ATI Terminology #6
A nurse is teaching a newly licensed nurse about the effects of adverse childhood experiences (ACEs) across the lifespan. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
"Adults are at a higher risk for cancer and COPD, while adolescents are more at risk for attempted suicide."
A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?
"As a nurse, I am required by law to report suspected child abuse."
A nurse is caring for a child who has influenza. The nurse should identify that which of the following statements by the parent indicates the child has an increased risk for Reye syndrome?
"I give my child aspirin to reduce his fever."
A nurse is teaching a newly licensed nurse about the needs of clients who are a part of a vulnerable population. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
"I will address the problem that the client believes is the most significant."
A nurse is examining their own personal attitudes about vulnerable populations. Which of the following statements reflects an attempt by the nurse to minimize judgment and bias when caring for clients?
"I will reflect on my responses and thoughts when meeting new clients."
A nurse is caring for a child who has been physically abused by a family member. Which of the following statements should the nurse to say to the child?
"It is not your fault that this happened."
A nurse is teaching new parents the proper way to use an infant safety seat. Which of the following should indicate to the nurse a need for further teaching?
"My baby will be able to watch me drive while sitting in the back seat."
A nurse is teaching a parent of a 6-month-old infant about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?
"Our car seat is an infant model and is anchored in the car."
A public health nurse is teaching a group of nurses about smallpox. Which of the following statements by one of the nurses indicates understanding of the teaching?
"Unlike chickenpox, the vesicles of smallpox are more abundant on the face."
A nurse is providing teaching to the parents of a newborn. Which of the following information should the nurse include?
"Your baby will receive a hepatitis B vaccine prior to discharge."
A nurse is providing health promotion teaching to an adolescent. Which of the following information should the nurse include in the teaching?
"Your need for sleep will increase during periods of growth."
A nurse is providing health promotion teaching to the parents of a toddler. Which of the following information should the nurse include in the teaching? (Select all that apply.)
-Management of tantrums -Dental care
A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? (Select all that apply.)
-Measles, mumps rubella (MMR) -Varicella (VAR)
A nurse is reviewing demographics in the community to determine vulnerable populations. Which of the following groups represent(s) a vulnerable population?
-Pregnant adolescents -Elderly and young individuals -Veterans -families receiving assistance -Adults diagnosed with mental illness
The nurse reassesses the adolescent at 1930. For each assessment finding, click to specify if the finding indicates that the adolescent's condition has improved, has not changed, or has declined.
-Respiratory rate has improved -Oxygen saturation has improved. -Oral intake has improved. -Lung sounds have not changed. -Heart rate has improved -Dyspnea has not changed -Blood pressure has improved.
A nurse teaching the parents of a 10-month-old infant about home safety. Which of the following information should the nurse include in the teaching? (Select all that apply.)
-Serve food in small, non-circular pieces -Tie plastic bags in knots before discarding them -Fit the mattress so that it is snug against the sides of the crib
A nurse is caring for a preschooler who has a partial-thickness burn on her right forearm. Which of the following findings should the nurse expect? (Select all that apply.)
-sensitive to touch -wound blanches with pressure -blisters
A nurse has accepted a position on a pediatric unit and is learning about psychosocial development. Place Erikson's stages of psychosocial development in order from birth to adolescence. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
-trust vs mistrust -autonomy vs shame -initiative vs guilt -industry vs inferiority -identity vs. role confusion
A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in the order in which they should be performed in the case of a fire emergency. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
1. Rescue the clients 2.Pull the fire alarm 3.confine the fire 4.extinguish the fire
A nurse is screening children and adolescents for exposure to adverse childhood experiences (ACEs). Which of the following clients is considered to have experienced an ACE?
A 7-year-old who has a parent who is in prison
A nurse is reviewing the medical records of four older adult clients. The nurse should plan to administer the herpes zoster vaccine to which of the following clients?
A client who takes omeprazole for peptic ulcer disease
A nurse is caring for a group of adolescents. Which of the following findings should be reported to the provider immediately?
A client's blood pressure changes from 112/60 mm Hg to 90/54 mm Hg when standing
A nurse is collecting data from an adolescent. Which of the following should the nurse identify as the greatest risk for suicide?
Active psychiatric disorder
A nurse is administering vaccines at a county health immunization clinic. Which of the following clients should the nurse plan to administer the meningococcal conjugate (MCV4) vaccine?
An 11-year-old school-age child
A nurse is bathing a toddler and notices that she has several bruises. Which of the following actions should the nurse take first?
Ask the parents what caused the bruises.
A nurse is caring for an adolescent who was admitted with anorexia nervosa. Which of the following finding should the nurse expect?
Bloating
A nurse is teaching a class about vulnerable populations that are at risk for health disparities. The nurse should include that which of the following populations are at risk for health disparities?
Clients experiencing poverty
A nurse is providing health promotion teaching to the parents of an infant. Which of the following conditions should the nurse identify as the leading cause of death among this age group?
Congenital anomalies
A nurse at a pediatrician's office is contacted by a parent whose child just ingested half a bottle of vitamins with added ferrous sulfate. Which of the following instructions should the nurse provide to the parent?
Contact the poison control center.
A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the plan of care to meet the client's psychosocial needs according to Erikson?
Encourage the client to complete school work
A nurse is preparing a presentation for a local community parent group about preventing children from contracting influenza. Which of the following should the nurse include as the most effective prevention measure?
Encouraging the child to wash their hands frequently
A nurse in a pediatric clinic is talking with the mother of a preschool-age child. The mother tells the nurse that her son is a "picky eater." Which of the following instructions should the nurse include in the teaching
Expect that food consumption might not decrease significantly.
A nurse is teaching a class about Piaget's stages of cognitive development. The nurse should instruct that abstract thinking develops during which of the following stages?
Formal operational
A nurse in an outpatient mental health clinic is discussing the development of anxiety-related disorders in children to a group of parents. The nurse should include that which of the following is an adverse childhood experience (ACE) that can contribute to the development of an anxiety disorder?
Having a physical disability
A public health nurse will be administering immunizations at a clinic. Which of the following will the nurse want to ask each client before administering the vaccine to ensure safety?
If they have had any past issues or allergies to the vaccine
A nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma. Which of the following of Erikson's developmental stages should the nurse consider in the planning?
Industry vs. inferiority
A nurse is providing care to a child who has an allergy to eggs. The nurse should question a prescription for which of the following immunizations?
Influenza, live attenuated (LAIV)
A nurse in an emergency room is caring a the client who sustained partial-thickness burns to both lower legs, chest, face, and both forearms. Which of the following is the priority action the nurse should take?
Inspect the mouth for signs of inhalation injuries.
A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in order to meet the developmental needs of the client?
Large building blocks
A nurse is assessing the depth and extent of injury on a client who has severe burns to the face, neck, and upper extremities. Which of the following factors is the nurse's priority when assessing the severity of the client's burns?
Location of the burn
A nurse is obtaining a medical history from a client who is requesting the herpes zoster (HZV) vaccine. The nurse should identify which of the following findings as a contraindication for receiving this vaccine?
Long-term use of prednisone for COPD
A community health nurse in a pediatric clinic is reviewing the history of a 12-year-old client. Which of the following immunizations should the nurse expect to administer?
Meningococcal conjugate
A nurse is performing a pre-college physical assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering?
Meningococcal polysaccharide vaccine
A nurse in an outpatient behavioral facility is caring for a client who has a substance use disorder and a history of violence. Which of the following client statements should the nurse identify as being consistent with adverse childhood experiences (ACEs)?
My parent would swear often at my sibling and I. -My parent went to prison when I was 12 years old. -My parents would get in physical altercations. -My parents divorced when I was 13 years old. -I was teased at school for wearing dirty clothes every day for weeks."
A nurse is assessing the psychosocial development of a toddler. The nurse should recognize that this stage is characterized by which of the following?
Negative behaviors characterized by the need for autonomy
A nurse is assessing a child and notes several bruises. Which of the following actions should the nurse take?
Obtain a detailed history.
A nurse is educating new parents about risk factors for sudden infant death syndrome (SIDS). Which of the following statements should indicate to the nurse the need for additional teaching?
Our baby will sleep in our bed because I am breastfeeding.
A nurse is providing anticipatory guidance about child development to the parents of a preschooler. Which of the following developmental tasks should the nurse include as being expected of a preschooler?
Participates in imaginary play
A nurse is preparing to administer the hepatitis B vaccine to a client. Which of the following techniques should the nurse use to locate the deltoid muscle?
Place one finger across the acromion process and measure 3 fingerbreadths below to the midpoint and center of the lateral aspect of the upper arm.
A nurse is teaching about safety recommendations for car seats with the parents of a 24-month-old toddler who is in the 50th percentile for height and weight. Which of the following instructions should the nurse include in the teaching?
Position the toddler rear-facing in the middle of the back seat.
A nurse in an emergency department is caring for an adolescent following a suicide attempt. After reviewing the client's history, the nurse should determine that which of the following is the priority risk factor for suicide completion?
Previous suicide attempt
A nurse is teaching car seat safety to a parent of an infant who weighs 4.5 kg (10 lb). Which of the following car seat positions should the nurse include in the teaching?
Rear-facing in the middle of the back seat
A public health nurse is assessing an older adult client who lives with a family member. The nurse identifies several bruises in various stages of healing. The client and family member explain that the bruises are a result of clumsiness. However, based on the distribution of the bruises, the nurse suspects abuse. Which of the following actions should the nurse take first?
Report the findings to a supervisor
A nurse is teaching a class about Piaget's stages of cognitive development. The nurse should instruct that object permanence develops during which of the following stages?
Sensorimotor
A nurse is providing anticipatory guidance about child development to the parents of a toddler. Which of the following developmental tasks should the nurse include as expected of a toddler?
Separates easily from primary care giver for short periods of time
A nurse is caring for a client during the first trimester of pregnancy. After reviewing the client's blood work, the nurse notices she does not have immunity to rubella. Which of the following times should the nurse understand is recommended for rubella immunization?
Shortly after giving birth
A nurse is preparing to administer the first measles, mumps, and rubella (MMR) immunization to a 15-month-old toddler. Which of the following findings is a contraindication for this immunization?
The child has a congenital immunodeficiency.
A nurse is assessing a client prior to administering a seasonal influenza vaccine. The client says he read about an influenza vaccine that is given as a nasal spray and wants to receive it. The nurse should recognize that which of the following findings is a contraindication for the client receiving the live attenuated influenza vaccine (LAIV)?
The client's age is 62.
A nurse is caring for a 2-year-old child who is hospitalized and throws a tantrum when his parent leaves. Which of the following toys should the nurse provide to alleviate the child's stress?
Toy hammer and pounding board
A nurse in a community health clinic is administering seasonal inactive influenza vaccine. Before administering it, the nurse must confirm that the client is not allergic to which of the following?
egg
