ATI dynamic quizzes r/t exam 6
Perform oropharyngeal suctioning
A nurse is caring for an infant who has a tracheoesophageal fistula. Which of the following actions should the nurse take?
Maintain a cardiorespiratory monitor
A nurse is caring for an infant who has pertussis. Which of the following actions should the nurse take?
Administer an antifungal medication after feedings
A nurse is caring for an infant who is breastfed and is receiving amoxicillin for an upper respiratory infection. An assessment of the mouth reveals whitish patches on the tongue that will not scrape off. Which of the following actions should the nurse take?
Have the child wear his glasses during the vision screening
A nurse is performing a visual acuity screening for a school-aged child using the Snellen letter chart. Which of the following actions should the nurse take?
Encourage the child to participate in physical activities
A nurse is planning care for a school-aged child who has juvenile idiopathic arthritis (JIA). Which of the following actions should the nurse include in the plan?
Encourage the preschooler to bring a favorite toy to the hospital
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?
Schedule the child for 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?
Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
A nurse is preparing to administer recommended immunizations to a 2-month-old infant. Which of the following immunizations should the nurse plan to administer?
Inactivated poliovirus vaccine (IPV)
A nurse is preparing to administer routine immunizations to a 6-year-old child. In addition to the diphtheria, tetanus, and pertussis (DTaP) vaccine; the measles, mumps, and rubella (MMR) vaccine; and the varicella vaccine, which of the following immunizations should the nurse plan to administer?
Increase the child's protein intake
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?
Constant clearing of the throat
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 to the provider?
for my child to receive the "I will help my child to blow bubbles during the injection."
A nurse is providing education to the parent of a toddler who is about to receive an MMR (measles, mumps and rubella) immunization. Which of the following statements by the parent indicates an understanding of the teaching?
Apply pressure to the child's nose using the thumb and forefinger Keep the child calm
A school nurse is providing care to a child who has a nosebleed. Which of the following actions should the nurse perform? (Select all that apply)
Hyperopia
A nurse is assessing a 12-year-old child during a well-child checkup. Which of the following physical findings should the nurse report to the provider?
The infant's mother is likely HIV positive.
An 18-month-old infant has Pneumocystis carinii pneumonia, Results of enzyme-linked immunosorbent assay (ELISA) testing indicate that she is HIV positive. When planning care, the nurse should consider which of the following factors?
Drooling
Anurse in an emergency department 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?
Provide a high-fat diet for the toddler
Anurse is providing dietary teaching to the parent of a toddler who has cystic fibrosis. Which of the following instructions should the nurse include?
Sudden decrease in wheezing
A nurse in an emergency department is assessing a school-aged child who is experiencing an acute asthma exacerbation. Which of the following findings is the priority for the nurse to report to the provider?
Nasal flaring
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?
Adult tetanus booster (Td)
A nurse in an emergency department is caring for an 8-year 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?
An infant with a WBC count of 24,000/mm3
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?
Move a brightly colored toy from side to side in front of the infant's face
A nurse is assessing a 6-month-old infant. The guardian reports that the infant does not appear interested in the brightly colored mobile hanging above the crib at home. Which of the following techniques should the nurse use to check the infant's visual acuity?
Heart rate 118/min
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?
Chronic diarrhea
A nurse is assessing a preschooler who has HIV. Which of the following manifestations should the nurse expect?
The child is drooling
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?
"Does anyone smoke around or in the same house as your child?"
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?
Candidiasis
A nurse is assessing a toddler who has AIDS. Which of the following findings is an indication of an opportunistic infection?
Tension pneumothorax
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?
Allow each child to wear his or her glasses during the exam
A nurse is assessing the visual acuity of a group of school-aged children. Which of the following actions should the nurse take?
Speech patterns
A nurse is caring for a 1-year-old infant who has chronic otitis media. The nurse should identify that which of the following areas is at risk of a delay in development?
Building towers with blocks
A nurse is caring for a 2-year-old child who has cystic fibrosis. The nurse is planning to take the child to the playroom. Which of the following activities would be appropriate for the child?
Amoxicillin
A nurse is caring for a 4-month-old child who has acute otitis media and a fever of 38.3°C (101 F). Which of the following medications should the nurse administer?
Inactivity and thumb sucking
A nurse is caring for a 4-year-old child who has pneumonia. The child's mother left 2 hours ago, and he is currently experiencing the separation anxiety stage of despair. Which of the following findings should the nurse expect?
Remove the catheter while applying intermittent suction
A nurse is caring for a child who has a tracheostomy. Which of the following techniques should the nurse use to suction the child's tracheostomy?
Oxygen saturation 85%
A nurse is caring for a child who has an exacerbation of cystic fibrosis. Which of the following laboratory findings should the nurse report to the provider immediately?
Apply continuous pressure to the child's nose for at least 10 min
A nurse is caring for a child who has epistaxis. Which of the following actions should the nurse perform?
Encourage rooming-in
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?
Speech patterns
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 which of the following?
Meningococcal polysaccharide
A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations and is planning to attend college. The nurse should recommend which of the following immunizations prior to moving into a campus dormitory?
Massage the anterior area of the infant's ear following administration
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?
Nausea Urticaria Stridor
A school nurse is assessing a child who has been stung by a bee. The child's Which of the following findings should the nurse expect if the child develops anaphylaxis? (Select all that apply.) hand is swelling, and the nurse notes that the child is allergic to insect stings.
Albuterol
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?
They provide direct stimulation of auditory nerve fiber.
A nurse is teaching the parents of an infant about treatment options for profound sensorineural hearing loss. The nurse should include which of the following pieces of information about the function of cochlear implants?
Hot dogs Grapes Bagels Marshmallows
A nurse is teaching a group of parents of toddlers about measures to reduce the risk of choking. Which of the following foods increase the risk of choking in toddlers? (Select all that apply.)
"The tubes should stay in place until they fall out on their own."
A nurse is providing teaching to the parent of a toddler who is undergoing insertion of tympanostomy tubes. Which of the following statements should the nurse include?
Patch the unaffected eye
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?
"Your baby can start the pneumococcal vaccine now."
A nurse is reviewing recommended immunizations with the guardian of a 2-month-old infant. Which of the following statements should the nurse make?
Passive smoking
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?
Diphtheria, tetanus, and pertussis (DTAP)
A nurse at a clinicis preparing to administer immunizations to a 5-year-old child. Which of the following immunizations should the nurse plan to give?
Apply continuous pressure to the lower part of the child's nose
A nurse is caring for a child who has epistaxis. Which of the following actions should the nurse take?
Frequent swallowing
A nurse is caring for a child who is postoperative following a tonsillectomy. Which of the following findings is the nurse's priority?
Assess for laryngeal edema
A nurse is caring for a child who received penicillin IM 15 minutes ago. The child is now irritable and restless. Which of the following actions should the nurse take first?
Inability to clear secretions
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?
Eliminate the use of a straw when offering fluids
A nurse is providing immediate postoperative care for a preschooler who had a tonsillectomy. Which of the following actions should the nurse take?
"I will encourage my child to participate in sports."
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?
"Your mucus is thick because cystic fibrosis interferes with how your glands work."
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?
"Initial vaccines should be administered between birth and 2 weeks of age."
A nurse is providing teaching about immunization schedules to the parents of a newborn who is 1 week old. Which of the following pieces of information should the nurse include in the teaching?
"The pneumococcal and influenza vaccines are recommended for your child."
A nurse is providing teaching about immunizations to the parents of a severely immunocompromised child who has human immunodeficiency virus (HIV). Which of the following statements should the nurse include in the teaching?
"Attend school regularly."
A nurse is providing teaching to an adolescent client who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include in the teaching?
Speak at the child's eye level
A nurse is providing teaching to the guardian of a school-age child who has hearing loss. Which of the following techniques should the nurse recommend to facilitate communication with the child?
Bulky stools
A nurse is providing teaching to the parent of a child who has cystic fibrosis and a prolapsed rectum. The nurse should identify that which of the following is a cause of this complication?
Notify the provider immediately if the sclera becomes inflamed
A nurse is providing teaching to the parent of a toddler who has bacterial conjunctivitis. Which of the following instructions should the nurse include?
Shake the inhaler while holding it upright. Position the mouthpiece in the mouth. Slowly inhale the medication. Hold the breath for 5 to 10 sec.
A nurse is teaching a school-age child with asthma how to use a metered-dose inhaler. In which order should the nurse instruct the child to perform the following steps and evaluate return demonstration? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
"I will continue to take my medication when my peak flow rate is in the green zone."
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 record the highest reading of three attempts."
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?
"Gently pull the ear cartilage down and back when administering the medication."
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?
Cow's milk
A nurse is teaching the parent of an infant about food allergens. Which of the following is the most common food allergy in children?
"We should not smoke around our child."
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?
"You will need to increase the dosage as your child gains weight."
A nurse is teaching the parents of a toddler who had an anaphylactic reaction to peanut butter about administering injectable epinephrine. Which of the following instructions should the nurse include?
