ATI Peds 2016 questions (70 questions) PDF

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ATI Peds 2016 questions (70 questions) with answers checked. 100% level 3 proficiency. Nursing course. California state university....

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Pr peds 1

A nurse is helping a school-age child who has celiac disease select menu items for the next day’s meals and snacks. Which of the following foods should the nurse encourage the client to choose?  A cheese omelet with orange juice

2

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 indicated an understanding of the teaching?  “ “I will steam carrots and cut them into small pieces for her.”

3

A nurse is reviewing the results of the newborn screening who is 1 week old. Results include total T4 0.8mcg/dL, phenylalanine 0.7mg/dL, and negative galactosemia. Which of the following interventions should the nurse include in the plan of care?  Instruct the newborn’s parent about how to administer levothyroxine

4

A 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? (Select all that apply)  Begin droplet precautions  Initiate IV access  Monitor oxygen saturation

5

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

6

A 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 your child’s mouth with water after giving the medication.”

7

A nurse is assessing a 24-month-old toddler. Which of the following findings should the nurse report to the provider?  Has a vocabulary of 30 words  Holds his breath when having a temper tantrum

8

A nurse is assessing a child who is 2 hours postoperative following cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse takes first?  Apply pressure just above the insertion site {1inch} o Keep flat 4-8 hours o Npo 4-6 hours prior to surgery

9

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?  “You can replace milk with nondairy sources of calcium”

10 A nurse is collecting data from a toddler who weighs 20 kg (44lb) and has a full thickness burn to 10% of his body. Which of the following findings should the nurse report to the provider?  Increased restlessness 1.

Full thickness burn, what would the parent help with? Encourage oral hydration

11 A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?  The child swallows frequently

Pr peds 12 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?  Oral electrolyte solution 13 A nurse in an emergency department is caring for a child who experiences a submersion injury. Which of the following is the priority action for the nurse to take?  Assist with intubation 14 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 in contraindicated? (exhibit button)  Enalapril 15 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?  Place the child on an alternating pressure mattress 16 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?  “The test will measure the amount of chloride in your baby’s sweat.” 17 A nurse is assessing a preschool-age child who has celiac disease. Which of the following findings should the nurse expect?  Steatorrhea 18 A nurse is caring for a toddler who is postoperative following cleft palate repair. Which of the following actions should the nurse take?  Administer opioids for mouth pain 19 A nurse is caring for a 3-year-old who is recovering from surgery. Which of the following methods should the nurse use to assess the child’s pain level?  Oucher scale / ati says faces 20 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?  Mummy 21 A nurse is reviewing the laboratory results of a preschool-age child who has hematuria. Which of the following results should the nurse report to the provider?  BUN 21mg/dL (8-18 normal) 22 A nurse is planning care for a child immediately following the insertion of a chest tube for continuous suction with a closed drainage system. Which of the following interventions should the nurse include in the plan of care?  Ensure continuous bubbling is present in the suction control chamber 23 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?  Maintain a patent IV catheter 24 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 feels responsible for the sibling’s death

Pr peds 25 A nurse is teaching home care to the parents of a preschool-age child who has heart failure. Which of the following information should the nurse include in the teaching?  Provide for periods of rest 26 A nurse is caring for a child who is 2 days postoperative following an appendectomy due to rupture of the appendix. The child’s NG tube is set to low intermittent suction. Which of the following findings indicates that the child’s gastrointestinal function has returned?  The nurse auscultates bowel sounds 27 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 28 A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs. Which of the following actions is appropriate for the nurse to take?  Obtain written consent from the client 29 A nurse is caring for a child who has bacterial meningitis. Which of the following criteria indicated the nurse should remove the child from droplet precautions?  Antibiotics initiated 24 hours ago 30 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 31 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 32 A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect?  Ataxia o ATI pg. 289  Gagging, choking, coughing, nausea, vomiting, lethargy, weakness, tachypnea, cyanosis, grunting, and retractions 33 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?  Increased sleeping or [elevated temp] 34 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 35 A nurse is assessing a toddler who is 8 hours postoperative following a cardiac catheterization procedure. Which of the following findings should the nurse report to the provider?  Weak pedal pulse distal to the site  Bilateral cool extremities o if not, Cardiac catheterization 2 hours post op: don’t take tub bath for three days 36 A nurse is assessing a child who has measles. Which of the following areas should the nurse inspect for Koplik spots? (this is a picture question!!!)  Mouth (measles around buccal part)

Pr peds 38 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?  “Tell me what you know about your child’s illness” 39 A nurse is assessing an infant who has acute otitis media. Which of the following findings should the nurse expect? (select all that apply)  Restlessness ( irritability)  Fever  Crying o tugging ear, loss of appetite, N/V 40 A nurse is caring for a child who is to receive the first dose of IV gentamicin. Which of the following actions should the nurse take?  Maintain strict I&O 41 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 2 mL/kg/hr (normal is 1.5 to 2ml) 42 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? (select all that apply)  “Dress your child in loose-fitting clothes”  “Avoid giving your child lengthy baths”  “Encourage mild activity daily” 43 A nurse is caring for a 4-year-old who has moderate dehydration. Which of the following findings should the nurse expect?  Orthostatic hypotension 44 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?  Apply calamine lotion of vesicles on the child’s skin 45 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 will increase my child’s fluid intake” 46 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?  Hyperpyrexia 47 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 refrigerator” i. ATI pg. 106 1. instruct the child how to use a nebulizer 2. “Use a spacer with this medication” 48 A nurse is assessing a school-age child who has type 1 diabetes mellitus. The nurse notes that the child is diaphoretic. Which of the following actions should the nurse take?  Obtain a blood glucose level

Pr peds 49. A nurse is administering an opioid to an adolescent who is in sickle cell crisis. Which statement is true regarding opioid pain management?  Oral opioids should not be combined with other types of pain relievers 50 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 nurse plan to administer?  Varicella 51 A nurse is caring for a 10-month-old child who was brought to the emergency department by his parents following a head injury. Which of the following actions should the nurse take first?  Assess respiratory status 52 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 child’s daily activities on an organizational chart 53 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?  Tachypnea 54 A nurse is caring for a child during a tonic-clonic seizure. Which of the following actions should the nurse take? (select all that apply)  Place a pillow under the child’s head  Clear the area of hard objects  Loosen tight clothing around the child’s neck ** have suction 55 A nurse is teaching a parent of a preschool-age child about management of sleep terrors. Which of the following instructions should the nurse include?  Remain uninvolved until the child awakens 56 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?  Ensure two nurses logroll the adolescent every 2 hours 57 A nurse if reviewing laboratory results of a school-age child. Which of the following findings should the nurse report to the provider?  Platelets 110,000/mm3 (150-400) 58 A charge nurse is teaching a group of nurses about identifying child abuse. Which of the following findings should the nurse identify as a potential indicator of a child abuse?  A mother is hesitant to comfort her 6-month-old infant 59 A nurse is providing teaching to a parent of an infant who has diaper rash. Which of the following statements by the parent indicates an understanding of the teaching?  “I will use super-absorbent disposable diapers” 60 A nurse is admitting a school-age child who has osteomyelitis. Which of the following actions should the nurse take first?  Obtain a blood culture 61 A nurse is preparing a parent’s education class about nutrition for toddlers. The nurse should identify which of the following findings as an indication of protein deficiency?

Pr peds 

Dry, thinning hair

62 A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?  An adolescent who has sickle cell anemia and slurred speech 63 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?  “Dilute the drops with water prior to administration” 64 A nurse if preparing to administer immunization to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver a traumatic care?  Provide a pacifier coated with an oral sucrose solution prior to injections -Might ask time: give 2 min before and 3 min after medication is administered 65 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?  Creatinine 1.4 mg/dL (0.1-0.5) 66 A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indication of physical abuse?  Bruising around the wrists 67 A nurse is conducting 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, mumps, and rubella (MMR) immunization at what age?  12 months (MMR 12-15months 1st dose) 68 A nurse is teaching an adolescent who has a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which of the following statements by the adolescent indicates an understanding of the teaching?  “I will use a new razor each time I shave” 69 A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instruction should the nurse include in the teaching?  Apply bactericidal ointment to lesions 70. What is the precaution with bacterial meningitis?  Droplet i. Double check that it is only droplet, and not droplet and contact 71. What procedure confirms meningitis?  Lumbar Puncture i. low glucose level ii. increased WBC count iii. increased protein 72. *A nurse is preforming Trach care on a child, during the post procedure what should you tell the child to do?  Flex neck when fastening the ties 73. A child has cystic fibrosis, the medical doctor prescribed Dornase Alfa, and how would you administer the medication?  use spacer 74. A child came in the ER with white Mouth ulcers; his medical history says he has cystic fibrosis, what medication would cause this? What should the nurse recommend the parent?

Pr peds 

Fluticasone propionate/salmeterol i. Clean the meter dose inhaler and spacer, and have child rinse mouth after administration (Pg. 106

75. A child has Rotavirus, what precaution should the nurse place them on?  Contact precaution 76. Family community education – encourage the 15 year old to increase calcium intake 77. Always give oral electrolytes for diarrhea BEFORE IV electrolytes

78. *A toddler is receiving morphine and acetaminophen PRN for pain, the child RR is 12, the nurse should?  Assess sedation 79. *The laboratory report came back for an infant who has bacterial pneumonia, which lab is elevated and what does it indicate?  WBC 18000 dl/mg i. Bacterial meningitis 1. Bacterial pneumonia- platelet count of 170,000 (don’t get confused with 1800 of WBC) 80. You are taking care of a patient who has nephrotic syndrome, he is excreting a lot of urine, reviewing the lab results you find out that his urine contains?  Hypoalbuminemia [reduced serum protein and albumin] i. ATI pg. 158 [serum chemistry] 81. A nurse is reviewing a laboratory results for a patient who has rheumatic fever, select all that apply that relates to rheumatic fever.  Elevated ESR [erythrocyte sedimentation rate]  Elevated CRP [C-reactive protein]  Elevated O titer [serum antistreptolysin- O titer] PG.118 1. A& B Elevation in response to inflammatory reaction 2. C. Elevated or rising titer, most reliable dx test 3. dx rheumatic fever ? a. Throat culture for GABHS 82. A chemo patient who has oral sore, what is the best intervention to limit discomfort?  Gauze with Saline 83. An toddler was diagnosis with vulvovaginitis, what teaching should the nurse implement?  Warm moist compress 3x a day 84. An emergency nurse is monitoring an adolescent who came in with chest pain, what vital signs should the nurse notify the medical doctor?  RR: 54 85. You are assessing a 4-year-old vision test, which vision screening would be appropriate for his age?  Tumbling E (they don’t know their alphabets) 86. Leg cast 

Assess for pallor i. ATI pg.168 [ neurovascular assessment]

Pr peds 87. Arm cast  Elevate on pillow at night i. ATI pg 168 ii. Elevate the cast above the level of the heart during the first 24-48 hrs to prevent swelling

88. A infant patient is presented with GERD what symptom should you notify the doctor about?  Wheezing i. Ati pg. 142 expected findings 1. Resp. problems 2. Apnea 3. Failure to thrive 89. Mother working and has 3 kids – respite child care 90. GERD, what do you report to provider?  report regurgitation 91. Burns –administer IV “lactated ringers” (another name for crystalloid solutions) 92. What is the treatment for Epiglottis?  antibiotic therapy i. Corticosteriods (week 2 resp. lecture slide 30) 93. Cushing’s syndrome- hyperglycemia [ always Assess for high glucose ] 94. Picture of the heart and it’s asking you to point out PDA defect

95. Sickle cell symptom  pale conjunctiva

Pr peds 96. Nephrotic- protein 4.2 97. For sickle cell the type of care that they will get is:  Bed rest 98. True or False Moderate dehydration is 7%?  True

i. ATI pg. 136 1. Mod. 6-9% [infant] 2. Mod. 6-8% [child]

99. Mix infants medication with flavored syrup rather than juice 100. 12 year old will have mood swings 101. A toddler is post op following a tonsillectomy, which complication should be reported to the medical doctor?  Tachycardia i. ATI Pg.92 1. Complications a. Hemorrhage [ sign of bleeding]

102. What is an expected finding with a patient who has acute Glomerulonephritis?  Facial edema i. ATI pg. 157 [ expected findings] 103. What is an expected finding with a patient w...