Block 9: Assessment 2
What vaccines are given at 11-12 years? What about 16-18 years?
11-12: Tdap, Meningococcal, (!)Influenza (Tada Men!) 16-18: Meningococcal, (!)Influenza (Men!) see Immunization schedule-Lab
A nurse is caring for a child who weighs 46kg. What is the child's maintenance fluid requirement in milliliters?
2020 mL see ATI Dosage Calculation and Safe Medication Administration 3.0: Pediatric Medications
A provider prescribes 0.9% sodium chloride (NaCl) 10 mL/kg IV to infuse over 6 hour for a child who weighs 21kg. At what rate should the nurse set the IV pump, in mL/hr? (round to nearest whole number)
35 mL/hr see ATI Dosage Calculation and Safe Medication Administration 3.0: Pediatric Medications
What vaccinations are given at 4 months? what about 6 months?
4 months: DTap, Rota**, Hib, IPV, Pneumo (DR. HIP) 6 months: DTap, Rota***, Hep B, Hib, IPV, Pneumo, (!)Influenza, Covid-19 (DR. Harry HIP! C) see Immunization schedule-Lab
What immunizations are given at 4-6 years? What about 9 years?
4-6: IPV, DTap, MMR, Varicella, (!)Influenza (I Did My Vaccines!) see Immunization schedule-Lab
A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicates an understanding of the teaching? A. "All recently used clothing, bedding, and towels must be washed in hot water." B. "My child must be free from nits before returning to school." C. "I will treat all the family members to be on the safe side." D. "Toys that can't be dry cleaned or washed must be thrown out."
A. "All recently used clothing, bedding, and towels must be washed in hot water." see Module 7 ATI quiz
A nurse is teaching the mother of a 5-year-old child who has cystic fibrosis about pancreatic enzymes. The nurse should understand that further teaching is necessary when the mother states which of the following? A. "I will give my son the enzymes between meals." B. "The enzymes probably won't cause many adverse effects." C. "The enzymes help him digest fat." D. "I will put the enzyme crystals in his applesauce."
A. "I will give my son the enzymes between meals." see Module 7 ATI quiz
The mother of a child diagnosed with a potentially life-threatening form of cancer says to the nurse, "I don't understand how this could happen to us. We have been so careful to make sure our child is healthy." Which response by the nurse is most appropriate? A. "This must be a difficult time for you and your family. Would you like to talk about how you are feeling?" B. "Why do you say that? Do you think that you could have prevented this?" C. "You shouldn't feel that you could have prevented the cancer. It is not your fault." D. "Many children are diagnosed with cancer. It is not always life-threatening."
A. "This must be a difficult time for you and your family. Would you like to talk about how you are feeling?" see Module 9: Prerecorded lecture: The Child with Cancer
A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching? A. "We will give our child pancreatic enzymes with snacks and meals." B. "We will restrict the amount of salt in our child's food." C. "I will limit my child's fluid intake." D. "I will prepare low-fat meals with limited protein for my child."
A. "We will give our child pancreatic enzymes with snacks and meals." see Module 7 ATI quiz
A nurse is reviewing data for four children. Which of the following children should the nurse assess first? A. A 10-year-old child who has sickle cell anemia who reports severe chest pain B. A 7-year-old child who has diabetes insipidus and a urine specific gravity of 1.016 C. A 1-year-old toddler who has roseola and a temperature of 39° C (102.2° F) D. A 4-year-old child who has asthma and a PCO2 of 37 mm H
A. A 10-year-old child who has sickle cell anemia who reports severe chest pain see Module 9 ATI quiz
A nurse is admitting a child who has leukemia. Which of the following clients should the nurse place in the same room with this child? A. A child who has nephrotic syndrome B. A child recovering from a ruptured appendix C. A child who has rheumatic fever D. A child who has cystic fibrosis
A. A child who has nephrotic syndrome see Module 9 ATI quiz
A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority? A. Administer antibiotics when available. B. Reduce environmental stimuli. C. Document intake and output. D. Maintain seizure precautions.
A. Administer antibiotics when available. see Module 8 ATI quiz
A nurse is assisting with the admission of a child who has measles. Which of the following isolation precautions should the nurse initiate? A. Airborne B. Contact C. Protective environment D. Droplet
A. Airborne see Module 7 ATI quiz
A nurse is providing teaching to a parent of a preschooler who has eczema. Which of the following instructions should the nurse include in the teaching? A. Apply a topical corticosteroid ointment to the affected area. B. Launder the child's clothing with fabric softener. C. Give the child a bubble bath every day. D. Dress the child in woolen clothes during cold months.
A. Apply a topical corticosteroid ointment to the affected area. see Module 7 ATI quiz
A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take? (Select all that apply.) A. Assess the client's airway patency. B. Place a tongue depressor in the client's mouth. C. Remove objects from the client's bed. D. Place the client in a side-lying position. E. Restrain the client.
A. Assess the client's airway patency. C. Remove objects from the client's bed. D. Place the client in a side-lying position. see Module 8 ATI quiz
A nurse is caring for a child who has red marks across his cheeks. Which of the following actions should the nurse take? A. Assess the rest of the child's body for a rash. B. Refer the family to child protective services. C. Question the parents about how the marks occurred on the child's cheeks. D. Obtain the child's temperature
A. Assess the rest of the child's body for a rash. see Module 7 ATI quiz
A nurse is providing teaching about iron deficiency anemia to the parents of a toddler. Which of the following should the nurse recommend as a method of preventing iron deficiency anemia? A. Avoid a diet that consists primarily of milk. B. Administer fat-soluble vitamins daily. C. Include fluoridated water in the toddler's diet. D. Limit intake of high-protein foods
A. Avoid a diet that consists primarily of milk. see Module 9 ATI quiz
A nurse is caring for a child who is 2 hr postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time? A. Crushed ice B. Orange juice C. Vanilla milkshake D. Cranberry juice
A. Crushed ice see Module 7 ATI quiz
A school nurse is assessing a child for pediculosis capitis. Which of the following manifestations should the nurse recognize as an indication of this condition? A. Firmly attached white particles on the hair B. Itching and scratching of the head C. Patchy areas of hair loss D. Thick yellow crusted lesion on a red base
A. Firmly attached white particles on the hair see Module 7 ATI quiz
A 3 year old with a history of asthma, presents at the ED with audible expiratory wheezing, decreased LOC, and a panicked parent stating, "I have given him four breathing treatments and nothing helps his breathing!" What is your main nursing priority? A. Maintain his airway and get help B. Grab a warm blanket to maintain normothermia C. Start an IV of NS for fluid replacement D. Begin your assessment ignoring the crying child
A. Maintain his airway and get help see Module 6: Prerecorded lecture Respiratory Alterations Lower
A nurse is assisting with a routine physical examination of an adolescent. The provider observes a lateral curvature of the spine. The nurse should expect the provider to document which of the following disorders? A. Scoliosis B. Kyphosis C. Lordosis D. Torticollis
A. Scoliosis see Module 8 ATI quiz
A nurse is caring for a child who has a suspected diagnosis of cystic fibrosis. Which of the following diagnostic tests will confirm the diagnosis? A. Sweat chloride test B. A sputum culture C. A stool fat content analysis D. Pulmonary function tests
A. Sweat chloride test see Module 6 ATI quiz
A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of following information should the nurse include in the discharge instructions? (Select all that apply.) A. The reason why the child is taking the medication B. Written information about the medication C. Stopping the medication when the child feels better D. The adverse effects of the medication E. Using a kitchen spoon to administer the medication
A. The reason why the child is taking the medication B. Written information about the medication D. The adverse effects of the medication see Module 7 ATI quiz
A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant? A. Trendelenburg B. Sitting on a nurse's lap leaning forward C. Supine D. Sitting on a nurse's lap leaning backward
A. Trendelenburg see Module 6 ATI quiz
A nurse is preparing to assist with applying a cast to a preschooler's arm. Which of the following actions should the nurse take? A. Wrap the arm of the child's doll or toy prior to the procedure. B. Tell the child, "This will make your arm feel better." C. Place a heated fan at the bedside to facilitate drying. D. Support the casted arm with a firm grasp.
A. Wrap the arm of the child's doll or toy prior to the procedure. see Module 8 ATI quiz
A nurse is providing teaching about lice to the parents of a school-age child at a well-child visit. Which of the following information should the nurse include in the teaching? A. "Lice can jump from one child to another." B. "Encourage your child to avoid sharing hats with other children." C. "Live lice can survive for 2 weeks away from the host." D. "Washing your child's hair daily will prevent lice."
B. "Encourage your child to avoid sharing hats with other children." see Module 7 ATI quiz
A nurse is caring for a child who has tinea pedis. The child's parent asks the nurse what this infection is commonly called. The nurse should respond with which of the following common names? A. Shingles B. Athlete's foot C. Fever blister D. Valley fever
B. Athlete's foot see Module 7 ATI quiz
A nurse is admitting a child who has leukemia and a critically low platelet count. Which of the following precautions should the nurse initiate? A. Neutropenic B. Bleeding C. Contact D. Droplet
B. Bleeding see Module 9 ATI quiz
A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention. Which of the following behaviors by the adolescent should the nurse anticipate because it is the most common reaction? A. Identity crisis B. Body image changes C. Feelings of displacement D. Loss of privacy
B. Body image changes see Module 8 ATI quiz
A nurse is monitoring an infant who is 3 months old and has sneezing, coughing, nasal congestion, intermittent fever, and apneic spells. These nurse should recognize these findings are associated with which of the following diagnoses? A. Influenza B. Bronchiolitis C. Croup D. Epiglottitis
B. Bronchiolitis see Module 6 ATI quiz
A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.) A. Symptoms are continuous throughout the day. B. Daytime symptoms occur more than twice a week. C. Nighttime symptoms occur approximately twice a month. D. Minor limitations occur with normal activity. E. Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value.
B. Daytime symptoms occur more than twice a week. D. Minor limitations occur with normal activity. E. Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value. see Module 6 ATI quiz
A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication? A. Mouth breathing B. Frequent swallowing C. Reports of thirst D. Reports of pain
B. Frequent swallowing see module 6 ATI quiz
Discharge teaching for a post tonsillectomy patient would include the following: (Select all that apply) A. Make sure the child is drinking 72 oz. of fluids per day B. Give pain medications as prescribed C. Try to discourage coughing or "clearing throat" D. Keep the child in bed for four days E. Watch for increased swallowing
B. Give pain medications as prescribed C. Try to discourage coughing or "clearing throat" E. Watch for increased swallowing see Module 6: Prerecorded lecture Respiratory Alterations Upper
A nurse is caring for a toddler whose parent states while bathing the child she noticed a mass in his abdominal area and that his urine is a pink color. Which of the following actions is the nurse's priority? A. Schedule the child for an abdominal ultrasound. B. Instruct the parent to avoid pressing on the abdominal area. C. Determine if the child is having pain. D. Obtain a urine specimen for a urinalysis.
B. Instruct the parent to avoid pressing on the abdominal area. see Module 9 ATI quiz
A nurse is admitting a toddler who has respiratory syncytial virus (RSV). Which of the following actions should the nurse take? A. Initiate airborne precautions. B. Keep thermometer in the toddler's room. C. Allow the toddler to play in the common room. D. Place the toddler in a room that has negative air pressure
B. Keep thermometer in the toddler's room. see Module 7 ATI quiz
A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take? A. Obtain a throat culture. B. Place the child in an upright position. C. Transport the child to radiology for a throat x-ray. D. Visualize the epiglottis with a tongue depressor
B. Place the child in an upright position. see Module 6 ATI quiz
A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority? A. Place a pillow under the child's head. B. Position the child side-lying. C. Loosen restrictive clothing. D. Clear the area of hazards.
B. Position the child side-lying. see Module 8 ATI quiz
The therapeutic management of children with sickle cell disease consists primarily of which of the following? Select all that apply A .Oxygen therapy B. Prevention and treatment of pain C. Adequate hydration D. Frequent blood transfusions E. Dietary iron supplements
B. Prevention and treatment of pain C. Adequate hydration see Module 9: Prerecorded lecture Hematology
A nurse is preparing to teach a parent how to care for a child who has impetigo contagiosa. Which of the following information should the nurse plan to include in the teaching? A. Keep the child on droplet precautions at home B. Wash clothing in hot water. C. Immunize household contacts for the disease. D. Give the child a chlorine bath twice daily.
B. Wash clothing in hot water. see Module 7 ATI quiz
What immunizations are given at birth? What about 6-8 weeks?
Birth: Hep B 6-8 weeks: DTap, Rota*, Hep B, Hib, IPV, Pneumo (DR. Harry HIP) see Immunization schedule-Lab
A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for pancreatic enzymes three times per day. Which of the following statements indicates that the mother understands the teaching? A. "My child will take the enzymes to improve her metabolism." B. "My child will take the enzymes following meals." C. "My child will take the enzymes to help digest the fat in foods." D. "My child will take the enzymes 2 hours before meals."
C. "My child will take the enzymes to help digest the fat in foods." see Module 7 ATI quiz
A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching? A. "Monitor your child's temperature daily." B. "Restrict outdoor play activity to 1 hour per day." C. "Offer fluids to your child multiple times every day." D. "Apply cold compresses when your child expresses pain."
C. "Offer fluids to your child multiple times every day." see Module 9 ATI quiz
A nurse is planning care for a child who has cystic fibrosis and a prescription to receive chest physiotherapy (CPT). Which of the following actions should the nurse plan to take? A. Percuss each lung segment for 15 min. B. Perform CPT immediately after the child eats. C. Administer albuterol prior to CPT. D. Perform vibration during the client's inspirations.
C. Administer albuterol prior to CPT. see Module 6 ATI quiz
A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following findings indicates that the treatment has been effective? A. Barking cough B. Improved hydration C. Decreased stridor D. Decreased temperature
C. Decreased stridor see Module 6 ATI quiz
A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. Which of the following instructions should the nurse provide the parents regarding administration of this medication? A. Give with a 240 mL (8 oz) glass of milk. B. Administer at mealtimes. C. Give with orange juice. D. Administer at bedtime.
C. Give with orange juice. see Module 9 ATI quiz
A nurse on an oncology unit is assessing a child who has a brain tumor. Which of the following findings should the nurse expect? A. Negative Babinski reflex B. Increased appetite C. Hyporeflexia D. Tachycardia
C. Hyporeflexia see Module 8 ATI quiz
A nurse is planning care for a child who has mumps. Which of the following instructions should the nurse include in the plan? A. Initiate standard precautions. B. Initiate airborne precautions. C. Initiate droplet precautions. D. Initiate contact precautions.
C. Initiate droplet precautions. see ATI Module 7 quiz
A nurse is performing a pre-college physical assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering? A. Pneumococcal polysaccharide vaccine B. Bacille Calmette-Guérin (BCG) vaccine C. Meningococcal polysaccharide vaccine D. Influenza vaccine
C. Meningococcal polysaccharide vaccine see Module 7 ATI quiz
A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect? A. High fever B. Bradycardia C. Pain D. Constipation
C. Pain see Module 9 ATI quiz
When developing a plan of care for the child diagnosed with cystic fibrosis (CF) which of the following must the nurse keep in mind? A. CF is an autosomal dominant disorder B. Obstruction of the endocrine glands occur C. Pulmonary secretions are abnormally thick D. Elevated levels of potassium are found in the child's sweat
C. Pulmonary secretions are abnormally thick see Module 6: Prerecorded lecture Cystic Fibrosis
A nurse is providing teaching to a parent of a child who has acute group A ß-hemolytic streptococci. Which of the following information should the nurse include in the teaching? A. Avoid the use of warm compresses around the head or neck. B. Intramuscular injections will be required monthly. C. Replace the child's toothbrush after 24 hr on antibiotics. D. Keep the child home from school for at least 1 week.
C. Replace the child's toothbrush after 24 hr on antibiotics. see Module 6 ATI quiz
A school nurse conducting a screening for pediculosis capitis identifies several children who require treatment. Which of the following instructions should the nurse give the children's parents? A. Soak all combs and hairbrushes in alcohol. B. Inspect any dogs or cats at home for lice. C. Seal nonwashable items in airtight plastic bags. D. Spray countertops and sinks with insecticide.
C. Seal nonwashable items in airtight plastic bags. see Module 7 ATI quiz
A nurse is orienting a newly licensed nurse in the care of an infant who has myelomeningocele. Which of the following actions by the new nurse indicates the teaching has been effective? A. Performs range of motion on the infant's hips B. Maintains a dry dressing over the sac C. Takes an axillary temperature D. Places the infant in a side-lying position
C. Takes an axillary temperature see Module 8 ATI quiz
A nurse is preparing to administer a vaccine to a 4-year-old child. Which of the following vaccines should the nurse administer? A. Haemophilus influenza type b (Hib) B. Hepatitis B (HepB) C. Varicella (VAR) D. Meningococcal (MCV4)
C. Varicella (VAR) see Module 7 ATI quiz
A nurse is assessing a 1-year-old toddler notices a large abdominal mass and pink-tinged urine on the diaper. Which of the following disorders should the nurse suspect? A. Pyloric stenosis B. Nephritic syndrome C. Wilms' tumor D. Intussusception
C. Wilms' tumor see Module 9 ATI quiz
A nurse in a PACU is admitting a client who is postoperative following a tonsillectomy. Which of the following actions should the nurse plan to take to prevent aspiration? A. Place a bedside humidifier at the head of the client's bed. B. Suction the nasopharynx as needed. C. Withhold fluids until the client demonstrates a gag reflex. D. Perform chest physiotherapy
C. Withhold fluids until the client demonstrates a gag reflex. see Module 6 ATI quiz
A nurse is providing education to a school-age child who has a new diagnosis of asthma. Which of the following statements should the nurse include in the teaching? A. "Take cromolyn sodium at the first sign of breathing difficulty." B. "You should stop playing basketball, but you can swim instead." C. "Use the peak expiratory flow meter once per week." D. "Avoid triggers that cause an attack."
D. "Avoid triggers that cause an attack." see Module 6 ATI quiz
A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates a need for further teaching? A. "I will have my child rest." B. "I will elevate the affected part." C. "I will compress the site." D. "I will apply heat."
D. "I will apply heat." see Module 9 ATI quiz
A nurse is providing teaching to the parents of a child who has streptococcal pharyngitis about ways to prevent disease transmission. Which of the following responses by the parents indicates an understanding of the teaching? A. "We'll continue to encourage him to drink lots of fluids." B. "We'll take his temperature every 4 hours." C. "We'll give him Tylenol for the pain." D. "We'll discard his toothbrush and buy another."
D. "We'll discard his toothbrush and buy another." see Module 6 ATI quiz
A nurse in an emergency department is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer first? A. Fluticasone B. Budesonide C. Montelukast D. Albuterol
D. Albuterol see Module 6 ATI quiz
A nurse is caring for a 10-month-old infant who is in a cast for developmental dysplasia of the hip (DDH). Which of the following strategies should the nurse implement to promote the infant's growth and development? A. Tie colorful latex balloons to the side of the crib. B. Provide a small electronic toy. C. Change the infant's diaper as soon as soiling occurs. D. Allow the infant to stand in the crib
D. Allow the infant to stand in the crib see Module 8 ATI quiz
Which of the following is ALWAYS considered a medical emergency? A. Acute Spasmodic Laryngitis B. Respiratory Syncytial Virus C. Asthma D. Epiglottitis
D. Epiglottitis see Module 6: Prerecorded lecture Respiratory Alterations Lower
A nurse in a special education program is planning care for a child who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan of care? A. Allow for adjustment of rules to correlate with the child's behavior. B. Provide a flexible schedule that adjusts to the child's interests. C. Allow for imaginative play with peers without supervision. D. Establish a reward system for positive behavior.
D. Establish a reward system for positive behavior. see Module 8 ATI quiz
A nursing is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following interventions should the nurse include in the plan of care? A. Keep the head of the bed at a 30° angle. B. Reposition the client by log rolling every 4 hr. C. Place the client in protective isolation. D. Initiate the use of a PCA pump for pain control.
D. Initiate the use of a PCA pump for pain control. see Module 8 ATI quiz
A nurse is caring for a pre-school-age child who has epiglottitis with a barking cough. Which of the following actions should the nurse take? A. Initiate airborne precautions. B. Obtain a throat culture. C. Use a tongue depressor to observe the epiglottis. D. Monitor oxygen saturation.
D. Monitor oxygen saturation. see Module 6 ATI quiz
A nurse is providing care to a mother immediately following a stillbirth delivery. Which of the following actions should the nurse take first? A. Assist the client with transferring to the gynecology unit. B. Administer alprazolam 0.5 mg PO. C. Contact the health care facility's clergy. D. Offer mother private time with the newborn.
D. Offer mother private time with the newborn. see Module 9 ATI quiz
A nurse in an emergency department is assessing a 3-year-old child who has a high fever, severe dyspnea and is drooling. Which of the following actions is the nurse's priority? A. Insert an IV catheter. B. Obtain blood culture specimens. C. Administer an antipyretic. D. Prepare for nasotracheal intubation
D. Prepare for nasotracheal intubation see Module 6 ATI quiz
A nurse is preparing to teach about communicable diseases. During which of the following stages is the period in which a disease is contagious? A. Communicability period B. Convalescent period C. Incubation period D. Prodromal period
D. Prodromal period see Module 7 ATI quiz-EDIT: see Module 7 Review zoom
A nurse is teaching about neural tube defects to a group of females who are pregnant. Which of the following disease processes should the nurse include as an example of a neural tube defect? A. Cerebral palsy B. Hydrocephalus C. Muscular dystrophy D. Spina bifida
D. Spina bifida see Module 8 ATI quiz
A nurse is caring for a child on the oncology unit. The child's parents are asking the nurse about the cancer diagnosis. Which of the following information should the nurse provide the parents about the most common malignant renal and intra-abdominal tumor of childhood? A. Ewing sarcoma B. Osteosarcoma C. Neuroblastoma D. Wilms' tumor
D. Wilms' tumor see Module 9 ATI quiz
What immunizations are given at 12-18 mon?
Hep A****, Hib, Pneumo, DTap, Varicella, MMR, (!)Influenza (HA HiP, DVM!) see Immunization schedule-Lab
Doctor order: Cefazolin 350 mg IV every 4 hours. The child weighs 31 lbs. The safe dosage range for this medication is 25-75 mg/kg/day. Is this a safe dose for this patient?
No, this is not a safe dose. A safe dose would be 58.7-176.1 mg/dose. see Pediatric Safe Dosage Calculations Quiz: https://www.registerednursern.com/pediatric-safe-dosage-calculations-quiz/
A nurse is caring for an infant and notices an audible click in their left hip. Which of the following diagnostic tests should the nurse expect the provider to perform? (SATA) a. Barlow Test b. Babinski sign c. Manipulation of foot and ankle d. Ortolani test e. Ponseti method
a. Barlow Test d. Ortolani test see ATI Nursing Care of Children page 180; answers page 181 (Module 8 reading)
Which of the following things should the nurse consider when managing the pain of a terminally ill child? Select all that apply a. Pain medications are given on an as-needed schedule, and extra doses are available for breakthrough pain to maintain comfort b. Opioid drugs, such as morphine, are given for severe pain and the dosage is increased as necessary to maintain optimum pain relief c. Addiction is a factor in managing terminal pain in a child, and the nurse plays an important role in educating the parents that their child may become addicted d. Nurses often express concern that administering dosages of opioids that exceed those with which they are familiar will hasten the child's death e. In addition to pain medication, techniques such as music, distraction, and guided imagery should be added to provide the child and the family strategies to control pain
a. Pain medications are given on an as-needed schedule, and extra doses are available for breakthrough pain to maintain comfort b. Opioid drugs, such as morphine, are given for severe pain and the dosage is increased as necessary to maintain optimum pain relief d. Nurses often express concern that administering dosages of opioids that exceed those with which they are familiar will hasten the child's death e. In addition to pain medication, techniques such as music, distraction, and guided imagery should be added to provide the child and the family strategies to control pain see Module 9: Prerecorded lecture: Death and Dying
A nurse is preparing to administer recommended immunizations to a 2-month-old infant. Which of the following vaccines should the nurse plan to give? (SATA) a. Rotavirus b. DTaP c. Hib d. Hep A e. Pneumococcal f. IPV
a. Rotavirus b. DTaP c. Hib e. Pneumococcal f. IPV see ATI Nursing Care of Children page 232; answers page 233 (added for vaccine review)
A nurse is caring for a 15-month-old child in a clinic. Which of the following actions should the nurse take? (See additional info below) Immunization Record: Hep B: 1 mon, 2 mon, 12 mon; Rota: 2 mon, 4 mon, 6 mon DTaP: 2 mon, 4 mon, 6 mon; Hib: 2 mon, 4 mon, 12 mon IVP: 2 mon, 4 mon, 6 mon; MMR: 12 mon Varicella: 12 mon; Hep A: 12 mon Nurses Notes: Temp: 37.8 C(101 F), sore throat, family hx seizures a. administer DTaP b. administer Rota c. hold immunizations until fever resides d. administer Hep A
a. administer DTaP see ATI Nursing Care of Children page 232; answers page 233 (added for vaccine review)
A nurse is treating a child who has cellulitis on the hand. Which of the following actions should the nurse take? a. administer oral antibiotics b. cleanse the area using Burrow solution c. prepare for cryotherapy d. apply a topical antifungal medication
a. administer oral antibiotics see ATI Nursing Care of Children page 200; answers page 200 (Module 7 reading)
A nurse is caring for a child who has cerebral palsy. Which of the following medications should the nurse expect to administer to treat painful muscle spasms? (SATA) a. baclofen b. diazepam c. oxybutynin d. methotrexate e. prednisone
a. baclofen b. diazepam see ATI Nursing Care of Children page 191; answers page 192 (Module 8 reading)
A nurse is discussing risk factors for asthma with a group of newly licensed nurses. Which of the following conditions should the nurse include in the teaching? (SATA) a. family history of asthma b. family history of allergies c. exposure to smoke d. low birth weight e. being underweight
a. family history of asthma b. family history of allergies c. exposure to smoke d. low birth weight see ATI Nursing Care of Children page 102; answers page 103 (Module 6 reading)
A nurse is assessing a child who has epiglottitis. Which of the following findings should the nurse expect? (SATA) a. hoarseness and difficulty speaking b. difficulty swallowing c. low-grade fever d. drooling e. dry, barking cough f. stridor
a. hoarseness and difficulty speaking b. difficulty swallowing d. drooling f. stridor see ATI Nursing Care of Children page 97; answers page 98 (Module 6 reading)
A nurse is caring for a child who has absence seizures. Which of the following findings should the nurse expect? (SATA) a. loss of consciousness b. appearance of daydreaming c. dropping held objects d. falling on the floor e. having a piercing cry
a. loss of consciousness b. appearance of daydreaming c. dropping held objects see ATI Nursing Care of Children page 69; answers page 70 (Module 8 reading)
A nurse is providing home care instructions to a parent of a child who is receiving chemotherapy. Which of the following instructions should the nurse include in the teaching? (SATA) a. manifestations of infection b. bleeding precautions c. hand hygiene d. homeschooling e. airborne precautions
a. manifestations of infection b. bleeding precautions c. hand hygiene see ATI Nursing Care of Children page 259; answers page 260 (Module 9 reading)
A nurse is caring for a child who has thrombocytopenia. Which of the following actions should the nurse take? (SATA) a. monitor for manifestations of bleeding b. administer routine immunizations c. obtain rectal temperatures d. avoid peripheral venipunctures e. limit visitors
a. monitor for manifestations of bleeding d. avoid peripheral venipunctures see ATI Nursing Care of Children page 259; answers page 260 (Module 9 reading)
A nurse is reviewing cerebrospinal fluid analysis for a patient who has suspected meningitis. Which of the following findings should the nurse identify as indicating viral meningitis? (SATA) a. negative Gram stain b. normal glucose content c. cloudy color d. decreased WBC count e. normal protein count
a. negative Gram stain b. normal glucose content e. normal protein count see ATI Nursing Care of Children page 63; answers page 64 (Module 8 reading)
A nurse is caring for a patient who has rubeola. The nurse should monitor for which of the following complications? (SATA) a. otitis media b. constipation c. laryngitis d. arthralgia e. syncope
a. otitis media c. laryngitis see ATI Nursing Care of Children page 238; answers page 238 (Module 7 reading)
A nurse is assessing a patient who has pertussis. Which of the following findings should the nurse expect? (SATA) a. runny nose b. mild fever c. cough with whooping sound d. swollen salivary glands e. red rash
a. runny nose b. mild fever c. cough with whooping sound see ATI Nursing Care of Children page 238; answers page 238 (Module 7 reading)
A nurse is planning care for a child who has tinea capitis. Which of the following actions should the nurse include in the plan of care? (SATA) a. treat infected house pets b. use selenium sulfide shampoo c. cleanse area with Burrow solution d. administer antiviral medication e. use moist, warm compresses
a. treat infected house pets b. use selenium sulfide shampoo see ATI Nursing Care of Children page 200; answers page 200 (Module 7 reading)
A nurse is performing an admission assessment for a child who has cystic fibrosis. Which of the following findings should the nurse expect? (SATA) a. wheezing b. clubbing of fingers c. barrel shaped chest d. thin watery mucus e. rapid growth spurts
a. wheezing b. clubbing of fingers c. barrel shaped chest see ATI Nursing Care of Children page 107; answers page 108 (Module 6 reading)
A nurse is teaching the parent of an infant who has Down syndrome. Which of the following statements by the parent indicates an understanding of the teaching? a. I should expect him to have frequent diarrhea b. I should place a cool mist humidifier in his room c. I should avoid the use of lotion on his skin d. I should expect him to grow faster in length than other infants
b. I should place a cool mist humidifier in his room see ATI Nursing Care of Children page 69; answers page 70 (Module 8 reading)
A nurse is developing an educational program about viral and bacterial meningitis. The nurse should include that the introduction of which of the following immunizations decreased the incidence of bacterial meningitis in children? (SATA) a. IPV b. PCV (Pneumo) c. DTaP d. Hib e. TIV
b. PCV (Pneumo) d. Hib see ATI Nursing Care of Children page 63; answers page 64 (Module 8 reading)
A nurse is providing discharge teaching for a child who has cystic fibrosis. Which of the following instructions should the nurse include? a. provide a low-calorie, low-protein diet b. administer pancreatic enzymes with meals and snacks c. implement fluid restriction during times of infection d. restrict physical activity
b. administer pancreatic enzymes with meals and snacks see ATI Nursing Care of Children page 102; answers page 103 (Module 6 reading)
A nurse is assessing a child who has leukemia. Which of the following are early manifestations of leukemia? (SATA) a. hematuria b. anorexia c. petechiae d. ulcerations of the mouth e. unsteady gait
b. anorexia c. petechiae e. unsteady gait see ATI Nursing Care of Children page 259; answers page 260 (Module 9 reading)
A nurse is caring for a child who sustained a fracture. Which of the following actions should the nurse take? (SATA) a. place a heat pack on the site of injury b. elevate the affected limb c. assess neurovascular status frequently d. encourage ROM of the affected limb e. stabilize injury
b. elevate the affected limb c. assess neurovascular status frequently e. stabilize injury see ATI Nursing Care of Children page 173; answers page 174 (Module 8 reading)
A nurse is caring for a child who is receiving a bronchodilator medication by nebulized aerosol therapy. Which of the following actions should the nurse take? (SATA) a. instruct the child that the treatment will last 30 min b. obtain vital signs prior to therapy c. tell the child to take slow deep breaths d. determine if the child should use a mask e. attach the device to an air source
b. obtain vital signs prior to therapy c. tell the child to take slow deep breaths d. determine if the child should use a mask e. attach the device to an air source see ATI Nursing Care of Children page 89; answers page 90 (Module 6 reading)
A nurse is assessing an infant who has scabies. Which of the following findings should the nurse expect? (SATA) a. presence of nits on the hair shaft b. pencil-like marks on hands c. blisters on the soles of feet d. small red bumps on the scalp e. pimples on the trunk
b. pencil-like marks on hands c. blisters on the soles of feet e. pimples on the trunk see ATI Nursing Care of Children page 200; answers page 200 (Module 7 reading)
A nurse is planning care for a child who has asthma. Which of the following interventions should the nurse include in the plan of care? (SATA) a. perform chest percussion b. place child in upright position c. monitor oxygen saturation d. administer bronchodilators e. administer dornase alfa daily
b. place child in upright position c. monitor oxygen saturation d. administer bronchodilators see ATI Nursing Care of Children page 102; answers page 103 (Module 6 reading)
A nurse is teaching a caregiver of a preschool child about factors that affect the child's perception of death. Which of the following factors should the nurse include in the teaching? a. preschool children have no concept of death b. preschool children perceive death as temporary c. preschool children often regress to an earlier stage of behavior d. preschool children experience fear related to the disease process
b. preschool children perceive death as temporary see ATI Nursing Care of Children page 56; answers page 56 (Module 9 reading)
A nurse is assessing a child who has asthma. Which of the following are indications of deterioration in the child's respiratory status? (SATA) a. oxygen saturation 95% b. wheezing c. retraction of sternal muscles d. warm extremities e. nasal flaring
b. wheezing c. retraction of sternal muscles e. nasal flaring see ATI Nursing Care of Children page 102; answers page 103 (Module 6 reading)
A nurse is caring for a child who is post-op following surgical removal of a Wilms tumor. Which of the following assessments is an indication to continue NPO status? a. abdominal girth 1 cm larger than yesterday b. report of pain at the operative site c. absent bowel sounds d. passing of flatus every 30 min
c. absent bowel sounds see ATI Nursing Care of Children page 252; answers page 253 (Module 9 reading)
A nurse is caring for a child who is receiving oxygen therapy and is on continuous oxygen saturation monitor that is reading 89%. Which of the following actions should the nurse take first? a. increase oxygen flow rate b. encourage the child to take deep breaths c. ensure proper placement of the sensor probe d. place the child in Fowler's position
c. ensure proper placement of the sensor probe see ATI Nursing Care of Children page 89; answers page 90 (Module 6 reading)
A nurse is caring for a child who has muscular dystrophy. For which of the following findings should the nurse assess? (SATA) a. purposeless, involuntary, abnormal movements b. spinal defect and saclike protrusion c. muscular weakness in lower extremities d. unsteady, wide-based, or waddling gait e. upward slant to eyes
c. muscular weakness in lower extremities d. unsteady, wide-based, or waddling gait see ATI Nursing Care of Children page 191; answers page 192 (Module 8 reading)
A nurse is teaching a group of parents about the possible manifestations of Down's syndrome. Which of the following findings should the nurse include in the teaching? (SATA) a. a large head with bulging fontanels b. larger ears that are set back c. protruding abdomen d. broad short feet and hands e. hypotonia
c. protruding abdomen d. broad short feet and hands e. hypotonia see ATI Nursing Care of Children page 79; answers page 80 (Module 8 reading)
A nurse in the ER is assessing a newly admitted infant. Which of the following findings is an early indication of hypoxemia? a. nonproductive cough b. hypoventilation c. tachypnea d. nasal stiffness
c. tachypnea see ATI Nursing Care of Children page 89; answers page 90 (Module 6 reading)
A preschool-age child undergoing chemotherapy experiences nausea and vomiting. Which of the following would be the best intervention to include in the child's plan of care? a. Administer tube feedings. b. Offer small, frequent meals. c. Offer fluids only between meals. d. Allow the child to choose what to eat for meals.
d. Allow the child to choose what to eat for meals. see Module 9: Prerecorded lecture: The Child with Cancer
A nurse is caring for an infant who has a myelomeningocele. Which of the following actions should the nurse include in the preoperative plan of care? a. assist the caregiver with cuddling the infant b. assess the infant's temperature rectally c. place the infant in a supine position d. apply a sterile, moist dressing on the sac
d. apply a sterile, moist dressing on the sac see ATI Nursing Care of Children page 191; answers page 192 (Module 8 reading)
A nurse is assessing a 4-month-old infant who has meningitis. Which of the following manifestations should the nurse expect? a. Depressed anterior fontanel b. Constipation c. Presence of the rooting reflex d. high-pitched cry
d. high-pitched cry see ATI Nursing Care of Children page 63; answers page 64 (Module 8 reading)
A nurse is providing teaching to a parent of a child who has a new prescription for liquid iron supplements. Which of the following statements by the parent indicates an understanding of the teaching? a. I should take my child to the ER if his stools become dark b. my child should avoid eating citrus fruits while taking the supplements c. I should give iron with milk to help prevent an upset stomach d. my child should take the supplement through a straw
d. my child should take the supplement through a straw see ATI Nursing Care of Children page 131; answers page 132 (Module 9 reading)
A nurse is teaching a group of family members about communicable diseases. The nurse should include that which of the following is the best way to prevent communicable disease? a. hand washing b. avoiding persons who have active disease c. covering your cough d. obtaining immunizations
d. obtaining immunizations see ATI Nursing Care of Children page 238; answers page 238 (Module 7 reading)
A nurse is caring for a toddler who has hip dysplasia and has been placed in a hip spica cast. The child's guardian asks the nurse why a Pavlik harness is not being used. Which of the following responses should the nurse make? a. the Pavlik harness is used for children with scoliosis, not hip dysplasia b. the Pavlik harness is used for school-aged children c. the Pavlik harness cannot be used for your child because her condition is too severe d. the Pavlik harness is used for infants less than 6 months of age
d. the Pavlik harness is used for infants less than 6 months of age see ATI Nursing Care of Children page 180; answers page 181 (Module 8 reading)
