ATI- Nursing Care of Children Practice/Focus Areas

A nurse is caring for an adolescent client who has a prescription for opioids. Which of the following findings should the nurse recognize as an adverse effect of opioids? a. Dilated pupils b. Tremors c. Yawning d. Pruritis

d. Pruritis

A nurse is caring for a child with a vesicular rash that has been present for 6 days. The nurse should expect that the child has which of the following conditions? a. Measles b. Fifth disease c. Tetanus d. Varicella

d. Varicella

A nurse is preparing to assess a 3-month-old infant during a well-child visit. Which of the following observations should the nurse expect? a. The infant looks at his hands b. The infant has a pincer grasp c. The infant has no head lag when pulled to a sitting position d. The infant can independently roll from his back to his abdomen

a. The infant looks at his hands

A nurse is providing teaching to the parent of an infant who has heart failure and a new prescription for digoxin elixir. Which of the following pieces of information should the nurse include? a. Withhold the medication if the infant's HR is less than 110/min b. Mix the medication in 4 oz. of infant formula c. Expect the infant to vomit frequently while taking this medication d. Double the dose if the infant has increased edema

a. Withhold the medication if the infant's HR is less than 110/min

A nurse is providing teaching to a 14-year-old client who has acne. Which of the following instructions should the nurse include? a. "Use an exfoliating cleanser" b. "Keep hair off your forehead" c. "Take tetracycline after meals" d. "Squeeze acne lesions as they appear"

b. "Keep hair off your forehead"

A nurse is caring for a child who received Penicillin IM 15 minutes ago. The child is now irritable and restless. Which of the following actions should the nurse take first? a. Administer Diphenhydramine b. Assess for laryngeal edema c. Initiate hourly urine output monitoring d. Give Epinephrine IV push

b. Assess for laryngeal edema

A nurse is instructing a group of parents and guardians about child development. Which of the following recommendations should the nurse make to promote the developmental task of industry in the school-age child? a. Have an after-school snack ready for the child each day b. Assign the child several small chores c. Talk with the child about what future goals as an adult d. Talk openly about the family's value system

b. Assign the child several small chores

A nurse is caring for a client who has acute glomerulonephritis. Which of the following actions should the nurse take? a. Maintain the child on strict bed rest b. Check the child's BP every four hours c. Administer Albumin every 8 hours d. Provide the child with a low-carb diet

b. Check the child's BP every four hours

A nurse is caring for an infant who has a tracheoesophageal fistula. Which of the following actions should the nurse take? a. Place the infant in a lateral position b. Perform oropharyngeal suctioning c. Administer Ranitidine orally d. Thicken the infant's formula

b. Perform oropharyngeal suctioning

A nurse is assessing the gross and fine motor behaviors of a toddler. Which of the following behaviors should the nurse identify as an expected achievement for a 3-year-old child? a. Walking backward while moving heel to toe b. Standing on one foot for several seconds c. Using scissors to cut out shapes d. Printing letters with a pencil

b. Standing on one foot for several seconds

A nurse is planning care for an infant with an unrepaired myelomeningocele. Which of the following actions should the nurse take? a. Fasten the diaper loosely b. Cleanse the meningeal sac with povidone-iodine daily c. Palpate the abdomen for abdominal distention d. Cover the sac with a dry, sterile gauze dressing

c. Palpate the abdomen for abdominal distention

A nurse is assessing a 6-month-old infant who was recently admitted with acute vomiting and diarrhea. Which of the following findings indicates the infant has moderate dehydration? a. Bulging anterior fontanel b. Bradycardia c. Tachypnea d. Polyuria

c. Tachypnea

A nurse is creating a plan of care for an 18-month-old toddler who has cerebral palsy. Which of the following interventions should the nurse include? a. Use a mobile walker for the toddler b. Discourage activities involving repetitive joint movement c. Use manual jaw control when feeding the toddler d. Discourage use of wrist splints

c. Use manual jaw control when feeding the toddler

A nurse is teaching a group of parents of toddlers about measures to reduce the risk of choking. Which of the following foods increases the risk of choking in toddlers? (SATA) a. Hot dogs b. Grapes c. Bagels d. Marshmallows e. Graham crackers

a. Hot dogs b. Grapes c. Bagels d. Marshmallows

A nurse is providing teaching to the parents of a child who has cystic fibrosis and a prolapsed rectum. The nurse should identify that which of the following is a cause of this complication? a. Bulky stools b. Weakened renal sphincter c. Elevated pancreatic enzymes d. Decreased intraabdominal pressure

a. Bulky stools

A nurse is preparing to administer immunizations to a five-year-old child. Which of the following immunizations should the nurse plan to give? a. DTaP b. Pneumococcal (PCV) c. Hib d. HepB

a. DTaP