ATI: RN Nursing Care of Children Online Practice 2019 A with NGN
A nurse is teaching the parent of an infant about ways to prevent sudden infant death syndrome (SIDS). Which of the following instructions should the nurse include? - "Place the infant in a prone position to sleep." - "Allow the infant to sleep on a large pillow". - "Use a soft mattress in the infant's crib." - "Give the infant a pacifier at bedtime."
"Give the infant a pacifier at bedtime."
A nurse is teaching the guardian of a 6-month-old infant about car seat use. Which of the following statements by the guardian indicates an understanding of the teaching? - "I should secure the car seat using the low anchors and tethers instead of the seatbelt." - "I should position the car seat harness 1 inch above my baby's shoulders." - "I will make sure that the car seat is placed at a 90-degree angle." - "I will pad my baby's car seat with a blanket for traveling ling distances."
"I should secure the car seat using the low anchors and tethers instead of the seatbelt."
A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching? - "I will puncture the pad of my finger when I am testing my blood glucose." - "I will give myself a shot of regular insulin 30 minutes before I eat breakfast." - "I will eat a snack of 5 grams of carbohydrates if my blood glucose is low." - "I will decrease the amount of fluids I drink when I am sick."
"I will give myself a shot of regular insulin 30 minutes before I eat breakfast."
A nurse is preparing to administer atomoxetine 1.2 mg/kg/day PO to a school-aged child who weighs 75 lbs. Available is atomoxetine 40mg/capsule. How many capsules should the nurse administer per day? (Round to the nearest whole number)
1
A nurse is caring for a preschooler who has been receiving IV fluids via 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) - Remove the tape securing the catheter - Turn off the IV pump - Occlude the IV tubing - Apply pressure over the catheter insertion site.
1. Turn off the IV pump 2. Occlude the IV tubing 3. Remove the tape securing the catheter 4. Apply pressure over the catheter insertion site
A nurse in an emergency department is caring for an adolescent who has severe abdominal pain due to appendicitis. Which of the following locations should the nurse identify as McBurney's point? (You will find "hot spots" to select in the artwork below. Select only the hot spot that corresponds to your answer.)
A - lower right quadrant
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 - Schedule time in the play room for the child - Weigh the child weekly - Maintain the child in a supine position
Provide small, frequent meals for the child
A nurse is providing dietary teaching to the parent of a school-age child who has celiac disease. The nurse should recommend that the parent offer which of the following foods to the child? - Wheat Crackers - Rye Bread - Barley Soup - White Rice
White rice
A nurse in a provider's office is preparing to administer immunizations to a toddler during a well-child visit. Which of the following actions should the nurse plan to take? Exhibit 1: Provider Prescriptions - Tuberculin skin test (TST) - Measles, Mumps, and rubella (MMR) vaccine - Inactivated influenza vaccine - Diphtheria, tetanus, and pertussis (DTap) vaccine Exibit 2: Graphic Record - Respiratory rate 24/min - Heart rate 115/min - Temperature 36.9 (98.4) Exhibit 3: History and Physical - Age 15 months - Height 71.1 cm (28in) - Allergies Neomycin (anaphylactic reaction) __________________________________________________ - Withhold the measles, mumps, and rubella (MMR) vaccine. - Withhold the diphtheria, tetanus, and pertussis (DTap) vaccine - Withhold the influenza vaccine - Withhold the tuberculin skin test (TST)
Withold the measles, mumps, and rubella (MMR) vaccine.
A nurse if 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 - Antibiotic ointment - Talcum powder - Antiseptic solution
Zinc oxide
A nurse is receiving a 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 school-age child who has cystic fibrosis and a frequent nonproductive cough - A preschooler who has asthma and a peal flow meter reading in the green zone - An adolescent who has meningitis and reports sensitivity to lights and noise
A school-age child who has sickle cell anemia and reports decreased vision in the left eye
A school nurse is assessing an adolescent who has scoliosis. Which of the following findings should the nurse expect? - Increase in anterior convexity of the lumbar spine - Increased curvature of the thoracic spine - Lateral flexion of the neck - A unilateral rib hump
A unilateral rib hump
A nurse is caring for an infant who has respiratory syncytial virus (RSV). Which of the following actions should the nurse implement for infection control? - Have a designated stethoscope in the infant's room - Place the infant in a room equipped with negative airflow - Administer palivizumab as prescribed for the infant - Remove gloves after leaving the infant's room
Have a designated stethoscope in the infant's room.
A nurse is reviewing the laboratory report of a school-age child who is experiencing fatigue. Which of the following findings should the nurse recognize as an indication of anemia? - Hematocrit 28% - Hemoglobin 13.5 g/dL - WBC count 8,000/mm3 - Platelets 250,000/mm3
Hematocrit 28%
A nurse is reviewing the laboratory report of a 7-year-old child who is receiving chemotherapy. Which of the following laboratory values should the nurse report to the provider? - Hgb 8.5 g/dL - WBC count 9,500/mm3 - Prealbumin 18 mg/dL - Platelets 300.000/mm3
Hgb 8.5 g/dL
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? - Position the infant side-lying with their head at a 0-5 degree angle - Perform a neurological assessment every 4 hours - Suctions the infant's nares to remove secretions - Implement seizure precautions for the infant
Implement seizure precautions for the infant
A nurse in a provider's office is caring for a preschooler *****Exhibit 1* Nurses Notes: 0915 Guardians report that lately the child has had severe itching and is breaking out with sores on their eyebrows, wrists, and ankles. The "sores start to bleed" Guardians report no relief with application of the topical hydrocortisone cream. 0930 Child is alert. Multiple small erythematous papules with some scaling noted on the child's eyebrows, forearms, and lower legs bilaterally. 1015 Provider in to evaluate the child. Discharge to home after medication administration of new prescriptions and discharge teaching for atopic dermatitis *****Exhibit 2* Medical History Family history of atopic dermatitis *****Exhibit 3* Medication Administration Record 1000 Loratadine (oral solution) 5mg PO daily. Administer first dose now prior to discharge Tacrolimus 0.03% ointment. Apply thin layer to affected areas twice daily; rub in
"We should apply the skin emollient immediately after bathing our child." "We should keep our child's fingernails trimmed short." "We should use a mild detergent for our laundry."
A nurse is caring for the child 14 days after admission. ****Exhibit 1* Graphic Record 0800 Temperature 37C (98.6F) Heart rate 100/min Respiratory rate 20/min Blood pressure 98/56 mm Hg Sa02 97% on room air Weight 16.8 kg (37lb) 1300 Temperature 35.8C (96.4F) Heart rate 68/min Respiratory rate 14/min Blood pressure 90/50 mm Hg Sa02 88% on room air ****Exhibit 2* Nurses' Notes Pediatric Burn Unit 0800 -Reinforced preoperative teaching with the child and parent. -Child is awake and alert. Moving all extremities. Child limits their range of motion of the left arm. -Anterior neck and upper chest dressings are dry and intact. Left arm and hand dressings are intact and slightly moist with serous drainage. -Breath sounds are clear and equal bilaterally. Abdomen is soft and nondistended. Bowel sounds are active in all four quadrants. Child remains NPO for surgery. -Right antecubital peripherally inserted central catheter
- Provide 100% oxygen via face mask - Check anterior neck and chest dressing for bleeding - Place a warm blanket on the child - Keep the child's head in a neutral position
A nurse on a pediatric unit if admitting a preschooler Exhibit 1 - Vital Signs 0715 Temperature 38.3 (100.9) Heart rate 126/min Respiratory rate 26/min Pulse oximeter 97% Exhibit 2 0715 Guardians report that the child has been tired lately and has been experiencing a sore throat and fever. Child is tolerating sips of liquids, but is refusing solid foods. Guardians report that the child is voiding dark yellow urine. 0730 Child is alert and responsive to verbal stimuli. Mucous membranes are dry and sticky. Skin turgor without tenting. Tonsils enlarged and erythematous. Respirations are regular and non-labored. No accessory muscle use noted. Lungs clear anterior and posterior bilaterally. Point of maximum intensity (PMI) in the left mid-clavicular line 4th intercostal space. Heart rate is regular without murmurs, gallops, or rubs. Radial and pedal pulse 2+ bilaterally. Capillary refill greater than 2 seconds. Abd
- splenomegaly - positive mononucleosis rapid test
The nurse is continuing care for the child *****Exhibit 1* Nurses' Notes 0800 Child is awake, watching cartoons on television, and parent is at bedside. IV sire in right antecubital is without redness or edema and dressing is dry and intact. Dressings to left arm and hand, anterior neck, and anterior chest are moderately saturated with serous drainage and several small spots or serosanguineous drainage. Dressings remain intact and smell malodorous. Breath sounds are equal and clear bilaterally. Respirations are unlabored. Abdomen is soft and nondistended. Mucous membranes are moist. Skin turgor is slightly brisk. Pupils are equal, round, and reactive to light and accommodation. Child is oriented to place, time, and name. When a child attempts to move, they begin to cry. Child reports pain as 8 on the FACES scale Noted a 1 cm x 2 cm stage 1 pressure injury to the right side of the occiput Prepared child and pare
Change the morphine route to family- controlled analgesia via a PCA pump (ANTICIPATED) Obtain a wound culture (ANTICIPATED) Place the child on a pressure-reduction mattress (ANTICIPATED) Limit daily protein intake (CONTRAINDICTED)
A nurse in an emergency department is caring for a toddler who has partial-thickness burns on their right arm. Which of the following actions should the nurse take? - Insert a nasogastric tube - Initiate prophylactic antibiotic treatment - Cleanse the affected area with a mild soap and water - Apply a topical corticosteroid to the affected area
Cleanse the affected area with a mild soap and water
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 school nurse is assessing an adolescent who has multiple burns in various stages of healing. Which of the following behaviors should the nurse identify as a possible indication of physical abuse? - Express a reluctance to leave home - Provides a detailed description of how the burns occurred - Denies discomfort during assessment of injuries - Describes strong relationships with peers
Denies discomfort during assessment of injuries
A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the following manifestations should the nurse alert to a possible hemolytic transfusion reaction? - Laryngeal edema - Flank pain - Distended neck veins - Muscular weakness
Flank Pain
A nurse is caring for a toddler who is experiencing acute diarrhea and has moderate dehydration. Which of the following nutritional items should the nurse offer to the toddler? - Apple juice - Peanut butter - Chicken broth - Oral rehydration solution
Oral rehydration solution
A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. Which of the following actions should the nurse plan to take? - Obtain a sputum specimen - Perform an Allen test - Perform a finger stick - Obtain a stool specimen
Perform a finger stick
A nurse is teaching a parent of an infant who has a Pavlik harness for the treatment of developmental dysplasia of the hip. The nurse should identify that which of the following statements by the parents indicates an understanding of the teaching? - "I should remove the harness at night to allow my infant to stretcher her legs." - "I will need to adjust the straps on the harness once each week." - "I should apply baby powder to my infant's skin twice daily." - "I will place my infant's diapers under the harness straps."
"I will place my infant's diapers under the harness straps."
A nurse is preparing to administer an immunization to a 4-year-old child. Which of the following actions should the nurse plan to take? - Place the child in a prone position for the immunization - Request that the child's caregiver leave the room during the immunization - Administer the immunization using a 24-gauge needle - Inject the immunization slowly after aspirating for 3 seconds
Administer the immunization using a 24-gauge needle
A hospice nurse if caring for a preschooler who has a terminal illness. One of the preschooler's parents tells the nurse that they cannot cope anymore and are thinking about moving out of the house. Which of the following statements should the nurse make? - "It is important that your provide emotional support for your family at this time." - "You have to do what you feel is best. Everything will turn out fine." - "I know how you feel. This is an extremely stressful time for your family." - "Let's talk about some of the ways you have handled previous stressors in your life."
"Let's talk about some of the ways you have handled previous stressors in your life."
A nurse is providing teaching to the parent of a school-aged 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." - "Provide the medication through a straw." - "Rinse the child's mouth with water immediately after giving the medication." - "Mix the medication with applesauce if the child dislikes the taste."
"Shake the medication prior to administration."
A nurse is caring for a 15-year-old who is married and is scheduled for a surgical procedure. The client asks, "Who will sign my surgical consent?". Which of the following responses sound the nurse make? - "You can sign the consent form because you are married." - "Your spouse should sign the consent form for you." - "Your parent should sign the consent form for you." - "You can appoint a legal guardian to sign the consent form."
"You can sign the consent form because you are married."
A nurse is caring for a preschooler whose father 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 father will return? - "Your daddy will be back at 7 p.m." - "Your daddy will be back after he takes care of your brother." - "Your daddy will be back in the morning." - "Your daddy will be back after you eat."
"Your daddy will be back after you eat."
The nurse is providing discharge teaching to the child and their parent 36 days after readmission. Exhibit 1 0900 - Home care consultation and supply delivery arrangements completed by the child's case manager 1400 - Provide discharge teaching to the parent and child regarding medications, skin and wound care, and psychosocial needs. Parent verbalized understanding of teaching. __________________________________________________________ Select 6 statements by the parent that indicate an understanding of the discharge teaching - "My child will need to use a compression garment to decrease blood supply to the scarred tissue." - "I need to assess for any redness or open skin areas before applying my child's left arm splint." - My child is too young to be concerned about their body image." - "I will avoid massaging the scar tissue." - "I should avoid giving hydroxyzine at bedtime." - "Puppet play can be helpful for my c
- "My child will need to use a compression garment to decrease blood supply to the scarred tissue" - "I need to assess for any redness or open skin areas before applying my child's left arm splint." - "Puppet play can be helpful for my child." - "I can give my child hydroxyzine every 6 hours as needed." - "I will use a measured spoon or medicine cup to give my child hydroxyzine." - "I should apply a moisturizer to the scar tissue."
A nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy. Which of the following findings should the nurse expect? (Select all that apply.) - Negative Babinski reflex - Ankle Clonus - Exaggerated stretch reflexes - Uncontrolled movements of the face - Contractures
- Ankle Clonus - Exaggerated stretch reflexes - Contractures
A nurse on a pediatric unit is caring for a school-age child ****Exhibit 1* Nurses' Notes 0830: Child is alert and responsive to stimuli. Skin is warm and dry. Capillary refill less that 3 seconds. Respirations regular and shallow. Mild intercostal retractions noted. Expiratory wheezes auscultated in the anterior and posterior lung bases. Abdomen soft, flat, and non-distended. 1100: Child appears restless. Moderate intercostal retractions noted. Scattered rhonchi anterior bases with wheezing noted on inhalation and exhalation. Point of maximum intensity (PMI) in the left mid-clavicular line 4th intercostal space. Heart rate is regular without murmurs, gallops, or rubs. Radial and pedal pulse 2+ bilaterally. ****Exhibit 2* Vital Signs 0830: Temperature 37.1C (98.8F) Heart rate 100/min Respiratory rate 22/min Blood pressure 90/60 Pulse oximetry 97% on 2L of oxygen via Nasal cannula 1100: Temperature 37.1C (98.8F)
- Arterial blood gasses - WBC count - Oxygen saturation level - Respiratory assessment
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? - Elevate the head of the child's bed - Insert a large bore IV catheter for the child - Determine the allergen that caused the child's reaction - Administer epinephrine IM to the child
Administer epinephrine IM to the child
The nurse is caring for the child 4 days after admission. Exhibit 1 Graphic Record 0800 Temperature 38.8 (101.8) Heart rate 124/min Respiratory rate 22/min Blood pressure 100/56 mm Hg Sa02 97% on room air Weight 17.1 kg (37.7 lb) Urine output 15mL in past hour Exhibit 2 Nurses' Notes 0800 Child is awake, watching cartoons on television, and parent is at bedside. IV sire in right antecubital is without redness or edema and dressing is dry and intact. Dressings to left arm and hand, anterior neck, and anterior chest are moderately saturated with serous drainage and several small spots or serosanguineous drainage. Dressings remain intact and smell malodorous. Breath sounds are equal and clear bilaterally. Respirations are unlabored. Abdomen is soft and nondistended. Mucous membranes are moist. Skin turgor is slightly brisk. Pupils are equal, round, and reactive to light and accommodation. Child is oriented to place,
After reviewing the child's assessment, which of the following findings should the nurse address first? The nurse should first address the client's TEMPERATURE followed by the client's PAIN
A nurse in an emergency department is caring for a 4-year-old child who was rescued from a home fire by emergency medical services (EMS). *****Exhibit 1* History and Physical 4-year-old child was in a house fire and rescued by EMS. Child has partial-thickness and full-thickness burns on their left arm, hand, anterior neck, and upper left side of the anterior chest. Total body surface area (TBSA) estimated to be 18%. Child is awake and crying. Lungs are clear bilaterally. Has a non-productive cough. *****Exhibit 2* Graphic Record Temperature 37.7 (99.9) Heart rate 150/min Respiratory rate 32/min Blood pressure 100/52 mm Hg Spo2 89% on room air _____________________________________________________ Which of the following potential provider prescriptions should the nurse identify as anticipated or contraindicated? For each potential provider's prescription, click to specify of the potential prescription is anticip
Apply sterile gauze soaked with cool 0/9% sodium chloride to the burn areas (CONTRAINDICATED) Insert an indwelling urinary catheter (ANTICIPATED) Provide 100% oxygen via face mask (ANTICIPATED) Weigh the child (ANTICIPATED)
A nurse is caring for a school-age child who is in Buck's traction following a leg fracture 24 hours ago. Which of the following actions should the nurse take? - Change the child's position every 2 hrs - Clean the peripheral pin sites with the chlorhexidine solution every 4 days - Assess peripheral pulses once every 4 hrs - Ensure that the head of the bed is elevated to a 90 degree angle.
Assess peripheral pulses once every 4 hrs
A nurse is caring for a school-aged child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first? - Prednisone - Epinephrine - Diphenhydramine - Albuterol
Epinephrine
A nurse in an emergency department is caring for a school-aged child who has appendicitis and rates their abdominal pain as a 7 on a scale of 0 to 10. Which of the following actions should the nurse take? - Instill a 500 mL tap water enema - Give morphine 0.05 mg/kg IV - Administer polyethylene glycol 1g/kg PO - Apply a heating pad to the child's abdomen
Give morphine 0.05 mg/kg IV
A nurse is reviewing the lumbar puncture results of a school-age child who is suspected of having bacterial meningitis. Which of the following findings should the nurse identify as an indication of bacterial meningitis? - Decreased cerebrospinal fluid pressure - Decreased WBC count - Increased protein concentration - Increased glucose level
Increased protein concentration
A nurse is admitting a school-aged child who has pertussis. Which of the following actions should the nurse take? - Place the child in a room with a positive-pressure airflow - Place the child in a room with a negative-pressure airflow - Initiate contact precautions for the child - Initiate droplet precautions for the child
Initiate droplet precautions for the child
A nurse is planning care for a school-aged child who is in the oliguric phase of acute kidney injury (AKI) and has a sodium potassium level of 129 mEq/L. Which of the following interventions should the nurse include in the plan? - Administer ibuprofen to the child for a temperature greater than 38C (100.4F) - Assess the child's blood pressure every 8 hours - Weight the child weekly at various times of the day - Initiate seizure precautions for the child
Initiate seizure precautions for the child
A nurse is assessing the vital signs of A 10-year-old child following a burn injury. The nurse should identify that the following findings is an indication of early septic shock? - Blood pressure 130/90 mm Hg - Heart rate 60/min - Temperature 39.1C (102.4F) - Urinary output 100mL/hr
Temperature 39.1C (102.4F)
A nurse is interviewing the parent of an 18-month-old toddler during a well-child visit. The nurse should identify that which of the following findings indicates a need to assess the toddler for hearing loss? - The toddler has a vocabulary of 25 words - The toddler developed a mild rash following a recent varicella immunization - The toddler's Moro reflex is absent - The toddler received tobramycin during a hospitalization 2 weeks ago
The toddler received tobramycin during a hospitalization 2 weeks ago
A nurse in an emergency department is caring for a 4-year-old child who was rescued from a home fire by emergency medical services (EMS). *****Exhibit 1* History and Physical 4-year-old child was in a house fire and rescued by EMS. Child has partial-thickness and full-thickness burns on their left arm, hand, anterior neck, and upper left side of the anterior chest. Total body surface area (TBSA) estimated to be 18%. Child is awake and crying. Lungs are clear bilaterally. Has a non-productive cough. *****Exhibit 2* Graphic Record Temperature 37.7 (99.9) Heart rate 150/min Respiratory rate 32/min Blood pressure 100/52 mm Hg Spo2 89% on room air ______________________________________________________ The nurse should identify that which of the following findings require immediate follow-up? Select the 3 findings that require immediate follow-up - Child is awake and crying - Partial and full thickness burns to the
Partial and full thickness burns to the left upper anterior chest and anterior neck Sa02 89% on room air Heart rate 150/min
A nurse is assessing a school-aged child who had meningitis. Which of the following findings is the priority for the nurse to report to the provider? - Reports a headache as a 6 on a 0 to 10 pain scale - Petechiae on the lower extremities - Nuchal rigidity - Positive Kernig's sign
Petechiae on the lower extremities
A nurse is caring for a school-aged child who has experiences a tonic-clonic seizure. Which of the following actions should the nurse taking during the immediate postictal period? - Place the child in a side-lying position - Delay documentation until the child is fully alert - Give the child a high-carbohydrate snack - Administer an oral sedative to the child
Place the child in a side-lying position
A nurse is providing teaching about play activities for school development to the parents of a preschooler. Which of the following activities should the nurse recommend for the child? - Playing pat-a-cake - Using a push-pull toy - Creating a scrapbook - Playing dress-up.
Playing dress-up
A nurse is assessing a 3-year-old toddler at a well-child visit. Which of the following manifestations should the nurse report to the provider? - Blood pressure 90/50 mm Hg - Respiratory rate 45/min - Weight 14.5 kg (32lb) - Heart rate 110/min
Respiratory rate 45/min
A nurse is planning care for a toddler who has a serum lead level of 4mcg/dL. Which of the following actions should the nurse plan to make? - Instruct the parents to decrease the calcium in their toddler's diet - Prepare the toddler for chelation therapy - Refer the family to Child Protective Services - Schedule the toddler for a yearly rescreening
Schedule the toddler for a yearly rescreening
A nurse is caring for a school-aged child who is receiving chemotherapy and is severely immunocompromised. Which of the following actions should the nurse take? - Use surgical asepsis when providing routine care for the child - Administer the measles, mumps, and rubella (MMR) vaccine to the child. - Screen the child's visitors for indications of infection. - Infuse packed RBCs
Screen the child's visitors for indications of infection.
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? - Negative leukocyte esterase - Serum creatinine 3.0 mg/dL - Negative urine protein - Urine output 40 mL/hr
Serum creatinine 3.0 mg/dL
A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. The nurse should identify that which of the following laboratory values indicates effectiveness of the current treatment? - Potassium 2.9 mEq/L - Sodium 140 mEq/L - Urine specific gravity 1.035 - BUN 25 mg/dL
Sodium 140 mEq/L
A nurse is providing discharge teaching to the parent of a child who is 1 week postoperative following a cleft palate repair. For which of the following members of the interprofessional team should the nurse initiate a referral? - Occupational therapist - Speech therapist - Respiratory therapist - Physical therapist
Speech therapist
A nurse in an emergency department is performing a physical assessment on a 2-week-old male newborn. Which of the following findings is the priority for the nurse to report to the provider? - Excoriated scrotal area - Multiple capillary hemangiomas - Depressed posterior fontanel - Substernal retractions
Substernal retractions
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 and 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 assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings is the nurse's priority? - Skin breakdown - Hypotension - Hyperpyrexia - Tachypnea
Tachypnea
A nurse is auscultating the lungs of an adolescent with asthma. The nurse should identify the sound as which of the following? - Biot respiration - Cheyne-Stokes respiration - Tachypnea - Bradypnea
Tachypnea