Nursing Care of
Children A.T.I Proctored Exam 7 Versions (Complete
Solution Guides, AlreadyGraded A) New 2020
4.
A nurse is assisting with the care
... [Show More] of a child who is postoperative
and received a transfusion during a surgical procedure. Which of
the following findings indicates thechild 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 nurseshould 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 child will no longer be
contagious. Which of the following responsesshould 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 theguardian 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 forabuse?
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 thepotential 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 ofrheumatic 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 ormonths 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 thefollowing 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
atthe 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 nurseshould place the toddler in which of the
following restraints?
a) Mummy restraint (The nurse should use a mummy wrap when a
short-term restraintis 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 restraint
c) Elbow restraint
d) Wrist restraint
10. A nurse is reinforcing dietary teaching with the parent of a 2-yearold toddler. Whichof the following should the nurse include in the
teaching?
a) "It is recommended that the toddler consumes no more than 12
ounces of fruit juiceeach 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 offood per year of age.)
c) "Introduce healthy finger foods like carrots and celery sticks."
d) "Encourage 5 cups of low-fat milk each day." [Show Less]