Peds ATI

A charge nurse is preparing a room assignment for a school age child. Which consideration is the most important?

Disease process

Child with juvenile idiopathic arthritis. What should the nurse include in the teaching?

Encourage the child to perform independent self care

A nurse is assessing a 4 year old. Which of the following developmental milestones should the nurse expect?

cuts a shape using scissors

Toddler has diarrhea. What is a sign of worsening dehydration?

decreased tear production

Early manifestation of pertussis?

dry, hacking cough

Caring for a client post operative for a tonsillectomy. Which of the following should the nurse recognize as a sign of hemmorhage?

frequent swallowing

Client with acute lymphocytic leukemia and severe stomatitis. Which ofthe following should the nurse include in the plan of care?

help the child brush her teeth gently with a soft sponge toothbrush

Assessing a 7 month old. Which of the following findings should the nurse report to the provider?

inability to babble one-syllable sounds

Educating family about toddle with LOWER leg cast. The nurse should instruct the family that which of the following findings should be reported to the provider?

inability to move the toes

Lumbar puncture. Which finding confirms diagnosis of bacterial meningitis?

increased protein

Car seat, 6 month old infant

using a blanket as padding underneath the infant while traveling

Monthly assessment for child who is taking methylphenidate. what is an adverse effect of this medication?

weight loss

Child with impetigo. Which instructions should the nurse include in the teaching?

Remove the crust after soaking with 1:20 Burow's solution

Surgery on acute perforated appendix...what is an expercted postoperative finding?

Absence of peristalsis

Client with asthma and reports chest pain. What should the nurse do first?

Auscultate breath sounds

A nurse is assesing a 3 year old child. Which finding should the nurse report to the provider?

Respirations 30/min

Child has celiac disease. Which of the following foods is appropriate?

Rice pudding

Toddler with lead level of 4 mcg/dl. What action should the nurse take?

Schedule the toddler for a yearly re screening

Infant with RSV is in a mist tent. What actions should the nurse implement?

Have a designated stethoscope in the room

Nurse caring for child with SEIZURE disorder. Which of the following should the nurse include in her plan of care?

Have oxygen available

6 year old receiving chemotherapy. What finding should be reported to the nurse?

Hemoglobin 9.0 g/dL

Newborn with large sacral myelomeningocele. Prior to surgery what should the nurse do to prevent potential complications?

Keeping the newborn's legs abducted with a pad between the knees

Client with partial thickness burns on more the 40% of his body. Which fluid should the nurse administer?

Lactated Ringer's

3 year old has been administered pain medication. Which pain scale is appropriate to assess response to the medication?

Oucher

A nurse is assessing an infant with heart failure..what should the nurse expect?

Peripheral edema

Toddler with foreign body aspiration. What is an appropriate action for the nurse to take?

Prepare for an endoscopy

13 month infant, Cleft palate repair. What intervention should the nurse take?

Prevent the client from using a pacifier

Hospice nurse visits a parent on the 1 year anniversary death of his child. What reaction indicates the need for bereavement counseling?

The parent has not returned to work

A nurse is assessing a 6 month old infant. What finding should be reported to the provider?

The presence of strabismus

4 month old infant with heart failure. Which finding is the highest priority

Three episodes of vomiting

Client is receiving IV fluids via peripheral catheter. Which step should the nurse perform first?

Turn off the Pump

Infant has DIAPER DERMATITIS. The nurse should provide what teaching to the parents to apply to the affected area?

Zinc Oxide

Signs of peritonitis?

abdominal distention

Client teaching for IV famotidine. The nurse should tell the parent that which of the following is an adverse effect of famotidine?

bruising

Mother of adolescent that listens to music while studying

consider letting her make her own choice about listening to music while studying

Lung auscultation is ....

crackles

Child with pediculosis. What statement indicates client understanding of teaching?

I will need to remove the nits after treatment

Teaching adoloscent about infectious mononucleosis. Which client statement indicates an understanding of teaching?

"I should take ibuprofen for my headaches"

Client with Cerebral Palsy what should the nurse do to facilitate communication?

-Use pictures and objects when talking to the child -Encourage the child to move his lips and tongue when eating -Allow the child time to articulate at his own pace

Cefazolin calculation

1.9 mL

Assessing a 2 month old for pulmonary stenosis. What area can an ejection murmur be heard the loudest?

2nd intercostal space

Urine dipstick test for nephrotic syndrome. What results should the nurse expect?

4+ protein

Teaching about growth hormone injections to the mother of a child with a growth hormone deficiency. Which should be included in the teaching?

Have serum calcium levels drawn periodically

The nurse is caring for a child with nephrotic syndrome. Which finding is associated with their diagnosis?

Hyperalbuminuria

Teaching about tinea pedis. Which statement indicates an understanding of teaching?

I should wear sandals as much as possible

18 month toddler DEHYDRATION. What statement indicates understanding of teaching

I will monitor my child's number of wet diapers

Newly prescribed Methotrexate..which of the following should the nurse obtain prior to administering the first dose?

Liver function tests

Child stares into space and grunts.

Lower the child to floor Place a pillow under the head Loosen restrictive clothing Assess the child's mouth

Child with streptococcal throat infection with acute rheumatic fever. What nursing intervention is appropriate?

Maintain bed rest

Client is in Bryant Traction...what should the nurse do?

Maintain the hips at a 90 degree angle to the body

Child with lyme disease. Which is a manifestation of stage 1 of the disease?

Skin Rash

Manifestation of physical abuse?

Symmetric burns of the lower extremities

Child with epiglottis. Which action should the nurse take?

monitor oxygen saturation

Client is postoperative for pyloric stenosis repair. What action is the most appropriate for the nurse to take?

monitor the infant following feedings for vomiting

Student with JIA..which of the following should the nurse include in the plan?

monitoring students for presence of communicable disease. Childhood illnesses can exacerbate JIA

Child has nephrotic syndrome. How should the nurse assess for peripheral edema?

palpate the dorsum of the feet

Signs of physical neglect?

poor personal hygiene

Child with a Halo Brace. Which of the following interventions should the nurse include in the plan of care?

provide pin site care

Child with heart-disease and developed heart failure. Which of the following interventions should the nurse include in the plan of care?

provide small, frequent meals

Planning care for a child with glomerulonephritis and that is edematous. What activity should be part of the plan of care?

restrict sodium intake