Peds ATI Proctored Exam

heightened fear of strangers begins at what age

8 months

a nurse is providing teaching to the guardian of a child who has kawaski disease. which of the following statements by the guardian indicates an understanding of the teaching? select all that apply a. my child will likely be irritable for the next few weeks b. i will notify my child's doctor if the skin on her hands or feet begins to peel c. i will ensure my child does not receive any live vaccines for at least 18 months d. i will keep a record of my child's temp until she has no fever for several days e. my child will have joint stiffness primarily at the end of the day

-my child will likely be irritable for the next few weeks -i will ensure my child does not receive any live vaccines for at least 18 months -i will keep a record of my child's temp until she has no fever for several days

the nurse should expect an alert response to strangers at what age

12 months old

bedwetting during sleep is an expected finding for a

3 y/o

building a tower of 10 cubes is an expected finding for a

3 y/o child

a child should be able to take a few steps on tiptoe by

30 months of age

the ability to catch a ball occurs when a child is

4-5 y/o

the nurse should expect social smiles to begin at

6 weeks of age

a nurse is teaching a group of parents of toddlers about growth and development. a parent asks, "why does my child's abdomen stick out?" which of the following replies should the nurse provide? A. you should give your child a stool softener daily B. toddlers gain weight at a rapid pace C. you should have your child assessed for a spinal deformity D. toddlers do not have well-developed abdominal muscles

D. toddlers do not have well-developed abdominal muscles

an activity that provides kinetic stimulation for a 4 month old

gentle bouncing in the guardians lap

play activity to provide kinetic stimulation for a 9-12 month old

push-pull toys

a nurse is caring for a child with a vesicular rash that has been present for 6 days. the nurse should expect that the child has which of the following conditions? a. measles b. fifth disease c. tetanus d. varicella

varicella

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? a. wash and dry the infants genitalia and perineum thoroughly b. apply a small coating of water soluble lubricant to the skin of the infants perineal area c. avoid placing the scrotum inside the collection bag d. wait several hours after positioning the device before checking it

wash and dry the infants genitalia and perineum thoroughly

a nurse on a pediatric mental health unit is caring for a school-age child. which of the following questions or statements should the nurse provide to foster a rapport and encourage conversation? a. do you like school? b. tell me about your favorite video game c. we have another child your age on the unit d. would you like your friends to visit you?

b. tell me about your favorite video game

play activity to provide auditory stimulation for a 9-12 month old

imitating animal sounds

a school nurse is assessing an adolescent who returned to school following a case of mononucleosis. the child has a note from his provider excusing him from gym class. which of the following findings should the nurse identify as the reason for this excusal? a. potential for sustaining abdominal trauma b. deficient dietary intake c. exposing peers to the illness d. straining sore joints

potential for sustaining abdominal trauma

a nurse is preparing to perform a routine heel puncture on a newborn. which of the following actions should the nurse take? a. administer tolmetin prior to the procedure b. apply a eutectic mixture of local anesthetics cream to the newborns heel after the procedure c. prepare concentrated sucrose for oral administration d. place the newborn in an extended position

prepare concentrated sucrose for oral administration

play activity to provide visual stimulation for a 9-12 month old

showing a board book with large pictures

a child who has kawasaki disease will likely have sx

joint stiffness and arthritis-related sx for several weeks -the joint stiffness is typically worse during cold weather and in the morning

a nurse is caring for an 18 y/o adolescent who is UTD on immunizations and is planning to attend college. the nurse should recommend which of the following immunizations prior to moving into a campus dormitory? a. pneumococcal polysaccharide b. meningococcal polysaccharide c. rotavirus d. herpes zoster

meningococcal polysaccharide

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? a. summer months b. breastfeeding c. ages 7-10 years d. passive smoking

passive smoking

an activity that provides auditory stimulation for a 4 month old

placing a rattle in the infants hand

play activity for a 4 month old

splashing in the bathtub

a nurse is caring for a 6 m/o 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

prepare the child for a barium enema

a nurse is caring for a newborn who has spina bifida. the newborns parents are upset by the dx. which of the following actions should the nurse take? a. discuss placement options for the newborn b. encourage the parents to touch and care for the newborn c. reassure the parents that everything will be fine d. avoid talking about the newborns defect until the parents bring up the subject

encourage the parents to touch and care for the newborn

a nurse is caring for a child who has epistaxis. which of the following actions should the nurse perform? a. apply a warm cloth to the bridge of the childs nose b. tilt the childs head back c. apply continuous pressure to the childs nose for at least 10 min d. administer aspirin for childs pain

apply continuous pressure to the childs nose for at least 10 min

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

barking cough

gastrostomy feedings are indicated for children who

cannot have foods or fluid by mouth or for whom the passage of a tube through the esophagus is contraindicated

a nurse is providing teaching to a parent of a preschooler who has tinea capitis. which of the following instructions should the nurse include in the teaching? a. apply aluminum acetate solution compresses to the lesions b. apply hydrocortisone cream to the lesions twice daily c. seal nonwashable toys in a plastic bag for 2 wks d. leave the medicated shampoo on the scalp for 5 to 10 mins

d. leave the medicated shampoo on the scalp for 5-10 mins

a nurse is assessing a 4 y/o childs cognitive development during a well child visit. which of the following should the nurse expect the child to display? a. conservation b. development of the superego c. concrete operational thought d. separation anxiety

development of the superego

a nurse is assessing a preschooler who has recurrent and persistent otitis media. when obtaining the childs hx from her parent, which of the following questions should the nurse ask? a. does you child wear a hat outdoors in cold weather? b. does anyone smoke around or in the same house as your child? c. have you given your child any aspirin recently? d. is your childs diet high in gluten?

does anyone smoke around or in the same house as your child?

a nurse is panning 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 enviornment d. droplet precautions

droplet precautions

an example of an activity that provides visual stimulation for a 4 month would

placing a toy that has bright colors in the infants hand

a nurse working on a maternal newborn unit is teaching a group of newly licensed nurses about assisting new mothers w breastfeeding. the nurse should include which of the following infant conditions as a contraindication for breastfeeding? a. galactosemia b. hyperbilirubinemia c. glycogen storage dz d. hypothyroidism

galactosemia

a nurse is planning to teach a 9/o child who has a new dx of dm. the nurse should identify that school age children are attempting to master which of the following developmental tasks? a. initiative vs guilt b. industry vs inferiority c. trust vs mistrust d. identity vs role confusion

industry vs inferiority

a child who is diagnosed with kawaski disease will likely be

irritable for up to 2 months

a nurse is providing d/c 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 babys 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 babys diaper over the straps of the harness

i should lightly massage my baby underneath the straps once a day

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 babys skin after each diaper change b. i should use a drop side crib after my baby is 6 months old c. i should make sure my babys clothing does not have buttons d. i should ensure the crib slats are no more than 3 inches apart

i should make sure my babys clothing does not have buttons

a child who has kawaski disease receives high doses of gamma globulin during the initial phase, which might result in

the inability to produce adequate antibodies in response to a live vaccine; therefore, these vaccines should be delayed for 11 months

a nurse is creating a plan of care for an 18 m/o toddler who has cerebral palsy. which of the following interventions should the nurse include? a. use a mobile walker for the toddler b. discourage activities involving repetitive joint movement c. use manual jaw control when feeding the toddler d. discourage the use of wrist splints

use manual jaw control when feeding the toddler

a nurse in a providers office enters an exam room to assess an 8 month old infant for the first time. which of the following reactions by the infant should the nurse expect? a. the infant gives the nurse a social smile b. the infant turns away when the nurse approaches c. the infant reaches out to the nurse to be held d. the infant is responsive and alert as the nurse comes closer

the infant turns away when the nurse approaches

a nurse is caring for a 6 week old infant following a pyloromyotomy. which of the following forms of feeding should the nurse anticipate for the infant 6 hr after the procedure? a. bottle formula with added protein b. small, frequent bottle feedings of electrolyte solution c. continuous nasoduodenal tube feedings d. bolus feedings via gastrostomy tube

small, frequent bottle feedings of electrolyte solution

will resume 24 hrs after pyloromyotomy surgery if small, frequent feedings of electrolyte solution are retained by the infant

small, incremental formula feedings

a nurse is caring for a 1 y/o infant who has chronic otitis media. the nurse should identify that which of the following areas is at risk of a delay in development? a. fine motor skills b. visual acuity c. speech patterns d. hand to eye coordination

speech patterns

a nurse is caring for a 2 y/o child who has frequent utis. when educating the parents about the prevention of utis, which of the following instructions should the nurse include? a. teach the child to wipe from front to back b. give the child frequent bubble baths c. urge the child to urinate every 6 hr d. administer oxybutynin daily

teach the child to wipe from front to back

should be recorded in a child who has kawasaki disease

temperature until she has been afebrile for several days

a nurse on a pediatric unit is caring for a child who has autism spectrum disorder. which of the following actions should the nurse take? a. provide activities to stimulate the childs interest in the environment b. make frequent eye contact when talking to the child c. offer the child choices when scheduling planned care d. ensure that staff visits w the child are kept short

ensure that staff visits with the child are kept short

a nurse teaching the parent of a 3 y/o toddler about promoting sleep. which of the following pieces of info should the nurse include? a. follow a nightly routine and established bedtime b. encourage active play prior to bedtime c. let the child remain awake until tired enough to go to sleep d. reward the child with a food treat just before sleep if the child goes to bed on time

follow a nightly routine and established bedtime

nasoduodenal tube feedings are indicated for children who

have brain injuries or are on mechanical ventilation

a nurse at a pediatric clinic is assessing a 5 month old infant during a well child visit. which of the following findings should the nurse report to the provider? a. head lagging when the infant is pulled from a lying to a sitting position b. absence of startle and crawl reflexes c. inability to pick up a rattle after dropping it d. rolling from back to side

head lagging when the infant is pulled from a lying to a sitting position

a nurse is caring for a toddler who has otitis media and a temp of 39.1 C (102.4 F). which of the following actions should the nurse take first> a. reduce the temp of the childs room b. redress the child in minimal clothing c. apply cool compresses to the childs forehead d. administer an antipyretic to the child

administer an antipyretic to the child

a nurse is providing teaching to the guardians of a 4 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 sounds 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

allow the infant to splash in the bathtub

a nurse is assessing the gross motor skills of a 4 y/o preschooler. the nurse should expect the preschooler to perform which of the following activities? a. hopping on 1 foot b. skipping on alternate feet c. jumping rope d. roller skating

hopping on 1 foot

a clinic nurse is providing teaching to the parent of a 1 month old infant who has gastroesophageal reflux. which of the following statements by the parent indicates an understanding of the teaching? a. i will give lansoprazole 30 min after my babys feedings b. i will lay my baby on her side after feedings c. i will give my baby a bottle just before bedtime d. i will add rice cereal to my babys feedings

i will add rice cereal to my babys feedings

a nurse is teaching a school age child who is to undergo a bone marrow aspiration. which of the following statements should the nurse make? a. i will give you an abx before your procedure b. i will place you on your side during the procedure c. you might have a headache following the procedure d. i will place a pressure dressing over the area following the procedure

i will place a pressure dressing over the area following the procedure

a nurse is assessing a 9 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

inability to vocalize vowel sounds

expected for a child who has kawaski disease

peeling of the skin of the hands and feet -peeling does not cause any pain and usually occurs between the second and third week -there is no need to report this manifestation to the child's provider

a nurse is caring for an adolescent following a lumbar puncture. which of the following actions should the nurse take? a. initiate NPO status for the adolescent b. place the adolescent in a supine position c. place a moist, warm pack on the adolescent's lower back d. apply a eutectic mixture of local anesthetics to the adolescents puncture site

place the adolescent in a supine position

a nurse is caring for a 4 m/o infant who has tetralogy of fallot and experiences a hypercyanotic spell. which of the following actions should the nurse take? a. place the infant in knee chest position b. begin cpr c. prepare to intubate the infant d. administer iv adenosine

place the infant in knee chest position

a nurse is assessing a 3 y/o child during a well-child exam. which of the following findings should the nurse report to the provider? a. the child wets the bed when sleeping b. the child cannot catch a ball c. the child cannot walk on tiptoe d. the child builds a tower of 10 cibes

the child cannot walk on tiptoe

a nurse on a pediatric unit is caring for a preschooler who is prescribed an iv med. which of the following actions should the nurse take to prepare the child for the procedure? a. use role play activities w the child b. provide the child w a detailed explanation of the procedure c. implement interactive sessions of 30 min each w the child d. give the child identical iv supplies to play w

use role play activities w the child