ATI Pediatrics Proctored Exam
hand preference
(ANS- all kids normally show hand preference by 1 year old
plaster casts
(ANS-
-heavy
-not water resistant
-dry in 10-72 hrs
fiberglass casts
(ANS-
-light weight
-water resistant
-dry in 15-20 min
types of traction
(ANS
Skin traction:
-Buck
-Bryant
-Russell
Skeletal traction
Halo traction
-cervical traction
care for traction
(ANS-
-assess pin sites
-ensure hardware is tight
-ensure bed is in correct position
-ensure weights do not touch floor
Halo: ensure wrench is readily available<\/p>\n\n\n\n
surgical intervention for scoliosis
(ANS-
-realign (2 rods on either side of spine)
-internal fixation
-fusion
The child is prescribed lanoxin (Digoxin) 75 mcg PO qd. The pharmacy supplies
lanoxin (Digoxin) 0.05mg scored tablets. How many tablets will the nurse
administer? Record your answer using one decimal place.
(ANS- 1.5 tablets
The physician orders the patient a 10-mL\/kg normal saline bolus to infuse over 2
hours. The child weighs 36 kg. Calculate the infusion rate in mL\/hr.
(ANS- 180 mL\/hr
What happens to the voice during epiglottitis?
(ANS- it becomes hoarse
Leukotreine modifiers
(ANS-
-Blocks leukotriene receptors or synthesis of leukotrienes (Singulair)
-Side effects: headache, nausea, abdominal pain, increase infections if over age 55,
depression, suicidal, aggression
-Generally well tolerated.
-Monitor for improvement in symptoms
Cromolyn (Intal) and nedocomil (Tilade)
(ANS-
-Anti-inflammatory agents that inhibit release of histamine, leukotrienes,
-Prevention or maintenance drugs
-Administered by inhalation, onset of action in 2-4 weeks
-Side effects: cough, headache, throat irritation, GI upset
Long acting beta-adrenergics
(ANS-
-Salmeterol (Serevent) -used twice daily
-Added to anti-inflammatory therapy
-Not for acute symptoms due to onset of action in 20 minutes with peak in 3-4
hours<\/p>\n\n\n\n
Lortab
(ANStylenol with hydrocodone
dornase alpha
(ANS- decreases viscosity of secretions (thins mucous) for CF patients
tobramycin
(ANS- aerosolized antibiotics used for CF
Norwood procedure
(ANS-
-Treats hypoplastic left heart
-3 stages
-done shortly after birth
-Right ventricle is converted: connects aorta to right ventricle
-Between step 1&2 is highest risk for death
-bi-directional Glenn operation (stage 2, under 6 mo. old)
-superior vena cava redirected to lungs
-Fontan operation (1.5-3 yrs old)
-inferior vena cava redirected to lungs
Heart transplant is another option
Biot’s respirations
(ANS- periods of apnea alternating with 2 or 3 shallow breaths
Cheyne-Stokes respirations
(ANS- periods of apnea alternating with periods of hyperventilation
What gauge needle should be used when administering an immunization to a
toddler?
(ANS- 24 gauge<\/p>\n\n\n\n
ATI Pediatrics Proctored Exam
What is a normal apical heart beat for a newborn?
(ANS- 110-160 BPM
Normal relationship values for head circumference and chest circumference
(ANS- Head no greater than 2cm than chest
Gestational age
(ANS- From conception to birth time spent in utero
output for a preterm infant I & O
(ANS- 1-3 ml per kg per hr
Ventriculoperitoneal shunt
(ANS- Drainage tube allows fluids to move to another part of body absorbed or
secreted once moved
Characteristics of down syndrome
(ANS- closed set eyes, single line creases on hand, protruding tongue, curved small
fingers high risk for deformed heart
What age is a unilateral cleft lip repair usually done?
(ANS- 3 months
When is the best time to test PKU
(ANS- 2-3 days after birth<\/p>\n\n\n\n
Age groups
(ANS- Neonate- birth to 4 weeks
Infant-1 month – 1 year
Toddler 1-3 years
Preschool 3-6 years
School age 6-12 years
Adolescent 12-18 years
New born height\/length
(ANS- 20 inches, after a year it is 30 inches
Sleep requirements per age group
(ANS- Neonate 16-18 hours
Toddler 10 hours plus nap
School age 10-13 hours
Adolescent 8 1\/2-10 hours
When would you assess a deviation from the denver growth chart
(ANS- 2 or more percentiles
How long would you use the denver developmental screening
(ANS- Up to 6 years of age
Piaget
(ANS- 0-2 years sensorimotor reflex responses
2-7 years preoperational egocentric\/language\/ limited reasoning<\/p>\n\n\n\n
7-11 years concrete operations reasoning r\/t own\/cause and effect
11-16 formal operations abstract thinking problem solving
Kohlberg
(ANS0-4 years preconventional cannot distinguish right from wrong
4-7 years preconventional rewards based on behavior obedience due to fear
7-11 conventional conformity, loyal
12 plus post conventional moral values develop and conscience
Erikson
(ANS- 0-1 trust vs mistrust basic needs
1-3 autonomy vs shame and doubt toilet training beginning language
3-6 initiative vs guilt explore environment and body
6-12 industry and inferiority gain recognition from accomplishments
12-18 identity vs role confusion gain independence respect different opinions
Freud
(ANS- 0-1 oral explore by mouth
1-3 anal toilet training
3-6 phallic aware of self as sexual being
6-12 latent same sex peer relationships
12-18 genital explore sex with others
Dental age group 0-3 months
(ANS- GI system immature fat and cholesterol needed, breast milk<\/p>\n\n\n\n
Dental age group 4-6 months
(ANS- Able to digest some complex carbs rice cereal first solid. Fruit and veggies
one at a time new ones every 4-7 days
dental age group 6-8 months
(ANS- first tooth
dental age group 1 year
(ANS- introduce whole milk, 3 meals per day with snacks finger foods, 6 teeth,
first dental visit
Dental age group 2-6 years
(ANS- picky eaters 1 tablespoon per year of food 20 baby teeth are in, first
permanent tooth at 6
dental age group 6-12
(ANS- protein and calcium are needed, allow food choices from child
Types of play age group 0-1
(ANS- visual and touch
types of play age group 1-2
(ANS- parallel play next to each other but not with each other
types of play age group 3-5
(ANS- cooperative or associative intimate with mother or father box used for play
house<\/p>\n\n\n\n
ATI PEDIATRIC FINAL WEEK EXAM
The nurse is caring for a 2-month-old infant at a family clinic. On assessment, the
nurse places an object on the infant’s palm. Which of the following responses by
the infant should the nurse expect?
A: Infant will firmly grasp the object.
B: Infant will turn his head toward the side of the object.
C: Infant will spread his fingers to form a C-shape
D: Infant will grasp the object & transfer from hand to hand.
(ANS- A: Infant will firmly grasp the object.
The nurse is providing anticipatory guidance to the parents of the pre-school child.
Which of the following statements would be best for the nurse to include?
A: “Imaginary play in pre-school aged children should be limited in order to
enhance concept of reality”
B: “When describing the concept of time utilize the hands on the face of the clock
for appropriate time-telling”
C: “Preschool aged children should begin swimming lessons in order to prevent
common injury”
D: “Preschool aged children should be encouraged to sleep with parents if night
terrors are present”
(ANS- C: “Preschool aged children should begin swimming lessons in order to
prevent common injury”
The nurse in the Pediatric Care Clinic is performing a physical assessment on an
adolescent child. The nurse should expect which of the following health screenings
to be most appropriate to perform?
A: Denver Development Screening Test
B: New Ballard Screening Test
C: Scoliosis Screening Test
D: Brigance Screening Test
(ANS- C: Scoliosis Screening Test<\/p>\n\n\n\n
A mother of a school-age client who recently had surgery for the removal of tonsils
and adenoids complains that the child has begun sucking his thumb again. Which
coping mechanisms is the child using to cope with the surgery and hospitalization?
A: Repression
B: Rationalization
C: Regression
D: Fantasy
(ANS- C: Regression
A group of children on one hospital unit are all suffering separation anxiety. Which
child is experiencing the despair stage of separation anxiety?
A: Does not cry if parents return and leave again.
B: Screams and cries when parents leave.
C: Appears to be happy and content with staff.
D: Lies quietly in bed
(ANS- D: Lies quietly in bed
Which of the following assessments would the nurse further assess and notify the
provider?
A: A 3-month-old who is unable to roll from front to back
B: Anterior fontanel closure by 3 months of age.
C: A negative Babinski reflex in a 2 year old.
D: Vesicular sounds are heard over most of the lungs in a 6-month-old
(ANS- B: Anterior fontanel closure by 3 months of age.
Which of the following is an appropriate question when assessing a 3-year-old
child?
A: “Is it okay for me to look inside your ears”?
B: “Which hand should I look at first”?
C: “How would you describe your pain”?
D: “What time did your runny nose start”?
(ANS- B: “Which hand should I look at first”?<\/p>\n\n\n\n
When performing a physical assessment on a toddler, the nurse should remember
to assess which body parts last?
A: Abdomen and chest
B: Legs and arms
C: Chest and ears
D: Ears and mouth
(ANS- D: Ears and mouth
When the nurse on the oncology floor was performing a physical assessment on a
14-year-old patient, she noted left eye swelling, ptosis, and uncoordinated
movements. After notifying the nurse practitioner of these findings, the nurse
suspects which of the following conditions is the most likely cause?
A: Rhabdomyosarcoma
B: Hodgkin’s Disease
C: Brain Tumor
D: Osteosarcoma
(ANS- A: Rhabdomyosarcoma
Which of the following are characteristic of severe dehydration in infants? (Select
all that apply)
A: Cap refill greater than 4 seconds.
B: Nonpalpable pulse
C: Oliguria
D: Sunken anterior fontanel
E: Delayed skin turgor with tenting on the abdomen
(ANSA: Cap refill greater than 4 seconds
C: Oliguria
D: Sunken anterior fontanel
E: Delayed skin turgor with tenting on the abdomen
A nurse is caring for a child who is having a tonic-clonic seizure and vomiting.
Which of the following actions is the nurse’s priority?
A: Place a pillow under the child’s head.
B: Position the child side-lying.<\/p>\n\n\n\n
ATI Pediatrics Proctored Exam Study
Guide\/ Peds 1
A nurse is providing education about dietary modifications to the parents of a
school-age child who has glomerulonephritis. Which of the following information
should the nurse include in the teaching?
(ANS- Decrease the child’s sodium intake.
A nurse is providing teaching to the parents of a school-age child newly diagnosed
with a seizure disorder. The nurse should teach the parents to take which of the
following actions during a seizure?
(ANS- Clear the area of hard objects
A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the
following findings is the nurse’s priority?
(ANS- HbA1c 11.5%
A nurse is providing anticipatory guidance to a parent of a 1-month-old infant. The
nurse should include that it is recommended to start the series of which of the
following immunization first?
(ANS- Inactive poliovirus
A nurse is reviewing the laboratory report of a toddler who has hemolytic uremic
syndrome. Which of the following findings should the nurse expect?
(ANS- BUN 28 mg\/dL
A nurse is caring for a school-age-child who is experiencing a sickle cell crisis.
Which of the following action should the nurse take?
(ANS- Apply warm compresses to the affected areas.
A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The
nurse should immediately report which of the following findings to the provider?
(ANS- Pharyngitis<\/p>\n\n\n\n
A nurse is planning to teach an adolescent who is lactose intolerant about dietary
guidelines. Which of the following instructions should the nurse include in the
teaching?
(ANS- You can replace milk with nondairy sources of calcium.
A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg
(26.5lb) and is postoperative following open-heart surgery. Which of the following
findings should the nurse report to the provider?
(ANS- Urine output of 15 ml in the last 2 hr – 1 mL\/kg\/hour
A nurse is providing dietary teaching to a parent of a 10-month-old infant who has
phenylketonuria. Which of the following responses by the parent indicates an
understanding of the teaching?
(ANS- I will steam carrots and cut them into small pieces for her.
A nurse is providing teaching to the parents of a preschool-age child who has
celiac disease. Which of the following instructions should the nurse include?
(ANS- Your child will be on a gluten-free diet for the rest of her life.
A nurse is administering albuterol by metered dose inhaler for a preschool-age
child who is experiencing an asthma exacerbation. Which of the following findings
should the nurse report to the provider?
(ANS- Intercostal retractions
A nurse is caring for a school-age child who is 1hr postoperative following a
tonsillectomy. Which of the following actions should the nurse take? (Select all
that apply.)
(ANS- Administer an analgesic to the child on a scheduled basis, Observe the child
for frequent swallowing, Discourage the child form coughing
A nurse is caring for a school-age child who has heart failure. Which of the
following findings should the nurse expect? (Select all that apply)
(ANS- Tachycardia, Dyspnea, and cyanosis<\/p>\n\n\n\n
A nurse in an emergency department is assessing a toddler who has a head injury.
Which of the following findings should the nurse report to the provider?
(ANS- Vomiting
A nurse is caring for a toddler who is in the terminal stage of neuroblastoma. The
parents ask, “How can we help our child now?” Which of the following responses
by the nurse is appropriate?
(ANS- Stay close to your child.
A nurse is preparing to administer cephalexin 25 mg\/kg PO to a child who has
otitis media and weighs 22 kg (48.5lb). Available is cephalexin solution 250
mg\/5mL. How many mL should the nurse administer? (Round to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.)
(ANS- 11 mL
During a well-baby visit, the parent of a 2-week-old newborn tells the nurse, “My
baby always keeps her head tilted to the right side.” The nurse should further assess
which of the following areas?
(ANS- Sternocleidomastoid muscle
A nurse is caring for a single mother of a 6-month-old infant. During a well-baby
visit, the mother expresses feeling “inexperienced” in caring for the baby. The
nurse should recommend which of the following community resources?
(ANS- Parent Enhancement Center
A nurse is admitting an infant who has GERD. Which of the following is the
priority assessment finding?
(ANS- Wheezing
A nurse is caring for an infant who has severe dehydration. Which of the following
clinical findings should the nurse expect?
(ANS- Rapid respirations<\/p>\n\n\n\n
A nurse is teaching a group of female adolescents about healthy eating. Which of
the following instructions should the nurse include in the teaching?
(ANS- “Increase the amount of your dietary iron intake”
A nurse is preparing to administer immunizations to a 3-month-old infant. Which
of the following is an appropriate action for the nurse to take to deliver atraumatic
care?
(ANS- Provide a pacifier coated with oral sucrose solution prior to the injections.
A nurse is caring for a child who has impetigo contagiosa that developed in the
hospital. Which of the following actions should the nurse take?
(ANS- Initiate contact isolation precautions.
A nurse is providing discharge teaching to the parents of a school-age child who
has cystic fibrosis. Which of the following responses by the parents indicates an
understanding of the teaching?
(ANS- “I will give my child pancreatic enzymes with snacks and meals.”
A nurse is caring for a 4-year-old child who has meningitis and is receiving
gentamicin. Which of the following laboratory values should the nurse report to the
provider?
(ANS- Creatinine 1.4 mg\/dL
A nurse is providing teaching to the parents of a school-age child who has ADHD
and a new prescription for methylphenidate. The nurse should explain that this
medication will have which of the following therapeutic effects?
(ANS- Increasing focus
A nurse is teaching an adolescent how to manage his cystic fibrosis. Which of the
following statements y the adolescent indicates an understanding of the teaching.
(ANS- “I will increase my intake of vitamin D.”
A nurse in a provider’s office is caring for a preschool-age child who might have
acute epiglottitis. Which of the following actions should the nurse take?
(ANS- Provide humidified oxygen via nasal cannula.<\/p>\n\n\n\n
ATI Pediatrics Proctored Exam(Peds 1)
A nurse is providing education about dietary modifications to the parents of a
school-age child who has glomerulonephritis. Which of the following information
should the nurse include in the teaching?
(ANS- Decrease the child’s sodium intake.
A nurse is providing teaching to the parents of a school-age child newly diagnosed
with a seizure disorder. The nurse should teach the parents to take which of the
following actions during a seizure?
(ANS- Clear the area of hard objects
A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the
following findings is the nurse’s priority?
(ANS- HbA1c 11.5%
A nurse is providing anticipatory guidance to a parent of a 1-month-old infant. The
nurse should include that it is recommended to start the series of which of the
following immunization first?
(ANS- Inactive poliovirus
A nurse is reviewing the laboratory report of a toddler who has hemolytic uremic
syndrome. Which of the following findings should the nurse expect?
(ANS- BUN 28 mg\/dL<\/p>\n\n\n\n
A nurse is caring for a school-age-child who is experiencing a sickle cell crisis.
Which of the following action should the nurse take?
(ANS- Apply warm compresses to the affected areas.
A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The
nurse should immediately report which of the following findings to the provider?
(ANS- Pharyngitis
A nurse is planning to teach an adolescent who is lactose intolerant about dietary
guidelines. Which of the following instructions should the nurse include in the
teaching?
(ANS- You can replace milk with nondairy sources of calcium.
A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg
(26.5lb) and is postoperative following open-heart surgery. Which of the following
findings should the nurse report to the provider?
(ANS- Urine output of 15 ml in the last 2 hr – 1 mL\/kg\/hour
A nurse is providing dietary teaching to a parent of a 10-month-old infant who has
phenylketonuria. Which of the following responses by the parent indicates an
understanding of the teaching?
(ANS- I will steam carrots and cut them into small pieces for her.
A nurse is providing teaching to the parents of a preschool-age child who has
celiac disease. Which of the following instructions should the nurse include?
(ANS- Your child will be on a gluten-free diet for the rest of her life.<\/p>\n\n\n\n
ATI Pediatrics Final (Nursing Pediatrics
Exam 2 Final)
Most common post op complication of tonsillectomy?
(ANS- hemorrhage
Risk time for hemorrhage after tonsillectomy?
(ANS- 10 days to 2 weeks post op
Signs and symptoms of hemorrhage after tonsillectomy?
(ANS- restlessness, swallowing frequently, low BP (late sign)
How should child lay post op to prevent hemorrhage from tonsillectomy?
(ANS- side lying or on abdomen
What should the child avoid after a tonsillectomy post op?
(ANS- coughing or blowing nose
How should xrays be taken to see the section of the lung behind the heart (lingual)?
(ANS- Laterally
Why are lateral xrays needed to view the lingual area?
(ANS- a common site for pneumonia
If a child is “barking” and has hoarseness and inspiratory stridor what might they
have?
(ANS- croup
What does inspiratory stridor sound like?
(ANS- a gasp<\/p>\n\n\n\n
If stridor reduces in a child previously showing stridor, what can that mean? ATI Pediatric Practice Exam 3 (final) a nurse is teaching a school-age child who has DM about insulin administration. d. DNA testing ATI Pediatric Proctored Exam A nurse is caring for a 6-week-old infant who as a pyloric stenosis. Which of the ATI Pediatrics Proctored Exam; ATI Pediatric Toddler 1-3 years Erikson dental age group 6-12 ATI Pediatric Proctored Exam 2019 a nurse is assessing a 5 month old infant. Which of the following finding ATI PEDS 2019 A: Questions & Answers correct. The nurse should expect a child who has spastic cerebral palsy to A nurse is preparing an adolescent for a lumbar puncture. Which of the ATI PEDS 2019 B: Questions & Answers A nurse in an emergency department is assessing a 3 month old infant who A nurse is providing anticipatory guidance to the parent of a toddler. Which Peds Exam 1: Questions & Answers D. Beginning at 5 years old B. The scale can be used with most children as young as 3 years of age ATI Pediatric Proctored Exam 2019 (Ans – b. the test will measure the amount of water in your baby’s sweat. A nurse in the emergency department is assessing the toddler who has ATI Pediatrics Proctored Retake Exam d. obtain written consent from the client ATI Peds Exam: Questions & Answers A nurse is receiving change-of-shift report for four children. Which of the A nurse is monitoring the oxygen saturation level of an infant using pulse A nurse is reviewing the laboratory results of a school-age child who is 1 <\/p>\n","protected":false},"excerpt":{"rendered":" ATI Pediatrics Proctored Examhand preference(ANS- all kids normally show hand preference by 1 year oldplaster casts(ANS–heavy-not water resistant-dry in 10-72 hrsfiberglass casts(ANS–light weight-water resistant-dry in 15-20 mintypes of traction(ANSSkin traction:-Buck-Bryant-RussellSkeletal tractionHalo traction-cervical tractioncare for traction(ANS–assess pin sites-ensure hardware is tight-ensure bed is in correct position-ensure weights do not touch floorHalo: ensure wrench is readily available […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-119749","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/119749","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=119749"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/119749\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=119749"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=119749"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=119749"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
(ANS- blockage and imminent respiratory failure
Do not put anything in the __<\/em><\/strong> of a child with acute epiglottitis.
(ANS- Mouth
Acute LTB
(ANS- Croup symptoms, Inflammation mucosa lining larynx & trachea causing
narrowing airway-subglottic area narrowest part causes respiratory acidosis
Diagnosis of Asthma is
(ANS- peak expiratory flow (PEF)
Treatment of Asthma is
(ANS- beta agonists such as albuterol to relieve bronchospasms
Preventing chronic problems with Asthma treatment
(ANS- anti-inflamatories such as corticosteroids
treatment for an emergency with Asthma attack
(ANS- repeat dose q15min twice, on 3rd dose call ambulance
Parents need education about beta agonists, what should a nurse advise?
(ANS- don’t give them around the clock, they should be prn, do not abuse
Common side effects of beta agonists
(ANS- nervousness, tachycardia<\/p>\n\n\n\n
a nurse is reviewing sick-day management with a parent of a child who has type 1
DM. which of the following should the nurse include in the teaching (SATA)
a. monitor blood glucose levels every 3 hours
b. discontinue taking insulin until feeling better
c. drink 8 oz of fruit juice every hour
d. test urine for ketones
e. call the provider if blood glucose is greater than 2540 mg\/dL
(ANS – A D E
a nurse is teaching a child who has type 1 DM about self care. which of the
following statements by the child indicates understanding of the teaching?
a. I should skip breakfast when I am not hungry
b. I should increase by insulin with exercise
c. I should drink a glass of milk when I am feeling irritable
d. I should draw up the NPH insulin into the syringe before the regular insulin
(ANS – C
a nurse is caring for a child who has type 1 DM. which of the following are
manifestations of diabetic keotacidosis (SATA)
a. blood glucose 58
b. weight gain
c. dehydration
d. mental confusion
e. fruit breath
(ANS – C D E<\/p>\n\n\n\n
which of the following should the nurse include in the teaching?
a. you should inject the needle at a 30 degree angle
b. you should combine your glargine and regular insulin in the same syringe
c. you should aspirate for blood before injecting the insulin
d. you should give four or five injections in one area before switching sites
(ANS – D
a nurse is teaching an adolescent who has DM about manifestations of
hypoglycemia. which of the following findings should the nurse include in the
teaching (SATA)
a. increased urination
b. hunger
c. signs of dehydration
d. irritability
e. sweating
f. kussmaul respirations
(ANS – B D E
a nurse is caring for a child who has short stature. which of the following
diagnostic tests should be completed to confirm growth hormone (GH) deficiency?
(SATA)
a. CT scan of the head
b. bone age scan
c. GH stimulation test D. serum IGF-1<\/p>\n\n\n\n
(ANS – A B C D
A nurse is teaching the parent of a child who has growh hormone deficiency.
Which of the following are complications of untreated groth hormone deficiency?
(SATA)
a. delayed sexual development
b. premature aging
c. advanced bone age
d. short stature
e. increased epiphyseal closure
(ANS – A B D
a parent of a school-age child who has GH deficiency asks the nurse how long the
child will need to take injections for growth delay. which of the following
responses should the nurse make
a. injections are usually continued until age 10 for girls and age 12 for boys
b. injections continue until your child reaches the fifth percentile on the growth
chart
c. injections should be continued until there is evidence of epiphyseal closure
d. the injections will need to be administered throughout your child’s entire life
(ANS – C
a nurse is assessing a child who has short stature. which of the following findings
would indicate a growth hormone deficiency
a. proportional height to weight
b. heigh proportionally greater than weight
c. weight proportionally greater than height
d. BMI greater than height\/weight ratio<\/p>\n\n\n\n
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?
(ANS- Peanut Butter and Jelly Sandwich
A nurse is caring for a 1-month old infant who weighs 3540 g and is prescribed a
dose of cefazolin 50mg\/kg IV bolus TID. How many mg should the nurse
administer per dose?
(ANS- 175mg
A nurse is preforming a pre-college assessment on an adolescent. Which of the
following immunizations should the nurse anticipate administering?
(ANS- Meningococcal polysaccharide vaccine
A nurse is assessing a client who has left-sided heart failure. Which of the
following findings should the nurse expect?
(ANS- Nocturia at night
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?
(ANS- Body sections turning a red orange color<\/p>\n\n\n\n
following manifestations should the nurse expect?
(ANS- Projectile vomiting
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?
(ANS- “Have your child sit with her head tilted forward and hold pressure on her
nose for 10 minutes.”
A nurse is assessing a child who is in sickle cell crisis. Which of the following
findings should the nurse expect?
(ANS- Pain
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?
(ANS- Place her hands on the sides of her rib cage
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).
(ANS-
-Hypotension
-Weak pulses
-Murmur<\/p>\n\n\n\n
proctored Exam review
What is a normal apical heart beat for a newborn?
(Ans- 110-160 BPM
Normal relationship values for head circumference and chest
circumference
(Ans- Head no greater than 2cm than chest
Gestational age
(Ans- From conception to birth time spent in utero
output for a preterm infant I & O
(Ans- 1-3 ml per kg per hr
Ventriculoperitoneal shunt
(Ans- Drainage tube allows fluids to move to another part of body absorbed
or secreted once moved
Characteristics of down syndrome
(Ans- closed set eyes, single line creases on hand, protruding tongue,
curved small fingers high risk for deformed heart
What age is a unilateral cleft lip repair usually done?
(Ans- 3 months
When is the best time to test PKU
(Ans- 2-3 days after birth
Age groups
(AnsNeonate- birth to 4 weeks
Infant-1 month – 1 year<\/p>\n\n\n\n
Preschool 3-6 years
School age 6-12 years
Adolescent 12-18 years
New born height\/length
(Ans- 20 inches, after a year it is 30 inches
Sleep requirements per age group
(Ans- Neonate 16-18 hours
Toddler 10 hours plus nap
School age 10-13 hours
Adolescent 8 1\/2-10 hours
When would you assess a deviation from the denver growth chart
(Ans- 2 or more percentiles
How long would you use the denver developmental screening
(Ans- Up to 6 years of age
Piaget
(Ans0-2 years sensorimotor reflex responses
2-7 years preoperational egocentric\/language\/ limited reasoning
7-11 years concrete operations reasoning r\/t own\/cause and effect
11-16 formal operations abstract thinking problem solving
Kohlberg
(Ans0-4 years preconventional cannot distinguish right from wrong
4-7 years preconventional rewards based on behavior obedience due to
fear
7-11 conventional conformity, loyal
12 plus post conventional moral values develop and conscience<\/p>\n\n\n\n
(Ans0-1 trust vs mistrust basic needs
1-3 autonomy vs shame and doubt toilet training beginning language
3-6 initiative vs guilt explore environment and body
6-12 industry and inferiority gain recognition from accomplishments
12-18 identity vs role confusion gain independence respect different
opinions
Freud
(Ans0-1 oral explore by mouth
1-3 anal toilet training
3-6 phallic aware of self as sexual being
6-12 latent same sex peer relationships
12-18 genital explore sex with others
Dental age group 0-3 months
(Ans- GI system immature fat and cholesterol needed, breast milk
Dental age group 4-6 months
(Ans- Able to digest some complex carbs rice cereal first solid. Fruit and
veggies one at a time new ones every 4-7 days
dental age group 6-8 months
(Ans- first tooth
dental age group 1 year
(Ans- introduce whole milk, 3 meals per day with snacks finger foods, 6
teeth, first dental visit
Dental age group 2-6 years
(Ans- picky eaters 1 tablespoon per year of food 20 baby teeth are in, first
permanent tooth at 6<\/p>\n\n\n\n
(Ans- protein and calcium are needed, allow food choices from child
Types of play age group 0-1
(Ans- visual and touch
types of play age group 1-2
(Ans- parallel play next to each other but not with each other
types of play age group 3-5
(Ans- cooperative or associative intimate with mother or father box used
for play house
types of play age group 5-7
(Ans- symbolic groups secret clubs and groups
types of play age 7-10
(Ans- competitive teams win\/lose with rules
types of play age 10-13
(Ans- team sports internet
types of play age 13-18
(Ans- fantasy cliques
Infant age group
(Ans- depth perception not developed until 6 years old. Object permanence
peak aboo they really think you are gone
Piaget sensorimotor
Kohlbebrg preconventional cannot distinguish right from wrong
Freud oral places everything in mouth
Erikson trust vs mistrust consistency needed, respond promptly to needs
Car seat rule rear facing until 1 year and 22 lbs
feed breast every 2 hours formula every 3-4 hours<\/p>\n\n\n\n
A nurse is providing teaching to the guardian of a school age child who has
sickle cell disease. Management?
(Ans- Wear surgical mask at school
a nurse is caring for a 12 year old child in a wheelchair. The child begins to
experience a tonic clonic seizure. Which of the following actions should the
nurse take?
(Ans- move the child on the floor
A nurse is assessing a child who has intussusception. Which of the
following findings should the nurse expect?
(Ans- Sausage shaped abdominal mass
a nurse is caring for a school age child following a femoral venous cardiac
catheterization. Which of the following actions should the nurse take?
(Ans- keep extremities straight for at least 4 hours
a nurse is caring for a preschooler who is post-operative following a
tonsillectomy. The child is now ready to begin eating orally. Which of the
following dietary choices should the nurse offer the child
(Ans- Lime popsicle Do not choose sugarfree CHERRY gelatin!!!<\/p>\n\n\n\n
should the nurse report to the provider?
(Ans- instant head lag when in sitting position
a nurse in a pediatric clinic is providing teaching to the guardian of an infant
who has a new prescription for digoxin. Which of the following actions
should the nurse include in the plan of care as an indication of digoxin
toxicity?
(Ans- bradycardia
A nurse is admitting a child who is has acute epiglottitis. Which of the
following actions should the nurse take?
(Ans- Initiate droplet isolation precautions
a nurse is planning care for a child who has osteomyelitis. Which of the
following intervention should the nurse include in the plan of care?
(Ans- maintain a patent intravenous catheter
the nurse is reviewing the medical record of a school age child who has
cystic fibrosis. Which of the following findings should the nurse report to the
provider?
(Ans- a) O2 sat
A nurse is providing discharge teaching to the parents of an infant for
sudden infant death syndrome ( SIDS). Which of the following statements
by the parents indicates an understanding of the teaching ?
(Ans- I will dress my baby in lightweight clothing to sleep<\/p>\n\n\n\n
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?
(Ans- Epinephrine. This child is most likely experiencing an anaphylactic
reaction to the cefazolin. According to evidence-based practice, the nurse
should first administer epinephrine to treat the anaphylaxis. Epinephrine is
a beta adrenergic agonist that stimulates the heart, causes vasoconstriction
of blood vessels in the skin and mucous membranes, and triggers
bronchodilation in the lungs.
A nurse is teaching the parent of an infant about ways to prevent sudden
infant death syndrome (SIDS). Which of the following instructions should
the nurse include?
(Ans- give the infant a pacifier
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 nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy.
Which of the following findings should the nurse expect? (Select all that
apply.)
(Ans- -Ankle clonus-Exaggerated stretch reflexes-Contractures. Negative
Babinski reflex is incorrect. The nurse should expect a child who has
spastic cerebral palsy to exhibit a positive Babinski reflex.Ankle clonus is<\/p>\n\n\n\n
exhibit ankle clonus, which is a rhythmic reflex tremor when the foot is
dorsiflexed.Exaggerated stretch reflexes is correct. The nurse should
expect a child who has spastic cerebral palsy to exhibit spasticity or
exaggerated stretch reflexes.Uncontrollable movements of the face is
incorrect. The nurse should expect a child who has nonspastic (dyskinetic)
cerebral palsy, rather than spastic (pyramidal) cerebral palsy to exhibit
uncontrollable movements of the face and extremities.Contractures is
correct. The nurse should expect a child who has spastic cerebral palsy to
exhibit contractures due to the tightening of the muscles.
The nurse is providing discharge teaching to the parent of a child who is 1
week postoperative following a cleft palate repair. For which of the following
members of the inter professional team should the nurse initiate a referral?
(Ans- speech therapist The nurse should initiate a referral for a speech
therapist for a child who is postoperative following a cleft palate repair. 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 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?
(Ans- Implement seizure precautions for the infant.An infant who has an
epidural hematoma is at great risk for seizure activity. Therefore, the nurse
should implement seizure precautions for the child.<\/p>\n\n\n\n
following actions should the nurse take?
(Ans- apply a topical analgesic cream to the site 1 hr prior to procedure.
The nurse should apply a topical analgesic to the lumbar site 1 hr prior to
the procedure to decrease the adolescent’s pain while the lumbar needle is
inserted.
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.
Which of the following instructions should the nurse include?
(Ans- “Shake the medication prior to administration. “The nurse should
instruct the parent to shake the medication prior to administration to
disperse the medication evenly within the suspension.
A nurse in an emergency department 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?
(Ans- Substernal retractions. When using the airway, breathing, and
circulation approach to client care, the nurse should determine that the
priority finding to report to the provider is substernal retractions. This finding
indicates the newborn is experiencing increased respiratory effort, which
could quickly progress to respiratory failure.
A nurse is receiving change-of-shift report on four children. Which of the
following children should the nurse see first?
(Ans- A school-age child who has sickle cell anemia and reports
decreased vision in the left eye.When using the urgent vs. nonurgent<\/p>\n\n\n\n
A nurse is assessing the pain level of a 3 year old toddler. Which of the
following assessment scales should the nurse use?
a. FACES
b. Numeric
c. CRIES
d. Visual analog
(Ans – A
A nurse is planning an educational program to teach parents about
protecting their children from sunburns. Which of the following instructions
should the nurse plan to include?
a. “allow your child to play outside during the hours between 10:00am and
2:00pm.”
b. “choose a waterproof sunscreen with a minimum SPF of 15.”
c. “dress you child in loose weave polyester fabric prior to sun exposure.”
d. “reapply sunscreen every 4 hours.”
(Ans – B
A nurse is performing hearing screenings for children at a community
health fair. Which of the following children should the nurse refer to a
provider for a more extensive hearing evaluation?
a. an 18 month old toddler who has unintelligible speech
b. a 3 month old infant who has exaggerated startle response
c. a 4 year old preschooler who prefers playing with others rather than
alone
d. an 8 month old infant who is not yet making babbling sounds
(Ans – D<\/p>\n\n\n\n
has rotavirus and is experiencing acute vomiting and diarrhea. Which of the
following manifestations should the nurse identify as an indication that the
infant has moderate to severe dehydration?
a. HR 124
b. increased tear production
c. sunken anterior fontanel
d. capillary refill 2 seconds
(Ans – C
A nurse is providing teaching to the family of a school-age child who has
juvenile idiopathic arthrisis. Which of the following instructions should the
nurse include in the teaching?
a. “limit movement of the child’s large joints”
b. “encourage the child to perform independent self-care.”
c. “provide the child with a soft mattress for sleeping.”
d. “schedule a 2 hour daily nap for the child in the afternoon.”
(Ans – B
A nurse is planning care for a school age child who has a tunneled central
venous access device. Which of the following interventions should the
nurse include in the plan?
a. use sterile scissors to remove the dressing from the site
b. irrigate each lumen weekly with 10 ml of 0.9% sodium chloride solution
when not in use
c. access the site suing a noncoring angle needle
d. use a semipermeable transparent depressing to cover the site
(Ans – D<\/p>\n\n\n\n
of the following expected behavior characteristics of toddlers should the
nurse include?
a. controls impulsive feelings
b. understands right from wrong
c. easily separates from parents for long periods of time
d. expresses likes and dislikes
(Ans – D
A nurse is providing discharge teaching to the parent of a school age child
who has moderate persistent asthma. Which of the following instructions
should the nurse include?
a. “you should give your child their salmeterol inhaler every 4 hours when
they are having an acute episode of wheezing.”
b. “you should monitor your child’s weight weekly while they are receiving
inhaled corticosteroids therapy.”
c. “pulmonary function tests will be performed every 12-24 months to
evaluate how your child is responding to therapy.”
d. “when using the peak expiratory flow meter, record your child’s average
of three readings.”
(Ans – C
A nurse is assessing an adolescent who received a sodium polystyrene
sulfonate enema. Which of the following findings indicates effectiveness of
the medication?
a. reports an absence of nausea and vomiting
b. reports experiencing an onset of loose stools within 15 minutes of
administration
c. serum potassium level 4.1 mEq\/L
d. blood pressure 86\/52 mm Hg
(Ans – C<\/p>\n\n\n\n
What growth and development skills go along with a 4-year old?
A. Ties shoes, dresses without help, and skips on alternate feet
B. Brushes teeth, 1500 word vocabulary, and can lace their own shoes
C. Undresses without help and walks down stairs without help
D. 2100 word vocabulary, beginning cooperative play, and runs well
(Ans- B. Brushes teeth, 1500 word vocabulary, and can lace their own
shoes
At what age should routine lab work of Hb\/Hct be performed?
A. After 18 months
B. Between 18 months and 2 years and again between 4 and 6 years
C. Between 6 and 9 months and again between 12 and 18 months
D. Between 2 and 4 months and again at age 5
(Ans- C. Between 6 and 9 months and again between 12 and 18 months
At what age can children begin receiving their yearly influenza vaccine?
A. Beginning at 6 months
B. beginning at 2 months
C. Beginning at 2 years old<\/p>\n\n\n\n
(Ans- A. Beginning at 6 months
Which of the following is not an example of a behavior exhibited by an
adolescent related to divorce?
A. Worry about themselves, parents, siblings
B. May engage in acting-out behavior
C. Panic reactions
D. Feelings of a profound sense if loss – of family, childhood
(Ans- C. Panic reactions
Panic occurs in middle school-age children (ages 6-8 years)
The nurse is planning care for a pediatric patient with a different ethnic
background from the nurse’s own. The most appropriate goal for the nurse
in caring for this patient is:
A. Strive to keep ethnic background from influencing health care
B. Encourage continuation of ethnic practices in the hospital setting
C. Attempt, in a nonjudgmental way, to change ethnic beliefs
D. Adapt, as necessary, ethnic practices to health needs
(Ans- D. Adapt, as necessary, ethnic practices to health needs
Which is an important consideration when using the FACES Pain Rating
Scale with children?
A. Children color the face with the color they choose to best describe their
pain<\/p>\n\n\n\n
C. The scale is not appropriate for use with adolescents
D. The scale is useful in pain assessment but is not as accurate when
assessing physiologic responses
(Ans- B. the scale can be used with most children as young as 3 years of
age
Which dimension of care focuses on physiological and emotional
considerations?
A. Dimension I
B. Dimension II
C. Dimension III
D. Dimension IV (Ans- D
Mild cases of cognitive impairment are primarily associated with:
A. Familiar causes
B. Social causes
C. Environmental causes
D. All of the above
(Ans- *<\/strong>
D. All of the above
How should a nurse care for a hospitalized cognitively impaired child?<\/p>\n\n\n\n
A nurse is assessing a school-age child who has heart failure and is taking
furosemide. Which of the following findings should the nurse identify as an
indication that the medication is effective?
a. decrease in venous pressure
b. decrease in peripheral edema
c. decrease in cardiac output
d. increase in potassium levels
(Ans – b. decrease in peripheral edema
A nurse is assessing an infant who has acute otitis media. Which of the
following findings should the nurse expect (select all that apply)
a. increased appetite
b. enlarged subclavian lymph node
c. crying
d. restlessness
e. fever
(Ans \u2013
c. crying
d. restlessness
e. fever
a nurse is providing teaching to the parents of an infant who is to undergo
pilocarpine iontophoresis Testing for Cystic Fibrosis. Which of the following
statements should the nurse include in the teaching?
a. we will measure the amount of protein in your baby’s urine over 24 hour
period.
b. the test will measure the amount of water in your baby’s sweat
c. a nurse will insert an IV prior to the test.
d. your baby will need to fast for 8 hours prior to the test.
ATI Pediatric Proctored exam<\/p>\n\n\n\n
A nurse in an urgent care clinic is prioritizing care for children. Which of the
following children should the nurse assess first?
a. a toddler who has nephrotic syndrome and facial edema.
b. a preschool-age child who has muffled voice and no spontaneous cough.
c. a pre-school age child who has diabetes mellitus and blood glucose of
200 mg\/dl
d. an adolescent who has crohn’s disease and recent weight loss of 5kg
mg (11 lb).
(Ans – b. a preschool-age child who has a muffled voice and no
spontaneous cough.
A nurse is providing teaching to the parents of a toddler who is to undergo
a sweat chloride test. Which of the following statements should the nurse
include?
a. the purpose of the test is to determine if your child has Crohn’s disease.
b. the technician will use a device to produce an electrical current during
the test.
c. during the test, your child will be in a room that is cold.
d. your child sweat will be collected over 24 hours.
(Ans – d. your child’s sweat will be collected over 24 hours.
A nurse in the emergency department is caring for an adolescent who is
requesting testing for STI. Which of the following action is appropriate for
the nurse to take?
a. request verbal consent from the social worker.
b. contact the client’s parents to obtain phone consent.
c. postpone the testing until the client’s parents are present.
d. obtain written consent from the client.
(Ans – d. obtain written consent from the client.
ATI Pediatric Proctored exam<\/p>\n\n\n\n
hyperpyrexia severe dyspnea and drooling which of the following actions
should the nurse take first?
a. obtain a blood culture from the toddler
b. administering antibiotic to the toddler
c. insert an IV catheter for the toddler.
d. prepare the toddler for nasotracheal intubation.
(Ans – d. prepare the toddler for nasotracheal intubation.
A nurse is providing teaching to a 10 year old child with scheduled for an
arterial cardiac catheterization. Which of the following information should
the nurse include in the teaching?
a. you will have your dressing removed 12 hours after the procedure.
b. you will need to keep your legs straight for 8 hours following the
procedure.
c. you will be on clear liquid diet for 24 hours following the procedure.
d. you will be on bed rest for 2 days after the procedure.
(Ans – b. you will need to keep your legs straight for 8 hours following the
procedure.
A nurse is caring for a preschooler who is post-operative following a
tonsillectomy. The child is now ready to resume oral intake which of the
following dietary choices should the nurse offer the child?
a. sugar-free cherry gelatin
b. vanilla ice cream
c. chocolate milk
d. lime-flavored ice pop
(Ans – d. lime flavored icepop
ATI Pediatric Proctored exam<\/p>\n\n\n\n
A nurse is assessing a school-age child who has heart failure and is taking
furosemide. Which of the following findings should the nurse identify as an
indication that the medication is effective?
a. An increase in venous pressure
b. a decrease in peripheral edema
c. a decrease in cardiac output
d. an increase in potassium levels
(Ans- b. a decrease in peripheral edema
A nurse is assessing an infant who has acute otitis media. Which of the
following findings should the nurse expect (select all that apply)
a. Increased appetite
b. enlarged subclavian lymph node
c. Crying
d. Restlessness
e. fever
(Ansc. Crying
d. Restlessness
e. fever
a nurse is providing teaching to the parents of an infant who is to undergo
pilocarpine iontophoresis Testing for Cystic Fibrosis. Which of the following
statements should the nurse
include in the teaching?
a. We will measure the amount of protein in your baby’s urine over 24 hour
period
b. The test will measure the amount of water in your baby’s sweat
c. a nurse will insert an IV prior to the test
d. your baby will need to fast for 8 hours prior to the test
ATI Pediatrics Proctored Retake Exam
Ans- b. The test will measure the amount of water in your baby’s sweat
A nurse in an urgent care clinic is prioritizing care for children. Which of
the following children should the nurse assess first?
a. A toddler who has nephrotic syndrome and facial edema
b. a preschool-age child who has a muffled voice and no spontaneous
cough
c. a preschool-age child who has diabetes mellitus and a blood glucose of
200 mg\/dL
d. an adolescent who has Crohn’s disease and recent weight loss of 5kg
mg
(11 lb)
(Ans- b. a preschool-age child who has a muffled voice and no
spontaneous cough
A nurse is providing teaching to the parents of a toddler who is to undergo
a sweat chloride test. Which of the following statements should the nurse
include?
a. The purpose of the test is to determine if your child has Crohn’s disease
b. the technician will use a device to produce an electrical current during
the
test
c. during the test, your child will be in a room that is cold
d. your child sweat will be collected over 24 hours
(Ans- d. your child sweat will be collected over 24 hours
A nurse in the emergency department is caring for an adolescent who is
requesting testing for STI. Which of the following action is appropriate for
the nurse to take?
a. Request verbal consent from the social worker
b. contact the client’s parents to obtain phone consent
c. postpone the testing until the client’s parents are present<\/p>\n\n\n\n
(Ans- d. obtain written consent from the client
A nurse in the emergency department is assessing the toddler who has
hyperpyrexia severe dyspnea and drooling which of the following actions
should the nurse take first?
a. obtain a blood culture from the toddler
b. administering antibiotic to the toddler
c. insert an IV catheter for the toddler
d. prepare the toddler for nasotracheal intubation
(Ans- d. prepare the toddler for nasotracheal intubation
A nurse is providing teaching to a 10 year old child with scheduled for an
arterial cardiac catheterization. Which of the following information should
the nurse include in the teaching?
a. You will have your dressing removed 12 hours after the procedure
b. you will need to keep your legs straight for 8 hours following the
procedure
c. you will be on a clear liquid diet for 24 hours following the procedure
d. you will be on bed rest for 2 days after the procedure
(Ans- you will need to keep your legs straight for 8 hours following the
procedure
A nurse is caring for a preschooler who is post-operative following a
tonsillectomy. The child
is now ready to resume oral intake which of the following dietary choices
should the nurse offer
the child?
a. sugar-free Cherry gelatin
b. vanilla ice cream
c. chocolate milk
d. lime flavored ice pop (Ans- d. lime flavored ice pop<\/p>\n\n\n\n
A nurse is planning care for a newly admitted school-age child who has
generalized seizure disorder. Which of the following interventions should
the nurse plan to include?
(Ans- Ensure the oxygen source is functioning in the child\u2019s room
A nurse is providing dietary teaching to the guardian of a school-age child
who has cystic fibrosis. Which of the following statements should the nurse
make?
(Ans- “You should offer your child high-protein meals and snacks
throughout the day.”; well-balanced and high in protein and calories.
Children who have cystic fibrosis require a higher percentage of the
recommended dietary allowances of all nutrients to meet their energy
requirements.
A nurse is providing discharge teaching to the parents of a 6-month-old
infant who is postoperative following hypospadias repair with a stent
placement. Which of the following instructions should the nurse include in
the teaching?
(Ans- “Allow the stent to drain into your infants diaper.”
A nurse is caring for a school-age child who has primary nephrotic
syndrome and is taking prednisone. Following 1 week of treatment, which
of the following manifestations indicates to the nurse that the medication is
effective?
(Ans- Decreased edema; experience edema due to the increased
glomerular permeability, which increases protein loss. Prednisone
decreases glomerular permeability, which causes fluid to shift from the
extracellular spaces, resulting in decreased edema.<\/p>\n\n\n\n
following children should the nurse assess first?
(Ans- A toddler who has a concussion and an episode of forceful vomiting.;
indication of increased intracranial pressure in a toddler who has a
concussion.
A nurse is providing discharge teaching to the guardians of a toddler who
had lower leg cast applied 24 hr ago. The nurse should instruct the
guardians to report which of the following finding to the provider?
(Ans- Restricted ability to move the toes.; restricted ability of the toddler to
move their toes is an indication of neurovascular compromise and requires
immediate notification of the provider. Permanent muscle and tissue
damage can occur in just a few hours.
A nurse in an emergency department is auscultating the lungs of an
adolescent who is experiencing dyspnea. The nurse should identify the
sound as which of the following?
(Ans- Wheezes
A nurse is caring for a preschooler who has congestive heart failure. The
nurse observes wide QRS complexes and peaked T waves on the cardiac
monitor. Which of the following prescriptions should the nurse clarify with
the provider?
(Ans- Potassium Chloride
A nurse is planning an educational program for school-age children and
their parents about bicycle safety. Which of the following information should
the nurse plan to include?
(Ans- The child should be able to stand on the balls of their feet when
sitting on the bike.; To decrease the risk for injury, parents should ensure
that the bike is the correct size for the child<\/p>\n\n\n\n
oximetry. The nurse should secure the sensor to which of the following
areas on the infant?
(Ans- Great Toe
A nurse is an emergency department is caring for a school-age child who
has epiglottitis. Which of the following actions should the nurse take?
(Ans- Monitor the child\u2019s oxygen saturation
A nurse in an emergency department is caring for a school-age child who
has sustained a minor superficial burn from fireworks on their forearm.
Which of the following actions should the nurse take?
(Ans- Apply an antimicrobial ointment to the affected area.
A nurse in a providers office is caring for a school-age child who has
varicella. The parents asks the nurse when their child will no longer be
contagious. Which of the following responses should the nurse make?
(Ans- “When your child\u2019s lesions are crusted, usually 6 days after they
appear.”; the child is contagious 1 day prior to lesion eruption and until the
vesicles have crusted over, which usually takes about 6 days.
A nurse is providing discharge teaching to the parent of a school-age child
who has moderate persistent asthma. Which of the following instructions
should the nurse include?
(Ans- “Pulmonary function tests will be performed every 12 to 24 months to
evaluate how your child is responding to therapy.”
A nurse is admitting an infant who has intussusception. Which of the
following findings should the nurse expect? (Select all that apply.)
(Ans- Vomiting; due to the obstruction that occurs when a segment of the
bowel telescopes within another segment of the bowel.
Lethargy; due to episodes of severe pain during which the infant cries
inconsolably, leading to exhaustion and decreased nutritional intake.<\/p>\n\n\n\n
week postoperative following an open fracture repair. Which of the
following findings should the nurse identify as an indication of a potential
complication?
(Ans- Erythrocyte sedimentation rate 18 mm\/hr; bove the expected
reference range of up to 10 mm\/hr and is an indication of osteomyelitis.
WBC Count Normal: 5,000 to 10,000\/mm3
C-Reactive Protein Normal: Less than 10.0 mg\/L
RBC Count Normal: 4.0 to 5.5 million\/mm3
A nurse is providing discharge teaching to the parents of a 3-month old
infant following a cheiloplasty. Which of the following instructions should
the nurse include?
(Ans- “Apply a thin layer of antibiotic ointment on the your babys suture
line daily for the next 3 days.”
A nurse is discussion organ donation with the parents of a school-age child
who has sustained brain death due to a bicycle crash. Which of the
following actions should the nurse take first?
(Ans- Explore the parents feelings and wishes regarding organ donation.
A nurse is caring for a 1-month-old infant who is breastfeeding and requires
a heel stick. Which of the following actions should the nurse take to
minimize the infants pain?
(Ans- Allow the mother to breastfeed while the sample is being obtained.
A nurse is assessing an adolescent who received a sodium polystyrene
sulfonate enema. Which of the following findings indicates effectiveness of
the medication?
(Ans- Serum potassium level 4.1 mEq\/L; The nurse should monitor the
adolescent’s serum potassium level following the administration of sodium
polystyrene sulfonate. This medication is used to treat hyperkalemia by
exchanging sodium ions for potassium ions in the intestine. Therefore, a
potassium level within the expected reference range of 3.4 to 4.7 mEq\/L
indicates the effectiveness of the medication.<\/p>\n\n\n\n