Pediatrics ATI 2023 practice test A

a nurse in ED is caring for a school aged child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse?

administer epinephrine IM

a nurse is caring for a school age child who is in Buck's traction following a leg fracture 24 hours ago. Which of the following actions should the nurse take?

assess peripheral pulses once every 4 hr

The nurse has reviewed the child's nurses notes, assessment, vital signs, providers prescriptions and laboratory results for the 0800 one month ago visit. Complete the sentence

blood lead levels followed by hemoglobin

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 admitting a 4 month old infant who has heart failure. Which of the follwoing findings is the nurse's priority?

episodes of vomiting

The nurse is providing discharge teaching to the parent. Which of the following information should the nurse include? Select all that apply.

monitor number of wet diapers straw orange juice sprinkle in applesauce don't play in soil wet cloth to dust

a nurse in an emergency dept is caring for a school-age child with epiglottitis. Which of the follwoing actions should the nurse take?

monitor the child's oxygen sat

a nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by the parent indicates an understanding of the teaching?

mononucleosis is caused by an infection with the Epstein-Barr virus

Which of the following conditions are improving since the child's visit 1 month ago? Select 4 of the following conditions.

nutritional status lead exposure kidney function lead level

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 outline shape using scissors

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

apply a topical analgesics 1 hour before

a nurse is caring for a preschooler who has neutropenia. Which of the following statements should the nurse make to the child's guardian?

avoid using your child's daycare center

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 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 indicated an understanding of the education?

I will monitor my child's number of wet diapers

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

dry, hacking cough

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

encourage child to perform independent self-care

a nurse is caring for a 15 year old adolescent following a head injury. which of the following findings should the nurse identify as indication that the adolescent is developing syndrome of inappropriate antidiuretic hormone secretion (SIADH)?

mental confusion

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 hsould the nurse take prior to the procedure?

administer an analgesic

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 obtained

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 hsould the nurse include in the plan?

implement seizure precautions for the infant

a nurse is caring for an adolescent who has had a kidney transplant. which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney?

increased creatinine

a nurse is assessing a school age child who has an acute spinal cord injury follwoing a sports injury 1 week ago. identify the area the nurse should tap to elicit the bicep reflex?

A

a nurse in an ED is caring for an adolescent who has severe abdominal pain due to appendicitis. Which of the following locations should the nurse identify as McBurney's point?

A (RLQ)

A nurse is providing teaching to the parents of a preschoolers with heart failure and the new prescription for digoxin twice daily. Which of the follwing instructions should the nurse include?

Brush the child's teeth after giving med

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 reviewing the medical record of a school-age child who is 2 days post-op following an open repair and casting of a fracture in the right arm. Which of the following findings should the identify as an indication of a potential postoperative complication?

increased erythrocyte sedimentation rate

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?

increased sodium

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 sleeping SpO2 breath sounds voided

A nurse is assessing an 8 year old with 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 in the outpatient pediatric clinic is caring for a 2-year-old child. Fill in the blank.

intellectual deficits and decreased kidney function

a nurse in a provider's 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 MMR

a nurse is providing teaching to the parent of an infant with diaper dermatitis. The nurse should instruct the parent to apply which of the following to the affected area?

zinc oxide

A nurse is teaching the parents 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 providing anticipatory guidance to the guardian of a toddler. Which of the following is expected behavior characteristics of toddlers that the nurse should include?

expresses like and dislikes

A nurse in a health dept 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

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

Nurse reviews dietary choices of adolescent with iron deficiency anemia. Nurse should ID which menu items has highest amount of nonheme iron?

1/2 cup raisins

A nurse in the outpatient pediatric clinic is caring for a 2-year-old child. What requires follow-up?

pale pink mucous membranes, living in an older urban house that is being renovated, and the parent's report that the toddler seems less active and gets tired more quickly are findings that require follow-up.

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?

playing dress up

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 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 creating a plan of care for a school aged child who has heart disease and developed heart failure. Which of the following interventions hsould the nurse include in the plan?

provide small, frequent meals

a nurse is caring for a school age child who is receiving chemotherapy and is severely immunocompromised. Which of the following action should the nurse take?

screen the child's visitors for indication of infection

A nurse on a pediatric unit is caring for a toddler. Which of the following potential provider prescriptions should the nurse identify as anticipated or contraindicated? For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the toddler.

Anticipated: all but perform ROM

Nurse assesses adolescent who received sodium polystyrene sulfonate enema. Which findings indicates effectiveness of med?

Serum potassium of 4.1

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.

Temp: glomerulonephritis, hemolytic BUN: glomerulonephritits, hemolytic Platelet: hemolytic BP: all Cholesterol: nephrotic

a nurse is caring for a preschooler whose guardian 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 their guardian will return?

Your guardian will be back after you eat

A nurse is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first?

a school-age child who has sickle cell anemia and reports decreased vision in the left eye

The nurse is planning care for the child. For each potential provider prescription, click to specify if the prescription is anticipated or contraindicated for the client.

anticipate: (succimer, ferrous sulfate) and consults for a dietitian and Social Services. contra: blood levels in 1 wk, restricting fluids, limiting calcium

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 ointment on your baby's suture line daily for the next 3 days

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 is creating a plan of care for a preschooler who has Wilms' tumor and is scheduled for surgery. Which of the following interventions hsould the nurse include?

avoid palpating the abdomen when bathing the child before surgery

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

low hematocrit

a nurse is providing teaching to the parent of a school-age child who has a new prescription for oral nystatin for the treatment of oral candidiasis. Which of the following instructions should thenurse include?

shake the med prior to admin

a charge nurse in an emergency dept is preparing an inservice for a group of newly licensed nurses about manifestations of child maltreatment. Which of the following manifestations should the charge nurse include as a potential indication of physical abuse?

symmetric burns of the lower extremities

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 of the balls of their feet when sitting on the bike

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 and catheter, which of the following actions should the nurse plan to take?

turn off IV pump occlude tubing remove tape apply pressure

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 abdominal assessment Temp

a nurse is planning care for a 12 month old toddler who is being hospitalized. Which of the follwoing actions shoudl the nurse plan to take?

secure the safety harness when the child is sitting in high chair