ATI_Nursing Care of Children Quiz 1
a nurse is educating a parent of a toddler on development. which of the following would be an appropriate response by the nurse? a. your child will begin to scribble spontaneously with a crayon by 30 months b. your child will begin to scribble spontaneoulsy with a crayon by 12 months c. your child will begin to scribble spontaneously with a crayon by 24 months d. your child will begin to scribble spontaneously using a crayon by 18 months
d
A nurse is caring for a child with bacterial endocarditis. The child will receive long-term antibiotics and will require a peripherally inserted centrall catheter. Which of the following statements would be appropriate for the nurse to state to the childs parent? a. The PICC line will last several weeks with proper care b. the public health nurse will rotate the site every 3 days c. you will need to make certain the arm board is on at all times d. your child will go to the operating room to have the line placed
a
A nurse is caring for a toddler who is scheduled for surgery. The parent asks the nurse for suggestions on how to prepare her child for the upcoming surgery. Which of the following would be an appropriate statement by the nurse to the parent? a. you could read books to your child about being hospitalized b. you could explain the reason for the surgery c. you should avoid mentioning the hospitalization d. you should get new toys to help with hospitialization
a
A nurse is taking a history during a routine physical exam. Which of the following would be appropriate to tell the parent? a. establish a set bedtime and follow a nightly routine b. encourage active play prior to bedtime to tire the child c. let the child stay up until tired enough to sleep d. reward the child with a cookie if bedtime is pleasant
a
A nurse is teaching a parent of an 18 month old about safety. WHich of the following statements should indicate to the nurse that the parent understands the teaching? a. I have locked my meds in the medicine cabinet b. I know that once my child understands "no" my child will be safe c. I watch my child every second, so I'm sure my child can't get into anything d. I will make my child vomit if she swallows anything poisonous
a
A nurse is caring for a dehydrated toddler who must receive 100 mL of normal saline over the next 4 hrs. Using a 60 gtt microdrip set, what rate should the nurse regulate the IV to deliver? a. 25 gtt/min b. 15 gtt/min c. 60 gtt/min d. 100 gtt/min
a 100 mL/4 hr= 25mL/hr
A nurse is proving education for a group of parents. A parent is concerned about the development of her 4 year old child's fine motor skills. Which of the following should the nurse explain to be an expected skill for this age group? a. copying a square and circle b. tying shoelaces c. beginning to use cursive writing d. printing their name clearly
a Achieved by age 4
The nurse is assessing a 4-month-old infant in the well baby clinic. Which of the following assessments should prompt the nurse to conduct a further eval? a. head lag when pulled from a lying to sitting position b. disappearance of the moro and tonic neck reflex c. ability to hold a rattle but and inability to pick it up d. infant can roll from back to side but not back to front
a By 4-6 months the head control is well established
A nurse is teaching a new parent about infant nutrition. The nurse should realize teaching has been effective about food allergens when the parent indicated which of the following food choices as a common allergen in infants? a. cow's milk b. wheat bread c. corn syrup d. egg yolks
a Some infants are very sensitive to the protein (casein) found in cow's milk
A nurse is caring for a 2 year old who was found by his parents crying and holding a container of toilet bowl cleaner. The client's lips are peeled and oozing, and he is drooling. Which of the following should be the nurse's highest priority? a. monitoring the respiratory status of the child b. determining the percentage of burned surface area c. confirming the presence of the gag reflex d. identifying the type of poisonous substance
a This can result in the child having a compromised airway
a nurse is performing a physical assessment on a 6 year old child. Which of the following findings should prompt the nurse to conduct additional follow-up? a. sparse, fine pubic hair b. tonsils that touch each other c. small brown maculae d. a central incisor that is loose
a Too young for the development of secondary sexual characteristics
A nurse is caring for an 18 month old who has been admitted for lead poisoning. An order for a urine specific gravity is written. Which of the following would be the appropriate way for the nurse to collect the urine? a. applying a pediatric urine collector b. obtaining a syringe to extract urine from the diaper c. obtaining a catheter d. catching the urine mid stream
a Used for a child who is not toilet trained
A nurse is caring for a child who is dying. The child's 4 year old sibling is visiting. Which of the following statements indicates a 4 year old's perception of death? (SATA) a. death is the same as going to sleep b. death is caused by magical thinking c. death is permanent and lasting d. death is the result of a wish d. death is a punishment
a, b, d, e 4 year olds have difficulty understanding the concept of time and are therefore not likely to believe that death is permanent. They perceive death as reversible
A NURSE IS PERFORMING A PHYSICAL ASSESSMENT ON A 6 MONTH OLD. which of the following reflexes should the nurse expect to find at this age? a. stepping b. babinski c. extrusion d. moro
b Babinski Reflex (stroking the bottom of the foot, causes toes to fan and the big toe to dorsiflex) will be present until the age of 1.
The nurse is caring for a 3 yo who is post-op following revision of a malfunctioning ventriculo peritoneal shunt. WHich of the following would be an appropriate way for the nurse to determine if the child is in pain? a. ask the parents if the child is in pain b. use the FACES scale to rate the pain c. use the numeric rating scale d. rely on vital sign changes, such as inc HR
b Can be used to accurately determine the presence of pain in children as young as 3
A nurse is caring for an 18 year old adolescent who is going away to college. The adolescent will be living in the dorms. Which of the following is the most appropriate immunization to suggest that he receive? a. pneumococcal polysaccaride b. meningococcal polysaccaride c. influenza d. varicella
b Hose living in dorms are at an increased risk for meningococcal disease r/t close living quarters with others
A nurse is assessing a 9 month old infant for potential developmental delay. Which of the following observations should the nurse expect to find to support this condition? a. delayed startle reflex b. inability to sit without support c. powerlessness to pull self up d. inability to stand alone
b Infant should be able to sit alone without support at around 7 months old
A nurse is performing an assessment on a child at the clinic. When performing this assessment, the nurse should do which of the following? a. have the child lie down, examine the head and proceed downward with the exam b. have the child sit in the parent's lap, auscultate the heart and lungs, and the examine the ears and throat c. Have the child lie down, examine the throat and ears and then auscultate the heart and lungs d. have the child sit on the parents lap, examine the ears and then take the BP and auscultate the heart and lungs
b Least invasive to more invasive
A nurse is caring for a 4 year old who has been admitted to the hospital. Which of the following would be the appropriate toy for the 4 year old? a. brightly colored mobile b. plastic stethoscope c. jigsaw puzzle d. beads and string
b Plastic Stethoscope - preschool play centers around imitation of adults. It allows the child an opportunity for therapeutic play. Also, imitating health care personnel helps ease the fear of unfamiliar equipment.
A nurse is caring for an infant who is crying. The nurse plans to administer a liquid medication. Which of the following administration methods should the nurse use? a. administer the medication in one dose and hold the mouth closed b. place a needless syringe in the buccal cavity c. mix the medication with the infants regular formula in the bottle d. administer the medication slowly while holding the nares closed
b Prevents gagging or aspiration
A nurse is caring for a 3 month old infant admitted with suspected non-organic failure to thrive. Which of the following statements is true regarding non-organic failure to thrive? a. inability to tolerate lactose-based formula b. disruption in the parent-child bond c. inborn error of metabolism d. GI malabsorption disorder
b This is a psychological diagnosis made only after all organic causes for failure have been ruled out
A nurse is educating a teenage mother about the care of her newborn. When giving safety information, which of the following information should the nurse provide to the mother? (SATA) a. utilize a walker for mobility b. move glass objects to a higher shelf c. turn the car seat so that it faces forward d. put a safety gate at the top of the stairs e. keep small objects out of reach
b, d, e
A nurse is assessing an 8 year old child's psychosocial development. Which of the following findings should the nurse recognize as requiring further eval? a. the child prefers playmates of the same sex b. the child is very competitive when playing board games c. the child complains everyday about going to school d. the child has frequent disagreements with siblings
c
A nurse is caring for a 2 month old infant who is brought to the clinic for routine immunizations. Which of the following should the nurse administer? a. HIB, Td, HBV, IPV b. DTaP, MMR, IPV c. DTaP HIB, IPV, HBV d. HIB, MMR, Td, IPV
c
a nurse is providing anticipatory guidance about accidental ingestion of a toxic substance to the parents of a toddler. Which of the following is an appropriate teaching point for the nurse to give the parents? a. give the toddler milk b. get to an ER c. call the poison control center d. induce vomiting
c
A nurse is caring for a 3 year old child newly diagnosed with diabetes mellitus. WHen writing the care plan, the nurse includes this goal: The child will be provided with opportunities for therapeutic play. Which of the following would be the most appropriate toy to help meet this goal? a. puppet dressed as a nurse b. book about hospitalization c. doll and a syringe with no needle d. stuffed bear with bandages to apply
c A preschool aged child will have a lo of anxiety about the frequency of needles required for finger sticks and injections. This best use of therapeutic play will address the child's anxiety by giving the child an opportunity to give shots.
A nurse is administering the MMR vaccine to a child. Which of the following statements by the parent indicated an understanding of the vaccine? a. "I am not going to let my child play with other children for two days" b. "I will watch my child closely for any signs of seizures or convulsions." c. "I can give my child tylenol for discomfort associated with the vaccination." d. "My child may have some discharge from the vaccination site."
c Acetaminophen can be given for minor discomforts like a low-grade fever of muscle aches after a vaccination
The nurse is assessing a 6 month old infant in the well child clinic. Which of the following assessments would indicate the infant needs further evaluation? a. child is able to sit unsupported for a few seconds b. posterior fontanel is closed c. legs stay crossed at the knees d. birth weight has doubled
c At 6 months old the infants legs should be straight and parallel to each other- can be indication of cerebral palsy
a nurse is performing a physcal assessment on a 30 month old toddler. WHich of the following nursing assessments should the nurse not expect to find at this age? a. primary dentition is complete b. legs appear bowed c. birth weight is tripled d. abdomen is bot-bellied
c Birth weight should triple by 12 months; at 2.5 years old it should be quadrupled
a nurse is caring for a 12 year old adolescent who has ingested 60 mL of bleach. Which of the following statements by the nurse would indicate an understanding of this ingestion? a. the absence of oral burns excludes the possibility of esophageal burns b. acidic substances have the same effect as alkaline substances c. oropharyngeal damage is more common with liquids than with solids d. the severity of alkaline burn depends of the pH of the substance
d
A nurse is caring for a hospitalized 3 year old child who the parents report is toilet trained. Since admission to the hospital, the child has experienced bed wetting. Which of the following is an appropriate response by the nurse? a. "let's put a diaper on you to help you stay dry." b. "I can't believe a big child like you wet your bed." c. "Let's get you cleaned up so you can go to the playroom." d. "If you do not wet youre bed, you will get a reward."
c Regression is normal in the hospitalized child- this is how they respond to stress.
A nurse is caring for an infant on droplet precautions. The nurse understands that she can best prevent the spread of droplet pathogens by doing which of the following? a. having the infant wear a mask in the playroom b. wearing sterile gloves when changing the infant's diapers c. wearing a gown and mask when feeding the infant d. using contact precautions when caring for the infant
c Respiratory secretions cannot be transmitted
A nurse is observing an 8 month old and parent playing peek a boo. The parent asks the nurse if this game has any developmental significance. The nurse should indicate to the parents that playing peek a boo will develop which of the following concepts? a. hand-eye coordination b. basic trust c. object permanence d. egocentrism
c When an object is out of sight, it still exists
A nurse is caring for a 2 year old child with cystic fibrosis. The nurse is planning to take the child to the playroom. Which of the following activities would be the most appropriate for the child? a. cutting and gluing b. blowing soap bubbles c. riding a tricycle d. building block towers
d
A nurse is caring for an 8 year old who has fractured his femur. The child is in skeletal traction. To assist with the child's developmental needs, which of the following would be an appropriate action for the nurse to take? a. allow the child to play video games daily b. take the child to the playroom daily, in the bed, maintaining traction c. assign roommates for the child who are of similar ages d. have the hospital tutor visit to assist the child with homework
d
a nurse is teaching a parent of a 12 month old infant about nutrition. Which of the following statements by the parent would indicate the need for further teaching? a. my child can drink 4 oz of juice a day b. i should give my child cereal and apple slivers for a snack c. my child should be introduced to the same food as the family d. my infant should drink 2 qt of skim milk per day
d 2 qt is too much. also skim milk does not contain iron (child is susceptible to anemia)
A nurse is caring for a 3 year old child who has a lead level of 15 g/dL. When teaching the toddler's parents about nutrition and the correlation with lead poisoning, which of the following suggestions is appropriate for the nurse to state? a. drink fluids of any kind b. drink water c. drink cranberry juice d. drink milk
d Incorporate calcium and iron for prevention of lead poisoning
A nurse is conducting a yearly health assessment of a 14 year old girl. The nurse should understand which of the following findings will require further eval? a. she has acne vulgaris on her face b. she has not gained height since her last visit c. her menstrual cycle is irregular d. there is a lateral curvature to her spine
d Scoliosis
A nurse is working at an immunization clinic. Which of the following would be a contraindication to the pertussis immunization? a. History of fever of 101F after a previous immunization b. sibling who had an adverse reaction to pertussis immunization c. documented history of egg allergy d. known neurological or seizure disorder
d This child is at higher risk of an adverse reaction to pertussis. Other valid contraindications: fever greater than 105F or extreme lethargy following immunization
