Peds ATI VERY IMPORTANT RESOURCE FOR EXAM

• A nurse is caring for a child during a tonic-clonic seizure. Which of the following actions should the nurse take? SATA • Clear the areas of hard objects • Firmly hold the child’s arms to one side • Place a pillow ...

• A nurse is caring for a child during a tonic-clonic seizure. Which of the following actions should the nurse take? SATA • Clear the areas of hard objects • Firmly hold the child’s arms to one side • Place a pillow under the childs head • Insert a tongue blade into the childs mouth • Loosen tight clothing around the childs neck. • A nurse is preparing to perform a venipuncture to collect a blood sample from an infant. Which of the following restraints should the nurse plan to use for this procedure? • Elbow • Mitten • Jacket • Mummy • A nurse is teaching a parent of a preschool-age child about management of sleep terrors. Which of the following instructors should the nurse include? • Take the child to the parents bed to resume sleep • Allow the child to fall asleep with the television on • Remain uninvolved until the child awakens • Schedule professional counseling for the child • A nurse is assessing a toddler who is 8hr post operative following a cardiac catherization procedure. Which of the following findings should the nurse report to the provider? • Weak pedal pulse distal to the site • Bilateral cool extremities • Serum glucose 90mg/dl • BP 102/58 • A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessement findings is the priority? • The child swallows frequently • The child refuses clear liquids • The childs throat pain increases • The child cries often • A nurse is planning care for an 8 month old infant who has bronchiolitis. Which of the following actions should the nurse include in the plan of care? • Use a bulb syringe to suction the nares • Place the infant in a room with negative pressure airflow • Administer a meningococcal vaccine upon admission • Initiate IV antibiotic therapy • A nurse is preparing a parents education class about nutrition for toddlers. The nurse should identify which of the following findings as an indication of protein deficiency? • Dry, Thinning Hair • Muscle Twitching • Dental Caries• Poor Skin Turgor • A nurse is caring for a 10 month old who was brought to the emergency dept by his parents following a head injury. Which of the following actions should the nurse take first? • Examine the scalp for lacereationss • Inspect for fluid leaking from the ears • Assess respiratory status • Check pupil reactions • A nurse is collecting data from a toddler who weighs 20kg and has a full thickness burn to 10% of his body. Which of the following findings should the nurse report to the provider? • Bowel sounds 20/min • Increased restlessness • Respiratory rate 25/min • Urinary output 35 ml/hr • A nurse in an emergency department is caring for a preschool age child who has acute acetylsalicylic acid poisoning. Which of the following should the nurse expect? • Jaundice • Hyperpyrexia • Polyuria • Neck vein distention • A nurse is assessing a preschool age child who has celiac disease. Which of the following findings should the nurse expect? • Obesity • Polyphagia • Steatorrhea • Chronic Constipation • A school nurse is assessing a 7 year old student. The nurse should identify which of the following findings as a potential indicator of physical abuse? • Bruising around the wrists • Front deciduous teeth missing • Abrasions on the knees • Weight in the 45th percentile • A nurse is planning care for a child who has osteomyelitis. Which of the following interventions should the nurse include in the plan of care. • Provide a high calorie low protein diet • Encourage frequent physical activity to increase bone mass • Initiate contact precautions for the child • Maintain a patent intravenous catheter • A nurse is reviewing the lab resultsl of the preschool age child who has hematuria. Which of the following results should the nurse report to the provider? • Platelet count 170,000/mm • Hgb 12 • Hematocrit 36 • BUN 21• 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 • Apply eutectic mixture of local anesthetics (EMLA) crema immediate before the injections • Provide a pacifier coated with oral sucrose solution prior to the injections • Inject the immunixations in the deltoid muscle • Use a 20 gauge needle for the injections • A nurse is conduction a well child visit with the parents of a 2 week old newborn. The nurse should inform the parents that their newborn should receive the measles, mumples and rubella immunization at what age? • 12 months • 9 months • 4 months • 6 months • A nurse is admitting a school age child who has osteomelitis. Which of the following actions should the nurse take first? • Administer antibiotics • Teach the child nonpharmacological pain management techniques • Request a referral for physical therapy • Obtain a blood culture • A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first? • Check the ph of the gastric secretions • Flush the tube with water • Set the administration rate on the feeding pump • Attach the feeding bag tubing to the end of the NG tube • A nurse is caring for a 3 year old child who is recovering from surgery. Which of the following methods should the nurse use to assess the childls pain level? • Visual analog scale • Oucher scale • Poker chip tool • Word graphic rating scale • A nurse is caring for a 4 year old child who has meningitits and is receiving gentamicin. Which of the following lab values should the nurse report to the provider? • Bun 6 mg • Creatinine 1.4mg • Creatinine 0.3 • BUN 12mg • A nurse is providing education to a parent of a toddler who is experiencing sickle cell crisis. Which of the following statements by the parent indicates an understanding of the teaching? • I should avoid massaging affected areas • I should expect my child to have an altered mental status• I will apply cold compresses to the painful areas • I will increase my childs fluid intake • Nurse is caring for a child who has epiglottitis due to an infection with Haemophilus Influenzae Type B. Which of the following actions should the nurse take? SATA • Initiate IV Access • Obtain a throat culture • Inspect the epiglottis • Begin droplet precautions • Monitor oxygen saturation • A nurse is teaching homecare to the parents of a preschool age child who has heart failure. Which of the following information should the nurse include in the teaching? • Withhold digoxin if the child pulse is greater than 100/min • Provide for the periods of rest • Increase the childs oxygen flow rate until the child no longer has cyanosis • Weigh the child once each month • A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation. Which of the following actions should the nurse include in the plan of care • Offer sips of water 4hr following surgery • Maintain the head of the bed at 30 degree angle • Assist the adolescent to ambulate 12hr following surgery • Ensure two nurses logroll the adolescent every 2hr • A nurse is providing teaching to a parent of an 11 month old infant who has acute diarrhea and dehydration. Which of the following fluids should the nurse instruct the parent to provide to the infant? • Glucose water • Chicken broth • Half strength apple juice • Oral electrolyte solution • A charge nurse is teaching group of nurses about identifying child abuse. Which of the of the following findings should the nurse identify as a potential indicator of child abuse? • A mother is hesitant to comfort her 6 month old • An 8 month old cries when his parent leaves the room • A toddler has bruises on his knees • A toddler repeatedly refuses to let a nurse auscultate his lungs • A nurse is reviewing the medical record of a 6 month old infant who has heart failure prior to administering medications. The nurse should recognize that which of the following medications is contraindicated? (Click on the Exhibit Button) • Furosemid • Digoxin • Spironolactone • Enlapril• A nurse is assessing a 24 month old toddler. Which of the following findings should the nurse report to the provider? • Holds his breath when having a temper tantrum • Sleeps 11 to 12 hr per day • Has a vocabulary of 30 words • Eats a large amount of food one day then very little the next • Nurse is helping a school age child who has celiac disease select menu items for the next days meals and snacks. Which of the following foods should the nurse encourage the client to choose? • A cheese omelet with OJ • Graham crackers with Peanut Butter • Beef, Barley and Veggie Soup • Sliced Chicken breast on Whole Wheat Bread • Nurse is providing discharge teaching to the parents of a preschool age child who has heart failure and a new prescription for digoxin oral solution. Which of the following instructions should the nurse include • Rinse the childs mouth with water after giving the medication • Mix the medication with 6 oz of childs favorite juice • If your child vomits do not give the medication for 48hrs • If a dose is missed double the next dose • A nurse is providing teaching to the parents of a child who has varicella about management of the disease. Which of the following instructions should the nurse include in the teaching • Avoid giving the child a bath while vesicles are present • Keep the child away from others until the skin is clear of scabs • Apply calamine lotion to vesicles on the childs skin • Dress the child in warm clothing to promote healing of vesicles • A nurse is teaching an adolescent who has a MRSA infection. Which of the following statements by the adolescent indicates an understanding of the teaching? • I can continue to participate in wrestling matches • I will use a new razor each time I shave • I will soak in warm bath every evening • I will wash the infected area first when I shower • A nurse in an emergency department is caring for a child who experienced a submersion injury. Which of the following is the priority action for the nurse to take • Assist with intubation • Obtain an ABG Sample • Administer an IV bolus • Apply warming blankets • A nurse is administering an opioid to an adolescent who is in sickle cell crisis. Which statement is true regarding opioid pain management. • Oral opioid doses should be larger than parenteral doses • Oral opioids should not be combined with other types of pain relievers • Opioid doses should be used for mild pain • Opioid doses should be titrated until sedations occurs• A nurse is providing teaching to the parents of a school age child who has ADHD. Which of the following instructions should the nurse include • Place the childs daily activities on an organizational lchart • Instruct the child to study challenging subjects in the afternoon • Administer the childs medication at bedtime • Have the child do homework with siblings • A nurse in the emergency department is caring for an adolescent who is requesting testing for sti. Which of the following actions is appropriate for the nurse to take • Request verbal consent from the social worker • Obtain written consent from the client • Postpone the testing until the clients parents are present • Contact the clients parents to obtain phone consent • A nurse is providing discharge teaching to the parents of a school age child following placement of a ventriculoperitoneal shunt. The nurse should determine that the teaching was effective when the parents identify which of the following as an indicator the shunt has been displaced • Hyperactive bowel sounds • Decrease urine output • Elevated temperature • Increased sleeping • A nurse is planning care for a child immediately following the insertion of a chest tube for continuous suction with a closed drainage stystem. Which of the following interventions should the nurse include in the plan of care. • Ensure continuous bubbling is present in the suction control chamber • Record the amount of chest tube drainage every 2 hr • Change the chest tube insertion site dressing every 12 hr • Report the presence of tidaling of fluid in the water seal chamber • A nurse is providing teaching to a parent of an infant who has diaper rash. Which of the following statements by the parents indicates an understanding of the teaching • I will keep the area warm and moist • I will sprinkle talcum powder over the affected area twice daily • I will use antibacterial soap to wash the rash with each diaper change • I will use super absorbant disposable diapers • A nurse is assessing a child who is 2hr postoperative following cardiac catherization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first? • Monitor pulse distal to the insertion site • Administer acetaminophen • Apply pressure just above the insertion site • Check the childs blood glucose level • Nurse is providing dietary teaching to a parent of a 10 month old infantwho has phenylketonuria. Which of the following responses by the parent indicates an understanding of the teaching • I will steam carrots and cut them into small pieces for her • My daughter cant drink orange juice • I will switch her to whole milk now that she is old enough • I should ensure that my daughter eats 1 oz of meat every day. • A nurse is providing teaching about medication administration to the parents of a toddler who has a new prescription for liquid ferrous sulfate. Which of the following instructions should the nurse include in the teaching? • Report tarry green stools to the provider • Provide an antacid prior to administration • Dilute the drops with water prior to administration • Administer the drops with milk • Nurse is reviewing laboratory results of a school age child. Which of the following findings should the nurse report to the provider? • Erythrocytes 4.5million • Platelets 110,000/mm • Hemoglobin 12 • Leukocytes 10,000 cells • A nurse in a PACU is caring for a school age child immediately following a tonsillectomy. Which of the following actions should the nurse take? • Place the child in a side-lying position • Instruct the child to drink fluids through a straw • Encourage the child to deep breathe and cough • Offer the child ice cream when alert • A nurse is caring for an infant who has heart failure and is receiving digoxin. Which of the following findings indicates a positive response to the medication? • Urine output 2ml/kg/hr • Capillary refill 4 seconds • HR 187/min • Respiratory rate 32/min • A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider? • Facial twitching • Constipation • Enuresis • Kyphosis • A nurse is caring for a child who is 2 days post operative following an appendectomy due to rupture of the appendix. The childs ng tube is set to low intermittent suction. Which of the following findings indicates that the childs gastrointestinal function has returned • The abdomen is soft and nondistended on palpation • The NG tube has 20ml of output every hour • The nurse auscultates bowel sounds • The child reports thirst and hunger • A nurse is planning to teach an adolescent who is lactose intolerant aboutdietary guidelines. Which of the following instructions should the nurse include in the teaching? • You should consume flavored yogurt instead of plain yogurt • You can drink milk on an empty stomach • You can replace milk with nondairy sources of calcium • You may tolerate plain milk better than chocolate milk • A nurse in a family practice clinic is assessing a preschool age child who recently experienced the death of a sibling. Which of the following reactions is an age appropriate response to death? • The child can give a logical explanation for the siblings death • The child feels responsible for the siblings death • The child is curious about what happened to the siblings body • The child views the siblings death as permanent • A nurse is caring for a toddler who is postoperative following cleft palate repair. Which of the following actions should the nurse take? • Keep the toddler NPO for 24hr postoperative • Use a bulb syringe to suction oral secretions • Change oral packing every 6 hr • Administer opiods for mouth pain • A nurse is reviewing the results of the newborn screening for a newborn who is 1 week old. Results include total T4 0.8mcg, phenylalanine 0.7 mg, and negative galactosemia. Which of the following interventions should the nurse include in the plan of care? • Monitor the newborns urine for ketones • Instruct the newborns parent about how to administer levothyroxine • Initiate a diet low in phenylalanine • Obtain blood glucose every 4 hr • A nurse is caring for a 4 year old who has moderate dehydration. Which of the following findings should the nurse expect? • Weight gain • HR 70/min • Orthostatic Hypotension • Respiratory Rate 18/min • A nurse is caring for a school age child who is in 90/90 skeletal traction. Which of the following actions should the nurse take? • Ensure that the pulley mechanism is attached to the skin • Release the traction to allow the child to bathe • Adjust the weights to allow the child to turn • Place the child on alternating pressure mattress • A nurse is assessing an infant who has acute otitis media. Which of the following findings should the nurse expect? SATA • Crying • Fever • Restlessness • Enlarge subclavicular lymph node• Increased appetite • A nurse is assessing a 6 month old infant who has respiratory synctial virus. The nurse should immediately report which of the following findings to the provider? • Pharngitis • Rhinorrhea • Tachypnea • Coughing • A nurse is providing teaching to the parents of a child who is receiving radiation therapy. Which of the following instructions should the nurse include in the teaching? SATA • Avoid giving your child lengthy baths • Encourage mild activity daily • Offer a diet rich in fresh fruits and veggies • Apply an oil based lotion over the irradiated area twice per day • Dress your child in loose fitting clothes • A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect? • Hyperactive Reflexes • Ataxia • Pinpoint pupils • Hypothermia • A nurse is caring for a newly admitted toddler who has acute diarrhea. Which of the following actions should the nurse take first? • Initiate contact precautions • Obtain a stool specimen for culture • Administer an antibiotic • Give 0.9% Sodium Chloride IV Bolus • A nurse is assessing a child who has measles. Which of the following areas should the nurse inspect for Koplik spots? • A nurse is caring for a child who is to receive the first dose of IV gentamicin. Which of the following actions should the nurses take? • Initiate airborne precautions • Monitor for constipation • Maintain strict I &O • Encourage bed rest • 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 teachinig? • We will measure the amount of protein in your baby’s urine over a 24hour period. • Your baby will need to fast for the 8hrs prior to the test • A nurse will insert an IV prior to the test • The test will measure the amount of chloride in your babys sweat • A nurse is prioritizing care for four clients. Which of the following clientsshould the nurse assess first? • An adolescent who has a sickle cell anemia and slurred speech. • An adolescent who is in skin traction and reports a pain level of 7 on a scale from 0 -10 • A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus on nafcillin • A toddler who has a partial thickness burn on his right hand and requires a dressing change • A nurse is providing teaching to a parent of a child who has cystic fibrosis and a new prescription for dornase alfa. Which of the following instructions should the nurse include in the teaching? • Store the medication in the fridge • Use a spacer with this med • Administer every 4 hours as needed for cough • Mix the med with albuterol solution prior to administration • A nurse is caring for a child who has bacterial meningitis. Which of the following criteria indicates the nurse should remove the child from droplet precautions? • Absent nuchal rigidity • Negative cerebrospinal fluid culture • Temperature below 37.4C (99.4F) • Antibiotics initiated 24hr ago • A nurse is assessing a school age child who has type 1 DM. The nurse notes that the child is diaphoretic. Which of the following actions should the nurse take? • Obtain a blood glucose level • Administer 1 unit of regular insulin • Give 500 ml of 0.9% sodium chloride IV Bolus • Check the urinary ketones • A nurse is caring for a child who is terminally ill. The parents tell the nurse that their child is going to be fine because they heard about another child who survived the same illness. Which of the following responses should the nurse make? • The provider told you that your childs illness is terminal • Lets talk about some happy memories with your child • Tell me what you know about your childs illness • It is important that you believe your child will survive • A nurse is assessing a toddler who has cystic fibrosis. Which of the following findings should the nurse expect? • Rhinorrhea • Steatorrhea • Weight Gain • Visible Peristalsis • Nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching? • Soak hairbrushes in boiling water for 10 min • Apply bactericidal ointment to lesions • Administer acyclovir PO two times per day • Seal soft toys in a plastic bag for 14 days• A nurse is preparing to administer naproxen 150mg PO to a child who is experiencing pain. Available is naproxen 125mg/ 5 ml solution. How many ml should the nurse administer? • A nurse is preparing to administer immunizations to a 5 year old child who is up to date with the current immunization schedule. Which of the following immunizations should the nurses plan to administer? • Hep B • Varicella • Haemophilius Influenze Type B • Rotavirus