Exam 3 ATI associated questions

A nurse is preparing to feed an infant who has a cleft lip and palate. Which of the following actions should the nurse plan to take? A. Burp the infant at least 2 to 3 times during the feeding B. Remove the nipple from the infant's mouth if swallowing becomes audible C. Stop the feeding if formula appears in the nasal cavity of the infant D. Discourage the parents from participating in the feeding prior to a surgical repair

A. Burp the infant at least 2 to 3 times during the feeding

A nurse is providing teaching to the parent of an infant who has developmental hip dysplasia and a new prescription for a Pavlik harness. Which of the following parent statements indicates an understanding of the teaching? A. "I will apply the harness over a t-shirt and knee socks." B. "I will put my baby's diaper over the harness." C. "I will make the required harness adjustments as my baby grows." D. "I will apply powder around the harness buckles each day."

A. "I will apply the harness over a t-shirt and knee socks."

(Not AtI, alanood wrote this)) Which of the following conditions is typically associated with Hypospadias? Select all that apply A. Hydrocele B. Urinary tract infection C. Cryptorchidism D. Inguinal Hernia E. Gastroenteritis F. Vesicoureteral Reflex

A. Hydrocele C. Cryptorchidism D. Inguinal hernia

(( Not ATI, Alanood wrote)) A nurse is caring for a child diagnosed with acute glomerulonephritis (AGN). Which finding is most indicative of AGN? A. Hypertension B. Hypokalemia C. Hypernatremia D. Hypocalcemia

A. Hypertension

Select the two findings that indicate proper management for vesicoureretal reflux. A. Increase fluids postoperatively B. Teach patient to empty their bladder completely. C. Educate the patient and family that bed rest is required postoperatively D. Teach the family about stopping antibiotic therapy after their corrective procedure

A. Increase fluids postoperatively B. Teach patient to empty their bladder completely. --> we want EARLY ambulation to prevent complications, promote urinary drainage, and enhance circulation. --> abx therapy will be continued 1-2 months postop. And a daily low dose abx for prophylaxis

A nurse is caring for an infant who is experiencing dehydration. Which of the following assessments is the nurse's priority? A. Measure the client's weight daily B. Check for tears C. Palpate the fontanel D. Assess skin turgor

A. Measure the client's weight daily

A nurse is planning care for a toddler who has acute gastroenteritis and was recently admitted. Which of the following should the nurse plan to provide for the child? A. Oral rehydration solution B. Bananas or applesauce C. Chicken or beef broth D. Hypertonic IV solution

A. Oral rehydration solution

(( Not ATI, Alanood wrote)) Which of the following is a surgical emergency? Select all that apply A. Testicular torsion B. Hydrocele C. Paraphimosis D. Cryptorchidism

A. Testicular torsion C. Paraphimosis

(( Not ATI, Alanood wrote)) Which of the following characteristics are consistent with hemolytic uremic syndrome? Select all that apply A. Watery diarrhea progressing to bloody stools B. Increased Bilirubin and LDH levels C. Positive Mcburney's point D. Positive Psoas sign E. Low BP F. Low platelet count

A. Watery diarrhea progressing to bloody stools B. Increased Bilirubin and LDH levels F. Low platelet count Patient will have High BP, High reticulocyte count, low platelet count d/t thrombocytopenia, moderate to severe anemia and oliguria

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? A. Bulging anterior fontanel B. Bradycardia C. Tachypnea D. Polyuria

C. Tachypnea

The nurse is providing discharge teaching to a client with celiac disease who has been prescribed a gluten-free diet. Which statement by the client indicates an understanding of the dietary restrictions? A. "I can have foods that contain modified food starch." B. "I will avoid foods that contain malt flavoring." C. "I can consume soy sauce because it's made from soybeans." D. "I'll include whole-wheat products in moderation to maintain balance."

B. "I will avoid foods that contain malt flavoring."

A nurse is caring for a school-aged child who begins to have a tonic-clonic seizure when leaving the bathroom. Which of the following actions should the nurse take first? A. Obtain a portable suction machine and suction tubing B. Ease the child to the floor in Sims' position C. Time the length of the seizure D. Notify the child's parents

B. Ease the child to the floor in Sims' position

(( Not ATI, Alanood wrote)) A nurse is assessing a newborn who is 3 hours old with cryptorchidism. The mother indicates an understanding of the teaching when she makes what statement? A. "I will apply this vitamin E ointment daily to help fix his problem." B. "I will follow up with the provider if they have not descended in 9-12 months." C. "We will schedule his orchiopexy procedure right away." D. "My son will be infertile when he gets older even after treatment."

B. "I will follow up with the provider if they have not descended in 9-12 months." --> the testes should descended by 9-12 months of age, only after will an orchiopexy be scheduled if deemed the appropriate course of action by the HCP.

A nurse is providing discharge teaching to the parents of a child diagnosed with VUR. Which statement by the parents indicates an understanding of the teaching? A. "We will encourage our child to hold urine for as long as possible." B. "We will ensure our child completes the full course of antibiotics prescribed." C. "We will limit our child's fluid intake to prevent urinary urgency." D."We will apply heating pads to our child's abdomen to relieve discomfort."

B. "We will ensure our child completes the full course of antibiotics prescribed."

A nurse is providing discharge teaching to parents whose infant had a ventriculoperitoneal shunt placement for the treatment of hydrocephalus. Which of the following statements by the parents indicates an understanding of the teaching? A. "We will check his abdomen daily for signs of fluid accumulation." B. "We will notify the doctor right away if he has a fever." C. "We should keep a helmet on him when he's awake." D. "We can expect him to have occasional seizure episodes."

B. "We will notify the doctor right away if he has a fever."

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? A. 1.010 B. 1.035 C. 1.020 D. 1.005

B. 1.035

A nurse is updating the plan of care for a client who has celiac disease. Which of the following dietary selections should the nurse recommend for the client? A. Whole-wheat tortilla with black beans B. Baked chicken and rice C. Turkey and cheese sandwich D. Pasta with marinara sauce

B. Baked chicken and rice

((Not AtI, Alanood wrote this)) A patient is diagnosed with hydronephrosis after undergoing a voiding cystourethrogram (VCUG). Which of the following s/s support the diagnosis? A. Foul smelling urine B. Failure to thrive C. Incontinence D. Intermittent Hematuria E. Presence of an abdominal mass F. Unusual Urine stream

B. Failure to thrive D. Intermittent Hematuria E. Presence of an abdominal mass

A nurse is assessing a 6-month-old infant suspected of having vesicoureteral reflux (VUR). Which finding is most indicative of VUR in this infant? A. Persistent dribbling of urine after voiding B. Recurrent urinary tract infections (UTIs) C. Absence of a urinary stream during voiding D. Delayed attainment of bladder control milestones

B. Recurrent urinary tract infections (UTIs)

A nurse is assessing a school-age child who has celiac disease. Which of the following findings should the nurse expect? A. Elevated sweat chloride B. Steatorrhea C. Clubbing of the fingers D. Jaundice

B. Steatorrhea

A nurse is assessing an infant who is scheduled to receive the rotavirus vaccine. Which of the following criteria should the nurse identify as a potential contraindication for administering this vaccine? A. The infant is teething. B. The infant has a history of intussusception. C. The infant has been constipated for 3 days. D. The infant is 9 weeks old

B. The infant has a history of intussusception.

A nurse is caring for an infant following the surgical repair of a cleft lip and palate. Which of the following actions should the nurse take? A. Keep the infant's mouth open by using a tongue blade for 4 hr following surgery B. Use a suction catheter to gently remove the infant's oral secretions PRN. C. Place the infant in a prone position D. Clean the infant's incision with chlorhexidine

B. Use a suction catheter to gently remove the infant's oral secretions PRN.

A nurse is providing discharge teaching for the parent of a newborn who is prescribed a Pavlik harness for developmental dysplasia of the hip. Which of the following responses indicates an understanding of the teaching? A. "I should apply powder to the folds of skin on my baby's knees and thighs." B. "I should adjust the straps on the harness once a week as my baby grows." C. "I should lightly massage my baby underneath the straps once a day." D. "I should place my baby's diaper over the straps of the harness."

C. "I should lightly massage my baby underneath the straps once a day."

A nurse is teaching the guardians of an infant who has mild gastroesophageal reflux (GER). Which of the following instructions about feeding therapies should the nurse recommend? A. "Apply the infant's diaper snugly prior to feedings." B. "Administer nasogastric feedings." C. "Thicken feedings with rice cereal." D. "Place the infant in a lateral position for 1 hour after feedings."

C. "Thicken feedings with rice cereal."

((Not AtI, Alanood wrote this)) A nurse is caring for a patient with hypospadias. Which comment made by the family would indicate a need for further teaching? A. "I'll make sure to not give him tub baths until the dressing is removed by his doctor." B. " We will make sure to tell his brothers not to rough house play with him after he gets this procedure." C. "We want to schedule a time for his circumcision, maybe that will help." D. "I'll learn how to double diaper while he is healing after the procedure."

C. "We want to schedule a time for his circumcision, maybe that will help." NO CIRCUMCISION until after the procedure!!!

A nurse is assessing a 1-week-old infant at a well-child visit. The nurse should notify the provider about which of the following assessment findings? A. A flat, dark pink area between the eyes that blanches B. An area of deep blue pigmentation over the buttocks C. A blue coloring of the sclera D. A patchy, red rash with raised centers

C. A blue coloring of the sclera indicative of osteogenesis imperfecta- a bone fragility disorder

(( Not ATI, Alanood wrote)) A patient presents to the Emergency department with elevated blood pressure, tea colored urine, and a fever. Which of the following diagnosis is most likely: A. Hemolytic Uremic Syndrome B. Gastroenteritis C. Acute glomerulonephritis D. Phimosis

C. Acute glomerulonephritis

A nurse is providing discharge teaching to the guardian of an infant following a hypospadias repair. Which of the following instructions should the nurse include? A. Clamp the infant's catheter for 30 minutes each day B. Give the infant a tub bath once per day C. Apply antibacterial ointment to the infant's penis once per day D. Decrease the infant's fluid intake for 3 days

C. Apply antibacterial ointment to the infant's penis once per day

A nurse is assessing a toddler who has gastroenteritis. Which of the following findings indicates the toddler is experiencing severe dehydration? A. Slight thirst B. Capillary refill of 3 seconds C. Deep, rapid respirations D. Decreased tear production

C. Deep, rapid respirations

A nurse is caring for a client from the Middle East who has celiac disease. Which of the following actions should the nurse perform regarding the client's diet? A. Provide foods prepared according to kosher dietary law B. Ask the kitchen to prepare grits to meet the client's dietary need for grains C. Determine the client's dietary preferences D. Prepare a diet tray that includes vegetable and barley soup

C. Determine the client's dietary preferences

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 imbalances 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 caring for a 6-month-old infant who has intussusception. Which of the following actions should the nurse take? A. Prepare to administer high-dose steroids B. Give the child magnesium hydroxide PO C. Prepare the child for a barium enema D. Inform the parents that the child will need a colostomy

C. Prepare the child for a barium enema

((Not ATI, Alanood wrote this)) A patient with Vesicoureteral reflux is at risk for developing which of the following? A. Gastroenteritis B. Hypospadias C. Pyelonephritis D. Obstructive Uropathy

C. Pyelonephritis

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? A. Serum sodium 142 mEq/L B. Serum potassium 4 mEq/L C. WBC count 3,000/mm^3 D. Platelet count 298,000/mm^3

C. WBC count 3,000/mm^3

A nurse is preparing to obtain an antistreptolysin O (ASO) titer from a child who has acute glomerulonephritis. The child's parent asks the nurse to explain the purpose of the test. Which of the following responses should the nurse provide? A. "The test determines the level of antibiotics in your child's blood." B. "The test tells us if your child ever had measles." C. "The test verifies the amount of albumin in your child's blood." D. "The test shows us if your child had a recent strep infection."

D. "The test shows us if your child had a recent strep infection."

A nurse is caring for a 12-month-old infant following the surgical repair of a cleft palate. The nurse should plan to feed the infant using which of the following instruments? A. Spoon B. Straw C. Firm nipple D. Cup

D. Cup

The nurse is caring for a client with celiac disease who is experiencing chronic diarrhea and malabsorption. Which laboratory finding would the nurse anticipate in this client? A. Elevated serum albumin levels B. Elevated serum iron levels C. Elevated serum calcium levels D. Decreased serum vitamin B12 levels

D. Decreased serum vitamin B12 levels

A nurse is caring for an infant who has a cleft palate. The parents ask the nurse how long they should wait before the child can have corrective surgery. The nurse should explain that the parents should wait no longer than 6 to 12 months for surgery to prevent which of the following outcomes? A. Repeated ear infections B. Nutritional deficits C. Immune system deficits D. Difficulty with language acquisition

D. Difficulty with language acquisition

A nurse is caring for an infant who is 6 months old and has moderate dehydration. Which of the following findings should the nurse expect? A. Absent tears B. Weight loss >10% C. Lethargy D. Dry mucous membranes

D. Dry mucous membranes

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 once 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 newborn for congenital hip dysplasia. Which of the following findings should the nurse expect? A. Legs that are shorter than the arms B. Temperature of one leg differing from that of the other C. Symmetrical gluteal folds D. Limited abduction of a hip

D. Limited abduction of a hip

A nurse is admitting a child who has a history of tonic-clonic seizures. Which of the following items is the priority to have in the child's room? A. Pulse oximeter B. Oxygen therapy C. Bag valve mask D. Suction equipment

D. Suction equipment

A nurse is providing teaching to the guardian of a child who has celiac disease. Which of the following foods should the nurse instruct the guardian to omit from the child's diet? A. Cornflakes B. Reduced-fat milk C. Canned fruits D. Wheat bread

D. Wheat bread

A nurse is caring for a client with hydronephrosis who is scheduled for a diagnostic procedure. Which instruction should the nurse provide to the client? a) "You will need to have a full bladder for the procedure." b) "You should avoid eating or drinking for 8 hours before the procedure." c) "You may experience a warm sensation during the procedure." d) "You should remain completely still during the procedure."

a) "You will need to have a full bladder for the procedure." For certain diagnostic procedures such as ultrasound or intravenous pyelogram (IVP), a full bladder may be necessary to optimize visualization of the urinary tract.

The nurse is providing discharge teaching to the parents of a child who underwent surgical removal of a Meckel's diverticulum. Which instruction should the nurse include in the teaching plan? a) "Limit your child's physical activity for at least one week." b) "Encourage your child to eat a high-fiber diet to prevent constipation." c) "Monitor your child's temperature and report any signs of infection." d) "Administer antacids regularly to reduce the risk of gastrointestinal bleeding."

c) "Monitor your child's temperature and report any signs of infection."

A toddler with an umbilical hernia is scheduled for surgical repair. The parents ask the nurse about postoperative care. What should the nurse include in the teaching? a) Encouraging the child to engage in vigorous physical activity b) Applying ice packs to the surgical site to reduce swelling c) Avoiding lifting the child under the arms for 2 weeks d) Administering over-the-counter pain medication as needed

c) Avoiding lifting the child under the arms for 2 weeks

A nurse is assessing a newborn infant and notes the presence of epispadias. Which finding should the nurse anticipate in this infant? A. Absence of urinary incontinence B. Normal development of the external genitalia C. Widely separated pubic symphysis D. Abnormal positioning of the urethral meatus

d) Abnormal positioning of the urethral meatus

A 4-year-old child is admitted to the pediatric unit with suspected Meckel's diverticulum. Which finding should the nurse anticipate in the child's medical history? a) Recent history of constipation b) History of recurrent urinary tract infections c) Family history of gastrointestinal disorders d) History of umbilical hernia repair during infancy

d) History of umbilical hernia repair during infancy

A nurse is assessing an infant who has acute gastroenteritis. Which of the following findings should the nurse identify as the priority? A. Decreased skin turgor B. Capillary refill 5 seconds C. Heart rate 150/min D. Dry mucous membranes

B. Capillary refill 5 seconds

A nurse is monitoring a client who is receiving phenytoin IV for the treatment of status epilepticus. Which of the following findings should the nurse identify as an adverse effect of the medication? A. Hypertension B. Cardiac dysrhythmias C. Gastric discomfort D. Tachycardia

B. Cardiac dysrhythmias

A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions should the nurse take? A. Maintain the child on strict bed rest B. Check the child's blood pressure every 4 hr C. Administer albumin to the child every 8 hr D. Provide the child with a low-carbohydrate diet

B. Check the child's blood pressure every 4 hr

A nurse is providing postoperative teaching to the parent of a 3-month-old infant who is recovering from an umbilical hernia repair. Which of the following statements by the parent indicates an understanding of the teaching? A. "I will expect the site to bulge when my baby cries." B. "I will place a belly band around my baby's abdomen." C. "I will fold my baby's diaper away from the incision." D. "I will bathe my child in the bathtub daily."

C. "I will fold my baby's diaper away from the incision."

A nurse is providing teaching to the guardians of an infant who has failure to thrive (FTT). Which of the following pieces of information should the nurse include in the teaching? A. Add fortified rice cereal to the infant's formula B. Alternate feedings between several family members C. Offer the infant juice between feedings D. Provide feedings on demand rather than on a schedule

A. Add fortified rice cereal to the infant's formula

A nurse is caring for a school-age child with a history of epispadias repair. The child reports difficulty controlling urine flow during physical activities. Which intervention should the nurse prioritize? a) Encourage the child to limit fluid intake before physical activities. b) Instruct the child to practice Kegel exercises regularly. c) Provide the child with absorbent undergarments during physical activities. d) Refer the child to a pediatric urologist for further evaluation.

B. Instruct the child to practice Kegel exercises regularly.

A male client presents to the emergency department with a bulge in the groin that increases in size when he coughs or strains. The nurse suspects an inguinal hernia. Which assessment finding further supports this suspicion? a) Pain localized to the lower abdomen b) Presence of bowel sounds over the bulge c) Inability to palpate the inguinal canal d) Absence of a bulge when the client is supine

b) Presence of bowel sounds over the bulge

A pediatric nurse is caring for a 6-year-old child who presents with abdominal pain, rectal bleeding, and signs of anemia. The healthcare provider suspects Meckel's diverticulum. Which of the following assessments should the nurse prioritize? a) Checking the child's blood pressure and heart rate b) Assessing the child's level of pain using a pain scale c) Monitoring the child's intake and output d) Inspecting the child's stool for the presence of currant jelly-like substance

d) Inspecting the child's stool for the presence of currant jelly-like substance

(( Not ATI, Alanood wrote)) Nephrotic syndrome is characterized by which of the following? Select all that apply A. Proteinuria B. Cyanosis C. Hypoalbuminemia D. Hypocalcemia E. Hyperlipidemia F. Periorbital edema

A. Proteinuria C. Hypoalbuminemia E. Hyperlipidemia F. Periorbital edema

A nurse is caring for a toddler who is postoperative following a cleft palate repair. Which of the following actions should the nurse take? A. Restrain the toddler's arms at the elbows B. Feed the toddler with a spoon C. Monitor the toddler's oral temperature D. Weigh the toddler every 48 hours

A. Restrain the toddler's arms at the elbows

A nurse is reviewing the medical record of a 2-month-old infant who has rotavirus. The nurse 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 planning care for a 10-month-old infant who has suspected failure to thrive (FTT). Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) A. Observe the parents' actions when feeding the child B. Maintain a detailed record of food and fluid intake C. Follow the child's cues to time food and fluids D. Sit beside the child's high chair for feedings E. Play music videos during scheduled meal times

A. Observe the parents' actions when feeding the child B. Maintain a detailed record of food and fluid intake Incorrect Answers: C. A consistently structured routine of feeding the child at the same time and place is used to promote weight gain. A child who has failure to thrive might not offer feeding cues. D. Caregivers should sit directly in front of the child to maintain a face-to-face position during feeding and promote eye contact. The emphasis is on encouraging feeding. E. A quiet, stimulation-free environment should be provided at meal times to avoid distractions and focus attention on food intake

A nurse is assessing a toddler who has gastroenteritis. Which of the following findings indicates the toddler is experiencing severe dehydration? A. Slight thirst B. Capillary refill of 3 seconds C. Deep, rapid respirations D. Decreased tear production

C. Deep, rapid respirations

A nurse is providing nutritional teaching to an adolescent client who has celiac disease. Which of the following breakfast foods should the nurse recommend? A. Plain flour pastry B. Wheat cereal C. Scrambled eggs D. Rye toast

C. Scrambled eggs

A nurse is caring for a child who has suspected nephrotic syndrome. Which of the following laboratory values should the nurse expect? A. Platelets 120,000/mm^3 B. Serum sodium 160 mEq/L C. Hgb 9 g/dL D. Serum cholesterol 700 mg/dL

D. Serum cholesterol 700 mg/dL Incorrect Answers: A. A platelet count of 120,000/mm^3 is below the expected reference range. Children with nephrotic syndrome have an increased platelet count because of hemoconcentration. B. A serum sodium level of 160 mEq/L is above the expected reference range. Children who have nephrotic syndrome have a serum sodium level that is lower than expected because of hemoconcentration. C. A hemoglobin level of 9 g/dL is below the expected reference range. Children who have nephrotic syndrome will have hemoglobin levels that are within the expected reference range or elevated.

A nurse is caring for a toddler who has gastroenteritis caused by Salmonella. Which of the following is the priority action for the nurse? A. Weigh the child B. Initiate contact precautions C. Establish a skin care routine D. Obtain a recent food history

B. Initiate contact precautions