peds ATI practice

a nurse is receiving change of shift report for four children. what child should she see first

a school age child who has sickle cell anemia and reports decreased vision in the left eye

a nurse is assessing a school age child who has peritonitis. what finding should the nurse expect?

abdominal distention

a nurse is assessing a school-age child immediately following a perforated appendix repair. what finding should the nurse expect?

absence of peristalsis

a nurse is assessing a 4 year old child at a well child visit. what developmental milestones should the nurse expect to observe?

cuts an outlined shape using scissors

a school nurse is assessing an adolescent who has scoliosis. what finding should the nurse expect?

a unilateral rib hump

a nurse is caring for a preschooler who is scheduled for hydrotherapy treatment for wound debridement following a burn injury. what action should the nurse take prior to the procedure?

administer an analgesic to the child

a nurse is caring for a school age child who is experiencing an anaphylactic reaction. what is the priority action by the nurse?

administer epinephrine IM to the child

a nurse is preparing to administer an immunization to a 4 year old child. what action should the nurse plan to take?

administer the immunization using a 24 gauge needle

a nurse is caring for a toddler who has spastic cerebral palsy. what findings should the nurse expect?

ankle clonus, exaggerated stretch reflexes, contractures

a nurse is preparing an adolescent for a lumbar puncture. what action 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 in buck's traction following a leg fracture 24 hours ago. what action should the nurse take?

assess peripheral pulses once every 4 hours

a school nurse is assessing an adolescent who has multiple burns in various stages of healing. which behavior should the nurse identify as a possible indication of physical abuse?

denies discomfort during the assessment of injuries

a nurse in an urgent care clinic is assessing an adolescent who has an upper respiratory tract infection. what finding should the nurse identify as a manifestation of pertussis?

dry, hacking cough

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, what medication should the nurse administer first?

epinephrine

a nurse is caring for a school age child who is receiving a blood transfusion. what manifestations should alert the nurse to a possible hemolytic transfusion reaction?

flank pain

a nurse in an emergency department is caring for a school age child who has appendicitis and rates their abdominal pain as a 7/10. what action should the nurse take?

give morphine 0.05 mg/kg iv

a nurse is caring for an infant who has rsv. what action should the nurse implement for infection control?

have a designed stethoscope in the infant's room

a nurse is reviewing the lab report of a school-age child who is experiencing fatigue. what finding should the nurse recognize as an indication of anemia?

hematocrit 28%

a nurse is reviewing the lab report of a 7 year old who is receiving chemotherapy/ what lab values should the nurse report to the provider?

hgb 8.5 g/dL

a nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks. which statement by the parent indicates an understanding of the teaching?

i should keep my child inside when i mow the yard

a nurse is teaching the guardian of a 6 month old infant about car seat use. what statement made by the guardian indicates an understanding of the teaching?

i should secure the car seat using lower anchors and tethers instead of the seatbelt

a nurse is teaching a school age child who has a new diagnosis of type 1 diabetes mellitus. what statement by the child indicates an understanding of the teaching?

i will give myself a shot of regular insulin 30 minutes before i eat breakfast

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 this statement from the parent understands the teaching?

i will place my infant's diapers under the harness straps

a nurse is creating a plan of care for an infant who has an epidural hematoma from a head injury. what intervention should the nurse include in the plan?

implement seizure precautions for the infant

a nurse is reviewing the lumbar puncture results of a school age child who is suspected of having bacterial meningitis. what finding should the nurse identify as an indication of bacterial meningitis?

increased protein concentration

a nurse is admitting a school age child who has pertussis. what action should the nurse take?

initiate droplet precautions for the child

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 mEq/L. what intervention should the nurse include in the plan?

initiate seizure precautions for the child

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 what food to the child?

white rice

a nurse in a provider's office is preparing to administer immunizations to a toddler during a well child visit. what action should the nurse plan to take?

withhold the MMR vaccine

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" what response should the nurse make?

you can sign the consent form because you are married

a nurse is caring for a preschooler whose father is going home for a few hours while another relative stays with the child. what statement should the nurse make to explain to the child when their father will return?

your daddy will be back after you eat

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?

zinc oxide

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. what statement should the nurse make?

let's talk about some of the ways you have handled previous stressors in your life

a nurse is assessing an infant who has a ventricular septal defect. which finding should the nurse expect?

loud, harsh murmur

a nurse is caring for a 15 year old client following a head injury. what finding should the nurse identify as an indication that the child is developing syndrome of inappropriate antidiuretic hormone secretion?

mental confusion

a nurse is teaching the parents of a school age child who has a new diagnosis of osteomyelitis of the tibia. what statement by a parent indicates an understanding of the teaching?

my child will receive antibiotics for several weeks

a nurse is caring for a toddler who is experiencing acute diarrhea and has moderate dehydration. what nutritional item should the nurse offer to the toddler?

oral rehydration solution

a nurse is caring for a school age child who has experienced a tonic clonic seizure. what action should the nurse take during the immediate postictal period?

place the child in a side-lying position

a nurse is providing teaching about play activities for social development to the parents of a preschooler. what play activity should the nurse recommend for the child?

playing dress-up

a nurse is assessing a 3 year old toddler at a well child visit. what manifestation should the nurse report to the provider?

respiratory rate of 45/min

a nurse is teaching a parent of an infant about ways to prevent SIDS. what instruction should the nurse include?

give the infant a pacifier at bedtime

a nurse in an emergency department is caring for a toddler who has partial-thickness burns on their right arm. what action should the nurse take?

cleanse the affected area with wild soap and water

a nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. what action should the nurse plan to take?

perform a finger stick

a nurse is assessing a school-age child who has meningitis. what finding is the priority for the nurse to report to the provider?

petechiae on the lower extremities

a nurse is creating a plan of care for a school-age child who had heart disease and has developed heart failure. what should the nurse include in the plan?

provide small, frequent meals for the child

a nurse in an emergency department is caring for an adolescent who has severe abdominal pain due to appendicitis. what location should the nurse identify as McBurney's point?

right lower quadrant

a nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. what action should the nurse plan to take?

schedule the toddler for a yearly rescreening

a nurse is caring for a school age child who is receiving chemotherapy and is severely immnuocompromised. what action should the nurse take?

screen the child's visitors for indications of infection

a nurse is caring for an adolescent who received a kidney transplant. what finding should the nurse identify as an indication the adolescent is rejecting the kidney?

serum creatinine 3.0 mg/dl

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. what instruction should the nurse include?

shake the medication prior to administration

a nurse is reviewing the lab report of an infant who is receiving treatment for severe dehydration. the nurse should identify what lab values indicates effectiveness of the current treatment?

sodium 140 mEq/L

a nurse is providing discharge teaching to the parent of a child who is 1 week postoperative following a cleft palate repair. what member of the interprofessional team should the nurse initiate a referral?

speech therapist

a nurse in an emergency department is performing a physical assessment on a 2 week old male newborn. what finding is the priority for the nurse to report to the provider?

substernal retractions

a charge nurse is preparing an in-service for a group of newly licensed nurses about the manifestations of a child maltreatment. what manifestation should the charge nurse include as a potential indication of physical abuse?

symmetric burns of the lower extremities

a nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. what finding is the nurse's priority?

tachypnea

a nurse is assessing the vital signs of a 10 year old following a burn injury. the nurse should identify what finding as an indication of early septic shock?

temp of 102.4

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

the toddler received tobramycin during a hospitalization 2 weeks ago

a nurse is caring for a preschooler who had been receiving iv fluids via peripheral iv catheter. when preparing to discontinue the iv fluids and catheter, what action should the nurse plan to take?

turn off the iv pump, occlude the iv tubing, remove the tape securing the catheter, and apply pressure over the catheter insertion site