ATI NP PEDS Exam Q's

A student with Type 1 diabetes tells the nurse she is feeling light headed. The student's blood glucose is 60 mg/dl. Using the 15-15 rule, what should the nurse do to treat the blood glucose?

Administer 15 g of carbohydrate, and retest the blood sugar in 15 minutes

A preschooler with a fractured femur of the left leg in skeletal traction tells the nurse that his leg hurts. It is too early for pain medication. What is the first action the nurse should take?

Assess the feet for signs of neurovascular impairment

A nurse is making an initial visit to a family with a preschool child with early Duchenne muscular dystrophy. Which assessment is an expected finding in this child?

Difficulty riding a tricycle

The parent of a preschooler reports that the child creates a scene every night at bedtime. What is the best course of action?

Establish a set bedtime and follow a routine

The nurse observes as a child with Duchenne's muscular dystrophy attempts to rise from a sitting position on the floor. After attaining a kneeling position, the child "walks" his hands up his legs to stand. The nurse documents this as wich sign?

Gower's sign

A parent of a toilet trained 3 year old expresses concern over her child's bedwetting while hospitalized. What should the nurse tell the parent?

It is very common for children to regress when they are in the hospital

The nurse develops the plan of care for a child with early Duchenne's muscular dystrophy. What is the priority goal for this client?

Maintain function of unaffected muscles

The parents of a preschooler ask the nurse how to handle their child's temper tantrums. Which technique should the nurse include in the teaching plan. Select all that apply

Putting the child in time out Ignoring the child

A 6 month old on the pediatric floor has a respiratory rate of 68, mild intercostal retractions, and oxygen saturation of 89%. The infant hasn't been feeding well for the past 24 hours and is restless. Using the SBAR technique for communication, the nurse calls the healthcare provider with the recommendation for which treatment?

Starting oxygen

An infant is being treated at home for bronchiolitis. What should the nurse teach the parent about home care? Select all that apply.

Watching for difficulty breathing Offering small amounts of fluid frequently

discharge teaching for a child with duchenne's muscular distophy

low cal, high protein, high fiber