ATI NSG CARE OF CHILDREN PRACTICE B WITH NGN
A school nurse is caring for a child following a tonic-clonic seizure. Which of the following actions should the nurse take first?
Check the childs respiratory rate.
A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect?
Deep respirations of 32/min: The nurse should expect Kussmaul respirations in a child who has diabetic ketoacidosis. These deep and rapid respirations are the body's attempt to eliminate excess carbon dioxide and achieve a state of homeostasis.
A nurse is planning care for a newly admitted school-age child who has generalized seizure disorder. Which of the following interventions should the nurse plan to include?
Ensure the oxygen source is functioning in the childs room
A nurse is admitting a 4-month-old infant who has heart failure. Which of the following findings is the nurse's priority? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)
Episodes of vomiting
A nurse is discussing organ donation with 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' feelings and wishes regarding organ donation
A nurse is providing anticipatory guidance to the parent of a toddler. Which of the following expected behavior characteristics of toddlers should the nurse include?
Expressed likes and dislikes
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 actions should the nurse take?
Have the adolescent sign a consent form for treatment.
A nurse is planning care to address nutritional needs for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan?
Increase fat content in the childs diet to 40% of total calories.
A nurse is caring for an 8-month-old infant., Upon evaluation of the infant's status at 0630, the nurse should identify which of the following as signs of improvement? Click to highlight the statements in the Nurses' Notes that indicate the infant is improving.
Infant is sleeping in parent's arms. SpO2 is 96% with 100% cool mist oxygen via blow-by. Breath sounds are present and equal bilaterallv in the bases. Infant voided 34 ml
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 creating a plan of care for a child who has varicella. Which of the following interventions should the nurse include?
Initiate airborne precautions for the child.
A nurse in an emergency department is caring for a school-age child who has epiglottitis. Which of the following actions should the nurse take?
Monitor the childs oxygen saturation: The nurse should monitor the child's oxygen saturation level because the child is experiencing acute respiratory distress and it is necessary to determine if the child is responding to treatment.
A nurse is caring for a preschooler who was recently admitted to a pediatric unit; The nurse is reviewing the information in the child's electronic medical record (EMR). For each EMR finding, click to specify if the finding is consistent with nephrotic syndrome, acute poststreptococcal glomerulonephritis, or hemolytic uremic syndrome. Each finding may support more than one disease process.
Nephrotic Syndrome- BP, Cholesterol APG- temp, BUN, BP HUS- temp, BUN, platelet, BP
A nurse is caring for an infant who is receiving IV fluids for the treatment of Tetralogy of Fallot and begins to have a hypercyanotic spell. Which of the following actions should the nurse take?
Place the infant in a knee-chest position: The nurse should place the infant in a knee-chest position during a hypercyanotic spell to decrease the return of desaturated venous blood from the legs and to direct more blood into the pulmonary artery by increasing systemic vascular resistance.
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
A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the nurse clarify with the provider?
Potassium Chloride: The nurse should identify that a child who has congestive heart failure can develop electrolyte imbalances, such as hyperkalemia or hypokalemia. The nurse should identify that the child is exhibiting manifestations of hyperkalemia and contact the provider about the administration of potassium chloride, which can increase the severity of hyperkalemia.
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 is planning developmental activities for a newly admitted 10-year-old child who has neutropenia. Which of the following actions should the nurse plan to take?
Provide the child with a book about adventure.
A nurse is caring for a newly admitted school-age child who has hypopituitarism. Which of the following medications should the nurse expect the provider to prescribe?
Recombinant growth hormone
A nurse is providing discharge teaching to the guardians of a toddler who had a lower leg cast applied 24 hr ago. The nurse should instruct the guardians to report which of the following findings to the provider?
Restricted ability to move the toes.: The nurse should inform the guardians that a restricted ability of the toddler to move their toes is an indication of neurovascular compromise and requires immediate notification of the provider. Permanent muscle and tissue damage can occur in just a few hours.
A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the following findings indicates effectiveness of the medication?
Serum potassium level 4.1 mEq/L
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 insipidus?
Sodium 155 mEq/L
A nurse in an emergency department is assessing a 3-month-old infant who has rotavirus and is experiencing acute vomiting 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 planning an educational program for school-age children and their parents about bicycle safety. Which of the following information 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 planning care for a school-age child who has a tunneled central venous access device. Which of the following interventions should the nurse include in the plan?
Use a semipermeable transparent dressing to cover the site.
A nurse is caring for a school-age child following an appendectomy. After reviewing the information in the child's medical record, which of the following findings should the nurse identify as a potential complication? Select the 3 findings from the child's medical record that the nurse should identify as indications of a potential complication.
WBC count, Abdomen assessment, Temperature
A nurse is assessing a school-age child who has an infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure?
difficulty concentrating
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 is assessing the pain level of a 3-year-old toddler. Which of the following pain assessment scales should the nurse use?
faces
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 24 hours following initiation of antimicrobial therapy
A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant?
great toe
A nurse on a pediatric unit is caring for a school-age child. After reviewing the information in the child's medical record, which of the following findings should the nurse address first? Complete the following sentence by using the list of options.
oxygen saturation, pain
A nurse on a pediatric unit is admitting a preschooler. After reviewing the information in the medical record, the nurse should identify that the child is at risk for developing which of the following conditions? Complete the following sentence by using the list of options.
splenomegaly, positive mononucleosis rapid test
A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing dyspnea. The nurse should identify the sound as which of the following? (Click on the audio button to listen to the clip.)
wheezes. High-pitched, musical or whistling like sounds heard primarily on expiration as air passes through and vibrates through narrow airways.
A nurse is reviewing the dietary choices of an adolescent who has iron deficiency anemia. The nurse should identify that which of the following menu items has the highest amount of nonheme iron?
½ cup raisins
A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative following hypospadias repair with a stent placement. Which of the following instructions should the nurse include in the teaching?
"Allow the stent to drain into your infants diaper."
A nurse is providing discharge teaching to the parents of a 3-month-old infant following a cheloplasty. Which of the following instructions should the nurse include?
"Apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3 days.
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 providing teaching to the parents of a preschooler who has heart failure and a new prescription for 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 is planning an educational program to teach parents about protecting their children from sunburns. Which of the following instructions should the nurse plan to include?
"Choose a waterproof sunscreen with a minimum SPF of 15."
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 childs number of wet diapers."
A school nurse is providing an in-service for faculty about improving education for students who have ADHD. Which of the following statements by a faculty member indicates an understanding of the teaching?
"I will teach challenging academic subjects to students who have ADHD in the morning."
A nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by a parent indicates an understanding the teaching?
"Mononucleosis is caused by an infection with the Epstein-Barr virus."
A nurse is teaching a school-age child and their parent about postoperative care following cardiac catheterization. Which of the following instructions should the nurse include?
"Wait 3 days before taking a tub bath."
A nurse in a provider's office is caring for a preschooler. Which of the following statements by a guardian indicates that the discharge teaching was effective? Select all that apply.
"We should apply a skin emollient immediately after bathing our child.", "We should keep our child's fingernails trimmed short.", "We should use a mild detergent for our laundry."
A nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. 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 teaching the guardian of a 6-month-old infant about teething. Which of the following statements should the nurse make?
"Your baby might pull at their ears when they are teething."
A nurse in an emergency department is assessing a toddler who has Kawasaki disease. Which of the following findings should the nurse expect? (Select all that apply.)
-Increased temperature -Xerophthalmia -Cervical lymphadenopathy
A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse expect? (Select all that apply.)
-vomiting -lethargy
A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hr PRN for a temperatures above 38.0° C (100.5° F) to an infant who weighs 17.6 lb. Available is ibuprofen oral suspension 100 mg/5 mL. How many mL should the nurse administer to the infant per dose? (Round the answer to the nearest whole number)
2mL
A nurse is assessing a school-age child who has an acute spinal cord injury following a sports injury 1 week ago. Identify the area the nurse should tap to elicit the biceps reflex. (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)
A
A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse assess first?
A toddler who has a concussion and an episode of forceful vomiting
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 infant's pain?
Allow the mother to breastfeed while the sample is being obtained.
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 in a pediatric emergency department is planning care for an adolescent. Based on the information in the adolescent's medical record, which of the following actions should the nurse plan to take? Select all that apply.
Apply supplemental oxygen., Prepare for chest tube insertion.
A nurse on a pediatric unit is caring for a school-age child. After reviewing the information in the child's medical record, which of the following findings should the nurse report to the provider? Select the 4 findings that the nurse should report to the provider.
Arterial blood gases, WBC count, Oxygen saturation level, Respiratory assessment
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 abdomen when bathing the child before surgery.
