PEDS ATI TEST 2
A nurse is providing teaching to an adolescent who has a fiberglass arm cast. Which of the following instructions should the nurse include in the teaching?
Place a plastic bag over the cast when showering.
A nurse is assessing a 6 month old infant who was recently admitted with acute vomiting and diarrhea. Which of the following findings indicates the infant has moderate dehydration?
Slight tachypnea
A nurse is assessing a 6 month old infant following cardiac catheterization. Which of the following findings should the nurse report to the provider?
BP 86/40
A nurse is caring for a 12 month old infant following surgical repair of a cleft palate. The nurse should plan to feed the infant using which instrument?
Cup - 7-10 days to prevent trauma and injury to suture line.
A nurse is teaching a school-age child and his parents how to self administer insulin. Which of the following actions should the nurse take first?
Demonstrate the injection technique on an orange.
A nurse is caring for a child in skeletal traction. Which of the following actions is the nurses priority?
Encourage the child to use an incentive spirometer
A nurse is providing discharge teaching to the parent of a school age child who has leukemia and is receiving chemotherapy. Which of the following statements by the parent indicates an understanding of the teaching?
"I will inspect my child's mouth everyday for sores."
A nurse is providing teaching to the parent of a 2 year old toddler about nutrition. Which of the following statements by the parent indicates an understanding of the teaching?
"My child should consume 1000 calories per day" & 2 oz of protein, no more than 3 cups of milk, 1 cup of vegetables per day
A nurse is reviewing the lab results of a child who has experienced diarrhea for the past 24 hr. Which of the following values for urine specific gravity should the nurse expect?
1.035
A nurse is caring for a child who has a possible intussusception. The parents of the child ask the nurse how the diagnosis is made. Which of the following responses should the nurse make?
An abdominal ultrasound, x-Ray, or CT, will confirm the pocket in the intestine.
A nurse is teaching about clinical manifestations of tracheomalacia to a parent of an infant who had tracheoesophageal fistula repair as a newborn. Which findings should the nurse include in the teaching?
Barking cough, stridor, wheezing, cyanosis, apnea
A nurse is providing teaching to the parents of a school-age child who has type 1 DM about management of hypoglycemia. Which of the following responses by the parents indicate an understanding of the teaching?
I will make sure my child drinks 240 ml (8 oz) or milk ASAP (15 g simple carb)
A nurse is creating a plan of care for a child who has leukopenia secondary to chemotherapy. Which intervention should the nurse include in the plan?
Monitor child for increased temperature
A nurse is assessing a child with VSD. Which findings should the nurse expect?
Murmur at the left sternal border
A nurse is providing nutritional teaching to an adolescent client who has celiac disease. Which of the following breakfast foods should the nurse recommend?
Scrambled eggs - no gluten (NO BROWS)
A nurse is caring for an infant following a surgical repair of a cleft lip and palate. Which action should the nurse take?
Suction the infant gently with a bulb syringe PRN.
A nurse in an emergency department is assessing a school-age child who is experiencing an azure asthma exacerbation. Which of the following findings is the priority for the nurse to report to the provider?
Sudden decrease in wheezing
A nurse is assessing a 2 month old infant who has a ventricular septal defect. Which finding should be reported to the provider?
Weight gain of 1.8 kg (4 lb)
A nurse is teaching the parent of a preschool age child about the treatment for pinworms. Which of the following statements by the parent indicates an understanding of the teaching?
"I will give my child a dose of albendazole today and again in 2 weeks"
A nurse is providing teaching to an adolescent who has scoliosis and a new prescription for a Boston brace. Which response by the adolescent indicates an understanding of the teaching?
"I can take my brace off for about an hour daily to shower"
A clinic nurse is providing teaching to the parent of a 1 month old infant who has GER. Which statement made by the parent indicates an understanding of the teaching?
"I will add rice cereal to my baby's feedings"
A nurse is teaching an adolescent who has asthma about how to use a peak expiratory flow meter (PEFM). Which of the following responses by the adolescent indicates an understanding of the teaching?
"I will record the highest reading of three attempts"
A nurse is providing teaching about immunizations to the parents of a severely immunocompromised child who has 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 preparing to obtain an ASO titer from a child who has acute glomerulonephritis. The parent asks the nurse to explain what the purpose of the test is. Which response should the nurse make?
"The test shows us if your child had a recent strep infection"
A nurse in the ER is caring for a 4 year old child who has burns to the neck and face following a house fire. Which of the following should the nurse take first?
Determine the child's breathing pattern
A nurse in the ER is caring for a toddler who is in acute respiratory distress. Which of the following findings should alert the nurse to the possibility of epiglottitis?
Drooling (inability to swallow saliva)
A nurse is assessing pain in a 3 yr old child following a tonsillectomy. Which rating scales should the nurse use to determine pain level?
FACES rating scale
A nurse is caring for a child who is postoperative following a tonsillectomy. Which of the following findings is the nurses priority?
Frequent swallowing
A nurse is reviewing the lab report of a toddler who is receiving chemotherapy for leukemia. Which of the following lab values should the nurse report to the provider?
Hgb 6
A nurse is teaching a newly hired nurse about the care of an infant who is postoperative following myelomeningocele repair. The nurse should teach the newly hired nurse to monitor the infant for which of the following complications?
Hydrocephalus
A nurse is providing dietary teaching to the parent of a child who has cystic fibrosis. Which of the following dietary recommendations should the nurse make?
Increase the child's protein intake
A home health nurse is developing a plan of care for the parents of a toddler who has hemophilia. Which instructions should the nurse include in the plan?
Inspect toys for sharp edges
A nurse is providing discharge teaching to the parents of a child who has nephrotic syndrome. Which of the following instructions should the nurse include in the teaching?
Keep child away from people who have an infection
A nurse is assessing a toddler who has measles (rubeola). Which of the following findings should the nurse expect?
Koplik spots
A nurse is planning care for an adolescent who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan?
Maintain the child on bed rest.
A nurse is providing teaching to the parents of an infant who has acute otitis media about how to administer antibiotic ear drops. Which of the following instructions should the nurse include?
Massage the anterior area of the infants ear following administration
A nurse is caring for an 8 year old who has acute glomerulonephritis. Which of the following findings should the nurse expect?
Periorbital edema
A nurse is reviewing lab report of 2 year old child who has diarrhea and has been vomiting for 24 hours. Which findings should be reported to the provider?
Potassium 2.5
A nurse is admitting a child who has Wilm's tumor. Which of the following actions should the nurse take?
Put a "no abdominal palpation" sign over the child's bed
A nurse is caring for a 6 week old infant following pyloromyotomy. Which of the following forms of feeding should the nurse anticipate for the infant 6 hours after the procedure ?
Small, frequent bottle feedings of electrolyte solution
