ATI practice A

A nurse is caring for a 4 year old client who just had abdominal surgery. Which of the following techniques should the nurse use to get the client to take deep breaths?

"lets play game of blowing cotton balls across your table."

nurse is providing health promotion teaching to an adolescent

-death SIDS

The parent of a toddler asks a nurse at a well-child clinic how the child's frequent temper tantrums can best be handled. Which of the following actions should the nurse suggest to the parent?

Ignore the temper tantrums.

nurse is planning care for a child who has mumps. Which of the following instructions should the nurse include in the plan?

Initiate droplet precautions

fracture of the epiphyseal plate which of the following is an appropriate response blood supply is interrupted bone marrow can be lost through the fracture

Normal growth can be affected

17 year old relapse of chemotherapy client treatment nursing actions start IV for parents request administer ?

Notify provider

working in the er and a 2 year old patient comes in with their patient for th 9th time child abuse is suspected and reported

Osteogensis imperfeta

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?

expresses likes and dislikes

Pancreatic enzyme

fats

discharging a child with sickle cell anemia after an acute crisis episode teach the parents restrict outdoor play activity to one hour per day monitor childs temperature daily high protein diet encourage child to drink lots of fluids

fluids

a nurse in the er is caring for an adolescent who has an anaphylactic which the priority insert a large bore iv catheter determine the allergen that causes the reaction administer

im epinephrine elevate the HOB

A nurse is assessing an 8 year old child who has early indication 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

7 year old ER woke up tympanic temperature 39.2 C extremely sore throat difficulty swallowing obtain culture prepare for intubation

insert iv catheter

pediatric clinic has a quarter of milk everyday the nurse should explain that the client is at risk for what

iron deficiency

a nurse in a family health clinic of a client about to enter high school abnormal lateral curvature

lordosis

Which cardiac abnormalities are frequently noted on the echocardiogram of patients with Marfan's syndrome?

mitral valve prolapse and aortic dilatation

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

perform a finger stick

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?

Decreased attention span

A nurse is caring for a toddler who has acute otitis media and a temperature of 40 C (104 F). After administering acetaminophen, which of the following actions should the nurse plan to take to reduce the toddler's temperature?

Dress the toddler in minimal clothing

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-

which of the following clinical manifestations is considered left heart failure

pulmonary congestion

caring for an infant who has CHF secondary to VSD parent with report of poor feeding after instructing NG tube feeding teaching has been effective i will give every other feeding by NG tubing i will administer all the feedings through NG tube

rest

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

infant who has GERD which of the following findings are associated with condition

rigid abdomen irritability pallor weight loss vomiting

rheumatic fever obtian medical history source of childs infection classmate who has 5th disease

sibling

Bloody nose

tilted forward

Pertuiss

whopping cough, dry

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

Absence of peristalsis

Trust vs mistrust

Autonomy Initiative

When administering ear drops to a toddler, the nurse pulls the auricle down and back. The mother asks, "Why are you pulling the ear that way?" Which of the following is an appropriate response by the nurse?

When this technique is used, the medication will not run out of the ear."

10 month old infant who was in a cast for developmental dysplasia promote the infants growth and development provide a small electronic toy change the infants diaper as soon as soiling occur tie colourful latex balloons

allow infant to stand in the crib

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 8 month old infant who is not yet making babbling sounds*

A nurse in an emergency department is caring for a school age child who has sustained a minor superficial burn from fireworks on their forearm. Which of the following actions should the nurse take?

apply an antimicrobial ointment to the affected area

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 house keep my child indoors when I mow the yard."

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."

teaching to an adolsecent about managing tinea pedis understanding of the teaching i should wear sandals as much as possible cream between my toes between my toes twice daily seal non washable shows in plastic bag should buy some plastic shoes to wear at the swimming pool

-sandals

a nurse is assessing a child who has leukemia who has first round of chemothearpy fatigue uticaria anorexia vomiting

-uti

lab report of a 6 year old receiving lab report with chemotherapy

2.0 WBC 95000 prealbumin 18 hemoglobin of 8.5

a nurse is collecting a data of an infant at a well child check up at which of the following times is the birth rate doubled

6 mo

A nurse in a pediatric clinic is talking with the mother of a preschool child. The mother tells the nurse that her son is a "picky eater." Which of the following is an appropriate response by the nurse?

Food consumption may not be significantly decreased

A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for further teaching?

I only need to catheterize myself twice every day." (Should be done Q4H)

A nurse is reviewing the lab results of four children. Which of the following results should the nurse report to the provider?

Iron 38 mcg/dL

A nurse is caring for a neonate who has a myelomeningocele and is admitted to the newborn intensive care unit (NICU) awaiting surgery. Which of the following nursing goals has the highest priority in the care of this infant?

Maintain integrity of the sac

nurse is assessing a 3 year old child at well child manifestations report to provide

blood pressure 90/50 weight 14.5 kg heart rate 110 respiratory rate 45

Pyloric stenosis

RUQ

A nurse is caring for a child who has Legg-Calve-Perthes disease and is in Buck extension traction. Which of the following actions should the nurse take?

Reposition the child every 2 hr

A nurse is assessing the vital signs of a 10 year old child following a burn injury. The nurse should identify that which of the following findings is an indication of early septic shock?

Temp 39.1 Degrees C (102.4 Degrees F)

caring for a child who has cystic fibrosis being discharged understand nutritional needs limit food intake

enzyme

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 1hr prior to the procedure

nurse is assessing an infant with possible cerebral palsy which manifestations

attracts an object with surrounding eyes sits with pillows prop smiles when mother appear at 3 months

Nurse is caring for a toddler who is having difficulty sleeping during​

bed time ritual

A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse expect? (Select all that apply

currant, vomiting, lethargy

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?

cuts an outlined shape using scissors

A school nurse is assessing an adolescent who has multiple burns in various stages of healing. Which of the following behaviors should the nurse identify as a possible indication of physical abuse?

denies discomfort during assessment of injuries

a nurse is preparing to assist to apply a cast to a childs arm support the casted arm with a firm grasp tell a child this will make your arm feel better place a heater for drying wrap a toys arm before procedure

toys

a nurse is caring for a school age child who is receiving chemotherapy and the immunocompromised infused packed RBC use surgical asepsis administer MMR

vax screen child visior

A home health nurse is developing a plan of care for a child who has hemiplegic cerebral palsy. which of the following goals is the priority for the nurse to include in the plan of care?

modify the environment pertuiss-droplet

school age child fatigue indication of anemia

platelets 250000 hematocrit 28% hemoglobin 13.5 white blood cell 8000

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

playing dress-up

cognitive impairment about toliert training which should the nurse include in the teaching use childs faovrite song award child with sticker scold child

sticker

a nurse is assessing a child with gastroenteritis and dehydration which of the following findings should the nurse assess first

tachypnea, UR, skin breakdown