Nursing care of children (ATI)
A nurse is providing education for the family of a 6-month-old infant about ways to stimulate language development. Which of the following instructions should the nurse include?
"Explain what you are doing to the infant while providing care."
A nurse is teaching the guardian of an 18-month-old toddler about otic medication administration. Which of the following statements should the nurse make?
"Gently pull the ear cartilage down and back when administering the medication."
A nurse is caring for a 16-year-old client who reports dysmenorrhea and asks about alternative therapies for treatment. Which of the following statements should the nurse make?
"Herbal medication can be effective but should be monitored by your provider."
A nurse is caring for a female adolescent who is being treated for frequent urinary tract infections (UTIs). Which of the following statements by the adolescent indicates a possible cause of the UTIs?
"I have bowel movements every 4 to 5 days."
A nurse is teaching 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 teaching the parent of an infant about injury prevention. 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.
A nurse is teaching the parents of a 10-year-old child who has irondeficiency anemia. Which of the following statements by a parent indicates an understanding of the teaching?
"I will administer the iron tablet with orange juice."
A nurse is caring for a child who has bacterial endocarditis. The child is scheduled to receive moderate-term antibiotic therapy and requires a peripherally inserted central catheter (PICC). Which of the following statements should the nurse include when teaching the child's parent?
"The PICC line will last for several weeks with proper care."
A nurse is providing teaching about immunizations to the parents of a severely immunocompromised child who has human immunodeficiency virus (HIV). Which of the following statements should the nurse include in the teaching?
"The pneumococcal and influenza vaccines are recommended for your child."
A nurse is providing teaching about oxycodone to an adolescent who is experiencing a vaso-occlusive crisis. Which of the following pieces of information should the nurse include?
"This medication might cause nausea."
A nurse is providing teaching to 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 medicine accurately."
A nurse is teaching the parents of a toddler who had an anaphylactic reaction to peanut butter about administering injectable epinephrine. Which of the following instructions should the nurse include?
"You will need to increase the dosage as your child gains weight."
A nurse is teaching a parent of a 12-month-old infant about development during the toddler years. Which of the following statements should the nurse include?
"Your child should be able to scribble spontaneously using a crayon at 15 months of age."
A nurse is teaching the parents of a child who has cerebral palsy. Which of the following statements should the nurse make?
"Your child will need a botulinum toxin A injection to reduce muscle spasticity."
A nurse is teaching the parents of an infant who has congenital hypothyroidism. Which of the following directions should the nurse provide?
"Your child will need to take thyroid hormone replacement for her entire life."
A nurse is assessing an infant who was born at 32 weeks gestation and is now 8 months old. Which of the following developmental ages should the nurse expect the infant to demonstrate?
6 months
A nurse is planning care for a 10-month-old infant who has suspected failure to thrive (FTT). Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) A. Observe the parents' actions when feeding the child B. Maintain a detailed record of food and fluid intake C. Follow the child's cues to time food and fluids D. Sit beside the child's high chair for feedings E. Play music videos during scheduled meal times
A. Observe the parents' actions when feeding the child B. Maintain a detailed record of food and fluid intake
A nurse is caring for a child who is in the emergency department after ingesting a bottle of acetaminophen. Which of the following medications should the nurse plan to administer?
Acetylcysteine
A nurse in the emergency department is admitting a child who has fullthickness burns over 45% of his body. Which of the following actions should the nurse take first?
Administer IV fluid replacement
A school nurse is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse plan to administer to the child?
Albuterol
A nurse is providing teaching to the parents of an infant who is breastfeeding. When should the nurse instruct the parents to introduce solid foods in the infant's diet?
At 4 to 6 months of age
A school nurse is providing care to a child who has a nosebleed. Which of the following actions should the nurse perform? (Select all that apply.) A. Place the child in a supine position B. Apply pressure to the child's nose using the thumb and forefinger C. Have the child tilt his head back D. Apply a warm cloth to the bridge of the child's nose E. Keep the child calm
B. Apply pressure to the child's nose using the thumb and forefinger E. Keep the child calm
A nurse is assessing a toddler who has AIDS. Which of the following findings is an indication of an opportunistic infection?
Candidiasis
A nurse is planning care for a 3-month-old infant who has an ileostomy. Which of the following interventions should the nurse include in the plan?
Check the bag for stool every 4 hours
A nurse is caring for a 3-year-old child on a pediatric unit. The nurse should identify which of the following as an appropriate toy for the child?
Coloring book and crayons
A nurse is providing dietary teaching to the parent of a toddler who has phenylketonuria. Which of the following foods should the nurse recommend?
Cooked carrots
A nurse is providing teaching to the parents of a 4-year-old child about fine motor development. Which of the following tasks should the nurse include as an expected finding for this age group?
Copying a circle
A nurse is teaching the parent of a school-age child who has celiac disease. Which of the following foods selected by the parent indicates an understanding of the teaching?
Corn tortilla with black beans
A nurse is teaching the parent of an infant about food allergens. Which of the following is the most common food allergy in children?
Cow's milk
A nurse is caring for a child who has electrical burns on the lower arms and hands. Which of the following findings indicate the child is experiencing a complication of the injury?
Dark urine
A nurse is teaching the guardian of a school-age child who has diabetes mellitus how to recognize diabetic ketoacidosis (DKA). Which of the following findings should the nurse identify as a manifestation of this complication?
Deep, rapid respirations
A nurse is planning care for a 6-year-old child who is receiving chemotherapy. The child has a highlight platelet count of 20,000/mm^3. Based on this laboratory value, which of the following interventions should the nurse include in the plan of care?
Encourage quiet play
A nurse is caring for a toddler who has asthma. The parents are concerned about the toddler's reaction to the hospitalization. Which of the following actions should the nurse take to decrease the child's anxiety?
Encourage rooming-in
A nurse is planning care for a school-aged child who has juvenile idiopathic arthritis (JIA). Which of the following actions should the nurse include in the plan?
Encourage the child to participate in physical activities
A nurse teaching the parent of a 3-year-old toddler about promoting sleep. Which of the following pieces of information should the nurse include?
Follow a nightly routine and established bedtime
A nurse working on a maternal-newborn unit is teaching a group of newly licensed nurses about assisting new mothers with breastfeeding. The nurse should include which of the following infant conditions as a contraindication for breastfeeding?
Galactosemia
A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider?
Head lagging when the infant is pulled from a lying to a sitting position
A nurse in a provider's office is assessing a client. The nurse determines the client's body mass index is 21.2. This finding is classified as which of the following?
Healthy weight
A nurse is reviewing the laboratory report of a toddler who is receiving chemotherapy for leukemia. Which of the following laboratory values should the nurse report to the provider?
Hgb 6 g/dL
A nurse is providing teaching to an adolescent who was recently diagnosed with type 1 diabetes mellitus. Which of the following insulin injection sites should the nurse recommend that the client use during basketball competitions?
Hip
A nurse is planning care for a preschooler who is scheduled for a surgical procedure. The nurse should identify that the preschooler is in which of the following of Erikson's psychosocial stages of development?
Initiative vs. guilt
A home health nurse is developing a plan of care a toddler who has hemophilia. Which of the following instructions for the parents should the nurse include in the plan?
Inspect the toddler's toys for sharp edges.
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the following actions should the nurse take?
Minimize physical contact with the child initially
A nurse is creating a plan of care for a child who has leukopenia secondary to chemotherapy. Which of the following interventions should the nurse include in the plan?
Monitor the child for increased temperature
A nurse is providing dietary teaching to the parent of a toddler who has cystic fibrosis. Which of the following instructions should the nurse include?
Provide a high-fat diet for the toddler
A nurse is planning to implement relaxation strategies with a young child prior to a painful procedure. Which of the following actions should the nurse take?
Rock the child using long, rhythmic movements
A nurse is preparing a school-age child for a tonsillectomy. Which of the following actions should the nurse take?
Schedule the child for a preoperative visit to the facility
A nurse in an emergency department is assessing a school-aged child who is experiencing an acute asthma exacerbation. Which of the following findings is the priority for the nurse to report to the provider?
Sudden decrease in wheezing
A nurse in an acute pediatric unit is caring for a 2-year-old child who has separation anxiety when her parents to leave for work. The nurse should identify which of the following behaviors as a manifestation of the stage of despair?
The child is withdrawn and refuses to talk.
A nurse is caring for a school-aged child who had an arm cast applied 8 hours ago. Which of the following findings should alert the nurse to a complication related to the casting?
The child reports tightness at the wrist
A nurse is planning preoperative teaching for a school-age child who is scheduled for cardiac surgery. Which of the following actions should the nurse plan to take when teaching the child?
Use photographs to help explain the procedure
A nurse is providing teaching to 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?
Withhold the medication if the infant's heart rate is less than 110/min
A nurse is assessing a 9-month-old infant during a well-child visit. Which of the following findings indicates that the infant has a developmental delay?
Inability to vocalize vowel sounds
A nurse is providing teaching to 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 assessing an adolescent who has a new diagnosis of anorexia nervosa. Which of the following findings should the nurse expect?
Lanugo over the back
A nurse is providing teaching to a parent of a preschooler who has tinea capitis. Which of the following instructions should the nurse include in the teaching?
Leave the medicated shampoo on the scalp for 5 to 10 minutes
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 of electrolyte imbalances compared to an adult client?
Longer intestinal tract
A nurse is caring for an infant who has pertussis. Which of the following actions should the nurse take?
Maintain a cardiorespiratory monitor
A nurse is assessing an infant who develops respiratory distress, absence of breath sounds on one side, and deviation of the trachea away from the affected side. Based on these manifestations, which of the following conditions is the infant experiencing?
Tension pneumothorax
A nurse is assessing a preschooler who has influenza and reports the new onset of a sore throat and difficulty swallowing. Which of the following findings is the priority for the nurse to report to the provider?
The child is drooling
A nurse is assessing a 6-year-old child who is immediately postoperative following a tonsillectomy. Which of the following findings should the nurse report to the provider?
The child is swallowing frequently
A nurse is evaluating the outcome of surgery for an infant who had a bile duct obstruction. Which of the following findings should indicate to the nurse that the surgery was successful?
The color of the infant's stool is yellowish-brown
A nurse is assessing the fine motor skills of a 3-year-old preschooler. Which of the following findings should the nurse expect?
The preschooler builds a tower of 9 cubes
A nurse is providing teaching about disease management to 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."
A nurse is providing teaching to the parents of a school-aged child who has type 1 diabetes mellitus about managing hypoglycemia. Which of the following responses by a parent indicates an understanding of the teaching?
"I will make sure my child drinks 240 mL (8 oz) of milk as soon as possible."
A nurse is providing teaching about immunization schedules to the parents of a newborn who is 1 week old. Which of the following pieces of information should the nurse include in the teaching?
"Initial vaccines should be administered between birth and 2 weeks of age."
A nurse is reviewing the risk factors for the development of congenital heart disease with a client who is planning to conceive. Which of the following conditions should the nurse include as a maternal risk factor?
Alcohol consumption
A nurse is assessing the visual acuity of a group of school-aged children. Which of the following actions should the nurse take?
Allow each child to wear his or her glasses during the exam
A nurse is providing teaching to the guardians of a 4-month-old infant on how to play with the infant. Which of the following play activities should the nurse suggest for this infant?
Allow the infant to splash in the bathtub
A nurse is assessing an adolescent who has sustained a broken tibia. Following the application of a fiberglass cast, the adolescent reports pain and a tingling feeling in the limb. Which of the following actions should the nurse take first?
Assess for manifestations of circulatory impairment
A nurse is providing teaching to the parent of a child who has cystic fibrosis and a prolapsed rectum. The nurse should identify that which of the following is a cause of this complication?
Bulky stools
A nurse is teaching the parent of an infant about home safety. Which of the following pieces of information should the nurse include? (Select all that apply.) A. Use a wheeled infant walker. B. Place soft pillows around the edge of the infant's crib. C. Position the car seat so it is rear-facing. D. Secure a safety gate at the top and bottom of the stairs. E. Maintain the water heater temperature at 49°C (120°F).
C. Position the car seat so it is rear-facing. D. Secure a safety gate at the top and bottom of the stairs. E. Maintain the water heater temperature at 49°C (120°F).
A nurse is planning preoperative teaching for a preschooler who is scheduled for a tonsillectomy. Which of the following interventions should the nurse plan to include?
Encourage the preschooler to bring a favorite toy to the hospital
A nurse is assessing a child who has stage I Hodgkin disease. Which of the following findings should the nurse expect?
Enlarged lymph nodes
A nurse is caring for a school-aged child who has sickle cell anemia and was admitted for a vaso-occlusive crisis. Which of the following findings should the nurse report to the provider immediately?
Slurred speech
A nurse is providing teaching to the guardian of a school-age child who has hearing loss. Which of the following techniques should the nurse recommend to facilitate communication with the child?
Speak at the child's eye level
A nurse is assessing 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 talking with the parent of a preschool-aged child who tells the nurse, "My child has suddenly become disinterested in certain foods." Which of the following statements should the nurse make?
"Keep a diary of the foods your child eats each day."
A nurse is providing teaching for 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 teaching the parents of a 3-year-old child who has persistent otitis media about prevention. Which of the following statements by the parents indicates an understanding of the teaching?
"We should not smoke around our child."
A nurse on a pediatric oncology unit is helping the parents of a child who is terminally ill to prepare for the impending loss of their child. Which of the following statements should the nurse make?
"Would you like assistance in planning where your child will die?"
A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements should the nurse make?
"You can use a vial of insulin for up to 30 days."
A nurse is providing teaching to a 12-year-old client who is recovering from an acute episode of hemophilia A. Which of the following statements should the nurse include in the teaching?
"You will be able to participate in physical exercises."
A nurse in the emergency department is caring for an unaccompanied infant following a motor-vehicle crash. During the assessment, the nurse notes that the infant's anterior fontanel is almost closed. She has 6 teeth, is able to sit unsupported, and can drink from a cup. The child cries whenever anyone new to her enters the room, says a few words, and is asking for "mama" and "dada." The nurse should make which of the following age assessments for this child?
12 months old
A nurse on a pediatric unit has just received reports for 4 newly admitted clients. For which of the following children should the nurse plan to initiate droplet precautions?
A child who has pertussis
A nurse is caring for a 2-year-old child who has cystic fibrosis. The nurse is planning to take the child to the playroom. Which of the following activities would be appropriate for the child?
Building towers with blocks
A nurse is caring for a newborn who has spina bifida. The newborn's parents are upset by the diagnosis. Which of the following actions should the nurse take?
Encourage the parents to touch and care for the newborn
A nurse is teaching the parents of an infant who has acute otitis media about how to administer antibiotic eardrops. Which of the following instructions should the nurse include?
Massage the anterior area of the infant's ear following administration
A nurse is planning care for an infant with an unrepaired myelomeningocele. Which of the following actions should the nurse take?
Palpate the abdomen for bladder distension
A nurse is providing teaching to the parents of a child who has strabismus. Which of the following instructions should the nurse include to prevent the development of amblyopia?
Patch the unaffected eye
A nurse is caring for an infant who has a tracheoesophageal fistula. Which of the following actions should the nurse take?
Perform oropharyngeal suctioning
A nurse is admitting a child who has Wilms' tumor. Which of the following actions should the nurse take?
Put a "no abdominal palpation" sign over the child's bed.
A nurse is admitting a child who has acute lymphocytic leukemia. Which of the following laboratory values should the nurse expect?
RBCs 2.5 million/uL
A nurse is teaching an adolescent about various strategies for chronic pain management. Which of the following activities should the nurse use as an example of the nonpharmacological strategy of thought-stopping?
Repeat memorized facts about the painful event
A nurse is performing a physical assessment on a 12-month-old infant. Which of the following findings should the nurse report to the provider?
The infant's current weight is double his birth weight.
A nurse is assessing a 30-month-old toddler during a well-child visit. Which of the following findings requires further assessment by the nurse?
The toddler's birth weight is tripled.
A nurse is assessing a school-age child who reports horseback riding 3 times per week and has injuries reportedly related to a fall from a horse. Which of the following findings should the nurse investigate further as an indication of child maltreatment?
Thin, frail extremities
A nurse 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 providing preoperative education for an 8-year-old child prior to cardiac surgery. Which of the following actions should the nurse take?
Use a doll with tubes and an incision to explain the surgery
A nurse is caring for a 15-month-old client who requires droplet precautions. Which of the following actions should the nurse take?
Wear a mask when assisting the toddler with meals
