ATI NURSING CARE OF CHILDREN CMS
PRACTICE EXAM A (Latest 2023\/ 2024) |
Questions and Verified Answers with
Rationales | 100% Correct
Q: A nurse in a pediatric clinic is collecting data from an infant who recently started taking
digoxin. Which of the following manifestations should the nurse identify as an indication of
digoxin toxicity and report to the provider?
-Irritability
-Diaphoresis
-Vomiting
-Tachycardia:
Answer:
Vomiting
The nurse should identify that vomiting, especially unrelated to feedings, is a manifestation of
digoxin toxicity and should be reported to the provider.
Q: A nurse in a pediatric clinic is collecting data from an infant who was recently exposed to
pertussis. The nurse should recognize which of the fol- lowing as a manifestation of pertussis?
-Dry cough
-Abdominal pain
-Muscle stiffness
-Swollen eyelids:
Answer:
Dry cough
The nurse should identify that a dry cough is an early manifestation of pertussis.
Q: A nurse is reinforcing teaching w\/ the guardian of a child who has a new diagnosis of
enterobiasis. The nurse should advise the guardian to take which of the following actions to
prevent infection?
-Dress the child in two-piece sleeping outfits.<\/p>\n\n\n\n
-Trim the child’s fingernails short.
-Have the child take a tub bath daily.
-Repeat treatment in 4 weeks.:
Answer:
Trim the child’s fingernails short.
The nurse should instruct the guardian to trim the child’s fingernails short to reduce the collection
of eggs under their nails and prevent reinfection.
Q: A nurse in a pediatric clinic is observing for an anaphylactic reaction after administering an
IM antibiotic to a child 5 min ago. Which of the following manifestations should the nurse
expect to observe first?
-Wheezing
-Angioedema
-Hives
-Hypotension:
Answer:
Hives
The nurse should observe for hives first because this is an early manifestation of an anaphylactic
reaction.
Q: A nurse is collecting data from a toddler who has gastroesophageal reflux disease (GERD).
Which of the following findings should the nurse expect?
-Abdominal distention
-Constipation
-Chronic cough
-Decreased bowel sounds:
Answer:
Chronic cough
The nurse should identify that a chronic cough is an expected finding in a child who has GERD.
Q: A nurse in a community center is reinforcing teaching about poison control w\/ a group of
parents. A parent asks what to do if a child ingests a large quantity of acetaminophen. Identify the
sequence of actions the nurse should recommend to the parent. (Move the steps into the box in
the correct order of performance.)<\/p>\n\n\n\n
-Identify the medication and dosage strength.
-Determine if the child is breathing.
-Empty the child’s mouth of remaining pills and residue.
-Call a poison control center.:
Answer:
(in correct order)
-Determine if the child is breathing.
-Empty the child’s mouth of remaining pills and residue.
-Identify the medication and dosage strength.
-Call a poison control center.
Q: A nurse is reinforcing teaching w\/ the guardian of an infant who has Down syndrome.
Which of the following instructions should the nurse include to decrease the child’s risk of an
upper respiratory infection?
-Rinse the infant’s mouth with water before feeding.
-Limit the infant’s fluid intake.
-Use a cool mist vaporizer in the infant’s room.
-Avoid applying lip balm to the infant’s lips.:
Answer:
Use a cool mist vaporizer in the infant’s room.
The nurse should reinforce that a cool mist vaporizer should be used to help
thin respiratory secretions and decrease the infant’s risk for an upper respiratory infection.
Q: A nurse is collecting data about a 4-year-old preschooler’s gross motor skills. The nurse
should expect the preschooler to be able to perform which of the following activities?
-Hopping on one foot
-Skipping on alternate feet
-Jumping rope
-Roller skating:
Answer:
Hopping on one foot.
The nurse should expect to find that a 4-year-old preschooler is able to hop on one foot.<\/p>\n","protected":false},"excerpt":{"rendered":"
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