Pediatric ATI Practice

A nurse is caring for a preschooler who is scheduled for hydrotherapy treatment for wound debridement following a burn injury. Which of the following actions should the nurse take prior to the procedure? a.apply topical antimicrobial ointment to the child's wound b.place a mesh gauze dressing over the child's wound c.initiate prophylactic antibiotic therapy for the child d.administer an analgesic to the child

administer an analgesic to the child

A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the nurse take? a.place a cardiac monitor on the adolescent priori to the procedure b.apply topical analgesic cream tot the site 1h prior to the procedure c.Keep the adolescent in a semi-Fowler's position for 4h following the procedure d.restrict fluids for 2h following the procedure

apply topical analgesic cream tot the site 1h prior to the procedure

A nurse is creating a plan of care for an infant who has had an epidural hematoma from a head injury. Which of the following interventions should the nurse include in the plan? a.implement seizure precautions for the infant b.perform a neurological assessment every 4h c.suction the infant's nares to remove secretions d.position the infant side-lying with their head at a 0-5degree angle

perform a neurological assessment every 4h

A nurse is providing teaching to the parent of an infant who has diaper dermatitis. The nurse should instruct the parent to apply which of the following to the affected area? a.antibiotic ointment b.zinc oxide c.talcum powder d.antiseptic solution

zinc oxide

A nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by a parent indicates an understanding the teaching? a.mononucleosis is caused by an infection with the Epstein-Barr virus b.mononucleosis is a bacterial infection requiring 14 days of antibiotics c.a monospot is a throat culture used to diagnosis mononucleosis d.children who get mononucleosis will need to refrain from sports for 6 months

a monospot is a throat culture used to diagnosis mononucleosis

A nurse is providing teaching to the parents of a preschooler who has HF and a new prescription for digoxin twice daily. Which of the following instructions should the nurse include in the teaching? a.use a kitchen teaspoon to measure the medication b. brush the child's teeth after giving the medication c. double the next dose if the child misses a dose d. repeat the dose if the child vomits

Use a kitchen teaspoon to measure the medication

A nurse is assessing a 4-year-old child at a well-child visit. Which of the following developmental milestones should the nurse expect to observe? a. identifies right from left hand b.uses a utensil to spread butter c.cuts an outlined shape using scissors d.draws a stick figure with seven body parts

cuts an outlined shape using scissors

A nurse in an urgent care clinic is assessing an adolescent who has an upper respiratory tract infection. Which of the following findings should the nurse identify as a manifestation of pertussis? a. inflamed throat with exudate b. purulent eye drainage c. dry, hacking cough d. kopek spots on buccal mucosa

dry, hacking cough

A nurse in a health department is caring for an emancipated adolescent who has an STI and is unaccompanied by a guardian. Which of the following actions should the nurse take? a.have the adolescent sign a consent form for treatment b.instruct the adolescent to return with a guardian c.obtain consent from the adolescent's guardian over the phone d.Treat the adolescent without a consent form

have the adolescent sign a consent form for treatment

A nurse is caring for a 10-year-old child following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing diabetes insipidus? a. increased urine specific gravity b. increased sodium level c. decreased oral fluid intake d. decreased urine output

increased sodium level

A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? a.presence of a central incisor tooth b.presence of strabismus c.presence of an open anterior fontanel d.presence of external cerumen

presence of strabismus

A community health nurse is assessing an 18-month-old toddler in a community day care. Which of the following findings should the nurse identify as a potential indication of physical neglect? a. resists having an axillary temperature taken b. exhibits withdrawal behaviors when their parent leaves c. has multiple bruises on their knees d. poor personal hygiene

poor personal hygiene

A nurse is providing discharge teaching to the parent of an 18-month-old toddler who has dehydration due to acute diarrhea. Which of the following statements by the parent indicates an understanding of the teaching? a. I will offer my child small amounts of fruit juice frequently b. I will avoid giving my child solid foods until diarrhea has stopped c. I will monitor my child's number of wet diapers d. I will give my child polyethylene glycol daily for 7 days

I will monitor my child's number of wet diapers

A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the following findings indicates the effectives of the medications? a.reports an absence of nausea and vomiting b.reports experiencing an onset of loose stools within 15 min of administration c.blood potassium level 4.1 d.Blood pressure 86/52

reports experiencing an onset of loose stools within 15 min of administration

A nurse is caring for a preschooler who has neutropenia. Which of the following statements should the nurse make to the child's guardian? a.Monitor your child's temperature at least once a week b.Going to the movie theater might help improve your child's mood c.Avoid using your child's daycare center d.Schedule your child's varicella immunization

Avoid using your child's daycare center

A nurse is reviewing the dietary choices of an adolescent who has iron deficiency anemia. The nurse should identify that which of the following menu items has the highest amount of nonhdme iron? a. 1/2 cup whole milk b. 1 cup orange juice c. 1/2 cup raisins d. 1 cup raw carrots

1/2 cup raisins

A nurse in a health department is caring for an emancipated adolescent who has an STI and is unaccompanied by a guardian. Which of the following actions should the nurse take? a.Have the adolescent sign a consent for treatment b.Instruct the adolescent to return with a guardian c.Obtain consent from the adolescent's guardian over the phone d.Treat the adolescent without a consent form

Have the adolescent sign a consent for treatment

A nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks. Which of the following statements by the parent indicates an understanding of the teaching? a. I will use a humidifier in my childs room at night b.I will give my child a cough suppressant every 6 hours if he has a cough c.I should avoid using a wet mop on my floors when I am cleaning d.I should keep my child indoors when I mow the yard

I should keep my child indoors when I mow the yard

A nurse is providing teaching about play activities for social development to the guardians of a preschooler. Which of the following play activities should the nurse recommend for the child? a. Playing pat-a-cake b. Using a push-pull toy c. Creating a scrapbook d. Playing dress-up

Playing dress up

A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart failure. Which of the following interventions should the nurse include in the plan? a.Provide small, frequent meals for the child b.Schedule time in the playroom for the child c.Weigh the child weekly d.Maintain the child in a supine position

Provide small, frequent meals for the child

A nurse is providing teaching to the parent of a school-age child who has a new prescription for oral nystatin for the treatment of oral candidiasis. Which of the following instructions should the nurse include? a.Shake the medication prior to administration b.Provide the medication through a straw c.Rinse the child's mouth with water immediately after giving the medication d.Mix the medication with applesauce if the child dislikes the taste

Shake the medication prior to administration

A nurse is caring for a preschooler whose guardian is going home for a few hours while another relative stays with the child. Which of the following statements should the nurse make to explain to the child when their guardian will return? a.Your guardian will be back at 7pm b.Your guardian will be back after taking care of your sibling c.Your guardian will be back in the morning d.Your guardian will be back after you eat

Your guardian will be back after you eat

A nurse is assessing a 6-year-old child immediately following surgery for a perforated appendix. Which of the following findings should the nurse expect? a.purulent drainage from the NGT b.hypoactive bowel sounds c.passage of dark red stool with mucus d.urine output of 20mL/hr

hypoactive bowel sounds

A nurse is caring for a 15-year-old adolescent following a head injury. Which of the following findings should the nurse identify as an indication that the adolescent is developing syndrome of inappropriate antidiuretic hormone secretion (SIADH)? a.increased sodium level b.decreased urine specific gravity c.mental confusion d.weak peripheral pulses

mental confusion

A charge nurse in an emergency department is preparing an in-service for a group of newly licensed nurses on the clinical manifestations of child maltreatment. Which of the following manifestations should the charge nurse include as suggestive of potential physical abuse? a. recurrent UTI b. symmetric burns of the tower extremities c. failure to thrive d. lack of subcutaneous fat

symmetric burns of the tower extremities

A nurse is assessing an 8-year-old child who has early indications of shock. After establishing an airway and stabilizing the child's respirations, which of the following actions should the nurse take next? a.Insert an indwelling urinary catheter b.Measure weight and height c.Initiate IV access d.Maintain ECG monitoring

Initiate IV access

A nurse is reviewing the laboratory report of a school age child who is experiencing fatigue. Which of the following findings should the nurse identify as an indication of anemia? a.a low Hct level b.an elevated BUN c.an increased neutrophil count d.a low uric acid level

a low Hct level

A nurse is providing anticipatory guidance to the guardian of a toddler. Which of the following expected behavior characteristics of toddlers should the nurse include? a. Controls impulsive feelings b. Understands right from wrong c. Easily separates from guardian for long periods of time d. Expresses likes and dislikes

Easily separates from guardian for long periods of time

A nurse in an emergency department is caring for a school-age child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse? a. elevate the HOB of the child's bed b. insert a large bore IV catheter for the child c. determine the allergen that caused the child's reaction d. administer epinephrine IM to the child

administer epinephrine IM to the child

A nurse is creating a plan of care for a preschooler who has Wilms's tumor and is scheduled for surgery. Which of the following interventions should the nurse include? a. avoid palpating the abdomen when bathing the child before surgery b. refrain from auscultating the child's bowel sounds during the postoperative assessment c. encourage the child to play with other children on the unit prior to surgery d. explain to the child that their pain will be managed after surgery

avoid palpating the abdomen when bathing the child before surgery

A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include in the teaching? a. limit movement of the child's large joints b. encourage the child to perform independent self-care c. provide the child with a soft mattress for sleeping d. schedule a 2-hour daily nap for the child in the afternoon

encourage the child to perform independent self-care

A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse see first? a. a school-age child who has sickle cell anemia and reports decreased vision in the left eye b. a school-age who has cystic fibrosis and a frequent nonproductive cough c. a preschooler who has asthma and a peak flow meter reading in the green zone d. an adolescent who has meningitis and reports a sensitivity to lights and noise

a school-age child who has sickle cell anemia and reports decreased vision in the left eye