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ATI proctored nursing care of children Questions and answers
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ATI proctored nursing care of childrenQuestions and answers
If a child has an allergy to neomycin with a anapylactic reaction what vaccine should
you withhold? or an allergy to eggs or gelatin Correct answer- measles, mumps, rubella
(MMR)
what is an indication of bacterial meningitis? Correct answer- increased protein
concentration, increased WBC, decreased glucose level, increased cerebrospinal fluid
pressure
normal HCT for a child Correct answer- 32 - 44%
what can a child experience with a low HCT? Correct answer- tachycardia,
lightheadedness, fatigue, dyspnea, pallor
normal wbc for child Correct answer- 5,000 - 10,000 mm3
normal platelet for child Correct answer- 150,000-400,000
normal Hgb for child Correct answer- 9.5-14 g/dL
normal prealbumin for child Correct answer- 15-33 mg/dL
pavlik harness Correct answer- used for hip dysplasia in infants
Remove only to take baths, place diapers under the harness straps, do not use
products becuase can cause skin irritation, and do not adjust straps
peritonitis Correct answer- inflammation of the peritoneum (membrane lining the
abdominal cavity and surrounding the organs within it)
abdominal distension, chills, irritability, restlessness
scoliosis Correct answer- should expect to see a unilateral rib hump with hip flexion
peristalis Correct answer- involuntary waves of muscle involves contractions of the
smooth muscles that push the food toward the stomach
what should you expect with a child following a perforated appendix repair? Correct
answer- absence of peristalsis
, what to do following a lumbar puncture? Correct answer- apply topical analgesic 1 hr
before, place client in prone or flat position for up to 12 hours after, encourage to drink
extra fluids
nursing interventions for a child with an epidural hematoma? Correct answer- neuro
checks q15mins, avoid suctioning nares, implement seizure activity, position infant
midline slightly elevated
nursing interventions for a child scheudled for a wound debridement? Correct answer-
apply topical ointment following hydrotherapy, apply gauze after therapy, administer an
analgesic beforehand, and AVOID prophylactic antibiotic therapy
who can sign consent? Correct answer- over 18 y/o, parent of a minor, or if under 18
and married can sign themselves
nursing interventions for a child in a tonic clonic seizure. Correct answer- turn to side,
no food or drink, nothing by mouth (meds)
epinephrine Correct answer- treats anaphylaxis
Prednisone Correct answer- treats severe inflammation
Anti-inflammatory
Diphenhydramine Correct answer- Benadryl, decreases allergic reaction
Albuterol Correct answer- Bronchodilator, improves childs breathing
ventricular septal defect Correct answer- nurse should expect to hear a loud harsh
murmur due to the left to right shunting of blood
coarction of the aorta (CoA) Correct answer- narrowing of the aorta, should expect to
have high blood pressure and weak femoral pulses
indication of early septic shock Correct answer- increased heart rate, normal BP, fever
and chills, normal urinary output
how to test for a sickle turbidity test Correct answer- perform a finger stick, if test is
positive hemoglobin electrophoresis is required to distinguish b/w children who have the
genetic trait and children who have the disease
McBurney's point Correct answer- A point on the right side of the abdomen, about two-
thirds of the distance between the umbilicus and the anterior bony prominence of the
hip
normal urine output for an adolescent Correct answer- 33 to 62.5 mL/hr
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