ATI Peds
A nurse is providing teaching for a 14-year-old client who has acne. Which of the following instruction should the nurse include?
"Keep hair off your forehead."
A nurse is providing teaching to a school-aged child who just had fiberglass cast application following a lower-extremity fracture. Which of the following instructions should the nurse give the child and his parents about care during the first 48 hr?
"Keep the cast above the level of your heart."
A nurse is caring for an infant who as biliary atresia. Which of the following manifestations should the nurse expect? (Select al that apply.)
-Yellow sclerae -Abdominal distention -Dark urine
A nurse is reviewing the laboratory results of a child who has experienced diarrhea for the past 24 hr. Which of the following values for urine specific gravity should the nurse expect?
1.035
A nurse is providing teaching about foods high in fiber to the guardian of a child who has chronic constipation. Which of the following foods should the nurse recommend?
1/2 cup cooked pinto beans
A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride 100mL infused over 4 hr. The drop factor of the manual tubing is 60ggt/mL. The nurse should set the manual IV infusion to deliver how many ggt/min?
25ggt/min
A nurse on the pediatric unit is caring for a group of clients. Which of the following findings should be the nurse's priority?
A child who has sickle cell anemia and a urine specific gravity of 1.030.
A nurse on a pediatric unit is caring for a preschooler who is prescribed an IV medication. Which of the following actions should the nurse take to prepare the child for the procedure?
Use role-play activities with the child.
A nurse in the emergency department is assessing an infant who recently started taking digoxin to treat a supraventricular arrhythmia. Which of the following findings should the nurse identify as an indication of digoxin toxicity?
Vomiting.
A nurse is reviewing the laboratory reports of a child with acute nephrotic syndrome who has been receiving prednisone by mouth for the past week. Which of the following findings should the nurse report to the provider?
WBC count 3,000/mm^3
A nurse is assessing an 18-month-old infant who is postoperative. Which of the following pain scales should the nurse use?
FLACC
A nurse is creating a plan of care for a child ho has sickle cell anemia ad is experiencing a vaso-occlusive crisis. Which of the following interventions is the priority for the nurse to include?
Monitor the child's oxygen saturation
A nurse is caring for a 2-day-old infant who has myelomeningocele. Which of the following actions should the nurse take?
Monitor the infant's head circumference.
A nurse in an emergency department is assessing an infant who has laryngotracheobronchitis. Which of the following findings should the nurse report as an indication of impending airway obstruction?
Nasal flaring
A nurse is performing a neurological examination on a 15-month-old toddler. Which of the following findings should the nurse expect?
Negative Babinski reflex
A nurse is observing a mother who is playing peek-a-boo with her 8-month-old child. The mother asks if this game has any developmental significance. The nurse should reply that peek-a-boo helps develop which of the following concepts in the child.
Object permanence.
A nurse is assessing an adolescent who is receiving fentanyl via epidural. Which of the following assessments should the nurse identify as the priority?
Oxygen saturation
A nurse is reviewing the laboratory report of a 2-year-old child who as diarrhea and has been vomiting for 24 hr. Which of the following findings should the nurse report to the provider?
Potassium 2.5 mEq/L
A nurse is reviewing the morning laboratory results of an infant who is receiving digoxin and furosemide for the treatment of heart failure. Which of the following findings should the nurse report to the provider?
Potassium 3.2 mEq/L
A nurse is providing dietary teaching to the parent of a toddler who has cystic fibrosis. Which of the following instructions should the nurse include?
Provide a high-fat diet for the toddler.
A nurse is admitting a child who has Wilms' tumor. Which of the following actins should the nurse take?
Put a "no abdominal palpation" sign over the child's bed.
A nurse is caring for a child who has TOF. Which of the following laboratory values should the nurse expect to find?
RBC 6.8 million/uL
A nurse is admitting a child who has acute lymphocytic leukemia. Which of the following laboratory values should the nurse expect?
RBCs 2.5million/uL
A nurse is teaching an adolescent about various strategies for chronic pain management. Which of the following activities should the nurse use as an example of the nonpharmacological strategy of thought-stopping?
Repeat memorized facts about the painful event.
A nurse is assisting a provider during femoral venipuncture on a toddler. The nurse should place the child in which of the following positions?
Supine.
A nurse is caring for a 4-year-old child who as superficial partial-thickness burns over 50% of his body. To meet the nutritional needs of the child, which of the following actions should the nurse plan to take?
Supplement the child's feedings with enteral feedings.
A nurse is providing education to the parent of a toddler who is about to receive her first dose of the measles, mumps, rubella (MMR) immunization. Which of the following statements by the parent indicates an understanding of the teaching?
"I can give my child acetaminophen for discomfort associated with the immunization."
A nurse is caring for a female adolescent who is being treated for frequent urinary tract infections (UTIs). Which of the following statements by the adolescent indicates a possible cause of the UTIs?
"I have bowel movements every 4 to 5 days."
A nurse is teaching a parent of an infant who has a colostomy. Which of the following statements by a parent indicates an understanding of the teaching?
"I need to apply paste to the back of the wafer on my child's appliance."
A nurse is providing teaching to the parent of a 4-year-old child who stutters. Which of the following statements by the parent indicates an understanding of the teaching?
"I should ignore the stuttering and not interrupt her."
A nurse is teaching the parent of an infant about injury prevention. Which f the following statements by the parent indicates an understanding of the teaching?
"I should make sure my baby's clothing does not have buttons."
A nurse is providing teaching to the parents of a school-aged child who has type 1 diabetes mellitus about managing hypoglycemia. Which of the following responses by a parents indicates an understanding of the teaching?
"I will make sure my child drinks 240mL (8oz) of milk as soon as possible."
A nurse is caring for a 16-year-old client who reports dysmenorrhea and asks about alternative therapies for treatment. Which of the following statements should the nurse make?
"Herbal medication can be effective but should be monitored by your provider."
A nurse is taking with the parent of a preschool-aged child who tells the nurse, "My child has suddenly become disinterested in certain foods." Which of the following statements should the nurse make?
"Keep a diary of the foods your child eats each day."
A nurse in the emergency department is reviewing laboratory results for several children who have manifestations of influenza. Which of the following children should the nurse report to the provider?
An infant with a WBC count of 24,000/mm3
A nurse is caring for a school-aged child who has hemophilia and fell on the playground. The child reports a pain level of 4 on a scale of 0 to 10. Which of the following actions should the nurse take?
Apply an ice pack to the joint
A nurse is caring for a child who has epistaxis. Which of the following actions should the nurse take?
Apply continuous pressure to the lower part of the child's nose.
A nurse is providing teaching to the parents of an infant who is breastfeeding. When should the nurse instruct the parents to introduce solid foods in the infant's diet?
At 4 to 6 months of age.
A nurse is providing teaching to the guardian of an adolescent. The guardian reports that the adolescent sleep about 10 hr on the weekend nights. Which of the following responses should the nurse provide?
Adolescents need more sleep due to rapid growth.
A nurse reviewing the risk factors for the development of congenital heart disease with a client who is planning to conceive. Which of the following conditions should the nurse include as a maternal risk factor?
Alcohol consumption.
A nurse is assessing a 6-month-old infant following a cardiac catherization. Which of the following findings should the nurse report to the provider?
BP 86/40 mmHg
A nurse is preparing to feed an infant who has cleft lip and palate. Which of the following actions should the nurse plan to take?
Burp the infant at least 2 to 3 times during the feeding
A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following motor activities should the nurse expect the infant to have achieved?
Turning from back to stomach.
A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions should the nurse take?
Check the child's blood pressure every 4 hr
A nurse is assessing an infant who has untreated congenital hypothyroidism. Which of the following manifestations should the nurse expect?
Constipation
A nurse is providing teaching to the parents of a 4-year-old child about fine motor development. Which of the following tasks should the nurse include as an expected finding for this age group?
Copying a circle.
A nurse on a pediatric unit is caring for a child who has autism spectrum disorder. Which of the following actions should the nurse take?
Ensure that staff visits with the child are kept short.
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 take?
Use manual jaw control when feeding the toddler.
A nurse is caring for a child who has electrical buns on the lower arms and hands. Which of the following findings indicate the child is experiencing a complication of the injury?
Dark urine.
A nurse in an emergency department is caring for a 4-year-old child who has burns to the neck and face following a house fire. Which of the following actions should the nurse take first?
Determine the child's breathing pattern.
A nurse is assessing a 4-year-old child's cognitive development during a well-child visit. Which of the following should the nurse expect the child to display?
Development of the superego.
A nurse at a clinic is preparing to administer immunizations to a 5-year-old child. Which of the following immunizations should the nurse plan to give?
Diphtheria, tetanus, and pertussis (DTaP)
A nurse is planning care for a child who has meningococcal meningitis. Which of the following isolation precautions should the nurse plan to implement?
Droplet precautions
A nurse is assessing a 9-mnth-old infant. Which of the following findings should the nurse report to the provider as possible developmental delay?
Dropping a cube when passing from1 hand to the other.
A nurse is providing teaching to the parent of a school-aged child who has pediculosis. Which of the following instructions should the nurse include?
Dry clothing in a hot dryer for at least 20 minutes.
A nurse is providing teaching about home care to the guardian of an adolescent who has hemophilia. Which of the following pieces of information should the nurse provide?
Encourage the adolescent to participate in non-contact sports
A nurse is planning preoperative teaching for a preschooler who is scheduled for a tonsillectomy. Which of the following interventions should the nurse plan to include?
Encourage the preschooler to bring a favorite toy to the hospital.
A nurse is assessing a child who has stage I Hodgkin disease. Which of the following findings should the nurse expect?
Enlarged lymph nodes
A nurse is assessing a 4-year-old child. The nurse should expect the child to be able to perform which of the following activities?
Fastening buttons on a shirt.
A nurse is caring for a child who is postoperative following tonsillectomy. Which of the following findings is the nurse's priority?
Frequent swallowing
A nurse is preparing to administer recommended immunizations to a 2-month-old infant. Which of the following immunizations should the nurse plan to administer?
Haemophilus influenzae type B (HiB) and inactivated polio virus (IPV)
A nurse is developing a health education program for the parents of school-aged females. Which of the following pieces of information regarding sexual maturation should the nurse include?
Higher body fat content is associated with earlier onset of menarche.
A nurse is assessing the gross motor sills of a 4-year-old preschooler. The nurse should expect the preschooler to perform which of the following activities?
Hopping on 1 foot.
A nurse is assessing a child who has bilateral pheochromocytoma. Which of the following findings should the nurse expect?
Hypertension
A nurse is providing teaching for a parent about pinworm testing. At which of the following times should the nurse advise the parent to perform the tape test?
Immediately after the child wakes up in the morning
A nurse is assessing a 24-month-old toddler who has a new diagnosis of autism spectrum disorder (ASD). Which of the following should the nurse expect?
Impaired language skills.
A nurse is caring for a preschool-age child who has mucosal ulceration after receiving chemotherapy. Which of the following actions should the nurse take?
Instruct the child to use a soft-sponge toothbrush when brushing her teeth.
A nurse is assessing a school-aged child who is 30 minutes postoperative following a cardiac catherization using the left femoral artery. Which of the following findings should the nurse identify as the priority to report to the provider?
The pulse strength of the child's left popliteal artery site is decreased
A nurse is teaching the parents of an infant about treatment options for profound sensorineural hearing loss. The nurse should include which of the following pieces of information about the function of cochlear implants?
They provide direct stimulation of the auditory nerve fiber.
A nurse is providing teaching to the guardian of a child who has Kawasaki disease. Which of the following statements by the guardian indicates an understanding of the teaching? (Select all that apply.)
-"My child will likely be irritable for the next few weeks." -"I will ensure my child does not receive any live vaccines for at least 18 months." -"I will keep a record of my child's temperature until she has no fever for several days."
A nurse is planning care for an infant who has heart failure. Which of the following interventions should the nurse include in the plan to meet nutritional needs of the infant? (Select all that apply.)
-Allow 30 min to complete each feeding. -Gradually increase the caloric density of the formula. -Position the infant semi-upright during feedings. -Provide gavage feeding if respiratory rate exceeds 80/min
A nurse is caring for a pre-school age child who is dying. Which of the following findings is an age-appropriate reaction to death by the child? (Select all that apply.)
-The child views death as similar to sleep. -The child believes his thoughts can cause death. -The child thinks death is a punishment.
A nurse is planning to collect specimen from a male infant using a urine collection bag. Which of the following actions should the nurse take?
Wash and dry the infant's genitalia and perineum thoroughly.
A nurse is planning to implement relaxation strategies with a young child prior to a painful procedure. Which of the following actions should the nurse take?
Rock the child using long, rhythmic movements.
A nurse is caring for a school-aged child who has sickle cell anemia and was admitted for vaso-occlusive crisis. Which of the following findings should the nurse report to the provider immediately?
Slurred speech
A nurse is caring for a 6-week-old infant following pyloromyotomy. which of the following forms of feeding should the nurse anticipate for the infant 6 hours after the procedure?
Small, frequent bottle feedings of electrolyte solution.
A nurse is caring for a school-aged child who has an arm cast applied 8 hours age. Which of the following findings should alert the nurse to a complication related to the casting?
The child reports tightness at the wrist
A nurse is talking with a parent of a preschooler. The parent reports that she struggles to get her child to go to bed at a consistent time. She explains that the child gets out bed, enter his parents' room, and cries when they tell him to stay in his own bed. Which of the following instructions should the nurse give to the parent?
"Use a stable, relaxing, routine like a bath and story time before bed."
A nurse is teaching the parents of a toddler who has enterobiasis about managing tis parasitic disease. Which of the following pieces of information should the nurse include in the teaching?
"You should keep your child's fingernails trimmed short."
A nurse is providing teaching to a parent of a preschooler who has tinea capitis. Which of the following instructions should the nurse include in the teaching?
Leave the medicated shampoo on the scalp for 5 to 10 minutes
A nurse is caring for an infant who gastroenteritis and is dehydrated. Which of the following characteristics places the infant at a higher risk of electrolyte imbalances compared to an adult client?
Longer intestinal tract.
A nurse on a pediatric unit is reviewing the health record of a client who is demonstrating increasing levels of stress after admission. The nurse should identify which of the following findings as a risk factor for a stress-related reaction to hospitalization?
Male gender
A nurse is teaching the parents of a child who has rheumatic fever. Which of the following statements by a parent indicates an understanding of the teaching?
"My child may take aspirin for his joint pain."
A nurse is performing a developmental assessment on a 3-year-old child. Which of the following commands should the nurse expect the child to complete sucessfully?
"Put your shoes on."
A nurse is teaching the parents of a child who has cerebral palsy. Which of the following statements should the nurse make?
"Your child will need a botulinum toxin A injection to reduce muscle spasticity."
A nurse is providing teaching about disease-management strategies for a 9-year-old client who has cystic fibrosis. Which of the following statement should the nurse include?
"Your mucus is thick because cystic fibrosis interferes with how your glands work."
A nurse is conducting a health assessment for a 24-month-old toddler at the local health department. Th nurse should expect which of the following findings? (Select all that apply.)
-Ability to build a tower of 6 blocks. -Slightly bowed or curved leg appearance.
A nurse is teaching a group of parents and guardians about otitis media. Which of the following should the nurse identify as risk factor for this illness?
Passive smoking.
A nurse is caring for an 8-year-old child who has acute glomerulonephritis. Which of the following findings should the nurse expect?
Periorbital edema
A nurse is caring for a 5-year-old child who has a fever and begins to have a seizure. Which of the following actions should the nurse take?
Place the child in a side-lying position.
A nurse is caring for a 4-month-old infant who has TOF and experiences a hypercyanotic spell. Which of the following actions should the nurse take?
Place the infant in knee-chest position
A nurse is planning care for a child who has hyperthermia. Which of the following actions should the nurse take?
Position the child on a cooling blanket and cover her with a sheet.
A nurse is caring for a 3-year-old child who has a cyanotic heart defect. The child cries when her parents leave the room, worsening her cyanosis and dyspnea. Into which of the following positions should the nurse place the child to improve these manifestations?
Knee-chest
A nurse in the emergency department is caring for a child who has bruises that support a suspicion of child abuse. Which of the following actions should the nurse take?
Report the suspected abuse to local authorities.
A nurse is assessing a child who is postoperative. Which of the following findings should the nurse identify as an indication that naloxone should be administered?
Respiratory depression
A nurse is assessing an adolescent who has appendicitis. Which of the following manifestations should the nurse expect?
Rigid abdomen
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?
Tachypnea
A nurse is assessing a preschooler who has influenza and reports the new onset of a sore throat and difficulty swallowing. Which of the following findings is the priority for the nurse to report to the provider?
The child is drooling.
A nurse is assessing a 6-year-old child who is immediately postoperative following a tonsillectomy. Which of the following findings should the nurse report to the provider?
The child is swallowing frequently
A nurse s caring for a school-aged child who is having a tonic-clonic seizure. Which f the following actions should the nurse perform first?
Position the child on his side.
