ATI PEDS Proctored Exam
A nurse is providing teaching to a client who has oral candidiasis and a new script for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching?
"I will store the medication at room temperature"
A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicated an understanding of the teaching?
All recently used clothing, bedding, and towels must be washed in hot water.
A child is admitted with suspected diagnosis of Wilms' tumor. The nurse should place a sign with which of the following warnings over the child's bed?
Do not palpate abdomen.
A nurse is caring for a client who requires droplet precautions. Which of the following personal protective equipment should the nurse wear when setting up the meal tray?
Mask
A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?
Measure head circumference every shift
A community health nurse in a pediatric clinic is reviewing a history of a 12-year-old client. Which of the following immunizations should the nurse expect to administer?
Meningococcal conjugate
A nurse is preforming a pre-college assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering?
Meningococcal polysaccharide vaccine
A nurse is caring for a pre-school child who has epiglottitis with a barking cough. Which of the following actions should the nurse take?
Monitor O2 sat
A nurse is providing preoperative teaching by demonstrating diaphragmatic breathing to a client who is scheduled for surgery in the morning. Which of the following actions should the nurse include in the demonstration?
Place her hands on the sides of her rib cage
A nurse is planning care for a child who has suspected epiglottis. Which of the following actions should the nurse take?
Place the child on droplet precautions
A nurse is reviewing the lab findings for a client who has ITP. Which of the following findings should the nurse expect to be decreased?
Platelets
A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of the following products?
Recombinant
A nurse is caring for a 2-year old child who has seizures and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose?
Shake the container vigorously.
A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant?
Trendelenburg
A nurse is caring for a client who has HIV. Which of the following lab values is the nurse's priority?
CD4-T- cell count less than 180 cells/mm
A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis?
Cardiovascular
A nurse receives a call from a parent of a child who has von Willebrand disease and has having a nosebleed. Which of the following instructions should the nurse give to the parents?
"Have your child sit with her head tilted forward and hold pressure on her nose for 10 minutes."
A nurse is assessing a client who has diabetes mellitus and reports foot pain. The nurse should evaluate the client for which of the following alterations as indications that the client has an infection? (Select all that apply).
-An increase in neutrophils -Localized edema
A nurse is assessing a 3-year-old child who has aortic stenosis. Which of the following findings should the nurse expect? (select all that apply).
-Hypotension -Weak pulses -Murmur
A nurse is instructing a group of clients regarding calcium rich food. Which of the following should the nurse include in the teaching as the best source of calcium?
1 cup of milk
A nurse is caring for a client who is well-hydrated and who demonstrates no evidence of anemia. Which of the following lab values gives the nurse an assessment of the adequacy of the client's protein uptake and synthesis?
Albumin
A nurse is providing dietary teaching to the parents of a newborn who is being breastfed. The nurse should instruct that the transition to whole milk can occur at which of the following ages?
12 months
A nurse is admitting a child who has leukemia. Which of the following clients should the nurse place in the same room with this child?
A child who has nephrotic syndrome
A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client?
A private room
A nurse is providing teaching to a parent of a toddler about appropriate snacks. Which of the following foods should the nurse include?
A: Graham crackers are appropriate snack foods for toddlers B:Apple slices are appropriate snack foods for toddlers E: Cheese cubes are appropriate snack foods for toddlers
A nurse in an urgent care center is caring for a client who is having an acute asthma exacerbation. Which of the following actions is the nurse's highest priority?
Administering a nebulizer beta- adrenergic
A nurse in the ER is caring for a client who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention?
Airway obstruction
A nurse is caring for an 8-year-old who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission?
Auscultating the rate and characteristics of the child's heart sounds.
A nurse is creating a teaching plan for a client who has thrombocytopenia. Which of the following instructions should the nurse include? (select all that apply).
Avoid ventipucture
A nurse is planning care for a client who has idiopathic thrombocytopenic purpur (ITP). Which of the following manifestations is the most appropriate for the nurse to monitor?
Bleeding
A nurse is caring for a client who has active TB and is to be started on IV rifampin therapy. The nurse should instruct the client that this medication can cause which of the following adverse effects?
Body sections turning a red orange color
A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following action should the nurse take first?
Check the clients vital signs.
A nurse is assessing a client who is receiving a unit of RBC. Which of the following findings is a manifestation of acute hemolytic reaction?
Client reports lower back pain
A nurse is assessing a 6-month old patient at a well-child visit. Which of the following findings should the nurse expect?
Closed posterior fontanel
A nurse is assessing for cyanosis in a client who has dark skin. Which of the following sites should the nurse examine to identify cyanosis in this client?
Conjunctiva, lips, and oral mucous.
A nurse is caring for a child who 2 hr postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time?
Crushed Ice
A nurse is assessing a client who has SLE. Which of the following findings should the nurse expect?
Decreased urine output. Butterfly rash. Joint inflammation.
A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid arthritis. The nurse should inform the client that which of the following is a therapeutic effect of this medication?
Decreases inflammation
A nurse is assessing a client who has a fracture of the femur. The nurse obtains vital signs on admission and again in 2 hours. Which of the following assessment should indicate to the nurse that the client could be developing a serious complication?
Dyspnea
A nurse is assessing a client who has infective endocarditis. Which of the following findings should be the priority for the nurse to report to the provider?
Dyspnea
A nurse is caring for a 2-month-old infant who is post-operative following surgical repair of a cleft lip. Which of the following actions should the nurse take?
Encourage the parents to rock the infant
A nurse is caring for a client who is experiencing anaphylactic shock in response to the administration of PCN. Which of the following meds should the nurse administer first?
Epinephrine
A nurse is removing PPE after giving direct care to a client who requires isolation. Which of the following must be removed first?
Gloves
A nurse is assessing a client who has right ventricular failure. Which of the following findings should the nurse expect?
Hepatomegaly
A nurse is providing discharge teaching to a client who has SLE. Which of the following instructions should the nurse include?
I should wear gloves when it is cold outside
A nurse is reinforcing teaching about food choices with the mother of an 8-month-old infant. Which of the following statements by the mother indicates a need for further teaching?
I will give my child peanut butter and mashed egg whites
A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled for initial surgery. Which of the following statements indicates an understanding of the teaching?
I'm glad that my child's ostomy is only temporary
A nurse is teaching a group of clients about emergency care for a snake bite. Which of the following information should the nurse include in the teaching?
Immobilize the limb at the level of the heart.
A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face, and both forearms. Which of the following is the priority action the nurse should take?
Inspect the mouth for sings of inhalation injuries
A client tells the nurse that he is concerned because his provider told him he has a heart murmur. The nurse should explain to the client that a murmur?
Indicates turbulent blood flow through a valve.
A nurse is admitting a toddler who has respiratory syncytial virus (RSV). Which of the following actions should the nurse take?
Keep thermometer in the toddler's room.
A nurse is assessing a school-aged child whose blood glucose level is 280. Which of the following findings should the nurse expect?
Lethargy
A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect?
Nocturia at night
A nurse is caring for a client who just had a cardiac catherization. Which of the following nursing interventions should the nurse include in the clients plan of care?
Notify the provider of the client's allergy.
A nurse is planning care for a female client who has a T4 spinal cord injury and is at risk for acquiring urinary tract infections. Which of the following actions should the nurse include in the client's plan of care?
Obtain a order for an in and out catheter
A nurse is caring for a 4-year-old child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child's cooperation?
Offer the child a choice of crushed pills or elixir
A nurse is providing dietary teaching to a client who has a burn injury and adheres to a vegan diet. The nurse should recommend which of the following foods as the best source of protein to promote wound healing?
One cup of lentils
A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?
Pain
A nurse is caring for an infant who has congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow?
Patent ductus arteriosus
A nurse is completing an admission assessment on an adolescent child who is a vegetarian. He eats milk products but does not like beans. Which of the following items should the nurse suggest the client order for lunch to provide nutrients most likely to be lacking in his diet?
Peanut Butter and Jelly Sandwich
A nurse is assessing a 9-month-old infant. Which of the following findings require further interventions?
Positive Moro reflex
A nurse is caring for a client who has hemophilia A and hemarthrosis of the left knee. Which of the following actions should the nurse take?
Prepare for replacement of the missing clotting factor
A nurse is caring for a 6-week-old infant who as a pyloric stenosis. Which of the following manifestations should the nurse expect?
Projectile vomiting
A nurse is teaching a client about taking diphenhydramine. The nurse should explain to the client that which of the following is an adverse effect of this medication?
Sedation
A nurse is caring for a group of clients in an infectious disease unit. The nurse should wear OSHA-approved N95 respirator mask when caring for a client with which of the following infectious diseases?
TB
A nurse is instructing the parents of a client who has a new prescription for methylphenidate. Which of the following instructions should the nurse include?
Take the medication orally once daily in the morning.
A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take?
Tell the client to blow her nose gently before the instillation.
A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?
The client holds his breath for 10 seconds after inhaling the medication.
A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse?
The teacher says my child has to squint to see the board
A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The parent begins to cry and says " I don't understand why my child is so upset. I've never seen my child act this way around others before." Which of the following statements should the nurse make?
This is a normal, expected reaction for a child of this age
A nurse is caring for a client who has a prescription for digoxin 0.25mg PO daily. The amount available is 0.125mg tab. The client's current vital signs are: BP 144/96, hear rate 54/min, respirations 18/min, and temperature 98.6 F. Which of the following actions should the nurse take?
Withhold the digoxin dose for decreased pulse rate
