lOMoAR cPSD|29752889 lOMoAR cPSD|29752889 2024 PEDS ATI PROCTORED FINAL EXAM TEST BANK 200 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES | GRADE D A+ The nurse is preparing to administer an immunization to a four-year -old child . Which of the following actions should the nurse plan to take? A- Place the child in a prone position for the immunization B- request that the child's caregiver leave the room during the immunization C- administer the immunization using a 24-gauge needle D- inject the immunization slowly after aspirating for 3 seconds Answer - c The nurse should administer an immunization for a 4-year-old child using a 24- gauge needle to minimize the amount of pain experienced by the toddler. A- The nurse should place the child in an upright sitting position for the immunization because this decreases the child's fear and anxiety. B- The nurse should allow the caregiver to stay near the child during the immunization to provide a sense of security and reduce the child's anxiety level.D - The nurse should inject the immunization rapidly and avoid aspiration . These actions decrease the risk of needle displacement and lower the child's fear and anxiety level by decreasing the amount of time it takes to administer the immunization. A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration . The nurse should identify which of the following laboratory values indicates effectiveness of the current treatment? A- Potassium 2.9 mEq/L B- sodium 140 C- urine specific gravity 1.035 D- BUN 25 mg Answer - b The nurse should identify that a sodium level of 140 mEq/L is within the expected reference range and indicates the current treatment regimen the infant lOMoAR cPSD|29752889 is receiving for dehydration is effective. A- A potassium level of 2.9 mEq/L is below the expected reference range and indicates hypokalemia . C- A urine specific gravity of 1.035 is above the expected reference range and indicatesconcentrated urine . D- A BUN level of 25 mg/dL is above the expected reference range and indicates the kidneys arenot excreting BUN as they should be. The nurse is providing teaching about Social Development to the parents of a preschooler . Which of the following play activities should the nurse recommendfor the child? A- Play pat-a-cake B- using a push pull toy C- creating a scrapbook D- playing dress -up Answer - d The nurse should instruct the parents that at the preschool age, play should focus on social, mental, and physical development . Therefore, playing dress -up is a recommended play activity for this child. A- Playing pat-a-cake is a recommended play activity for an infant. B- Using a push pull toy is a recommended play activity for a toddler. C- Creating a scrapbook is a recommended play activity for a school -age child. A nurse is teaching the parents of a newborn about ways to prevent sudden infant death syndrome SIDS . Which of the following instructions should the nurse include? A- Place the infant in a prone position to sleep. B- Allow the infant to sleep on a large pillow. C- User soft mattress in the infant's crib. D- Give the infant a pacifier at bedtime. Answer - d The nurse should inform the parent that protective factors against SIDS include breastfeeding and the use of a pacifier when the infant is sleeping. A- The nurse should instruct the parent to place the infant in a supine position to sleep. Prone and side-lying positions are risk factors for SIDS. B- Placing the infant on a large pillow to sleep can increase the risk of suffocation, lOMoAR cPSD|29752889 asphyxiation, and SIDS. C- The nurse should instruct the parent to use a firm mattress and avoid the use of waterbeds, beanbags, or soft mattresses when placing the infant to bed. The use of asoft mattress in the infant's crib is a risk factor for SIDS and can lead to asphyxiation. A nurse is assessing an infant who has pneumonia . Which of the following findings is the priority for the nurse to report to the provider? A- Nasal flaring B- WBC 11,300 C- diarrhea D- abdominal distension Answer - a When using the airway, breathing, circulation approach to client care, the nurse should place the priority on nasal flaring. Nasal flaring indicates that the infantis experiencing acute respiratory distress. B- The nurse should report a WBC of 11,300/mm3 because it is above the expected reference range and indicates infection. However, another finding is the priority for the nurse to report. C - The nurse should report diarrhea because it is a manifestation of pneumonia in infants and indicates the current treatment is not effective. However, another finding is the priority for thenurse to report. D- The nurse should report abdominal distension because it is a manifestation of pneumonia ininfants and indicates the current treatment is not effective . However, another finding is the priority for the nurse to report. A school nurse is asses sing a school -age child blood pressure while he is seated in a chair. The child starts to experience a tonic -clonic seizure . Which of the following actions should the nurse take first? A- Clear the immediate area around the child of hazardous objects B- loosen the child restrictive clothing C- assist the child to a side-lying position on the floor D- apply an oxygen mask to the child Answer - c The greatest risk to this child is aspiration, occlusion of the airway, and bodily injury from falling out of the chair. The nurse should ease the child down to floor in a side -lying position immediately. This position enables the child's secretions to drain from the mouth, preventing aspiration, and maintaining a patentairway . A- The nurse should clear the area around the child of hazardous objects . However, this is not the first action the nurse should take. B- The nurse should loosen the child's restrictive clothing . However, this is not the first action the nurse should take. D- The nurse should apply an oxygen mask to the child to prevent hypoxia . lOMoAR cPSD|29752889 However, this is not the first action the nurse should take. A nurse is preparing to administer ibuprofen 5 mg per kg every 6 hours PRN for temperatures above 38.0 degrees Celsius or 100.5 degrees Fahrenheit to an infant who weighs 17.6 lb. The infant has a temperature of 38.4 degrees Celsius or 100 + 1.2 degrees Fahrenheit. Available is ibuprofen liquid 100mg/ 5 ml. how many milliliters should the nurse administer to the infant per dose? Round the answer to the nearest whole number. Use a leading zero if it applies. Answer: 2 mL A nurse is receiving change -of-shift Report on for children. Which of the following children should the nurse assesses first? A- A toddler who has a concussion and an episode of forceful vomiting B- an adolescent who has infective endocarditis and reports having a headache C- an adolescent who was placed into Halo traction 1 hour ago and rates his pain at a 6 on a 0-10 scale D- school -age child who has acute glomerulonephritis and brown colored urine Answer - a When using the urgent vs. no urgent approach to client care, the nurse should assess this child first. An episode of forceful vomiting is an indication of increased intracranial pressure in a toddler who has a concussion. B- A report of a headache is no urgent because it is an expected finding for a child who has infect ive endocarditis; therefore, the nurse should assess another child first.C - A report of moderate pain is no urgent because it is an expected finding for a child who has a new halo traction device; therefore, the nurse should assess another child first. D- Brown -colored urine is no urgent because it is an expected finding for a school -age child who has acute glomerulonephritis; therefore, the nurse shouldassess another child first. A nurse in the emergency department is caring for an adolescent who has severe abdominal pain due to appendicitis . Which of the following locationsshould the nurse identify as mcburney's point?
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