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ATI 2023-2024 (ati)
ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM TEST BANK
❖ 42 LATEST VERSIONS
❖ 4000+ QUESTIONS AND ANSWERS
❖ 100% CORRECT
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ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM TEST BANK
2023
, ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM
VERSION 1
1. A nurse is caring for a child who has absence seizures. Which of the following findings should the nurse
expect? (Select all that apply.) A. Loss of consciousness
B. Appearance of daydreaming
C. Dropping held objects
D. Falling to the floor
E. E. Having a piercing cry
55a
1. A. CORRECT: Loss of consciousness for 5 to 10 seconds is a manifestation of an absence seizure.
B. CORRECT: Behavior that resembles daydreaming is a manifestation of an absence seizure.
C. CORRECT: A child who is having absence seizures might drop a held object.
D. Falling to the floor is a manifestation of a tonic-clonicseizure.
E. A piercing cry is a manifestation of a tonic-clonicseizure.
55b
2. A nurse is caring for a child who just experienced a generalized seizure. Which of the following is the
priority action for the nurse to take?
A. Maintain the child in a side-lying position.
B. Loosen the child's restrictive clothing.
C. Reorient the child to the environment.
D. Note the time and characteristics of the
child's seizure. 56a
2. A. CORRECT: Following a seizure, children often experience vomiting. Using the airway, breathing, circulation priority-setting
framework, the first action the nurse should take is to place the child in a side-lying position to maintain a patent airway and prevent
aspiration of secretions. B. Loosening the child's restrictive clothing is an appropriate action. However, it is not the priority action.
C. R eorienting the child to the environment following a generalized seizure is an appropriate action. However, it is not the priority
action. D. Noting the time and characteristics of the child's seizure is an appropriate action. However, it is not the priority action.
56b
3. A nurse is providing teaching to the parent of a child who is to have an electroencephalogram (EEG).
Which of the following responses should the nurse include in the teaching?
A. "Decaffeinated beverages should be offered on the morning of the procedure.
" B. "Do not wash your child's hair the night before the procedure."
,C. "Withhold all foods the morning of the procedure."
D. "Give your child an analgesic the night before the procedure."
57a
3. A. CORRECT: Caffeine can alter the results of an
EEG and should be avoided prior to the test.
B. The child's hair should be washed to remove oils that permit adherence of the EEG electrodes.
C. Foods are not withheld prior to an EEG.
D. Analgesics can alter the results of an EEG and should be avoided prior to the test.
57b
4. A nurse is teaching a group of parents about the risk factors for seizures. Which of the following factors
should the nurse include in the teaching? (Select all that apply.)
A. Febrile episodes
B. Hypoglycemia
C. Sodium imbalances
D. Low serum lead levels
E. Presence of diphtheria
58a
4. A. CORRECT: Febrile episodes can cause general tonic‑clonic seizures in infants and young children.
B. CORRECT: Seizure activity is a late manifestation ofhypoglycemia.
C. CORRECT: Seizure activity is a manifestation of hyponatremia and hypernatremia.
D. High serum lead levels are a risk factor for seizureactivity.
E. Diphtheria is a respiratory illness causing difficulty breathing and is not a risk factor for seizures
58b
5. A nurse is reviewing treatment options with the parent of a child who has worsening seizures. Which of
the following treatment options should the nurse include in the discussion? (Select all that apply.)
A. Vagal nerve stimulator
B. Additional antiepileptic medications
C. Corpus callosotomy
D. Focal resection
E. Radiation therapy
59a
5. A. CORRECT: The implantation of a vagal nerve stimulator is an option to provide seizure control.
B. CORRECT: Additional antiepileptic medication can be added to the current medication regime to control seizures.
C. CORRECT: A corpus callosotomy can be performed for uncontrolled seizures.
D. CORRECT: A focal resection can be performed for uncontrolled seizures.
E. R adiation therapy is used in cancer treatment and is not used to control seizures.
59b
1. A nurse is in the emergency department is assessing a child following a motor‑vehicle crash. The
child is unresponsive, has spontaneous respirations of 22/min, and has a laceration on the forehead
that is bleeding. Which of the following actions should the nurse take first?
A. Stabilize the child's neck.
B. Clean the child's laceration with soap and water.
C. Implement seizure precautions for the child.
D. D. Initiate IV access for the child.
60a
1. A. CORRECT: The greatest risk to a child following a motor vehicle
crash is cervical injury. Therefore, keeping the neck stabilized until cervical injury can be ruled out is the priority action.
B. Cleaning the child's laceration with soap and water is important. However, this is not the priority action.
C. Implementing seizure precautions is important. However, this is not the priority action.
D. E stablishing IV access is important. However, this is not the priority action.
, 60b
2. A nurse is caring for an adolescent who has a closed head injury. Which of the following findings are
indications of increased intracranial pressure (ICP)? (Select all that apply.)
A. Report of headache
B. Alteration in pupillary response
C. Increased motor response
D. Increased sleeping
E. Increased sensory response
61a
2. A. CORRECT: A headache is an indication of ICP. B. CORRECT: Alterations in pupillary response is an indication of ICP.
C. D ecreased motor response is an indication ofICP.
D. CORRECT: Increased sleeping is an indication ofICP.
E. D ecreased sensory response is an indication ofICP.
61b
3. A nurse is caring for a child who has ICP. Which of the following actions should the nurse take? (Select all
that apply.)
A. Suction the endotracheal tube every 2 hr.
B. Maintain a quiet environment.
C. C. Use two pillows to elevate the head.
D. Administer a stool softener. E. Maintain body alignment.
62a
3.A. R outine suctioning of the endotracheal tube is contraindicated because there is a risk of the catheter entering the
brain through a skull fracture.
B. CORRECT: Stimulation can cause increased intracranial pressure; therefore, the nurse should maintain a quiet environment. C. Pillows
under the head cause flexion of the neck and increase intracranial pressure.
D. CORRECT: Increased pressure in the abdomen with the Valsalva maneuver can increase intracranial pressure; therefore, the
nurse should administer a stool softener. E. CORRECT: Flexion and extension of the neck or hips increase intracranial pressure;
therefore, the
nurse should maintain body alignment. 62b
4. A nurse is assessing a child who has a concussion. Which of the following findings should
the nurse expect? (Select all that apply.)
A. Amnesia
B. Systemic hypertension
C. Bradycardia
D. Respiratory depression
E. Confusion
63a
4. A. CORRECT: Amnesia is a manifestation of a concussion.
B. Systemic hypertension is a manifestation of Cushing's triad in a child who has an epidural hematoma.
C. CORRECT: Bradycardia is a manifestation of Cushing's triad in a child who has an epidural hematoma.
D. CORRECT: Respiratory depression is a manifestation of Cushing's triad in a child who has an epidural hematoma.
E. CORRECT: Confusion is a manifestation of a concussion.
63b
5. A nurse is caring for a child who is taking mannitol for cerebral edema. Which of the
following adverse effects should the nurse monitor the child for and report to the provider?
A. Bradycardia
B. Weight loss
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