ATI mod 5 peds quiz

A nurse is obtaining a health history from a child who has suspected acute rheumatic fever. Which of the following questions should the nurse ask? "Has your son had a sore throat recently?" "Was your son born with this cardiac defect?" "Has your child had any injuries recently?" "Have you given your child aspirin in the past 2 weeks?"

"Has your son had a sore throat recently?" Rheumatic fever typically develops in 2-6 weeks after an untreated streptococcal infection of the respiratory tract

A nurse is teaching a parent of an infant who has heart failure about meeting the infant's nutritional needs. Which of the following statements by the parent indicates an understanding of the teaching? "I will feed my baby on a schedule every 4 hours." "I will add Polycose to each of my baby's bottles." "I will allow my baby to take as much time as needed to finish the bottle." "I will limit my baby's crying to 15 minutes prior to each feeding."

"I will add Polycose to each of my baby's bottles." It is important to feed your baby high calorie formula Feed infant w/ HF every 3 hrs

A nurse is preparing to administer digoxin to a 6-month-old infant. Prior to administering the dose, the nurse listens to the apical heart rate. The nurse should withhold the dose if the infant's apical heart rate is less than what rate?

90/min

A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching? A. " I will keep my baby in an upright position after feedings" b. "My baby formula can be thickened with oatmeal" c. "I will have to feed my baby formula rather than breast milk" D. I should position my baby side-lying during sleep"

A. " I will keep my baby in an upright position after feedings"

A parent calls a clinic and reports to a nurse that his 2 month old infant is hungry more than usual but is projectile vomiting immediately after eating. Which of the following responses should the nurse make? A. Bring your baby in to the clinic today B. Burp your baby more frequently during feedings C. Give your infant an oral rehydration solution D. Try switching to a different formula

A. "Bring your baby in to the clinic today." Projectile vomiting followed by hunger are characteristic of pyloric stenosis. The infant needs to be examined in the clinic by a provider as soon as possible.

.A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching? A. "I'm glad that my child's ostomy is only temporary." B. "I'm glad my child will have normal bowel movements now." C. "I want to learn how to use my child's feeding tube as soon as possible." D. "I want to learn how to empty my child's urinary catheter bag."

A. "I'm glad that my child's ostomy is only temporary."

a nurse is preparing to begin chest compressions on an infant. the nurse should perform compressions suing which of the following techniques A. Deliver compressions at 1/3 the depth of the chest B. Deliver compressions with the heel of one hand C. Deliver compressions just above the nipple line D. Deliver compressions at a depth of 5 cm (2 in)

A. Deliver compressions at 1/3 the depth of the chest

A parent tells a nurse that her toddler drink a quart of milk a day and has a poor appetite for solid foods. The nurse should explain that the toddler is at risk for which of the following disorders? A. Iron deficiency anemia B. Rickets C. Diabetes mellitus D. Obesity

A. Iron deficiency anemia Children between the ages of 12 and 36 months are at risk for iron-deficiency anemia when cow's milk, which is poor in iron, is a major component of the diet.

A nurse is caring for a 6-month old infant who has a prescription for clear liquids by mouth after a repair of an intussusception. Which of the following fluids should the nurse select for the infant? A. Oral electrolyte solution B. Half strength infant formula C. Half-strength orange juice D. Sterile water

A. Oral electrolyte solution

A nurse is caring for a child with suspected acute appendicitis. Which of the following manifestations should indicate to the nurse that the child's appendix is perforated? A. Sudden decrease in abdominal pain B. Absent Rovsing's sign C. Flaccid Abdomen D. Low grade fever

A. Sudden decrease in abdominal pain A sudden decrease in abdominal pain should indicate to the nurse that the appendix might be ruptured. If the appendix ruptures, the pain can disappear for a short period and the client might feel suddenly better. however, once peritonitis sets in, the pain returns and can spread into the whole abdomen

A nurse is caring for an infant who has gastroesophageal reflux. The nurse should recognize that which of the following findings are associated with this condition? SATA A. Vomiting B. Weight loss C. Rigid abdomen D. Wheezing E. Fever

A. Vomiting B. Weight loss D. Wheezing

A nurse is caring for an infant who has tracheoesophageal fistula. which of the following findings should the nurse expect? SATA A. coughing B. apnea C. Sunken abdomen D. Cyanosis E. Frothy saliva

A. coughing B. apnea D. Cyanosis E. Frothy saliva

A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission? Auscultating the rate and characteristic of the child's heart sounds Using a pain-rating tool to determine the severity of the joint pain Identifying the degree of parental anxiety related to the diagnosis Assessing the client's erythematous rash

Auscultating the rate and characteristic of the child's heart sounds

A nurse is obtaining vital signs from 2-month-old infant. The infants heart rate is 190/min and his temperature is 40 C. The father asks the nurse why the babies heart is beating so fast. Which response by the nurse is appropriate? A. "This is within expected range for your baby." B. "The fever is causing an increase in your baby's heart rate." C. "As your baby begins to fall asleep, his heart rate will decrease." D. "Your baby's heart is beating fast in an attempt to cool down his body."

B. "The fever is causing an increase in your baby's heart rate."

A nurse is teaching a parent of a 2-year old child about safe food choices. Which of the following foods should the nurse recommend? A. Grapes B. Bananas C. Celry D. Raw carrots

B. Bananas

a nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac catheterization. Which of the following instructions should the nurse include? A. Keep the child home for 1 wk B. Give the child acetaminophen for discomfort C. Offer the child clear liquids for the first 24 hrs D. Assist the child to the tub bath for the first 3 days

B. Give the child acetaminophen for discomfort Child might have minor discomfort at puncture site; the parent should offer acetaminophen or ibuprofen d/t risk of Reye syndrome associated with taking aspirin

A nurse caring for an infant who has gastroesophageal reflux. The nurse should place the infant in which of the following positions following feedings? A. place the infant in a prone position B. place the infant in an infant seat C. place the infant on his left side D. place the infant on his right side

B. Place the infant in an infant seat. An infant seat provides elevation and decreases the risk of aspiration.

A nurse is caring for an adolescent who was admitted with anorexia nervosa. Which of the following findings should the nurse expect? Diarrhea Hypertension Tachycardia Bloating

Bloating

A nurse is caring for a group of adolescents. Which of the following findings should be reported to the provider immediately? A. A who is client 1 day postoperative and has a temperature of 37.5° C (99.5° F) B. A client who has a burn injury to an estimated 5% his leg and is crying C. A client's blood pressure changes from 112/60 mm Hg to 90/54 mm Hg when standing D. A client who has an ankle fracture reports a pain level increase from 3 to 5 after initial ambulation

C. A client's blood pressure changes from 112/60 mm Hg to 90/54 mm Hg when standing

A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to the diagnosis? Cardiovascular Gastrointestinal Integumentary Respiratory

Cardiovascular Kawasaki disease is primarily a vasculitis (inflammation of blood vessels) that affects various blood vessels, including the coronary arteries. The inflammation of the coronary arteries can lead to coronary artery aneurysms and other cardiac complications. Monitoring the cardiovascular system is essential to detect any signs of coronary artery involvement and ensure timely intervention to prevent potential long-term cardiac problems.

A nurse is reviewing data for four children. Which of the following children should the nurse assess first? A. A 1-year-old toddler who has roseola and a temperature of 39° C (102.2° F) B. A 4-year-old child who has asthma and a PCO2 of 37 mm Hg C. 7-year-old child who has diabetes insipidus and a urine specific gravity of 1.016 D. A 10-year-old child who has sickle cell anemia who reports severe chest pain

D. A 10-year-old child who has sickle cell anemia who reports severe chest pain When using the urgent vs. nonurgent approach to client care, the nurse should determine that the 10-year-old child who has sickle cell anemia and reports severe chest pain should be assessed first.

A nurse is caring for a male infant who has a palpable mass in the upper right quadrant and stools mixed with blood and mucus. The nurse should recognize that which of the following diagnoses is associated with these findings? A. Tracheoesophageal fistula B. Inguinal hernia C. Hypertrophic pyloric stenosis D. Intussusception

D. Intussusception

A nurse is reviewing the laboratory results of four children. Which of the following values should the nurse report to the provider? A. WBC 10,000 B. Lead 2 mcg/dL C. RBC 4.9 million/mm3 D. Iron 38 mcg/dL

D. Iron 38 mcg/dL

A nurse is assessing a 3-year-old child who has aortic stenosis. Which of the following findings should the nurse expect? SATA Hypotension Bradycardia Clubbing of the nail beds Weak pulses Murmur

Hypotension Weak pulses Murmur

A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow? Coarctation of the aorta Patent ductus arteriosus Tetralogy of Fallot Tricuspid atresia

Patent ductus arteriosus the area between the pulmonary artery and aorta remains open, allowing the blood to flow through the patent ductus arteriosus and back to the pulmonary artery and lungs.

A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include which of the following food choices for this child? Barley Rye Rice Wheat

Rice all the others should be avoided if you have celiac disease (they all have gluten)

The nurse is assessing a 3-year-old child at a routine wellness checkup. Which of the following findings should the nurse expect? Skips and hops on one foot Has a vocabulary of 1,500 words Walks backward heel to toe Stands on one foot for a few seconds

Stands on one foot for a few seconds At the age of 3, children typically start to develop better balance and coordination. They may be able to stand on one foot for a short period of time, although their ability to maintain balance may vary. Walking backward heel to toe, skipping, and hopping on one foot are typically achieved around the age of 4-5 years. As for vocabulary, a 3-year-old child may have a vocabulary of approximately 300-500 words, although the exact number can vary. A vocabulary of 1500 words is more commonly seen in older children.

A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate? carotid artery apex of the heart brachial artery radial artery

apex of the heart

A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluids? Broth water diluted apple juice oral rehydration solution

d. oral rehydration solution it replaces all mineral and vital elements