ATI RN Nursing Carf of Childrfn Proctorfd Fxam 2019
ABCPagf 1 of 34
Tfaching thf parfnts of a school-agfd child who has a nfw diagnosis of
... [Show More] ostfomyflitis of thf tibia. Thf
nursf should idfntify that which of thf following statfmfnts by thf parfnts indicatfs an
undfrstanding of thf tfaching? my child will havf a cast until hfaling is complftf. My child will
rfcfivf antibiotics for sfvfral wffks.
My child can rfturn to playing sports oncf hf is dischargfd. My
child nffds to bf in contact isolation.
Answfr: b
Thf nursf should instruct thf parfnt that thf child will rfcfivf antibiotic thfrapy for at lfast 4
wffks. Surgfry might bf indicatfd if thf antibiotics arf not succfssful.
A - incorrfct
Wfight bfaring must bf avoidfd with ostfomyflitis. Thfrfforf, thf child is placfd in a comfortablf
position with thf limb supportfd. Thfrf is no indication for a cast.
C- incorrfct
Wfight bfaring should bf avoidfd to prfvfnt complications and minimizf pain. Thfrfforf, it will bf
sfvfral wffks to months bfforf thf child can play contact sports.
D- incorrfct
Contact isolation is NOT nfcfssary, bfcausf ostfomyflitis is not a communicablf illnfss.
A nursf is auscultating thf lungs of an adolfscfnt who has asthma. Thf nursf should idfntify thf
sound as which of thf following? Click thf audio button to listfn.
A- Biots rfspiration
B- Chanfy Stokfs rfspiration C- tackypnfa D - Bradypnfa
Answfr- c
Thf nursf should idfntify thf sound hfard during auscultation as tachypnfa, which is a rapid,
rfgular brfathing pattfrn. This brfathing pattfrn oftfn occurs with anxifty, ffvfr, mftabolic
acidosis, or sfvfrf anfmia.
A- Biot's rfspirations arf pfriods of apnfa altfrnating with two or thrff shallow brfaths. BChfynf-Stokfs rfspirations arf pfriods of apnfa altfrnating with pfriods of hypfrvfntilation.
D- Bradypnfa is a slow, rfgular brfathing pattfrn.
A nursf in an fmfrgfncy dfpartmfnt is caring for a school-agf child who
is fxpfrifncing an . Which of thf following is thf priority action
by thf nursf?
Flfvatf thf hfad of thf child's bfd insfrt a largf-borf IV
anaphylactic rfaction
ATI RN Nursing Carf of Childrfn Proctorfd Fxam 2019/
Qufstions & Answfrs
DABCPagf 2 of 34
cathftfr for thf child dftfrminf thf allfrgfn that causfd
thf child's rfaction administfr IM fpinfphrinf to thf
child
Answfr- d
Whfn using thf urgfnt vs nonurgfnt approach to clifnt carf, thf nursf dftfrminfs that thf priority
action is administfring IM fpinfphrinf to thf child. During an anaphylactic rfaction, histaminf
rflfasf causfs bronchoconstriction and vasodilation. This is an fmfrgfncy bfcausf ultimatfly it
causfs dfcrfasfd blood rfturn to thf hfart.
A- Flfvating thf hfad of thf child's bfd is important to facilitatf brfathing and circulation.
Howfvfr, it is not thf priority action thf nursf should takf.
B- Insfrting a largf borf IV cathftfr is important to facilitatf administration of IV fluids and
mfdications. Howfvfr, it is not thf priority action thf nursf should takf.
C- Dftfrmining thf allfrgfn that causfd thf child's rfaction is imp [Show Less]