PN Peds ATI

A nurse is assisting with the care of an infant who is preoperative for the treatment of an intact myelomeningocele sac. In which of the following positions should the infant be placed in ?

Prone

A nurse is observing a 6-month-old infant during a well-child visit. Which of the following motor activities should the nurse expect the infant to have achieved?

Turning from back to stomach

A nurse is discussing the causes of chronic diarrhea with a client. Which of the following conditions is caused by malabsorption?

Celiac disease

A nurse is caring for a toddler in the immediate postoperative period following the placement of a ventriculoperitoneal (VP) shunt. Which of the following interventions should the nurse perform?

Check for abdominal distention

A nurse is caring for a child who has been in Buck's traction for 2 days. Which of the following actions should the nurse take to prevent complications?

Check for pulses in the affected leg every 4 hr.

A nurse is reinforcing teaching about post-seizure care with the parent of a school-aged child who has a seizure disorder. Which of the following should the nurse include?

Check the child's oral cavity for the presence of injuries

A nurse is collecting data from a preschooler who has HIV. Which of the following manifestations should the nurse expect?

Chronic diarrhea is an expected nding for a preschooler who has HIV.

A nurse is caring for a child who is terminally ill and who is nearing death. Which of the following interventions should the nurse perform?

Limit provision of care to the essential needs

A nurse is caring for an infant who has gastroenteritis and is dehydrated. Which of the following characteristics places the infant at a higher risk for electrolyte Imbalances compared to an adult client?

Longer intestinal tract

A nurse is reinforcing discharge teaching with a client who is postpartum and plans to breastfeed her infant. Which of the following pieces of informati should the nurse reinforce with the client? (Select all that apply.)

Thaw frozen breast milk with warm water. Massage breast milk onto the nipples after breastfeeding. Frequent swallowing by the infant indicates adequate suckling.

A nurse is assessing a 3-year-old child during a well-child examination. Which of the following findings should the nurse report to the provider?

The child cannot walk on tiptoe

A nurse is caring for a 5-year-old child who has a fever and begins to have a seizure. Which of the following actions should the nurse take?

place the child in a side lying position

A nurse is caring for an adolescent client who has a prescription for opioids. Which of the following findings should the nurse recognize as an adverse effect of opioids?

pruritus

A nurse is caring for an 18-month-old infant who has chronic otitis media. The nurse should recognize that chronic otitis media will affect which of the following?

speech patterns

A nurse is checking the gross motor development of a 3-year-old child. Which of the following skills should the nurse expect the child to be able to perform?

stand on 1 foot.

A nurse is reinforcing teaching with the guardian of a 9-month-old infant who has a new prescription for an oral liquid medication. Which of the following points should the nurse include in the teaching ?

use an oral syringe to measure your infant's medication accurately

A nurse is reinforcing teaching with the parent of a 4-year-old child who has a tracheostomy. Which of the following parent statements indicates an understanding of the teaching?

"I should cover the tracheostomy tube with a thin cloth whenever we go outside."

A nurse is preparing to administer diphenhydramine 5mg /kg/day PO divided equally every 8 hours to a school-aged child who weighs 50 lb. Diphenhydramine oral solution 12.5 mg /5 mL is available. How many mL should the nurse administer per dose? (Fill in the blank with the numeric value only. Round the answer to the nearest whole number. Use a leading zero if applicable but do not use a trailing zero.)

15

A nurse on a pediatric unit is assisting with the admission of 4 children from the emergency department. After receiving a verbal report from the nurse, for which of the following children should the nurse plan to initiate droplet precautions?

A child who has pertussis

A nurse in an acute care unit is caring for an adolescent who has an exacerbation of cystic fibrosis. The adolescent has 5 younger siblings at home and reports to the nurse that his parents have not brought the siblings to visit. Which of the following responses should the nurse make?

Are you concerned because your parents haven't brought your siblings to visit you?

A nurse is caring for a child with acute laryngotracheobronchitis. Which of the following manifestations should the nurse expect?

Barking Cough

A nurse is collecting data from a toddler who has AIDS. The nurse should identify which of the following findings as an indication of an opportunistic infection?

Candidas

A nurse is reinforcing teaching with the parents of an infant who has a cleft palate. The parents ask the nurse how long they should wait before the infant should have corrective surgery. The nurse explains that the parents should wait no longer than 6 to 12 months to avoid which of the following outcomes?

Correct Answer: D. Difficulty with language acquisition

A nurse is caring for a preschooler who has a vesicular, honey-colored, crusty region around the nose and mouth and has been diagnosed with impetigo contagiosa. Which of the following instructions should the nurse plan to reinforce with the parents? (Select all that apply.)

Correct Answers: A. Apply a topical antibacterial ointment to the lesions B. Wash the child's bed linens daily with hot water E. Wash hands before and after contact with the affected area

A nurse is collecting data from a toddler who has gastroenteritis. Which of the following findings indicates the toddler is experiencing severe dehydration?

Deep rapid respirations

A nurse is planning to reinforce education with the parents of a school-aged child who has attention-deficit/hyperactivity disorder (ADHD). Which of the following instructions should the nurse include?

Develop a daily morning task chart for child

A nurse at a clinic is preparing to administer highlight immunizations to a 5-year-old child. Which of the following immunizations should the nurse plan to give?

Diphtheria, tetanus, and pertussis (DTaP)

A nurse is contributing to the plan of care for a hospitalized school-aged child who has measles. Which of the following activities should the nurse recommend?

Drawing a picture with colored pencils

A nurse is reinforcing teaching with the parent of a school-aged child who has pediculosis. Which of the following instructions should the nurse include?

Dry clothing in a hot dryer for at least 20 minutes

A nurse is reinforcing teaching with a 17-year-old client about managing manifestations of polycystic ovary syndrome (COS). Which of the following client statements indicates an understanding of the teaching?

Eating more lean meats and vegetables can help me lose weight."

A nurse is caring for a school-aged child who has acute poststreptococcal glomerulonephritis. Which of the following manifestations should the nurse expect?

Hematuria

A nurse is reinforcing teaching with a parent of an infant who has a colostomy. Which of the following statements by the parent indicates an understanding of the teaching?

I need to apply paste to the back of the wafer on my child's appliance.

A nurse is reinforcing teaching with a parent about pinworm testing. At which of the following times should the nurse advise the parent to perform the tape test?

Immediately after the child wakes up in the morning

A nurse is caring for the family of a preschooler who has a terminal illness. The nurse should advise the family to expect the preschooler to have which of the following concepts of death?

People can come back to life after they die

A nurse is contributing to the plan of care for a preschool-aged child who has Wilms tumor. Which of the following items should the nurse include in the plan of care prior to surgery?

Place a sign above the bed that states "Do not palpate abdomen"

A nurse is talking with the parent of an infant during a well-child visit. The parent states, "My 6-year-old son started wetting the bed after we brought his baby sister home. He hasn't done that in over a year." The nurse should recognize that this behavior by the sibling is an indication of which of the following defense mechanisms

Regression

A nurse is collecting data on a toddler at a well-child visit. Which of the following observations should the nurse report to the provider as a potential manifestation of an autism spectrum disorder?

Reluctance to make eye contact

A nurse is planning to assist with health screenings for a group of young adolescent clients. For which of the following health screenings should the nurse plan to collect data

Scoliosis screening

wurse in a provider's office is observing children playing in the waiting room. The nurse should expect to identify parallel behavior in which of the following age groups ?

Toddlers

A nurse is caring for a child who has a vesicular rash for 6 days. The parents of the child ask the nurse what illness caused this rash. The nurse should explain the child has which of the following conditions?

Varicella

A nurse in the emergency department is assisting with the care of a child who accidentally ingested an overdose of acetaminophen. Which of the following medications should the nurse expect to administer?

acetylcysteine

A nurse is present at the time of a child's death following a terminal illness. Which of the following statements should the nurse make to the child's parent?

"I will miss your child's infectious laugh; it always made me smile."

A nurse is preparing to administer ampicillin 600 mg by intermittent IV botus over 15 minutes. Ampicillin Is available as 600 mg in 6 mL (0.9% NaCI). The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if applicable but do not use a trailing

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A nurse in a provider's office is collecting data from an infant who was born at 32 weeks of gestation and is now 8 months old. Which of th developmental ages should the nurse expect the infant to demonstrate? O A 2 months B.4 months • C.6 months • D. 8 months

6 months

A nurse is preparing for the insertion of an intravenous peripheral catheter into an 8-year-old child. Which of the following interventions should the nurse plan

Apply an anesthesia cream to the intended site 60 mins prior to the procedure

A nurse is reinforcing teaching with a 10-year-old child who requires crutches for a 2-point gait. Which of the following instructions should the nurse reinforce?

Advance the left crutch and the right leg at the same time

A nurse is assisting with the admission of a child who has a urinary tract infection (UTI) and a history of myelomeningocele. After the child's admission history is complete, which of the following actions should the nurse recommend?

Attach a latex allergy alert identification band

nurse is teaching an adolescent client who has juvenile rheumatoid arthritis. Which of the following instructions should the nurse include in the teaching?

Attend school regularly

A nurse is caring for a 3-year-old child on a pediatric unit. The nurse should identity which of the following as an appropriate toy for the child?

Coloring Book & Crayons

A nurse is caring for a child who has electrical burns on her lower arms and hands. Which of the following findings indicates the child is experiencing a complication of the injury

Dark Urine

A nurse is planning to use guided imagery for an early school-aged child who continues to have mild discomfort following the administration of an analgesic. Which of the following techniques should the nurse plan to use?

Encourage the child to focus on a recent pleasurable experience

A nurse is caring for an adolescent who has sickle cell anemia. Which of the following manifestations is the result of chronic vaso-occlusive phenomena?

Enlarged heart Enuresis Leg Ulcers Retinal Detachment

A nurse is collecting data from a child who has stage I Hodgkin disease. Which of the following findings should the nurse expect?

Enlarged lymph nodes

A nurse is reinforcing teaching with the parent of an 8-year-old child who has AIDS. Which of the following instructions should the nurse highlight?

Everyone in the household should practice good hygiene

A nurse working on a maternal-newborn unit is assisting with planning an in-service training session for staff about assisting new mothers with breastfeeding. Which of the following infant conditions should the nurse recommend including in the teaching as a contraindication for breastfeeding?

Galactosemia

A nurse is collecting data from the parents of a toddler. The nurse should identify that which of the following is a risk factor for lead poisoning in the toddler?

Homes built before 1950

A nurse is collecting data from a child who has bilateral pheochromocytoma. Which of the following findings should the nurse expect?

Hypertension

A nurse is reinforcing discharge teaching with the parent of a newborn who has been prescribed a Pavlik harness for developmental dysplasia of the hip. Which Questior of the following responses indicates an understanding of the teaching?

I should lightly massage my baby underneath the straps once a day."

A nurse in a pediatric clinic is reinforcing teaching with the parent of a school-aged child who has type 1 diabetes mellitus and an upper respiratory infection. Which of the following statements by the parent indicates an understanding of the instructions?

I will check my child's blood glucose level every 3 hours

A nurse is reinforcing teaching with the guardian of a child about bicycle safety. Which of the following pieces of information should the nurse include?

Instruct the child to walk the bike through intersections

A nurse is reinforcing teaching with a 14-year old client who has acne. Which of the following instruction should the nurse include?

Keep hair off your forehead

A nurse is assisting with the immediate postoperative care of an 8-month-old infant who had a cleft palate repair. Which of the following actions should the nurse perform?

Maintain the infant in the side lying position

A school nurse is assisting a child who has been stung by a bee. The child's hand is swelling, and the nurse notes that the child is allergic to insect stings. Which of the following findings should the nurse expect if the child develops anaphylaxis? (Select all that apply.)

Nausea Urticaria Stridor

A nurse is reinforcing teaching with the parent of a toddler who has bacterial conjunctivitis. Which of the following instructions should the nurse include?

Notify the provider immediately if the sclera becomes inflamed

A nurse is caring for a preschool-aged child who has an intussusception of the bowel. Which of the following findings should the nurse report to the physician

Passage of a formed brown stool

A nurse is assisting with the care of an infant who has a tracheoesophageal fistula. Which of the following actions should the nurse take?

Perform oropharyngeal suctioning

A nurse is providing care for a 2-year-old child in an acute care setting. Which of the following interventions will decrease the stress of hospitalization for a toddler

Perform procedures with the child sitting on his parents lap

A nurse is caring for a child who has a tracheostomy. Which of the following techniques should the nurse use to suction the child's tracheostomy?

Remove the catheter while applying intermittent suction

A nurse is reinforcing teaching with the parents of a 1-year-old infant regarding appropriate play activities for this age group. Which of the following activities should the nurse include?

Strings of large beads

A nurse is admitting a child who has a history of tonic-clonic seizures. Which of the following items is the priority to have in the child's room?

Suction equipment

A nurse is caring for a 4-year-old child who has superficial partial-thickness burns over 50% of his body. To meet the nutritional needs of the child, which of the following actions should the nurse plan to take?

Supplement the child's feedings with enteral feedings

A nurse is reinforcing teaching with the guardian of a toddler about preventing burn injuries. Which of the following pieces of information should the nurse include

When using an air vaporizer in the home ensure it is a cool mist vaporizer

A nurse is reinforcing teaching with a 12-year-old child who is recovering from an acute bleeding episode of hemophilia A. Which of the following statements should the nurse make?

You should take ibuprofen during a bleeding episode to relieve warm, swollen, and painful joints."

A nurse is reinforcing teaching about disease management strategies with a 9-year-old client who has cystic fibrosis. Which of the following statements should the nurse include ?

Your mucus is thick because cystic fibrosis interferes with how your glands work

A nurse is reinforcing teaching about disease management with the parent of a preschooler who has a new diagnosis of asthma. Which of the following parent statements indicates an understanding of the teaching?

I will encourage my child to participate in sports

se is preparing to administer routine immunizations to a 6-year-old child. In addition to the diphtheria, tetanus, and pertussis (DaP) vaccine; the measies, ps, and rubella (MM) vaccine; and the varicella vaccine, which of the following immunizations should the nurse plan to administer?

IPV

The nurse is preparing to administer an oral medication to an 8-month-old infant. Which of the following actions should the nurse take?

Use an oral syringe to place the medication alongside the infant's tongue

A nurse is contributing to the plan of care for an 18-month-old toddler who has cerebral palsy. Which of the following interventions should the nurse include?

Use manual jaw control when feeding the toddler

A nurse is contributing to the preoperative teaching plan for a school-aged child who is scheduled for cardiac surgery. Which of the following recommendations should the nurse make?

Use photographs to help explain the procedure

A nurse working in the emergency department is caring for a 6-month-old infant who has a new diagnosis of respiratory syncytial virus (RSV). The parent tells the nurse, "My baby won't even drink half of a bottle of formula." Which of the following actions should the nurse take?

Prepare to administer IV

A nurse is assisting with the care of an infant who is preoperative for the treatment of an intact myelomeningocele sac. In which of the following positio should the nurse place the infant?

Prone

A nurse is assisting with the care of a school-aged child who is having a tonic-clonic seizure. Which of the following actions should the nurse take first?

Position the child on his side

A nurse is reinforcing teaching about injury prevention with the parent of an infant. Which of the following statements by the parent indicates an understanding of the teaching?

I should make sure my baby's clothing does not have buttons on it."

A nurse is collecting data from a 4-year-old child for growth and developmental milestones during a well-child visit. Which of the follc possible delay in development? A. Inability to tie shoes B. Adding 3 parts to a stick figure • C. Speaking using 2- or 3-word sentences D. Inability to walk backward

Speaking using 2- or 3-word sentences

A nurse is collecting data from a 3-year-old preschooler. Which of the following developmental milestones should the nurse expect the preschooler to demonstrate?

Stacking 10 blocks

A nurse is collecting data from a school-aged child who has celiac disease. Which of the following findings should the nurse expect?

Steatorrhea

A nurse in a pediatric clinic is collecting data from a preschooler during a well-child visit. Which of the following findings should the nurse report to the provider?

The child's blood pressure is 122/80

A nurse is discussing disciplinary techniques with the guardian of a preschooler. Which of the following actions indicates to the nurse that the guardian is using an age-appropriate disciplinary technique?

The guardian places the child in time-out after misbehaving

A nurse is reinforcing discharge teaching with the parents of a school-aged child who has nephrotic syndrome and a prescription for corticosteroid therapy Which of the following home-care instructions should the nurse include?

The nurse should instruct the parents to keep the child away from others who have or might have an infection.

A nurse is reinforcing teaching with the parent of an infant who has heart failure and a new prescription for digoxin elixir. Which of the following pieces of information should the nurse include?

The parent should withhold the medication and notify the provider if the infant's heart rate is less than 110/min