ATI RN Pediatric Nursing 2023 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 seat belt." "I should position the car seat harness 1 inch above my baby's shoulders." "I will make sure that the car seat is placed at a 90-degree angle." "I will pad my baby's car seat with a blanket for traveling long distances."

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

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

"I will give myself a shot of regular insulin 30 minutes before I eat breakfast."

A school nurse is providing an in-service for faculty about improving education for students who have ADHD. Which of the following statements by a faculty member indicates an understanding of the teaching? "I will plan to increase the amount of homework I assign to students who have ADHD." "I will give students who have ADHD the same amount of time as other students to complete tests." "I will allow students who have ADHD one rest break throughout the day." "I will teach challenging academic subjects to students who have ADHD in the morning."

"I will teach challenging academic subjects to students who have ADHD in the morning."

Which of the following statements by a guardian indicate that the discharge teaching was effective? Select all that apply. "We should apply a skin emollient immediately after bathing our child." "We should keep our child's fingernails trimmed short." "We should rub the sores vigorously to remove scabs." "We should allow our child to take a bubble bath prior to bed." "We should use a mild detergent for our laundry." "We should apply a large amount of the ointment to the sores."

"We should apply a skin emollient immediately after bathing our child." "We should keep our child's fingernails trimmed short." "We should use a mild detergent for our laundry."

A nurse in a provider's office is caring for a school-age child who has varicella. The parent asks the nurse when their child will no longer be contagious. Which of the following responses should the nurse make? "When your child no longer has an increased temperature." "Three days after you first noticed the rash appear on your child." "When your child's lesions are crusted, usually 6 days after they appear." "Two to three weeks, when your child's lesions completely disappear."

"When your child's lesions are crusted, usually 6 days after they appear."

A school nurse is assessing an adolescent who has scoliosis. Which of the following findings should the nurse expect? Increased anterior convexity of the lumbar spine Increased curvature of the thoracic spine Lateral flexion of the neck A unilateral rib hump

A unilateral rib hump

After examining the child during hydrotherapy, the provider enters prescriptions into the child's medical record. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the child. A. Change the morphine route to family-controlled analgesia via a PCA pump B. Obtain a wound culture C. Place the child on a pressure-reduction mattress D. Limit daily protein intake

A. Anticipated B. Anticipated C. Anticipated D. Contraindicated

A nurse is assessing an infant who has pneumonia. Which of the following findings is the priority for the nurse to report to the provider? A. Nasal flaring B. WBC count 18,000/mm3 (6,200 to 17,000/mm3) C. Diarrhea D. Abdominal distension

A. Nasal flaring

A nurse is assessing a school-age child who has peritonitis. Which of the following findings should the nurse expect? Hyperactive bowel sounds Abdominal distention Bradycardia Bloody stool

Abdominal distention

A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should the nurse expect? Loud, harsh murmur Dysrhythmias Weak femoral pulses High blood pressure

Loud, harsh murmur

A nurse is caring for a school-age child who has peripheral edema. The nurse should identify that which of the following assessments should be performed to confirm peripheral edema? Palpate the dorsum of the child's feet. Weigh the child daily using the same scale. Assess the child's skin turgor. Observe the child for periorbital swelling.

Palpate the dorsum of the child's feet.

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? Obtain a sputum specimen. Perform an Allen test. Perform a finger stick. Obtain a stool specimen.

Perform a finger stick.

A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistent asthma. Which of the following instructions should the nurse include? A. "You should give your child their salmeterol inhaler every 4 hours when they are having an acute episode of wheezing." B. "You should monitor your child's weight weekly while they are receiving inhaled corticosteroid therapy." C. "Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy." D. "When using the peak expiratory flow meter, record your child's average of three readings."

C. "Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy."

A school nurse is caring for a child following a tonic-clonic seizure. Which of the following actions should the nurse take first? A. Check the child for a head injury. B. Observe for oral bleeding. C. Check the child's respiratory rate. D. Observe for extremity weakness.

C. Check the child's respiratory rate.

A nurse is teaching the parent of an infant about ways to prevent sudden unexplained infant death (SUID). Which of the following instructions should the nurse include? A. "Place the infant in a prone position to sleep." B. "Allow the infant to sleep on a large pillow." C. "Use a soft mattress in the infant's crib." D. "Give the infant a pacifier at bedtime."

D. "Give the infant a pacifier at bedtime."

A nurse is caring for a school-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. Delay documentation until the child is fully alert. Give the child a high-carbohydrate snack. Administer an oral sedative to the child.

Place the child in a side-lying position.

A nurse is assessing a school-age child who has an infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure? Hypotension Reports insomnia Difficulty concentrating Tachycardia

Difficulty concentrating

A nurse is caring for a toddler who has acute otitis media and a temperature of 40º C (104º F). After administering acetaminophen, which of the following actions should the nurse plan to take to reduce the toddler's temperature? Apply a cooling blanket to the toddler. Dress the toddler in minimal clothing. Give the toddler a tepid bath. Administer diphenhydramine to the toddler.

Dress the toddler in minimal clothing.

A nurse is caring for an infant who is receiving IV fluids for the treatment of tetralogy of Fallot and begins to have a hypercyanotic spell. Which of the following actions should the nurse take? Place the infant in a knee-chest position. Administer a dose of meperidine IV. Discontinue administration of IV fluids. Apply oxygen at 2 L/min via nasal cannula.

Place the infant in a knee-chest position.

A nurse is caring for an infant who has respiratory syncytial virus (RSV). Which of the following actions should the nurse implement for infection control? Have a designated stethoscope in the infant's room. Place the infant in a room equipped with negative airflow. Administer palivizumab as prescribed for the infant. Remove gloves after leaving the infant's room.

Have a designated stethoscope in the infant's room.

A nurse is reviewing the laboratory report of a 7-year-old child who is receiving chemotherapy. Which of the following laboratory tests should the nurse review to evaluate for anemia? Hgb WBC count Prealbumin Platelets

Hgb

The child has returned to the unit following the procedure. Which of the following actions should the nurse take? Select all that apply. Monitor SaO2 every 2 hr. Provide 100% oxygen via face mask. Check anterior neck and chest dressing for bleeding. Replace the dressing on the left thigh. Place a warm blanket on the child. Keep the child's head in a neutral position.

Provide 100% oxygen via face mask. Check anterior neck and chest dressing for bleeding. Place a warm blanket on the child. Keep the child's head in a neutral position.

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? Blood pressure 90/50 mm Hg Respiratory rate 45/min Weight 14.5 kg (32 lb) Heart rate 110/min

Respiratory rate 45/min

A nurse is providing discharge teaching to the guardian 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? Occupational therapist Speech therapist Respiratory therapist Physical therapist

Speech therapist

After reviewing the child's assessment, which of the following findings should the nurse address first? Complete the following sentence by using the lists of options. The nurse should first address the client's BLANK followed by the clients BLANK

Temperature, Pain

A nurse is planning care for a school-age child who has a tunneled central venous access device. Which of the following interventions should the nurse include in the plan? Use sterile scissors to remove the dressing from the site. Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in use. Access the site using a noncoring angled needle. Use a semipermeable transparent dressing to cover the site.

Use a semipermeable transparent dressing to cover the site.

A nurse is preparing to administer an immunization to a 4-year-old child. Which of the following actions should the nurse plan to take? Place the child in a prone position for the immunization. Request that the child's caregiver leave the room during the immunization. Administer the immunization using a 24-gauge needle. Inject the immunization slowly after aspirating for 3 seconds.

Administer the immunization using a 24-gauge needle.

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? Expresses a reluctance to leave home Provides a detailed description of how the burns occurred Denies discomfort during assessment of injuries Describes strong relationships with peers

Denies discomfort during assessment of injuries

A nurse is planning care to address nutritional needs for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan? Administer pancreatic enzymes 2 hr after meals. Discontinue the use of pancreatic enzymes if steatorrhea develops. Limit fluid intake to 750 mL per day. Increase fat content in the child's diet to 40% of total calories.

Increase fat content in the child's diet to 40% of total calories.

A hospice nurse is caring for a preschooler who has a terminal illness. One of the preschooler's parents tells the nurse that they cannot cope anymore and are thinking about moving out of the house. Which of the following statements should the nurse make? "It is important that you provide emotional support for your family at this time." "You have to do what you feel is best. Everything will turn out fine." "I know how you feel. This is an extremely stressful time for your family." "Let's talk about some of the ways you have handled previous stressors in your life."

"Let's talk about some of the ways you have handled previous stressors in your life."

A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury (AKI) and has a sodium level of 129 mEq/L (136 to 145 mEq/L). Which of the following interventions should the nurse include in the plan? A. Administer ibuprofen to the child for a temperature greater than 38º C (100.4º F). B. Assess the child's blood pressure every 8 hr. C. Weigh the child weekly at various times of the day. D. Initiate seizure precautions for the child.

D. Initiate seizure precautions for the child.

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? A. Deep respirations of 32/min B. Shallow respirations of 10/min C. Paradoxic respirations of 26/min D. Periods of apnea lasting for 20 seconds

A. Deep respirations of 32/min

A nurse is planning developmental activities for a newly admitted 10-year-old child who has neutropenia. Which of the following actions should the nurse plan to take? A. Provide the child with a book about adventure. B. Arrange frequent visits from family members and peers. C. Give the child a large-piece puzzle. D. Use puppets to entertain the child.

A. Provide the child with a book about adventure.

After reviewing the information in the child's medical record, which of the following findings should the nurse report to the provider? Select the 4 findings that the nurse should report to the provider. Arterial blood gases Cardiovascular assessment WBC count Hemoglobin Oxygen saturation level Respiratory assessment

Arterial blood gases WBC count Oxygen saturation level Respiratory assessment

A nurse is planning an educational program to teach caregivers about protecting their children from sunburns. Which of the following instructions should the nurse plan to include? A. "Allow your child to play outside during the hours between 10:00 a.m. and 2:00 p.m." B. "Choose a waterproof sunscreen with a minimum SPF of 15." C. "Dress your child in loose weave polyester fabric prior to sun exposure." D. "Reapply sunscreen every 4 hours."

B. "Choose a waterproof sunscreen with a minimum SPF of 15."

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 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 a school-age child who is receiving a blood transfusion. Which of the following manifestations should alert the nurse to a possible hemolytic transfusion reaction? A. Laryngeal edema B. Flank pain C. Distended neck veins D. Muscular weakness

B. Flank pain

A nurse in an emergency department is caring for a toddler who has partial-thickness burns on their right arm. Which of the following actions should the nurse take? Insert a nasogastric tube. Initiate prophylactic antibiotic therapy. Cleanse the affected area with mild soap and water. Apply a topical corticosteroid to the affected area.

Cleanse the affected area with mild soap and water.

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? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

1 capsule

A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hr PRN for a temperatures above 38.0º C (100.5º F) to an infant who weighs 17.6 lb. Available is ibuprofen oral suspension 100 mg/5 mL. How many mL should the nurse administer to the infant per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2 mL

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? A. Wheat crackers B. Rye bread C. Barley soup D. White rice

D. White rice

The nurse should identify that which of the following findings require immediate follow-up? Select the 3 findings that require immediate follow-up. Child is awake and crying Partial- and full-thickness burns to the left upper anterior chest and anterior neck Non-productive cough SaO2 89% on room air Heart rate 150/min Temperature 37.7° C (99.9° F) Blood pressure 100/52 mm Hg

Partial- and full-thickness burns to the left upper anterior chest and anterior neck SaO2 89% on room air Heart rate 150/min

Click to highlight the findings that require follow-up. To deselect a finding, click on the finding again. 0900, Today: Toddler presents to office today with parent. Toddler appears lethargic. Parent reports the toddler is uninterested in eating. Parent states the child is having ribbon-like, foul-smelling stools in diaper since last visit. S1 and S2 auscultated. Respirations are symmetric and unlabored, breath sounds clear. Hypoactive bowel sounds. Abdomen distended and palpable fecal mass noted on palpation. Temperature 37.3° C (99.2° F) axillary Heart rate 138/min Respiratory rate 26/min Blood pressure 110/70 mm Hg Oxygen saturation 98% on room air

toddler appears lethargic, toddler is uninterested in eating, hypoactive bowel sounds, distended abdoment, palpable ffecal mass, ribbon-like, foul-smelling stools and elevated blood pressure

Which of the following potential provider prescriptions should the nurse identify as anticipated or contraindicated? For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the child. A. Apply sterile gauze soaked with cool 0.9% sodium chloride to the burn areas B. Insert an indwelling urinary Catheter C. Provide 100% oxygen via face mask D. Weigh the child

A. contrainidcated B. Anticipated C. Anticipated D. Anticipated

A nurse is providing discharge teaching to the guardians of a toddler who had a lower leg cast applied 24 hr ago. The nurse should instruct the guardians to report which of the following findings to the provider? A. Capillary refill time less than 2 seconds B. Restricted ability to move the toes C. Swelling of the casted foot when the leg is dependent D. Pedal pulse +3 bilateral

B. Restricted ability to move the toes

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 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? Reports headache as 6 on a scale of 0 to 10 Petechiae on the lower extremities Nuchal rigidity Positive Kernig's sign

Petechiae on the lower extremities

A nurse is caring for an infant who is receiving treatment for severe dehydration. The nurse should identify which of the following findings as indicators that the treatment is effective? Irritability Capillary refill less than 2 seconds Weight loss greater than 10% Oliguria

Capillary refill less than 2 seconds

A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the nurse clarify with the provider? A. Furosemide B. Captopril C. Regular insulin D. Potassium chloride

D. Potassium chloride

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 in an emergency department is caring for a school-age child who has appendicitis and rates their abdominal pain as 7 on a scale of 0 to 10. Which of the following actions should the nurse take? A. Instill a 500 mL tap water enema. B. Give morphine 0.05 mg/kg IV. C. Administer polyethylene glycol 1g/kg PO. D. Apply a heating pad to the child's abdomen.

B. Give morphine 0.05 mg/kg IV.

A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse assess first? An adolescent who was placed into halo traction 1 hr ago and reports pain as 6 on a scale of 0 to 10 An adolescent who has infective endocarditis and reports having a headache A toddler who has a concussion and is experiencing an episode of forceful vomiting A school-age child who has acute glomerulonephritis and brown-colored urine

A toddler who has a concussion and is experiencing an episode of forceful vomiting

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress. Action to Take 1 Action to Take 2 Potential Condition Parameter to Monitor 1 Parameter to Monitor 2

Educate the parent about sweat chloride testing Prepare child for chest physiotherapy cystic fibrosis Oxygen saturation levels stools

A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant? Wrist Great toe Index finger Heel

Great toe

After reviewing the information in the medical record, the nurse should identify that the child is at risk for developing which of the following conditions? Complete the following sentence by using the list of options. The nurse should identify that the child is at risk for developing BLANk as evidenced by BLANK

splenomegaly, positive monoculeosis rapid test

Select 6 statements by the parent that indicate an understanding of the discharge teaching. "I will give my child hydroxyzine to prevent bacterial infection." "I should apply a moisturizer to the scar tissue." "I will use a measured spoon or medicine cup to give my child hydroxyzine." "I can give my child hydroxyzine every 6 hours as needed." "Puppet play can be helpful for my child." "I should avoid giving hydroxyzine at bedtime." "I will avoid massaging the scar tissue." "My child is too young to be concerned about their body image." "I need to assess for any redness or open skin areas before applying my child's left arm splint." "My child will need to use a compression garment to decrease blood supply to the scarred tissue."

"I should apply a moisturizer to the scar tissue." "I will use a measured spoon or medicine cup to give my child hydroxyzine." "I can give my child hydroxyzine every 6 hours as needed." "Puppet play can be helpful for my child." "I need to assess for any redness or open skin areas before applying my child's left arm splint." "My child will need to use a compression garment to decrease blood supply to the scarred tissue."

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? Decreased cerebrospinal fluid pressure Decreased WBC count Increased protein concentration Increased glucose level

Increased protein concentration

A nurse is teaching the guardian of a 6-month-old infant about teething. Which of the following statements should the nurse make? "Place a beaded teething necklace around your baby's neck." "Rub your baby's gums with an aspirin to decrease discomfort." "Your baby might pull at their ears when they are teething." "Your baby's upper middle teeth will erupt first."

"Your baby might pull at their ears when they are teething."

A nurse is creating a plan of care for a newly admitted adolescent who has bacterial meningitis. How long should the nurse plan to maintain the adolescent in droplet precautions? A. Until the adolescent is afebrile B. For 7 days following admission to the facility C. Until the adolescent has a negative blood culture D. For 24 hr following initiation of antimicrobial therapy

D. For 24 hr following initiation of antimicrobial therapy