ATI 2019 A PEDS

6. A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first?

b. epinephrine

34. A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the following manifestations should alert the nurse to a possible hemolytic transfusion reaction?

b. flank pain

48. A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings is the nurses priority?

d. tachypnea

8. A nurse is providing dietary teaching to the parent of a school-age child who has celiac disease. The nurse should recommend that the parent offer which of the following foods to the child?

d. white rice

27. A nurse is caring for a preschooler whose father 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 father will return?

d. "Your daddy will be back after you eat."

38. A nurse is teaching the parents of a school-age child who has a new diagnosis of osteomyelitis of the tibia. Which of the following statements by a parent indicates an understanding of the teaching?

b. "My child will receive antibiotics for several weeks.

22. A nurse is assessing the vital signs of a 10 year old child following a burn injury. The nurse should identify that which of the following findings is an indication of early septic shock?

c. Temp 39.1 Degrees C (102.4 Degrees F)

28. A nurse is caring for a preschooler who has been receiving IV fluids via a peripheral IV catheter. When preparing to discontinue the IV fluids and catheter, which of the following actions should the nurse plan to take? (place in order of performance)

c. Turn off the IV pump b. occlude the IV tubing a. remove the tape securing the catheter d. apply pressure over the catheter insertion site

41. 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?

c. administer an analgesic to the child

29. A nurse is caring for a school-age child who has experienced a tonic-clonic seizure. Which of the following actions should the nurse take during the immediate postictal period?

a. place the child in a side-laying position

1. 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

46. 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. zinc oxide

49. A nurse is teaching a school age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching?

b. "I will give myself a shot of regular insulin 30 minutes before I eat breakfast."

37. A nurse is assessing a 3 year old toddler at a well-child visit. Which of the following manifestations should the nurse report to the provider?

b. RR 45

51. A nurse is assessing a school age child who has peritonitis. Which of the following findings should the nurse expect?

b. abdominal distention

4. A nurse is assessing a school-age child immediately following a perforated appendix repair. Which of the following findings should the nurse expect?

b. absence of peristalsisc

25. A nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy. Which of the following findings should the nurse expect? (Select all the apply)

b. ankle clonus c. exaggerated stretch reflexes e. contractures

21. A nurse in an emergency department is caring for a school-age child who has appendicitis and rates their pain as 7 on a 0-10 scale. Which of the following actions should the nurse take?

b. give morphine 0.05mg/kg IV

35. A nurse in an emergency department is caring for a toddler who has partial-thickness burns on their right arm. Which of the following actions should the nurse take?

c. cleanse the affected area with mild soap and water

53. 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.

5. A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the nurse take?

B. apply topical analgesic cream to the site 1hr prior to the procedure

30. A nurse is teaching the guardian of a 6 month old infant about car seat use. Which of the following statements by the guardian indicates an understanding of the teaching?

a. "I should secure the car seat using lower anchors and tethers instead of the seat belt."

18. A nurse is caring for a 15 year old client who is married and is scheduled for a surgical procedure. The client asks, "Who should sign my surgical consent?" Which of the following responses should the nurse make?

a. "You can sign the consent form because you are married

45. 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

20. A nurse is caring for an infant who has respiratory syncytial virus (RSV). Which of the following actions should the nurse implement for a infection control?

a. have a designated stethoscope in the infant's room.

9. A nurse is reviewing the laboratory report of a school-age child who is experiencing fatigue. Which of the following findings should the nurse recognize as an indication of anemia?

a. hematocrit 28%

12. A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should the nurse expect?

a. loud, hard murmur

47. A nurse is caring for a school age child who is receiving chemotherapy and is severely immunocompromised. Which of the following actions should the nurse take?

c. screen the child's visitors for indications of infection

50. A nurse is teaching the parent of an infant about ways to prevent sudden infant death syndrome (SIDS). Which of the following instructions should the nurse include?

d. "Give the infant a pacifier at bedtime."

7. 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?

d. "I house keep my child indoors when I mow the yard."

56. 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?

d. administer epinephrine IM to the child

19. 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?

c. cuts an outlined shape using scissors

23. A school nurse is assessing an adolescent who has multiple burns in various stages of healing. Which of the following behaviors should the nurse identify as a possible indication of physical abuse?

c. denies discomfort during assessment of injuries

31. 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?

c. dry, hacking cough

36. A nurse is reviewing the lumbar puncture results of a school-age child who is suspected of having bacterial meningitis. Which of the following findings should the nurse identify as an indication of bacterial meningitis?

c. increased protein concentration

24. A nurse is caring for a 15 year old client following a head injury. Which of the following should the nurse identify as an indication that the child is developing syndrome of inappropriate antidiuretic hormone secretion (SIADH)?

c. mental confusion

10. A nurse is preparing to collect a sample form a toddler for a sickle-turbidity test. Which of the following actions should the nurse plant to take?

c. perform a finger stick

2. A nurse is teaching the parent of an infant who has Pavlik harness for the treatment of developmental dysplasia of the hip. The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching?

d. "I will place my infant's diaper under the harness straps."

26. A school nurse is assessing an adolescent who has scoliosis. Which of the following findings should the nurse expect?

d. a unilateral rib hump

52. A nurse is interviewing the parent of an 18 month old toddler during a well child visit. The nurse should identify that which of the following findings indicates a need to assess the toddler for hearing loss?

d. the toddler received tobramycin during a hospitalization 2 weeks ago

17. A nurse is reviewing the laboratory report of a 7-year-old child who is receiving chemotherapy. Which of the following laboratory values should the nurse report to the provider?

a. hgb 8.5g/dL

11. A nurse is assessing a school-age child who has meningitis. Which of the following findings is the priority for the nurse to report to the provider?

b. petechiae on the lower extremities

14. A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney?

b. serum creatinine 3.0 mg/dL

40. A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. The nurse should identify that which of the following laboratory values indicates effectiveness of the current treatment?

b. sodium 140 mEq/L

33. A nurse is providing discharge teaching to the parent of a child who is 1 week postop following a cleft palate repair. For which of the following members of the inter-professional team should the nurse initiate a referral?

b. speech therapist

42A charge nurse in an emergency department is preparing an in-service for a group of newly licensed nurses about the manifestations of child maltreatment. Which of the following manifestations should the charge nurse include as a potential indication of physical abuse?

b. symmetric burns of the lower extremities

32. A nurse is preparing to administer an immunization to a 4 year old child. Which of the following actions should the nurse plan to take?

c. administer the immunization using a 24 gauge needle

43. A nurse is caring for a school-age child who is in Buck's traction following a leg fracture 24 hours ago. Which of the following actions should the nurse take?

c. assess peripheral pulses once every 4 hours

16. A hospice nurse is caring for a preschooler who has a terminal illness. One of the preschooler's parents tells the nurse that they cannot cope anymore and are thinking about moving out of the house. Which of the following statements should the nurse make?

d. "Let's talk about some of the ways you have handled previous stressors in your life."

13. A nurse is creating a plan of care for an infant who has an epidural hematoma form a head injury. Which of the following interventions should the nurse include in the plan?

d. implement seizure precautions for the infant

54. A nurse is admitting a school-age child who has pertussis. Which of the following actions should the nurse take?

d. initiate droplet precautions for the child

3. A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury (AKI) and has a sodium level of 129 meq/L. Which of the following interventions should the nurse include in the plan?

d. initiate seizure precautions for the child

55. A nurse is caring for a toddler who is experiencing acute diarrhea and has moderate dehydration. Which of the following nutritional items should the nurse offer to the toddler

d. oral rehydration solution

39. A nurse is providing teaching about play activities for social development to the parents of a preschooler. Which of the following play activities should the nurse recommend for the child?

d. playing dress-up

44. A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. Which of the following actions should the nurse plan to take?

d. schedule the toddler for a yearly rescreening

15. A nurse in an emergency department is performing a physical assessment on a 2 week old male newborn. Which of the following findings is priority for the nurse to report to the provider?

d. substernal retractions