PEDS-Nursing Care of Children ATI (Dynamics test bank):
A nurse is planning preoperative teaching for a school-age child who is scheduled for cardiac surgery. Which of the following actions should the nurse plan to take when teaching the child?
Use photographs to help explain the procedure
A nurse is planning to implement relaxation strategies with a young child prior to a painful procedure. Which of the following actions should the nurse take?
Rock the child using long, rhythmic movements
A nurse is caring for a school-aged child who has sickle cell anemia and was admitted for a vaso-occlusive crisis. Which of the following findings should the nurse report to the provider immediately?
Slurred speech
A nurse is assessing the vital signs of a 1-month-old infant. Which of the following actions should the nurse perform?
Count respirations before taking other vital signs
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?
Move a brightly colored toy from side to side in front of the infant's face
A nurse is caring for a child who is postoperative following a tonsillectomy. Which of the following findings is the nurse's priority?
Frequent swallowing
A nurse is creating a plan of care for an 18-month-old toddler who has cerebral palsy. Which of the following interventions should the nurse include?
Use manual jaw control when feeding the toddler
A nurse is providing teaching to the parent of a 2-year-old toddler about nutrition. Which of the following statements by the parent indicates an understanding of the teaching?
"My child should consume 1,000 calories per day."
A nurse is teaching to a group of parents of adolescents about developmental needs. Which of the following statements by a parent should the nurse investigate further?
"My child spends 4 hours per day using online chat rooms."
A nurse is teaching the parents of an infant who has congenital hypothyroidism. Which of the following directions should the nurse provide?
"Your child will need to take thyroid hormone replacement for her entire life."
A nurse is providing teaching about foods high in fiber to the guardian of a child who has chronic constipation. Which of the following foods should the nurse recommend?
1/2 cup cooked pinto beans
A nurse is performing a nutritional screening for a 12-year-old client who weighs 41 kg (90 lb) and has a height of 1.5 m (60 in). Which of the following values is the client's body mass index (BMI)?
18.2
A nurse on a pediatric unit has just received reports for 4 newly admitted clients. For which of the following children should the nurse plan to initiate droplet precautions?
A child who has pertussis
A nurse is assessing a preschooler who has HIV. Which of the following manifestations should the nurse expect?
Chronic diarrhea
A nurse is caring for a child who is in the emergency department after ingesting a bottle of acetaminophen. Which of the following medications should the nurse plan to administer?
Acetylcysteine
A nurse is caring for a child who is receiving treatment for diabetic ketoacidosis and has a current blood glucose level of 250mg/dL. Which of the following actions should the nurse take?
Administer 5% dextrose in 0.9% sodium chloride by continuous IV infusion
A nurse is caring for a toddler who has otitis media and a temperature of 39.1°C (102.4°F). Which of the following actions should the nurse take first?
Administer an antipyretic to the child
A nurse is reviewing the risk factors for the development of congenital heart disease with a client who is planning to conceive. Which of the following conditions should the nurse include as a maternal risk factor?
Alcohol consumption
A nurse on a pediatric unit is planning care for a preschooler who will be having a surgical procedure in the morning. The child has been crying despite his parents' presence at his bedside. The nurse should add engaging the child in therapeutic play to the care plan to offer which of the following benefits?
Allow the child to manipulate toy medical equipment
A nurse is assessing a 6-month-old infant following a cardiac catheterization. Which of the following findings should the nurse report to the provider?
BP 86/40 mmHg
A nurse is performing a physical assessment on a 6-month-old infant. Which of the following reflexes should the nurse expect to find?
Babinski
A nurse is providing education about the introduction of solid foods for the parent of an infant. Which of the following instructions should the nurse include?
Begin after the extrusion reflex has diminished.
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?
Bulky stools
A nurse is planning care for a 6-year-old child who is receiving chemotherapy. The child has a highlight platelet count of 20,000/mm^3. Based on this laboratory value, which of the following interventions should the nurse include in the plan of care?
Encourage quiet play
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?
Drooling
A nurse is caring for a school-aged child who begins to have a tonic-clonic seizure when leaving the bathroom. Which of the following actions should the nurse take first?
Ease the child to the floor in Sims' position
A nurse is caring for a child who has electrical burns on the lower arms and hands. Which of the following findings indicate the child is experiencing a complication of the injury?
Dark urine
A nurse is talking with the parent of an infant during a well-child visit. The parent states, "My 6-year-old child started wetting the bed after we brought her baby sister home. She hasn't done that in over a year." This behavior by the sibling is an indication of which of the following defense mechanisms?
Regression
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?
Remove the catheter while applying intermittent suction
A nurse is caring for a child who has glomerulonephritis. Which of the following actions should the nurse take?
Weigh the child once each day
A nurse is developing a plan of care for a school-age child who underwent a surgical procedure that resulted in a temporary loss of vision. Which of the following interventions should the nurse include in the plan of care?
Explain the sounds the child is hearing
A nurse is admitting a child who has acute lymphocytic leukemia. Which of the following laboratory values should the nurse expect?
RBCs 2.5 million/uL
A nurse is caring for a female adolescent who is being treated for frequent urinary tract infections (UTIs). Which of the following statements by the adolescent indicates a possible cause of the UTIs?
"I have bowel movements every 4 to 5 days."
A nurse is providing teaching to a 13-year-old client who has type 1 diabetes mellitus. Which of the following client statements indicates an understanding of diabetes mellitus management?
"I should check my blood glucose levels more often when I am sick."
A nurse is providing teaching about home care to the guardian of a school-aged child who has seizures. Which of the following statements by the guardian indicates an understanding of the teaching?
"I will turn my child onto her side when a seizure begins."
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?
"Initial vaccines should be administered between birth and 2 weeks of age."
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?
"Keep a diary of the foods your child eats each day."
A nurse is providing teaching about poisoning prevention to a group of parents with toddlers. Which of the following statements should the nurse make?
"Put all cleaning supplies in a locked cabinet."
A nurse is caring for a 3-year-old child on a pediatric unit. The nurse should identify which of the following as an appropriate toy for the child?
Coloring book and crayons
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?
Meningococcal polysaccharide
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the following actions should the nurse take?
Minimize physical contact with the child initially
A nurse is providing discharge teaching to the parents of a child who has nephrotic syndrome. Which of the following instructions should the nurse include in the teaching?
Keep the child away from people who have an infection
A nurse is assessing an adolescent who has a new diagnosis of anorexia nervosa. Which of the following findings should the nurse expect?
Lanugo over the back
A nurse is providing teaching to the guardian of a child who has Kawasaki disease. Which of the following statements by the guardian indicates an understanding of the teaching? (Select all that apply.)
"My child will likely be irritable for the next few weeks." "I will ensure my child does not receive any live vaccines for at least 18 months." "I will keep a record of my child's temperature until she has no fever for several days."
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?
"The pneumococcal and influenza vaccines are recommended for your child."
A nurse is teaching a group of parents of toddlers about growth and development. A parent asks, "Why does my child's abdomen stick out?" Which of the following replies should the nurse provide?
"Toddlers do not have well-developed abdominal muscles."
A nurse is teaching the guardians of an infant who has mild gastroesophageal reflux (GER). Which of the following instructions about feeding therapies should the nurse recommend?
"Thicken feedings with rice cereal."
A nurse is providing anticipatory guidance about the accidental ingestion of a toxic substance to the parents of a toddler. The nurse should instruct the parents to take which of the following actions first if the child ingests a hazardous substance?
Call the poison control center.
A nurse is assessing an infant who has acute gastroenteritis. Which of the following findings should the nurse identify as the priority?
Capillary refill 5 seconds
A nurse is caring for a 7-year-old child who is in skeletal traction following a complete fracture of the femur. Which of the following diversional activities should the nurse offer the child?
Chapter books
A nurse is caring for a child who has been in Buck's traction for 2 days. Which of the following actions should the nurse take to prevent complications?
Check for pulses in the affected leg every 4 hr
A nurse is providing immediate postoperative care for a preschooler who had a tonsillectomy. Which of the following actions should the nurse take?
Eliminate the use of a straw when offering fluids
A nurse is teaching a school-age child and his parents how to self-administer insulin. Which of the following actions should the nurse take first?
Demonstrate the injection technique on an orange
A nurse in an emergency department is caring for a 4-year-old child who has burns to the neck and face following a house fire. Which of the following actions should the nurse take first?
Determine the child's breathing pattern
A nurse is assessing a 24-month-old toddler who has a new diagnosis of autism spectrum disorder (ASD). Which of the following findings should the nurse expect?
Impaired language skills
A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider?
Head lagging when the infant is pulled from a lying to a sitting position
A nurse is caring for a 5-year-old child who has a fever and begins to have a seizure. Which of the following actions should the nurse take?
Place the child in a side-lying position
A nurse on a pediatric unit is admitting a 4-year-old child. Which of the following toys should the nurse plan to provide for the child to engage in independent play?
Plastic stethoscope
A nurse is planning care for a child who has hyperthermia. Which of the following actions should the nurse take?
Position the child on a cooling blanket and cover her with a sheet
A nurse is assessing the fine motor skills of a 3-year-old preschooler. Which of the following findings should the nurse expect?
The preschooler builds a tower of 9 cubes
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?
Inactivated poliovirus vaccine (IPV)
A nurse is caring for an infant who is preoperative for the treatment of an intact myelomeningocele sac. In which of the following positions should the nurse place the infant?
Prone
A nurse is discussing play activities with a group of parents of toddlers. Which of the following activities should the nurse recommend for this age group?
Pushing a toy lawn mower
A nurse in the emergency department is caring for a child who has bruises that support a suspicion of child abuse. Which of the following actions should the nurse take?
Report the suspected abuse to local authorities
A nurse is assessing an adolescent who has appendicitis. Which of the following manifestations should the nurse expect?
Rigid abdomen
A nurse is assessing a 30-month-old toddler during a well-child visit. Which of the following findings requires further assessment by the nurse?
The toddler's birth weight is tripled.
A nurse is assessing a school-age child who reports horseback riding 3 times per week and has injuries reportedly related to a fall from a horse. Which of the following findings should the nurse investigate further as an indication of child maltreatment?
Thin, frail extremities
A nurse in a provider's office is observing children playing in the waiting room. The nurse should expect to identify parallel behavior in which of the following age groups?
Toddlers
A nurse in an emergency department is assisting with the care of a 4-year-old child who ingested toilet bowl cleaner. The child has hemoptysis, is crying, and states, "It burns." Which of the following actions should the nurse perform? (Select all that apply.)
Identify how much cleaner was in the bottle Insert an IV for morphine administration Apply a pulse oximeter
A nurse is providing teaching for a parent about pinworm testing. At which of the following times should the nurse advise the parent to perform the tape test?
Immediately after the child wakes up in the morning
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?
Inactivity and thumb sucking
A nurse is providing teaching about home care to the parents of an infant who has diaper dermatitis. Which of the following instructions should the nurse include?
Leave the zinc oxide ointment intact and reapply as necessary during diaper changes
A nurse is planning care for an adolescent who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan?
Maintain the child on bed rest
A nurse is caring for an infant who is postoperative following a myelomeningocele repair. Which of the following is the priority action the nurse should take?
Measure the infant's head circumference
A nurse is teaching the guardians of a toddler who has a new prescription for an oral iron supplement. To increase the child's absorption of the iron, the nurse should recommend administering the supplement with which of the following?
Orange juice
A nurse is planning care for an infant with an unrepaired myelomeningocele. Which of the following actions should the nurse take?
Palpate the abdomen for bladder distension
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?
Passive smoking
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?
Tension pneumothorax
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?
The child is drooling
A nurse is providing discharge teaching to parents whose infant had a ventriculoperitoneal shunt placement for the treatment of hydrocephalus. Which of the following statements by the parents indicates an understanding of the teaching?
We will notify the doctor right away if he has a fever
A nurse is assessing a 2-month-old infant who has a ventricular septal defect. Which of the following findings should the nurse report to the provider?
Weight gain of 1.8 kg (4 lb)
A nurse is assessing the visual acuity of a group of school-aged children. Which of the following actions should the nurse take?
Allow each child to wear his or her glasses during the exam
A nurse is caring for a preschool-age child who is dying. Which of the following findings is an age-appropriate reaction to death by the child? (Select all that apply.)
The child views death as similar to sleep. The child believes his thoughts can cause death. The child thinks death is a punishment.
A nurse is discussing disciplinary techniques with the guardian of a preschooler. Which of the following actions indicates to the nurse that the guardian is using an age-appropriate disciplinary technique?
The guardian places the child in time-out after misbehaving
A nurse is preparing to assess a 3-month-old infant during a well-child visit. Which of the following observations should the nurse expect?
The infant looks at his hands
A nurse is assessing a child who has a ventricular septal defect. Which of the following findings should the nurse expect?
Murmur at the left sternal border
A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings indicates the need for further assessment?
The infant's legs remain crossed and extended when supine.
A nurse is caring for a child who has epistaxis. Which of the following actions should the nurse perform?
Apply continuous pressure to the child's nose for at least 10 min
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.)
Apply pressure to the child's nose using the thumb and forefinger Keep the child calm
A nurse is assessing an adolescent who has sustained a broken tibia. Following the application of a fiberglass cast, the adolescent reports pain and a tingling feeling in the limb. Which of the following actions should the nurse take first?
Assess for manifestations of circulatory impairment
A nurse in the emergency department is caring for a 2-year-old child who was found by his parents crying and holding a container of toilet bowl cleaner. The child's lips are edematous and inflamed, and he is drooling. Which of the following is the priority action by the nurse?
Check the child's respiratory status
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?
Nasal flaring
A nurse is providing teaching to an adolescent who has a fiberglass arm cast. Which of the following instructions should the nurse include in the teaching?
Place a plastic bag over the cast when showering
A nurse is assessing a 6-year-old child who is immediately postoperative following a tonsillectomy. Which of the following findings should the nurse report to the provider?
The child is swallowing frequently
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 child to participate in physical activities
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?
Encourage the preschooler to bring a favorite toy to the hospital
A nurse is assessing a child who has stage I Hodgkin disease. Which of the following findings should the nurse expect?
Enlarged lymph nodes
A nurse is teaching an adolescent about various strategies for chronic pain management. Which of the following activities should the nurse use as an example of the nonpharmacological strategy of thought-stopping?
Repeat memorized facts about the painful event
A nurse is assessing a 3-year-old child during a well-child examination. Which of the following findings should the nurse report to the provider?
The child cannot walk on tiptoe
A nurse is caring for a group of infants with congenital heart defects. For which of the following defects should the nurse expect to observe cyanosis?
Transposition of the great arteries
