PEDS ATI Proctored Exam
1) B- turn off the IV pump
2) C- occlude the IV tubing
3) A- remove the tape securing the catheter
4) D- apply pressure over the catheter insertion site - ANS-A nurse is caring for a preschooler
who has been receiving IV fluids via a peripheral IV catheter. When preparing a to discontinue
the IV fluids and
catheter, which of the followingactions should the nurse plan to take? Place
the steps in order of performance.
A- remove the tape securing the catheter
B- turn off the IV pump
C- occlude the IV tubing
D- apply pressure over the catheter insertion site
A is correct. The nurse should identify the lower right quadrant of the abdomen
between the umbilicus and the anterior iliac crest as the location of Burney's
point. - ANS-A nurse in the emergency department is caring for an adolescent who has
severe abdominal pain due to appendicitis. Which of the following
locations should the nurse identify as mcburney's point?
A- A toddler who has a concussion and an episode of forceful vomiting; 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. - ANS-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
A- Avoid palpating the abdomen when bathing the child before surgery; The nurse should avoid
palpating the abdomen when bathing the child before
surgery because movement of the tumor can cause cancer cells to disseminate to other sites,
adjacent and distant to the tumor site. - ANS-A nurse is creating a plan of care for a preschooler
who has Wilms tumor and
is scheduled forsurgery. Which of the following interventions should the nurse
include?
A- Avoid palpating the abdomen when bathing the child before surgery
B- refrain from auscultating the child bowel sounds during the post-operative
,assessment
C- encourage the child to play with other children on the unit prior to surgery
D- explain it to the child that his pain will be managed after the surgery
A- Check the medication prior to
Administration; The nurse should instruct the parent to shake the medication prior to
administration
in order to disperse the medication evenly within the suspension. - ANS-A nurse is providing
teaching to the parent of a school-age child who has oral candidiasis and is to begin taking oral
Nystatin. Which of the following
instructions should the nurse include?
A- Check the medication prior to
Administration
B- provide the medication through a straw
C- rinse the child mouth with water immediately after giving the medication
D- next the medication with applesauce If the child dislikes the taste
A- Choose a waterproof sunscreen with an SPF of at least 15; The nurse should instruct parents
to apply a waterproof sunscreen with an SPF of at
least 15 forchildren. The parents should apply the sunscreen prior to sun exposure
to reduce the risk of sunburn. - ANS-A nurse is creating an educational plan to teach parents
about protecting their
children fromsun burns. Which of the following instructions should the nurse
plan to include?
A- Choose a waterproof sunscreen with an SPF of at least 15
B- apply sunscreen liberally to infants over three months of age
C- dress children in a loose weave polyester fabric prior to sun exposure
D- reapply sunscreen every 4 hours
A- Decrease edema; A child who has nephrotic syndrome can experience edema due to the
increased glomerular permeability, which increases protein loss. Prednisone decreases
glomerular permeability, which causes fluid to shift from the extracellular spaces, decreasing
edema. - ANS-A nurse is caring for a school-age child who has primary nephrotic syndrome
and is taking prednisone. Following one week of treatment, which of the
following clinical manifestationsindicate to the nurse that the medication is
effective?
A- Decrease edema
B- increased abdominal girth
C- decreased appetite
D- increased protein in the urine
A- FACES Pain rating scale; The nurse should use the FACES pain rating scale for pediatric
clients who are 3
years old and older. This scale allows the toddler to point to the face that depicts the
, current level of pain. The nurse can then determine the need for pain management. - ANS-A
nurse is assessing the pain level of a three-year-old toddler. Which of the
following pain assessment scales should the nurse use?
A- FACES Pain rating scale
B- numeric pain rating scale
C- CRIES pain assessment scale
D- non communicating children's pain checklist
A- Hematocrit 28%; The nurse should recognize that this hematocrit level is below the expected
reference range fora school-age child. The child can exhibit fatigue,
lightheadedness, tachycardia, dyspnea, and pallor due to the decreased oxygencarrying
capacity. - ANS-The nurse is reviewing the laboratory report of a school-age child who is
experiencing fatigue. Which of the following findings should the nurse
recognize as an indication of anemia?
A- Hematocrit 28%
B- hemoglobin 13.5 g
C- WBC 8000
D- platelet 250,000
A- I should secure the car seat using lower
anchors and tethers instead of the seat belt; Lower anchors and tethers, or the LATCH child
safety seat system, should be
used to secure an infant's car seat in the vehicle. This system provides anchors
between the front cushion and the back-rest for the car seat. Therefore, if this
system is available, the seatbelt does not have to be used. - ANS-A nurse is providing teaching
about car seat use to the mother of a six-monthold
infant. Which of the following statements by the mother indicates an
understanding of the teaching?
A- I should secure the car seat using lower
anchors and tethers instead of the seat belt
B- I should position the car seat harness one inch above my baby's shoulders
C- I will make sure that the car seat is placed at a 90-degree angle
D- I will pad my baby's car seat with a blanket for traveling long distances
A- Nasal flaring; When using the airway, breathing, circulation approach to client care, the nurse
should place the priority on nasal flaring. Nasal flaring indicates that the
infant is experiencing acute respiratory distress. - ANS-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
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