a neurological assessment on an adolescent. Which of the following is an appropriate reaction by the adolescent when the nurse checks the trigeminal cranial nerve? (select all that apply) A. Clenching teeth together tightly B. Recognizing sour tastes on the back of the tongue C. Identifying smells through one nostril D. Detecting facial touches with eyelids closed E. Looking down and in with the eyes A. Clenching teeth together tightly D. Detecting facial touches with eyelids closed A nurse is assessing a 12-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? A. Closed anterior fontanel B. Eruption of 6 teeth C. Birth weight doubled D. Birth length increased by 50% C. Birth weight doubled A nurse is preparing a developmental screening on a 10-month-pold infant. Which of the following fine motor skills should the nurse expect the infant to perform? (select all that apply) A. Grasp a rattle by the handle B. Try building a two-block tower C. Use a crude pincer grasp D. Place objects into a container E. Walks with one hand held. A. Grasp a rattle by the handle C. Use a crude pincer grasp A nurse is conducting a well-baby visit with a 4-month-old infant. Which of the following immunizations should the nurse plan to administer to the infant? (select all that apply) A. Measles, mumps, and Rubella (MMR) B. Polio (IPV) C. Pneumoniacoccal Vaccine (PCV) D. Varicella E. Rotavirus Vaccine (RV) B. Polio (IPV) C. Pneumoniacoccal Vaccine (PCV) E. Rotavirus Vaccine (RV) A nurse is providing education about introducing new foods to the parents of a 4-month-old infant. The nurse should recommend that the parents introduce which of the following foods first? A. Strained yellow vegetables B. Iron-fortified cereals C. Pureed fruits D. Whole milk B. Iron-fortified cereals A nurse is providing teaching about dental care and teething to the parent of a 9-month-old infant. Which of the following statements by the parent indicates an understanding of the teaching? A. I can give my baby a warm teething ring to relieve discomfort. B. I should clean my baby's teeth with a cool, wet washcloth C. I can give Advil for up to 5 days while my baby is teething D. I should place diluted juice in the bottle my baby drinks while falling asleep B. I should clean my baby's teeth with a cool, wet washcloth A nurse is assessing a 2 ½-year-old toddler at a well child visit. Which of the following findings should the nurse report to the provider? A. Height increased by 7.5 cm in the past year B. Head circumference exceeds chest circumference C. Anterior and posterior fontanels are closed D. Current weight equals four times the birth weight B. Head circumference exceeds chest circumference A nurse is performing a developmental screening on an 18-month-old. Which of the following skills should the toddler be able to perform? (select all that apply) A. Build a tower with 6 blocks B. Throw a ball overhead C. Walk up and down stairs D. Draw circles E. Use a spoon without rotation B. Throw a ball overhead E. Use a spoon without rotation A nurse is providing teaching about age-appropriate activities to the parent of a 2-year-old. Which of the following statements by the parent indicates an understanding of the teaching? A. I will send my child's favorite stuffed animals for when she is napping away from home B. My child should be able to stand on one foot for a second. C. The soccer team my child will be playing on starts practicing next week. D. I should expect my child to be able to draw circles. A. I will send my child's favorite stuffed animals for when she is napping away from home A nurse is providing anticipatory guidance to the parents of a toddler. Which of the following should the nurse include? (select all that apply) A. Develop food habits that will prevent dental carries B. Meeting caloric needs results in an increased appetite C. Expression of bedtime fears is common D. Expert behaviors associated with negativism and ritualism E. Annual screenings for phenylketonuria are important A. Develop food habits that will prevent dental carries C. Expression of bedtime fears is common D. Expert behaviors associated with negativism and ritualism A nurse is providing teaching to the parent of a preschool-age child about methods to promote sleep. Which of the following statement by the parent indicates an understanding of the teaching? A. I will sleep in the bed with my child if she wakes up during the night B. I will let my child stay up an additional 2 hours on weekend nights C. I will let my child watch 30 minutes of television before bedtime each night D. I will keep a dim lamp on in my child's room during the night D. I will keep a dim lamp on in my child's room during the night A nurse is conducting a well-child visit with a 5-year-old child. Which of the following immunizations should the nurse plan to administer to the child. (select all that apply) A. Diphtheria, tetanus, pertussis (DTaP) B. Inactivated Poliovirus (IPV) C. Measles, Mumps, and Rubella (MMR) D. Pneumococcal (PVC) E. Haemophilus Influenza Type B (Hib) A. Diphtheria, tetanus, pertussis (DTaP) B. Inactivated Poliovirus (IPV) C. Measles, Mumps, and Rubella (MMR) A nurse is preparing an education program for a group of parents of preschool age children about promoting optimum nutrition. Which of the following information should the nurse include in the teaching? A. Saturated fats should equal 20% of the daily caloric intake B. Average caloric intake should be 1,800 calories daily C. Daily intake of fruits and vegetables should equal 2 servings D. Healthy diets include a total of 8 grams of protein daily B. Average caloric intake should be 1,800 calories daily A nurse is performing a developmental screening on a 3 year old. Which of the following skills should the nurse expect the child to perform? A. Ride on a tricycle B. Hop on one foot C. Jump rope D. Throw a ball overhead A. Ride on a tricycle A nurse is caring for a preschool age child who says she needs to leave the hospital because her doll is scared to be at home alone. Which of the following characteristics of preoperational thought is the child exhibiting? A. Egocentrism B. Centration C. Animism D. Magical thinking C. Animism A nurse is discussing prepubescence and preadolescence with a group of parents of school age children. Which of the following information should the nurse include in the discussion? A. Initial physiologic changes appear during early childhood B. Changes in height and weight occur slowly during this period C. Growth differences between boys and girls becomes evident D. Signs of sexual maturation becomes highly visible in boys. C. Growth differences between boys and girls becomes evident A nurse is conducting a well child visit with a child who is scheduled to receive the recommended immunizations for 11 to 12 year olds. Which of the following immunizations should the nurse administer? (select all that apply) A. Trivalent inactivated influenza (TIV) B. Pneumococcal (PCV) C. Meningococcal (MCV4) D. Tetanus and diphtheria toxoids and pertussis (Tdap) E. Rotavirus (RV) A. Trivalent inactivated influenza (TIV) C. Meningococcal (MCV4) D. Tetanus and diphtheria toxoids and pertussis (Tdap) A nurse is providing education about age-appropriate activities for the parents of a 6-year-old child. Which of the following activities should the nurse include in teaching? A. Jumping rope B. Playing card games C. Solving jigsaw puzzles D. Joining competitive sports A. Jumping rope A nurse is teaching a course about safety during the school-age-years to a group of parents, which of the following information should the nurse include in the course? (select all that apply) A. Gating stairs at top and bottom B. Waring helmets when riding bikes or on skateboards C. Riding safely in beds of pickup trucks D. Implementing firearm safety E. Wearing seat belts B. Waring helmets when riding bikes or on skateboards D. Implementing firearm safety E. Wearing seat belts A nurse is providing teaching about expected changes during puberty to a group of parents of early adolescent girls. Which of the following statements by one of the parents indicates understanding of the teaching? A. Girls usually stop growing about 2 years after menarche B. Girls are expected to gain about 65 pounds during puberty C. Girls experience menstruation prior to breast development D. Girls typically grow more than 10 inches during puberty A. Girls usually stop growing about 2 years after menarche A nurse is providing anticipatory guidance to the parent of a 13 year old adolescent. Which of the following screenings should the nurse recommend for the adolescent? (select all that apply) A. Body mass index B. Blood lead level C. 24 hour diet recall D. Weight E. Scoliosis A. Body mass index D. Weight E. Scoliosis A nurse is caring for an adolescent whose mother expresses concerns about her sleeping for long hours. Which of the following conditions should the nurse inform the mother as requiring additional sleep during adolescence? A. Sleep terrors B. Rapid growth C. Elevated zinc levels D. Slowed metabolism B. Rapid growth A nurse is teaching a class about puberty in boys. Which of the following should the nurse include as the first manifestation of sexual maturation? A. Pubic hair growth B. Vocal changes C. Testicular enlargement D. Facial hair growth C. Testicular enlargement A nurse is planning to administer the influenza vaccine to a toddler. Which of the following actions should the nurse take? A. Administer subcutaneously in the abdomen B. Use a 20-gauge needle C. Divide the medication into two injections D. Place the child in the supine position B. Use a 20-gauge needle A nurse is preparing to administer an IM injection to a child. Which of the following muscle groups is contraindicated? A. Deltoid B. Ventrogluteal C. Vastus lateralis D. Dorsogluteal D. Dorsogluteal A nurse is teaching a parent of an infant about administration of oral medications. Which of the following should the nurse include in the teaching? (select all that apply) A. Use a universal dropper for medication administration B. Ask the pharmacy to add flavoring to the medication C. Ask the medication to a formula bottle before feeding D. Use the nipple of a bottle to administer the medication E. Hold the infant in a semi reclining position B. Ask the pharmacy to add flavoring to the medication D. Use the nipple of a bottle to administer the medication E. Hold the infant in a semi reclining position A nurse is preparing to administer medication to a toddler. Which of the following actions should the nurse take? (select all that apply) A. Identify the toddler by asking the parent B. Tell the parent to administer the medication C. Calculate the safe dosage D. Ask the toddler what toy he wants to hold during administration E. Offer juice after the medication C. Calculate the safe dosage D. Ask the toddler what toy he wants to hold during administration E. Offer juice after the medication A nurse is caring for an infant who needs otic medication. Which of the following is an appropriate action to take? A. Hold the infant in an upright position B. Pull the pinna downward and straight back C. Hyperextend the infants neck D. Ensure that the medication is cool B. Pull the pinna downward and straight back A nurse is reviewing the medical record of a newborn who has necrotizing endocarditis (NEC). Which of the following findings is a risk factor for NEC? A. Macrosomia B. Transient tachypnea of the newborn C. Maternal gestational hypertension D. Gestational age 36 weeks D. Gestational age 36 weeks A nurse is assessing a newborn who has congenital hypothyroidism. Which of the following findings should the nurse expect? (select all that apply) A. Hypertonicity B. Cool extremities C. Short neck D. Tachycardia E. Hyperreflexia B. Cool extremities C. Short neck A nurse is teaching the parent of a newborn how to treat the newborn's plagiocephaly. Which of the following statements by the parent indicates an understanding of the teaching? A. I should put my baby to sleep on her belly during her afternoon nap B. I should ensure my baby's head is in the same position each time she sleeps C. I should have my baby wear the prescribed helmet 23 hours a day D. I should allow my baby to sleep in her infant swing C. I should have my baby wear the prescribed helmet 23 hours a day A nurse is developing a plan of care for a newborn who has hyperbilirubinemia and is to undergo phototherapy. Which odd the following actions should the nurse include in the plan of care? A. Reposition the newborn every 4 hours B. Lotion the newborn's skin twice per day C. Check the newborns temperature every 8 hours D. Remove the newborns eye mask during feedings D. Remove the newborns eye mask during feedings A nurse is providing preconception teaching with a client who has phenylketonuria (PKU). Which of the following information should the nurse include in the teaching? A. Follow a low-phenylalanine diet once pregnancy is confirmed B. The client will undergo testing of phenylalanine levels one to two times per week throughout pregnancy C. Increase intake of dietary proteins prior to conception D. The client will require a cesarean section birth due to the likelihood of having a fetus with macrosomia B. The client will undergo testing of phenylalanine levels one to two times per week throughout pregnancy A nurse is caring for a child who is experiencing respiratory distress, which of the following findings are early manifestations of respiratory distress? (select all that apply) A. Bradypnea B. Peripheral cyanosis C. Tachycardia D. Diaphoresis E. Restlessness C. Tachycardia D. Diaphoresis E. Restlessness A nurse in the emergency department is caring for a child whose parent reports that the child has swallowed paint thinner. The child is lethargic, gagging, and cyanotic. Which of the following actions should the nurse take? A. Induce vomiting with syrup of ipecac B. Insert a nasogastric tube, and administer activated charcoal C. Prepare for intubation with a cuffed endotracheal tube D. Administer chelation therapy using deferoxamine mesylate C. Prepare for intubation with a cuffed endotracheal tube A nurse in the emergency department is admitting an infant who experienced a life-threatening event. Which of the following prescriptions by the provider should the nurse anticipate? (select all that apply) A. Electroencephalogram B. Electrocardiogram C. Urine culture D. Arterial blood gasses E. Blood culture A. Electroencephalogram B. Electrocardiogram E. Blood culture A nurse is providing teaching to a parent about acetaminophen poisoning. Which of the following information should the nurse include in the teaching? A. Nausea beginning 24 hours after ingestion B. Pallor can appear as early as 2 hours after ingestion C. Jaundice will appear in 12 hours if the child is toxic D. Children can have 4 g/day of acetaminophen B. Pallor can appear as early as 2 hours after ingestion A nurse in a community center is providing an in-service to help a group of parents on management of airway obstruction in toddlers. Which of the following responses by the parents indicated understanding? (select all that apply) A. I will push on my child's abdomen B. I will hyperextend my child's head to open his airway C. I will listen over my child's mouth for sounds of breathing D. I will use my finger to check my child's mouth for objects E. I will place my child in my car and take him to the closest emergency facility. A. I will push on my child's abdomen C. I will listen over my child's mouth for sounds of breathing D. I will use my finger to check my child's mouth for objects A nurse is teaching a group of parents about characteristics of infants who have failure to thrive. Which of the following characteristics should the nurse include in the teaching? A. Intense fear of strangers B. Increased risk for childhood obesity C. Inability to form close relationships with siblings D. Developmental delays D. Developmental delays A nurse is providing instruction to the teacher if a child who has attention deficit disorder/hyperactivity disorder(ADHD). Which of the following classroom strategies should the nurse include in the teaching? (select all that apply) A. Eliminate testing B. Allow for regular breaks C. Combine verbal instruction with visual cues D. Establish consistent classroom rules E. Increase stimuli in the environment B. Allow for regular breaks C. Combine verbal instruction with visual cues D. Establish consistent classroom rules A nurse is teaching a parent about posttraumatic stress disorder (PTSD). Which of the following information should the nurse include in the teaching? (select all that apply) A. Children who have PTSD can benefit from psychotherapy B. A manifestation of PTSD is phobias C. Personality disorders are a complication of PTSD D. PTSD develops following a traumatic event E. There are 6 stages of PTSD A. Children who have PTSD can benefit from psychotherapy B. A manifestation of PTSD is phobias D. PTSD develops following a traumatic event A nurse is teaching the parent of a child about risk factors for ADHD, which of the following should the nurse include in the teaching? A. Formula feeding as an infant B. History of head trauma C. History of post term birth D. Child of a single parent B. History of head trauma A nurse is caring for a child who has depression. Which of the following findings should the nurse expect? (select all that apply) A. Preferring being with peers B. Weight loss or gain C. Report of low self esteem D. Sleeping more than usual E. Hyperactivity B. Weight loss or gain C. Report of low self esteem D. Sleeping more than usual A nurse is caring for a client who has suspected meningitis and a decreased level of consciousness. Which of the following actions is appropriate? a. Place the client on NPO status b. Prepare the client for a liver biopsy c. Position the client dorsal recumbent d. Put the client in a protective environment a. Place the client on NPO status A nurse is reviewing cerebrospinal fluid analysis for a client who has suspected meningitis. Which of the following findings should the nurse identify as indicating viral meningitis? (select all that apply) a. Negative gram stain b. Normal glucose content c. Cloudy color d. Decreased WBC count e. Normal protein content a. Negative gram stain b. Normal glucose content e. Normal protein content A nurse is caring for a 4-month-old infant who has meningitis. Which of the following findings is associated with this diagnosis? a. Depressed anterior fontanel b. Constipation c. Presence of the rooting reflex d. High pitched cry d. High pitched cry A nurse is caring for a school-age child who possibly has Reye syndrome. Which of the following is a risk factor for Reye syndrome? a. Recent history of infectious cystitis caused by Candida b. Recent history of bacterial otitis media c. Recent episode of gastroenteritis d. Recent episode of Haemophilus influenzae meningitis c. Recent episode of gastroenteritis A nurse is developing an in-service about viral and bacterial meningitis. The nurse should include that the introductions of which of the following immunizations decreased the incidence of bacterial meningitis in children? (select all that apply) a. IPV b. PCV c. DTaP d. Hib e. TIV b. PCV d. Hib A nurse is caring for a child who has absence seizures. Which of the following findings should the nurse expect? (select all that apply) a. Loss of consciousness b. Appearance of daydreaming c. Dropping held objects d. Falling to the floor e. Having a piercing cry a. Loss of consciousness b. Appearance of daydreaming c. Dropping held objects A nurse is caring for a child who just experienced a generalized seizure. Which of the following is the priority action for the nurse to take? a. Maintain the child in a side-lying position b. Loosen the child's restrictive clothing c. Reorient the child to the environment d. Note the time and characteristics of the child's seizures. a. Maintain the child in a side-lying position A nurse is providing teaching to the parent of a child who is to have an EEG. Which of the following responses should the nurse include in the teaching? a. "Decaffeinated beverages should be offered the morning of the procedure" b. "Do not wash your child's hair the night before the procedure" c. "Withhold all foods the morning of the procedure" d. "Give your child an analgesic the night before the procedure" a. "Decaffeinated beverages should be offered the morning of the procedure" A nurse is teaching a group of parents about the risk factors for seizures. Which of the following factors should the nurse include in the teaching? (select all that apply) a. Febrile episodes b. Hypoglycemia c. Sodium imbalance d. Low serum lead levels e. Presence of diphtheria a. Febrile episodes b. Hypoglycemia c. Sodium imbalance A nurse is reviewing treatment options with the parent of a child who has worsening seizures. Which of the following treatment options should the nurse include in the discussion? (select all that apply) a. Vagal nerve stimulator b. Additional antiepileptic medications c. Corpus colostomy d. Focal resection e. Radiation therapy a. Vagal nerve stimulator b. Additional antiepileptic medications c. Corpus colostomy d. Focal resection A nurse in the emergency department is assessing a child following a motor vehicle crash. The child is unresponsive, has spontaneous respirations of 22/min, and has a laceration on the forehead that is bleeding. Which of the following actions should the nurse take first? a. Stabilize the child's neck b. Clean the child's laceration with soap and water c. Implement seizure precautions for the child d. Initiate IV access for the child a. Stabilize the child's neck A nurse is caring for an adolescent who has a closed head injury. Which of the following are indications of increased intracranial pressure (ICP)? (select all that apply) a. Report of headache b. Alteration in pupillary response c. Increased motor response d. Increased sleeping e. Increased sensory response a. Report of headache b. Alteration in pupillary response d. Increased sleeping A nurse is caring for a child who has ICP. Which of the following actions should the nurse take? (select all that apply) a. Suction the endotracheal tube every 2 hours b. Maintain a quiet environment c. Use two pillows to elevate the head d. Administer a stool softener e. Maintain body alignment b. Maintain a quiet environment d. Administer a stool softener e. Maintain body alignment A nurse is assessing a child who has a concussion. Which of the following findings should the nurse expect? (select all that apply) a. Amnesia b. Systemic hypertension c. Bradycardia d. Respiratory depression e. Confusion a. Amnesia e. Confusion A nurse is a caring for a child who is taking mannitol for cerebral edema. Which of the following adverse effects should the nurse monitor the child for and report to the provider? a. Bradycardia b. Weight loss c. Confusion d. Constipation c. Confusion A nurse is planning to perform a peripheral vision test on a child. Which of the following actions should the nurse take? a. Place the child 10 feet away from the chart b. Show a set of cards to the child one at a time c. Cover the child's eye while performing the test of the other eye d. Have the child focus on an object while performing the test. d. Have the child focus on an object while performing the test. A nurse is teaching a group of parents about possible manifestations of Down Syndrome. Which of the following findings should the nurse include in the teaching? (select all that apply) a. A large head with bulging fontanels b. Larger ears that are set back c. Protruding abdomen d. Broad, short feet and hands e. Hypotonia c. Protruding abdomen d. Broad, short feet and hands e. Hypotonia A nurse is assessing a child who has myopia. Which of the following findings should the nurse expect? (select all that apply) a. Headaches b. Photophobia c. Difficulty reading d. Difficulty focusing on close objects e. Poor school performance a. Headaches c. Difficulty reading e. Poor school performance A nurse is assessing a toddler for possible hearing loss, which of the following findings are indications of hearing impairment? (select all that apply) a. Uses monotone speech b. Speaks loudly c. Repeats sentences d. Appears shy e. Is overly attentive to the surroundings a. Uses monotone speech b. Speaks loudly d. Appears shy A nurse is teaching the parent of an infant who has downs syndrome. Which of the following statements by the parents indicates an understanding of the teaching? a. "I should expect him to have frequent diarrhea" b. "I should place a cool mist humidifier in his room" c. "I should avoid the use of lotion on his skin" d. "I should expect him to grow faster in length than other infants" b. "I should place a cool mist humidifier in his room" A nurse is teaching an adolescent to self-administer a corticosteroid medication using a metered-dose inhaler (MDI). Which of the following instructions should the nurse include? (select all that apply) a. Shake the device prior to use b. Rinse and expectorate after administration c. Inhale slowly with medication administration d. Exhale quickly after medication administration e. Wait 30 seconds between puffs a. Shake the device prior to use b. Rinse and expectorate after administration c. Inhale slowly with medication administration A nurse is caring for a child who is receiving oxygen therapy and is on a continuous oxygen saturation monitor that is meeting 89%. Which of the following actions should the nurse take first? a. Increase oxygen flow rate b. Encourage the child to take deep breaths c. Ensure proper placement of the sensor probe d. Place the child in the Fowler's position. c. Ensure proper placement of the sensor probe A nurse in the emergency department is assessing a newly-admitted infant. Which of the following findings is an early indication of hypoxemia? a. Nonproductive cough b. Hypoventilation c. Cyanosis d. Nasal stuffiness c. Cyanosis A nurse is caring for a child who is receiving oxygen. Which of the following findings indicated oxygen toxicity? a. Increased blood pressure b. Hyperventilation c. Decreased PaCO2 d. Unconsciousness d. Unconsciousness A nurse is caring for a child who is receiving bronchodilator medication by nebulized aerosol therapy. Which of the following actions should the nurse take? (select all that apply) a. Instruct the child that the treatment will last 30 minutes b. Obtain vital signs prior to the procedure c. Tell the child to take slow deep breaths d. Determine if the child should use a mask e. Attach the device to an air source b. Obtain vital signs prior to the procedure c. Tell the child to take slow deep breaths d. Determine if the child should use a mask e. Attach the device to an air source A nurse is caring for a child who has bronchitis. Which of the following actions should the nurse take? (select all that apply) a. Administer oral prednisone b. Initiate chest percussion and postural drainage c. Administer humidified oxygen d. Suction the nasopharynx as needed e. Administer oral penicillin c. Administer humidified oxygen d. Suction the nasopharynx as needed A nurse is teaching a group of parents about influenza. Which of the following information should the nurse include in the teaching? a. Amantadine will prevent the illness b. Rimantadine is administered intramuscularly c. Zanamivir can be given to children 1 year and older d. Oseltamivir should be given within 48 hours of the onset of symptoms d. Oseltamivir should be given within 48 hours of the onset of symptoms A nurse is caring for a child who is in the postoperative period following a tonsillectomy. Which of the following is a clinical finding of postoperative bleeding? a. Hbg of 11.6 and Hct of 37% b. Inflamed and reddened throat c. Frequent swallowing and clearing of throat d. Blood tinged mucus c. Frequent swallowing and clearing of throat A nurse is caring for a child in the postoperative period following a tonsillectomy. Which of the following actions should the nurse take? a. Encourage the child to blow her nose gently b. Administer analgesics on a schedule c. Offer orange juice d. Position the child supine b. Administer analgesics on a schedule A nurse is assessing a child who has epiglottitis. Which of the following findings should the nurse expect? (select all that apply) a. Hoarseness and difficulty speaking b. Difficulty swallowing c. Low grade fever d. Drooling e. Dry barking cough f. Stridor a. Hoarseness and difficulty speaking b. Difficulty swallowing d. Drooling f. Stridor A nurse is assessing a child who has asthma. Which of the following are indications of deterioration in the child's respiratory status? (select all that apply) a. O2 sat of 95% b. Wheezing c. Retraction of sternal muscles d. Warm extremities e. Nasal flaring b. Wheezing c. Retraction of sternal muscles e. Nasal flaring A nurse is teaching an adolescent about the appropriate use of asthma medications. Which of the following medications should the nurse instruct the client to use as needed before exercise? a. Fluticasone/salmeterol b. Montelukast c. Prednisone d. Albuterol d. Albuterol A nurse is planning care for a child who has asthma. Which of the following interventions should the nurse include in the plan of care? (select all that apply) a. Perform chest percussion b. Place the child in an upright position c. Monitor O2 saturation d. Administer bronchodilators e. Administer Dornase alfa daily b. Place the child in an upright position c. Monitor O2 saturation d. Administer bronchodilators A nurse is teaching a child who has asthma how to use a peak flow meter. Which of the following information should the nurse include in the teaching? (select all that apply) a. Zero the meter before each use b. Record the average of the attempts c. Perform 3 attempts d. Deliver a long slow breath into the meter e. Sit in a chair with feet on the floor a. Zero the meter before each use c. Perform 3 attempts A nurse is discussing risk factors for asthma with a group of newly licensed nurses. Which of the following conditions should the nurse include in the teaching? (select all that apply) a. Family history of asthma b. Family history of allergies c. Exposure to smoke d. Low birth weight e. Being underweight a. Family history of asthma b. Family history of allergies c. Exposure to smoke d. Low birth weight A nurse is reviewing the diagnostic findings for a preschool aged child who is suspected of having cystic fibrosis. Which of the following findings should the nurse identify as an indication of CF? a. Sweat chloride content 85 mEq/L b. Increased serum levels of fat soluble vitamins c. 72-hour stool analysis sample indicating hard, packed stools d. Chest x ray negative for atelectasis a. Sweat chloride content 85 mEq/L A nurse is admitting a child who has cystic fibrosis. Which of the following medications should the nurse anticipate including in the plan of care? (select all that apply) a. Tobramycin b. Loperamide c. Fat soluble vitamins d. Albuterol e. Dornase Alfa a. Tobramycin c. Fat soluble vitamins d. Albuterol e. Dornase Alfa A nurse is performing an admission assessment for a child who has cystic fibrosis. Which of the following findings should the nurse expect? (select all that apply) a. Wheezing b. Clubbing of fingers and toes c. Barrel shaped chest d. Thin watery mucus e. Rapid growth spurts a. Wheezing b. Clubbing of fingers and toes c. Barrel shaped chest A nurse is providing discharge teachings to a child who has cystic fibrosis. Which of the following instructions should the nurse include? a. Provide a low calorie and low protein diet b. Administer pancreatic enzymes with meals and snacks c. Implement a fluid restriction during times of infection d. Restrict physical activity b. Administer pancreatic enzymes with meals and snacks A nurse is assessing an infant who has coarctation of the aorta. Which of the following findings should the nurse expect? a. Weak femoral pulses b. Cool skin of the lower extremities c. Sever cyanosis d. Clubbing of the fingers e. Heart failure a. Weak femoral pulses b. Cool skin of the lower extremities e. Heart failure A nurse is assessing an infant who has heart failure. Which of the following findings should the nurse expect? (select all that apply) a. Bradycardia b. Cool extremities c. Peripheral edema d. Increased urinary output e. Nasal flaring b. Cool extremities c. Peripheral edema e. Nasal flaring A nurse is providing teaching to the mother of an infant who has a prescription for digoxin. Which of the following instructions should the nurse include? a. Do not offer your baby fluids after giving this medication b. Digoxin increases your baby's heart rate c. Give the correct does of the medication at regularly scheduled times d. If your baby vomits the does, you should repeat the does to ensure that he gets the correct amount c. Give the correct does of the medication at regularly scheduled times A nurse is caring for a 2-year-old child who has a heart defect and is scheduled for cardiac catheterization. Which of the following actions should the nurse take? a. Place the patient on NPO status for 12 hours prior to the procedure b. Check for iodine or shellfish allergies prior to the procedure c. Elevate the affected extremity following the procedure d. Limit fluid intake following the procedure b. Check for iodine or shellfish allergies prior to the procedure A nurse is caring for a client who is suspected of having rheumatic fever. Which of the following findings should the nurse expect? (select all that apply) a. Erythema marginatum (rash) b. Continuous joint pain of the digits c. Tender, subcutaneous nodules d. Decreased erythrocyte sedimentation rate e. Elevated C-reactive protein a. Erythema marginatum (rash) e. Elevated C-reactive protein A nurse is completing a pain assessment of an infant. Which of the following scales should the nurse use? a. FLACC b. FACES c. Oucher d. Non-communicating children's pain checklist a. FLACC A nurse is planning care for a child following a surgical procedure. Which of the following interventions should the nurse include in the plan of care? a. Administer NSAID's for pain greater than 7 on a scale from 0-10 b. Administer intranasal analgesics PRN c. Administer IM analgesics for pain d. Administer IV analgesics on a schedule d. Administer IV analgesics on a schedule A nurse is assessing an infant. Which of the following are manifestations of pain in an infant? (select all that apply) a. Pursed lips b. Loud cry c. Lowered eyebrows d. Rigid body e. Pushes away stimulus b. Loud cry c. Lowered eyebrows d. Rigid body A nurse is planning care for an infant who is experiencing pain. Which of the following interventions should the nurse include in the plan of care? (select all that apply) a. Offer a pacifier b. Use guided imagery c. Use swaddling d. Initiate a behavioral contract e. Encourage kangaroo care a. Offer a pacifier c. Use swaddling e. Encourage kangaroo care A nurse is preparing for a toddler for an IV catheter insertion using atraumatic care. Which of the following actions should the nurse take? (select all that apply) a. Explain the procedure using the child's favorite toy b. Ask the parents to leave during the procedure c. Perform the procedure in the child's bed d. Allow the child to make one choice regarding the procedure e. Apply lidocaine and prilocaine cream to three potential insertion sites. a. Explain the procedure using the child's favorite toy d. Allow the child to make one choice regarding the procedure e. Apply lidocaine and prilocaine cream to three potential insertion sites. A nurse is caring for a preschooler. Which of the following is an expected behavior of a preschool-aged child? a. Describing manifestations of illness b. Relating fears to magical thinking c. Understanding cause of illness d. awareness of body functioning b. Relating fears to magical thinking A nurse on a pediatric unit is caring for a toddler. Which of the following behaviors is an effect of hospitalization? (select all that apply) a. Believes the experience is a punishment b. Experiences separation anxiety c. Displays intense emotions d. Exhibits regressive behaviors e. Manifests disturbance in body image b. Experiences separation anxiety c. Displays intense emotions d. Exhibits regressive behaviors A nurse is teaching apparent about parallel play in children. Which of the following statements should the nurse include in the teaching? a. Children sit and observe others playing b. Children exhibit organized play when in a group c. The child plays alone d. The child plays independently when in a group d. The child plays independently when in a group A nurse is teaching a group of parents about separation anxiety. Which of the following information should the nurse include in the teaching? a. It is often observed in the school-age child b. Detachment is the stage exhibited in the hospital c. It results in prolonged issues of adaptability d. Kicking a stranger is an example d. Kicking a stranger is an example A nurse is caring for a child who is dying. Which of the following are findings of impending death? (select all that apply) a. Heightened sense of hearing b. Tachycardia c. Difficulty swallowing d. Sensation of being cold e. Cheyne-stokes respirations c. Difficulty swallowing e. Cheyne-stokes respirations A nurse is teaching a parent about complicated grief. Which of the following statements should the nurse make? a. It is considered complicated grief if you are still grieving 6 months after your loss b. Personal activities are affected when experiencing complicated grief c. Parents will experience complicated grief together d. Complicated grief self-resolves in 12 months b. Personal activities are affected when experiencing complicated grief A nurse is teaching parent of a preschool child about factors that affect the child's perception of death. Which of the following factors should the nurse include in the teaching? a. Preschool children have no concept of death b. Preschool children perceive death as temporary c. Preschool children often regress to an earlier stage of behavior d. Preschool children experience fear related to the disease process b. Preschool children perceive death as temporary A nurse often cares for children eho are dying. Which of the following actions are appropriate for the nurse to take to maintain professional effectiveness? (select all that apply) a. Remain in contact with the family after their loss b. Develop a professional support system c. Take time off from work d. Suggest that a hospital representative attend the funeral e. Demonstrate feelings of sympathy toward the family a. Remain in contact with the family after their loss b. Develop a professional support system c. Take time off from work A nurse is caring for a child who has a terminal illness and reviews palliative care with an assistive personnel (AP). Which of the following statements by the AP indicates understanding of this review? a. I'm sure the family is hopeful that the new medication will stop the illness b. I'll miss working with this client now that only nurses will be taking care of him c. I will get all the clients personal objects out of his room. d. I will listen and respond as the family talks about their child's life d. I will listen and respond as the family talks about their child's life A nurse is preparing to administer immunizations to a 4-month-old. Which of the following is an appropriate action for the nurse to take in providing atraumatic care? a. Administer 81 mg of aspirin b. Use the Z-track method when injecting c. Ask the parents to leave the room during the injection d. Provide sucrose solution on the pacifier d. Provide sucrose solution on the pacifier A nurse is planning to administer recommended immunizations to a 2-month-old infant. Which of the following vaccines should the nurse plan to give? (select all that apply) a. RV b. DTaP c. Hib d. HepA e. PCV13 f. IPV a. RV b. DTaP c. Hib e. PCV13 f. IPV A nurse is planning to administer recommended immunizations to a 4-year-old child. Which of the following vaccines should the nurse plan to give? a. IPV b. Hib c. MMR d. VAR e. HepB f. DTaP a. IPV c. MMR d. VAR f. DTaP A nurse is preparing to administer the varicella vaccine to an adolescent, which of the following questions should the nurse ask to determine if there is a contradiction to administer the vaccine? a. Do you have an allergy to eggs? b. Have you ever had encephalopathy following immunizations? c. Are you currently taking corticosteroid medication? d. Have you ever had an anaphylactic reaction to yeast? c. Are you currently taking corticosteroid medication? A nurse is caring for a toddler in a clinic. Which of the following actions should the nurse take? (see below for additional info) - 15-month-old female - Immunization record: HepB: 1 month, 2 months, 12 month RV: 2 months, 4 months, 6 months DTaP: 2 months, 4 months, 6 months Hib: 2 months, 4 months, 12 months IPV: 2 months, 4 months, 6 months MMR: 12 months Varicella: 12 months HepA: 12 months -Nurses Note: Temperature: 38.7 (101.1), sore throat, family history of seizures a. Administer DTaP vaccine b. Administer RV vaccine c. Hold immunizations until fever subsides d. Administer HepA vaccine a. Administer DTaP vaccine A nurse is teaching a group of parents about complications of communicable diseases. Which of the following communicable diseases can lead to pneumonia? (select all that apply) a. Rubella b. Rubeola c. Pertussis d. Varicella e. Mumps b. Rubeola c. Pertussis d. Varicella A nurse is providing teaching for an adolescent client who has mononucleosis. The client has a fever, sore throat, fatigue, swollen lymph nodes, and a sore upper abdomen. Which of the following instructions should the nurse include in the teaching? (select all that apply) a. Take antibiotics until symptoms subside b. Drink plenty of fluids c. Avoid participating in strenuous activities d. Allow for periods of rest e. Take aspirin as needed for fever and comfort f. Gargle with salt water every 2-3 hours b. Drink plenty of fluids c. Avoid participating in strenuous activities d. Allow for periods of rest e. Take aspirin as needed for fever and comfort f. Gargle with salt water every 2-3 hours [Show Less]
- Exam
- $20.95
- 0
- 172
Peds- ATI Practice Exam B 2023.Ready to pass
Nurse is reviewing lab results of a school age child 1 week postop following an open fracture repair. Which findings should nurse ID as indication of poten... [Show More] tial complication? a. Erythrocyte sedimentation rate 18 mm/hr b. WBC count 6,200/mm3 c. C-reactive protein 1.4 mg/LRBC count 4.7 million/mm3 a. Erythrocyte sedimentation rate 18 mm/hr - above the expected reference range of up to 10 mm/hr and is an indication of osteomyelitis. Wrong Answers: b. WBC count 6,200/mm3:- within the expected reference range of 5,000 to 10,000/mm3. -An elevated WBC count is an indication of osteomyelitis. c. C-reactive protein 1.4 mg/L:- within the expected reference range of <10.0 mg/L. -An elevated C-reactive protein level is an indication of osteomyelitis.RBC count 4.7 million/mm3:- within the expected reference range of 4.0 to 5.5 million/mm3. A decreased RBC count can indicate hemorrhage. Nurse planning care for school age child with tunneled CVA device. Which interventions should the nurse include in plan? a. Use sterile scissors to remove the dressing from the site. b. Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in use c. Access the site using a noncoring angled needle d. Use a semipermeable transparent dressing to cover the site d. Use a semipermeable transparent dressing to cover the site - The nurse should cover the site with a semipermeable transparent dressing to reduce the risk of infection. Wrong Answers: a. Use sterile scissors to remove the dressing from the site - The nurse should avoid the use of scissors when performing dressing changes because this can result in accidental cutting of the catheter. b. Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in use - The nurse should flush each lumen of the catheter with a heparin solution daily when not in use. c. Access the site using a noncoring angled needle - The nurse should use a noncoring angled or straight needle when accessing an implanted port. Nurse is planning care to address nutritional needs for preschooler with cystic fibrosis. Which interventions should the nurse include in plans? a. Administer pancreatic enzymes 2 hr after meals. b. Discontinue the use of pancreatic enzymes if steatorrhea develops. c. Limit fluid intake to 750 mL per day. d. Increase fat content in the child's diet to 40% of total calories. d. Increase fat content in the child's diet to 40% of total calories - A child who has cystic fibrosis is unable to properly digest fats due to fibrosis of the pancreas and limited secretion of pancreatic enzymes. The nurse should increase the child's fat intake to 35% to 40% of total caloric intake. Wrong Answers: a. Administer pancreatic enzymes 2 hr after meals - The nurse should plan to administer pancreatic enzymes within 30 min of meals and snacks to replace the enzymes lost with cystic fibrosis. b. Discontinue the use of pancreatic enzymes if steatorrhea develops - A child who has cystic fibrosis and develops steatorrhea, or fatty stools, might need to have their dosage of pancreatic enzyme increased by their provider until the steatorrhea resolves. c. Limit fluid intake to 750 mL per day - The nurse should encourage fluid intake, rather than restrict it, to prevent dehydration caused by the loss of sodium and chloride through perspiration. Nurse in ED auscultates lungs of adolescent experiencing dyspnea. Nurse should ID sound as what? a. Wheezes b. Crackles c. Pleural friction rub d. Rhonchi a. Wheezes - high-pitched, musical or whistling-like sounds heard primarily on expiration as air passes through and vibrates narrowed airways. Wrong answers: b. Crackles - high-pitched, short, and noncontinuous sounds usually heard at the end of inspiration. Crackles occur when air expands deflated alveoli or when the passage of air through small airways is disrupted. c. Pleural friction rub - a loud, rough, grating sound that can be heard during inspiration or expiration. A pleural friction rub occurs when the pleurae are inflamed and the surfaces rub together. d. Rhonchi - low-pitched, continuous sounds that have a snore-like quality and are usually louder during expiration. Rhonchi occur when the larger airways are obstructed. Nurse assesses school age child with infratentorial brain tumor. Which findings should the nurse ID as manifestation of IICP? a. Hypotension b. Reports insomnia c. Difficulty concentrating d. Tachycardia c. Difficulty concentrating - The nurse should identify that irritability, inability to follow commands, and difficulty concentrating are manifestations of IICP due to decreased blood flow within the brain and pressure on the brainstem. Wrong Answers: a. Hypotension - HTN is a late manifestation of IICP due to compression of the brain vessels. b. Reports insomnia - somnolence and lethargy are manifestations of IICP. c. Tachycardia - bradycardia is a late manifestation of IICP. Nurse assesses infant with pneumonia. Which findings is priority for nurse to report to HCP? a. Nasal flaring b. WBC count 11,300/mm3 c. Diarrhea d. Abdominal distension a. Nasal flaring - When using the ABC approach to client care, the nurse should determine that the priority finding to report to the provider is nasal flaring. Nasal flaring indicates the infant is experiencing acute respiratory distress. Wrong Answers: b. WBC count 11,300/mm3 - The nurse should report a WBC count of 11,300/mm3 because it is above the expected reference range of 5,000 to 10,000/mm3 and indicates infection. However, there is another finding that is the priority for the nurse to report. c. Diarrhea - The nurse should report diarrhea because it is a manifestation of pneumonia in infants and indicates the current treatment is not effective. However, there is another finding that is the priority for the nurse to report. d. Abdominal distension - The nurse should report abdominal distension because it is a manifestation of pneumonia in infants and indicates the current treatment is not effective. However, there is another finding that is the priority for the nurse to report. Nurse in health department is caring for emancipated adolescent with STI and unaccompanied by guardian. Which actions should the nurse take? a. Have the adolescent sign a consent form for treatment. b. Instruct the adolescent to return with a guardian. c. Obtain consent from the adolescent's guardian over the phone d. Treat the adolescent without a consent form a. Have the adolescent sign a consent form for treatment - The nurse should identify that an emancipated minor can sign the consent form for treatment of an STI or any other form of medical treatment requiring consent. Nurse teaches adolescent about how to manage tinea pedis. Which statements by adolescent indicates understanding of teaching? a. "I should buy plastic shoes to wear at the swimming pool." b. "I should wear sandals as much as possible." c. "I should place the permethrin cream between my toes twice daily." d. "I should seal my nonwashable shoes in plastic bags for a couple of weeks." b. "I should wear sandals as much as possible." - Sandals allow air to circulate around the feet, decreasing perspiration and eliminating the medium for bacteria and fungus to grow. -The nurse should inform the adolescent that wearing sandals, open-toed, or well-ventilated shoes will promote healing of the fungal infection. Nurse assesses 8 y/o child with early indications of shock. After establishing airway and stabilizing child's resp, which actions should the nurse take next? a. Insert an indwelling urinary catheter. b. Measure weight and height. c. Initiate IV access. d. Maintain ECG monitoring. c. Initiate IV access - After establishing an airway and stabilizing the child's respirations, the next action the nurse should take when using the ABC approach to client care is to establish IV access to maintain the child's circulatory volume. Wrong Answers: a. Insert an indwelling urinary catheter - The nurse should insert an indwelling urinary catheter for a child who has early indications of shock. Strict intake and output monitoring is needed because UO decreases during shock due to reduced blood flow to the kidneys as the body attempts to conserve body fluids. However, there is another action that the nurse should take first. b. Measure weight and height - The nurse should measure weight and height of a child who has early indications of shock to calculate weight-based medication dosages. However, there is another action that the nurse should take first. c. Maintain ECG monitoring - The nurse should maintain ECG monitoring for a child who has early indications of shock to continually assess for changes in cardiac status. However, there is another action that the nurse should take first. Charge nurse prepares to make room assignment for newly admitted school age child. Which considerations is the nurse's priority? a. Length of stay b. Treatment schedule c. Disease process d. Self-care ability c. Disease process - The transmission of infectious diseases is the greatest risk to this child and other children on the unit. Therefore, the child's disease process is the nurse's priority consideration. Wrong answers: a. Length of stay - some client rooms might be larger, and thus more comfortable for families during long hospitalizations. However, this is not the nurse's priority consideration. b. Treatment schedule - children requiring frequent monitoring and treatment should be assigned a room close to the nurses' station, if possible. However, this is not the nurse's priority consideration. d. Self-care ability - children who require more assistance from nurses or assistive personnel should be assigned a room close to the nurses' station, if possible. However, this is not the nurse's priority consideration. Nurse in ED assesses 3 month old infant with rotavirus and experiences acute vomiting and diarrhea. Which manifestations should nurse ID as indication that infant has moderate to severe dehydration? a. Heart rate 124/min b. Increased tear production c. Sunken anterior fontanel d. Cap refill 2 secs c. Sunken anterior fontanel - The nurse should recognize that a sunken anterior fontanel is an indication of moderate to severe dehydration due to the acute loss of fluid. Wrong answers: a. Heart rate 124/min - within the expected reference range of 106 to 186/min for a 3- to 5-month-old infant. The nurse should expect the infant who has moderate to severe dehydration to have tachycardia. b. Increased tear production - An infant who has moderate to severe dehydration is more likely to have absence of tears rather than increased tear production. d. Capillary refill 2 sec - within the expected reference range of 2 seconds or less for a 3-month-old infant. An infant who has moderate to severe dehydration is more likely to have delayed capillary refill of greater than 2 seconds. A nurse is preparing to administer ibuprofen 5mg/kg every 6 hours prn for temperatures above 38.0 C (100.5 F) to an infant that weighs 17.6 Lb. The infant has a temperate of 38.4 C (101.2 F). Available is ibuprofen liquid 100mg/5mL. How many mL should the nurse administer to the infant per dose? round to the nearest whole number. Use a leading 0 if it applies. 2 mL Nurse provides dietary teaching to guardian of school age child with cystic fibrosis. Which statements should nurse make? a. "You should offer your child high-protein meals and snacks throughout the day." b. "You should decrease your child's dietary fat intake to less than 10% of their caloric intake." c. "You should restrict your child's calorie intake to 1,200 per day." d. "You should give your child a multivitamin once weekly." ANS: "You should offer your child high-protein meals and snacks throughout the day.":- The nurse should instruct the guardian to provide a diet that is well-balanced and high in protein and calories. Children who have cystic fibrosis require a higher percentage of the recommended dietary allowances of all nutrients to meet their energy requirements. Children who have good nutritional intake have improved lung function and decreased risk of infection."You should decrease your child's dietary fat intake to less than 10% of their caloric intake.":- Children who have cystic fibrosis need a diet that is unrestricted in fat. They also require 35% to 40% of their calories to come from fats due to decreased absorption from the intestines."You should restrict your child's calorie intake to 1,200 per day.":- Children who have cystic fibrosis require a high-calorie diet and should consume at least 2,000 calories per day."You should give your child a multivitamin once weekly.":- Children who have cystic fibrosis should be given a multivitamin once daily. Nurse reviews dietary choices of adolescent with iron deficiency anemia. Nurse should ID which menu items has highest amount of nonheme iron?½ cup whole milk1 cup orange juice1/2 cup raisins1 cup raw carrots ANS: ½ cup raisins:- The nurse should encourage the adolescent to eat raisins because they contain the highest amount of nonheme iron. 1 cup orange juice:- Orange juice does not contain the highest amount of nonheme iron. However, it does contain ascorbic acid, which increases the amount of nonheme iron absorbed by the body. Nurse provides discharge teaching to parents of 6 month old infant postop following hypospadias repair with stent placement. Which instructions should the nurse include in teaching?"You may bathe your infant in an infant bathtub when you go home.""Apply hydrocortisone cream to your infant's penis daily.""You should clamp your infant's stent twice daily.""Allow the stent to drain directly into your infant's diaper." ANS: "Allow the stent to drain directly into your infant's diaper.":- The nurse should instruct the parents to ensure that the stent drains directly into the infant's diaper to prevent kinking or twisting that can interfere with urine flow. "You may bathe your infant in an infant bathtub when you go home.":- Submerging the stent in water can cause infection at the operative site. The parents should avoid placing the infant in an infant bathtub until after the provider removes the stent."Apply hydrocortisone cream to your infant's penis daily.":- Following surgical repair of a hypospadias, the infant is at increased risk for infection at the operative site. The nurse should instruct the parents to administer a prophylactic antibiotic as prescribed to help prevent infection."You should clamp your infant's stent twice daily.":- The stent in place following hypospadias repair allows urine to drain from the body. The nurse should instruct the parents to avoid blocking the stent to prevent urinary stasis and potential injury to the infant. Nurse in ED cares for school age child with epiglottis. Which actions should the nurse take?Obtain a throat culture from the child.Monitor the child's oxygen saturation.Put a warm mist humidifier in the child's room.Place the child in the supine position. ANS: Monitor the child's oxygen saturation:- The nurse should monitor the child's oxygen saturation level because the child is experiencing acute respiratory distress and it is necessary to determine if the child is responding to treatment. Obtain a throat culture from the child:- Obtaining a throat culture places the child at risk for complete airway obstruction. The nurse should wait until an airway is established for the child before performing any diagnostic testing.Put a warm mist humidifier in the child's room:- The nurse should administer humidified oxygen by face mask or blow-by, rather than place a warm mist humidifier in the child's room.Place the child in the supine position:- Placing the child in the supine position increases the child's risk for complete airway obstruction. The nurse should allow the child to be in whatever position they feel provides the most help with breathing. This is usually an upright position, and sometimes it is helpful for the child to lean forward to help with breathing. Nurse in HCP office is caring for school age child with varicella. Parent asks nurse when their child will no longer be contagious. Which response should the nurse make?"When your child no longer has an increased temperature.""Three days after you first noticed the rash appear on your child.""When your child's lesions are crusted, usually 6 days after they appear.""Two to three weeks, when your child's lesions completely disappear." ANS: "When your child's lesions are crusted, usually 6 days after they appear.":- The nurse should inform the parent that the child is contagious 1 day prior to lesion eruption and until the vesicles have crusted over, which usually takes about 6 days. "When your child no longer has an increased temperature.":- The nurse should inform the parent that an absence of a fever does not indicate the child is no longer contagious."Three days after you first noticed the rash appear on your child.":- The nurse should inform the parent that the child will remain contagious longer than 3 days after the rash appears. "Two to three weeks, when your child's lesions completely disappear.":- The incubation period of varicella is two to three weeks. However, this is not related to the appearance and disappearance of the lesions. Nurse teaches family of school age child with juvenile idiotpathic arthritis. Which instructions should the nurse include in teaching?"Limit movement of the child's large joints.""Encourage the child to perform independent self-care.""Provide the child with a soft mattress for sleeping.""Schedule a 2-hour daily nap for the child in the afternoon." "Limit movement of the child's large joints.":- Large joints should be exercised regularly to maintain mobility and strengthen muscles.ANS: "Encourage the child to perform independent self-care.":- The nurse should teach the family the importance of encouraging the child to perform independent self-care. This will minimize the child's pain while maximizing mobility. Encouraging and praising the child's efforts for independence will also increase their self-esteem."Provide the child with a soft mattress for sleeping.":- Children who have juvenile idiopathic arthritis should sleep on a firm mattress to provide support in maintaining joints in a functional position."Schedule a 2-hour daily nap for the child in the afternoon.":- Daytime naps are discouraged because stiffness can occur quickly and easily with inactivity, and naps can interfere with nighttime sleep School nurse provides in service for faculty about improving education for students with ADHD. Which statements by faculty member indicates understanding of teaching?"I will plan to increase the amount of homework I assign to students who have ADHD.""I will give students who have ADHD the same amount of time as other students to complete tests.""I will allow students who have ADHD one rest break throughout the day.""I will teach challenging academic subjects to students who have ADHD in the morning." ANS: "I will teach challenging academic subjects to students who have ADHD in the morning.":- Faculty should plan to teach challenging academic subjects in the morning when students who have ADHD are most able to focus and their medication is most likely to be effective. "I will plan to increase the amount of homework I assign to students who have ADHD.":- Faculty should decrease the amount of school work and homework given to a child who has ADHD to maintain their attention."I will give students who have ADHD the same amount of time as other students to complete tests.":- Students who have ADHD should be given additional time to take tests due to decreased attention."I will allow students who have ADHD one rest break throughout the day.":- Faculty should allow frequent breaks throughout the day for students who have ADHD to modify their learning environment. [Show Less]
- Exam
- $14.95
- 0
- 147
Purchase the bundle to get the full access instantly
- 3 Million+ Study Documents
- 100% Money Back Guarantee
- Immediate Download Access
Add To Cart
Reviews 0
Bundle Details
$28.95
- Trusted by 800,000+ Students
- 24/7 Money Back Guarantee
- Download is directly available
175
0
Seller Details
