Peds ATI Test A

A nurse is caring for a preschooler who has been receiving IV fluids via a peripheral IV catheter. When preparing to discontinue the IV fluids and cath, which of the following actions should the nurse plan to take?

turn off pump occlude tubing remove tape apply pressure

A nurse is receiving change of shift report on four children. Which of the following children should the nurse assess first?

A toddler who has a concussion and an episode of forceful vomiting.-ICP**

A nurse is assessing a school age child immediately postoperative following a perforate appendix repair. Which of the following findings should the nurse expect?

Absence of peristalsis.

A nurse in an emergency department is caring for a school-age child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse?

Admin IM epi to the child.

A nurse is preparing to admin an immunization to a 4 year old child. Which of the following actions should the nurse plan to take?

Admin the immunization using a 24g needle.

A nurse is providing teaching about cr seat use to the mother of a 6 month old infant. Which of the followig steaments by the mother indicates an understanding of the teacing?

I should secure the car seat using lower anchors and tethers instead of the seat belt.

A nurse is reviewing the lab report of an infant who is receiving treatment for severe dehydration. The nurse should identify that which of the following laboratory values indicated effectiveness of the current treatment?

Sodium 140 mEq/L

A nurse in the ED is caring for a toddler who has partial thickness burns on his right arm. Which of the following actions should the nurse take?

Cleanse the affected area with mild soap and water.

A nurse is providing teaching to the parent of a school age child who has oral candidiasis and is to begin taking oral nystatin. which of the following instruction should the nurse include?

Shake the med prior to admin.

A nurse is providing anticipatory guidance tot he mother of a toddler. Which of the following expected behavior characteristics of toddlers should the nurse include in the teaching?

Expresses likes and dislikes.

A nurse is reviewing the lab report of a school age child who is experiencing fatigue. Which of the following findings should the nurse recognize as an indication of anemia?

Hematocrit 28%

A nurse at an urgent care clinic is assessing an adolescent client who has an upper respiratory tract infeciton. Which of the following findings should the nurse recognize as a manifestation of pertussis?

Dry hacking cough. Koplik spots on buxxal muscosa= rubeola (measles)

A nurse in an ED is assessing a 3 month old infant who has rotavirus and is experiencing acute vom and diarrhea. Which of the following manifestations should the nurse identify as an indication that the infant has moderate to severe dehydration?

Sunken anterior fontanel.

A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the sound as which of the following?

Tachypnea Cheyne-stokes respirations are periods of apnea alternating with periods of hyperventilation. Biot's respirations are periods of apnea alternating with two or three shallow breaths.

A nurse is providing teaching to the parents of a preschooler who has HF and who is to begin taking digoxin twice daily. Which of the following instructions should the nurse include in the teaching?

Brush the child's teeth after giving med to prevent tooth decay. Should use calibrated device to admin med to prevent overdose.

A nurse is providing teaching to the family of a school age child who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include in the teaching?

Encourage the child to perform independent self care.

A nurse in the ED is caring for a school age child who has epiglottitis. Which of the following actions should the nurse take?

Monitor O2 sats

A nurse is caring for a school age child who has peripheral edema. Which of the following assesssments should the nurse perform to confirm peripheral edema?

Palpate the dorsum of the child's feet.

A nurse is preparing to collect a sample from a toddler for a sickle turbidity test. Which of the following actions should the nurse plan to take?

Perform a finger stick.

A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a more extensive hearing evaluation?

An infant who is 8 months old and is not yet making babbling sounds.

A nurse is caring for a toddler who has spastic pyramidal cerebral palsy. Which of the following clinical manifestations should the nurse expect?

Ankle clonus Exaggerated stretch relflexes Contractures

A nurse is providing teaching about social development to the parents of a preschooler. Which of the following play activities should the nurse recommend for the child?

Playing dress-up Preschool age play should focus on social, mental, and physical development.

A CN in an ED is preparing an inservice for a group of newly licensed ruses on the clinical manifestations of child maltreatment. Which of the following clinical manifestations should the charge nurse include as suggestive of potential physical abuse?

Symmetric burns of the LE

A nurse is assessing the VS of 10 yo child following burn injury. Which of the following clinical manifestations indicates early septic shock?

Temperature 39.1 (102) should have fever and chills.

A nurse is assessing a 3 yo toddler at a well child visit. Which of the following manifestations should the nurse report to the provider?

RR=45

A nurse is providing dietary teaching to the parent of a school age child who has celiac disease. The nurse should recommend that the parent offer which of the following foods to the child?

Rice pudding-pt will be on lifelong gluten free diet

A nurse is caring for a school age child who has primary nephrotic syndrome an dis taking predinisone. Following 1 week of treatment, which of the following clinical manifestations indicates to the nurse that the medication is effective?

Decreased edema

A school nurse is assessing a school-age child's blood pressure while he is eating in a chair. The child starts to experience a tonic-clonic seizure. Which of the following action should the nurse take first?

Assist the child to a side-lying position on the floor. Greatest risk is occulsion of airway.

A nurse is providing teaching to the parents of a toddler about the administration of prescribed eye drops and eye ointment. Which of the following instructions should the nurse include?

Administer the eye drops 3 minutes before the ointment.

A nurse is providing discharge teaching to the parents of a 3 month old infant following a cheiloplasty. Which of the following instruction should the nurse include?

Apply a thin layer of AB ointment on your baby's suture line daily for the next 3 days.

A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the nurse take?

Apply topical analgesic cream tot he site 1 hr prior to the procedure.

A nurse is caring for a 15 yo client following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing syndrome of inappropriate ADH secretion?

Mental confusion

A nurse is providing discharge teaching to the parent of a school-age child who has moderate perisistent asthma. Which of the following instructions should the nurse include?

Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy. Peak flow meter should be done twice daily repeated in a sequence of 3 waiting 30 seconds between each measurement.

A nurse is teaching the parents of a school-age child who has a new diagnosis of osteomyelitis of the tibia. The nurse should identify that which of hte following statements by the parents indicates an understanding of the teaching?

My child will receive antibiotics for several weeks. AB therapy for at least 4 weeks and surgery might be indicated if AB not successful.

A nurse is assessing an infant who has pneumonia. Which of the following findings is the priority for the nurse to report to the provider?

Nasal flaring.

A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the following findings indicates effectiveness of the medication?

The adolescent's serum potassium level is 4.1. This med is used to treat hyperkalemia.

A nurse in an ED is caring for an adolescent who reports painful urination. Which of the following behaviors should the nurse identify as suggestive of possible child maltreatment?

Using mood elevating substances.

A nurse in a providers office is caring for a school age child who has varicella. The parent ask the nurse when her child will no longer be contagious. Which of the following responses should the nurse make?

When your child's lesions are crusted, 6 days after therapy.

Ibuprofen 5mg/kg Q6hr PRN Infant weighs 17.6 lb. Available=100mg/5mL How many mLs per dose?

2mL

A nurse is creating a plan of care for a preschooler who has wilms tumor an dis scheduled for surgery. Which of the following intervention should the nurse include?

Avoid palpating the abdomen when bating the child before surgery because can cause cancer cells to move to different sites.

A nurse is teaching the parents of a toddler who has a cognitive impairment about toilet training. Which of the following instructions should the nurse include in the teaching?

Award the child with a sticker when he sits on the potty chair.

A nurse is caring for a preschooler who is scheduled for hydrotherapy treatment for wound debridement following a burn injury. Which of the following actions should the nurse take prior to the procedure?

Admin analgesic

A nurse is creating a plan of care for a toddler who has minimal change nephrotic syndrome and 3+ pitting edema. Which of the following interventions should the nurse include in the plan?

Admin corticosteroids to the toddler because this is a treatment of choice.

A nurse is assessing the pain level of a 3 y.o. toddler. Which of the following pain assessment scale should the nurse use?

Faces pain rating scale. Numeric=5 and older CRIES scale= infants

A nurse is creating a plan of care for a newly admitted adolescent who has bacterial meningitis. How long should the nurse plan to maintain the adolescent in droplet precautions?

For 24hr following initiation of antimicrobial therapy.

A nurse is teaching the parent of a newborn about ways to prevent sudden infant death syndrome. Which of the following instructions should the nurse include?

Give the infant a pacifier at bedtime.

A nurse is providing teaching to an adolescent about how to manage tinea pedis. Which of the following statements by the adolescent indicated an understanding of the teaching?

I should wear sandals as much as possible to allow air to circulation around the feet.

A nurse is providing discharge teaching to the parent of an 18 month old toddler who has dehydration as a result of acute diarrhea. Which of the following statements by the parent indicates an understanding of the teaching?

I will monitor my child's' number of wet diapers.

A nurse is creating a plan of care for an infant who has an epidural hematoma with a skull fracture. Which of the following actions should the nurse include in the plan?

Implement seizure precautions for the infant.

A nurse is planning developmental activities for a newly admitted 10 yo child who ha neutropenia. which of the following actions should the nurse plan to take?

Provide child with book about adventure.

A nurse in the ED is caring for an adolescent who has severe ab pain due to appendicitis. Where is McBurney's point?

Right quadrant of the abdomen between the umbilicus and the anterior iliac crest.

A nurse is providing dietary teaching to the parent of a school age child who has CF. Which of the following statements should the nurse make?

You should offer your child high-protein meals and snacks throughout the day.

A nurse is caring for a hospitalized preschooler. The child's mother is going home for a few hours while another relative stays with the child. Which of the following statements should the nurse make to explain to the child when her mother will return?

Your mommy will be back after you eat.- associate time best with daily routines such as bedtime and eating.

A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. Which of the following actin should the nurse plan to take?

Schedule the toddler for a yearly rescreening.

A nures is caring for a 20 yo child following a head injury. Which of the following findings should the nruse identify as an indication that the child is devloping diabetes insipidus?

Sodium 155 mEq/L sodium levels rise because of the dehydration from peeing so much.

A nurse is assessing a client who has a new diagnosis of celiac disease. Which of the following clinical manifestations should the nurse expect?

Steatorrhea- these patients are unable to digest gluten. Distended abdomen and weight loss is also a manifestation.

A nurse in an ED is performing a physical assessment on a 2 week old male infant. Which of the following manifestations is the priority for the nurse to report to the provider?

Substernal reactions-respiratory distress