Nursing Care of Children ATI Practice A
A nurse is assessing a school-age child following a perforated appendix repair. Which of the following findings should the nurse expect?
Absence of peristalsis
A nurse is caring for an infant who has RSV. Which of the following actions should the nurse implement for infection control?
Have a designated stethoscope in the infant's room
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?
Cuts an outlined shape using scissors
A nurse is receiving the lab report of a school-age child who is fatigued. Which of the following findings should the nurse recognize as an indication of anemia?
Hematocrit 28%
A nurse is creating a plan of care for an infant who has an epidural hematoma from a head injury. Which of the following interventions should the nurse include in the plan?
Implement seizure precautions
A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings indicate that the adolescent is rejecting the kidney?
Serum creatinine 3.0 mg/dL
A nurse in the ED is performing a physical assessment on a 2 week old male newborn. Which of the following findings is the priority for the nurse to report to the provider?
Substernal retractions
A school nurse is assessing an adolescent with multiple burns in various stages. Which of the following behaviors should the nurse identify as a possible indication of physical abuse?
Denies discomfort during assessment of injuries
A nurse is caring a child in the ED who has appendicitis and rates their abdominal pain as a 7 on a scale of 0-10. Which of the following actions should the nurse take?
Give morphine 0.05 mg/kg IV
A nurse is reviewing the lab report of a 7 year old child who is receiving chemotherapy. Which of the following findings should the nurse report to the provider?
Hgb 8.5 g/dL
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?
Provide small, frequent meals for the child
A nurse is providing dietary teaching to the parent of a school-age while with celiac disease. The nurse should recommend that the parent offer which of the following foods to the child?
White rice
A nurse is planning care for a school-age child who is in the Liguria 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?
Initiate seizure precautions for the child
A nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks. Which of the following statements by the parents indicates and understanding of the teaching?
"I should keep my child indoors when I mow the yard"
A nurse is teaching the parent of an infant who has a Pavlik harness for the treatment of developing dysplasia of the hip. The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching?
"I will place my infant's diapers under the harness straps"
A 15 year old client is married and scheduled for a surgical procedure. The client asks "Who should sign my surgical consent?" Which of the following responses should the nurse make?
"You can sign the consent form because you are married"
A hospice nurse is caring for a preschooler who has a terminal illness. One of the parents tells the nurse that they can not cope anymore and are thinking about moving out of the house. Which of the following statements should the nurse make.
"let's talk about some of the ways you have handled previous stressors in your life"
A nurse is preparing and adolescent for a lumbar puncture. Which of the following actions should the nurse take?
Apply topical analgesic cream to the site 1 hour prior to the procedure
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?
Epinephrine
A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should the nurse expect?
Loud, harsh murmur
Hot spot question. Where is McBurney's point?
Lower right quadrant located about 2/3 of the way between the umbilicus and the patient's anterosuperior iliac spine.
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?
Petechiae on the lower extremities
A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. Which of the following actions should the nurse plan to take?
Preform a finger stick
The nurse is assessing vital signs of a 10 year old child following a burn injury. Which of the following findings should the nurse identify as early septic shock?
Temperature of 39.1 C (102.4 F)
