ATI Test Bank 2
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? A. "My child may take aspirin for his joint pain" B. "My child will need a blood transfusion prior to discharge" C. "I will need to wear a gown when I'm in my child's room" D. "I will apply lotion to my child's peeling hands"
A. "My child may take aspirin for his joint pain"
A nurse is caring for a preschooler who was brought to an outpatient clinic with a 2 day history of a vesicular, honey-colored region around the nose and mouth. if the provider determines the lesions to be impetigo contagiosa, what should the nurse anticipate teaching the child's parent about the illness? (SATA) A. Apply a topical antibacterial ointment to the lesions B. Wash the child's bed linens daily with hot water C. Administer acyclovir oral supspension to prevent recurrence. D. Allow the crust covering the infected lesions to remain intact. E. Wash hands before and after contact with the affected area
A. Apply a topical antibacterial ointment to the lesions B. Wash the child's bed linens daily with hot water E. Wash hands before and after contact with the affected area
A nurse is assessing a four-year-old child. The nurse should expect the child to be able to perform which of the following activities? A. Fastening buttons on a shirt B. Tying shoelaces C. Parting and combing hair D. Cutting the meat at dinner
A. Fastening buttons on a shirt
A nurse is reviewing the medical record of a two month old infant who has rotavirus. The nurses notes a hemoglobin level of 12 g/dL and a hematocrit of 51%. Which of the following statements by the nurse indicates an understanding of the laboratory values? A. The infant might be dehydrated B. The infant might be anemic C. The infant might have received too much fluid D. The infant might have leukemia
A. The infant might be dehydrated
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 implant's? A. They provide direct stimulation of the auditory nerve fiber B. They conduct sound waves through the mastoid bone to the cochlea C. They process digital sound to amplify several sound frequencies D. They convert vibrations in the ears structures to electrical signals
A. They provide direct stimulation of the auditory nerve fiber
A hospice nurse is conducting a support group for parents of toddlers who have a terminal illness. Which of the following pieces of information should the nurse include in the teaching? A. Toddlers will react to the parents' anxiety and sadness B. Toddlers view death as punishment for bad behavior C. Toddlers view death as permanent and irreversible D. Toddlers have a realistic concept of death
A. Toddlers will react to the parents' anxiety and sadness
A nurse is caring for a group of infants with congenital heart defects. For which of the following defects should the nurse expect to observe cyanosis? A. Transposition of the great arteries B. Ventricular septal defect C. Coarctation of the aorta D. Patent ductus arteriosus
A. Transposition of the great arteries
A nurse is caring for an infant who has biliary atresia. Which of the following manifestations should the nurse expect? Select all that apply A. Yellow sclerae B. Rapid weight gain C. Tar colored stools D. Abdominal distention E. Dark urine
A. Yellow sclerae D. Abdominal distention E. Dark urine
A nurse is conducting a health assessment for a 24 month old toddler at the local health department. The nurse should expect which of the following findings? (Select all that apply) A. Eight deciduous teeth B. Ability to build a tower of six blocks C. Vocabulary of 10 to 20 words D. Slightly bowed or curved leg appearance E. Head circumference greater than chest circumference
B. Ability to build a tower of six blocks D. Slightly bowed or curved leg appearance
A nurse is assessing a nine month old infant during a well child visit. Which of the following findings indicates that the infant has a developmental delay? A. Creeping on hands and knees B. Inability to vocalize vowel sounds C. Using a crude pincer grasp D. Standing by holding onto a support
B. Inability to vocalize vowel sounds
A nurse is providing teaching for a 14-year-old client who has acne. Which of the following instruction 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 has an exacerbation of cystic fibrosis. Which of the following laboratory findings should the nurse report to the provider immediately? A. Blood glucose 140 mg/dL B. Oxygen saturation 85% C. RBC 3.2 million/uL D. Serum sodium 156 mEq/L
B. Oxygen saturation 85%
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? A. Crackles in the lung bases B. Respiratory depression C. Nausea and vomiting D. Tachycardia
B. Respiratory depression
A nurse is caring for a child who has glomerulonephritis. Which of the following actions should the nurse take? A. Monitor the child's blood pressure twice per day B. Maintain the child on bed rest for three days C. Weigh the child once each day D. Increase the child's daily intake of sodium
C. Weigh the child once each day
A nurse and an emergency department is caring for an eight-year-old who is up-to-date with current immunization recommendations and has a deep puncture injury. Which of the following should the nurse anticipate administering? A. Diphtheria, tetanus, and acellular pertussis (DTaP) vaccine B. Single injection of tennis immune globulin (TIG) mixed with pediatric tetanus booster (DT) C. Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine D. Adult tetanus booster (Td)
D. Adult tetanus booster (Td)
A nurse is providing teaching to the guardians of a four month old infant on how to play with the infant. Which of the following play activities should the nurse suggest for this infant? A. Show the infant a board book with large pictures B. Imitate the sound of different farm animals for the infant C. Give the infant a large push pull toy D. Allow the infant to splash in the bathtub
D. Allow the infant to splash in the bathtub
A nurse is planning care for a child who has meningococcal meningitis. Which of the following isolation precautions should the nurse plan to implement? A. Airborne precautions B. Contact precautions C. Protective environment D. Droplet precautions
D. Droplet precautions
A nurse is providing teaching to the parent of a child who has ADHD and a new prescription for methylphenidate sustained-release tablets. Which of the following statements by the parent indicates an understanding of the teaching? A. I should expect my child to gain weight while taking this medication B. I should expect this medication to decrease my child's heart rate C. I should crush the medication and put it in my child's food D. I should give this medication to my child half an hour before breakfast
D. I should give this medication to my child half an hour before breakfast
A nurse is providing discharge teaching to the parents of a child who has nephrotic syndrome. Which of the following instructions should the nurse include in the teaching? A. Restrict the child's potassium intake B. Administer acetaminophen to the child twice daily C. Weigh the child wants each week D. Keep the child away from people who have an infection
D. Keep the child away from people who have an infection
A nurse is assessing a preschooler who has influenza and reports the new onset of 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 caring for a preschooler who has a terminal illness. The nurse should expect the preschooler to have which of the following perspectives about death? A. Believes that her own thoughts can cause death B. Has an understanding of the finality of death C. Exhibits curiosity about what happens to the body after death D. Views funeral services as unnecessary
A. Believes that her own thoughts can cause death
A nurse is caring for an adolescent who has sickle cell anemia. Which of the following manifestations is/are the result of chronic vaso-occlusive pneumonia? (Select all that apply) A. Enlarged heart B. Enuresis C. Leg ulcers D. Extrahepatic cholestasis E. Retinal detachment
A. Enlarged heart B. Enuresis C. Leg ulcers E. Retinal detachment
A nurse is teaching a group of parents of toddlers about measures to reduce the risk of choking. Which of the following foods increase the risk of choking in toddlers? Select all that apply A. Hot dogs B. Grapes C. Bagels D. Marshmallows E. Graham crackers
A. Hot dogs B. Grapes C. Bagels D. Marshmallows
A nurse is teaching about clinical manifestations of tracheomalacia to the parent of an infant who had tracheoesophageal fistula repair as a newborn. Which of the following findings should the nurse include in the teaching? A. Absence of bowel sounds B. Neck contortions C. Barking cough D. Projectile vomiting
C. Barking cough
A nurse is teaching the parent of an infant about injury prevention. Which of the following statements by the parent indicates an understanding of the teaching? A. I should lightly shake talcum powder on my babies skin after each diaper change B. I should use a drop side crib after my baby is six months old C. I should make sure my babies clothing does not have buttons D. I should ensure the crib slats are no more than 3 inches apart
C. I should make sure my babies clothing does not have buttons
A nurse is caring for an infant who has gastroenteritis and is dehydrated. Which of the following characteristics places the infant at a higher risk of electrolyte in balance is compared to an adult client? A. Less extracellular fluid B. Reduced body surface area C. Longer intestinal tract D. Decreased rate of metabolism
C. Longer intestinal tract
A nurse is providing teaching to the parent of a toddler who has bacterial conjunctivitis. Which of the following instruction should the nurse include? A. Clean secretions from the infected I by wiping from the outer canthus towards the inner canthus and upward B. Keep the infected I covered with warm compresses for the first 24 to 48 hours C. Notify the provider immediately if the sclera becomes inflamed D. Apply pressure to the outer canthus of the eye for one minute after administering the eyedrops
C. Notify the provider immediately if the sclera becomes inflamed
A nurse is caring for an adolescent who is receiving pain medication via a PCA pump. When the nurse assesses the client's pain at 0800, the client describes the pain as a 3 on a scale of 1 to 10. At 1000, the client describes the pain as a 5. The nurse discovers the client has not pushed the button to deliver medication in the past 2 hr. Which of the following actions should the nurse take? A. Ask the provider to discontinue the PCA so the nurse can administer PRN pain medication. B. Suggest the client's parent push the button for the client if the parent thinks the adolescent is having pain. C. Reevaluate the client in 1 hr since a pain level of 5 is acceptable on a scale of 1 to 10. D. Reinforce teaching with the client about how to push the button to deliver the medication
D. Reinforce teaching with the client about how to push the button to deliver the medication
A nurse is providing teaching to a 12-year-old client who is recovering from an acute episode of hemophilia a. Which of the following statements should the nurse include in the teaching? A. Have your parents stretch and move your legs for you B. Apply heat to joints that become painful, stiff, and swollen C. Take aspirin at the first sign of a headache D. You will be able to participate in physical exercises
D. You will be able to participate in physical exercises
A nurse is preparing to administer diphenhydramine 5mg/kg/day PO to divide equally every 8 hr to a school-age child who weighs 50lb. Available is diphenhydramine oral solution 12.5 mg/5mL. How many mL should the nurse administer per dose?
15
