ATI Pediatric Practice B latest – Chamberlain
College of Nursing
1. A nurse is collecting date from a school-age child. The nurse
should identify
... [Show More] that which of the following findings is a
manifestation of physical abuse?
a) Multiple dental caries
b) Malnutrition
c) Recurrent urinary tract infections
d) Bruises at various stages of healing (The nurse should recognize
that bruises at various stages of healing are a clinical
manifestation of physical abuse.)
2. A nurse is reinforcing teaching with an adolescent who has
an inflamed nonperforated appendix and is scheduled for a
laparoscopic assisted appendectomy. Which of the
following instructions should the nurse include in the
teaching?
a) “You can begin drinking fluids again 2 days after your surgery.”
b) “You will need to ask for pain medication for the first 24 hours
after surgery.”
c) “You will have your vital signs monitored every 8 hours after
surgery.”
d) “You will sit in your chair at least twice a day after surgery.”
(The nurse should instruct the client that she will sit in a
bedside chair at least twice a day and will be encouraged toambulate as soon as possible following surgery. This activity
will enhance lung function and help prevent postoperative
complications.)
3. A nurse is reinforcing teaching about sudden infant death
syndrome (SIDS) with the parent of a 1-month-old infant.
Which of the following statements by the parent indicates
an understanding of the teaching?
a) “I will let my baby sleep with me in bed at night.”
b) “I will allow my baby to have a pacifier while sleeping.” (The
nurse should reinforce with the parent that allowing the infant
to fall asleep with a pacifier in his mouth decreases the risk for
SIDS.)
c) “I will place my baby on a soft mattress to sleep.”
d) “I will cover my baby with a quilt while he sleeping.”
4. A nurse is assisting with the care of a child who is
postoperative and received a transfusion during a surgical
procedure. Which of the following findings indicates the
child is havig a hemolytic reaction?
a) Chills and flank pain (Chills and flank pain are findings that
indicate an incompatibility of the transfused blood product with
the client's blood. The nurse should identify this finding as an
indication that the child is having a hemolytic reaction.)
b) Pruritus and flushing
c) Rales and cyanosis
d) Bradycardia and diarrhea
5. A guardian calls the clinic nurse after his child has
developed symptoms of varicella and asks when his childwill no longer be contagious. Which of the following
responses should the nurse make?
a) “When your child no longer has a fever.”
b) “Three days after the rash started.”
c) “Six days after lesions appear if they are crusted.” (The nurse
should inform the guardian that a child will stop being
contagious around 6 days after the lesions appeared, as long as
they are crusted over.)
d) “When your child’s lesions disappear.”
6. A nurse is collecting date from a child during a well-child
visit. The nurse should recognize that which of the
following findings places the child at a higher risk for
abuse?
a) The child is 6 years old.
b) The child is male.
c) The child was born at 30 weeks of gestation. (The nurse should
identify that children who are born prematurely are at greater
risk for abuse because of the potential for impaired bonding
during early infancy.)
d) The child was born via cesarean birth.
7. A nurse is reinforcing teaching with the guardian of a child
who has a new diagnosis of rheumatic fever. Which of the
following statements by the guardian indicates an
understanding of the teaching?
a) “I should not give my child aspirin for pain or fever.”
b) “My child will take antibiotic for 6 months.”c) “My child might have a period of irregular movement of the
extremities.” (The nurse should instruct the guardian that the
child might experience chorea weeks or months after the initial
diagnosis. Chorea is a temporary lack of coordination and the
presence of sudden, irregular movements or periods of
clumsiness.)
d) “I should expect there to be blood in my child’s urine.”
8. A nurse is collecting data from an infant during a well-child
visit. Which of the following sites should the nurse use
when obtaining the infant’s heart rate?
a) Apical (The nurse should use the apical pulse to obtain the
infant's heart rate and count it for a full minute, because it gives
a reliable rate and rhythm and provides accurate baseline
assessment data. In an infant, the apical heart rate is
auscultated at the fourth intercostal space lateral to the
midclavicular line.)
b) Radial
c) Carotid
d) Femoral
9. A nurse is preparing a toddler for suturing of a minor facial
laceration. The nurse should place the toddler in which of
the following restraints?
a) Mummy restraint (The nurse should use a mummy wrap when
a short-term restraint is needed for treatment of the toddler
that involves the head and neck. The nurse should always use
the least amount of restraint necessary.)
b) Jacket restraintc) Elbow restraint
d) Wrist restraint
10.A nurse is reinforcing dietary teaching with the parent of a
2-year-old toddler. Which of the following should the nurse
include in the teaching?
a) "It is recommended that the toddler consumes no more than 12
ounces of fruit juice each day."
b) "An appropriate serving size is 1 tablespoon of food per year of
age." (The nurse should include that an appropriate serving size
for a 2-year-old toddler is 1 tbsp of food per year of age.)
c) "Introduce healthy finger foods like carrots and celery sticks."
d) "Encourage 5 cups of low-fat milk each day."
11. During a well-child visit, the parent of a toddler expresses
concern to the nurse that the toddler takes several hours to
fall asleep at night. Which of the following
recommendations should the nurse make?
a) Vary the time the toddler goes to bed each night
b) Allow the toddler to watch television before bedtime
c) Provide the toddler with a favorite toy at bedtime. (The nurse
should recommend to the parent that providing the toddler
with a favorite toy at bedtime will help the toddler to feel more
secure and facilitate sleep.)
d) Increase the toddler's activity prior to bedtime
12. A nurse is assisting with the care for a 7-month-old infant
who has a cleft palate. Which of the following actions
should the nurse take to decrease the infant’s risk for
aspiration?-
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