ATI Test Bank 3

A nurse is providing teaching to a parent of a preschooler who has impetigo. which of the following statements by the parent indicates an understanding of the teaching?

"i will wash my child's clothes in hot water"

A nurse is providing teaching to an adolescent who was recently diagnosed with type one diabetes mellitus. Which of the following insulin injection sites should the nurse recommend that the client used during basketball competitions? A. Hip B. Upper arm C. Thigh D. Lower leg

A. Hip

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? A. Increase the child's protein intake B. Decrease the child's calorie intake C. Increase the child fiber intake D. Decrease the child salt intake

A. Increase the child's protein intake

A nurse is providing teaching about immunization schedules to the parent of a newborn who is 1 week old. Which of the following pieces of information should the nurse include in the teaching? A. Initial vaccines should be administered between birth and 2 weeks of age. B. Your child will need to begin the vaccination series over again if subsequent doses in the series are missed. C. An allergic reaction to a vaccine is due to the active ingredient in the vaccine" D. A vaccination should be postponed if your child has a rectal temperature of 99.5F and head congestion.

A. Initial vaccines should be administered between birth and 2 weeks of age.

A nurse is assessing the visual acuity of a group of school age children. Which of the following actions should the nurse take? A. Position each child with their heels at a line that is 6 m (20 ft) away from the Snellen chart B. Allow each child to wear his or her glasses during the exam C. Start the screening by covering each child's right eye D. Begin by having each child read the largest line of letters at the top of the Snellen chart

B. Allow each child to wear his or her glasses during the exam

A nurse is providing teaching about disease management to the parent of a preschooler who has a new diagnosis of asthma. Which of the following parent statements indicates an understanding of the teaching? A. My child should not receive live virus vaccines B. I will encourage my child to participate in sports C. I will give my child aspirin when she has a fever D. My child will outgrow asthma by adulthood

B. I will encourage my child to participate in sports

A nurse is caring for a toddler who has gastroenteritis caused by salmonella. Which of the following is the priority action for the nurse? A. Weigh the child B. Initiate contact precautions C. Establish a skin care routine D. Obtain a recent food history

B. Initiate contact precautions

A charge nurse is reviewing the expected growth and development of school age children with a group of staff nurses. Which of the following statements should the nurse include? A. "A seven-year-old child prefers to play with children of a different gender" B. "A six-year-old child should understand the concept of cause-and-effect" C. "A six-year-old child should be able to count 13 coins" D. An eight-year-old child should be able to wash his or her own hair independently

C. "A six-year-old child should be able to count 13 coins"

A nurse is observing a mother who is playing peek-a-boo with her 8-month-old child. The mother asks if this game has any developmental significance. The nurse should inform the mother that peek-a-boo helps develop which of the following concepts in the child? A. Hand-eye coordination B. Sense of trust C. Object permanence D. Egocentrism

C. Object permanence

A nurse is caring for a one year old infant who has chronic otitis media. The nurse should identify that which of the following areas is at risk of a delay in development? A. Fine motor skills B. Visual acuity C. Speech patterns D. Hand to eye coordination

C. Speech patterns

A nurse is caring for a school age child who has skeletal traction applied to repair a pelvic fracture. Which of the following actions should the nurse take? A. Rest the child's traction weights on the floor for eight hours during the night B. Ensure the child's meal tray contains no high fiber foods C. Perform passive range of motion exercises on the child involved joints every four hours D. Place the child on a pressure reduction mattress

D. Place the child on a pressure reduction mattress

A nurse is caring for a child who has suspectEd nephrotic syndrome. Which of the following laboratory values should the nurse expect? A. Platelets 120,000/mm^3 B. Serum sodium 160 mEq/L C. Hgb 9 g/dL D. Serum cholesterol 700 mg/dL

D. Serum cholesterol 700 mg/dL

A nurse is preparing to assess a three month old infant during a well child visit. Which of the following observations should the nurse expect? A. The infant looks at his hands B. The infant has a pincer grasp C. The infant has no head lag when pulled to a sitting position D. The infant can independently roll from his back to his abdomen

A. The infant looks at his hands

A nurse in an acute pediatric unit is caring for a 2-year-old who has separation anxiety when her parents leave for work. The nurse should identify which of the following behaviors as a manifestation of the stage of despair? A. The child tried to bite the nurse. B. The child is withdrawn and refuses to talk. C. The child attempts to run away to find her parents. D. The child screams and cries loudly.

B. The child is withdrawn and refuses to talk.

A nurse is planning pre-operative teaching for a school age child who is scheduled for cardiac surgery. Which of the following actions should the nurse plan to take when teaching the child? A. Limit teaching sessions to 10 min B. Use simple, concrete terms when giving explanations C. Use photographs to help explain the procedure D. Conduct the teaching session 2 days before the procedure

C. Use photographs to help explain the procedure

A nurse is caring for a six week old infant following a pyloromyotomy. Which of the following forms of feeding should the nurse anticipate for the infant six hours after the procedure? A. Bottle formula with added protein B. Small, frequent bottle feedings of electrolyte solution C. Continuous nasoduodenal tube feedings D. Bolus feedings via gastrotomy tube

B. Small, frequent bottle feedings of electrolyte solution

A nurse is assessing a school age child who reports horseback riding three times per week and has injuries reportedly related to a fall from a horse. Which of the following findings should the nurse investigate further as an indication of child maltreatment? A. Bruising of the right elbow B. Dislocated left shoulder revealed by x-ray C. Thin, frail extremities D. Abrasions on both wrists

C. Thin, frail extremities