ATI peds practice B

A nurse is teaching the guardian of a 6 month old infant about car seat use. Which of the following statements by the guardian indicates an understanding of the teaching?

"I should secure the car seat using lower anchors and tethers instead of the seatbelt"

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

Assess peripheral pulses once every 4 hrs

A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes. Which of the following statements by the child indicates an understanding of the teaching?

I will give myself a shot of regular insulin 30 min before meals so that the onset coincides with the food intake

A nurse is creating a plan of care for an infant who has an epidural hematoma from a head injury. Which of the following interventions should the nurse include in the plan? A) position the infant side-lying with their heat at a 0 - 5 degree angle b) perform a neuro assessment every 4 hrs c) suction the infant's nares to remove secretions d) implement seizure precautions for the infant.

Implement seizure precautions for the infant

a nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. Which of the following actions should the nurse plan to take?

perform a finger stick

A nurse is assessing a school-age child who has meningitis. which of the following findings is the priority for the nurse to report to the provider?

petechiae on the lower extremities

a nurse is caring for a school-age child who is receiving chemotherapy and is severely immunocompromised. Which of the following actions should the nurse take?

screen the child's visitors for indications of infection

a nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. The nurse should identify that which if the following laboratory values indicate effectiveness of the current treatment?

sodium of 140

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

speech therapist

Common complication of mononucleosis

splenomegaly

A nurse is providing dietary teaching to the parent of a school-age child who has celiac disease. The nurse should recommend that the parent offer which of the following foods to the child?

white rice

A nurse in an emergency department is caring for a school-age child who has appendicitis and rates their pain as 7/10. which of the following actions should the nurse take?

Give morphine 0.05 mg/kg IV

A nurse is caring for an infant who has respiratory syncytial virus. Which of the following actions should the nurse implement for infection control?

Have a designated stethoscope in the infant's room

A nurse in an emergency department is caring for a toddler who has partial-thickness burns on the right arm. Which of the following actions should the nurse take?

cleanse the affected area with mild soap and water

a nurse is assessing a 4-year-old child at a well-child visit. Which of the following developmental milestones should the nurse expect to observe?

cuts an outlined shape using scissors

A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse see first?

A school-age child who has sickle cell anemia and reports decreased vision in the left eye

A school nurse is assessing an adolescent who has scoliosis. Which of the following findings should the nurse expect?

A unilateral rib hump

A nurse in an emergency department is caring for a school-age child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse?

Administer epinephrine IM to the child

Spastic (pyramidal) cerebral palsy. Which findings should the nurse expect?

Ankle clonus, exaggerated stretch reflexes, contractures

A nurse is caring for an adolescent who received a kidney transplant. Which lab result should the nurse identify as an indication the adolescent is rejecting the kidney?

Creatinine of 3.0

A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin and angioedema, After discontinuing the infusion, which of the following medications should the nurse administer first?

Epinephrine

A nurse is reviewing the lumbar puncture results of a school-age child who is suspected of having bacterial meningitis. Which of the following findings should the nurse identify as an indication of bacterial meningitis?

Increased protein concentration

A nurse is admitting a school-age child who has pertussis. Which of the following actions should the nurse take?

Initiate droplet precautions

Chelation therapy

Medical treatment for people experiencing heavy metal poisoning - Chelation therapy is required for a lead level of 45 mcg/dL or greater.

test that indicates the presence of infectious mononucleosis

Positive mononucleosis rapid test

Babinski reflex

Reflex in which a newborn fans out the toes when the sole of the foot is touched - is normal in infants and children up to 2 y/o

A charge nurse in an emergency department is preparing an in-service for a group of newly licensed nurses on the clinical manifestations of child maltreatment. Which of the following manifestations should the charge nurse include as suggestive of potential physical abuse?

Symmetric burns of the lower extremities -> The patterns are usually characteristic of the method or object used, such as cigar, or burns in the shape of an iron

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?

Tachypnea - always remember ABCs

A nurse is assessing the vital signs of a 10 y/o child following a burn injury. The nurse should identify that which of the following findings is an indication of early septic shock?

Temperature of 102.4 F (39.1 c) - early signs of septic shock are fever and chills

Steps to discontinue IV?

Turn off, occlude, remove tape, apply pressure

A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect?

deep respirations of 32/min

Children who have major burns require what type of diet

high-calorie diet, high-protein

a nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury, and has sodium level of 129 mEq/L. Which of the following interventions should the nurse include in the plan?

initiate seizure precautions for the child

a nurse is preparing to administer an immunization to a 4 y/o child. Which of the following actions should the nurse plan to take?

administer the immunization using a 24-gauge needle

When should the nurse withhold the measles, mumps, and rubella (MMR) vaccine?

when the patient has an allergy to neomycin with an anaphylactic reaction. Clients who have a severe allergy to eggs or gelatin should not receive this vaccine

For diaper dermatitis the parent should apply

zinc oxide

A nurse is caring for a preschooler whose father is going home for a few hours while another relative stays with the child. Which of the following statements should the nurse make to explain to the child when their father will return?

"your daddy will be back after you eat" preschoolers make sense of time best when they can associate it with an expected daily routine, such as meals and bedtime.

a nurse is assessing a 3-year-old toddler at a well-child visit. Which of the following manifestations should the nurse report to the provider? a) blood pressure 90/50 b) RR 45/min c) Weight 14.5 kg d) HR 110

Respiratory rate of 45

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

Schedule the toddler for a yearly rescreening and educate the family on ways to prevent exposure

a nurse is caring for a shool-age 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 is providing teaching about play activities for social development to the parents of a preschooler. Which of the following play activities should the nurse recommend for the child?

playing dress-up (at the preschool age, play should focus on social, mental, and physical development)

a nurse is creating a plan of care for a school-age child who has a heart disease and has developed heart failure. Which of the following interventions should the nurse include in the plan?

provide small, frequent meals for the child.

The nurse is interviewing the parent of an 18-month-old toddler during a well-child visit. The nurse should identify that which of the following findings indicates a need to assess the toddler for hearing loss?

the toddler received tobramycin during a hospitalization 2 weeks ago - Tobramycin is an aminoglycoside, which is an ototoxic medication that can cause mild to moderate hearing loss