EXAM 3 ATI Qs
A nurse is providing dietary teaching to the parent of a toddler who has cystic fibrosis. Which of the following instructions should the nurse include?
Provide a high-fat diet for the toddler
A nurse is caring for a child who has tetralogy of fallot. Which of the following laboratory values should the nurse expects to find?
RBC 6.8 million/uL
A nurse in an emergency department is assessing an infant who has laryngotracheobronchitis. Which of the following findings should the nurse report as an indication of impending airway obstruction?
nasal flaring
A nurse is caring for a child who has an exacerbation of cystic fibrosis. Which of the following lab findings should the nurse report to the provider immediatley?
oxygen saturation 85%
A nurse is caring for a 1-year-old infant who has chronic otitis media. The nurse should identify which of the following areas is at risk for a delay in development.
speech patterns
A nurse is assessing a preschooler who has influenza and reports the new onset of a 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 group of infants with congenital heart defects. For which of the following defects should the nurse expect to observe cyanosis?
transposition of the great arteries
A nurse is providing teaching to the parent of a toddler who is undergoing insertion of tympanostomy. Which of the following statements should the nurse include?
- The tubes should stay in place until they fall out on their own.
A nurse is assessing a 3-year-old who is 1 day postoperative following a tonsillectomy. Which of the following methods should the nurse use to determine if the child is experiencing pain?
- Use the FACES scale
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?
- WBC 3,000
A nurse is teaching the parents of a 3-year-old child who has persistent otitis media about prevention. Which of the following statements by the parents indicates an understanding of the teaching?
- We should not smoke around our children.
A school nurse is providing dietary teaching for an adolescent who has type 1 diabetes mellitus. Which of the following responses by the adolescent indicates an understanding of the teaching? Select all
A. I should eat extra food on busy days when I am more active B. I should increase my intake of sugar-free fluids when I am sick C. I should eat a snack 30 min before my baseball games start
A nurse is caring for a child who is receiving treatment for diabetic ketoacidosis and has a current blood glucose level of 250mg/dL. Which of the following actions should the nurse take?
Administer 5% dextrose in 0.9% sodium chloride cont. IV
A nurse is caring for a toddler who has otitis media and a temperature of 39.1 (102.4). Which of the following actions should the nurse take first?
Administer an antipyretic to the child
A nurse is creating a plan of care for a 6-month-old infant who requires continuous pulse oximetry monitoring. Which of the following interventions should the nurse include?
Cover the oximetry sensor with clothing
A nurse is providing dietary teaching to the parent of a child who has cystic fibrosis. Which of the following dietary recommendations should the nurse make?
Increase the child's protein intake
A nurse is assessing a child who has a ventricular septal defect. Which of the following findings should the nurse expect?
Murmur at the left sternal border
A nurse is providing teaching to the guardian of a child who has Kawaskai disease. Which of the following statements by the guardian indicates an understanding of the teaching? Select all
a. My child will be irritable for the next few weeks b. I will ensure my child does not receive any live vaccines for at least 18 months c. I will keep a record of my child's temperature until she has no fever for several days
a nurse is assessing an infant who has untreated congenital hypothyroidism. Which of the following manifestations should the nurse expect?
constipation
A nurse is assessing a child who has bilateral pheochromocytoma. Which of the following findings should the nurse expect?
- Hypertension
A nurse is caring for a female adolescent who is being treated for frequent urinary tract infections (UTIs). Which of the following statements by the adolescent indicates a possible cause of the UTIs?
- I have bowel movements every 4 to 5 days.
A nurse is assessing a school-aged child who has acute glomerulonephritis. Which of the following manifestations should the nurse expect?
- Periorbital edema
A nurse is caring for an infant who has tetralogy of Fallot and is experiencing a hypercyanotic episode. Which of the following actions should the nurse take?
- Place the infant in a knee-chest position.
A nurse is caring for a 4-month-old infant who has tetralogy of Fallot and experiences a hypercynotic spell. Which of the following actions should the nurse take?
- Place the infant in the knee-chest position.
A nurse is reviewing the morning laboratory results of an infant who is receiving digoxin and furosemide for the treatment of heart failure. Which of the following findings should the nurse report to the provider?
- Potassium 3.2
A nurse is assessing a 6-year-old who is immediately postoperative following a tonsillectomy. Which of the following findings should the nurse report to the provider?
- The child is swallowing frequently
A nurse is assessing a school-aged child who is 30 minutes postoperative following a cardiac catheterization using the left femoral artery. Which of the following findings should the nurse identify as the priority to report to the provider?
- The pulse strength of the child's left popliteal artery site is decreased.
A nurse is providing teaching to the parent of an infant who has heart failure and a new prescription for digoxin elixir. Which of the following pieces of information should the nurse include?
- Withhold the medication if the infant's heart rate is less than 110.
A nurse is assessing a toddler who has measles (rubeola). Which of the following findings should the nurse expect?
- Kolpik spots
A nurse is planning care for a 4-year-old child who has nephrotic syndrome. Which of the following actions should the nurse take?
provide thorough skin care
A nurse in a provider's office receives a phone call from the guardian of an infant who just vomited after the administration of digoxin. Which of the following actions should the nurse take first?
- Tell the guardian that a repeat dose of medication should not be given.
A nurse is assessing an infant who develops respiratory distress, absence of breath sounds on one side, and a deviation of the trachea away from the affected side. Based on these manifestations, which of the following conditions is the infant experiencing?
- Tension pneumothorax
A nurse is assessing a 2-month-old infant who has a ventricular septal defect. Which of the following findings should the nurse report to the provider?
Weight gain of 1.8kg (4lb)
A nurse is planning to collect a specimen from a male infant using a urine collection bag. Which of the following actions should the nurse take?
wash and dry the infants genitalia and perineum thoroughly
A nurse is planning care for an infant who has HF. Which of the following interventions should the nurse include in the plan to meet the nutritional needs of the infant?
a. Allow 30 min to complete each feeding b. Gradually increase the caloric density of the formula c. Position the infant semi-upright during feedings e. Provide gavage feeding if respiratory rate exceeds 80/min
A nurse is caring for an infant who is breastfed and is receiving amoxicillin for an URI. An assessment of the moth reveals whitish patches on the tongue that will not scrape off. Which of the following actions should the nurse take?
administer an anti-fungal medication after feedings
A nurse is teaching the guardian of an 18-month-old toddler about otic medication administration. Which of the following statements should the nurse make?
gently pull the ear cartilage down and back when administering the medication
A nurse is caring for a school-aged child who has acute post-streptococcal glomerulonephritis. Which of the following manifestations should the nurse expect?
hematuria
A nurse is caring for a 3-year-old who has a cyanotic cardiac defect. The child cries when her parents leave the room, worsening her cyanosis and dyspnea. Into which of the following positions should the nurse place the child to improve these manifestations?
knee to chest
A nurse is caring for a child who is postoperative following a tonsillectomy. Which of the following findings is the nurse's priority?
- Frequent swallowing
A nurse is reviewing laboratory findings of an adolescent who has acute renal failure. Which of the following findings should the nurse expect?
- Metabolic acidosis
A nurse is caring for a child who has glomerulonephritis. Which of the following actions should the nurse take?
weight the child once a day
A nurse is assessing a child who has a ventricular septal defect. Which of the following findings should the nurse expect?
- Murmur at the left sternal border
A nurse is caring for an adolescent who has end-stage renal disease and is scheduled for peritoneal dialysis. Which of the following actions should the nurse take?
- Obtain the adolescent's weight prior to the procedure.
A nurse is teaching a group of parents and guardians about otitis media. Which of the following should the nurse identify as a risk factor for this illness?
- Passive smoking
A nurse is caring for a school-age child who has glomerulonephritis. The child has decreased urinary output and a blood pressure of 160/78 and is receiving hydralazine. Which of the following lunch choices should the nurse recommend?
- 3 oz. grilled chicken, 1 cup pears, 120mL apple juice
A nurse in an emergency department is assessing a school-aged child is experiencing an acute asthma exacerbation. Which of the following findings is the priority for the nurse to report to the provider?
- A sudden decrease in wheezing (can indicate a decreased air movement
A school nurse is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse plan to administer to the child?
- Albuterol
A nurse is teaching an adolescent about managing asthma and using a peak expiratory flow meter. Which of the following statements by the client demonstrates an understanding of the teaching?
I will continue to take my medication when my peak flow rate is in the green zone.
A nurse is providing teaching about disease management to the parent of a preschooler who has a new diagnosis of asthma. Which of the following parent statements indicates an understanding of the teaching?
I will encourage my child to participate in sports.
A nurse is providing teaching to the parents of a school-aged child who has type 1 diabetes mellitus about managing hypoglycemia. Which of the following responses by a parent indicates an understanding of the teaching?
I will make sure my child drinks 240mL of milk as soon as possible.
A nurse is teaching an adolescent who has asthma about how to use a peak expiratory flow meter (PEFM). Which of the following responses by the adolescent indicates an understanding of the teaching?
I will record the highest reading of three attempts
A nurse in the emergency department is reviewing laboratory results for several children who have manifestations of influenza. Which of the following children should the nurse report to the provider immediately?
Infant with WBC of 24,000
A nurse is teaching the parents of an infant who has acute otitis media about how to administer antibiotic eardrops. Which of the following instructions should the nurse include?
Massage the anterior area of the infants ear following administration
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?
My child may take aspirin for his joint pain.
A nurse is reviewing the lab values for a 6-month-old infant who has acute renal failure. Which of the following findings should the nurse expect?
Sodium 125 (hyponatremia)
A nurse is planning preoperative teaching for a school-age child who is scheduled for cardiac surgery. Which of the following actions should the nurse plan to take when teaching the child?
Use photographs to explain the procedure
A nurse is caring for a toddler who has asthma. The parents are concerned about the toddler's reaction to the hospitalization. Which of the following actions should the nurse take to decrease the child's anxiety?
Encourage rooming-in
A nurse is planning care for a 4-year-old child who has nephrotic syndrome. Which of the following actions should the nurse take?
- Provide a thorough skincare.
A nurse is caring for a child who has tetralogy of Fallot. Which of the following laboratory values should the nurse expect to find?
- RBC 6.8 million
A nurse is preparing a school-age child for tonsillectomy. Which of the following actions should the nurse take?
- Schedule a preoperative visit to the facility.
A nurse is preparing a school-age child for a tonsillectomy. Which of the following actions should the nurse take?
- Schedule the child for a preoperative visit to the facility.
A nurse is caring for a child who has suspected nephrotic syndrome. Which of the following laboratory values should the nurse expect?
- Serum cholesterol 700 mg/dL
A nurse is caring for a 2-year-old child who has frequent urinary tract infections. When educating the parents about the prevention of urinary tract infections, which of the following instructions should the nurse include?
- Teach the child to wipe from front to back
A nurse is assessing an infant who develops respiratory distress, absence of breath sounds on one side, and deviation of the trachea away from the affected side. Based on these manifestations, which of the following conditions is the infant experiencing?
- Tension pneumothorax.
A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements should the nurse make?
- You can use a vial of insulin for up to 30 days.
A nurse is teaching an adolescent client who has type 1 diabetes mellitus about managing hypoglycemia. Which of the following statements should the nurse include in the teaching?
- You should drink 4 oz of orange juice if you experience hypoglycemia.
A nurse is teaching the parents of an infant who has congenital hypothyroidism. Which of the following directions should the nurse provide?
- Your child will need to take thyroid hormone replacement for her entire life.
A nurse is providing teaching about disease-management strategies to a 9-year-old client who has cystic fibrosis. Which of the following statements should the nurse include?
- Your mucus is thick because cystic fibrosis interferes with how your glands work.
A nurse is assessing a school-aged child after a ventriculoperitoneal (VP) shunt replacement. Which of the following findings indicates a complication of the procedure?
- Abdominal distension
A nurse is caring for a 4-month-old child who has acute otitis media and a fewer of 38.3. which of the following medications should the nurse administer?
- Amoxicillin
A nurse is providing teaching to the parent of a child who has cystic fibrosis and a prolapsed rectum. The nurse should identify which of the following is a cause of this complication.
- Bulky stools
A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions should the nurse take?
- Check blood pressure every 4 hours.
A nurse is providing discharge teaching to the guardian of an adolescent who is postoperative following a tonsillectomy. Which of the following manifestations should the guardian report the provider?
- Constant clearing of the throat
A nurse is assessing an infant who has untreated congenital hypothyroidism. Which of the following manifestations should the nurse expect?
- Constipation
A nurse is providing dietary teaching to the parent of a toddler who has phenylketonuria. Which of the following foods should the nurse recommend?
- Cooked carrots
A nurse is assessing a 6-month-old infant who had a cardiac catheterization with right femoral entry to diagnose a possible congenital heart defect. Which of the following findings should the nurse report to the provider?
- Cool toes on the right foot
A nurse is assessing a 6-year-old child who began treatment for pneumococcal pneumonia 4 days ago. Which of the following findings should the nurse identify as an indication the treatment is effective?
- Heart rate 110/min
A nurse is providing teaching to a 13-year-old client who has type 1 diabetes mellitus. Which of the following client statements indicates an understanding of diabetes mellitus management?
- I should check my blood glucose levels more often when I am sick.
A nurse is caring for a child with cystic fibrosis who has a pulmonary infection. Which of the following findings is the nurse's priority?
- Inability to clear secretions
A nurse is teaching a school-age child and his parents how to self-administer insulin. Which of the following actions should the nurse take first?
- Demonstrate the injection technique on an orange.
A nurse is planning preoperative teaching for a preschooler who is scheduled for a tonsillectomy. Which of the following interventions should the nurse plan to include?
- Encourage the preschooler to bring a favorite toy to the hospital.
A nurse is teaching the parent of a child who has type 1 diabetes mellitus how to manage the child's disorder during an illness such as a cold. Which of the following statements by the parent indicates as an understanding of teaching?
- I'll check his blood glucose more often.
A nurse is providing dietary teaching to the parent of a child who has cystic fibrosis. Which of the following dietary recommendations should the nurse take?
- Increase the child's protein intake.
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?
- Keep the child away from people who have an infection.
A nurse is planning care for a preschooler who is immediately postoperative following the placement of a ventriculoperitoneal shunt. Which of the following interventions should the nurse include in the plan?
- Lay the preschooler on the non-operative side.
A nurse is teaching the guardian of a school-age child who has diabetes mellitus how to recognize signs of DKA. Which of the following findings should the nurse identify as a manifestation of this complication?
- Deep rapid respirations
A nurse is assessing a preschooler who has recurrent and persistent otitis media. When obtaining the child's history from her parent, which of the following questions should the nurse ask?
- Does anyone smoke around or in the same house as your child?
A nurse in an emergency room is caring for a toddler who is in acute respiratory distress. Which of the following findings should alert the nurse to the possibility of epiglottitis?
- Drooling
A nurse is providing immediate postoperative care for a preschooler who had a tonsillectomy. Which of the following actions should the nurse take?
- Eliminate the use of a straw when offering fluids.
a nurse is providing preoperative education for an 8-year-old child prior to cardiac surgery. Which of the following actions should the nurse take?
use doll with tubes and an incision to explain the surgery
A nurse in the emergency department is assessing an infant who recently started taking digoxin to treat a supra-ventricular arrhythmia. Which of the following findings should the nurse identify as an indication of digoxin toxicity?
vomiting
