This is for ATI for the course of pediatrics PDF

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1. A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following should the nurse include in the plan of care?  Schedule routine oral care every 8 hrs.  Administer oral viscous lidocaine  Moisten the mucous with lemon glycerin swabs  Cleanse the gums with saline soaked gauze 2. A 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?  Seal soft toys in a plastic bag for 14 days  Apply bactericidal ointment to lesions  Administer acyclovir PO two times per day Soak hairbrushes in boiling water for 10 min 3. A nurse in the emergency department is assessing a toddler who has hyperpyrexia, severe dyspnea, and is drooling. Which of the following actions should the nurse take first?  Prepare the toddler for nasotracheal intubation  Insert an IV catheter for the toddler  Obtain a blood culture from the toddler  Administer an antibiotic to the toddler 4. A nurse is caring for an infant who has a patent ductus arteriosus. The nurse should identify that the defect is at which of the following locations of the heart? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your assessment)  Answer: B 5. 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?  Clear the area of hard objects  Minimize movement of the limbs  Insert a tongue blade between the teeth  Place the child in a prone position 6. A nurse is assessing a 6-month old infant who has respiratory syncytial virus. The nurse should immediately report which of the findings to the provider?  Coughing  Tachypnea  Pharyngitis  Rhinorrhea 7. A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should expect that which of the following laboratory tests can contribute to confirming this diagnosis? (Select all that apply)

    

Antistreptolysin O (ASO) titer Blood urea nitrogen (BUN) Partial thromboplastin (PTT) Erythrocyte sedimentation rate (ESR) C-reactive protein (CRP)

8. A nurse in an emergency department is caring for a child following an overdose of acetylsalicylic acid. Which of the following medications should the nurse plan to administer?  Flumazenil  Phytonadione  Midazolam  Naloxone 9. A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamycin. Which of the following laboratory results should the nurse report to the provider?  Creatinine 1.4 mg/dL  BUN 12 mg/dL  BUN 6 mg/dL  Creatinine 0.2 mg/dL 10. A nurse is caring for an adolescent who is 1 hr postoperative following an appendectomy. Which of the following findings should the nurse report to the provider? muscle rigidity 11. A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of following findings should the nurse expect? Ataxia

12. A nurse in a provider's office is assessing the vital signs of a 2-year old child at a well-child visit. Which of the following findings should the nurse report to the provider? BP 118/74 mm Hg

13. 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? Provide a pacifier coated with oral sucrose solution prior to the injections. 14. A charge nurse is planning care for an infant who has failure to thrive. Which of the following actions should the nurse include in the plan of care? Use half-strength formula when feeding the infant.

15. 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 16. A nurse is caring for a 10 month-old child who was brought to the ED by his parents following a head injury. Which of the following actions should the nurse take first? A. Examine the scalp for lacerations. B. Inspect for fluid leaking from the ears. C. Assess respiratory status D. Check pupil reactions 17. ** 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? A. Provide a high-calorie, low-protein diet B. Encourage frequent physical activity to increase bone mass. C. Initiate contact precautions for the child D. Maintain a patent intravenous catheter. 18. 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? A. Withhold digoxin if the child’s pulse is greater than 100/min B. Provide for periods of rest C. Increases the child’s oxygen flow rate until the child no longer has cyanosis D. Weigh the child once each month

19. 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? Request for verbal consent from the social worker Obtain written consent from the client Postpone testing until the client’s parents are present Contact the client’s parents to obtain phone consent.

20. A nurse in PACU is caring for a school age child immediately following 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 21. 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 should consume flavored yogurt instead of plain yogurt You can drink milk on a empty stomach You can replace milk with nondairy sources of calcium You may tolerate plain milk better than chocolate milk 22 . A nurse is assessing an infant who has acute otitis media. Which of the following findings should the nurse expect? (Select all that apply) Crying Fever Restlessness Enlarged sub clavicular lymph node Increased appetite

23. 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 teaching? “We will measure the amount of protein in your baby’s urine over a 24 hour period.” “Your baby will need to fast for 8 hours prior to the test.” “A nurse will insert an IV prior to the test.” “The test will measure the amount of chloride in your baby’s sweat.”

24. A nurse in 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 An adolescent who is in skin traction and reports a pain level of 7 on a scale from 0 to 10 A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin A toddler who has a partial-thickness burn on his right hand and

25. 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 26. A nurse is assisting an infant who has severe dehydration due to gastroenteritis. Which of the following findings should the nurse expect? a. Increase urine output b. Hypertension c. Increase respiratory rate d. Capillary refill of 2 seconds 27. A nurse is teaching the parent of a school age child about bicycle safety. Which of the following instructions should the nurse include in the teaching? a. Your child’s feet should be 3 to 6 inches off the ground when seated on the bicycle b. Your child should walk the bicycle through intersections c. Your child should keep the bicycle at least 3 feet from the curb while riding in the street d. Your child should ride the bicycle against the flow of traffic

28. A nurse is reviewing the medical record of a 15-month –old child who is schedule to receive the measles. Mumps. And rubella MMR vaccine. Which of the following finding should the nurse identify as a contraindication for receiving this vaccine. a. Allergy to neomycin b. Temperature of 37.2. C (99.F) . C. Family history of seizures. d. upper respiratory infection 2days ago. 29. A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following immunization should the nurse include in the plan? a. pneumococcal conjugate (PCV13) b. Respiratory syncytial virus (RSV). c. Measles, Mumps, and rubella MMR d. Rotavirus. 30. A nurse is providing teaching to the guardians of an infant who require a pavlik harness. Which instructions should the nurse include ? a apply baby power under the hardness straps daily. b. place the diaper under the straps of the hardness. c. adjust the hardness straps daily. d.massage lotion into the skin under the hardness twice per daily.

31. A nurse is preparing to administer an enteral feeding to an adolescent who has NG tube. Which of the following actions should the nurse take first?

Check the pH of the gastric secretions

32. a nurse is admitting a child who has acute epiglottitis. Which of the following action should the nurse take? a. initiate droplet isolation precaution. b. Assist the child into supine position. c. check oxygen saturation every 4 hr. d. obtain a throat culture. 33.A nurse in an urgent care clinic is prioritizing care for four children. Which of the following children should the nurse assess first?    

A preschool-age child who has a muffled voice and no spontaneous cough An adolescent who has Crohn’s disease and a recent weight loss of 5 kg (11 lbs.) A toddler who has nephrotic syndrome and facial edema A school-age child who has diabetes mellitus and a blood glucose of 200 mg/dL

34.A nurse in the emergency department is caring for a child who has a temperature of 39.1° C (102.4° F) and a suspected diagnosis of bacterial meningitis. Which of the following actions should the nurse take first?  Prepare the child for a lumbar puncture  Administer an antipyretic to the child  Dim the lights in the child’s room  Implement droplet precautions for the child 35.A nurse is performing a cranial nerve assessment on a school-age child. Which of the following findings indicates proper functioning of the child’s trigeminal nerve?  The child maintains balance when standing with eyes closed  The child has symmetrical jaw strength when biting down  The child exhibits a gag reflex when stimulated with a tongue blade  The child correctly identifies specific scents

36.A nurse is teaching a group of female adolescents about healthy eating. Which of the following instructions should the nurse include in the teaching? "Increase the amount of your dietary iron intake" 37. 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

38.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

39. A nurse is caring for a preschooler who is postoperative 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

40. A nurse is providing teaching about home care to the parent of a child who has scabies. Which of the following instructions should the nurse include in the teaching? a. Wash your clients hair with shampoo containing Ketoconazole b. soak Combs and brushes in boiling water for 10 minutes c. apply petroleum jelly to the affected areas. d. treat everyone who came into close contact with a child Use permethrin. 41. A nurse is caring for a preschooler who refuses to take a start dose of oral diphenhydramine. Which of the following statements should the nurse make? a. The medication isn't bad it taste like candy b. let me know when you want to take the medication c. the medication will treat your hypersensitivity reaction ( too much “Adult” terminology/ jargon for preschooler to understand)

d. sometimes, when a child has to take medication, they feel sad.

42. A nurse is caring for a school-age child following the application of a cast to a Fractured right tibia. Which of the following actions should the nurse take first? a. Teach the child about cast care b. Pad the edges of the cast c. administer pain medication d. Elevate the child's leg 43. A nurse is preparing a school-age child for an invasive procedure. Which of the following actions should the nurse plan to take? a. plan for 30 minute teaching session about the procedure b. use vague language to describe the procedure c. explain the procedure to the child when they are in the playroom d. demonstrate deep breathing and Counting exercises 44. A nurse is preparing to collect a urine specimen from a female infant using a urine collection bag. Which of the following actions should the nurse take? -Apply lidocaine gel to the perineum before attaching the bag -Position the opening of the bag over the urethra and the anus -Stretch the perineum taught when applying the bag -Place a snuff fitting diaper over the drainage bag

45.A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome (SIDS). Which of the following statements by the parent indicates an understanding of the teaching?.. a. I will have my baby sleep next to me in the bed during the night b. Elmo my baby stuffed animal to the corner of her crib while she sleeps c. I will dress my baby in lightweight clothing to sleep d. I will lay my baby on her side to sleep for her naps 46. A nurse is monitoring an infant who is receiving opioids for pain. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect? a. Increased blood pressure b. Limb withdrawal c. relaxed facial expression d. bradycardia 47. A nurse is caring for a three-month-old infant who has cleft of the soft palate. Which of the following actions should the nurse take? a. discontinue feeding if the client's eyes become watery b. postpone burping the infant until after completing each feeding c. Elevate the infant’s head to a 10 degree angle during feedings d. Feed the infant 177.4 ml (6 oz) of Formula 3 times a day

48.A nurse in a provider's office is preparing to administer immunization to a 12 year old client during a well-child visit. Which of the following immunization should the nurse plan to administer? a. Diphtheria, tetanus and pertussis (D-Tap) b. human papillomavirus (HPV) c. Varicella d. hepatitis A 49. Nurse is planning care for an 8 month old infant who has heart failure. Which of the following actions should the nurse include in the plan of care? a. Repeat digoxin dosage is the infant vomit within 1 hour of administration b. Place infant in a prone position c. administer cool, humidified oxygen via nasal cannula d. provide less frequent, higher volume feeding Or d 50. A nurse is planning care for a school-age child who is admitted from the emergency department 12 hours ago. Which of the following interventions should the nurse include to promote adequate sleep for the child? a. Provide the child with video games prior to bedtime to reduce stress b. allow the child to adjust their bedtime to promote autonomy c. leave the lights on in the child's room to promote safety d. follow the child home sleep routine to reduce anxiety 51. A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12 month old infant. Which of the following actions should the nurse plan to take? a. cover the insertion site with an opaque dressing b. use a 24 gauge catheter to start the IV c. start the IV on the infant’s foot d. change the IV site every 3 days 52. 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 manifestations should the nurse include as an indication of digoxin toxicity? a. Diaphoresis b. Polyuria c. Bradycardia d. jaundice 53. A nurse is caring for an infant who receives intermittent enteral feeding through a gastrostomy tube. Which of the following actions should the nurse take when administering a feeding? Select all that apply a. offer the infant a pacifier during readings b. formula to 39° C (102 degrees Fahrenheit ) prior to Administration c. check the for residual volume by aspirating stomach contents d. instill the formula over a period Of 30 and 45 minutes 54.A nurse is providing teaching to the guardian of a school-age child who has sickle cell disease about management of the illness. Which of the following instructions should the nurse include?

a. Apply cold compress to painful areas b. but I shall wear a surgical mask to school c. encourage physical activity as tolerated d. offer fluids of bedtime 55. A nurse is assessing a 5 month old infant. Which of the following findings should the nurse report to the provider? a. Unable to hold a bottle b. exhibits head lag when pulled a sitting position c. absent grasp reflex d. unable to roll from back to abdomen 56. A nurse is caring for a five-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage? a. Flushing of the face b. continuous swallowing c. blood pressure 99/ 56 mmhg d. heart rate 54/ minutes 57. A nurse is discussing coping mechanisms with a parent of a three-month-old infant which of the following therapeutic questions should the nurse ask the parent? a. What do you do when your infant is fussy? b. Are you willing to take new parenting classes? c. Does parenting cause you stress? d. Is it overwhelming when your infant is having a bad day? Or b don’t know yet 58. A nurse is providing teaching about the effects of sun exposure to a parent of a toddler which of the following responses by the parent indicates an understanding of the teaching? a. my child should wear a wide-brimmed hat b. my child should remain under a beach umbrella during morning hours c. I should apply 10 SPF sunscreen to my child's entire body d. I should dress my child in loose active clothing 59. A nurse is evaluating a 6 year old child who has cystic fibrosis and has been receiving chest physiotherapy treatment. The nurse should identify which of the following findings as an indication of the therapy has been effective? a. Increased urine output b. increase expectoration c. reduced pain d. increased heart rate 60. A nurse is planning care for a six-month-old infant who has bacterial meningitis. Which of the following interventions should the nurse include in the plan of care? a. Place the infant in a semi-private room b. keep the television on in the room to provide background noise

c. Pad the side rails of the crib d. provide for you can range of motion to the neck and shoulders 61. A nurse is reviewing the medical record of a child with cystic fibrosis which of the following should the nurse report to the provider? Click on the exhibit button for additional information about the client. a. heart rate b. HbA1c c. oxygen saturation d. WBC 62. A nurse is assessing an infant who has intussusception. Which of the following findings should the nurse expect? a. sausage-shaped abdominal Mass b. board like...