peds ATI
A nurse is reviewing the laboratory values for an infant who is receiving treatment for severe dehydration. Which of the following laboratory values indicates the effectiveness of the treatment?
Serum sodium 140 mEq/L
A nurse is caring for a 14-month-old client newly diagnosed with spastic cerebral palsy. Which of the following assessment findings should the nurse anticipate?
Fine and gross motor skill challenges
A nurse is assessing an infant with a ventricular septal defect. Which of the following assessment findings should the nurse expect?
loud harsh murmur
A nurse is caring for a school-age child who is immunocompromised. Which of the following actions by the nurse is appropriate?
place the child in a private room
A nurse in a provider's office is assessing a child who has a fever and is experiencing fatigue. Which of the following findings is a manifestation of erythema infectiosum (Fifth Disease)?
red rash on face
A nurse is preparing to administer IV potassium to a school-age child admitted with diabetic ketoacidosis (DKA). Which of the following functions should the nurse assess prior to administration of the medication?
renal
A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the sound as which of the following? (Click on the audio button to listen to the clip.)
tachypena
A nurse is preparing an adolescent client for a lumbar puncture. Which of the following instructions should the nurse provide to the adolescent?
"Cream will be applied to decrease discomfort prior to the procedure."
A nurse is providing discharge teaching about dietary and medication management for an adolescent who has nephrotic syndrome. Which of the following statements should the nurse include in the teaching?
"The medication will make you more susceptible to infection."
A nurse is providing discharge teaching for the parents of a school-age child following a cardiac catheterization. Which of the following statements should the nurse include in the teaching?
"Your child should take showers, instead of tub baths, for 1 week."
A nurse is caring for a preschooler who has mucositis. Which of the following is an appropriate action for the nurse to take?
Administer normal saline oral rinses.
A nurse is caring for a preschooler who has partial thickness burns and is scheduled for hydrotherapy. Which of the following should be the nursing priority prior to hydrotherapy?
Assessing the need for pain medication
A parent expresses concern to the nurse that her 18 month old may have autism. Which of the following characteristics described by the parent should the nurse report to the primary care provider?
Dislikes being held
A nurse is caring for a toddler being seen for a well-child visit. Based on the information provided in the chart, which of the following would be an appropriate action by the nurse? (Click on the "Exhibit" button for additional client information. There are three tabs that contain separate categories of data.)
Hold the flu vaccine and contact the provider. egg allergy
A nurse is providing anticipatory guidance for the parent of a 2-month-old infant. Which of the following instructions should the nurse include?
Offer iron fortified cereal at 4 to 6 months.
A nurse is reviewing dietary choices for an adolescent who has iron deficiency anemia. Which of the following food choices has the highest amount of iron?
½ cup raisins
A nurse is providing teaching for the parent of a preschooler who is experiencing diarrhea. Which of the following statements by the parent indicates an understanding of the nurse's teaching regarding management of diarrhea?
"I will limit how much fruit juice my child drinks."
A nurse is providing education about administering a newly prescribed oral medication to a parent of an infant. Which of the following statements by the parent indicates an understanding of the teaching?
"I will mix the medication with 1 teaspoon of flavored syrup."
A school nurse is providing an in-service to faculty about improving education for students who have ADHD. Which of the following statements by faculty members indicates a need for further teaching?
"I will plan to teach challenging academic subjects to students who have ADHD in the afternoon."
A nurse is caring for a preschooler in the hospital. The nurse should recognize that an appropriate way to explain to the child when her parent will return is to state,
"Your mommy will be back after you eat."
A nurse is caring for an infant who has a prescription for digoxin 25 mcg PO. The infant has an apical heart rate of 124/min. Which of the following actions should the nurse take?
Administer 25 mcg as prescribed.
A child has just returned to the unit following a cardiac catheterization. When assessing the catheter insertion site, the nurse notes that the dressing is saturated with blood. Which of the following actions should the nurse take first?
Apply direct pressure 1 inch above the site. prevent further bleeding
A nurse is reviewing the preoperative care plan for a preschooler diagnosed with Wilms' tumor. Which of the following interventions is appropriate for the nurse to include?
Avoid abdominal pressure when bathing the child.
A nurse is caring for a school-age child who was admitted to the burn unit with partial-thickness burns of the trunk and face. Which of the following nursing interventions should the nurse use to help increase the child's self-esteem?
Encourage the child to be an active participant in self-care.
A nurse is caring for a child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse?
Initiate 100% oxygen via face mask
A nurse is assessing an 8-year-old child who has early signs and symptoms of shock. After establishing an airway and maintaining respirations, which of the following actions should the nurse take next?
Initiate IV access.
A nurse is preparing to administer a morning dose of insulin to a child who has diabetes mellitus. Which of the following medications would the nurse expect to peak in 2 to 4 hr?
Insulin regular
A nurse is admitting an adolescent who has meningococcal meningitis. Which of the following should the nurse include in the plan of care?
Isolate the client for 24 hr after starting antibiotics.
A nurse is planning care for a newborn who is scheduled for a myelomeningocele repair. Preoperative nursing care should include which of the following?
Maintain the newborn's legs in abduction.
The mother of a toddler who was admitted to a pediatric unit must leave the facility to meet her other children at the school bus stop. Which of the following actions should the nurse suggest to the mother to make the transition easiest for the toddler?
Provide a security item before leaving.
A nurse is providing discharge teaching to the parent of a school-age child who has cystic fibrosis. Which of the following should the nurse include in the teaching?
Provide high protein and high caloric snacks. because of impaired intestinal absorption
A nurse is planning the care of a school-age child who has neutropenia following chemotherapy. Which of the following activities will meet the developmental needs of this child?
Providing the child with a book of riddles
A nurse in a clinical setting is performing a physical examination on a 3-month-old male infant. Which of the following findings should the nurse report to the provider immediately?
Substernal retractions
A nurse is preparing to suction a child with a tracheostomy. Which of the following actions should the nurse take?
Suction for 5 seconds or less.
A nurse is caring for a toddler who has gastroenteritis and a stool culture that is positive for rotavirus. Which of the following assessment findings should the nurse address first?
Tachypnea
A nurse is caring for a child who has suspected rotavirus and is scheduled to undergo a stool culture specimen collection. Which of the following nursing interventions should the nurse implement to maintain standard precautions? (Select all that apply.)
Wear gloves and a gown during collection. Collect the child's stool specimen by using a potty hat. Place the specimen in a biohazard bag.
A parent presents to the clinic with a 9-month-old infant for a well-child checkup. Which of the following developmental behaviors should the nurse expect to see in the infant?
bangs two toys together
A school nurse is caring for a child with no history of seizure disorder who just experienced a tonic-clonic seizure. Which of the following is the priority assessment by the nurse?
checking the childs respiratory rate
A nurse is caring for a preschool-age child after a tonsillectomy. Which of the following assessment findings requires immediate intervention?
continuous swallowing
A nurse is teaching the parent of a child who has celiac disease. Which of the following grains can be included in the child's diet?
corn
A nurse is caring for a child who is receiving a blood transfusion. Which of the following symptoms should alert the nurse to a hemolytic reaction?
flank pain
A nurse is evaluating the oxygen saturation level of an infant. The nurse should apply the sensor to which of the following?
great toe
A nurse is providing teaching to the parent of a child with hypopituitarism. Which of the following should the nurse instruct the parent to give?
growth hormones
A nurse is taking a child's blood pressure while he is sitting in a chair. The child starts to experience a tonic clonic seizure. Which of the following actions should the nurse take first?
lay the child down
A nurse is planning care for a child who has just returned to the unit following surgical revision of a ventriculoperitoneal shunt. Which of the following is an appropriate action for the nurse to take?
position the child flat
A nurse is caring for an infant who has heart failure. Which of the following is an appropriate action for the nurse to take?
preform daily weights
A nurse is admitting a child who has pertussis. Which of the following actions should the nurse take?
Place the client on droplet precautions.
A nurse is caring for a school-age child following a burn injury. Which of the following interventions should the nurse use to maximize nutritional intake?
Allow the child to choose from a menu of high-calorie/protein foods.
A nurse is caring for a child who is experiencing respiratory depression after an administration of morphine. Which of the following medications should the nurse plan to administer for this child?
Naloxone
A nurse is assessing a client diagnosed with celiac disease. Which of the following is an expected finding?
Steatorrhea
A nurse is performing a screening test for sickle cell anemia on a toddler. Which of the following actions should the nurse take when performing the sickle-turbidity test (Sickledex)?
preform a finger stick
