ATI PN Nursing Care of Children Proctored Exam (16 Versions, 900 QA), Document to Secure HIGHSCORE
A nurse is planning care for a newly admitted
... [Show More] school-age child who has
generalized seizure disorder. Which of the following interventions should the
nurse plan to include?
Ensure the oxygen source is functioning in the childs room
2. A nurse is providing dietary teaching to the guardian of a school-age child who
has cystic fibrosis. Which of the following statements should the nurse make?
“You should offer your child high-protein meals and snacks throughout the day.”
3. A nurse is providing discharge teaching to the parents of a 6-month-old infant
who is postoperative following hypospadias repair with a stent placement. Which
of the following instructions should the nurse include in the teaching?
“Allow the stent to drain into your infants diaper.”
4. A nurse is caring for a school-age child who has primary nephrotic syndrome and
is taking prednisone. Following 1 week of treatment, which of the following
manifestations indicates to the nurse that the medication is effective?
Decreased edema
5. A nurse is receiving change-of-shift report for four children. Which of the
following children should the nurse assess first?
A toddler who has a concussion and an episode of forceful vomiting.
6. A nurse is providing discharge teaching to the guardians of a toddler who had
lower leg cast applied 24 hr ago. The nurse should instruct the guardians to report
which of the following finding to the provider?
Restricted ability to move the toes.
7. A nurse in an emergency department is auscultating the lungs of an adolescent
who is experiencing dyspnea. The nurse should identify the sound as which of the
following?
Wheezes
8. A nurse is caring for a preschooler who has congestive heart failure. The nurse
observes wide QRS complexes and peaked T waves on the cardiac monitor.
Which of the following prescriptions should the nurse clarify with the provider?
Potassium Chloride
9. A nurse is planning an educational program for school-age children and their
parents about bicycle safety. Which of the following information should the nurse
plan to include?
The child should be able to stand on the balls of their feet when sitting on the
bike.
10. A nurse is monitoring the oxygen saturation level of an infant using pulse
oximetry. The nurse should secure the sensor to which of the following areas on
the infant?
Great Toe
11. A nurse is an emergency department is caring for a school-age child who has
epiglottitis. Which of the following actions should the nurse take?
Monitor the childs oxygen saturation
12. A nurse in an emergency department is caring for a school-age child who has
sustained a minor superficial burn from fireworks on their forearm. Which of the
following actions should the nurse take?
Apply an antimicrobial ointment to the affected area.
13. A nurse in a providers office is caring for a school-age child who has varicella.
The parents asks the nurse when their child will no longer be contagious. Which
of the following responses should the nurse make?
“When your childs lesions are crusted, usually 6 days after they appear.”
14. A nurse is providing discharge teaching to the parent of a school-age child who
has moderate persistant asthma. Which of the following instructions should the
nurse include?
“Pulmonary function tests will be performed every 12 to 24 months to evaluate
how your child is responding to therapy.”
15. A nurse is admitting an infant who has intussusception. Which of the following
findings should the nurse expect? (Select all that apply.)
-Vomiting
-Lethargy
16. A nurse is reviewing the laboratory results of a school-age child who is 1 week
postoperative following an open fracture repair. Which of the following findings
should the nurse identify as an indication of a potential complication?
Erythrocyte sedimentation rate 18 mm/hr
17. A nurse is providing discharge teaching to the parents of a 3-month old infant
following a cheiloplasty. Which of the following instructions should the nurse
include?
“Apply a thin layer of antibiotic ointment on the your babys suture line daily for
the next 3 days.”
18. A nurse is discussion organ donation with the parents of a school-age child who
has sustained brain death due to a bicycle crash. Which of the following actions
should the nurse take first?
Explore the parents feelings and wishes regarding organ donation.
19. A nurse is caring for a 1-month-old infant who is breastfeeding and requires a
heel stick. Which of the following actions should the nurse take to minimize the
infants pain?
Allow the mother to breastfeed while the sample is being obtained.
20. A nurse is assessing an adolescent who received a sodium polystyrene sulfonate
enema. Which of the following findings indicates effectiveness of the medication?
Serum potassium level 4.1 mEq/L
21. A charge nurse is preparing to make a room assignment for a newly admitted
school-age child. Which of the following considerations is the nurses priority?
Disease process
22. A nurse is assessing the pain level of a 3-year-old toddler. Which of the following
pain assessment scales should the nurse use?
FACES
23. A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hr PRN for a
temperatures above 38.0 C (100.5 F) to an infant who weighs 17.6 lb. Available is
ibuprofen oral suspension 100mg/5mL. How many mL should the nurse
administer to the infant per dose?
2 mL
24. A nurse is assessing a 6-month-old infant during a well-child visit. Which of the
following findings should the nurse report to the provider?
Presence of strabismus
25. A school nurse is caring for a child following tonic-clonic seizure. Which of the
following actions should the nurse take first?
Check the childs respiratory rate.
26. A nurse is planning developmental activities for a newly admitted 10-year-old
child who has neutropenia. Which of the following actions should the nurse plan
to take?
Provide the child with a book about adventure.
27. A nurse in a health department is caring for an emancipated adolescent who has
an STI and is unaccompanied by a guardian. Which of the following actions
should the nurse take?
Have the adolescent sign a consent form for treatment.
28. A nurse is assessing an 8-year-old child who has early indications of shock. After
establishing an airway and stabilizing the childs respirations, which of the
following actions should the nurse take next?
Initiate IV access.
29. A nurse is performing hearing screenings for children at a community health fair.
Which of the following children should the nurse refer to a provider for a more
extensive hearing evaluation?
An 8-month-old who is not yet making babbling sounds.
30. A nurse is providing discharge teaching to the guardian of a school-age child who
has undergone a tonsillectomy. Which of the following statements by the guardian
indicates an understanding the teaching?
“I will notify the doctor if I notice that my child is swallowing frequently.”
31. A community health nurse is assessing an 18-month-old toddler in a community
day care. Which of the following findings should the nurse identify as a potential
indication of physical neglect?
Poor personal hygiene
32. A nurse assessing a school-age child who has an infratentorial brain tumor. Which
of the following findings should the nurse identify as a manifestation of increased
intracranial pressure?
Difficulty concentrating
33. A nurse is providing teaching to an adolescent about how to manage tinea pedis.
Which of the following statements by the adolescent indicates an understanding
of the teaching?
“I should wear sandals as much as possible.”
34. A nurse is caring for a school-age child who has diabetes mellitus and was
admitted with a diagnosis of diabetic ketoacidosis. When performing the
respiratory assessment, which of the following findings should the nurse expect?
Deep respirations of 32/min
35. A nurse is planning n educational program to teach parents about protecting their
children from sunburns. Which of the following instructions should the nurse plan
to include?
“Choose a waterproof sunscreen with a minimum SPF of 15.”
36. A nurse is providing teaching to the parents of a preschooler who has heart failure
and a new prescription for digoxin twice daily. Which of the following
instructions should the nurse include in the teaching?
“Brush the childs teeth after giving the medication.”
37. A nurse is providing teaching to the family of a school-age child who has juvenile
idiopathic arthritis. Which if the following instructions should the nurse include in
the teaching?
“Encourage the child to perform independent self-care.”
38. A nurse is creating a plan of care for a child who has varicella. Which of the
following interventions should the nurse include?
Initiate airborne precautions for the child.
39. A nurse is assessing a school-age child who has an acute spinal cord injury
following a sports injury 1 week ago. Identify the area the nurse should tap to
elicit the bicep reflect.
Correct answer is A
40. A school nurse is providing an in-service for faculty about improving education
for students who have ADHD. Which
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