ATI Nursing Care of Children Practice Test A

A nurse is teaching a school-age child who has a new dx of type 1 diabetes. Which of the following statements by the child indicates an understanding of the teaching? a.) "I will puncture the pad of my finger when testing my blood glucose" b.) "I will give myself a shot of regular insulin 30 min before i eat breakfast" c.) "I will eat a snack of 5 g of carbs if my blood glucose is low" d.) "I will decrease the amount of fluids I drink when I am sick"

b.) "I will give myself a shot of regular insulin 30 min before I eat breakfast"

A nurse is teaching the parents of a school-age child who has a new dx of osteomyelitis of the tibia. Which of the following statements by a parent indicates an understanding of the teaching? a.) "My child will have a cast until healing is complete" b.) "My child will receive antibiotics for several weeks" c.) "My child can return to playing sports once they have been discharged" d.) "My child needs to be in contact isolation"

b.) "My child will receive antibiotics for several weeks"

A nurse is assessing a school-age child immediately following a perforated appendix repair. Which of the following findings should the nurse expect? a.) Purulent nasogastric drainage b.) Absence of peristalsis c.) Passage of dark red stool with mucus d.) WBC count 6,000/mm3

b.) Absence of peristalsis

A nurse is caring for a school-aged child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first? a.) prednisone b.) epinephrine c.) diphenhydramine d.) albuterol

b.) epinephrine

A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney? a.) negative leukocyte esterase b.) serum creatinine 3.0 mg/dL c.) negative urine protein d.) urine output 40 mL/hr

b.) serum creatinine 3.0 mg/dL

A charge nurse in an emergency department is preparing an in-service for a group of newly licensed nurses about the manifestations of child maltreatment. Which of the following manifestations should the charge nurse include as a potential indication of physical abuse? a.) recurrent UTI's b.) symmetric burns of the lower extremities c.) failure to thrive d.) lack of subcutaneous fat

b.) symmetric burns of the lower extremities

A nurse is assessing the vital signs of a 10-year-old child following a burn injury. The nurse should identify that which of the following findings is an indication of early septic shock? a.) BO 130/90 mm Hg b.) HR 60/min c.) Temp 39.1 C (102.4 F) d.) Urinary output 100 mL/hr

c.) Temperature 39.1 C (102.4 F)

A nurse in 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? a.) inflamed throat with exudate b.) purulent eye drainage c.) dry, hacking cough d.) Koplik spots on buccal mucosa

c.) dry, hacking cough

A nurse is teaching the parent of an infant about ways to prevent SIDS. Which of the following instructions should the nurse include?

"Give the infant a pacifier at bedtime"

A nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy. Which of the following findings should the nurse expect?

- Ankle clonus - Exaggerated stretch reflexes - Contractures

A nurse is creating a plan for an infant who has epidural hematoma from a head injury. Which of the following interventions should the nurse include in the plan?

Implement seizure precautions for the infant

A school nurse is preparing to administer atomoxetine 1.2 mg/kg/day PO to a school-age child who weighs 75 lb. Available is atomoxetine 40 mg/capsule. How many capsules should the nurse administer per day?

75lb/2.2 = 34.1 kg 34.1 kg x 1.2 mg = 40.92 1 capsule

A nurse is caring a for a school-aged child who is receiving chemotherapy and is severely immunocompromised. Which of the following actions should the nurse take? a.) use surgical asepsis when providing routine care for the child b.) administer the measles, mumps, and rubella (MMR) vaccine to the child c.) screen the child's visitors for indications of infection d.) infuse packed RBCs

c.) screen the child's visitors for indications of infection

A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the sound as which of the following? a.) biot respiration b.) cheyne-stokes respiration c.) tachypnea d.) bradypnea

c.) tachypnea

A nurse is caring for a toddler who is experiencing acute diarrhea and has moderate dehydration. Which of the following nutritional items should the nurse offer to the toddler? a.) apple juice b.) peanut butter c.) chicken broth d.) oral rehydration solution

d.) Oral rehydration solution

A school nurse is assessing an adolescent who has multiple burns in various stages of healing. Which of the following behaviors should the nurse identify as a possible indication of physical abuse?

Denies discomfort during assessment of injuries

A nurse is caring for a school-aged child who has experienced a tonic-clonic seizure. Which of the following actions should the nurse take during the immediate postictal period?

Place the child in a side-lying position

A nurse in an emergency department is performing a physical assessment on a 2-week-old male newborn. Which of the following findings is the priority for the nurse to report to the provider? a.) Excoriated scrotal area b.) Multiple capillary hemangiomas c.) Depressed posterior fontanel d.) Substernal retractions

d.) Substernal retractions

A nurse is admitting a school-age child who has pertussis. Which of the following actions should the nurse take? a.) place the child in a room with positive-pressure airflow b.) place the child in a room with negative-pressure airflow c.) initiate contact precautions for the child d.) initiate droplet precautions for the child

d.) initiate droplet precautions for the child

A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings is the nurse's priority? a.) skin breakdown b.) hypotension c.) hyperpyrexia d.) tachypnea

d.) tachypnea

A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. Which of the following actions should the nurse plan to take?

Schedule the toddler for a yearly rescreening

A nurse is providing discharge teaching to the parent of a child who is 1 week post-op following a cleft palate repair. For which of the following members of the interprofessional team should the nurse initiate a referral?

Speech therapist

A nurse is caring for a 15-year-old client who is married and is scheduled for a surgical procedure. The client asks, "Who should sign my surgical consent?" Which of the following responses should the nurse make? a.) "You can sign the consent form because you are married" b.) "Your spouse should sign the consent form for you" c.) "Your parent should sign the consent form for you" d.) "You can appoint a legal guardian to sign the consent form"

a.) "You can sign the consent form because you are married"

A nurse is teaching the parent of an infant who has a Pavlik harness for the treatment of developmental dysplasia of the hip. The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching?

"I will place my infant's diapers under the harness of strap's"

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

c.) assess peripheral pulses once every 4 hr

A nurse is reviewing the lab report of a 7-year-old child who is receiving chemotherapy. Which of the following lab values should the nurse report to the provider? a.) Hgb 8.5 g/dL b.) WBC count 9,500/mm3 c.) prealbumin 18 mg/dL d.) platelets 300,000/mm3

a.) Hgb 8.5 g/dL