Peds ATI
A charge nurse is preparing a room assignment for a school age child. Which consideration is the most important?
Disease process
Child with juvenile idiopathic arthritis. What should the nurse include in the teaching?
Encourage the child to perform independent self care
A nurse is assessing a 4 year old. Which of the following developmental milestones should the nurse expect?
cuts a shape using scissors
Toddler has diarrhea. What is a sign of worsening dehydration?
decreased tear production
Early manifestation of pertussis?
dry, hacking cough
Caring for a client post operative for a tonsillectomy. Which of the following should the nurse recognize as a sign of hemmorhage?
frequent swallowing
Client with acute lymphocytic leukemia and severe stomatitis. Which ofthe following should the nurse include in the plan of care?
help the child brush her teeth gently with a soft sponge toothbrush
Assessing a 7 month old. Which of the following findings should the nurse report to the provider?
inability to babble one-syllable sounds
Educating family about toddle with LOWER leg cast. The nurse should instruct the family that which of the following findings should be reported to the provider?
inability to move the toes
Lumbar puncture. Which finding confirms diagnosis of bacterial meningitis?
increased protein
Car seat, 6 month old infant
using a blanket as padding underneath the infant while traveling
Monthly assessment for child who is taking methylphenidate. what is an adverse effect of this medication?
weight loss
Child with impetigo. Which instructions should the nurse include in the teaching?
Remove the crust after soaking with 1:20 Burow's solution
Surgery on acute perforated appendix...what is an expercted postoperative finding?
Absence of peristalsis
Client with asthma and reports chest pain. What should the nurse do first?
Auscultate breath sounds
A nurse is assesing a 3 year old child. Which finding should the nurse report to the provider?
Respirations 30/min
Child has celiac disease. Which of the following foods is appropriate?
Rice pudding
Toddler with lead level of 4 mcg/dl. What action should the nurse take?
Schedule the toddler for a yearly re screening
Infant with RSV is in a mist tent. What actions should the nurse implement?
Have a designated stethoscope in the room
Nurse caring for child with SEIZURE disorder. Which of the following should the nurse include in her plan of care?
Have oxygen available
6 year old receiving chemotherapy. What finding should be reported to the nurse?
Hemoglobin 9.0 g/dL
Newborn with large sacral myelomeningocele. Prior to surgery what should the nurse do to prevent potential complications?
Keeping the newborn's legs abducted with a pad between the knees
Client with partial thickness burns on more the 40% of his body. Which fluid should the nurse administer?
Lactated Ringer's
3 year old has been administered pain medication. Which pain scale is appropriate to assess response to the medication?
Oucher
A nurse is assessing an infant with heart failure..what should the nurse expect?
Peripheral edema
Toddler with foreign body aspiration. What is an appropriate action for the nurse to take?
Prepare for an endoscopy
13 month infant, Cleft palate repair. What intervention should the nurse take?
Prevent the client from using a pacifier
Hospice nurse visits a parent on the 1 year anniversary death of his child. What reaction indicates the need for bereavement counseling?
The parent has not returned to work
A nurse is assessing a 6 month old infant. What finding should be reported to the provider?
The presence of strabismus
4 month old infant with heart failure. Which finding is the highest priority
Three episodes of vomiting
Client is receiving IV fluids via peripheral catheter. Which step should the nurse perform first?
Turn off the Pump
Infant has DIAPER DERMATITIS. The nurse should provide what teaching to the parents to apply to the affected area?
Zinc Oxide
Signs of peritonitis?
abdominal distention
Client teaching for IV famotidine. The nurse should tell the parent that which of the following is an adverse effect of famotidine?
bruising
Mother of adolescent that listens to music while studying
consider letting her make her own choice about listening to music while studying
Lung auscultation is ....
crackles
Child with pediculosis. What statement indicates client understanding of teaching?
I will need to remove the nits after treatment
Teaching adoloscent about infectious mononucleosis. Which client statement indicates an understanding of teaching?
"I should take ibuprofen for my headaches"
Client with Cerebral Palsy what should the nurse do to facilitate communication?
-Use pictures and objects when talking to the child -Encourage the child to move his lips and tongue when eating -Allow the child time to articulate at his own pace
Cefazolin calculation
1.9 mL
Assessing a 2 month old for pulmonary stenosis. What area can an ejection murmur be heard the loudest?
2nd intercostal space
Urine dipstick test for nephrotic syndrome. What results should the nurse expect?
4+ protein
Teaching about growth hormone injections to the mother of a child with a growth hormone deficiency. Which should be included in the teaching?
Have serum calcium levels drawn periodically
The nurse is caring for a child with nephrotic syndrome. Which finding is associated with their diagnosis?
Hyperalbuminuria
Teaching about tinea pedis. Which statement indicates an understanding of teaching?
I should wear sandals as much as possible
18 month toddler DEHYDRATION. What statement indicates understanding of teaching
I will monitor my child's number of wet diapers
Newly prescribed Methotrexate..which of the following should the nurse obtain prior to administering the first dose?
Liver function tests
Child stares into space and grunts.
Lower the child to floor Place a pillow under the head Loosen restrictive clothing Assess the child's mouth
Child with streptococcal throat infection with acute rheumatic fever. What nursing intervention is appropriate?
Maintain bed rest
Client is in Bryant Traction...what should the nurse do?
Maintain the hips at a 90 degree angle to the body
Child with lyme disease. Which is a manifestation of stage 1 of the disease?
Skin Rash
Manifestation of physical abuse?
Symmetric burns of the lower extremities
Child with epiglottis. Which action should the nurse take?
monitor oxygen saturation
Client is postoperative for pyloric stenosis repair. What action is the most appropriate for the nurse to take?
monitor the infant following feedings for vomiting
Student with JIA..which of the following should the nurse include in the plan?
monitoring students for presence of communicable disease. Childhood illnesses can exacerbate JIA
Child has nephrotic syndrome. How should the nurse assess for peripheral edema?
palpate the dorsum of the feet
Signs of physical neglect?
poor personal hygiene
Child with a Halo Brace. Which of the following interventions should the nurse include in the plan of care?
provide pin site care
Child with heart-disease and developed heart failure. Which of the following interventions should the nurse include in the plan of care?
provide small, frequent meals
Planning care for a child with glomerulonephritis and that is edematous. What activity should be part of the plan of care?
restrict sodium intake