RN Pediatric Nursing Online Practice 2023 A (ATI)
a nurse is caring for a school-age child who is in Buck's traction following a leg fracture 24 hrs ago. Which of the following actions should the nurse take?
assess peripheral pulses once q4h
a nurse is creating a plan of care for a preschooler who has Wilms' tumor and is scheduled for surgery. Which of the following interventions should the nurse include?
avoid palpating the abd when bathing the child before surgery
a nurse is caring for an adolescent who received a kidney transplant. Which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney?
increased creatinine level
a nurse is assessing a 6-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider?
presence of strabismus
a nurse in a providers office is preparing to administer immunizations to a toddler during a well-child visit. Which of the following actions should the nurse plan to take?
withhold the MMR vaccine
a nurse is creating a plan of care for an infant who has an epidural hematoma from a head injury. Which of the following interventions should the nurse include in the plan?
implement seizure precautions for the infant
a nurse in an ED is caring for a school-age child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse?
administer epinephrine IM to the child
a nurse in a pediatric ED is planning care for an adolescent. SUMMARY: pt came by EMT from a crash with normal vitals and then reports sharp chest pain; 6/10 Based on the information in the adolescents medical record, which of the following actions should the nurse plan to take? SATA
apply supplemental oxygen prepare for chest tube insertion
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?
administer an analgesic to the child
a nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the nurse take?
apply topical analgesic cream to the site 1 hr prior to the procedure
a nurse is assessing a 4-year-old child at a well-child visit. Which of the following developmental milestones should the nurse expect to observe? Which
cut an outlined shape using scissors
a nurse is admitting a 4-month-old infant who has HF. Which of the following findings is the nurses priority?
episodes of vomitting
a nurse on a pediatric unit is caring for a toddler. Hemophilia A Which of the following potential provider prescriptions should the nurse identify as anticipated or contraindicated?
Factor 8 anticipated ice pack anticipated morphine anticipated passive ROM contraindicated elevate affected joints anticipated
a charge nurse is preparing to make a room assignment for a newly admitted school-age child. Which of the following considerations is the nurse's priority?
disease process
a nurse in an urgent care clinic is assessing an adolescent who has an upper respiratory tract infection. Which of the following findings should the nurse identity as a manifestation of pertussis?
dry, hacking cough
a nurse is discussing organ donation w/ the parents of a school-age child who has sustained brain death due to a bicycle crash. Which of the following actions should the nurse take first?
explore the parents feeling & wishes regarding the organ donation.
a nurse in a health department is caring for an emancipated adolescent who has an STI and is unaccompanied by a guardian. Which of the following action should the nurse take?
have the adolescent sign a consent form for tx
a nurse is assessing a 6-year-old child immediately following surgery for a perforated appendix. Which of the following findings should the nurse expect?
hypoactive bowel sounds
a nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks. Which of the following statements by the parent indicates an understanding of the teaching?
i should keep my child indoors when I mow the yard
a nurse is reviewing the medical record of a school-age child who is 2 days postop following an open repair and casting of a fracture in the R arm. Which of the following findings should the nurse identify as an indication of a potential postop complication?
increased EST
a nurse is caring for a 10-year-old child following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing diabetes inspidus?
increased sodium level
a nurse is assessing an 8-year-old child who has early indications of shock. After establishing an airway and stabilizing the child's respirations, which of the following actions should the nurse take next?
initiate IV access
a nurse is admitting a school-age child who has pertussis. Which of the following actions should the nurse take?
initiate droplet precautions
a nurse is caring for a 15-year-old adolescent following a head injury. Which of the following findings should the nurse identify as an indication that the adolescent is developing SIADH
mental confusion
a nurse in an outpatient pediatric clinic is caring for a 2-year-old child SUMMARY: toddler here for well-child visit & is a picky eater & is less active & gets more tired recently. Click to highlight the findings that require follow-up
mucous membranes are pale pink parent reports moving to an older urban house, which is being renovated, about 6 months ago the parent expresses concern that the child seems less active recently & gets more tired more quickly lead poisoning buddy
a nurse in an outpatient pediatric clinic is caring for a 2-year-old child SUMMARY: toddler here for well-child visit & is a picky eater & is less active & gets more tired recently. The nurse has reviewed the providers prescriptions for the 0900, one month ago visit. the nurse is providing discharge teaching to the parent. Which of the following information should the nurse include? SATA
open the succimer capsule and sprinkle on 1 tsp of applesauce Use a wet cloth to dust when cleaning the house use a straw to administer the ferrous sulfate offer OJ to the child when giving ferrous sulfate monitor the # of wet diapers prevent the child from playing in soil near the house
a nurse is providing teaching to the parent of a school-age child who has a new prescription for oral nystatin for the tx of oral candidiasis. Which of the following instructions should the nurse include?
shake the medication prior to administration
A charge nurse in an emergency department is preparing an in-service for a group of newly licensed nurses on the clinical manifestations of child maltreatment. Which of the following manifestations should the charge nurse include as suggestive of potential physical abuse?
symmetric burns of the lower extremities
a nurse is caring for a client who has been receiving IV fluids via a peripheral IV catheter. When preparing to discontinue the IV fluids & catheter, which of the following actions should the nurse plan to take?
turn off the IV pump occlude the IV tubing remove the tape securing the catheter apply pressure over the catheter insertion site
a nurse in an outpatient pediatric clinic is caring for a 2-year-old child SUMMARY: toddler here for well-child visit & is a picky eater & is less active & gets more tired recently. The nurse has reviewed the the child's nurses notes, assessment, VS, providers prescriptions & lab results for today's visit which of the following conditions are improving since the child's visit 1 month ago?
lead level exposure to lead kidney function nutritional status
a nurse in an ED is caring for a school-age child who has epiglottitis. Which of the following actions should the nurse take?
monitor the child's oxygen saturation
a nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by a parent indicated an understanding of the teaching?
mono is caused by an infection w/ the Epstein-Barr virus
a nurse is providing teaching about play activities for social development to the guardians of a preschooler. Which of the following play activities should the nurse recommend for the child?
playing dress up
a nurse is creating a plan of care for a school-age child who has heart disease and has developed heart failure. Which of the following interventions should the nurse include in the plan?
provide small, frequent meals for the child
a nurse is providing teaching to the parent of an infant who has diaper dermatitis. The nurse should instruct the parent to apply which of the following to the affected area?
zinc oxide
a nurse is caring for a preschooler who has neutropenia. Which of the following statements should the nurse make to the child's guardians?
avoid using your child's daycare center
a nurse is planning care for a 12-month-old toddler who is being hospitalized. Which of the following actions should the nurse plan to take?
secure the safety harness when the toddler is sitting in a high chair
a nurse is caring for a school-age child who is receiving chemo and is severely immunocompromised. Which of the following actions should the nurse take?
screen the child's visitors for indications of infection
a nurse is planning an educational program for school-age children and their parents about bicycle safety. Which of the following info should the nurse plan to include?
the child should be able to stand on the balls of their feet when sitting on the bike
a nurse is caring for a 1-month-old infant who is breastfeeding and requires a heel stick. Which of the following actions should the nurse take to minimize the infants pain?
allow the mother to breastfeed while the sample is being obtained
a nurse in an outpatient pediatric clinic is caring for a 2-year-old child SUMMARY: toddler here for well-child visit & is a picky eater & is less active & gets more tired recently. The nurse has reviewed the the child's nurses notes, assessment, VS, providers prescriptions & lab results for the 0800 one month ago visit. complete the following sentence by using the lists of options
the nurse should first address the child's elevated BLL followed by the child's hemoglobin
a nurse in an outpatient pediatric clinic is caring for a 2-year-old child SUMMARY: toddler here for well-child visit & is a picky eater & is less active & gets more tired recently. The nurse has reviewed the the child's nurses notes, assessment, VS, providers prescriptions & lab results for the 0800 one month ago visit. The nurse is planning care for the child. For each potential provider prescription, click to speicify if it is anticipated (A) or contraindicated (C) for the client
check the BLL in 1 wk (C) limit intake of calcium-rich foods (A) restrict oral fluids (C) consult a dietician (A) consult social services (A) succimer capsule 100 mg PO q8h for 5 days (A) ferrous sulfate elixir 34 mg PO 3x/day (A) tbh, they weren't super specific on this one but based on the rationale this is what seems to be correct, lmk in comments or something idk lol
a nurse is reviewing the dietary choices of an adolescent who has iron deficient anemia. The nurse should identify that which of the following menu items has the highest amount of nonheme iron ?
1/2 cup raisins
a nurse in an ED is caring for an adolescent who has sever abd pain due to appendicitis. Which of the following location should the nurse identify as McBurney's point?
A
a nurse is assessing a school-age child who has an acute SCI following a sports injury 1 wk ago. Identify the are the nurse should elicit the biceps reflex.
A
a nurse is caring for a preschooler who was recently admitted to a pediatric unit SUMMARY: pt has GI illness w/ some V/D about 1 wk ago. has small bruises on arms and legs. pt is lethargic The nurse is reviewing the info in the child's EMR. For each EMR finding, click to specify if the finding is consistent w/ NS, APG, or HUS
Temp: APG & HUS BUN: APG & HUS Platelets: HUS BP: NS, APG, HUS Cholesterol: NS
a nurse is reviewing the lab report of a school-age child who is experiencing fatigue. Which of the following findings should the nurse identify as an indication of anemia?
a low hct level
a nurse in an outpatient pediatric clinic is caring for a 2-year-old child SUMMARY: toddler here for well-child visit & is a picky eater & is less active & gets more tired recently. drag words from the choices below to fill in each blank in the following sentence.
the child is at risk for developing decreased kidney function and intellectual deficits
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 is caring for an 8-month-old infant. Upon evaluation of the infant's status @ 0630, the nurse should identify which of the following as signs of improvement?
infant is sleeping in parents arms SpO2 is 96% w/ 100% cool mist oxygen via blow-by. breath sound are present and equal bilaterally in the bases infant voided 34 ml
a nurse is receiving change-of-shift report for four children. Which of the following children should the nurse see first?
a school-age child who has sickle cell anemia & reports decreased vision in the left eye
a nurse is providing teaching to the parents of a preschooler who has heart failure & a new prescription of digoxin twice daily. Which of the following instructions should the nurse include in the teaching?
"Brush the child's teeth after giving the medication"
a nurse on a pediatric unit is caring for a school-age client SUMMARY: pt has SCA w/ low Hgb & HCT, high WBC & reticulocyte. High temp and kiddo is feeling sicko After reviewing the information in the child's medical record, which of the following findings should the nurse address first?
the nurse should first assess the child's oxygen saturation followed by the child's pain
a nurse is providing discharge teaching to the parent of an 18-month-old toddler who has dehydration due to acute diarrhea. Which of the following statements by the parent indicates an understanding of the teaching?
"I will monitor my child's # of wet diapers"
a nurse is providing discharge teaching to the parents of a 3-month-old infant following a cheiloplasty. Which of the following instructions should the nurse include?
"apply a thin layer of antibiotic ointments on your baby's suture line for the next 3 days."
a nurse is caring for a preschooler whose guardian is going home for a few hours while another relative stays w/ the child. Which of the following statements should the nurse make to explain to the child when their guardian will return?
"your guardian will be back after you eat."
a nurse is caring for a school-age child following an appendectomy look @ chart on ATI lol After reviewing the information in the child's medical record, which of the following findings should the nurse identify as a potential complication?
WBC count abd asessment temp
a nurse is assessing an adolescent who received sodium polystyrene sulfonate enema. Which of the following indicates the effectiveness of the med?
blood potassium level 4.1 mEq/L
a nurse is providing anticipatory guidance to the guardian of a toddler. Which of the following expected behavior characteristics of toddlers should the nurse include?
expresses likes & dislikes
a community health nurse is assessing an 18-month-old toddler in a community day care. Which of the following findings should the nurse identify as a potential indication of physical neglect?
poor personal hygiene
