PEDS ATI Test

a nurse is providing teaching to the parents of a four year old child about fine motor development which of the following tasks should the nurse include in a teaching as an expected finding of this age group? 1. Copies a circle 2. cuts food using a table knife 3. begins writing in cursive 4. Prints first in last name clearly

1. Copies a circle

A nurse is teaching about clinical manifestations of tracheomalacia to a parent of an infant who tracheoesophageal fistula repair as a newborn. Which of the following findings should the nurse include in the teaching? 1. absence of bowel sounds 2. Neck contortions 3. Barking cough 4. Projectile vomiting

3. Barking cough

A nurse is caring for a child who has a tetralogy of Fallot. Which of the following lab values should the nurse expect to find? 1. platelet count of 20,000 2. WBC 4,000 3. TSH 7.0 4. RBC 6.8 million

4. RBC 6.8 million

A nurse is teaching a parent of a 12-month-old infant about nutrition. Which of the following statements but a parent indicates a need for further teaching? 1. I can give my baby 4 ounces of juice to drink every day 2. I will offer my baby dry cereal and chill banana slices as snacks 3. I am introducing my baby to the same food the family eats 4. my infant drinks at least 2 quarts of skim milk each day

4. my infant drinks at least 2 quarts of skim milk each day

A nurse is caring for an infant who has an biliary atresia. Which of the following manifestations should the nurse expect? (Select all that apply) 1. yellow sclerae 2. rapid weight gain 3. tan colored stools 4. abdominal distention 5. dark urine

1., 4, 5.

A nurse is teaching a newly hired nurse about the care of an infant who is postoperative following myelomeningocele repair. The nurse should teach the newly hired nurse to monitor the infant for which of the following complications? 1. Hydrocephalus 2. Congenital hypotonia 3. Otitis media 4. Osteomyelitis

1. Hydrocephalus

A nurse is providing teaching to the parents of a school-aged child who has type 1 DM about the management of hypoglycemia. Which of the following responses by the parents indicates an understanding of the teaching? 1. I will make sure my child drinks 240 mL( 8 oz) of milk as soon as possible 2. I will give my child 2 units of regular insulin 3. I will insist my child lies down to rest for 30 minutes 4. I will check my child's urine for glucose twice daily

1. I will make sure my child drinks 240 mL( 8 oz) of milk as soon as possible

A school nurse is assessing an adolescent who returned to school following a case of mono. 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? 1.. Potential for sustaining abdominal trauma 2. Deficient dietary intake 3. exposing peers to illness 4. straining sore joints

1.. Potential for sustaining abdominal trauma

A nurse in emergency room is caring for an 8 year old who is up to date with current immunization recommendations it has a deep puncture injury. Which of the following should the nurse anticipate administering? 1. DTap vaccine 2. a single injection of tetanus immune globulin mix with the pediatric tetanus booster 3. Tdap vaccine 4. Adult tetanus booster

4. Adult Tetanus booster

A nurse is an emergency department is caring for a school-age child who is experiencing an acute asthma exacerbation. Which of the following findings is the priority for the nurse to report to the provider? 1. excessively prolonged expiration 2. increased diaphoresis 3. increased production of frothy sputum 4. sudden decrease in wheezing

4. sudden decrease in wheezing

A nurse in an emergency Department is caring for a 12 year old child who has ingested bleach. Which of the following statements by the nurse indicates understanding of this ingestion? 1. The absence of oral burns is closed the possibility of esophageal burns 2. treatment focuses on neutralization of the chemical 3. injury back corrosive liquid is more extensive than by corrosive solid 4. immediate administration of activated charcoal is warranted

3. injury back corrosive liquid is more extensive than by corrosive solid

A nurse is assessing a toddler who has measles(rubeola). Which of the following findings should the nurse expect? 1. koplik spots 2. parotitis 3. strawberry tongue 4. paroxysmal cough

1. Koplik spots

A nurse is providing teaching to the parent of a 2-year-old toddler about nutrition. Which of the following statements by the parent indicates an understanding of the teaching? 1. My child should consume 1,000 calories per day 2. My child should have 4 ounces of protein per day 3. I should give my 32 ounces(4 cups) of milk per day 4. I should feed my child 4 ounces (1/2 cups) of vegetables per day

1. My child should consume 1,000 calories per day

A nurse is planning care for a 10-month-infant who has suspected failure to thrive(FTT). Which of the following interventions should the nurse include in the care? Select all that apply 1. Observe the parents actions when feeding the child 2. Maintain a detailed record of food and fluid intake 3. Follow the child's cues as to when food and fluids are provided 4. Sit beside the child's high chair when feeding the child 5. Play music videos during scheduled meal times

1. Observe the parents actions when feeding the child 2. Maintain a detailed record of food and fluid intake

A nurse is planning to collect the specimen from a male infant using a urine collection bag. Which of the following action should the nurse take? 1. Wash and dry the infants genitalia and perineum thoroughly 2. apply a small coating of water soluble lubricant to the skin of the infants perineal area 3. avoid placing a scrotum inside the collection bag 4. wait several hours after positioning the device before checking it

1. Wash and dry the infants genitalia and perineum thoroughly

A nurse at a pediatric clinic is assessing a 5 month old infant At a well child visit which of the following findings should the nurse report to the provider? 1. head lags when pulled from in lying to a sitting position 2. absence of startle in crawl reflexes 3. inability to pick up a rattle after dropping it 4. rolls from Back to side

1. head lags when pulled from in lying to a sitting position

A nurse is providing teaching to an adolescent who has scoliosis and a new prescription for a boston brace. Which of the following responses by the adolescent indicates an understanding of the teaching? 1. I can take my brace off to sleep every night at bedtime 2. I can take my brace off to shower for about an hour daily 3. I should loosen the straps on my brace if its rubbing my skin 4.I should place the pads of brace against my skin with a t-shirt over them

2. I can take my brace off to shower for about an hour daily

A nurse is assessing a 9-month-old infant during a well-child visit. Which of the following findings indicate that the infant has a developmental delay? 1. Creeps on hands and knees 2. Inability to vocalize vowel sounds 3. Uses a crude pincer grasp 4. Stands by holding onto support

2. Inability to vocalize vowel sounds

A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the following actions should the nurse take? 1. Perform the assessment in a head to toe sequence 2. Minimize physical contact with the child initially 3. Explain procedures using medical terminology 4. Stop the assessment if the child becomes uncooperative

2. Minimize physical contact with the child initially

A nurse is developing a plan of care for a school age child who underwent a surgical procedure that resulted in a temporary loss of vision. Which of the following interventions should the nurse include in the plan of care? 1. Assign an assistive personnel to feed the child 2. explain sounds the child is hearing 3. have the child use a cane when ambulating rotate nurses caring for the child

2. explain sounds the child is hearing

A nurse is teaching a parent of an infant about home safety . Which of the following information should the nurse include? Select all that apply 1. Use a wheeled infant Walker 2. place soft pillows around the edge of the infant crib 3. Position the car seat so that it is rear facing 4. Secure a safety gate at the bottom and top of the stairs 5. Maintain the water heater temperature at 49 degrees Celsius or 120 degrees Fahrenheit

3. 4. 5.

A nurse on the pediatric unit is caring for a group of clients. Which of the following findings should be the nurse's priority? 1. A child who has asthma and pulse oximetry of 94% 2. A child who has a nephrotic syndrome and 1+ protein on urine dipstick 3. A child who has sickle cell anemia and a urine specific gravity of 1.030 4. A child who has insulin-dependent diabetes mellitus and a fingerstick glucose reading of 110 mg/dL

3. A child who has sickle cell anemia and a urine specific gravity of 1.030

A nurse is providing education to the parent of a toddler who is about to receive an MMR immunization. Which of the following statements by the parent indicates an understanding of the teaching? 1. My child should not play with other children for 2 days 2. I will need to return in 2 weeks for my child to receive the varicella immunization 3. I will help my child to blow bubbles during the injection 4. My child may have some drainage from the injection site

3. I will help my child to blow bubbles during the injection

A nurse is planning care for an adolescent who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan? 1. apply cold compresses to the child's extremities 2. administer merepedine every 4 hours until the crisis is resolved 3. Maintain the child on bed rest 4. Decrease the child's fluid intake for 8 hrs

3. Maintain the child on bed rest

A nurse is assessing a 6-month infant who was recently admitted with acute vomiting and diarrhea. Which of the following indicates the infant has moderate dehydration? 1. Bulging anterior fontanel 2. Bradycardia 3. Tachypnea 4. Polyuria

3. Tachypnea

A nurse is caring for an 6 month old infant with intussusception. Which of the following actions should the nurse take? 1. prepare to administer high dose steroids 2. give the child magnesium hydroxide PO 3. prepare the child for a barium enema 4. inform the parents that the child will need a colostomy

3. prepare the child for a barium enema