ATI: RN Pediatric Nursing Practice Online Practice 2023 A
A nurse is assessing a school-age child who was an acute spinal cord injury following a sports injury 1 week ago. Identify the area the nurse should tap to elicit the biceps reflex. A, B, C
A - crook of elbow
A nurse in an emergency department is caring for an adolescent who has severe abdominal pain due to appendicitis. Which of the following locations should the nurse identify as McBurney's point? A - B - C
A - lower right abdomen
A nurse is providing anticipatory guidance to the guardian of a toddler. Which of the following expected behavior characteristics of toddlers should the nurse include? - Controls impulsive feelings - Understands right from wrong - Easily separates from guardian for long periods of time - Expresses likes and dislikes
Expresses likes and dislikes
A nurse is caring for a school-age child who is in Buck's traction following a leg fracture 24 hrs ago. Which of the following actions should the nurse take? - Change the child's position every 2 hours - Clean the peripheral pin sites with chlorhexidine solution every 4 days - Assess peripheral pulses once every 4 hrs - Ensure that the head of the bed is elevated to a 90 degree angle
Assess peripheral pulses once every 4 hrs
A nurse in the outpatient pediatric clinic is caring for a 2-year-old child. Drag the words from the choices below to fill in each blank. The child is at risk for developing ___________________ and __________________
Decreased kidney function intellectual deficits
A charge nurse is preparing to make a room assignment for a newly admitted school-age child. Which of the following considerations is the nurse's priority? - Length of stay - Treatment of schedule - Disease process - Self-care ability
Disease process
A nurse is caring for a 15-year-old adolescent following a head injury. Which of the following findings should the nurse identify as an indication that the adolescent is developing syndrome of inappropriate antidiuretic hormone secretion (SIADH) - Increased sodium level - Decreased urine spec gravity - Mental Confusion - Weak peripheral pulses
Mental confusion (decreased urine output, leads to hyperosmolality, leads to overhydration. This causes HYPONATREMIA which leads to mental confusion and seizures)
A nurse in the outpatient pediatric clinic is caring for a 2-year-old child. Click to highlight the findings that require follow-up.
Mucous membranes are pale and pink Parent reports moving to an older urban home, which is being renovated Parent expresses concern the child seems less active recently and gets tired more quickly
A nurse on a pediatric unit is caring for a school-age child. After reviewing the information in child's medical record, which of the following findings should the nurse address first? The nurse should first address the child's ________________ followed by the child's ________________
OXYGEN, PAIN
A nurse is caring for a preschooler whose guardian is going home for a few hours while another relative stays with the child. Which of the following statements should the nurse make to explain to the child when their guardian will return? - "Your guardian will be back at 7 pm" - Your guardian will be back after taking care of your sibling." - "Your guardian will be back in the morning." - "Your guardian will be back after you eat."
"Your guardian will be back after you eat."
A nurse in a pediatric emergency department is planning care for an adolescent. Based on the info in the EMR, which actions should the nurse take? SATA - Apply supplemental O2 - Place adolescent in supine position - Prepare for chest tube insertion - Obtain consent for pericardiocentesis - Administer a levalbuterol MDI
- Apply O2 - Prepare for chest tube
A nurse is providing teaching about play activities for social development to the guardians of a preschooler. Which of the following play activities should the nurse recommend for the child? - Playing pat-a-cake - Using a push-pull toy - Creating a scrapbook - Playing dress-up
Playing dress-up
A nurse is caring for a school-age child who is receiving chemotherapy and is severely immunocompromised. Which of the following actions should the nurse take? - Use surgical asepsis when providing routine care for the child - Administer the measles, mumps, and rubella (MMR) vaccine to the child - Screen the child's visitors for indications of infection - Infuse packed RBCS
Screen the child's visitors for indications of infection
A nurse is planning care for a 12-month-old toddler who is being hospitalized. Which of the following actions should the nurse plan to take? - Place a plastic cover over the toddler's pillow at bedtime - Encourage the toddler's parents to provide latex balloons for the child to play with - Secure the safety harness when a toddler is sitting in a high chair
Secure the safety harness when a toddler is sitting in a high chair
A nurse is providing teaching to the parent of a school-age child who has a new prescription for oral nystatin for the treatment of oral candidiasis. Which of the following instructions should the nurse include? - "Shake the medication prior to administration." - "Provide the medication through a straw." - "Rinse the child's mouth immediately after giving the medication." - "Mix the medication with applesauce if the child dislikes the taste."
"Shake the medication prior to administration."
A nurse in an urgent care clinic is assessing an adolescent who has an upper respiratory tract infection. Which of the following findings should the nurse identify as a manifestation of pertussis? - Inflamed throat with exudate - Purulent eye drainage - Dry, Hacking cough - Koplik spots on buccal mucosa
Dry, Hacking cough
A nurse is caring for a preschooler who has neutropenia. Which of the following statements should the nurse make to the child's guardians? - "Monitor your child's temperature at least once a week." - "Going to the movie theater might help improve your child's mood." - "Avoid using your child's daycare center." - "Schedule your child's varicella immunization."
"Avoid using your child's daycare center."
A nurse in an emergency department is caring for a school-age child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse? - Elevate the head of the child's bed - Insert a large bore IV catheter for the child - Determine the allergen that caused the child's reaction - Administer epinephrine IM to the child
Administer epinephrine IM to the child
A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? - Presence of a central incisor tooth - Presence of strabismus - Presence of an open anterior fontanel - Presence of external cerumen
Presence of strabismus (Strabismus, or crossing of the eyes, typically disappears at 3 to 4 months of age. If not corrected early, this can lead to blindness)
A nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by a parent indicates an understanding of the teaching? - "Mono is caused by an infection with the Epstein-Barr virus." - "Mono is a bacterial infection requiring 14 days of antibiotics." - A Monospot is a throat culture used to diagnose mono." - "Children who get mono will need to refrain from sports for 6 months."
"Mono is caused by an infection with the Epstein-Barr virus."
A nurse is reviewing the medical record of a school-age child who is 2 days postoperative following an open repair and casting of a fracture in the right arm. Which of the following findings should the nurse identify as an indication of a potential postoperative complication? - Increased erythrocyte sedimentation rate - Apical pulse 92/min - Respiratory rate 24/min - Taking an oral analgesic twice daily
Increased erythrocyte sedimentation rate (The nurse should identify that an elevated ESR is indication of osteomyelitis, a potential complication of a surgical repair of a fx)
A nurse is providing discharge teaching to the parents of a 3-month-old infant following a cheiloplasty. Which of the following instructions should the nurse include? - "Clean your baby's sutures daily with a mixture of chlorhexidine and water." - "Expect your baby to swallow more than usual over the next few days." - "Inspect your baby's tongue for white patches while using a tongue depressor every 8 hrs." - "Apply a thin layer of antibiotic ointment on your baby's suture line daily for the next three days."
"Apply a thin layer of antibiotic ointment on your baby's suture line daily for the next three days."
A nurse is providing discharge teaching to the parent of an 18-month-old toddler who has dehydration due to acute diarrhea. Which of the following statements by the parents indicates an understanding of the teaching? - "I will offer my child small amounts of fruit juice frequently." - "I will avoid giving my child solid foods until the diarrhea has stopped." - "I will monitor my child's number of wet diapers." - "I will give my child polyethylene glycol daily for 7 days."
"I will monitor my child's number of wet diapers."
A nurse is providing teaching to the parents of a preschooler who has heart failure and a new prescription for digoxin twice daily. Which of the following instructions should the nurse include in the teaching? - "Use a kitchen teaspoon to measure the medication." - "Brush the child's teeth after giving the medication." - "Double the next dose if the child misses a dose." - "Repeat the dose if the child vomits."
"Brush the child's teeth after giving the medication."
A nurse is providing teaching to the family of a school-aged child who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include in the teaching? - "Limit movement of the child's large joints." - "Encourage the child to perform independent self-care." - "Provide the child with a soft mattress for sleeping." - "Schedule a 2-hour daily nap for the child
"Encourage the child to perform independent self-care."
A community health nurse is assessing an 18-month-old toddler in a community day care. Which of the following findings should the nurse identify as a potential indication of physical neglect? - Resists having an axillary temperature taken - Exhibits withdrawal behaviors when their parent leaves - Has multiple bruises on their knees - Poor personal hygiene
Poor personal hygiene
A nurse on a pediatric unit is caring for a toddler. Which of the following potential provider prescriptions should the nurse identify as anticipated or contraindicated. For each potential provider's prescription, click if it is ANTICIPATED or CONTRAINDICATED
Administer factor VIII ANTICIPATED Apply ice packs to the affected joints ANTICIPATED Administer morphine PRN pain ANTICIPATED Perform passive ROM exercises during the first 12 hr following injury CONTRAINDICATED Elevate the affected joints ANTICIPATED
A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the following indicates the effectiveness of the medication? - Reports absence of nausea and vomiting - Reports experiencing an onset of loose stools within 15 mins of administration - Blood potassium level 4.1 mEq/L - Blood pressure 86/52 mmHg
Blood potassium level 4.1 mEq/L
A nurse is reviewing the laboratory report of a school-age child who is experiencing fatigue. Which of the following findings should the nurse identify as an indication of anemia? - A low hematocrit level - An elevated BUN - An increased neutrophil count - A low uric acid level
A low hematocrit level
A nurse is assessing a 4-year-old child at a well-child visit. Which of the developmental milestones should the nurse expect to observe? - Identifies right from left hand - Uses utensils to spread butter - Cuts an outline shape using scissors - Draws a stick figure with seven body parts
Cuts an outline shape using scissors
A nurse is discussing organ donation with the parents of a school-age child who has sustained brain death due to a bicycle crash. Which of the following actions should the nurse take first? - Inform the parents that written consent is required prior to organ donation - Provide written information to the parents about organ donation - Ask the provider to explain misconceptions of organ donation to the parents - Explore the parent's feelings and wishes regarding organ donation
Explore the parent's feelings and wishes regarding organ donation
A nurse is assessing a 6-year-old child immediately following surgery for a perforated appendix. Which of the following findings should the nurse expect? - Purulent drainage from the NG tube - Hypoactive bowel sounds - Passage of dark red stool with mucus - Urine output of 20 mL/hr
Hypoactive bowel sounds
A nurse is admitting a 4-month-old infant who has heart failure. Which of the following findings is the nurse's priority. - Episodes of vomiting - Formula consumption - Weight - Temperature
Episodes of vomiting (3 episodes of vomiting can lead to digoxin toxicity, which requires immediate intervention)
A nurse in an ED is caring for a school-aged child who has epiglottitis. Which of the following actions should the nurse take? - Obtain a throat culture from the child - Monitor the child's oxygen saturation - Put a warm mist humidifier in the child's room - Place the child in the supine position
Monitor the child's Spo2
A nurse is reviewing the dietary choices of an adolescent who has iron deficiency anemia. The nurse should identify that while of the following menu items has the highest amount of nonheme iron - 1/2 cup whole milk - 1 cup orange juice - 1/2 cup raisins - 1 cup raw carrots
1/2 cup raisins (from the snack options these contain the highest amount of nonheme iron)
A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse see first? - A school-age child who has sickle cell anemia and reports decreased vision in the left eye - A school-age child who has cystic fibrosis and a frequent nonproductive cough - A preschooler who has asthma and a peak flow meter reading in the green zone - An adolescent who has meningitis and reports la sensitivity to lights and noise.
A school-age child who has sickle cell anemia and reports decreased vision in the left eye
A nurse is caring for a preschooler who is scheduled for hydrotherapy treatment for would debridement following a burn injury. Which of the following actions should the nurse make prior to the procedure? - Apply topical antimicrobial ointment to the child's wound - Place a mesh gauze dressing over the child's wound - Initiate prophylactic antibiotic therapy for the child - Administer an analgesic to the child
Administer an analgesic to the child
A nurse is caring for a 1-month-old infant who is breastfeeding and requires a heel stick. Which of the following actions should the nurse take to minimize the infant's pain? - Use the manual lancet to obtain the heel blood sample - Apple an ice pack to the infant's heel prior to obtaining the sample - Allow the mother to breastfeed while the sample is being obtained. - Apply a topical lidocaine cream prior to obtaining the sample
Allow the mother to breastfeed while the sample is being obtained.
A nurse is creating a plan of care for a preschooler who has Wilms' tumor and is scheduled for surgery. Which of the following interventions should the nurse include? - Avoid palpating the abdomen when bathing the child before surgery - Refrain from auscultating the child's bowel sounds during the postoperative assessment - Encourage the child to play with other children on the unit prior to surgery - Explain to the child that their pain will be managed after the surgery
Avoid palpating the abdomen when bathing the child before surgery
The nurse has reviewed the child's nurses notes assessment, vital signs, providers prescriptions, and laboratory results for the 0800 one month ago visit. Complete the following sentence by using the list of options. The nurse should first address the child's _____________, followed by the child's _____________
Blood lead level Hemoglobin
A nurse is caring for an 8 month old infant. Upon eval of the infants status at 0630, the nurse should notes which of the following as signs of improvement? Click to highlight the statements in the Nurses note that indicate improvement - Audible inspiratory stridor noted - Infant is sleeping in parent's arms - Spo2 is 96% with 100% cool mist oxygen via blow-by - Respiratory rate is 68/min with moderate suprasternal and intercostal retractions and nasal flaring - Has occasional barky cough with a hoarse cry - Breath sounds are present and equal bilaterally in the bases - Infant voided 34 mL
Infant is sleeping in parents arms Spo2 is 96% Breath sounds are present and equal Infant voided 34mL
A nurse is assessing an 8-year-old child who has early indications of shock. After establishing an airway and stabilizing the child's respirations, which of the following actions should the nurse take next? - Insert an indwelling urinary catheter - Measure height and weight - Initiate IV access - Maintain ECG monitoring
Initiate IV access
A nurse is admitting a school-age child who has pertussis. Which of the following actions should the nurse take? - Place the child in a room with a positive-pressure airflow - Please the child in a room with a negative-pressure airflow - Initiate contact precautions for the child - Initiate droplet precautions for the child
Initiate droplet precautions for the child
A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart failure. Which of the following interventions should the nurse include in the plan? - Provide small, frequent meals for the child. - Schedule time in the playroom for the child - Weight the child weekly - Maintain the child in a supine position
Provide small, frequent meals for the child.
A nurse is planning an educational program for school-aged children and their parents about bicycle safety. Which of the following information should the nurse plan to include? - The child should ride their bike 2 feet to the side of the other bike riders - The child should be able to stand on the balls of their feet when sitting on the bike - The child should weak dark-colored clothing with a fluorescent strip when riding at night - The child should ride the bike facing traffic when it is necessary to ride in the street
The child should be able to stand on the balls of their feet when sitting on the bike
A nurse is caring for a client who has been receiving IV fluids through a PIV. When preparing to discontinue the IV fluids and catheter, which of the following actions should the nurse plan to take? - Remove the tape securing the catheter - Turn off the IV pump - occlude the IV tubing - apply pressure over the catheter insertion site.
Turn off the IV pump Occlude the IV tubing Remove the tape securing the catheter Apply pressure over the catheter insertion site
A nurse is caring for a school-age child following an appendectomy. After reviewing the information in the child's medical record, which of the following findings should the nurse identify as a potential complication? Select the three findings from the child's medical record that the nurse should identify as indications of a potential complication _ WBC count - Oxygen Saturation level - Platelets - Abdominal assessment - Temperature - Abdominal dressings assessment
WBC count ABD assessment Temperature
A nurse is providing teaching to the parent of an infant who has diaper dermatitis. The nurse should instruct the parent to apply which of the following to the affected area? - Antibiotic ointment - Zinc oxide - Talcum powder - Antiseptic solution
Zinc oxide
A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the nurse take? - Place a cardiac monitor on the adolescent prior to the procedure - Apply topical analgesic cream to the site 1 hr prior to the procedure - Keep the adolescent in a semi-fowlers position for 4 hrs following the procedure - Restrict fluid for 2 hrs following the procedure
Apply topical analgesic cream to the site 1 hr prior to the procedure
The nurse has reviewed the child's nurses notes, assessment, vitals signs, providers prescriptions, and laboratory results for today's visit. Which of the following conditions are improving since the child's visit 1 month ago? Select 4 of the following conditions - Exposure to lead - Nutritional status - Kidney Function - Anemia - Hearing - Lead Level
Lead level Exposure to lead Kidney function Nutritional status
A charge nurse in an emergency department is preparing an in-service for a group of newly licensed nurses about the manifestations of child maltreatment. Which of the following manifestations should the charge nurse include as a potential indication of physical abuse? - Recurrent urinary tract infections - Symmetric burns of the lower extremities - Failure to thrive - Lack pf subcutaneous fat
Symmetric burns of the lower extremities
A nurse in a health department if caring for an emancipated adolescent who has an STI and is unaccompanied by a guardian. Which of the following actions should the nurse take? - Have the adolescent sign a consent for treatment - Instruct the adolescent to return with a guardian - Obtain consent from the adolescents guardian over the phone - Treat the adolescent without a consent form
Have the adolescent sign a consent for treatment
A nurse is creating a plan of care for an infant who has an epidural hematoma from a head injury. Which of the following interventions should the nurse include in the plan? - Implement seizure precautions for the infant - Perform a neurological assessment every 4 hours - Suction the infant's nares to remove secretions - Position the infant side-lying with her head at 0 to 5 degree angle
Implement seizure precautions for the infant
A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney? - Blood pressure 114/68 mm Hg - Increased creatinine level - Blurred vision - Urine output 40mL/hr
Increased creatinine level
A nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks. Which of the following statements by the parent indicates an understanding of the teaching? - "I will use my humidifier in my child's room at night." - "I will give my child a cough suppressant every 6 hours if he has a cough." - "I should avoid using a wet mop on my floors when I am cleaning." - "I should keep my child indoors when I mow the yard."
"I should keep my child indoors when I mow the yard."
A nurse in a provider's office is preparing to administer immunizations to a toddler during a well-child visit. Which of the following actions should the nurse plan to take? - Withhold the measles mumps and rubella vaccine - Withhold the diptheria, tetanus, and pertussis (DTap) vaccine - Withhold the influenza vaccine - Withhold the tuberculin skin test
Withhold the measles mumps and rubella vaccine - With a known allergy to neomycin with an anaphylactic reaction, this is a contraindication for receiving the MMR vaccine.
The nurse has reviewed the provider prescriptions for the 0900, 1 month ago. The nurse is providing discharge teaching to the parent. Which of the following information should the nurse include? SATA - Give the ferrous sulfate with meals - Offer orange juice to the child when giving ferrous sulfate - Notify the provider if the child's stools become black - Monitor the number of wet diapers - Use a wet cloth to dust when house cleaning - Prevent the child from playing in soil near the house - Use a straw to administer ferrous sulfate - Open the succimer capsule and sprinkle on 1 tsp of applesauce
Offer orange juice to the child when giving ferrous sulfate Monitor the number of wet diapers Use a wet cloth to dust when house cleaning Prevent the child from playing in soil near the house Use a straw to administer ferrous sulfate Open the succimer capsule and sprinkle on 1 tsp of applesauce
2 months ag: The toddler is here for their well-child visit and is accompanied by a parent. The nurse is planning care for the child. For each potential provider prescription, click to specify if the prescription is anticipated or contraindicated for the client Check blood lead level in 1 week Restrict oral fluids Ferrous sulfate elixir 34mg PO three times per day Consult Social Services Succimer capsule 100 mg PO every 8 hrs for 5 days Limit intake of calcium rich foods Consult a dietitian
Check blood lead level in 1 week - CONTRAINDICATED Restrict oral fluids - CONTRAINDICATED Ferrous sulfate elixir 34mg PO three times per day - ANTICIPATE Consult Social Services - ANTICIPATE Succimer capsule 100 mg PO every 8 hrs for 5 days - ANITICIPATE Limit intake of calcium rich foods - CONTRAINDICATED Consult a dietitian - ANTICIPATE
A nurse is caring for a 10-year-old child following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing diabetes insipidus? - Increased urine specific gravity - Increased sodium level - Decreased oral fluid intake - Decreased urine output
Increased sodium level
A nurse is caring for a preschooler who was recently admitted to a pediatric unit. The preschoolers guardians report that their child has a GI illness with some vomiting and diarrhea about 1 week ago. The nurse is reviewing the child's EMR. Click to specify if the finding is consistent with nephrotic syndrome, acute poststreptococcal glomerulonephritis, or hemolytic Uremic Syndrome - Temperature - BUN level - Platelet count - Blood pressure - Cholesterol level
Temperature ACUTE POST GLOMER HEMOLYTIC UREMIC BUN ACUTE POST GLOMER HEMOLYTIC UREMIC Platelet Count HEMOLYTIC UREMIC Blood Pressure NEPHROTIC SYND ACUTE POST GLOMER HEMOLYTIC UREMIC Cholesterol NEPHROTIC SYND