FH exam 3 ati
A nurse is assessing a child who has short stature. Which of the following findings would indicate a growth hormone deficiency? A. Proportional height to weight B. Height proportionally greater than weight C. Oversized jaw D. Early-onset puberty
A
A nurse is caring for a preschooler who has nephrotic syndrome. Which of the following findings should the nurse report to the provider? A. Blood protein 5.0 g/dL B. Hgb 14.5 g/dL C. Hct 40% D. Platelet 200,000 mm3
A
A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lb. Which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing? A. "Life isn't worth living if I gain weight." B. "Don't pretend like you don't know how fat I am." C. "If I could be skinny, I know I'd be popular." D. "When I look in the mirror, I see myself as obese."
A
A nurse is caring for a child who has cerebral palsy. Which of the following medications should the nurse expect to administer to treat painful muscle spasms? (Select all that apply.) A. Baclofen B. Diazepam C. Oxybutynin D. methotrexate E. Prednisone
A B C
A nurse is caring for a child who has short stature. Which of the following diagnostic tests shouldbe completed to confirm growth hormone(GH) deficiency? (Select all that apply.) A. CT scan of the head B. Skeletal x-rays C. GH stimulation test D. Blood IGF-1 E. DNAtesting
A B C D
A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect? (Select all that apply.) A. Urine dipstick +2 protein B. Edema in the ankles C. Hyperlipidemia D. Polyuria E. Anorexia
A B C E
A nurse is caring for a child who has a fracture. Which of the following are manifestations of a fracture? (Select all that apply.) A. Crepitus B. Edema C. Pain D. Fever E. Ecchymosis
A B C E
A nurse is assessing a toddler for possible hearing loss. Which of the following findings are indications of a hearing impairment? (Select all that apply.) A Uses monotone speech B Speaks loudly C Repeats sentences D Appears shy E Is overly attentive to the surroundings
A B D
A nurse is teaching a parent about posttraumatic stress disorder (PTSD). Which of the following information should the nurse include inthe teaching? (Select all that apply.) A Children who have PTSD can benefit from psychotherapy. B A manifestation of PTSD is phobias. C Personality disorders are a complication of PTSD. D PTSD develops following a traumatic event. E There are six stages of PTSD
A B D
A nurse is teaching the parent of a child who has a growth hormone deficiency. Which of the following are complications of untreated growth hormone deficiency? (Select all that apply.) A. Delayed sexual development B. Premature aging C. Advanced bone age D. Short stature E. Increased epiphyseal closure
A B D
A nurse is caring for a male infant who has an epispadias. Which of the following findings should the nurse expect? (Select all that apply.) A. Bladder exstrophy B. Inability to retract foreskin C. Widened pubic symphysis D. Urethral opening on the dorsal side of the penis. E. Pain
A C D
A nurse is assessing a child who has myopia. Which of the following findings should the nurse expect? (Select all that apply.) A. Headaches B. Photophobia C. Difficulty reading D. Difficulty focusing on close objects E. Poor school performance
A C E
A nurse is obtaining a nursing history from a client who has a new diagnosis of anorexia nervosa. Which of the following questions should the nurse include in the assessment? (Select all that apply.) A "What is your relationship like with your family?" B "Why do you want to lose weight?" C "Would you describe your current eating habits?" D "At what weight do you believe you will look better?" E "Can you discuss your feelings about your appearance?"
A C E
A nurse is caring for an infant and notices an audible click in their left hip. Which of the following diagnostic test should the nurse expect the provider to perform? (Select all that apply.) A. Barlow test B. Babinski sign C. manipulation of foot and ankle D. Ortolani test E. Ponseti method
A D
A nurse is caring for an infant who has ambiguous genitalia. Which of the following actions should the nurse take? (Select all that apply.) A Prepare the child for surgery. B Test the child's infant's function. C Cover the genitals with a sterile dressing. D Refer the family for genetic counseling. E Explain the need for a chromosomal analysis.
A D E
A nurse is reviewing sick-day management with a parent of a child who has type 1 diabetes mellitus. Which of the following should the nurse include in the teaching? (Select all that apply.) A. monitor blood glucose levels every 3 hr. B. Discontinue taking insulin until feeling better. C. Drink 8 oz of fruit juice every hour. D. Test urine for ketones. E. Call the provider if blood glucose is greater than 240 mg/dL.
A D E
A nurse is caring for a school-age child who has juvenile idiopathic arthritis. Which of the following home care instructions should the nurse include in the teaching? (Select all that apply.) A. Provide extra time for completion of ADLs. B. Use cold compresses for joint pain. C. Take ibuprofen on an empty stomach. D. Remain home during periods of exacerbation E. Perform range-of-motion exercises.
A E
A nurse is caring for an infant who has obstructive uropathy. Which of the following findings should the nurse expect? (Select all that apply.) A. Decreased urine flow B. Urinary tract infection C. Intrauterine polyhydramnios D. Concentrated urine E. Hydronephrosis
B E
A nurse is assessing an infant who has a suspected urinary tract infection. Which of the following are expected findings? (Select all that apply.) A. Increase in hunger B. Irritability C. Decrease in urination D. Vomiting E. Fever
B D E
A nurse is caring for a child who has enuresis. Which of the following is a complication of enuresis? A. Urinary tract infections B. Emotional problems C. Urosepsis D. Progressive kidney disease
B
A nurse is caring for a school-age child who has acute glomerulonephritis. Which of the following findings should the nurse report to the provider? A. BUN 8 mg/dL B. Blood creatinine 1.3 mg/dL C. Blood pressure 100/74 mm Hg D. Urine output 550 mL in 24 hr
B
A nurse is caring for an infant who has a hydrocele. Which of the following actions should the nurse take? A Prepare the child for surgery. B Explain to the parents that the issue will self-resolve. C Retract the foreskin and cleanse several times daily. D Refer the family for genetic counseling.
B
A nurse is developing a plan of care for a toddler who has cerebral palsy. Which of the following actions should the nurse include? A Structure interventions according to the toddler's chronological age. B Evaluate the toddler's need for an evaluation of hearing ability. C monitor the toddler's pain level routinely using a numeric rating scale. D Provide total care for daily hygiene activities.
B
A nurse is teaching a group of caregivers about fractures. Which of the following information should the nurse include in the teaching? A "Children need a longer time to heal from a fracture than an adult." B "Epiphyseal plate injuries can result in altered bone growth." C "A greenstick fracture is a complete break in the bone." D "Bones are unable to bend, so they break."
B
A nurse is teaching the parent of a child about risk factors for attention-deficit/hyperactivity disorder (ADHD). Which of the following should the nurse include in the teaching? A. Formula-feeding as an infant B. History of head trauma C. History of post term birth D. Child of a single parent
B
A nurse is teaching the parent of an infant who has Down syndrome. Which of the following statements by the parent indicates an understanding of the teaching? A "I should expect him to have frequent diarrhea." B "I should place a cool mist humidifier in his room." C "I should avoid the use of lotion on his skin." D "I should expect him to grow faster in length than other infants."
B
A nurse is caring for a child who has depression. Which of the following findings should the nurse expect? (Select all that apply.) A. Preferring being with peers B. Weight loss or gain C. Report of low self-esteem D. Sleeping more than usual E. Hyperactivity
B C D
A nurse is caring for a child who is in skeletal traction. Which of the following actions should the nurse take? (Select all that apply.) A. Remove the weights to reposition the client. B. Assess the child's position frequently. C Assess pin sites every 4 hr. D Ensure the weights are hanging freely. E Ensure the rope's knot is in contact with the pulley.
B C D
A nurse is providing instruction to the teacher of a child who has attention-deficit/hyperactivity disorder (ADHD). Which of the following classroom strategies should the nurse include in the teaching? (Select all that apply.) A. Eliminate testing. B. Allow for regular breaks. C. Combine verbal instruction with visual cues. D. Establish consistent classroom rules. E. Increase stimuli in the environment.
B C D
A nurse is teaching a parent of a child who has a urinary tract infection. Which of the following should the nurse include in the teaching? (Select all that apply.) A. Wear nylon underpants. B. Avoid bubble baths. C. Empty bladder completely with each void. D. Watch for manifestations of infection. E.Wipe perineal area back to front.
B C D
A nurse is assessing a child who has Legg-Calve-Perthes disease. Which of the following findings should the nurse expect? (Select all that apply.) A Longer affected leg B Hip stiffness C Back pain D Limited ROm E Limp with walking
B C D E
A nurse is assessing a child who has a urinary tract infection. Which of the following are manifestations of a urinary tract infection? (Select all that apply.) A. Night sweats B. Swelling of the face C. Pallor D. Pale-colored urine E. Fatigue
B C E
A nurse is caring for a child who has acute post-streptococcal glomerulonephritis (APSGN). Which of the following manifestations should the nurse expect? (Select all that apply.) A. Pale urine B. Periorbital edema C. Ill appearance D. Decreased creatinine E. Hypertension
B C E
A nurse is caring for a child who sustained a fracture. Which of the following actions should the nurse take? (Select all that apply.) A Place a heat pack on the site of injury. B Elevate the affected limb. C Assess neurovascular status frequently. D Encourage ROM of the affected limb. E Stabilize the injury.
B C E
A nurse is teaching an adolescent who has diabetes mellitus about manifestations of hypoglycemia. Which of the following findings should the nurse include in the teaching? (Select all that apply.) A. Increased urination B. Hunger C. Poor skin turgor D. Irritability E. Sweating and pallor F. Kussmaul respirations
B C E
A nurse is performing an admission assessment of a client who has bulimia nervosa with purging behavior. Which of the following is an expected finding? (Select all that apply.) A. Amenorrhea B. Hypokalemia C. Yellowing of the skin D. Slightly elevated body weight E. presence of lanugo on the face
B D
A nurse is caring for a client who has bulimia nervosa and has stopped purging behavior. The client tells the nurse about fears of gaining weight. Which of the following responses should the nurse make? A "Many clients are concerned about their weight. However, the dietitian will ensure that youdon't get too many calories in your diet." B "Instead of worrying about your weight, try to focus on other problems at this time." C "I understand you have concerns about your weight, but first, let's talk about your recent accomplishments." D "You are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. We know that is important to you."
C
A nurse is completing preoperative teaching with an adolescent client who is scheduled to receive spinal instrumentation for scoliosis. Which of the following information should the nurse include in the teaching? A "you will go home the same day of surgery." B "you will have minimal pain." C "you will need to receive blood." D "you will not be able to eat until the day after surgery."
C
A nurse is teaching a child who has type 1 diabetes mellitus about self-care. Which of the following statements by the child indicates understanding of the teaching? A. "I should skip breakfast when I am not hungry." B. "I should increase my insulin with exercise." C. "I should drink a glass of milk when I am feeling irritable." D."I should draw up the NPH insulin into the syringe before the regular insulin."
C
A parent of a school-age child who has GH deficiency asks the nurse how long the child will need to take injections for growth delay. Which of the following responses should the nurse make? A "Injections are usually continued until age 10 for girls and age 12 for boys." B "Injections continue until your child reaches the fifth percentile on the growth chart." C "Injections might be stopped once your child grows less than 1 inch/year." D "The injections will need to be administered throughout your child's entire life."
C
A nurse is caring for a child who has muscular dystrophy. For which of the following findings should the nurse assess? (Select all that apply.) A Purposeless, involuntary, abnormal movements B Spinal defect and saclike protrusion C muscular weakness in lower extremities D Unsteady, wide-based or waddling gait E Upward slant to the eyes
C D
A nurse is caring for a child who has type 1 diabetes mellitus. Which of the following are manifestations of diabetic ketoacidosis? (Select all that apply.) A. Blood glucose 58 mg/dL B. Weight gain C. Dehydration D. mental confusion E. Fruity breath
C D E
A nurse is teaching a group of parents about possible manifestations of Down syndrome. Which of the following findings should the nurse include in the teaching? (Select all that apply.) A. A large head with bulging fontanels B. Larger ears that are set back C. Protruding abdomen D. Broad, short feet and hands E. Hypotonia
C D E
A nurse is caring for a child who is suspected of having Legg-Calve-Perthes disease. The nurse should prepare the child for which of the following diagnostic procedures? A. Bone biopsy B. Genetic testing C. CT scan D. Radiographs
D
A nurse is caring for a toddler who has hip dysplasia and has been placed in a hip spica cast. The child's guardian asks the nurse why a Pavlik harness is not being used. Which of the following responses should the nurse make? A "The Pavlik harness is used for children with scoliosis, not hip dysplasia." B "The Pavlik harness is used for school-age children." C "The Pavlik harness cannot be used for your child because her condition is too severe." D "The Pavlik harness is used for infants less than 6 months of age."
D
A nurse is caring for an infant who has a myelomeningocele. Which of the following actions should the nurse include in the preoperative plan of care? A. Assist the caregiver with cuddling the infant. B. Assess the infant's temperature rectally. C. Place the infant in a supine position. D. Apply a sterile, moist dressing on the sac.
D
A nurse is planning care for a client who has anorexia nervosa with binge‐eating and purging behavior. Which of the following actions should the nurse include in the client's plan of care? A. Allow the client to select preferred meal times. B. Establish consequences for purging behavior. C. provide the client with a high‐fat D. diet at the start of treatment. Implement one‐to‐one observation during meal times.
D
A nurse is planning care of a child who has a urinary tract infection. Which of the following interventions should the nurse include? A. Administer an antidiuretic. B. Restrict fluids. C. Evaluate the child's self-esteem. D. Encourage frequent voiding.
D
A nurse is planning to perform a peripheral vision test on a child. Which of the following actions should the nurse take? A Place the child 10 feet away from a Snellen chart. B Show a set of cards to the child one at a time. C Cover the child's eye while performing the test on the other eye. D Have the child focus on an object while performing the test.
D
A nurse is teaching a group of parents about characteristics of infants who have failure to thrive. Which of the following characteristics should the nurse include in the teaching? A. Intense fear of strangers B. Increased risk for childhood obesity C. Inability to form close relationships with siblings D. Developmental delays
D
A nurse is teaching a school-age child who has diabetes mellitus about insulin administration. Which of the following should the nurse include in the teaching? A "you should inject the needle at a 30-degree angle." B "you should combine your glargine and regular insulin in the same syringe." C "you should aspirate for blood before injecting the insulin." D "you should give four to six injections in one area before switching sites."
D
A nurse is assessing a child who has chronic renal failure. Which of the following findings should the nurse expect? A. Flushed face B. Hyperactivity C. Weight gain D. Delayed growth
D
A nurse is caring for a child who is in a plaster spica cast. Which of the following actions should the nurse take? A. Use a heat lamp to facilitate drying. B. Avoid turning the child until the cast is dry. C. Assist the client with crutch walking after the cast is dry. D. Apply moleskin to the edges of the cast.
D
