Question 1

The nurse is planning care for a newborn who is schedule for a myelomeningocele repair. Preop care should include which of the following?

Accepted Answer

** not Avoid tactile stimulaiton to prevent rupture of the sac not dry sterile dressing not sidelying maintain the newborn\'s legs in abduction?

Question 2

A nurse is providing teaching to the parent of a child with hypopituitarism. Which of the following should the nurse instruct the parent to give?

Accepted Answer

Growth hormone injections

Question 3

A nurse is caring for a school-age child who is immunocompromised. Which of the following actions by the nurse is appropriate;

Accepted Answer

place the child in a private room

Question 4

A nurse is providing anticipatory guidance to the parent of a 2-month-old infant. Which of the following instructions should the nurse include?

Accepted Answer

Offer iron fortified cereal at 4 to 6 months

Question 5

A nurse in a clinical setting is performing a physical examination on a 3-month-old male infant. Which of the following findings should the nurse report to the provider immediately?

Accepted Answer

Substernal retractions

Question 6

A nurse is admitting a child who has pertussis. Which of the following actions should the nurse take?

Accepted Answer

place the client on droplet precautions

Question 7

A nurse providing discharge teaching for the parents of a school-age child following a cardiac catheterization. Which of the following statements should the nurse include in the teaching?

Accepted Answer

Your child should take showers, instead of tub baths, for 1 week

Question 8

A parent expresses concern to the nurse that her 18 month old may have autism. Which of the following characteristics described by the parent should the nurse report to the primary care provider?

Accepted Answer

Dislikes being held

Question 9

A school nurse is caring for a child with no history of seizure disorder who just experienced a tonic-clonic seizure. Which of the following is the priority assessment by the nurse?

Accepted Answer

Checking the child\'s respiratory rate

Question 10

A nurse is teaching the parent of a child who has celiac disease. Which of the following grains can be included in the child\'s diet?

Accepted Answer

Corn

Question 11

A nurse is caring for a toddler who has gastroenteritis and a stool culture that is positive for rotavirus. Which of the following assessment findings should the nurse address first?

Accepted Answer

tachypnea

Question 12

A nurse is caring for a school-age child who was admitted to the burn unit with partial thickness burns of the trunk and face. Which of the following nursing interventions should the nurse use to help increase the child\'s self esteem?

Accepted Answer

Encourage the child to be an active participant in self-care

Question 13

A nurse is evaluating the oxygen saturation level of an infant. The nurse should apply the sensor to which of the following?

Accepted Answer

Great toe

Question 14

A nurse is assessing an infant with a ventricular septal defect. Which of the following assessment findings should the nurse expect?

Accepted Answer

loud harsh murmur

Question 15

A nurse is taking a child\'s blood pressure while he is sitting in a chair. The child starts to experience a tonic-clonic seizure. Which of the following actions should the nurse take first?

Accepted Answer

Assist the child to a lying position

Question 16

A nurse is reviewing the preop care plan for a preschooler diagnosed with Wilm\'s tumor. Which of the following interventions is appropriate for the nurse to include?

Accepted Answer

Avoid abdominal pressure when bathing the child

Question 17

A nurse is caring for a preschooler who has mucositis. Which of the following is an appropriate action for the nurse to take?

Accepted Answer

Administer normal saline oral rinses

Question 18

A nurse is caring for a preschooler in the hospital. The nurse should recognize that an appropriate way to explain to the child when her parent will return is to state,

Accepted Answer

Your mommy will be back after you eat

Question 19

A nurse is caring for a family who is grieving following the death of their child. Which of the following is an appropriate statement for the nurse to make?

Accepted Answer

This must be very difficult for you

Question 20

A nurse is preparing to administer a morning dose of insulin to a child who has diabetes mellitus. Which of the following medications would the nurse expect to peak in 2 to 4 hours?

Accepted Answer

Insulin regular

Question 21

A nurse is caring for a child who is experiencing respiratory depression after an administration of morphine. Which of the following medications should the nurse plan to administer for this child?

Accepted Answer

Naloxone

Question 22

A nurse is caring for a child who has suspected rotavirus and is schedule to undergo a stool culture specimen collection. Which of the following nursing interventions should the nurse implement to maintain standard precautions?

Accepted Answer

-Wear gloves and a gown during collection -collect the child\'s stool specimen by using a potty hat -place the specimen in a biohazard bag

Question 23

A nurse is admitting an adolescent who has meningococcal meningitis. Which of the following should the nurse include in the plan of care?

Accepted Answer

Isolate the client for 24 hours after starting antibiotics

Question 24

A nurse is planning care for a child who has just returned to the unit following surgical revision of a ventriculoperitoneal shunt. Which of the following is an appropriate action for the nurse to take?

Accepted Answer

Position the child flat

Question 25

A nurse is reviewing the lab values for an infant who is receiving treatment for severe dehydration. Which of the following lab values indicates the effectiveness of the treatment?

Accepted Answer

Serum sodium 140 mEq/L

Question 26

A nurse is providing discharge teaching about dietary and medication management for an adolescent who has nephrotic syndrome. Which of the following statements should the nurse include in the teaching?

Accepted Answer

The medication will make you more susceptible to infection

Question 27

A nurse is planning the care of a school-age child who has neutropenia following chemotherapy. Which of the following activities will meet the developmental needs of this child?

Accepted Answer

Providing the child with a book of riddles

Question 28

A nurse is performing a screening test for sickle cell anemia on a toddler. Which of the following actions should the nurse take when performing the sickle-turbidity test?

Accepted Answer

perform a finger-stick

Question 29

A nurse is planning care for an infant who is postop following a cleft lip repair. Which of the following is an appropriate action for the nurse to take?

Accepted Answer

Apply petroleum jelly to the operative site

Question 30

A nurse is assessing an 8-year-old who has early signs and symptoms of shock. After establishing an airway and maintaining respirations, which of the following actions should the nurse take next?

Accepted Answer

Initiate IV access

Question 31

A nurse is preparing to administer IV potassium to a school-age child admitted with DKA. Which of the following functions should the nurse assess prior to administration?

Accepted Answer

renal

Question 32

A nurse is providing teaching for the parent of a preschooler who is experiencing diarrhea. Which of the following statements by the parent indicates an understanding of the nurse\'s teaching regarding management of diarrhea?

Accepted Answer

I will limit how much fruit juice my child drinks

Question 33

A nurse is preparing an adolescent client for a lumbar puncture. Which of the following instructions should the nurse provide to the adolescent?

Accepted Answer

cream will be applied to decrease discomfort prior to the procedure

Question 34

A nurse is caring for a child with a suspected anaphylactic reaction to a medication. Which of the following is an early sign?

Accepted Answer

Itching

Question 35

A nurse is providing discharge teaching to the parent of a school-age child who has cystic fibrosis. Which of the following should the nurse include in the teaching?

Accepted Answer

Provide high protein and high caloric snacks

Question 36

A nurse is reviewing dietary choices for an adolescent who has iron deficiency anemia. Which of the following food choices has the highest amount of iron?

Accepted Answer

1/2 cup raisins

Question 37

A nurse is assessing a client diagnosed with celiac disease. Which of the following is an expected finding?

Accepted Answer

steatorrhea

Question 38

A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the sound as?

Accepted Answer

tachypnea

Question 39

The mother of a toddler who was admitted to a pediatric unit must leave the facility to meet her other children at the school bus stop. Which of the following actions should the nurse suggest to the mother to make the transition easier for the toddler?

Accepted Answer

Provide a security item before leaving

Question 40

A nurse is teaching the parent of a child who has asthma. Which of the following should be included in the teaching>

Accepted Answer

Check peak expiratory flow rate at the same time each day

Question 41

Where to tap to elicit the triceps reflex

Accepted Answer

Backside of the arm right above the elbow

Question 42

A nurse is caring for a child who is receiving a blood transfusion. Which of the following should alert the nurse to a hemolytic reaction?

Accepted Answer

flank pain

Question 43

A nurse is teaching an adolescent client who is newly diagnosed with type 1 diabetes mellitus. Which of the following client indicates an understanding of the teaching?

Accepted Answer

I will check my urine for ketones when I\'m sick

Question 44

A parent presents to the clinic with a 9-month-old infant for a well-child checkup. Which of the following developmental behaviors should the nurse expect to see in the infant?

Accepted Answer

bangs two toys together

Question 45

A nurse in a provider\'s office is assessing a child who has a fever and is experiencing fatigue. Which of the following findings is a manifestation of erythema infectiosum (Fifth disease)?

Accepted Answer

red rash on face

Question 46

A nurse is caring for an infant who has a prescription for digoxin 25 mcg PO. The infant has an apical heart rate of 124/min, Which of the following actions should the nurse take?

Accepted Answer

Administer 25 mcg as prescribed

Question 47

A nurse is caring for an infant who has heart failure. Which of the following is an appropriate action for the nurse to take?

Accepted Answer

perform daily weights

Question 48

A school nurse is providing an in-service to faculty about improving education for students who have ADHD. Which of the following statements by faculty members indicates a need for further teaching?

Accepted Answer

I will plan to teach challenging academic subjects to students who have ADHD in the afternoon

Question 49

A nurse is preparing to administer ranitidine 2.5 mg/kg PO to an infant who weighs 11 lb. Available is 15mg/ml. How many ml should the nurse administer? (round to the nearest 10th)

Accepted Answer

0.8

Question 50

A nurse is caring for a toddler being seen for a well-child visit. Based on the information in the chart, which of the following would be an appropriate action by the nurse? (Key: egg allergy)

Accepted Answer

Hold the flu vaccine and contact the provider

Question 51

A nurse is preparing to suction a child with a tracheostomy. Which of the following actions should the nurse take?

Accepted Answer

Suction for 5 seconds or less

Question 52

A nurse is caring for a preschool-age child after a tonsillectomy. Which of the following assessment findings requires immediate interventions?

Accepted Answer

Continuous swallowing

Question 53

A nurse is interacting with the family of a terminally ill child. Which of the following is the nurse\'s highest priority in facilitating the parent\'s decision-making?

Accepted Answer

Explore the family\'s wishes

Question 54

A nurse is caring for a child who was just admitted from the ED with a head injury. The child had two episodes of vomiting while in the ED, responds to name, but easily falls back asleep. Which of the following are appropriate interventions?

Accepted Answer

Unsure, sorry!

Question 55

A nurse is caring for a child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse?

Accepted Answer

Initiate 100% oxygen via face mask

Question 56

A nurse is caring for a 14-month old client newly diagnosed with spastic cerebral palsy. Which of the following assessment findings should the nurse anticipate?

Accepted Answer

Fine and gross motor skill challenges

Question 57

A child has just returned to the unit following a cardiac catheterization. When assessing the insertion site, the nurse notes that the dressing is saturated with blood. Which of the following actions should the nurse take first?

Accepted Answer

Apply direct pressure 1 inch above the site

Question 58

A nurse is providing education about administering a newly prescribed oral medication to the parent of an infant. Which of the following statements by the parent indicates an understanding of the teaching?

Accepted Answer

I will mix the medication with 1 tsp of flavored syrup

Question 59

A nurse is caring for a preschooler who has partial thickness burns and is scheduled for hydrotherapy. Which of the following should be the nursing priority prior to hydrotherapy?

Accepted Answer

Assessing the need for pain medication

Question 60

A nurse is caring for a school-age child following a burn injury. Which of the following interventions should the nurse use to maximize nutritional intake?

Accepted Answer

Allow the child to choose from a menu of high-calorie/protein foods

Nursing Care of Children ATI Practice B – Flashcards

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