Pediatric ATI Final Practice

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?

Administer epinephrine IM to the child

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 using a tongue depressor every 8 hours." "Apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3 days."

"Apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3 days."

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 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?

Increased creatinine level

A nurse in an emergency department is caring for a school-age child who has epiglottitis. Which of the following actions should the nurse take?

Monitor the child's oxygen saturation

A nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by a parent indicates an understanding the teaching?

Mononucleosis is caused by an infection with

A nurse is caring for a preschooler who is scheduled for hydrotherapy treatment for wound debridement following a burn injury. Which of the following actions should the nurse take prior to the procedure?

Administer an analgesic to the child

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?

Brush the child's teeth after giving the medication

A nurse is assessing a 4-year-old child at a well-child visit. Which of the following developmental milestones should the nurse expect to observe? Identifies right from left hand Uses a utensil to spread butter Cuts an outlined shape using scissors Draws a stick figure with seven body parts

Cuts an outlined shape using scissors

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?

Disease process

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 in a health department is 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 form for treatment. Instruct the adolescent to return with a guardian. Obtain consent from the adolescent's guardian over the phone. Treat the adolescent without a consent form.

Have the adolescent sign a consent form for treatment.

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 should keep my child indoors when I mow the yard

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 hr. Suction the infant's nares to remove secretions. Position the infant side-lying with their head at a 0° to 5° angle.

Implement seizure precautions for the infant.

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

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 dress up

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 strabismus (cross eyes)

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 is admitting a 4-month-old infant who has heart failure. Which of the following findings is the nurse's priority? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)

Episodes of vomiting

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 providing anticipatory guidance to the guardian of a toddler. Which of the following expected behavior characteristics of toddlers should the nurse include?

Expresses likes and dislikes

A nurse is reviewing the dietary choices of an adolescent who has iron deficiency anemia. The nurse should identify that which of the following menu items has the highest amount of nonheme iron?

1/2 cup of raisins

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 a manual lancet to obtain the heel blood sample. Apply 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. (can cause cells to move to other places)

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-Fowler's position for 4 hr following the procedure. Restrict fluids for 2 hr following the procedure.

Apply topical analgesic cream to the site 1 hr prior to the procedure

A nurse is caring for a school-age child who is in Buck's traction following a leg fracture 24 hr ago. Which of the following actions should the nurse take? Change the child's position every 2 hr. Clean the peripheral pin sites with chlorhexidine solution every 4 days. Assess peripheral pulses once every 4 hr. Ensure that the head of the bed is elevated to a 90° angle.

Assess peripheral pulses once every 4 hr.

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?

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 positive-pressure airflow. Place the child in a room with negative-pressure airflow. Initiate contact precautions for the child. Initiate droplet precautions for the child.

Initiate droplet precautions for the child.

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?

Low hematocrit

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

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?

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?

Secure the safety harness when the toddle 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

A nurse is planning an educational program for school-age 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 other bike riders. The child should be able to stand on the balls of their feet when sitting on the bike. The child should wear dark-colored clothing with a fluorescent stripe 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 via a peripheral IV catheter. When preparing to discontinue the IV fluids and catheter, which of the following actions should the nurse plan to take? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Turn off IV pump Occlude the IV tubing Remove tape securing catheter Apply pressure over the catheter insertion site

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?

Zinc oxide

A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the following findings indicates the effectiveness of the medication? Reports an absence of nausea and vomiting Reports experiencing an onset of loose stools within 15 min of administration Blood potassium level 4.1 mEq/L (3.4 to 4.7 mEq/L) Blood pressure 86/52 mm Hg

Blood potassium level 4.1 mEq/L (3.4 to 4.7 mEq/L)

A nurse is providing teaching to the family of a school-age 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 in the afternoon."

Encourage the child to perform independent self care

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 of subcutaneous fat

Symmetric burns of the lower extremities

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 parents' feelings and wishes regarding organ donation.

Explore the parents' feelings and wishes regarding organ donation.

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 specific gravity Mental confusion Weak peripheral pulses

Mental confusion

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 p.m." "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 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 parent 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 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 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