ATI final peds other Q's

17) A nurse is providing teaching about food choices to the parent of a school-age child who has celiac disease. Which of the following statements by the parent indicates an understanding of the teaching? A) "I can offer popcorn as a snack food" B) "I will make sandwiches on rye bread" C) "I will purchase graham crackers to pack in their lunchboxes" D) "I can make beef barley soup for dinner"

A) "I can offer popcorn as a snack food"

56) A school nurse is providing dietary teaching for an 11-year-old child who has type 1 diabetes mellitus. The nurse should identify which of the following responses by the child indicates an understanding of the teaching? (select all that apply) A) "I should eat extra food on busy days when I am more active" B) "I should wait 2 hours after eating before playing with my friends" C) "I should increase my intake of sugar-free fluids when I am sick" D) "I should eat a snack 30 minutes before my baseball game starts" E) "I should have a 16 ounce glass of milk if I start feeling weak or shaky"

A) "I should eat extra food on busy days when I am more active" C) "I should increase my intake of sugar-free fluids when I am sick" D) "I should eat a snack 30 minutes before my baseball game starts"

31) A nurse is an ED is assessing a 5-year-old child who has a concussion. Which of the following manifestations should the nurse identify as an early indication of increased intracranial pressure? A) Nausea B) Papilledema C) Dilated pupils D) Bradycardia

A) Nausea

25) A nurse is providing nutritional teaching to the parents of a 2-year-old child. Which of the following statements but he parent indicates an understanding of the teaching? A) "My child should have 4 ounces of protein per day" B) "I should feed my child 1 cup of vegetables per day" C) "I should give my child 6 cups of milk a day" D) "My child should consume 800 calories per day"

B) "I should feed my child 1 cup of vegetables per day"

54) A nurse is planning care for a child who has cerebral palsy and is experiencing muscle spasms. Which of the following medications should the nurse expect to administer? A) Indomethacin B) Baclofen C) Methotrexate D) Carbamazepine

B) Baclofen

20) A nurse in an emergency department is caring for a child who is experiencing an acute asthma attack. Which of the following findings is the priority for the nurse to report to the provider? A) Expiratory wheeze B) Heart rate 100/min C) Profuse sweating D) Oxygen saturation 94%

C) Profuse sweating

7) A nurse is caring for a 6-month-old infant who has acute vomiting and diarrhea. Which of the following manifestations should the nurse identify as an indication of moderate hypovolemia? A) Capillary refill greater tan 4 seconds B) Bradycardia C) Tachypnea D) Lethargy

C) Tachypnea

47) A nurse is assessing a 4-month-old infant at a well-child visit. Which of the following findings should the nurse expect? A) The infant exhibits a fear of strangers B) The infant understands the word "no" C) The infant has an absent grasp reflex D) The infant rolls from their back to their abdomen

C) The infant has an absent grasp reflex

14) A nurse is admitting a child who has pertussis. Which of the following isolation precautions should the nurse initiate for the child? A) Protective environment B) Airborne C) Contact D) Droplet

D) Droplet

35) A nurse is caring for a toddler who is experiencing hyperglycemia. Which of the following manifestations should the nurse expect? A) Shallow respirations B) Moist mucous membranes C) Skin pallor D) Lethargic mood

D) Lethargic mood

28) A nurse is providing discharge teaching to the parent of a school-age child who has juvenile idiopathic arthritis (JIA). The nurse should identify that which of the following responses by the parent indicates an understanding of the teaching? A) "I will ensure that my child take a 1 hour nap each day" B) "I will give my child prednisone as needed for pain" C) "I will apply cool compresses to my child's painful joints during exacerbation" D) "I will have my child wear splints during the night"

D) "I will have my child wear splints during the night"

45) A nurse is providing a presentation for parents of a toddler about preventing childhood burns. Which of the following statements by a parent indicates an understanding of the teaching? A) "I will change the batteries in our smoke detectors every 24 months" B) "I will turn pot handles turned toward me when I am done cooking" C) "I don't need to apply sunscreen to my child is he is outside after 3 p.m." D) "I will plug protective guards into my electrical outlets"

D) "I will plus protective guards into my electrical outlets"

60) A nurse is assessing an infant who has tetralogy of Fallot. Which of the following clinical manifestations should the nurse expect? (select all that apply) A) Anemia B) Stridor C) Bounding peripheral pulses D) A heart murmur E) Cyanotic spells

D) A heart murmur E) Cyanotic spells

24) A charge nurse on a pediatric unit is reviewing informed consent guidelines with a newly licensed nurse. For which of the following clients should the nurse obtain informed consent from a guardian? A) A 15-year-old client who requires an open reduction of a fracture B) A 6-month-old infant requiring IV antibiotics C) 14-year-old client seeking prenatal care D) A 5-year-old child requiring a chest x-ray

A) A 15-year-old client who requires an open reduction of a fracture

55) A nurse is planning a community education series for teachers of children who has attention-deficit hyperactivity disorder (ADHD). Which of the following classroom strategies should the nurse include in the teaching? A) Accompany verbal instruct with visual references B) Vary the classroom routine to keep the children interested C) Limit presentation of subjects of interest to the children to the afternoons D) Increase classroom assignments to stimulate learning

A) Accompany verbal instructions with visual references

6) A nurse in the emergency department is caring for a preschool-age child who has hemophilia A and sustained an abdominal trauma following a motor vehicle crash. Which of the following actions should the nurse take? (select all that apply) A) Administer factor VIII B) Assess for changes in level of consciousness C) Apply a warming blanket over the child D) Perform passive range of motion hourly E) Administer factor IX

A) Administer factor VIII B) Assess for changes in level of consciousness

27) A nurse is reviewing the admission laboratory report of a school-age child who has glomerulonephritis. Which of the following laboratory results should the nurse expect to find? A) BUN 32 mg/dL B) Absence of urine protein C) Urine specific gravity 1.020 D) Potassium 3.3 mEq/L

A) BUN 32 mg/dL

10) A nurse is planning care for a newly admitted child who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan? A) Establish a reward system for the child B) Limit parent visits with the child C) Keep the door to the child's room open D) Leave a television on during the night

A) Establish a reward system for the child

52) A nurse is assessing a 2-year-old child following a surgical procedure. Which of the following pain tools should the nurse use? A) Face, Legs, Activity, Consolability (FLACC) scale B) Oucher scale C) FACES scale D) Visual Analog Scale (VAS)

A) Faces, Legs, Activity Consolability (FLACC) scale

41) A nurse is providing nutritional teaching to the parents of a child who has acute glomerlonephritis with pitting edema. Which of the following foods should the nurse recommend be eliminated from the child's diet? A) Hot dogs B) Canned mixed fruit C) Steamed green beans D) Whole wheat macaroni

A) Hot dogs

A nurse is planning care for an infant who has respiratory syncytial virus (RSV) and a respiratory rate of 46/min. Which of the following interventions should the nurse include in the plan of care? A) Initiate contact precautions B) Perform chest percussion and postural drainage C) Encourage clear liquids by mouth D) Administer IV antibiotics

A) Initiate contact precautions

58) A nurse is creating a plan of care for a school-age child who has moderate partial-thickness burns on both lower extremities. Which of the following interventions should the nurse include in the plan? A) Maintain aseptic technique during the child's dressing changes B) Provide low-calorie snack for the child several times each day C) Apply continuous passive motion devices to the child's lower extremities during periods of rest D) Administer pain medication to the child 30 minutes following physical therapy

A) Maintain aseptic technique during the child's dressing changes

39) A nurse is providing discharge teaching to the parent of a 5-year-old child who has leukemia and is receiving chemotherapy. Which of the following statements by the parent indicates an understanding of the teaching? A) "I will take my son's rectal temperature daily" B) "I will make sure to inspect my son's mouth every day for sores" C) "I will make sure my son gets his MMR vaccine this week" D) "I will ensure my son exercises a little each day riding his bicycle"

B) "I will make sure to inspect my son's mouth every day for sores"

11) A nurse is providing teaching about home safety to the parents of an infant. Which of the following statements should the nurse make? A) "Use a hot-mist vaporizer to manage congestion" B) "Place your infant on a firm mattress for sleeping" C) "Set your water heater temperature to 130 F" D) "Begin using a wheeled walker when your infant is 9 months"

B) "Place your infant on a first mattress for sleeping"

5) A nurse is assessing a toddler. Which of the following findings should the nurse identify as an indication of potential child maltreatment? A) Superficial scrapes on the toddler's lower legs B) Circular burns on the soles of the toddler's feet C) Irregular area of blue pigmentation over the toddler's sacrum D) Single bruise on the toddler's forearm

B) Circular burns on the soles of the toddlers feet

38) A nurse is providing discharge teaching to the parents of a school-age child who has epilepsy and a new prescription for phenytoin extended- release capsules. Which of the following instructions should the nurse include in the teaching? A) Administer the medication on an empty stomach B) Encourage the child to brush their teeth after each meal C) Crush the child's medication to mix with applesauce D) Observe the child for diarrhea

B) Encourage the child to brush their teeth after each meal

29) A nurse is assessing a child who has full-thickness burns to the legs. Which of the following manifestations should the nurse expect? A) Fluid-filled blisters B) Injured skin is cream to black in color C) Injured skin blanches with pressure D) Intense, continuous pain

B) Injured skin is cream to black in color

51) A nurse is assessing a 4-year-old child who is 2 days postoperative following insertion of a ventriculoperitoneal shunt. Which of the following findings is the nurse's priority? A) Urine output of 50 mL in 2 hours B) Lethargy C) Respiratory rate 24/min D) Absent Babinski reflex

B) Lethargy

22) A nurse is a pediatric clinic is providing teaching to the parent of an infant who has gastroesophageal reflux (GER). The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching? A) "I will give lansoprazole 30 minutes after her feeding" B) "I will lay my baby on her side after feedings" C) "I will add rice cereal to my baby's feedings" D) "I will use a nipple that has a wide base to feed her"

C) "I will add rice cereal to my baby's feedings"

57) A nurse is teaching the parent of a school-age child who has cystic fibrosis about home care. Which of the following statements by the parent indicates an understanding of the teaching? A) "I will cook foods that are low in fat and carbohydrates" B) "My child can chew their enzyme medication with meals" C) "I will give my child stool softeners for constipation" D) "My child will be excused from physical education class'

C) "I will give my child stool softeners for constipation"

49) A nurse in an ED is providing teaching to the parents of a child who is to undergo a bronchoscopy due to aspiration of a foreign body. Which of the following parent statements indicate understanding of the teaching? A) "My child will be awake for this procedure" B) "I can take my child home as soon as the procedure is over" C) "The provider will remove the object during this procedure" D) "After this procedure, I have to wait 48 hours before I can give my child solid foods"

C) "The provider will remove the object during this procedure"

16) A nurse is providing a pre-procedure teaching to the parents of a preschooler who has nephrotic syndrome and is scheduled for percutaneous renal biopsy. Which of the following statements should the nurse include? A) "Your child can eat and rink up to 2o hours prior to the test" B) "Your child will need to be on bed rest for 6 hours following the test" C) "Your child will have a pressure dressing on the biopsy site following the test" D) "Your child will receive contrast dye via an IV during the test"

C) "your child with have a pressure dressing on the biopsy site following the test"

30) A nurse is teaching a group of new parents about expected language development. The nurse should include that a child should begin to speak 10 or more words about which of the following agents? A) 6 months B) 10 months C) 18 months D) 24 months

C) 18 months

26) A nurse is caring for an infant who has pyloric stenosis and a new prescription for 0.9% sodium chloride with 10 mEq of potassium chloride. The infant is lethargic and has a potassium level of 3.5 mEq/L. Which of the following actions should the nurse take? A) Implement seizure precautions B) Offer the infant 15 mL of formula C) Check the infant's serum creatinine D) Administer sodium polystyrene

C) Check the infant's serum creatinine

23) A nurse is assessing a child who has heart failure. Which of the following clinical manifestations should the nurse expect? A) Warm extremities B) Frequent headaches C) Distended neck veins D) Weight loss

C) Distended neck veins

32) A nurse is providing discharge teaching to the parents of a school-age child who is immobilized following spinal surgery. Which of the following nutritional recommendations should the nurse include? A) Add supplemental calcium to the child's diet B) Decrease dietary fiber intake C) Encourage small, frequent meals high in protein D) Encourage foods that are low in calories

C) Encourage small, frequent meals high in protein

48) A nurse is teaching an adolescent how to us a peak expiratory flow meter (PEFM). The nurse should identify that which of the following statements by the child indicates an understanding of the teaching? A) "I will breathe in through the mouthpiece, hold my breath for 5 seconds, and then exhale" B) "If I get a reading in the green zone, I will tell my parents right away so they can call the doctor" C) "I will slowly exhale through the mouthpiece over a 10 second interval" D) "I will record the highest reading of the three attempts"

D) "I will record the highest reading of the three attempts"

21) A nurse is providing discharge teaching to a group of guardians of infants about home safety. Which of the following statement should the nurse make? A) "Place your baby in a side-lying position when sleeping" B) "Use a drop-side crib until your baby is at least 6 months old" C) "Apply a plastic mattress cover to your baby's bed to protect it" D) "Keep your infant restrained when they are in a highchair"

D) "Keep your infant restrained when they are in a highchair"

19) A nurse is providing teaching about magnetic resonance imaging (MRI) without contrast to the parent of a child who has cancer. Which of the following statements should the nurse make? A) "Your child will be exposed to a moderate amount of radiation during the procedure" B) "Your child might experience pain during the procedure" C) "The is considered an invasive procedure" D) "You can remain in the room with your child during the procedure"

D) "You can remain in the room with your child during the procedure"

9) A nurse is assessing a 9-month-old infant who has gastroenteritis. Which of the following findings should the nurse identify as a manifestation of severe fluid volume deficit? A) Flat anterior fontanel B) Dry, hot skin C) Loss of 5% weight D) Absence of tears when crying

D) Absence of tears when crying

13) A nurse is preparing to obtain a blood sample for an Hgb from a child who has hemophilia. Which of the following actions should the nurse plan to take? A) Apply a transparent dressing to the site after the venipuncture B) Apply a cold compress to the site prior to obtaining the sample C) Perform an Allen test prior to obtaining the blood sample D) Obtain the sample using venipuncture

D) Obtain the sample using venipuncture

36) A nurse is planning care for an adolescent client who has sickle cell anemia is experiencing a vaso-occlusive crisis. Which of the following interventions in the nurse's priority? A) Applying heat to the affected area B) Administering prophylactic antibiotics C) Administering the pneumococcal vaccine D) Promoting bed rest

D) Promoting bed rest

2) A nurse is caring for a child who has bacterial meningitis. Which of the following actions should the nurse take first? A) Administer IV antibiotics B) Monitor vita signs C) Encourage oral fluids D) Initiate droplet precautions

D) Initiate droplet precautions

34) A nurse is caring for an infant who has returned to the pediatric until following surgical repair of a cleft lip. Which of the following actions should the nurse take? A) Monitor temporal artery temperature B) Restrain the infant's wrists C) Place the infant in a prone position D) Gently clean the suture line with povidone-iodine solution

A) Monitor the temporal artery temperature

15) A nurse is teaching about injury prevention to the parent of a toddler. Which of the following safety measures should the nurse include in the teaching? A) Place a throw rug under the crib B) Select a toy box with a lid that locks in the closed position C) Offer popcorn as a snack food D) Set the water heater temperature to 130F

A) Place a throw run ender the crib

42) A nurse is performing an initial physical examination on a child. The nurse should recognize that which of the following manifestations indicates a possible brain tumor? (select all that apply) A) Vomiting B) Bruises easily C) Clumsiness D) Irritability E) Persistent headaches

A) Vomiting C) Clumsiness D) Irritability E) Persistent headaches

4) A nurse on a pediatric unit is admitting a 5-year-old child who has a submersion injury and is awake and alert. The parent asks the nurse why the child needs to stay in the facility. Which of the following responses should the nurse make? A) "Your child needs mechanical ventilation" B) "We need to observe your child for cerebral swelling" C) "Your child needs to have an electroencephalogram" D) "We need to perform an echocardiogram on your child"

B) "We need to observe your child for cerebral swelling"

1) A nurse is caring for a child who has terminal leukemia. The parents ask the nurse "when will we know that our child is nearing the end of their life?" Which of the following statements should the nurse make? A) "Your child's skin will appear flushed." B) "Your child will lose movement in their legs." C) "Your child will first lose the ability to hear." D) "Your child's blood pressure will start to increase."

B) "Your child will lose movement in their legs."

12) A home health nurse is developing a plan of care for the parents of a toddler who has hemophilia A. Which of the following instructions should the nurse include? A) Administer aspirin for pain B) Place knee pads on the child C) Perform passive rage-of-motion exercises following an acute episode D) Use a firm-bristled toothbrush of dental care

B) Place knee pads on the child

40) A nurse is planning to obtain a rectal temperature form a toddler. Which of the following actions should the nurse take? A) Insert the tip of the thermometer 5 cm (2 in) into the rectum B) Place the child in prone position C) Stabilize the thermometer at the distal end D) Direct the tip of the thermometer toward the spin during insertion

B) Place the child in prone position

59) A nurse in an ED is caring for a child who has ingested kerosene. The child is lethargic, grunting, and gagging. Which of the following actions should the nurse take? A) Initiate chelation therapy B) Prepare for intubation with a cuffed endotracheal tube C) Inject deferoxamine SubQ D) Administer activated charcoal

B) Prepare for intubation with a cuffed endotracheal tube

43) A nurse is providing home care instructions to the parents of a child who is in the edema phase of nephrotic syndrome. Which of the following instructions should the nurse include in the teaching? A) Restrict the child's potassium intake B) Provide quiet activities for the child C) Weigh the child once a week D) Administer acetaminophen to the child daily

B) Provide quiet activities for the child

3) A nurse is planning care for a school-age child who is experiencing a vaso-occlusive crisis. Which of the following actions should the nurse take first? A) Provide instructions to parents regarding immunizations B) Discuss the use of pain medication with the child C) Encourage the child to increase their fluid intake D) Apply warm compresses to the child's joints

C) Encourage the child to increase their fluid intake

46) A nurse is caring for a 3-year-old child who has viral meningitis. Which of the following findings should the nurse expect A) Koplik spots B) Decreased protein in the cerebrospinal fluid C) Nuchal rigidity D) Decreased glucose in the cerebrospinal fluid

C) Nuchal rigidity

44) A nurse is planning care for a child who is postoperative following a below-the-knee amputation. Which of the following interventions should the nurse include in the plan of care? A) Elevate the child's residual limb for 48 hours B) Apply a loose-fitting bandage onto the child's residual limb C) Perform active and isotonic range-of-motion exercises D) Clean the incision using half-strength hydrogen peroxide every 8 hours

C) Perform active and isotonic range-of-motion exercises

50) A nurse is creating a plan of care for a school-age child who is postoperative following a tonsillectomy. Which of the following interventions should the nurse include? A) Instruct the child to gargle using salt water every 4 hours B) Give the child fluids using a straw C) Ask the child to take deep breaths and cough every 30 minutes D) Apply an ice collar to the child's neck

D) Apply an ice collar to the child's neck

8) A nurse is teaching the parents of an infant how to administer antibiotic ear drops. Which of the following instructions should the nurse include in the teaching? A) Chill the medication prior to administration B) Pull the pinna up and back during medication administration C) Hyperextend the infant's neck during medication administration D) Massage the anterior area of the ear following administration

D) Massage the anterior area of the ear following administration