ATI Peds Practice Quiz 1

A nurse is caring for a 4 year old client who just had abdominal surgery. Which of the following techniques should the nurse use to get the client to take deep breaths? a. "Let's play a game of blowing cotton balls." b. "You can't go to the playroom until you finish doing your deep breathing." c. "I'll leave your blow bottle here on your table, so that you can use it yourself like a big boy." d. "I will give you a sticker each time you take a deep breathe."

A. By engaging the child in a form of play, the nurse may effectively distract him from the discomfort associated with deep breathing following abdominal surgery.

A nurse is caring for a child that has red marks across his cheeks. Which of the following is an appropriate action for the nurse to take? a. Assess the child's body for a rash b. Call CPS c. Ask the parents how the marks appeared d. Obtain the child's temperature

A. Fifths Disease presents with erythema on the face, resembling slap marks. Further assessment on the child's body and extremities should be done to determine if the child has fifths disease.

A nurse is caring for a 10 year old child who will need to be hospitalized for an extended period of time. Which of the following actions should the nurse include in the nursing plan to meet the client's psychosocial needs according to Erikson? a. Arrange for the hospital teacher to do lesson plans b. Allow the client to select his own food off the menu c. Encourage visits from the client's friends d. Provide a daily session with a play therapist

A. Industry vs. Inferiority. By keep up with school works helps the child fell inferior to their classmates.

A nurse is caring for a 12 mo toddler who is hospitalized and confised to a room with contact precautions in place. Which of the following toys should the nurse suggest in order to meet the developmental needs of the client? a. Large building blocks b. Hanging crib toys c. Modeling clay d. Crayons and a coloring book

A. Large building blocks for a 12 mo year old.

Morphine sulfate IVP is ordered for a child who is in pain. The nurse is preparing to administer the medication to the client realizes that the client appears small for her age. Which of the following actions should the nurse take? a. Weight the child and calculate the dosage range b. Give the child one-half the ordered dose. c. Give the dose as prescribed by the provider d. Call the provider to ask to change the route to oral

A. The nurse may believe that the child appears small, but weighing the child and calculating the dosage will tell the nurse if the medication is within the safe dosage range.

A nurse in a well-child clinic is assessing a 6 month old infant. Which of the following assessments should the nurse expect to make? a. Posterior fontanel is closed b. Infant's birth weight is tripled c. Upper and lower central incisors are present d. Infants sits well without support

A. The posterior fontanel should be closed by 8 weeks of age.

A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse? a. "The teacher says my child has to squint to see the board." b. "My child has recently lost both front top teeth." c. "My child often cheats when we play board games." d. "Sometimes my child acts bossy with his friends."

A. This can indicate a vision problem.

The nurse is caring for children on a pediatric unit. Which child should the nurse assess first? a. 1 mo old exhibiting substernal retractions and nasal flaring b. 3 mo old child exhibiting substernal retractions and nasal flaring c. The 6 mo old with a RR of 42 breaths per minute d. The 8 month old child who has a whopping throaty cough

A. This child is in respiratory distress.

A charge nurse, following hospital policy, reports an incident of suspected child abuse. The parent of the child becomes upset and demands to know the reason for the nurse's action. The appropriate nurse response to the parent should be which of the following? a."As a nurse, I am required by law to report incidents of suspected child abuse." b. "I am unable to discuss this, but you can talk to my supervisor." c. "Perhaps you should have your lawyer contact my lawyer." d. "I reported the incident to my supervisor who decided to contact the authorities."

A. This is correct.

A nurse is caring for an 8-month old infant in the hospital. When the parent leaves the room, the child begins to scream. The parent begins to cry and says "I don't understand why my child is so upset. I've never seen my child act this way around others before." The nurse should respond with which of the following? a. "This is a normal, expected reaction for a child of this age." b. "This is a response to an overstimulating environment." c. "This is a common reaction to an overexposure to caregivers

A. This is normal for a child of this age.

A nurse is caring for an 18-month old toddler whose mother leaves after the child has been hospitalized. The nurse observes that the toddler sits quietly in the corner of the crib, sucking a thumb. When the nurse approaches the crib, the toddler shyly turns away from the nurse. The nurse should know that these behaviors indicate: a. anxiety reaction to the stress of hospitalization b. regression c. resentment toward the mother d. developing autonomy

A. This occurs in toddlers and separation anxiety

A nurse is providing health promotion teaching to the parents of a toddler. a. Congenital anomalies b. Heart disease c. Accidents d. Cancer

C. Accidents are the leading cause of death among toddlers.

A 4 year old child is restraint to taking medication. which of the following strategies should the nurse use to elicit the child's cooperation? a. Offer the child a choice of crushed pills or elixir b. Tell the child it is candy c. Hide the medication in ice cream or juice d. Tell the child he will have to have a shot instead

C. Gives a preschooler a sense of control over a stressful situation and adds to the child's ability to cope.

A ER nurse is assessing a femaie child in an earthquake area. The child, who is crying, walks well, can state her first name, and repeatedly says "all done" and "bye-bye now" during the assessment. On physical exam, the anterior fontanel is closed, and the child has 24 deciduous teeth. Based on these observations, what is the child's age? a. 12 b. 18 c. 24 d. 30

D. 2 and a half years.

A nurse is assessing the psychosocial development of a toddler. The nurse is aware that this stage is characterized by which of the following? a. Imaginary playmates b. Erikson's stage of initiative versus guilt c. Demonstrations of sexual curiosity d. Negative behaviors characterized by the need for autonomy.

D. Assertion of autonomy is seen in toddlers as they begin their language and social development.

A nurse is caring for a 3-year-old client whose parents report that she has an intense fear of painful procedures, such as injections. Which of the following strategies should the nurse add to the child's plan of care? a. Have a parent stay with the child during procedures b. Cluster invasive procedures whenever possible c. Perform the procedure as quickly as possible d. Allow the child to keep a toy from home with her e. Use mummy restraints during painful procedures

A, C, & D.

The parent of a four old tells you that the child believes that there are monsters hiding monsters hidings in the closet at bedtime. What is appropriate? a. "Let your child sleep with you" b. "Keep a night light on in your child's room." c. "Tell your child the monsters are not real." d. "Stay with your child until the child falls asleep."

B. Preschoolers are magical thinkers and the night light will assure them that there aren't monsters in the closet.

A nurse is planning care for an infant. Which if the following would be the most appropriate site to assess a pulse? a. Carotid artery b. Apex of the heart c. Brachial artery d. Temporal artery

B. The most effective way to asses an infant's heart rate is by auscultating the apex of the heart.

A nurse is caring for a nine-year old client who needs to have an IV inserted. In the teaching plan, the nurse will first a. provide an opportunity for the client to see and touch IV tubing and supplies b. ask the client what the client knows about the IV and why it is necessary c. describe the insertion procedure to the client d. explain to the client's parents what they can expect during and after IV insertion

B. This helps determine readiness.

The mother of a 2 year old diagnosed with pertussis or whooping cough, who is in the convalescent stage tells the nurse her child is still coughing at night. Which statement is the nurse's best response? a. "I will make an appointment for your child to see the doctor today." b. "You should give your child an over the counter cough suppressant." c. "Your child may have a cough for several months after having pertussis." d. "Take your child into the bathroom and turn on the hot shower."

c. Episodes of coughing, whooping, and vomiting may decrease in frequency and severity, but may persist for several months. The shower would be appropriate during an acute asthma attack or croup.

The pediatric clinic nurse is administering immunizations to a 2 month old infant. Which instructions should the nurse discuss with the mother? (select all) a. Tell the mother slight redness at the injection site is expected b. Instruct the mother to give the infant a baby aspirin for comfort c. Inform the mother to notify the HCP of a temp greater than 101 degress d. Explain the importance of keeping a record of her immunizations e. Discuss that the Haemophilus influenzae B vaccine will cause your baby to get the mid flu

A, C, D.

A nurse is collecting data on a child who is descending stairs by placing both beet on each step while holding on to the railing. this is developmentally appropriate at which of the following ages? a. 3 years b. 4 years c. 5 years d. 6 years

A. At age 3, children can typically go up stairs using alternating feet, but still descend by placing both feet on each step.

A nurse is assessing a toddler in a well-child clinic. At what point in the physical examination should the nurse examine the tympanic membrane? a. At the end b. At the beginning c. Before the head and neck are examined d. Before the chest and abdomen are auscultated

A. At the end. The toddler might become upset when someone messes with their ear, so it is best to wait until the end.

A nurse is assessing a child and noted many bruises. Which of the following is an appropriate action for the nurse to take? a. Report the suspected abuse to authorities b. Obtain a detailed history c. Ask the psychiatrist to talk with the parents d. Separate the child from the parents

B. This is the first step.

The parent of a toddler asks a nurse a well-child clinic how the child's frequent temper tantrums can be best handled. Which of the following actions should the nurse suggest to the parent? a. Restrain the child physically b. Ignore the temper tantrums c. Tell the child that temper tantrums are not acceptable d. Distract the child by offering to play a game

B. This is the recommended approach, since it does not provide positive reinforcement for the unacceptable behavior. Ignoring a negative behavior is a basic concept in behavior modification.

A nurse is teaching a parent of a toddler about nutrition. Which of the following should be included in the teaching? a. Toddlers have increased appetite b. Toddlers have decrease nutritional need c. Offer foods that mixed together d. Fill the plate with multiple food choices

B. Toddlers have a decrease nutritional need and will tend to eat less.

A nurse is planning care for child that is admitting with mumps. Which of the following is an appropriate action for the nurse to take? a. Initiate standard precautions b. Initiate airborne precautions c. Initiate droplet precautions d. Initiate contact precautions

C. Mumps is transferred via droplet precautions.

A nurse is caring for toddler who is experiencing separating anxiety. Which is an appropriate action? a. Explain to the toddler that her parents will return in one hour b. Assist the parents to sneak out of the toddler's room c. Tell the parents about the reaction of the toddler while they were gone d. Leave the toddler alone for five minutes

C. This may help ease the stress of separation.

A nurse in a pediatric clinic is talking with the mother of a preschool child. The mother tells the nurse that her son is a "picky eater." Which of the following is an appropriate response by the nurse? a. Have the child remain at the table to increase food intake b. Add extra fruit juice to increase vitamin intake c. The quantity is more important than the quality of food d. Food consumption may not be significantly decreased

D. Food consumption varies and most preschool age children consume an adequate quantity of food despite their fads and preferences.

A parent is concerned that her five-year old may be exhibiting regression behaviors. The nurse knows the behavior that indicates regression is a. Cuddling a threadbare blanket at bedtime b. Crying when mother leaves c. Eating only food from home d. Bedwetting several times a day

D. Incontinence a frequent sign a regression in preschool aged children.

A nurse is reviewing lab results in four child. Which of the following values should the nurse report? a. WBC 10,000 b. Lead 2 mcg/dl c. RBC 4.9 d. Iron 38

D. Iron is below the expected range for children.

A nurse is caring for a child who has been physically abused by a family member. Which of the following is an appropriate statement for the nurse to say to the child? a. "I promise I won't tell anyone about this." b. "Let's discuss what happened together, with your family." c. "Your family is bad for doing this to you." d. "It is not your fault that this happened."

D. This is the correct response.

A nurse is teaching an adolescent about medication therapy with oral acetylcysteine (Mucomyst). Which of the following is included in the teaching? a. You should avoid eggs in your diet. b. Your mouth will become dry c. It is necessary to monitoring your serum electrolyte levels. d. This medication has a very unusual color.

D. This medication has an odor similar to rotten eggs due to the presence of disulfide linkages.