ATI RN Nursing Care of Children CH 1-
43 Practice Exam with Q & A
A nurse is teaching the parent of an infant who has a Pavlik harness for the
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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? - ANS-"I will place my infant's diapers under
the harness straps."
To prevent soiling of the harness, the parent should apply the infant's
diaper under the straps.
A nurse is planning care for a school-age child who is in the oliguric phase
of acute kidney injury (AKI) and has a sodium level of 129 mEq/L. Which of
the following interventions should the nurse include in the plan? - ANSInitiate seizure precautions for the child.
A sodium level of 129 mEq/L indicates hyponatremia and places the child
at increased risk for neurological deficits and seizure activity. The nurse
should complete a neurologic assessment and implement seizure
precautions to maintain the child's safety.
A nurse is assessing a school-age child immediately following a perforated
appendix repair. Which of the following findings should the nurse expect? -
ANS-Absence of peristalsis
The nurse should expect absence of peristalsis immediately following a
perforated appendix repair, until the bowel resumes functioning.
A nurse is preparing an adolescent for a lumbar puncture. Which of the
following actions should the nurse take? - ANS-Apply topical analgesic
cream to the site 1 hr prior to the procedure.
The nurse should apply a topical analgesic to the lumbar site 1 hr prior to
the procedure to decrease the adolescent's pain while the lumbar needle is
inserted.
A nurse is caring for a school-age child who is receiving cefazolin via
intermittent IV bolus. The child suddenly develops diffuse flushing of the
skin and angioedema. After discontinuing the medication infusion, which of
the following medications should the nurse administer first? - ANSEpinephrine
Toddlers vaccines and nutrition - ANS-shots: IPV, MMR, PCV, Varicella,
Hep A, DTAP, flu
nutrition: low fat milk, 4-6 oz juice/day. 24 gauge needle for shots
Preschooler skills - ANS-rides trike (3), throws ball, scissors to cut shapes
(4), jump rope/stick figure with 7 body parts (5 yo), right from left hand
(6yo), dress up, associative play
Preschool beliefs - ANS-magical thinking, animism (inanimate objects are
alive), time in relation to event ("after you eat lunch")
preschooler shots/food/activity - ANS-shot: DTAP, IPV, MMR, Flu
nutrition: 5 servings of fruits and veggies
activity: less than 2 hrs of screen time, >1hr PE
sleep: 12 hours w consistent bedtime routine
6-12 yo activity/sleep/shots - ANS-interact with peer group, cooperative
play, sports
sleep: 9 hrs
shots: TDAP, HPV, meningicoccal, flu
children injury preventuon - ANS-helmets, locks on firearms, water heaters
< 120 degrees, bike safety
adolescents growth, sexual maturation, activity - ANS-stop growing after
menarche, boys at 18 yo
sexual maturation: breasts, pubic hair, ax. hair, menstruation
boys: testicular growth, pubic hair, penile enlargement, ax. hair, facial hair,
voice changes
activity: video games, music, sports, reading
adolescent shots, injury - ANS-MCV4 booster, flu
auto safety, monitor for mental health, risk for substance abuse
med admin - ANS-use smallest measuring device available
do not measure with teaspoo [Show Less]