ATI quiz practice for proctored exam
a nurse is caring for a child who is in skeletal traction. Which of the following actions is the nurse's priority? -perform passive ROM for unaffected joints -apply pressure-reducing overlay to child's mattress -increase child's fluid intake -encourage child to use incentive spirometer
encourage child to use an incentive spirometer
decreased urine specific gravity can indicate
excessive fluid intake
manifestations varicella
maculopapular rash, eventually ruptures and crusts over
interventions vaso-occlusive crisis
maintain child on bed rest to avoid additional oxygen needs
what to do after administering antibiotic ear-drops for otitis media
massage anterior area of infant's ear
koplik spots are a manifestation of
measles (rubeola)
Age appropriate findings for a preschooler's reaction to death
-child views death as similar to sleep -the child believes that his thoughts can cause death -the child thinks death is a punishment
when does toddler become interest in looking at pictures?
15 months
when should infant receive Hib vaccine
2 month, 4 months, 6 months, 12-18 months
when should infant receive PCV vaccine
2 months, 4 months, 6 months, 12-18 months
When can a child build block towers
2 years old
example of 10-15 g simple carbohydrates
240 mL (8 oz) of milk
When can a child ride a tricycle?
3 years old
when is cutting figures from colored paper an appropriate activity for a child?
3 years old
when should the moro reflex disappear
3-4 months
Child should be able to state first and last name by what age
30 months
toddler should have all 20 deciduous teeth by what age
30 months
when should a child refer to themselves with the appropriate pronoun
30 months
When should a toddler have daytime control of his bladder
30 months of age
when can an infant roll from back to side
4 months
when does the startle reflex disappear
4 months
when is the extrusion reflex absent
4 months
when does the stepping reflex disappear
4 weeks
the skill of hopping on one foot is not developed until what age
4 years
when can a child copy a circle
4 years
When can children draw stick figures?
4 years old
when are children more vulnerable to the stress of hospitalization
6 months to 5 years
when does the crawl reflex disappear
6 weeks
when should an infant be able to vocalize vowel sounds
7 months
when should an infant be able to creep on their hands and knees
9 months
when is an infant's dominant hand evident and when can they demonstrate a crude pincer grasp
9 months of age
Hypothyroidism
A disorder caused by a thyroid gland that is slower and less productive than normal
Hemophilia
A hereditary disease where blood does not coagulate to stop bleeding
A nurse at a clinic is preparing to administer immunizations to a 5 year old child. Which of the following immunizations should the nurse plan to give? -diphtheria, tetanus, and pertussis (DTaP) -pneumococcal PCV -haemophilus influenza type B (Hib) -hepatitis B (Hep B)
Diphtheria, tetanus, and pertussis (DTaP)
A nurse is assessing a 12-month-old infant's vital signs during a well-child visit. The infant is in the 90th percentile of height. Which of the following findings should the nurse report to the provider? -HR 175/min -RR 26/min -BP 88/40 mm Hg -Temp 37.6C (99.7F)
HR 175/min
How long can a PICC line stay in place
The PICC line can stay in your arm for as long as 12 months, although the average length is usually about 6 months, depending on your treatment requirements
A nurse is assessing a 30-month-old toddler during a well-child visit. Which of the following findings requires further assessment by the nurse? -Primary dentition is complete -Unable to hop on one foot -Birth weight is tripled -Able to state first and last name
Birth weight is tripled
A nurse is caring for a 2-year old child who has cystic fibrosis. The nurse is planning to take the child to the playroom. Which of the following activities would be appropriate for the child? -Cutting figures from colored paper -Drawing stick figures using crayons -Riding a tricycle -Building towers of blocks
Building towers of blocks
A nurse in a pediatric clinic is caring for a 3 year old child who has a blood lead level of 3 mcg/dL. When teaching the toddler's parent about the correlation of nutrition with lead poisoning, which of the following information is appropriate for the nurse to include in the teaching? -decrease the child's vitamin C intake until the blood lead level decreases to zero -administer a folic acid supplement to the child each day -give pancreatic enzymes to the child with meals and snacks -ensure the child's dietary intake of calcium and iron is adequate
Ensure the child's dietary intake of calcium and iron is adequate (reduces absorption and effects of the lead)
A nurse is preparing to administer recommended highlight immunization to a 2-month-old infant. Which of the following immunizations should the nurse plan to administer? -Human papillomavirus (HPV) and hepatitis A -Measles, Mumps, Rubella (MMR), diphtheria, and acellular pertusis (TDaP) -Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV) -Varicella (VAR) and live unattended influenza vaccine (LAIV)
Haemophilus influenzae type b (Hib) and inactivated polio virus (IPV)
A nurse is teaching the parent of a toddler about home safety. Which of the following statements by the parent indicates an understanding of the teaching? -I lock my medications in the medication cabinet -I keep my child's crib mattress at the highest level -I turn pot handles to the side of my stove while cooking -I will give my child syrup up ipecac if she swallows something poisonous
I lock my medications in the medication cabinet
A nurse is teaching the parent of a preschool-age child about the treatment for pinworms. Which of the following statements by the parent indicates an understanding of the teaching? -i will give my child a dose of albendazole today and again in 2 weeks -i will collect specimens immediately after my child has a bowel movement -i will give my child a tub bath twice each day -I will place my child's bed linens in a sealed plastic bag for 7 days
I will give my child a dose of albendazole today and again in 2 weeks
A nurse is assessing a 9-month old infant during a well-child visit. Which of the following findings indicates that the infant has a developmental delay? -creeps on hands and knees -inability to vocalize vowel sounds -uses crude pincer grasp -stands by holding onto support
Inability to vocalize vowel sounds
vaso-occlusive crisis
Ischemia and pain caused by sickle-shaped red blood cells that obstruct blood flow to a portion of the body.
a nurse is caring for an adolescent who is receiving pain medication via a PCA pump. When the nurse assesses the client's pain at 0800, the client describes the pain as a 3 on a scale of 1 to 10. At 1000, the client describes the pain as a 5. The nurse discovers the client has not pushed the button to deliver medication in the past 2 hours. Which of the following actions should the nurse take? -ask the provider to discontinue the PCA so the nurse can administer PRN pain medication -suggest the client's parent push the button for the client if the parent thinks the adolescent is having pain -reevaluate the client in 1 hour since a pain level of 5 is acceptable on a scale of 1 to 10 -reinforce teaching with the client about how to push the button to deliver the medication
Reinforce teaching with the client about how to push the button to deliver the medication
A nurse is planning to implement relaxation strategies with a young child prior to a painful procedure. Which of the following actions should the nurse take? -Ask the child to hold his breath and then blow it out slowly -Ask the child to describe a pleasurable event -Bounce the child gently while holding him upright -Rock the child in long rhythmic movements
Rock the child in long rhythmic movements
a nurse is assessing a 3 year old child who is 1 day postoperative following a tonsillectomy. Which of the following methods should the nurse use to determine if the child is experiencing pain?
Use the FACES scale
A nurse is teaching a parent of a 12-month old infant about development during the toddler years. Which of the following statements should the nurse include? -your child should be referring to himself using the appropriate pronoun by 18 months of age -a toddler's interest in looking at pictures occurs at 20 months of age -a toddler should have daytime control of his bowel and bladder by 24 months of age -your child should be able to scribble spontaneously using a crayon at the age of 15 months
Your child should be able to scribble spontaneously using a crayon at the age of 15 months
how to diagnose intussusception
abdominal ultrasound
antidote for acetaminophen overdose or poisoning
acetylcysteine
intervention for 1 month old infant with gastroesophageal reflux
add rice cereal to baby's feedings
infant is unable to pick up an object until when
age of 6 months
what precautions are N-95 respirators used for?
airborne precautions
a nurse is caring for a child who has epistaxis. Which of the following actions should the nurse take?
apply continuous pressure to the child's nose for at least 10 minutes
potassium level of 2.5 mEq/L indicated hypokalemia and can cause
arrhythmias or cardiac arrest
nursing actions for intussusception
barium enema (forces bowel to resume a normal configuration)
manifestations of tracheomalacia
barking cough stridor wheezing cyanosis apnea
when should infant receive Hep B immunization
birth 1-2 months 6-18 months
A nurse is developing a plan of care for a school-age child who underwent a surgical procedure that resulted in a temporary loss of vision. Which of the following interventions should the nurse include in the plan of care? -Assign an assistive personnel to feed the child -Explain sounds the child is hearing -Have the child use a cane when ambulating -Rotate nurses caring for the child
explain sounds the child is hearing
how should nurse feed infant following surgical repair of cleft palate?
feed with a cup
a nurse providing teaching about promoting sleep with the parent of a 3 year old toddler. Which of the following information should the nurse include? -follow a nightly routine and established bedtime -encourage active play prior to bedtime -let the child remain awake until tired enough to go to sleep -reward the child with a food treat just prior to sleep if the child goes to bed on time
follow a nightly routine and established bedtime
When is the numeric rating pain scale appropriate?
for children 5 years and older
A nurse on a pediatric unit is reviewing the health record of a child who is demonstrating increasing levels of stress after admission. The nurse should identify which of the following findings as a risk factor for a stress-related reaction to hospitalization? -age 10 -frequent hospitalizations -parent bonding with child -calm, quiet demeanor
frequent hospitalizations
A nurse is caring for an 8-year old child who has sickle cell anemia. Which of the following actions should the nurse take? -apply cool compresses to the painful area -initiate contact isolation precautions -give the child flavored popsicles -administer phytonadione
give the child flavored popsicles (maintains hydration)
a nurse is preparing to administer a liquid medication to an infant. Which of the following actions should the nurse take? -Administer the medication while the infant is supine -Give the medication at the side of the infant's mouth -Add the medication to a full bottle of the infant's formula -Administer the medication slowly while holding the nares closed
give the medication at the side of the infant's mouth
A nurse at a pediatric clinic is assessing a 5-month old infant during a well child visit. which of the following findings should the nurse report to the provider? -head lags when pulled from a lying to a sitting position -absence of startle and crawl reflexes -inability to pick up a rattle after dropping it -rolls from back to side
head lags when pulled from a lying to a sitting position
complication following myelomeningocele repair
hydrocephalus
A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations and is planning to attend college. The nurse should inform the client that he should receive which of the following immunizations prior to moving into a campus dormitory? -pneumococcal polysaccharide -meningococcal polysaccharide -rotavirus -herpes zoster
meningococcal polysaccharide
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the following actions should the nurse take? -Perform the assessment in a head to toe sequence -Minimize physical contact with the child initially -Explain procedures using medical terminology -Stop the assessment if the child becomes uncooperative
minimize physical contact with the child initially
a child who has leukemia is at an increased risk for
mucositis (check for mouth sores)
heart sound of ventricular septal defect
murmur at the left sternal border
A nurse is assessing a 6 year old child at a well child visit. Which of the following findings requires further assessment by the nurse? -presence of sparse, fine pubic hair -decreased head circumference compared to full height -Increases leg length related to height -presence of a loose central incisor
presence of sparse, fine pubic hair
children with cystic fibrosis should increase which of the following -protein -fiber -salt
protein
What does the thyroid gland do?
regulates metabolism
position for gavage feeding
semi-recumbrent
Position for lumbar puncture
side-lying or flexed sitting
A nurse is caring for a 6 week infant following a pyloromyotomy. Which of the following forms of feeding should the nurse anticipate for the infant 6 hours after the procedure? -bottle formula with added protein -small, frequent bottle feedings of electrolyte solution -continuous nasoduodenal tube feedings -bolus feedings via gastrostomy tube
small frequent bottle feedings of electrolyte solution
nursing care following surgical repair of cleft lip and palate
suction infant with bulb syringe PRN
ASO titer indicates
that the child has had a recent strep infection
A nurse is teaching the parent of an infant about home safety. Which of the following information should the nurse include? (select all that apply) -use a wheeled infant walker -place soft pillows around edge of infant's crib -position car seat so it's rear-facing -secure a safety gate at top and bottom of stairs -maintain water heater temp at 49 C (120 F)
-position car seat so it's rear facing -secure a safety gate at top and bottom of stairs -maintain water heater temp at 49 C (120 F)
nutritional requirements 2 year old
1,000 calories daily 2 oz protein daily no more than 3 cups milk daily 1 cup vegetables daily
when should an infant be able to say atleast one word
10 months
when should an infant begin to stand while holding onto furnityre
10 months
giving child how many g of simple carbohydrates will elevate blood glucose level in cases of hypoglycemia
10-15g
birth weight should triple by ___ months and should be quadrupled by ____ months
12; 30
A nurse is teaching the parent of an infant about food allergens. Which of the following foods should the nurse include as being the most common food allergy in children? -cow's milk -wheat bread -corn syrup -eggs
cow's milk
preschool play centers on what activities
imitative
A nurse is caring for a child who has cystic fibrosis and a pulmonary infection. Which of the following findings is the nurse's priority? -blood streaking of the sputum -dry mucous membranes -constipation -inability to clear secretions
inability to clear secretions (everything else is a common finding)
A nurse in the emergency department is caring for a 12-year old child who has ingested bleach. Which of the following statements by the nurse indicates an understanding of this ingestion? -The absence of oral burns excludes the possibility of esophageal burns -Treatment focuses on neutralization of the chemical -Injury by a corrosive liquid is more extensive than by a corrosive solid -Immediate administration of activated charcoal is warranted
injury by a corrosive liquid is more extensive than by a corrosive solid
manifestations measles
koplik spots, transient caphalocaudal rash
manifestations tetanus
lockjaw muscle rigidity
A nurse is assisting a provider during a femoral venipuncture on a toddler. The nurse should place the child in which of the following positions? -Side-lying -Semi-recumbent -Flexed sitting -Supine
supine
A nurse is assessing a 6 month old infant who has recently admitted with acute vomiting and diarrhea. Which of the following findings indicates the infant has moderate dehydration? -bulging anterior fontanel -bradycardia -tachypnea -polyuria
tachypnea
how long should the babinski reflex be present
until 1 year
A nurse is planning to collect a specimen from a male infant using a urine collection bag. Which of the following actions should the nurse take? -Wash and dry the infant's genitalia and the perineum thoroughly -Apply a small coating of water-soluble lubricant to the skin of the infant's perineal area -Avoid placing the scrotum inside the collection bag -Wait several hours after positioning the device before checking it
wash and dry the infant's genitalia and perineum thoroughly
antidote for digoxin toxicity
digoxin immune fab
manifestations of fifth disease
bright red cheeks "slapped cheek" appearance
when to pull ear up and back
children older than 3
when to pull ear down and back
children younger than 3
A nurse is caring for a 15-month-old toddler who requires droplet precautions. Which of the following actions should the nurse take? -have the toddler wear a disposable gown when in the unit's playroom -wear sterile gloves when changing the toddler's diapers -wear a mask when assisting the toddler with meals -ask visitors to wear an N-95 mask when entering the room
wear a mask when assisting the toddlers with meals
