Peds ATI
A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistent asthma. What instruction should the nurse include?
"Pulmonary function tests will be performed every 12-24 months to evaluate how your child is responding to therapy."
A nurse in a provider's office is caring for a school-age child who has varicella. The parent asks the nuse when their child will no longer be contagious. What response should the nurse make?
"When your child's lesions are crusted, usually 6 dyas after they appear."
A nurse is teaching a school-age child who has a new diagnosis of type 1 DM. Which of the following statements by the child indicated an understanding of the teaching?
I will give myself a shot of regular insulin 30 minutes before I eat breakfeast
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. What should the nurse do?
Initiate seizure precautions for the child
If a patient is allergic to neomycin, what imunization should be held?
MMR
A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. What should the nurse do?
Perform a finger stick
A nurse is assessing a school-age child who has meningitis. What finding would the nurse report to the provider?
Petechiae on the lower extremities
A nurse is caring for an infant who is receiving IV fluids for the treatment of tetralogy of Fallot and begins to have a hypercyantoic speel. What action should the nurse take?
Place the infant in knee-chest position
A nurse is caring for a newly admitted school-age child who has hypopituitarism. Which med should the nurse expect the provider to prescribe?
Recombinant growth hormone
A nurse is prodiving discharge teaching to the guardians of a toddler who had a lower leg cast applied 24 hours ago. The nurse should instruct the guardian to report what sign?
Restricted ability to mive the toes
A nurse is planning care for a toddler who has a serum lead level of 4 mch/dL. What should the nurse do?
Schedule the toddler for a yearly rescreening
A nurse is providing discharge teaching to the parents of a 3-month-old infant following a cheiloplasty. What instruction should the nurse include?
"Apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3 days."
A nurse is providing taeching to the family of a school-age child who has juvenile idiopathic arthritis. What instruction should the nurse include in the teaching?
"Encourage the child to perfomr independent self-care"
A nurse is providing teaching to an adolescent about how to manage tinea pedis. What statement indicates an undersanding of the teaching?
"I should wear sandals as much as possible"
A school nurse is assessing an adolescent who has scoliosis. What finding should the nurse expect?
A unilateral rib hump
A nuse is assessing a school-aged child who has peritonitis. What finding would the nurse expect?
Abdominal distention
A nurse is preparing to administer an immunization to a 4-year-old child. What should the nurse do?
Administer the immunization using a 22-25 gauge needle
A nurse is caring for a school-age child who is receiving a blood transfusion. What manifestation should alert the nurse to a possible hemolytic transfusion reaction?
Flank pain
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 precaution?
For 24 hours gollowing initiation of antimicrobial therapy
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?
Great toe
A nurse is assessing an infant who has ventricular septal defect. What should the nurse expect to find?
Loud, harsh murmur
A nurse is assessing an adolescent who received a sodium polyrene sulfonate enema. What should indicate effectiveness of the medication?
Serum potassium level 4.1 mEq/L
A nurse is interviewing the parent of an 18 month old toddler during a well-child visit. The nurse should identify what as a need to assess the toddler for hearing loss?
The toddler received tobramycin during a hospitalization 2 weeks ago
A nurse is admitting a school-aged chid who has pertussis. Which form of precaution should the nurse take?
Droplet precautions
A nurse in a health department is caring for an emancipated adolescent who has an STI and is unaccompanied by a guardian. What should the nurse do?
Have them sign a consent form for treatment
A nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy. Which of the following findings should the nurse expect?
Ankle clonus, exaggerated stretch reflex, and contracutres
A nurse is preparing an adolescent for a lumbar puncture. What should the nurse do?
Apply topical analgesic cream to the site 1 hour prior to the procedure
A nurse in an ED is caring for a toddler who has partial-thickness burns on their right arm. What should the nurse do?
Cleanse the affected area with mild soap and water
A nurse is caring for a school-age child who has DM and was admited with DKA. When performing the respiratory assessment, what should the nurse expect?
Deep respirations of 32/min