Engage Modules - PEDS [ATI] STUDY GUIDE

A nurse is assessing for pain in a school-aged child who has a fractured wrist and their parents are present. Which of the following questions should the nurse ask to assess subjective pain experience? "Can you describe your pain?" "How did you break your wrist?" "Can you wiggle your fingers?" "How much pain do you believe your child is in?"

"Can you describe your pain?"

A nurse is teaching a newly hired nurse regarding communication techniques to use with children and parents that promote effective communication. Which of the following statements should the nurse make? "Explanations should be simple, using nonmedical terms." "The nurse should be positioned above the eye level of the child and parent." "The nurse should address all questions to the child's parent." "Allow the child limited time to respond to questions"

"Explanations should be simple, using nonmedical terms."

A pediatric nurse is teaching a group of middle school students regarding the different impacts school has on their health. Which of the following statements by a student demonstrates an understanding of the teaching? - "Going to school helps me develop social skills and make new friends." - "Going to school can cause stress and anxiety, but that doesn't affect my physical health." - "School doesn't make much of a difference on my overall well-being." - "I only learn things like math, English, and science, which I don't think I'll use as I grow up."

"Going to school helps me develop social skills and make new friends."

A nurse is teaching the caregiver of a 12-year-old child about ways to promote health. Which of the following responses made by the caregiver demonstrate an understanding of the teaching? (Select all that apply.) "I should limit my child's screen time and engage them in regular physical activities." "I should check my child's temperature regularly to monitor for any illness." "I should administer prescribed medications to manage acute illnesses." "I should ensure timely administration of immunizations and regular vaccinations." "I should allow my child to determine their own bedtime to promote independence."

"I should limit my child's screen time and engage them in regular physical activities." "I should ensure timely administration of immunizations and regular vaccinations."

A nurse is caring for a child who has been prescribed several medications. The child's caregiver states, "We can't afford all of these medications." Which of the following responses should the nurse make? "Some pharmacies have competitive pricing and may offer the medications at a lower cost." "You can call your insurance company and ask about different prescription plans." "I will refer you to the social worker before you are discharged." 'Do you have a relative who can help with the expense of the medications?"

"I will refer you to the social worker before you are discharged."

A nurse is educating a caregiver on their 1-month-old newborn. Which statement made by the caregiver would indicate a clear understanding of the education provided? "My baby loves to watch the dog across the room." "My baby loves to look out the window." "My baby watches the TV when we sit on the couch." "My baby can see my face the best."

"My baby can see my face the best."

A nurse is teaching caregivers of an 11-year-old child regarding the importance of peers and social activities. Which of the statements by a caregiver demonstrate an understanding of the teaching? (Select all that apply.) "Peer relationships have minimal influence, either positive or negative, on behavior and attitudes. "During the school-age years, children are motivated to build friendships and fit in with groups." "Peers can help children build strong bonds, develop social skills, and support each other." "Social influences on your child should be monitored as they may include risky behaviors that can poorly impact mental health." "Physical activity through group play and games negatively impacts social and emotional well-being."

"Peer relationships have minimal influence, either positive or negative, on behavior and attitudes. "During the school-age years, children are motivated to build friendships and fit in with groups." "Peers can help children build strong bonds, develop social skills, and support each other." "Social influences on your child should be monitored as they may include risky behaviors that can poorly impact mental health."

A nurse is teaching a group of caregivers regarding the signs and symptoms of a child who may be experiencing bullying. Which of the following statements by the caregiver demonstrates an understanding of the teaching? "Children who are victims of bullying usually display high levels of confidence and good social skills." "Children who are bullied may become aggressive and start bullying others in an attempt to protect themselves." "If my child is being bullied, they will engage more with peers and want to be involved in social interactions to compensate." "Signs of school bullying may include increased anxiety, frequent physical complaints, unexplained injuries, and a sudden decrease in academic performance."

"Signs of school bullying may include increased anxiety, frequent physical complaints, unexplained injuries, and a sudden decrease in academic performance."

A nurse is teaching a group of extended family caregivers about the influences of family structure on the health of children. Which of the following statements by one of the caregivers demonstrates an understanding of these impacts on the teaching? "Achievement of developmental milestones is dependent on family structure." "Understanding our family structure helps health care providers know how to support our family best." "Our socioeconomic status is determined by our family structure." "Family structure determines genetic predispositions to illness."

"Understanding our family structure helps health care providers know how to support our family best."

A nurse is educating caregivers of young children about the most effective methods of discipline during a well visit to the primary care office. Which of the following statements by caregivers indicate an understanding of the teaching? (Select all that apply.) "We should maintain a positive supportive relationship with the children." "We should use punishment only when necessary." "We should focus on the problem or poor behavior when they arise." "We should set developmentally appropriate limits and clear expectations.' "We should assist children to understand the consequences of their choices and behaviors." "We should encourage children to build independence by choosing their discipline."

"We should maintain a positive supportive relationship with the children." "We should set developmentally appropriate limits and clear expectations.' "We should assist children to understand the consequences of their choices and behaviors."

A nurse is caring for the guardians of a 3-day-old newborn. Which of the following statements made by the nurse exhibits therapeutic "That blanket is too warm to put on the baby." "You cannot use baby blankets in the crib." "Your mom's beautiful blanket could be hung in the baby's room but avoid placing it in the crib." "Blankets can be dangerous."

"Your mom's beautiful blanket could be hung in the baby's room but avoid placing it in the crib."

A nurse is assessing for pain in a 15-year-old adolescent. Which of the following questions should the nurse ask? (Select all that apply.) - "Have you been experiencing stress?" - "Do you have any concerns regarding your pain management?" - "Have you experienced problems with pain management in the past?" - "Do you experience higher levels of anxiety due to pain?" - "Can your parent validate your pain experience?"

- "Have you been experiencing stress?" - "Do you have any concerns regarding your pain management?" - "Have you experienced problems with pain management in the past?" - "Do you experience higher levels of anxiety due to pain?"

A nurse is creating a plan of care for a 16-year-old adolescent who has been prescribed a skeletal muscle relaxant for pain. Which of the following statements should the nurse include? (Select all that apply) - "Headaches may occur while taking the medication." - "It is recommended that you do not take NSAIDs with this medication." - "This medication may increase the risk of suicidal ideations." _ "Do not stop the medication without consulting your provider." _ "Avoid alcohol as it will interact with this medication."

- "Headaches may occur while taking the medication." - "This medication may increase the risk of suicidal ideations." _ "Do not stop the medication without consulting your provider." _ "Avoid alcohol as it will interact with this medication."

A nurse is teaching an 8-year-old child who requires a chest x-ray about what to expect during the test. Which of the following statements should the nurse include in the teaching? (Select all that apply.) - "I will exolain the test to your parents first" - "I will explain the equipment that will be used before the test." - "I will ask your parent to hold you during the test." - "I will use a coloring page to explain what will happen during the test." - "I will give you time to ask questions before the

- "I will explain the equipment that will be used before the test." - "I will use a coloring page to explain what will happen during the test." - "I will give you time to ask questions before the

A nurse is teaching a parent of a 12-year-old child about chronic centralized pain. Which of the following statements should the nurse include in the teaching? - "Pain will only be experienced for up to 3 months." - "The pain threshold is lowered." - "The pain is a result of nervous system dysfunction." - "Acute injuries will not impact your child's pain experience."

- "The pain threshold is lowered."

A nurse is educating new parents of a 3-day-old newborn regarding bonding. Which of the following statements demonstrates the parent's understanding of the education? - "I yell at the baby when they cry. Then I feel better." - "When I get overwhelmed, I go for a walk with the baby." - "My baby cries more than my niece. There has to be something wrong." - "If I start to feel depressed, I will go for more drives with the baby."

- "When I get overwhelmed, I go for a walk with the baby."

A nurse is analyzing a group of children's respiratory assessments. Which of the following children's assessments is an unexpected finding? - A 13-year-old adolescent with regular respirations at a rate of 17/min - A 10-year-old child with regular respirations at a rate of 24/min - A 3-year-old child with regular respirations at a rate of 25/min - A 10-month-old child with regular respirations at a rate of 22/min

- A 10-month-old child with regular respirations at a rate of 22/min

A nurse is caring for a 3-year-old child who is scheduled to undergo a painful procedure. When the nurse enters the room, the child becomes anxious and begins to cry. Which of the following interventions should the nurse take to promote atraumatic care? - Tell the child that it will only hurt for a brief moment. - Encourage the caregivers to step out of the room to minimize distractions - Turn the television off to minimize distraction. - Allow the child to choose a favorite stuffed animal or comfort item to hold.

- Allow the child to choose a favorite stuffed animal or comfort item to hold.

A nurse is assessing a 6-year-old child who is holding a stuffed animal, with both parents present in the room. Which of the following interventions should the nurse include during the assessment process? - Allow the child to use a stethoscope to assess their stuffed animal before completing the child's assessment. - Request that the parents hold the stuffed animal during the exam. - Remove the stuffed animal from the exam room. - Place the stuffed animal in a safe location during the exam.

- Allow the child to use a stethoscope to assess their stuffed animal before completing the child's assessment.

A nurse is providing discharge teaching to the caregivers of a toddler. Which of the following statements by a caregiver indicates the teaching was effective? - "We only need to be aware of our child's safety in our house.' - "There are no safety concerns for our child at this age." - "We only need to worry about our child's safety when they are very young." - As our child grows, there are new safety measures we need to understand."

- As our child grows, there are new safety measures we need to understand."

A nurse is caring for a client and family newly admitted to the inpatient pediatrics unit. Which of the following is the best way for the nurse to support the family's religious beliefs and practices? - Coordinate with the facility chaplain to provide spiritual support to the hospitalized client and their family - Offer considerations that the nurse would personally expect based on their own religion - Asking the client and family open-ended questions about their religious preferences - Offer meals that the family prefers

- Asking the client and family open-ended questions about their religious preferences

A nurse is caring for a 2-year-old child admitted to the pediatric unit. Which of the following interventions demonstrates effective collaboration by the nurse? •.. - Implementing interventions based on the family's report of the client's illness - Communicating with the multidisciplinary team to develop a comprehensive care plan - Discussing the plan of care with a coworker - Administering medications as ordered by the healthcare provider

- Communicating with the multidisciplinary team to develop a comprehensive care plan

A nurse is developing a teaching plan on proper preschooler dietary habits for the parents of a 4-year-old child. Which of the following data should the nurse assess before developing the teaching plan? - Medication allergies - Language proficiency - Cultural beliefs - Heart rate

- Cultural beliefs

A nurse caring for a 3-year-old in a pediatric emergency room is preparing to administer an injection to the client. Which of the following interventions should the nurse anticipate using for this client? (Select all that apply.) - Encourage the child to hold a comfort item or stuffed animal - Explain to the child that the injection will not hurt that much. - Collaborate with child-life specialists to find developmentally appropriate means of distraction. - Apply a physical restraint to the child prior to the procedure. - Encourage caregivers to use comfort holds during the in injection.

- Encourage the child to hold a comfort item or stuffed animal - Collaborate with child-life specialists to find developmentally appropriate means of distraction. - Encourage caregivers to use comfort holds during the in injection.

A nurse is caring for a 6-year-old child who recently underwent surgery. The child seems withdrawn and refuses to engage in any activities. Which of the following actions by the nurse promotes a therapeutic relationship with the child? (Select all that apply.) - Telling the child not to worry and that everything will be fine - Encouraging the child to keep their items of comfort like a favorite toy with them - Using a calm voice to communicate expectations - Sharing a personal experience with the child to relate to their feelings - Listening carefully to and acknowledging the child's fears and concerns - Encouraging the caregivers to take breaks and go home as needed

- Encouraging the child to keep their items of comfort like a favorite toy with them - Using a calm voice to communicate expectations - Listening carefully to and acknowledging the child's fears and concerns

A nurse is providing education to a group of caregivers regarding the nutritional needs of newborns including the importance of a balanced intake of proteins, fats, carbohydrates, vitamins, and minerals. A caregiver asks what the primary source of energy is for a newborn's development. Which of the following should the nurse identify as the primary source of energy? - Protein - Carbohydrates - Fats - Vitamins

- Fats

A nurse is caring for a 4-day-old newborn who was born at 36 weeks gestation and diagnosed with patent ductus arteriosus. Which of the following factors could have potentially impacted the physical development of the newborn? [Select all that apply] - Gestational age - Genetics - Birth order - Birth month - Birth by cesarean section

- Gestational age - Genetics - Birth order

A nurse is providing guidance to caregivers of a 2-week-old newborn who are expressing concerns about sleep disturbances. Which of the following interventions should the nurse recommend to the caregivers to correct the altered sleep patterns in their newborn? [Select all that apply] - Implementing a dark and quiet sleep environment - infant massage - skin to skin contact - establishing a consistent bedtime routine - Co-sleeping with the infant

- Implementing a dark and quiet sleep environment - infant massage - Skin-to-skin contact - establishing a consistent bedtime routine

A nurse is providing prenatal education to a soon-to-be parent. The nurse highlights that newborns with increased physical contact exhibit certain behaviors. Which of the following statements accurately describes the outcomes associated with increased physical contact in newborns? [Select all that apply.] - Longer and calmer sleep - Better temperature control - Increased depression - Better musculoskeletal health - Inappropriate weight gain

- Longer and calmer sleep - Better temperature control - Better musculoskeletal health

A nurse is participating in a research project studying the impacts of resilience education in pediatric clients. Informed consent has been obtained. Which of the following interventions is the highest priority for the nurse while participating in this research study? - Preserving scientific integrity throughout data collection - Upholding the ethical standard of equity throughout the entirety of the study - Maintaining the safety of research subjects, both legally and ethically - Promoting active participation from the children and families during research

- Maintaining the safety of research subjects, both legally and ethically

A nurse is assessing a 3-month-old infant. Which of the following actions should the nurse take during an anthropometric evaluation? - Calculate the average of 3 measurements of length and weight. - Measure and document height, weight, and body mass index (BMI) in the medical record. - Measure height using a stadiometer at the nearest 0.1 cm (0.04 in). - Measure and plot length, weight, and head circumference with age on the World Health Organization (WHO) growth charts.

- Measure and plot length, weight, and head circumference with age on the World Health Organization (WHO) growth charts.

A nurse is caring for a 10-year-old child during a routine well-child visit and notes the child's BMI is in the 95th percentile for their age and gender. Which of the following actions should the nurse take? (Select all that apply.) - Offer education regarding nutrition and exercise to both the client and family. - Encourage the provider to wait a few years to address the issue as the child may grow out of weight concerns. - Refer the client and family to dietitian support. - Facilitate a conversation to address the family's food availability and resources. - Reassure the client that childhood obesity is not a significant health concern with consequences. - Educate the caregivers about the causes of obesity and their role in it.

- Offer education regarding nutrition and exercise to both the client and family. - Refer the client and family to dietitian support. - Facilitate a conversation to address the family's food availability and resources.

A nurse is caring for a child who has been in the hospital for an extended period. Which of the following actions by the nurse demonstrate family-centered care? (Select all that apply.) Offering ongoing communication. Excluding the caregivers from participating in the child's care. Encouraging the caregivers to leave the hospital. Including the caregivers in the development of the child's plan of care. Listening carefully to the child and family. Making medical decisions for the family.

- Offering ongoing communication. - Including the caregivers in the development of the child's plan of care. - Listening carefully to the child and family.

A nurse is assessing a 2-year-old child who has limited language skills, with both parents present. Which of the following actions by the nurse will facilitate effective communication? - Ask the child questions first and then give them an opportunity to respond before addressing the parents. - Have the child brought to the waiting area or playroom by one of their parents during the interview process. - Provide opportunities to include the child in parts of the discussion. - Maintain eye contact with the child during the communication exchange with the parents.

- Provide opportunities to include the child in parts of the discussion.

A nurse is caring for a newborn who is having breastfeeding latching difficulties. Which of the following interventions represents a possible solution to address breastfeeding latching difficulties? - Give the newborn formula - Refer the client and newborn to a lactation consultant. - Give the newborn a Pacifier - Breastfeed every hour

- Refer the client and newborn to a lactation consultant.

A nurse providing care for a newborn observes certain findings and identifies them as being within the expected range of normal development. Which of the following findings are expected in a newborn? [Select all that apply.] - Mottling - Salmon patches - Milia - Erythema toxicum - Congenital dermal melanocytosis

- Salmon patches - Milia - Erythema toxicum - Congenital dermal melanocytosis

A nurse is caring for a newborn with a parent who smokes in the home. Which of the following health conditions can be caused by secondhand smoke? [Select all that apply.] - Sudden infant death syndrome (SIDS) - Ear infections - Asthma - Respiratory infections - Head injury

- Sudden infant death syndrome (SIDS) - Ear infections - Asthma - Respiratory infections

A nurse is assessing an 8-year-old child's dietary intake. Which of the following findings is a cause of concern for the nurse? - The child consumes less than 10% of calories from fat per day. - The child drinks 2 cups of milk per day. - The child eats 2 cups of vegetables per day. - The child consumes 1,000 to 1,100 calories per day.

- The child consumes 1,000 to 1,100 calories per day.

A nurse is analyzing the CDC's growth charts for a 4-year-old child. Which of the following findings indicates stunted growth? - The child's height is between the 5th and 10th percentile. - The child's height by age is below the 5th percentile. - The child's weight by height is below the 5th percentile. - The child's weight by age is above the 85th percentile.

- The child's height by age is below the 5th percentile.

A nurse is analyzing the CDC's growth charts for a 10-year-old child. Which of the following findings indicates that the child is overweight? - The child's weight by age is below the 5th percentile. - The client's weight by age is between the 5th and 10th percentile. - The child's weight by age is at the 50th percentile. - The child's weight by age is at the 90th percentile.

- The child's weight by age is at the 90th percentile.

A nurse is educating the guardian of a 1-week-old newborn. The nurse asks the guardian, "During which timeframe do newborns typically exhibit increased crying?" - The first 6 weeks of life - One to 2 months of life - Two to 4 months of life - Four to 6 months of life

- The first 6 weeks of life

A nurse is assessing the head circumference of a 1-year-old toddler. Which of the following actions should the nurse take? (Select all that apply.) - The nurse should use a non-stretchable tape. - The nurse should take the measurement once. - The nurse should ensure the reading is within 0.2 cm (0.08 in) of other readings. - The nurse should pull the tape around the smallest circumference of the head. - The nurse should record the average of the closest 2 measurements.

- The nurse should use a non-stretchable tape. - The nurse should ensure the reading is within 0.2 cm (0.08 in) of other readings - The nurse should record the average of the closest 2 measurements.

A nurse is assessing a 4-month-old infant's dietary intake. Which of the following findings demonstrates healthy eating habits? - The parent encourages the infant to drink a bottle of water daily. - The parent introduces complementary foods to the child. - The parent replaces breast milk with cow's milk. - The parent feeds breast milk exclusively to the infant.

- The parent feeds breast milk exclusively to the infant.

A nurse is educating the guardians of a 4-day-old newborn. Which statement accurately identifies a reason why newborns are at greatest risk of injury or death in a motor vehicle accident? - They can't communicate if they are hurt. - They are in the back seat of the car. - Their heads are small compared to their bodies - Their spines are still developing.

- Their spines are still developing.

A nurse is assessing the temperature of a 1-month-old infant. Which of the following techniques is the correct technique for performing the measurement? - Use an oral thermometer under the child's tongue. - Use a rectal thermometer with the infant supine and legs raised towards their chest - Use a tympanic thermometer while the parent holds the infant. - Use a tympanic thermometer while the infant is in a side-lying position.

- Use a rectal thermometer with the infant supine and legs raised towards their chest

A nurse is caring for a 7-day-old newborn. The nurse recognizes the potential for signs of a milk allergy. Which of the following clinical manifestations should the nurse expect to find if the newborn has a milk protein allergy? [Select all that apply.] - Wheezing - Persistent cough - Vomiting - Constipation - Hives

- Wheezing - Vomiting - Hives

A nurse is providing care for a newborn and assesses the newborn's weight gain. What is the optimal timeframe for the fastest rate of weight gain after birth. - Two to 3 days after birth - 6 to 12 months of age - Three to 6 months - Zero to 3 months

- Zero to 3 months

A nurse is caring for a 3-day-old newborn. Which of the following is an example in which sensory mechanisms contribute to a newborn's exploration of their surroundings? [Select all that apply.] - hearing - sight - smell - touch - taste

- hearing - sight - smell - touch

Select the 3 findings that require immediate follow-up. - wet/soiled diapers. about 4 per day - Feeding every 2 hr - Heart rate 134/min - Weight: 1928 g (4 lb, 4 oz) - Visualized parent attempting to breastfeed a newborn. Parent rocking when feeding. The Newborn took time to latch, suckled, and then fell asleep within 10 minutes on the first breast. - Reflexes intact

- wet/soiled diapers. about 4 per day - Weight: 1928 g (4 lb, 4 oz) - Visualized parent attempting to breastfeed a newborn. Parent rocking when feeding. The Newborn took time to latch, suckled, and then fell asleep within 10 minutes on the first breast.

A nurse is educating the guardians of a 4-week-old newborn. The nurse tells them that colic typically resolves by what age? 3 to 4 months 6 to 8 weeks 6 to 8 months 8 to 12 months

3 to 4 months

A nurse is analyzing a group of children's vital signs. Which of the following children has an unexpected finding? 1- A 2-year-old toddler with a heart rate of 82/min 2- A 4-year-old preschooler with a heart rate of 78/min 3- An 8-week-old infant with a heart rate of 84/min 4- A 6-year-old child with a heart rate of 62/min

3- An 8-week-old infant with a heart rate of 84/min

A nurse is educating a caregiver about their 1-week-old newborn. Which of the following should the nurse discuss when educating about the developmental benefits of regular tummy time? Building muscles Learning to crawl Getting more sleep Digesting food

Building muscles

A pediatric nurse is caring for a 13-year-old child who has a high BMI. Which of the following interventions demonstrates a secondary prevention measure for this child? Offering support groups for children and families living with diabetes Conducting a blood glucose screening to detect an underlying health condition Administering routine vaccinations according to the recommended immunization schedule Developing a treatment plan for high blood glucose

Conducting a blood glucose screening to detect an underlying health condition

A nurse is preparing a presentation on traumatic care for the interdisciplinary team. Which of the following benefits of traumatic care should the nurse include in the presentation? (Select all that apply.) It reduces the child's anxiety and stress. It minimizes separation of the child from parents/caregivers. It supports the child's feeling of being in control. It encourages caregiver independence. It improves overall health outcomes

It reduces the child's anxiety and stress. It minimizes the separation of the child from parents/caregivers. It supports the child's feeling of being in control. It improves overall health outcomes

A nurse is assessing a 5-year-old child. Which of the following play techniques are appropriate to incorporate into the assessment for this child? (Select all that apply.) - GAMES - BLOCKS - PUZZLES - TOYS - BOOKS

PUZZLES TOYS BOOKS

A nurse is caring for multiple newborns. Which of the following newborns is at an increased risk for growth restriction? Post term newborn Pre term newborn A female newborn A male newborn

Pre term newborn

A nurse is teaching caregivers about newborn behaviors. Which of the following reflexes is being demonstrated when the baby's cheek is stroked, resulting in the infant turning their head, opening their mouth, and initiating sucking motions? - Rooting reflex - Suck reflex - Moro reflex. - Tonic neck reflex

Rooting reflex

A nurse is caring for several newborns. Which newborn should be prioritized for evaluation by a provider? Three-week-old newborn with oxygen saturation of 95% on room air Two-week-old newborn with a heart rate of 114 min Twenty-day-old newborn with a temperature of 38.1* C (100.6" F) Three-week-old newborn with a respiratory rate of 52/min

Twenty-day-old newborn with a temperature of 38.1* C (100.6" F)

The nurse identifies that the child is likely experiencing [blank] based on the child's [blank]

When analyzing cues, the nurse should recognize that this child is likely experiencing a speech delay related to their deficiency in vocabulary. A 3-year-old child should have a vocabulary of 50 words, whereas this child only has a vocabulary of 10 words.

The nurse should first perform a [blank] findings related to the child's [blank]

When taking action, the nurse should perform a thorough nutritional assessment based on findings related to the child's growth charts. The child's growth chart results indicate recent weight loss since the last well-child visit. This child is exclusively breastfed, so further investigation is needed to determine if the child is receiving enough nutrition or if supplementation is needed.

A nurse is assessing a 12-year-old child who reports experiencing mild, aching pain daily for the last 9 months. In which of the following ways should the nurse classify this pain? - acute - intermittent - chronic - nociceptive

chronic