ATI missed questions Week 5 - Madison Gardner

D (when using the ABC approach to client care, the nurse should determine that the priority item to have in the child's room is suction equipment.)

A nurse is admitting a child who has a history of tonic-clonic seizures. which of the following items is the priority to have in the child's room? A. pulse ox B. oxygen therapy C. bag valve mask D. suction equipment

c (compared to adults or older children, infants have a longer intestinal tract. This results in greater fluid losses, especially through diarrhea

A nurse is caring for a dehydrated infant with gastroenteritis. Which of the following characteristics places the infant at a higher risk of electrolyte imbalance compared to an adult client? A. less extracellular fluid B. reduced body surface area C. longer intestinal tract D. decreased rate of metabolism

b (an infant who has a biliary obstruction will have clay-colored stools because the flow of bilirubin into the intestinal tract is blocked. If the surgery is successful, the infant's stools will change to yellow and then brown in color.)

A nurse is evaluating the outcome of surgery for an infant who had a bile duct obstruction. Which of the following findings should indicate to the nurse that the surgery was successful? A. the stool become fatty B. the color of the stool is yellowish brown C. the direct bilirubin level has increased D. a palpable mass is noted on the infant's right upper quadrant

b (spiral fractures occur from the twisting of an extremity In most cases, spiral fractures of the arm result from an abusive injury)

A nurse is facilitating a group discussion with preschool teachers about child abuse. Which of the following examples should the nurse use to illustrate a suggestive finding? A. bruising of both knees with sutures on 1 B. arm cast for a spiral fracture of the forearm C. consistent bedwetting at nap time D. frequent, vague reports of stomachache or a headache

a (the nurse should expect a 12 month old's weight to triple his birth weight)

A nurse is performing a physical assessment on a 12 month old, which of the following findings should the nurse report to the provider? a. the infant's weight is double his birth weight b. the infant's posterior fontanel is closed c. the infant is unable to walk without support d. a total of 6 teeth are present

d (the nurse can implement relaxation strategies by sitting with the child in a well-supported position such as against the chest and rocking or swaying back and forth in long, wide movements)`

A nurse is planning to implement relaxation strategies with a young child prior toa painful procedure. Which action should the nurse take? A. ask the child to hold their breath and blow it out slowly B. ask the child to describe a pleasurable event C. bounce the child gently while holding him upright D. rock the child using long, rhythmic movements.

a (the nurse should recommend an increased protein intake for the child who has cystic fibrosis. These children require up to 150% of the recommended daily allowance to meet their nutritional needs)

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? A. increase the child's protein intake B. decrease the child's calorie intake C. increase the child's fiber intake D. decrease the child's salt intake

c (the nurse should inform the guardian that imaginary playmates are common during the preschool years due to the high level of imagination among this age group. Although having an imaginary friend is considered health, the preschooler might try to use this this imaginary friend as a means of avoiding responsibility or punishment for unacceptable behavior. The nurse should inform the guardian of the need to have the preschooler take responsibility for his actions)

A nurse is teaching the guardian of a preschooler. The guardian states that the preschooler has had an imaginary playmate for about 3 months. Which of the following pieces of information should the nurse give the guardian? A. children commonly begin having imaginary friends when they reach school age B. notify your provider if the imaginary friend persists longer than 6 months C. have your child take responsibility for actions if he tries to blame the imaginary friend D. set limits by not allowing your child to have the imaginary friend present during family meals

c (children who have cerebral palsy have spasticity in their muscles. The child can receive botulinum toxin type a injections into affected muscles, which reduce spasticity)

A nurse is teaching the parents of a child who has cerebral palsy. Which of the following statements should the nurse make? a. your child will be unable to eat by mouth b. your child will be unable to participate in recreational activities c. your child will need a botulinum toxin a injection to reduce muscle spasticity d. your child will need throw rugs placed over non-carpeted areas

a (children who have rheumatic fever may take salicylates such as aspirin to control the inflammatory process that occurs in the joints)

A nurse is teaching the parents of a child who has rheumatic fever. Which of the following statements by a parent indicates an understanding of the teaching? A. my child may take aspirin for his joint pain B. my child will need a blood transfusion prior to discharge C. I will need to wear a gown when I'm in my child's room D. I will apply lotion to my child's peeling hands

b, d, e (a common gi response to excessive histamine release is nausea. A common skin manifestation of excessive histamine release is hives(urticaria). A serious, life-threatening response to excessive histamine release is airway narrowing, which presents as dyspnea and stridor)

A school nurse is assessing a child who has been stung by a bee. The child's hand is swelling, and the nurse notes that the child is allergic to insect stings. Which of the following findings should the nurse expect if the child develops anaphylaxis? A. bradycardia B. nausea C. hypertension D. urticaria E. stridor

d (when caring for a toddler who has manifestations of bacterial meningitis, the nurse should implement seizure precautions, which includes padding the side rails of the bed)

a nurse is caring for a toddler who has a fever, a high-pitched cry, irritability, and vomiting. Which of the following actions should the nurse take? a. administer 81 mg of aspirin to the toddler b. give the toddler a cold bath c. place the toddler in a supine position d. pad the rails of the toddler's bed

c (the nurse should encourage the parent to keep a diary of the foods the child eats throughout the day for 1 week. This can help the parent realize that the child may be eating better than expected. Evidence suggests that children can self-regulate their caloric intake. When they eat less at a meal, they can compensate by eating more at another meal or by having a snack)

a nurse is talking with the parent of a preschool-aged child who tells the nurse, my child has suddenly become disinterested in certain foods. Which of the following statements should the nurse make? a. during this phase, feed your child anything that she will eat b. increase the amount of calories and water your child consumes c. keep a diary of the foods your child eats each day d. provide a large variety of fruit juices for child to choose from

c (epiglottitis is a disorder caused by an inflammation of the epiglottis. It results in rapid swelling of the epiglottis, which can obstruct breathing. Drooling is an expected finding due to the toddler's inability to swallow saliva)

a nurse 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. a. lethargy b. spontaneous coughing c. drooling d. hoarseness

b (the nurse should expect a 3 year old child to have the fine motor ability to copy of circle. A 4-year old child should have the ability to copy a square)

a nurse is assessing the fine motor skill development of a 4 year old child. The nurse should expect the child to be able to perform which of the following activities? A. tying shoelace into a bow B. copying a square C. drawing a person with at least 8 parts D. printing the letters of her name

d (the infant should be fed clear liquids using a cup for 7-10 days following a cleft palate repair to prevent trauma and injury to the suture line)

a nurse is caring for a 12-month old infant following the surgical repair of a cleft palate. The nurse should plan to feed the infant using which of the following instruments? A. spoon B. straw C. firm nippple D. cup

d (applying a pressure dressing over the area following the procedure helps prevent bleeding from the site)

Which of the following statements should the nurse make to a school-age child who is to undergo a bone marrow aspiration? 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

B (toddlers demonstrate parallel play)

The nurse should identify parallel behavior in which of the following age groups? A. infants B. toddlers C. preschoolers D. school-age chidlren

B,D (The nurse should expect a 24 month old to be able to stack a short tower of 6-7 blocks. Additionally they should also have a potbellied appearance, the legs, should be slightly bowed to support the weight of the comparatively large trunk)

What are expected findings for a 24 month old well-child checkup. A. 8 deciduous teeth B. ability to build a tower of 6 blocks C. vocab of 10-20 words D. slightly bowed or curved leg appearance E. head circumference greater than chest circumference

c (the nurse should monitor the child's temperature every 15-30 minutes. Surgery on the brainstem can cause hyperthermia.)

Which of the following actions should a nurse take for postoperative care of a preschooler with removal of a brainstem tumor? A. have the child deep breathe and cough every hour B. offer the child clear liquids 4 hours after the procedure C. monitor the child's temp every 30 min D. place the child in Trendelenburg position