Peds ATI Study Questions
A nurse is teaching the parent of a school-aged child who has celiac disease. which foods selected by the parent indicate an understanding of the teaching?
Corn tortilla with black beans
A nurse is teaching the parent of an infant about food allergens. Which fo the following is the most common food allergy in children?
Cows milk
A nurse is creating a plan of care for a child who has leukopenia secondary to chemotherapy. Which of the following interventions should the nurse include?
Monitor the child for increased temperature
A nurse is assessing a child who has a ventricular septal defect. Which finding should the nurse expect?
Murmur at the left sternal border (acyanotic, hole in septal wall)
A nurse is providing teaching about baclofen to the guardian a toddler who has cerebral palsy. Which AE should the nurse include?
Muscle weakness
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 caring for a female adolescent who is being treated for frequent UTIs. Which statement made by the adolescent indicates a possible cause of the UTIs?
"I have a bowel movement every 4-5 days" constipation; large stool masses might prevent complete emptying of the bladder and cause urinary stasis
A nurse is teaching the parent of an infant about injury prevention. Which of the following statements by the parent indicate an understanding of the teaching?
"I should make sure my baby's clothing does not have buttons" choking / aspiration risk
A nurse is teaching the guardian of an 18 month old toddler about otic medication administration. Which statement should the nurse make?
"gently pull the ear cartilage down and back when administering the medication"
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 response indicates an understanding of the teaching?
"i should lightly massage my baby underneath the straps once a day"
A school nurse is providing dietary teaching for adolescent who has T1DM. Which responses by the adolescent indicate an understanding of the teaching?
-I should eat extra food on busy days when I am more active -I should increase my intake of sugar-free fluids when I am sick -I should eat a snack 30 min before my baseball game starts
Bacterial Meningitis education
-The HiB vaccine can protect against bacterial meningitis -bacterial meningitis can be caused by a variety of bacteria -the pneumococcus vaccine can protect against bacterial meningitis
Pancreatic Enzyme teaching
-allow your toddler to have meals that include fat -do not add this medication to hot food -capsules can be opened and sprinkled on a small amount of food
a nurse is caring for a toddler. which of the following objects should the nurse select from the playroom for this child during hospitalization?
10 piece wooden puzzle age appropriate toys for a toddler include puzzles, large crayons, blocks, picture books, push-pull toys, finger paint, etc
A nurse is assessing a 1 week old infant at a well-child visit. The nurse should notify the provider about which finding?
A blue coloring of the sclera assoc. with osteogenesis imperfecta; a genetic disorder that results in bone fragility
A nurse is caring for a child who is in the ED after ingesting a bottle of acetaminophen. Which of the follows medications should the nurse plan to administer
Acetylcysteine
A nurse is assessing a school-aged child after a VP shunt replacement. Which finding indicates a complication of this procedure?
Abdominal distention indicates peritonitis d/t draining of CSF or postop ileus
A nurse in an ED is caring for an 8 yr old who is up to date with current immunization recommendations and has a deep puncture injury. Which of the following should the nurse anticipate administering
Adult tetanus booster booster (Td) Td is rec. for wound prophylaxis in children ages 7+
A nurse is planning care for an infant who has HF. Which interventions should the nurse include to meet the nutritional needs of the infant?
Allow 30 min to complete each feeding Gradually increase the caloric density of the formula Position the infant semi-upright during feedings Provide gavage feeding if respiratory rate exceeds 80/min
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?
Apply antibacterial ointment to the infant's penis once per day
A nurse is caring for a child who received penicillin IM 15 minutes ago. the child is now irritable and restless. Which action should the nurse take first?
Assess for laryngeal edema
A nurse is assessing a 6 month-old infant following a cardiac catheterization. Which finding should the nurse report to the provider?
BP 86/40 indicative of hypotension and bleeding in a 6 month old infant
A nurse is caring for a preschooler who has a terminal illness. The nurse should expect the preschooler to have which of the following perspectives about death?
Believes that her own thoughts can cause death
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?
Burp the infant at least 2-3 times during the feeding cleft lip/palate leads to swallowing air during feeding
A nurse is caring for a toddler. Which lab findings should the nurse report to the provider? A. BUN 8mg/dL B. Uric acid 3.0 mg/dL C. Creatinine 0.9mg/dL D. Urine specific gravity 1.010
C. Creatinine 0.9 mg/dL reference range for a toddler is creatinine level of 0.3 - 0.7 mg/dL
A nurse is discussing the causes of chronic diarrhea with a client. Which of the following conditions is caused by malabsorption?
Celiac disease
A charge nurse is providing education about child maltreatment to a group of newly licensed nurses. Which pieces of information should the charge nurse include in the teaching?
Children who were born prematurely are more likely to be maltreated
A nurse is assessing a child who is postop and received a unit of packed RBC during a surgical procedure. Which findings indicate the child is experiencing a hemolytic transfusion reaction?
Chills and flank pain
A nurse is assessing a preschooler who has HIV. Which manifestations should the nurse expect?
Chronic diarrhea
A nurse is assessing a toddler who has gastroenteritis. Which finding indicates the toddler is experiencing severe dehydration?
Deep, rapid respirations
A nurse is caring for a 6 year old child who is experiencing encopresis. Which actions should the nurse take?
Determine if there are any recent stressors in the child's environment
A nurse is assessing a 9 month old infant. Which finding should the nurse report to the provider as a possible developmental delay>
Dropping a cube when passing from 1 hand to the other
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?
Ensure that staff visits with the child are kept short
A nurse is planning preoperative teaching to a 5-year-old child. Which interventions should the nurse include?
Explain the procedure in terms of what the child will feel, see, hear, and taste
A nurse is caring for a child who is postoperative following a tonsillectomy. Which finding is the nurse's priority?
Frequent swallowing can be an indication of bleeding
A nurse is assessing a child who has bilateral pheochromocytoma. Which finding should the nurse expect?
HTN d/t increased production of catecholamines. other s/s include sweating, weight loss, polyuria
A nurse is teaching a group of parents of toddlers about measures to reduce the risk of choking. Which foods increase the risk of choking in toddlers?
Hot dogs grapes bagels marshmallows
A nurse is providing teaching to the parent of a 3 year old child who stutters. Which statement by the parent indicates an understanding of the teaching?
I should ignore the stuttering and not interrupt her
A nurse is providing teaching to a parent of a preschooler who has impetigo. Which statement made by the parent indicates understanding of the teaching?
I will wash my child's clothes in hot water hot water to kill bacteria
A nurse is performing a well child assessment on a 7 year old client who takes great pride in bringing school papers home. The nurse recognizes that this behavior demonstrates which of the following of Erikson's stages of psychosocial development?
Industry vs inferiority
A nurse is teaching about immunization schedules to the parents of a newborn who is 1 week old. Which information should the nurse include in the teaching?
Initial vaccines should be administered between birth and 2 weeks of age
A nice is caring for a toddler who has gastroenteritis caused by Salmonella. Which is a priority action for the nurse?
Initiate contact precautions
A nurse is providing teaching to the guardian of a child about bicycle safety. Which of the following pieces of information should the nurse include?q
Instruct the child to walk the bike through intersection
A nurse is caring for a child who is not eating well. Which suggestion should the nurse offer to the parents to promote the child's food intake?
Let your child eat with others when possible
A nurse is caring for a child who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which intervention should the nurse include in the plan?
Maintain the child on bed rest
A nurse is reviewing the lab 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 an adolescent client who has a prescription for opioids. Which finding should the nurse recognize as an adverse affect of opioids?
Pruritis
A nurse is caring for an adolescent who has end-stage renal disease and is scheduled for peritoneal dialysis. Which action should the nurse take?
Obtain the adolescent's weight prior to the procedure
A nurse is caring for a toddler who has a fever, a high-pitched cry, irritability, and vomiting. Which actions should the nurse take
Pad the rails of the toddler's bed (s/s of bacterial meningitis)
A nurse is caring for an adolescent following a lumbar puncture. Which action should the nurse take?
Place the adolescent in a supine position supine for 30min-1hr following lumbar puncture to decrease risk of post-dural puncture HA
A nurse is caring for a 6 month old infant who has intussusception. Which of the following actions should the nurse take?
Prepare the child for a barium enema
A nurse is caring for an infant who is preoperative for the treatment of an intact myelomeningocele sac. Which position should the nurse place the infant?
Prone this reduces pressure and the risk of trauma to the sac
A nurse is teaching an adolescent about various strategies for chronic pain management. Which of the following activities should the nurse us as an example of a nonpharmacological strategy for thought stopping?
Repeat memorized facts about the painful event
A nurse in the ED is caring for a child who has bruises that support a suspicion of child abuse. Which of the following actions should the nurse take?
Report the suspected abuse to local authorities
A nurse is caring for a child who has a ruptured appendix. which of the following positions should the nurse encourage the child to maintain?
Semi-Fowler's promotes adequate ventilation and draining of cecum downward into pelvis
A nurse is caring for an 18-month-old infant who has chronic otitis media. The nurse should recognize that chronic otitis media will affect what?
Speech patterns
A nurse is assessing a 3 year old preschooler. Which developmental milestone should the nurse expect the preschooler to demonstrate?
Stacking 10 blocks
Which behavior should the nurse identify as an expected achievement for a 3 year old child?
Standing on 1 foot for several seconds
A nurse is assessing a child who is receiving IV chemotherapy. Assessment findings include extravasation of the tissues surrounding the IV insertion site. What order should the nurse take actions?
Stop the infusion elevate the extremity notify the provider remove the IV line
A nurse is assisting a provider during a femoral venipuncture on a toddler. The nurse should place the child in which position?
Supine (with legs in a frog position)
A nurse is assessing a 3-year-old child during a well-child exam. Which finding should the nurse report to the provider?
The child cannot walk on tiptoes a child should be able to take a few steps on tiptoe by 30 months of age
A nurse is acute pediatric unit is caring for a 2 year old child who has separation anxiety when her parents leave for work. The nurse should identify which behavior as a manifestation of the stage of dispair?
The child is withdrawn and refuses to talk
A nurse is assessing a school aged child who reports horseback riding 3x/week and has injuries reportedly r/t a fall from a horse. Which finding should the nurse investigate further as an indication of child maltreatment?
Thin, frail extremities r/t malnourishment and can indicate child maltreatment
The nurse should expect to identify parallel behavior in which age group?
Toddlers
A nurse is caring for a child who has glomerulonephritis. Which action should the nurse take?
Weigh the child once each day
A nurse is reviewing recommended immunizations with the guardian of a 2-month-old infant. Which of the following statements should the nurse make?
Your baby can start the pneumococcal vaccine now
A nurse is teaching a parent of a 12 month old infant about development during the toddler years. Which statement should the nurse include?
Your child should be able to scribble spontaneously using a crayon at 15 months of age
A nurse is caring for a child who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which action should the nurse take first?
administer ibuprofen
A nurse is caring for a child who has paralytic poliomyelitis. Which action should the nurse take?
administer oral analgesics prior to exercises -CNS paralysis, ROM exercises necessary to prevent contractures but can be painful
A nurse is reviewing the risk factors for the development of CHD with a client who is planning to conceive. Which condition should the nurse identify as a maternal risk factor?
alcohol consumption
A nurse is providing teaching to the parents of a 4-year-old child about fine motor development. Which of the tasks should the nurse include as an expected finding for this age group?
copying a circle
A nurse is providing teaching to the parent of a school aged child about pediculosis. Which of the following instructions should the nurse include?
dry clothing in a hot dryer for at least 20 min
A nurse is caring for an infant who is 6 months old and has moderate dehydration. Which finding should the nurse expect?
dry mucous membranes
A nurse is providing teaching about home care to the guardian of an adolescent who has hemophilia. Which information should the nurse provide?
encourage the adolescent to participate in non-contact sports
A nurse is caring for a child who is in skeletal traction. Which action is the nurse's priority?
encourage the child to use an incentive spirometer
A nurse is planning preoperative teaching for a preschooler who is scheduled for a tonsillectomy. Which intervention should the nurse plan to include?
encourage the preschooler to bring a favorite toy to the hospital
a nurse is caring for an adolescent who has sickle cell anemia. Which manifestations is/are the result of chronic vaso-occlusive phenomena?
enlarged heart enuresis leg ulcers retinal detachment
A nurse is providing d/c teaching to the parents of a child who has nephrotic syndrome. Which instructions should the nurse include?
keep the child away from people who have an infection
A nurse is caring for an infant who has pertussis. Which of the following actions should the nurse take?
maintain a cardiorespiratory monitor infants with pertussis typically present with apnea in response to cough spasms and mucus plugs
A nurse is providing teaching to the parents of a child who has strabismus. Which of the following instructions should the nurse include to prevent the development of amblyopia?
patch the unaffected eye to help strengthen the weak eye muscles
A nurse is creating a plan of care for a preschooler who was admitted for the treatment of measles. Which of the following activities should the nurse include in the plan of care?
putting together a puzzle with large pieces
A nurse is assessing a school aged child who is 30 min post-op following cardiac catheterization using the left femoral artery. Which finding should the nurse identify as 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 guardian of a child who has Kawasaki disease. Which statements by the guardian indicates an understanding of the teaching?
-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 temperature until she has no fever for several days
Hemodialysis education
-the procedure filters waste products from your blood through a machine -a temporary access catheter will be placed in the vein on the side of your neck -the procedure will take 3-5 hr to complete
Upon review of the diagnosis of bacterial meningitis, the nurse should first ______ then ______
place the infant on droplet precautions ; initiate seizure precautions
A nurse is providing care to a child with a nosebleed. Which actions should the nurse perform?
-apply pressure to the child's nose using the thumb and finger -keep the child calm
Presumptive kidney disease interventions
-encourage dietary intake of protein -obtain daily weights -provide teaching out phosphate binders -provide education about dialysis
A nurse in an ED is assisting with the care of a 4-year-old child who ingested toilet bowel cleaner. the child has hemoptysis, is crying, and states "it burns". which actions should the nurse perform?
-identify how much cleaner was in the bottle -insert an IV for morphine administration -apply a pulse oximeter
A nurse is caring for a school-aged child who has sickle cell anemia. Which action should the nurse plan to take to help decrease the risk of a vaso-occlusive crisis?
Provide adequate fluid intake throughout the day
A nurse is caring for an infant who has a tracheosophageal fistula. Which of the following actions should the nurse take?
perform oropharyngeal suctioning to decrease the risk of aspiration
