Peds ATI 2016B

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
Cuts a shape using scissor

A school nurse is preparing to administer atomoxetine 1.2 mg/kg/day PO to a school-age child who weighs 75 lb. Available is atomoxetine 40 mg/capsule. How many capsules should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero
1

A nurse in the emergency department is assessing a toddler who has Kawasaki disease. Which of the following findings should the nurse expect? (Select all that apply
increased temp, xerophthalmia, cervical lymphadenopathy

A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes mellitus. The nurse should identify which of the following statements by the child as understanding the teaching
“I will give myself a shot of regular insulin 30 minutes before I eat breakfast

A school nurse is assessing an adolescent who has scoliosis. Which of the following findings should the nurse expect
a unilateral rib hump

A nurse is reviewing the lumbar puncture results of a school-age child suspected of having bacterial meningitis. Which of the following results should the nurse identify as a finding associated with bacterial meningitis
inc protein concentration

A nurse is planning care for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan
Increase fat content in the child’s diet to 40% of total calories

A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings should the nurse address first
tachypnea

A nurse is discussing organ donation with the parents of a school-age child who has sustained brain death due to a bicycling accident. Which of the following actions should the nurse take first
Explore the parents’ feelings and wishes regarding organ donation

A nurse in an emergency department is caring for a school-age child who has appendicitis and rates his abdominal pain at 7 on a 0 to 10 scale. Which of the following actions should the nurse take
Give morphine 0.05mg/kg IV

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

A nurse is reviewing laboratory results of a school-age child who is 1 week postoperative following an open fracture repair. Which of the following values should the nurse identify as an indication of a potential complication
Erythrocyte sedimentation rate 18 mm/hr. The value is above the reference range, indication of osteomyelitis.

A school nurse is assessing a school-age child who has erythema infectiosum (fifth disease). Which of the following findings should the nurse expect
Facial rash

A hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse that he cannot cope anymore and has decided to move out of the house. Which of the following statements should the nurse make
“Let’s talk about some of the ways you have handled previous stressors in your life

A nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by a parent should the nurse identify as understanding the teaching
“Mononucleosis is caused by an infection with the Epstein-Barr virus

A nurse in an emergency department suspects that a toddler has epiglottitis. Which of the following actions should the nurse take
Prepare the toddler for nasotracheal intubation

A nurse is caring for a toddler who has acute otitis media and a temperature of 40º C (104º F). After administering acetaminophen, which of the following actions should the nurse plan to take to reduce the toddler’s temperature
Dress the toddler in minimal clothing

A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should the nurse expect
Loud, harsh murmur. D/t the left-to-right shunting of blood. Weak femoral pulses & high BP are manifestations of coarctation of the aorta.

A nurse is providing discharge teaching to the parent of a school-age child who has undergone a tonsillectomy. Which of the following statements by the parent should the nurse identify as understanding the teaching
“I will notify the doctor if I notice that my child is swallowing frequently. Frequent swallowing is a sign of bleeding therefore should be reported to the provider immediately. Activity should be limited to 10 days to decrease the risk of hemorrhage. Milk products (milkshakes) should be avoided because they coat the throat which can initiate the cough response and increase the risk of bleeding. Red & brown foods should also be avoided during the immediate postop period so that food and fresh or old bleed can be distinguished in the emesis.

A nurse is assessing an 8-year-old child who has early indications of shock. After establishing an airway and stabilizing the child’s respirations, which of the following actions should the nurse take next
Initiate IV access

A nurse is admitting a school-age child who has pertussis. Which of the following actions should the nurse take
Initiate droplet precautions for the child

A nurse is caring for a 2-week-old infant who is breastfeeding and requires a heel stick. Which of the following actions should the nurse take to minimize the infant’s pain
Administer sucrose to the infant prior to the procedure

A nurse is teaching a school-age child and his parent about postoperative care following cardiac catheterization. Which of the following instructions should the nurse include
“Wait 3 days before taking a tub bath. Site should be kept clean & dry for atleast 3 days to reduce the risk for infection. Parents can remove the pressure dressing the day after the procedure and apply an adhesive bandage strip daily to the site for at least the next 2 days. Child can resume regular diet after the procedure & can attend school the following day, but strenuous activity should be avoided to prevent bleeding of the site.

A charge nurse is preparing to make a room assignment for a newly admitted school-age child. Which of the following considerations is the nurse’s priority when making a room assignment
Disease proces

A nurse is assessing a toddler who has leukemia and is receiving his first round of chemotherapy. Which of the following findings is the priority for the nurse to report to the provide
urticaria. Anaphylactic reaction S/S: urticaria, rash, angioedema, and wheezing .

A nurse is providing anticipatory guidance to the parents of a 2-week-old infant about risk factors for sudden infant death syndrome (SIDS). Which of the following risk factors should the nurse include in the teaching
Covering the sleeping infant with a blanket

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
Place the child in a lateral position

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 her feet when sitting on the bike

A nurse is providing anticipatory guidance to the parents of an 8-month-old infant during a well-child visit. Which of the following statements should the nurse make
“Your baby should be able to sit unsupported

A nurse is caring for an infant who is receiving IV fluids for the treatment of Tetralogy of Fallot and begins to have a hypercyanotic spell. Which of the following actions should the nurse take
Place the infant in a knee-chest position. To decrease the return of desaturated venous blood from the legs & to direct more blood into the pulmonary artery by increasing systemic vascular resistance.

A nurse is providing teaching to the parent of an infant who has diaper dermatitis. The nurse should teach the parent to apply which of the following to the affected area
Zinc oxide

A nurse is interviewing the parent of an 18-month-old toddler during a well-child visit. The nurse should identify that which of the following findings indicates a need to assess the toddler for hearing loss
The toddler received tobramycin during a hospitalization 2 weeks ago. Ototoxic medication.

A nurse is preparing to suction an infant who has a tracheostomy. Which of the following actions should the nurse take
Suction for 5 seconds or less

A nurse is teaching the mother of a 6-month-old infant about teething. Which of the following statements should the nurse make
“Your baby may pull at her ears when she is teething

A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney
Serum creatinine 3.0 mg/dt. Creatinine is a byproduct of protein metabolism and is excreted by the body through the kidneys. An elevated creatinine level can be an indication that the kidneys are not functioning, which here it may indicate rejection of the kidney.

A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the following manifestations should alert the nurse to a possible hemolytic transfusion reaction
flank pain. It is caused by the breakdown of RBC’s and is an indication of hemolytic reaction to the blood transfusion.

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

A nurse is caring for a school-age child who is receiving chemotherapy and is severely immunocompromised. Which of the following actions should the nurse take
Screen the child’s visitors for indications of infection

A nurse is teaching a school-age child who has a severe allergy to bee venom and his parent about epinephrine. Which of the following instructions should the nurse include in the teaching
Use a second dose if the first dose of epinephrine does not completely reverse the symptom

A nurse is assessing a school-age child who has appendicitis with possible perforation. The nurse should identify which of the following as a manifestation of peritonitis
abd distention

A nurse is reviewing the laboratory report of a 6-year-old child who is receiving chemotherapy. Which of the following laboratory values should the nurse report to the provider
hgb 8.5. Is below the expected reference range for a 6 year old, this puts the child at risk for anemia d/t chemotherapy effects on the blood forming cells of the bone marrow.

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
epinephrine

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. Expect deep and rapid respirations, it is the body’s attempt to blow off excess carbon dioxide & achieve a state of homeostasis.

A nurse is caring for a newly-admitted school-age child who has hypopituitarism. Which of the following medications should the nurse expect the provider to recommend to the parents for treating the child’s condition
Recombinant growth hormone

A nurse is caring for a toddler who is experiencing acute diarrhea and has moderate dehydration. Which of the following nutritional items should the nurse offer to the toddler
Oral rehydration solution

A nurse is teaching the parent of an infant who has a Pavlik harness to treat developmental dysplasia of the hip. The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching
“I will place my infant’s diapers under the harness straps

A nurse is admitting a 4-month-old infant who has heart failure. Which of the following findings is the nurse’s priority? (Click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of data
Episodes of vomit. The 3 episodes of vomiting can indicate digoxin toxicity.

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 directly into your infant’s diaper

A nurse is providing teaching to the parent of a preschooler about ways to prevent acute asthma attacks. Which of the following statements by the parent should the nurse identify as understanding the teaching
“I should keep my child indoors when I mow the yard

A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse expect? (Select all that apply
vomiting, lethargy. Vomiting d/t the obstruction that occurs when a segment of the bowel telescopes within another. Lethargy d/t episodes of severe pain in which the infant cries leading to exhaustion and decreased nutritional intake. Bloody stools that are currant jelly-like in appearance are an expected finding NOT steatorrhea (bulk, fatty stools that appear with CF). Currant jelly-like diarrhea d/t the leaking of blood & mucus into the intestinal lumen is expected finding NOT constipation. Weight loss d/t vomiting and diarrhea.

A nurse is providing discharge teaching to the parents of a Caucasian toddler who had a lower leg cast applied 24 hr ago. The nurse should instruct the parents to report which of the following findings to the provider
Restricted ability to move the toe

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? (Click on the audio button to listen to the clip
wheezes. High-pitched, musical or whistling like sounds heard primarily on expiration as air passes through and vibrates through narrow airways.

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
Initiate seizure precautions for the child

A nurse is assessing a 6-month-old infant at a well-infant visit. Which of the following findings should the nurse report to the provider
Presence of strabismus. Should disappear at 3 to 4 months of age.

A nurse is planning care for a school-age child who has a tunneled central venous access device. Which of the following interventions should the nurse include in the plan
Use a semipermeable transparent dressing to cover the site. To reduce the risk of infection.

A nurse in an emergency department is caring for a school-age child who has sustained a superficial minor burn from fireworks on his forearm. Which of the following actions should the nurse take
Use an antimicrobial ointment on the affected area. Antimicrobial ointment is used to prevent infection. Nurse should administer tetanus toxoid if it has been more than 5 years since the prior dose. A clean-dry dressing of fine mesh gauze & a light gauze dressing should be applied that restricts movement to prevent injury to the wound. Applying ice to the area may impair circulation & increase tissue damage.

A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart failure. Which of the following interventions should the nurse include in the plan
Provide small, frequent meals to the child

A nurse is caring for a school-age child who has acute rheumatic fever. Which of the following actions should the nurse take
Maintain the child on bed rest

A nurse is 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 ICP?
Decreased attention span

A child, age 14, is hospitalized for nutritional management and drug therapy after experiencing an acute episode of ulcerative colitis. Which nursing intervention would be appropriate? 1. Administering digestive enzymes before meals as prescribed 2. Providing small, frequent meals 3. …

The concept of health promotion consists of efforts to prevent rather than to cure disease or disability. This description best describes: a. tertiary prevention b. secondary prevention c. primary prevention d. morbidity prevention c Standards for well child care and …

congenital heart defects Patent ductus arteriosus, Atrial septal defect, Ventricular septal defect, Tetralogy of fallot, Coarctation of Aorta Coarctation of Aorta narrowing of the descending portion of the aorta, resulting in a limited flow of blood to the lower part …

A nurse is counseling the spouse of a client who has a history of alcohol abuse. What does the nurse explain is the main reason for drinking alcohol in people with a long history of alcohol abuse? 1 They are …

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