PEDS NURSING CARE OF CHILDREN ATI PROCTORED
A nurse is providing education to a parent of a toddler who is
experiencing sickle cell crisis. Which of the following statement by the
parents indicate an understanding of the teaching?
A I should avoid massaging affected areas
B I should expect my child to have altered mental status
C I will apply cool compresses to painful areas
D I will increase my child fluid intake – ANSWER- D I will increase my
childs fluid intake
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)
A initiate IV access
B obtained throat culture
C inspect epiglottis
D begin droplet precautions
E monitor oxygen saturation – ANSWER- A initiate IV access
D begin droplet precautions
E monitor oxygen saturation
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 the Jackson if the child’s pulse is greater than 100 beats per
minute
B provided for periods of rest
C increase the chance oxygen flow rate until the child no longer has
cyanosis
D weigh the child once a month – ANSWER- B provided for periods of
rest
A nurse is planning post operative care for adolescents following
scoliosis repair with spinal instrument. Which of the following actions
should the nurse include in the plan of care?
A offer sips of water 4 hours following surgery
B maintain ahead of the bed 30 degrees
C assist adolescence to ambulate 12 hours following surgery
D ensure 2 nurses logroll the adolescent every two hours – ANSWER- D
ensure 2 nurses logroll the adolescent every two hours
A nurse is providing teaching to a parent of an 11-month-old infant who
has acute diarrhea and dehydration. Which of the following should the
nurse instruct the parent to provide to the infant?
A Glucose water
B chicken broth
C half-strength apple juice
D oral electrolyte solution – ANSWER- D oral electrolyte solution
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 child abuse?
A a mother is hesitant to comfort her six-month-old infant
B an 8-month-old infant cries when his parents leave the room
C a toddler has bruises on his knees
D A toddler repeatedly refuses to let a nurse auscultate his lungs –
ANSWER- C a toddler has bruises on his knees
A nurse is reviewing the medical record of a 6 month old infant who has
a heart failure prior to administering medications the nurse recognized
that which of the following medications is contraindicated?
A Furosemide
B digoxin
C Spironolactone
D Enalpril – ANSWER- Answer was not determined. Best guess A
Furosemide or C Spironolactone. Needed more information on the
Exhibits
A nurse is assessing a 24 month old toddler. which is the following
finding should the nurse report to the provider?
A hold his breath when having a temper tantrum
B sleeps 11 to 12 hours per day
C has a vocabulary of 30 words
D eats a large amount of food one day then very little the next –
ANSWER- C has a vocabulary of 30 words
A nurse is helping a school age child who has celiac disease select menu
items for the next day’s meal and snack. Which of the following foods
should the nurse encourage the patient to choose?
A a cheese omelet orange juice
B Graham crackers with peanut butter
C Bef barley in vegetable soup
D slice chicken breast on whole wheat bread – ANSWER- A a cheese
omelet orange juice
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