VIRTUAL ATI PRE ASSESSMENT NURSING CARE OF CHILDREN

A nurse is caring for a child who has rheumatic fever. When obtaining the clients medical history from the parent, the nurse should recognize which of the following findings as significant? 1. A classmate has a fifth disease 2. A sibling had a sore throat 3 weeks ago 3. The father had gastritis 2 weeks ago 4. A neighbors child has chickenpox

2. A sibling had a sore throat 3 weeks ago - Rheumatic fever typically develops 2-6 weeks after an untreated or ineffectively treated streptococcal infection of the resp tract

A nurse is assisting with the plan of care for a client who has leukemia and whose platelet count is 50,000mm3. Which of the following interventions should the nurse include in the plan of care? 1. Use contact precautions 2. Administer a stool softener 3. Administer ibuprofen prior to assisting with ADLS 4. Measure rectal temp every 4 hr

2. Administer a stool softener -constipation can lead to rectal bleeding

A nurse is assisting with the admission of an infant who has respiratory syncytial virus (RSV). Which of the following rooms should the nurse assign the infant? 1. A semi-private room with an infant who has croup 2. A semi-private room with a toddler who has pneumonia 3. A private room with contact/droplet precautions 4. A private room with protective isolation

3. A private room with contact/droplet precautions -RSV can be transmitted by a person who. is infected coughs or sneezes into the air

A nurse is reinforcing health promotion teaching with the parents of a toddler. Which of the following should the nurse include as the leading cause of death among this age group? 1. Congenital anomalies 2. Heart disease 3. Unintentional injuries 4. Cancer

3. Unintentional injuries

A nurse is collecting data from a 3-year-old child who has acute diarrhea and dehydration. Which of the following findings indicates that oral rehydration therapy has been effective? 1. Heart rate 130/min 2. Respiratory rate 24/min> 3. Urine specific gravity 1.015 4. Capillary refill greater than 3 seconds

3. Urine specific gravity 1.015 - a result greater than 1.025 indicates dehydration

Identify the order of Eriksons stages of psychosocial development from birth through 18 years of age.

Trust vs Mistrust Autonomy vs Shame/doubt Initiative vs Guilt Industry vs Inferiority Identity vs Confusion

A nurse is reinforcing teaching witha. parent of an infrant who has GERD which of the following statements by the parent indicates an understanding of the teaching? 1. "I will keep my baby in an upright position after feedings" 2. "My babys formula can be thickened with oatmeal" 3. "I will have to feed my baby formula, rather than breast milk" 4. "I should move my baby into a side-lying position during sleep"

1. "I will keep my baby in an upright position after feedings"

A nurse is collecting data on an adolescent client who has ADHD. Which of the following manifestations should the nurse expect to find? 1. Difficulty maintaining sustained attention 2. Difficulty using words in context 3. Difficulty in acquiring reading skills 4. Difficulty performing self-grooming activities

1. Difficulty maintaining sustained attention

A nurse is reinforcing teaching with an adolescent who has a new prescription for sulfamethoxazole-trimethoprim. Which of the following adverse effects should the nurse include in the teaching? 1. Photosensitivity 2. Constipation 3. Decreased BUN 4. Hyperglycemia

1. Photosensitivity

A nurse in a family health clinic is collecting data as part of a routine physical exam of a client who is about to enter high school. The nurse observes an abnormal lateral curvature of the spine. The nurse should expect the provider to document which of the following? 1. Scoliosis 2. Kyphosis 3. Lordosis 4. Ankylosis

1. Scoliosis

A nurse is caring for a preschooler. Which of the following actions by the preschooler indicates a need for speech therapy? (select all that apply) 1. Stuttering when speaking 2. Mispronouncing words 3. Seeing letters in reverse 4. Talking to himself when reading 5. Speaking in a nasally tone

2, 3, 5 2. Mispronouncing words 3. Seeing letters in reverse 5. Speaking in a nasally tone

A nurse is reinforcing instructions about immunizations with a client who is at 12 weeks of gestation. Which of the following vaccines is safe for the nurse to administer (Select all that apply) 1. MMR 2. tetanus and diphtheria (Td) 3. Live, attenuated influenza 4. inactivated influenza 5. Varicella

2, 4

A charge nurse is observing a newky licensed nurse who is performing endotracheal suctioning for a preschool age child. Which of the following actions by the newly licensed nurse requires the charge nurse to intervene? 1. Introducing the catheter without suction 2. Applying suction for 15 seconds 3. Rotating the catheter between the thumb and forefinger while suctioning 4. Allowing the child to rest for 30 to 60 seconds between suctioning passes

2. Applying suction for 15 seconds - applying suction greater than 5 seconds can jeopardize the airway

A nurse is caring for a child who has pertussis. The child's parent asks the nurse what the common name for this disease is. The nurse should respond with which of the following common names? 1. Chickenpox 2. Whooping cough 3. Mumps 4. Fifth disease

2. Whooping cough

A nurse is reinforcing teaching with the mother of a 2-month-old infant whose provider applied a Pavlik harness 1 week earlier for the treatment of developmental hip dysplasia. Which of the following statements by the mother indicated an understanding of the teaching? 1. "I will adjust the harness straps every day" 2. "I will place the diaper over the harness" 3. "I will check my babys skin three times each day" 4. "I will gently massage lotion on his skin around the harness clasps"

3. "I will check my babys skin three times each day"

A nurse is collecting data from an infant. Which of the following clinical manifestations of pyloric stenosis? 1. Absent bowel sounds 2. Increased sodium level 3. Projectile vomiting after feedings 4. Golf ball-size mass over the left quadrant

3. Projectile vomiting after feedings -is a narrowing and thickening of the pyloric canal between the stomach and the duodenum that results in this

A nurse is contrivuting to the plan of care for a child who has sickle cell crisis. Which of the following actions should the nurse recommend to include? 1. Active range-of-motion (ROM) exercises daily 2. Apply cool compresses to 3. Promote hydration with IV and oral fluids 4. Implement pain management on a PRN basis

3. Promote hydration with IV and oral fluids -hydration is necessary to reduce blood viscosity

A school nurse is completing routine health evaluations for school-age children. Which. of the following manifestations should alert the nurse to the possibility of pediculosis capitis? 1. Patches of baldness 2. Blisters on the scalp 3. Reports of scalp itchiness 4. Dry patches on the scalp

3. Reports of scalp itchiness

A nurse is collecting data from a child who has spina bifida occulta. Which of the following findings should the nurse expect? 1. Hip dislocation 2. Flaccid paralysis of lower extremities 3. Hydrocephalus 4. Dimple in sacral area

4. Dimple in sacral area

A nurse is reinforcing teaching about controlling a bleeding episode with a parent of a child who has hemophilia. Which of the following statements by the parent indicates a need for further teaching? 1. "I will have my child rest" 2. "I will elevate the affected are if possible" 3. "I will apply an elastic wrap to the site" 4. "I will apply warm compresses over the site"

4. "I will apply warm compresses over the site" - should apply ice over the site in order to slow the blood flow to the area

A nurse on a medical-surgical unit is caring for a group of children. Which of the following findings should alert the nurse that one of the children is a potential victim of abuse? 1. A toddler who has multiple bruises on the shins of both legs and his parents report that he is clumsy 2. A preschooler who has a BMI indicating obesity 3. A school-age child who cries when the nurse is giving him an injection 4. An adolescent who asks to stay in the hospital because he likes the room

4. An adolescent who asks to stay in the hospital because he likes the room

A nurse is providing teaching about iron deficiency anemia to the parents of a 14-month-old. Which of the following should the nurse recommend as a method of preventing iron deficiency anemia? 1. Avoid a diet consisting of primarily milk 2. Administer fat-soluble vitamins daily 3. Include whole grains and legumes in the diet 4. Limit intake of high-protein foods

1. Avoid a diet consisting of primarily milk - milk is a poor source of iron, more than 1L/day places child at risk for iron deficiency

A nurse is caring for a school-aged child who has acute glomerulonephritis. The child has peripheral edema and is producing 35 mL of urine per hour. Which of the following diets should the nurse anticipate the provider will prescribe? 1. Low-sodium, fluid-restricted 2. Regular diet, no added salt 3. Low-carbohydrate, low-protein diet 4. Low-protein, low-potassium diet

1. Low-sodium, fluid-restricted

A nurse is reinforcing teaching with the mother of a child who has cystic fibrosis and is to take pancreatic enzymes three times per day. Which of the following statements indicates the mother understands the information? 1. "My child will chew the capsules" 2. "My child will take the enzymes to prevent nausea" 3. "My child will take the enzymes to help digest the fat in foods" 4. "My child will take the enzymes 2 hours before meals"

3. "My child will take the enzymes to help digest the fat in foods"

A nurse is caring for a school-age child who has a new plaster cast on her right arm. Which of the following actions should the nurse take? 1. Position the casted arm in a dependent position 2. Place a warm, moist heat pack on the cast 3. Administer diphenhydramine to relieve itching 4. Move the casted arm with a firm grasp

3. Administer diphenhydramine to relieve itching

A nurse is contributing to the plan of care for a school-age child who has moderate partial-thickness burns on both lower extremities. Which of the following interventions should the nurse include? 1. Provide low-calorie snacks 2. Maintain medical asepsis during dressing changes 3. Administer pain medication 30 min before physical therapy 4. Allow the child to set her own schedule for care

3. Administer pain medication 30 min before physical therapy

A nurse is contributing to the plan of care of a 14-month-old toddler who is 24 hr postoperative following a cleft palate repair. Which of the following interventions should the nurse include in the plan? 1. Provide soft foods for the toddler 2. Suction the toddler's nose and mouth every hour 3. Maintain elbow restraints on the toddler 4. Give the toddler a hard-tipped sippy cup to drink liquids

3. Maintain elbow restraints on the toddler -to prevent touching of the mouth

A nurse is preparing to administer an oral elixir to a 3-month-old infant using an oral medication syringe. Which of the following actions should the nurse plan to take? 1. Measure the elixir in a medicine cup before transferring to a syringe 2. Mix the med with 10ml of formula 3. Place the infant supine in a crib prior to admin 4. Position the syringe to the side of the infants tongue

4. Position the syringe to the side of the infants tongue