ATI pediatrics
the nurse is teaching an adolescent about HIV. which of the following statements by the adolescent indicates an understanding of the teaching ?
a pregnant women can pass HIV to her unborn baby
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?
Arm cast for a spinal fracture of the forearm
The nurse is caring for a pediatric client with a fracture ulna. The plaster cast was applied 3 hrs ago. Upon assessment the nurse noticed that the child's fingers are cool and pale with a slow capillary refill. The other hand is warm and pink. The nurse knows that these findings indicate?
Arterial blood supply to the fingers is impaired
A nurse is caring for a group of clients. which of the following clients should the nurse assess first?
A school age child who has acute epiglottitis, is drooling, and has an absence of spontaneous cough
A nurse in a pediatric clinic anticipates that oral iron supplementation will be required in which of the following infants?
An 11 week old infant who was born at 33 weeks gestation and receives feedings of breast milk in bottle.
A nurse is caring for a child with influenza. The nurse should identify that which of the following statements by the parent indicates that the child has an increased risk for development of Reye syndrome?
I give my child aspirin to reduce his fever
A nurse is providing nutritional teaching to the guardian of an infant who has heart failure. Which of the following guardian statement indicates understating of the teaching ?
I will add corn oil to my babys bottle, th
a nurse is caring for a 4 month old who is hospitalized. which of the following toys should the nurse provide for the child?
a plastic mirror
A nurse is teaching the parents of a 3 year old who has a diagnoses of cystic fibrosis about their child's special needs. what statement indicates that the parents need further teaching about the issues related to cystic fibrosis?
We will have to move to a very warm climate
which of the following is an example of symbolic play?
a 3 year old pretends a rug is a magic carpet
which of the following clients should the ED nurse triage immediately prioritize for assessment and care ?
a 3-week-old infant who has been feeding poorly with a temp of 100.5F & sunken fontanelle
A nurse is teaching a group of newly licensed nurses the risk factors for child maltreatment. Which of the following risk factors should the nurse include in the teaching?(select all)
a parent who has a history of alcohol use disorder a parent who often acts on impulses a parent who believes in an authoritarian approach to raising the child
A nurse is caring for a 10 year old client with moderate intellectual impairment who has an intelligence (IQ) of 83. Which of the following should the nurse consider planning a recreational activity for this child?
a simple board game like Candyland
a nurse is caring for a child with developmental dysplasia of the hip. which of the following is the primary intervention for the child?
abduction of the hip
A nurse is caring for a neonate. What attributes would most likely be seen during the first period of reactivity of a newborn?
alert & exploring
A nurse in the outpatient clinic is assessing a 3 month old. The mother reports the infant cries constantly despite all intervention. which of the following is priority intervention?
determine the pattern of crying, including frequency and duration.
A nurse is caring for an infant who has a cleft palate. the parents ask the nurse how long they should wait before the child can have corrective surgery, the nurse should explain the the parents should wait no longer than 6-12 months for surgery to prevent ?
difficulty with language acquisition
A nurse is caring for a 6 month old infant who is postoperative following repair of an intussusception and has a new prescription of clear liquids PO for 24hrs. Which of the following liquids should the nurse provide the infant?
electrolyte solution
A nurse in the emergency department is caring of a child who sustained a fracture. Which of the following actions should the nurse take?(select all)
elevated the affected limb assess the neurovascular status frequently stabilize the injury
a nurse checks a blood pressure in a 2 year old and measure 92/6. considering the child's age this blood pressure result would be?
normal
A nurse is caring for a term neonate born to a mother who used oxycodone daily during pregnancy. which of the following is indicated in infants with neonatal abstinence syndrome?
swaddling the newborn & placing in a side-lying position for feeding
A nurse is caring for a 1 month old baby whose parents has taped the child's umbilical hernia toward the lower abdomen. The parents said they heard this would correct the protrusion. which of the following nursing responses is correct?
taping the hernia is not appropriate
a nurse 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?
tension pneumothorax
A nurse is assessing a child who sustained a head injury, during the assessment the nurse observes clear liquid drainage leaking from his nose. which of the following actions should the nurse take ?
test the nasal secretion for glucose
At a home visit the mother mother of a four month old, tells the nurse that she is concerned because her child is not rolling over. which of the following is the most appropriate by the nurse?
that is expected. many babys at his age cannot roll over.
A nurse is teaching a healthy living class to a group of adolescents. She instructs them that the most effective way to prevent STD is
by practicing abstinence
which of the following findings on an assessment of a newborn is concerning in the first hour after spontaneous vaginal delivery ?
capillary glucose of 28mg/dL
a nurse is caring for a child who has acute glomerulonephritis. which of the following actions should the nurse take?
check the child's blood pressure every 4 hrs
A nurse is caring for an adolescent client with cystic fibrosis.Which finding requires immediate intervention when caring for a client?
chest pain with dyspnea
A nurse knows that parents who do not use a child safety seat when transporting a child are engaging in which of the following ?
child neglect
A nurse is asked to provide education about safe and reduction risk for parents of 6th grade children. Which of the following should the nurse include when planning the presentation about this age group>?
children who are cooking should only do so with parental assistance and should wear 2 oven mittens
A nurse is caring for a 3 year old admitted to the emergency department with severe diarrhea and abdominal pain. The clients medical record shows frequent admissions for various complaints , followed by extensive diagnostic workups. The nurse suspects the mother of the child has Munchausen syndrome by proxy. Which of the following actions is most appropriate?
contact the appropriate authorities to file a report of child abuse
A nurse is caring for an adolescent who is 2 hrs postoperative following a tonsillectomy. Which of the following fluids should the nurse offer to the adolescent?
crushed ice
A 14 month old child presents with a head injury after a fall. which of the following finding is most concerning for child abuse or neglect?
delay by parents or caregivers in seeking care
A nurse id providing teaching about home care to the guardian of an adolescent who has hemophilia. which of the following piece of info should the nurse provide?
encourage the adolescent to participate in non contact sports
which of the following is the most appropriate intervention by a nurse caring for a 2 year old client in the pediatric unit who experiences separation anxiety when the clients parent return home?
encourage the parents to leave the child's favorite toys and books with them
A nurse is caring for a school age child who has a severe burn. which of the following actions should the nurse take?
establish an airway
A nurse is visiting a family with a 1 month old baby. The mother is frustrated with baby's behavior. She says "I try to give him the rattle, but doesnt do anything with it." How can i get him to respond ? which of the following is the most appropriate response of the nurse?
he has not discovered that he able to make noises with the rattle. give him time to learn the skill
a nurse in a pediatric clinic is assessing a young child who was exposed to roseola. which are characteristics of roseola?
high fever followed by rash after fever has subsisted
A nurse is caring for a child who has Legg-calve-perthes disease. which of the following manifestations should the nurse expect?( select all)
hip stiffness limited range of motion limp when walking
A nurse is providing teaching about risk factors to the parents of a child who has a new diagnosis of ADHD. Which of the following risk factors should the nurse include in the teaching ?
history of head trauma
a nurse is teaching a newly hired nurse about caring for an infant postoperative myelomeningocele repair. the nurse should teach the newly hired nurse to monitor the infant for which of the following complications?
hydrocephalus
A nurse in a pediatric unit is caring for several infants and toddlers with severe physical developmental problems resulting in immobility and subsequent inactivity. which nursing diagnoses a priority of these infants ?
impaired musculoskeletal development related to immobility.
A nurse is planning care for a 6 year old who has meningitis. which of the following nursing interventions should the nurse include in the plan of care?
implement seizure precaution
A nurse is teaching the parents of a 6 month old infant about risk factors for acute otitis media. Which of the following factors should the nurse include?(select all)
infant attends day care 4 days per week absence of routine vaccines siblings have a history of chronic ear infections parents smoking cigarettes
a home health nurse is developing a plan of care of a toddler who has hemophilia. which instructions for the parents should the nurse include in the plan?
inspect the toddlers toys for harp edges
two toddlers are arguing over a toy in the playground. which is most appropriate response by the nurse ?
let me see if i can get a good toy for each of you
A nurse is caring for a child who has a retinoblastoma. Which of the following findings should the nurse expect?
leukocoria
a nurse is caring for an infant who has gastroenteritis and is dehydrated. which of the following characteristics places the infant at higher risk of electrolyte imbalances compared to an adult?
longer intestinal tract
A nurse is caring for a child who has suspected appendicitis. which of the following provider prescriptions should the nurse expect?
maintain NPO status
a nurse is caring for a 2 year old infant who has myelomeningocele. which action should the nurse take?
monitor the infant's head circumference
A nurse is obtaining data from the parents of an infant who has acute otitis media. Which of the following statements should the nurse expect from the parents to make?(select all)
my baby has been pulling at her ears my baby has not been drinking her bottles lately my baby is not sleeping at night my baby has been very irritable and crying more lately
a nurse in a pediatric clinic is caring for an infant who has heart failure and is on digoxin. which of the following statement indicates a therapeutic response of the medication?
my baby is breathing easier than before
A nurse is working in a clinic is providing teaching to the parent of a school age child who has juvenile idiopathic arthritis. which of the following instructions should the nurse include?
administer prednisone on an alternate day schedule.
A nurse in a providers office is teaching the parents of an adolescent about the sleep habits in adolescence. which of the following information should the nurse provide?
adolescents have circadian rhythms that cause sleepiness at a later time at night
A nurse is review a plan of care for an infant who has diaper dermatitis . Which of the following interventions should the nurse expect to be included in the plan of care?
allow the buttocks to air dry
the nurse assess a 6 month old for vaccine readiness. which finding would most likely indicate the need to delay administering DTAP.
an acute bilateral ear infection
A provider is caring for a preschool age child who has been diagnosed with pinworm infection. which of the following symptoms is the child expected to exhibit?
anal itching that increases during the night
a nurse is assessing a child who has leukemia. which findings should the nurse expect?
anorexia petechiae on the extremities unsteady gait
A nurse on a pediatric unit is assigned a 3 year old with croup. The most important initial intervention to perform is ?
assess the respiratory status
A nurse is providing teaching to a parent of an infant with cerebral palsy. How will advice the parents to carry the infant in a sitting position to prevent scissoring of the legs?
astride one of her hips
a nurse is caring for a 6 month old who is awaiting discharge with a urinary stent after a procedure to repair hypospadias. Which of the following should the nurse advice the parents?
avoid tub baths until the stent is removed
A nurse is caring for a school age child who has a major burn and is experiencing major pain. which of the following actions should the nurse implement to manage this clients pain?
administer morphine sulfate IV via continuous infusion
A nurse is creating a plan of care for a toddler who is 8 hrs. postoperative following a cleft palate repair. Which of the following interventions should the nurse include?
administer opioids to the toddler for pain
A nurse is caring for a client who is at 36 weeks gestation. The client has 3 young children at home who have sick classmates at school and asks about immunity in a newborn . which of the following statements is true concerning immunity in a newborn?
neonates have IgG antibodies from mother and produce IgM during utero.
A school nurse assessing an 13 year old client with diarrhea. The client has dry lips and loss of skin turgor. what is the best course of action for the nurse ?
notify the healthcare provider
In psychoanalytic theory, which of the following refers to the concept or stage of growth and development that is primarily concerned with role identification?
oedipal complex
A parent reports to the nurse that her two year old say "no"whenever he is offer juice and pushes it away. The mother realizes her sons needs fluid. The nurse should advice her to:
offer the choice of two different liquids
a nurse is caring for a school age child who is experiencing nausea and vomiting due to highly emetogenic chemotherapy. The nurse should anticipate that the provider will prescribe which of the following medications?
ondansetron every 6 hours
A nurse is teaching a group of parents of adolescents about skills that can help improve communication within the family. The nurse hears one parent state, "My son sets his routine, and I try to be a recourse for him." which of the following parenting styles is the parent exhibiting?
permissive
A nurse is caring for a neonate with exstrophy of the bladder. Which of the following is the most appropriate initial nursing intervention?
place a protective plastic film over the bladder
A nurse is providing instructions to the parents of a schooled aged child with otitis externa. which of the following instructions should the nurse include to help prevent a reoccurrence of the infection ?
place a solution of vinegar & alcohol in the ear canal 3 times daily
a nurse is providing instructions to a client about breastfeeding her infant. which of the following should be included?
place the index finger above the areola and the other three fingers below the areola
A nurse is providing dietary teaching to a guarding of a school age child who has celiac disease. which of the following food teams should the nurse suggest for the child's afternoon snack?
potato chips
A nurse is assigned to care for a 2 year old newly admitted to the pediatric unit. Which of the following interventions is appropriate to reduce the adverse effects of hospitalization on the child (select all)
provide more than one option when offering a toy to the child plan a quiet period of play before the child's usual nap time offer the child's preferred snack foods during the day
A nurse is administering immunizations to a 4 month old infant. Which of the following actions should the nurse take to prove atraumatic care?
provide sucrose solution on the infants pacifier
A nurse is creating a plan of care for an infant who is preoperative before myelomeningocele repair. which of the following interventions should the nurse include?
provide tactile stimulation by caressing the infant
A nurse caring for an adolescent who is receiving pain meds via PCA pump. When the nurse assess the pan at 0800 the pain is at 3. at 1000 the client reports pain at 5 . the nurse discovers the client has not pushed the bottom to deliver medication in 2hrs. which action should the nurse take?
reinforce with the client about how to deliver the medication
a nurse is providing teaching about home safety to the parent of a 2 year old infant. which info should the nurse include?
remove bibs before the infant goes to sleep
A nurse is assessing a child who is postoperative. which of the following findings should the nurse identify as an indication that naloxone should be administered?
respiratory depression
when monitoring a neonate an hour after an uncomplicated spontaneous vaginal delivery, the nurse knows that which of the following are normal findings (select all)
respiratory rate 50bm bluish purple pigmented spots on the back or neck
A nurse is caring for a 8 year old and administers a new medication through oral route, as prescribed by the healthcare provider. After administration of medication, the nurse notices that pediatric clients should receive suppository form of the medication. which of the five rights of medication administration has this error violated?
right route
A nurse is assessing a teenage male client status post-unilateral orchiectomy. Which of the following should be included in the clients long term plan of care?
risk for sexual dysfunction
A nurse is caring for a child who is postoperative ventriculoperitoneal (vp) shunt placement. Which of the following positions should the nurse place the child?
semi-fowlers
a nurse is teaching a school age child how to use a metered-dose-inhaler. in which order should the nurse instruct the child to perform the following steps ?
she the inhaler position mouthpiece slowly inhale the medicine hold the breath for 5-10sec
a nurse assessing a 7 year old child's psychosocial development. which of the following findings should the nurse recognize an indicator for further evaluation?
the child complains daily about going to school
which of the following finding during assessment of a 30 months old requires further evaluation?
the child's currents weight is 6x the weight at birth
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 considered which of the following factors?
the infant's mother is likely HIV positive
The parents of a newborn with Down syndrome are tearful when they tell the nurse that the diagnoses surprised them. which statement made by the parents indicates that they have some understanding of Down Syndrome?
there is a broad spectrum of mental capabilities & physical characteristics in children with Down Syndrome
A nurse is counseling a parent whose preschool child began wetting the bed after recent hospitalization. Which of the following is the most appropriate response by the nurse ?
this is a normal regression behavior due to stress as a result of the hospitalization
Based on Erikson's stage of psychosocial development, which age group experiences the stage of autonomy Vs shame & doubt?
toddlers (1-3yrs)
a nurse at a community health department is discussing the nutritional needs of children with a group of parents and guardians. which of the following pieces of info should the nurse include?
toddlers can be given up to 120-180mL (4-6oz) of juice per day
A nurse is caring for a neonate who just underwent circumcision. If bleeding occur, what is the initial priority?
use a sterile gauze pad to apply pressure to the area
a nurse is providing teaching to a guardian of a 9 month old infant who has a new prescription for an oral liquid medication. which of the following should the nurse include in the teaching?
use an oral syringe to measure your infants medicine accurately
Select the recommended area for an intramuscular injection in an infant?
vastus lateralis
a nurse is administering an intramuscular injection to a 6 month old child. which of the following sites should she use?
vastus lateralis
A nurse is assessing a 3 year old child's fine motor skills. Which of the following activities should be included in the assessment?
watching a child use a zipper
The mother of a 12 month old tell the nurse that the child never received the Hep B vaccine, but she would like to consider this option now. which response by the nurse is accurate?
we can start the series whenever you are ready
A nurse is reviewing teaching with the parents of a child who has thrombocytopenia. which of the following statements should the nurse include in the teaching ?
you should monitor your child for signs of bleeding
A nurse is teaching the parents of a child who has cerebral palsy. which statements should the nurse make?
your child will need a botulinum toxin A injection to reduce muscle spasticity
