NR 328 Ati Pediatrics Proctored Exam 2 Latest 2022
- A nurse is caring for a child who is admitted with suspected acute appendicitis. Which of
the following manifestations should indicate to the nurse that the child appendix is
perforated?
Low-grade fever
sudden decrease in abdominal pain
flaccid abdomen
absent Rovsing’s sign - A client with sickle cell anemia is admitted in a vaso-occlusive crisis. Which intervention
should the nurse expect to see ordered? Select all
Cold compresses to painful joints
high calorie high protein diet
meperidine ordered every four hours for pain
IV fluids started, and oral fluids encouraged
antibiotics ordered for any existing infection - While preparing to administer digoxin to an infant with heart failure, the infant begins
to vomit. Which action should the nurse take?
Withhold the digoxin and notify the healthcare provider
Administer an anti-emetic
reschedule the dose for later in the shift
withhold the digoxin until the client stops vomiting - A nurse is admitting a child with leukemia and a critically low platelet count. Which of
the following precautions should the nurse initiate?
Contact
neutropenic
droplet
bleeding - A nurse is teaching a parent of an infant who has heart failure about meeting the infants
nutritional needs. Which of the following statements by the parent indicates an
understanding of the teaching?
“I will feed my baby on a schedule every four hours”
“I will allow my baby to take as much time is needed to finish the bottle”
“I will add Polycose to each of my babies bottles”
“I will limit my babies crying to 15 minutes prior to each feeding” - A nurse is providing discharge instructions to the parent of a 10-year-old child following
a cardiac Cath. Which of the following instructions should the nurse include?
Give the child acetaminophen for discomfort
Keep the child home for one week
Assist the child to take a tub bath for the first three days
Offer the child clear liquids for the first 24 hrs
- A nurse is planning care for a 10 month old infant that is 8 hours postoperative following
cleft pallet repair. Which of the following interventions should the nurse include in the
infant plan of care?
Apply and release elbow restraints every hour
feed the infant with a spoon for 48 houra
keep the infant supine
suction the mouth with an oral suction tube - A nurse is caring for an infant with a palpable mass in the upper right quadrant and
stools mixed with blood and mucus. The nurse should recognize that which of the following
is associated with these findings?
Tracheoesophageal fistula
inguinal hernia
hypertrophic pyloric stenosis
intussusception - A nurse is providing instructions to a parent of a child with Hirschsprung disease is
scheduled for initial surgery. Which of the following statements by the parent indicates an
understanding of the information.
I’m glad my child will have normal bowel movements now
I want to learn how to use my child feeding tube as soon as possible
I want to learn how to empty my child urinary catheter bag
I’m glad that my child’s ostomy is only temporary - A nurse is admitting a six month old infant with dehydration. Which of the following amounts of
urinary output should indicate to the nurse that treatment has corrected the fluid imbalance?
2 mL/kg/hour
15 mL/kg/hr
7.5 mL/kg/hr
0.5 mL/kg/hr - The nurse is preparing to administer a unit of red blood cells to a pediatric client
diagnosed with severe anemia. How should the nurse respond when the clients parent asks
what benefit of the transfusion will have?
The additional RBC can increase energy levels so your child is not as tired
The additional RBCs will help your child’s blood clots efficiently