Peds Exam 3 ATI Questions

A nurse is preparing to administer iron dextran IM to a school-age child who has iron deficiency anemia. Which of the following actions by the nurse is appropriate? a. Administer the dose in the deltoid muscle b. Use the Z-track method when administering the dose c. Avoid injecting more than 2mL with each dose d. Massing the injection site for 1 min after administering the dose

B

A nurse is assessing a child who has neuroblastoma of the adrenal gland. Which of the following are manifestations of metastasis from the primary site? SATA a. Weight gain b. Bone pain c. Periorbital ecchymosis (panda sign) d. Proptosis (protrusion of eyeball) e. Weight loss

B, C, D, E

A nurse is assessing an infant who has HF. Which of the following should the nurse expect? SATA a. bradycardia b. cool extremities c. peripheral edema d. increased urinary output e. nasal flaring

B, C, E

A nurse is assessing a child who has leukemia. Which of the following are early manifestations of leukemia? SATA a. Hematuria b. Anorexia c. Petechiae d. Ulcerations in the mouth e. Unsteady gait

B, C, E hematuria & ulcerations in mouth are LATE manifestations

A nurse is caring for a child who has a Wilms' tumor. Which of the following actions should the nurse take? a. Palpate the child's abdomen to identify the size of the tumor. b. Prepare the child for surgery. c. Teach the parents about dialysis. d. Obtain a 24-hour urine specimen from the child.

B. Removal of the tumor occurs within 24-48 hours of admission

A nurse is providing teaching to the caregiver of an infant who has a prescription for digoxin. Which of the following instructions should the nurse include? a. "Do not offer your baby fluids after giving the med" b. "Digoxin increases your baby's HR" c. "Give the correct dose of medication at regularly scheduled times" d. "If your baby vomits a dose, you should repeat the dose to ensure that the correct amount was received"

C

A nurse is teaching the parent of a child who has a Wilms' tumor. Which of the following statements should the nurse include in the teaching? SATA a. "Your child will need to have chemo for 12 months." b. "Wilms' tumors are typically genetic in nature." c. "Surgery is done usually within 48 hours of diagnosis." d. "Palpating the tumor could cause spread of the cancer." e. "Further treatments will start immediately after surgery."

C, D, E

A nurse is caring for an infant whose screening test reveals potential diagnosis of sickle cell disease. Which of the following tests should be performed to distinguish if the infant has the trait or the disease? a. Sickle solubility test b. Hemoglobin electrophoresis c. CBC d. Transcranial Doppelr

B

A nurse is caring for a 2 year old child who has a heart defect and is scheduled for a cardiac cath. Which of the following should the nurse take? a. Place on NPO status for 12 hour prior to the procedure b. Check for iodine or shellfish allergies prior to the procedure c. Elevate the affected extremity following the procedure d. Limit fluid intake following the procedure

B

A nurse is providing home care instructions to a parent of a child who is receiving chemo. Which of the following instructions should the nurse include in the teaching? SATA a. Manifestations of infection b. Bleeding precautions c. Hand hygiene d. Homeschooling e. Airborne precautions

A, B, C chemo destroys healthy platelets, so increased risk for bleeding

A nurse is assessing an infant who has coarctation of the aorta. Which of the following findings should the nurse expect? SATA a. weak femoral pulses b. cool skin of lower extremities c. severe cyanosis d. clubbing of the fingers e. low BP

A, B, E

A nurse is providing teaching to the parent of a child who has a neuroblastoma. Which of the following statements should the nurse include in the teaching? SATA a. "Chemo and radiotherapy may be necessary for treatment." b. "Your child will need a bone marrow biopsy." c. "Your child will be paralyzed because of this tumor." d. "Most children are diagnosed around age 12." e. "Your child will need surgery for resection of the tumor."

A, B, E

A nurse is providing teaching about epistaxis to the parent of a school-aged child. Which of the following should the nurse include as an action to take when managing an episode of epistaxis? SATA a. Press the nares together for at least 10 mins b. Breathe through the nose until the bleeding stops c. Pack cotton or tissue into the naris that is bleeding d. Apply a warm cloth across the bridge of the nose e. Insert petroleum into the naris after the bleeding stops

A, C

A nurse is caring for a child who is experiencing neuropathy due to chemotherapy. Which of the following are manifestations of neuropathy? SATA a. Constipation b. Skin breakdown c. Foot drop d. Jaw pain e. Hemorrhage cystitis

A, C, D

A nurse is teaching a parent of a child who has HIV. Which of the following info should the nurse include? SATA a. Obtain a yearly flu vaccination b. Monitor a fever for 24 hours before seeking medical care c. Avoid individuals who have colds d. Promote nutritional supplements e. Administer aspirin for pain

A, C, D

A nurse is caring for a child who has thrombocytopenia. Which of the following actions should the nurse take? SATA a. Monitor for manifestations of bleeding b. Administer routine immunizations c. Obtain rectal temp d. Avoid peripheral venipunctures e. Limit visitors

A, D

A nurse is caring for a child who is suspected of having rheumatic fever. Which of the following findings should the nurse expect? SATA a. Erythema marginatum (rash) b. Continuous joint pain of the digits c. Tender, subQ nodules d. Decreased erythrocyte sedimentation rate e. Elevated C-reactive protein

A, E

A nurse is caring for a child who is post/op following a surgical removal of a Wilms tumor. Which of the following assessments is an indication to continue NPO status? a. Abdominal girth 1 cm larger than yesterday b. Report of pain at the operative site c. Absent bowel sounds d. Passing of flatus every 30 mins

C. Indication that GI motility is absent and a reason to continue NPO status

A nurse is providing teaching to the parent of a child who has a new prescription for liquid oral iron supplements. Which of the following statements by the parent indicates an understanding of the teaching? a. "I should take my child to the ED if his stools become dark" b. "My child should avoid eating citrus fruits while taking the supplements" c. "I should give the iron with milk to help prevent an upset stomach" d. "My child should take the supplement through a straw"

D

A nurse is providing teaching about the management of epistaxis to an adolescent. Which of the following positions should the nurse instruct the adolescent to take when experiencing a nosebleed?

Sit up and lean forward

A nurse is caring for a child who has AIDS. Which of the isolation precautions should the nurse implement?

Standard precautions