NURSING 212 N212 ATI RN NURSING CARE OF
CHILDREN LATEST UPDATE 2023 / 2024 GRADED A+
A nurse is reviewing the laboratory report of a 7 year-old child
... [Show More] who is receiving
chemotherapy. Which of the following lab values should the nurse report to the
provider? - CORRECT ANSWERS-Hgb 8.5 g/dL
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 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? - CORRECT ANSWERS-"You can sign
the consent form because you are married."
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.
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? - CORRECT
ANSWERS-Cuts an outlined shape using scissors.
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 an infant who has respiratory syncytial virus (RSV). Which of the
following actions should the nurse implement for infection control? - CORRECT
ANSWERS-Have a designated stethoscope in the infant's room.
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 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? - CORRECT ANSWERS-Give morphine
0.05mg/kg IV
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 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? - CORRECT ANSWERS-Temperature 39.1° C (102.4° F)
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 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? - CORRECT ANSWERS-Denies discomfort during
assessment of injuries.
The nurse should suspect child maltreatment in the form of physical abuse if the
adolescent has a blunted response to painful stimuli or injury.
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)? - CORRECT ANSWERSMental confusion
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 is caring for a toddler who has spastic (pyramidal) cerebral palsy. Which of the
following findings should the nurse expect? (Select all that apply.) - CORRECT
ANSWERS--Ankle clonus
-Exaggerated stretch reflexes
-Contractures
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? -
CORRECT ANSWERS-Withhold the measles, mumps, and rubella (MMR) vaccine.
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 school nurse is assessing an adolescent who has scoliosis. Which of the following
findings should the nurse expect? - CORRECT ANSWERS-A unilateral rib hump
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 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? - CORRECT ANSWERS-"Your
daddy will be back after you eat."
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.
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? - CORRECT ANSWERS-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 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? - CORRECT ANSWERS-Place the child in a side-lying position.
The nurse should place the child in a side-lying position to prevent aspiration.
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? -
CORRECT ANSWERS-"I should secure the car seat using lower anchors and tethers
instead of the seat belt."
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 in an urgent care clinic is assessing an adolescent who has an upper
respiratory tract infection. Which of the following findings should the nurse identify as a
manifestation of pertussis? - CORRECT ANSWERS-Dry, hacking cough
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 [Show Less]