CARE OF CHILD - ATI PROCTORED 2019
A nurse is providing support of a family whose infant died from SIDs. Which of the following actions should the nurse take?
Acknowledged the family members feelings of guilt
a nurse is planning care for an 8 month infant who has heart failure. Which of the following actions should the nurse include in the plan of care?
Admin cool humidified O2 via nasal cannula
A nurse is reviewing the medical record of 15- month old child who is schedule to receive the measles, mumps, and rubella vaccine. Which of the following should the nurse advice as contraindication for receiving the vaccine.
Allergy to neomycin
one month old infant is having oral canditis and became infected. What instructions should the nurse include?
Nystatin
A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs, which of the following actions is appropriate for the nurse to take.
Obtain written consent from the client
A nurse is planning care for a 6-month-old infant who has bacterial meningitis. Which of the following interventions should the nurse include in the plan of care?
Pad the side rails of the crib
a nurse is planning care for a child who has osteomyelitis. Which of the following intervention should the nurse include in the plan of care?
maintain a patent intravenous catheter
a nurse is caring for a 12 year old child in a wheelchair. The child begins to experience a tonic clonic seizure. Which of the following actions should the nurse take?
move the child on the floor
a nurse is teaching the guardian of a child who suspected to have cystic fibrosis and is scheduled for a sweat chloride test. Which of the following statements should the nurse include
two separate test is taken to ensure accuracy of the results
A nurse is preparing to initiate iv antibiotics for a newly admitted 12 month old infant. Which of the following actions should the nurse plan to take?
use a 24 gauge catheter to start the iv
A nurse is teaching a group of female adolescents about healthy eating. Which of the following instructions should the nurse include in the teaching?
"Increase the amount of your dietary iron intake."
A nurse is evaluating a four year old child who has cystic fibrosis and have been receiving chest physiotherapy treatment. The nurse should identify which of the following findings as an indication that the therapy has been effective
Increases exportation
A nurse is planning care for a child who has varicella. Which of the following interventions should the burse plan to take?
Initiate Airborne precautions
A nurse is admitting a child who is has acute epiglottitis. Which of the following actions should the nurse take?
Initiate droplet isolation precautions
A nurse is providing teaching to the guardian of a school- aged child who has a seizure disorder. Which of the following factors should the nurse include as common trigger that increases the risk of seizures?
Lack of sleep
a nurse is caring for a preschooler who is post-operative following a tonsillectomy. The child is now ready to begin eating orally. Which of the following dietary choices should the nurse offer the child
Lime popsicle Do not choose sugarfree CHERRY gelatin!!!
A nurse is caring for an adolescent who is 1 hr postoperative following an appendectomy. Which of the following findings should the nurse report to the provider?
Muscle rigidity
A nurse is providing teaching about the effects of sun exposure to a parent of a toddler. Which of the following responses by the parent indicate understanding of the teaching?
My child should wear a wide brimmed hat
A nurse is teaching the parent of a school- aged child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
Your child should walk the bicycle through intersections
A nurse is caring for a preschooler who refuses to take a stat dose of oral diphenhydramine. Which of the following statements should the nurse make?
"Sometimes when a child has to take medications, they feel sad"
a nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis testing for cystic fibrosis. Which of the following statements should the nurse include in the teaching?
"The test will measure the amount of chloride in your baby's sweat"
A nurse is caring for an infant who received intermittent enteral feedings through a gastronomy tube. Which of the following actions should the nurse take when administering a feeding? SATA
-Check for residual volume by aspirating the stomach contents -Instilled the formula over a period of 30-45 min - Offer the infant a pacifier during feedings
a nurse is caring for a 3 month old infant who has a cleft palate. Which of the following actions should the nurse take
-discontinue the feeding if the infant eyes become watery
a nurse is reviewing the laboratory results of a child who was recently admitted for a suspected rheumatic fever. The nurse should identify that which of the following laboratory test can contribute to confirming this diagnoses. SATA
-elevated/rising blood anti streptolysin O titer -elevated CRP -elevated ESR
A nurse is applying socks and restraints to a child who is acting aggressively towards staff. Which of the following actions should the nurse take?
-ensure restraints are in quick release knots
the nurse is reviewing the medical record of a school age child who has cystic fibrosis. Which of the following findings should the nurse report to the provider?
a) O2 sat
A nurse in an urgent care clinic is prioritizing care for four children. Which of the following child should the nurse assess first?
A preschool-aged child who has a muffled voice and a cough
A nurse is caring for a 10-month-old child who was brought to the emergency department by his parents following a head injury. Which of the following actions should the nurse take first?
Assess respiratory status- priority
A charge nurse is planning care for an infant who has failure to thrive. Which of the following actions should the nurse include in the plan of care?
Assign consistent nursing staff to care for the infant
A nurse in a provider's office is assessing the vital signs of a 2-year-old child at a well-child visit. Which of the following findings should the nurse report to the provider?
BP 118/74 mm
A nurse is preparing to administer an enteral feeding to an adolescent who has NG tube. Which of the following actions should the nurse take first?
Check the pH of the gastric secretions
a nurse is preparing to administer a prescribe medication to a toddler who parents is nearby. which of the following actions should the nurse take to identify the toddler?
Check the toddler ID band against the medical record
A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following actions should the nurse include in the plan of care?
Cleanse the gum with saline soaked gauze/rinse mouth with solution of NS
A nurse is assessing an infant who has acute otitis media. Which of the following findings should the nurse expect? (SATA)
Crying Enlarged sub clavicular lymph nodes Fever Restlessness
a nurse a caring for a school age child following an application of a cast to a fractured tibia which of the following action should the nurse take first
Evaluate the childs legs
a nurse is planning care for a school aged child who was admitted to the emergency department 2 hours ago. Which of the following interventions should the nurse include to promote adequate sleep for the child?
Follow the child home sleep routine to reduce anxiety
A nurse in a provider's office is preparing to administer immunizations to a 12 year old client during a well-child visit? Which of the following immunization should the nurse plan to administer?
HPV
A nurse is reviewing the lab results of a preschooler who has gastroenteritis and notes the client's potassium level is 3.2. Which of the following assessment finding should the nurse expect?
Hyporeflexia
A nurse is providing discharge teaching to the parents of an infant for sudden infant death syndrome ( SIDS). Which of the following statements by the parents indicates an understanding of the teaching ?
I will dress my baby in lightweight clothing to sleep
a nurse is providing teaching to the guardian of an infant. Which of the following statements by the guardian indicates an understanding of the teaching?
I will remove my babies bib before they go to bed
A nurse in the emergency department is caring for a child who has a temp of 102.4 and a suspected diagnosis of bacterial meningitis? Which of the following actions should the nurse take FIRST?
Implement droplet precautions
A nurse is assessing a school-aged child who has heart failure and is taking furosemide. Indication that the medication is effective?
Increase in potassium level
A nurse is assessing an infant who has severe dehydration due to gastroenteritis. Which of the following findings should the nurse expect?
Increased resp. rate
A nurse is preparing to collect a urine specimen from a female infant using a urine collection bag. Which of the following actions should the nurse take?
Place a snug fit diaper over the drainage bag
A nurse in a pacu is caring for a school age child immediately following a tonsillectomy. Which of the following actions should the nurse take?
Place the child in a side- lying positon
A nurse is preparing a school- age child for an invasive procedure. Which of the following actions should the nurse plan to take?
Plan for a 30 min teaching about the procedure
A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following immunizations should the nurse include in the plan?
Pneumococcal Conjugate
Which location should the nurse place the thermometer to get an accurate oral temp reading?
Posterior sublingual pockets
A nurse in the emergency department is assessing a toddler who has hypopyrexia, severe dyspnea, and is drooling. Which of the following actions should the nurse seek first?
Prepare the toddler for nasotracheal intubation
A nurse is teaching home care to the parents of a preschool-age child who has heart failure. Which of the following information should the nurse include in the teaching?
Provide for periods of rest
a nurse is monitoring a school age child receiving opioid for pain. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?
Relaxed facial expressions
A nurse is assessing a child who has intussusception. Which of the following findings should the nurse expect?
Sausage shaped abdominal mass
A nurse is assessing a school-aged child cranial nerve function. Assessing the accessory nerve?
Shrug their shoulders against mild pressure
A nurse is providing teaching about home care to the parent of a child who has AIDs. Which of the following instructions should the nurse include in the teaching?
Soak combs and brushes in boiling water for 10 mins
A nurse is performing cranial nerve assessment on a school-aged child. Which of the following findings indicate proper functioning of the child's trigeminal nerve?
The child has symmetrical jaw strength when biting down
A nurse is providing teaching to the parents of a 6 week old infant who has developmental dysplasia of the hip and is wearing a pavlik harness. Which of the following statements by the parents indicates an understanding of the teaching?
We will place a diaper under the straps
A nurse is providing teaching to the guardian of a school age child who has sickle cell disease. Management?
Wear surgical mask at school
a nurse is caring for an infant who has rotavirus. Which of the following findings indicates that the infant is moderately dehydrated
Weight loss 7%
A nurse is discussing coping mechanisms for a parent of a 3- month old infant. Which of the following therapeutic questions should the nurse ask the parent?
What do you do when your infant is fussy?
A nurse is providing teaching to a 10 year old child who is schedule for an arterial cardiac catheterization. Which of the following should the nurse include in the teaching?
You will need to keep your leg straight for 8 hours
a nurse in a pediatric clinic is providing teaching to the guardian of an infant who has a new prescription for digoxin. Which of the following actions should the nurse include in the plan of care as an indication of digoxin toxicity?
bradycardia
a nurse a assessing a school age child who has twirl fusion and had a chest tube insertion 24 hours ago. Which of the following finding should the nurse intervene
bubbling in the suction control chamber
the nurse is caring for a 5 year old child following a tonsillectomy and ..... which of the following findings should the nurse identify as a sign of hemorrhage
continuous swallowing.
a nurse is assessing a 5 month old infant. Which of the following finding should the nurse report to the provider?
instant head lag when in sitting position
a nurse is caring for a school age child following a femoral venous cardiac catherization. Which of the following actions should the nurse take?
keep extremities straight for at least 4 hours
