ATI pediatric A
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? A. potassium 2.0 mEq/L B. Sodium 140 mEq/L C. Urine Specific Gravity 1.035 D. BUN 25 mg/dL
B The nurse should identify that a sodium level of 140 is within the expected reference range of 134-150 and indicates the current treatment regimen the infant is receiving for dehydration
a 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? A-recurrent UTIs B- symmetric burns to the lower extremities C- failure to thrive D- lack of subcutaneous fat
B the nurse should include that symmetric burns to the lower extremities can indicate physical abuse. the patterns are usually characteristic of the method or object used such as a cigar or cigarette burns in the shape of an iron
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? A. BP 90/50 B. RR 45/min C. Weight 14.5 kg (32lbs) D. Heart Rate 110/ min
B the nurse should identify that a respiratory rate of 45/min is above the expected reference range of 20-25 for a 3 year old toddler and can indicate respiratory dysfunction and acute respiratory distress. therefore, the nurse should report this finding to the provider
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? A- change the child's position every two hours B- clean the peripheral pin sites with cholrhexidine solution every 4 days C- assess peripheral pulses once every 4 hours D-ensure the head of the bed is elevated to a 90 degree angle
C assess peripheral pulses once every 4 hours buck's traction is a type of skin traction that can be used to immobilized extremities prior to surgery. the nurse should report signs of neurovascular impairment in the extremities such as cyanosis, edema, pain, absent pules and tingling
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? A. expresses a reluctance to leave home B. provides a detailed description of how the burns occurred C. Denies discomfort during the assessment of injuries D. Describes strong relationships with peers
C denies discomfort during the assessment of the injuries
A nurse is teaching the parent of an infant about ways to prevent sudden infant death syndrome. which of the following instructions should the nurse include? A. "place the infant in a prone position to sleep" B. " allow the infant to sleep on a large pillow" C. "use a soft mattress in the infant's crib" D. "Give the infant a pacifier at bedtime"
D the nurse should inform the parent that protective factors against SIDS include breastfeeding and the use of a pacifier when the infant is sleeping
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? A. "it is important that you provide emotional support for your family at this time" B. "you have to do what you feel is best. everything will turn out fine" C. " I know how you feel this is an extremely stressful time for your family" D. "lets talk about some of the ways you have handled previous stressors in your life"
D this statement offers a general lead to allow the parent to express their feelings and previous actions when faced with a stressful situation. it also helps the parent to focus on ways that they can cope with the current situtation
a nurse is teaching the parent of an infant who has a 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? A- "I should remove the harness at night to allow my infant to stretch her legs." B- "I will need to adjust the straps on the harness once each week." C- "I should apply baby powder to my infant's skin twice daily." D- "I will place my infant's diapers under the harness straps."
D- I will place my infants diapers under the harness straps to prevent soiling of the harness, the parent should apply the infants diaper under the straps
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-lying position B. Delay documentation until the child is fully alert C. Give the child a high-carbohydrate snack D. Administer an oral sedative to the child
A the nurse should place the child in a side-lying position to prevent aspiration
a nurse is admitting a school age child who has pertussis. which of the following actions should the nurse take? A- place the child in a room with positive pressure airflow B- place the child in a room with negative pressure airflow c- initiate contact precautions for the child D- initiate droplet precautions for the child
D nurse should initiate droplet precautions for a child who had pertussis also known as whooping cough. pertussis is transmitted through contact with infected large droplet nuclei that are suspended in the air when the child coughs, sneezed or talks
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? A- Instruct the parents to decrease the calcium in their toddler's diet B-prepare the toddler for chelation therapy C- refer the child to protective services D- Schedule the toddler for a lead level rescreening In 1 year and educate the family on ways to prevent exposure
D the nurse should schedule the toddler for a lead level rescreening in 1 year and educate the family on ways to prevent exposure
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? A. "your daddy will be back at 7pm" B. "your daddy will be back after he takes care of your brother" C. "your daddy will be back in the morning" D. "your daddy will be back after you eat"
D preschoolers make sense of time best when they can associate it with an expected daily routine, such as meal and bedtime. therefore the child comprehends time best when it is explained to them in relation to an event they are familiar with such as eating
a nurse is planning care for a school age child who is in the oliguric phase of acute kidney injury and has a sodium level of 129. which of the following interventions should the nurse include in the plan? A. administer ibuprofen to the child for a temp of greater than 38 C (100.4 F) B. assess the child's blood pressure every 8 hours C. weigh the child weekly at various times of the day D. initiate seizure precautions for the child
D a sodium level of 129 indicates hyponatremia and places the child at increased risk for neurological deficits and seizure activity. the nurse should complete a neurologic assessment and implement seizure precautions to maintain the child's safety
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 B. antibiotic ointment C. talcum powder D. antiseptic solution
A diaper dermatitis is a common inflammatory skin disorder caused by contact with an irritant such as urine, feces, soap or friction and takes the form of scaling, blisters, or papules with erythema. providing a protective barrier such as zinc oxide agains the irritants allows the skin to heal
a nurse is providing discharge teaching to the parent of a child who is 1 week post op following a cleft palate repair. for which of the following members of the interprofessional team should the nurse initiate a referral? A. occupational therapist B. Speech therapist C. Respiratory therapist D. Physical therapist
B a child who has a cleft palate will require speech therapy immediately following the repair to support speech development and future articulation
A nurse is assessing a school-age child who has peritonitis. which of the following findings should the nurse expect? A. hyperactive bowel sounds B. abdominal distention C. bradycardia D Bloody stool
B the nurse should identify that the abdominal distention is an expected finding of peritonitis. peritonitis is an inflammation of the lining of the abdominal wall. this inflammation in the abdomen, along with the ileus that develops causes abdominal distention. other manifestations include chills, irritability, and restlessness
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? A. insert a nasogastric tube B. initiate prophylactic antibiotic therapy C. cleanse the affected area with mild soap and water D. apply a topical corticosteroid to the affected area
C the nurse should wash the affected area with mild soap and water to remove any loose tissue that could cause infection
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 head 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
D when using the urgent vs. non-urgent approach to client care, the nurse should determine that the priority action is administering epinephrine IM to the child. during an anaphylactic reaction, histamine releases cause bronchoconstriction and vasodilation. this is an emergency bc ultimately this cause decreased blood return to the heart
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 off to the toddler? A- apple juice B- Peanut Butter C- Chicken broth D- oral rehydration solution
D- oral rehydration solution replaces electrolytes and water by promoting the reabsorption of water and sodium. This promotes recovery from dehydration.
The 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 child's 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
D. the nurse should instruct the parent to keep the preschooler indoors during lawn maintenance or when the pollen count is increased. guarding against exposure to know allergens found outdoors such as grass, tree, and weed pollen, will decrease the frequency of the preschooler's asthma attacks
