2024 Pediatrics ATI Proctored E xam New Latest Recent Version Best Studying Material with All Questions and Answers A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following immunizations should the nurse include in the plan? A. Respiratory syncytial virus (RSV) B. Pneumococcal conjugate (PCV) C. Measles, mumps, and rubella (MMR) D. Rotavirus ---------- Correct Answer --------- B. Pneumococcal conjugate (PCV) A nurse is caring for a preschooler who refuses to take a start dose of oral diphenhydramine. Which of the following statements should the nurse make? a. The medication isn't bad it taste like candy b. let me know when you want to take the medication c. the medication will treat your hypersensitivity reaction ( too much "Adult" terminology/ jargon for pre schooler to understand) d. sometimes, when a child has to take medication, they feel sad. ---------- Correct Answer --------- d. sometimes, when a child has to take medication, they feel sad. A nurse is teaching the parent of a school -age child about bicycle safety. Which of the following instructions should the nurse include in the teaching? a. Your child should walk the bicycle through intersections b. your child's feet should be three to six inches off the ground when Seated on the bicycle c. you should try to keep the bicycle at least three feet from the curb while riding in the street d. your child should ride the bicycle against the flow of traffic ---------- Correct Answer ---
------ a. Your child should walk the bicycle through intersections A nurse is reviewing the laboratory results of a preschooler who has gastroenteritis and notes the client's potassium level is 3.2mEq / L Which of the following assessment findings should the nurse expect? a. Hypertension b. Hyporeflexia c. hyperactive bowel sounds d. Oliguria ----------- Correct Answer --------- b. hyporeflexia A nurse in a provider's office is caring for a school -age child who has varicella. The parent askthe nurse when her child will no longer be contagious. Which of the following responses should the nurse make? A- When your child no longer has an increased temperature B- three days after you first noticed the rash appear on your child C- when your child lesions are crusted, 6 days after they appear D- 2 - 3 weeks, when your child's lesions completely disappear ---------- Correct Answer ---------- C- when your child lesions are crusted, 6 days after they appear 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 manifestations indicate to the nurse that the medication is effective? A- Decrease edema B- increased abdominal girth C- decreased appetite D- increased protein in the urine ---------- Correct Answer ---------- A- Decrease edema A nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy. Which of thefollowing clinical manifestations should the nurse expect? Select all that apply. A- Negative Babinski reflex B- Ankle clonus C- exaggerated stretch reflexes D- uncontrollable movements of the face E- contractures ---------- Correct Answer ---------- B- Ankle clonus C- exaggerated stretch reflexes E- contractures A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following immunizations should the nurse include in the plan? a. Respiratory sync functional virus b. Rotavirus c. measles, mumps, and rubella (MMR) d. pneumococcal conjugate (PVC) ----------- Correct Answer --------- d. pneumococcal conjugate (PVC) A nurse is caring for a 4 -year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider? A. Creatinine 1.4mg/dL B. BUN 6mg/dL C. Creatinine 0.3 mg/dL D. BUN 12mg/dL ---------- Correct Answer --------- A. Creatinine 1.4mg/dL A nurse is caring for a school -age child who is 1hr postoperative following a tonsillectomy. Which of the following actions should the nurse take? (Select all that apply) A. Maintain the child in a supine position. B. Provide cranberry juice to the child. C. Discourage the child from coughing. D. Observe the child for frequent swallowing. E. Administer an analgesic to the child on a scheduled basis. ---------- Correct Answer ---
------ C. Discourage the child from coughing. D. Observe the child for frequent swallowing. E. Administer an analgesic to the child on a scheduled basis. A nurse is caring for a group of clients. Which of the following findings should the nurse report to the provider? A. 3-month -old infant who has a respiratory rate of 30/min (25 -30 normal) B. An 18 -month -old toddler who has a heart rate of 68/min C. A school -age child who has a rectal body temperature of 37.3 C(99.1 F) D. An adolescent who has a BP of 132/82 mm Hg ---------- Correct Answer --------- D. An adolescent who has a BP of 132/82 mm Hg A nurse is caring for a 2 -month -old infant with heart failure and receiving furosemide. Which of the following findings is the nurse's priority? A. Heart rate 162/min B. Potassium 5.1 mEQ/L - C. Sunken anterior fontanel - sign of dehydration D. Negative doll's eye reflex ---------- Correct Answer --------- C. Sunken anterior fontanel - sign of dehydration A nurse in a family practice clinic is assessing a preschool -age child who recently experienced the death of a sibling. Which of the following reactions is an age -
appropriate response to death? A. The child feels responsible for the sibling's death B. The child views the sibling's death as permanent C. The child is curious about what happened to the sibling's body. D. The child can give a logical explanation for the sibling's death ---------- Correct Answer --------- A. The child feels responsible for the sibling's death A nurse in a community clinic is reviewing the laboratory results of four clients. The nurse should identify which of the following sexuality transmitted infections is nationality notifiable? A. Bacterial vaginosis trichomoniasis B. Genital herpes simplex virus C. Human papillomavirus D. Gonorrhea (CDC) ---------- Correct Answer --------- D. Gonorrhea (CDC) A nurse is assessing a 24 -month -old toddler. Which of the following findings should the nurse rapport with the provider? A. Has a vocabulary of 30 words B. Holds his breath when having a temper tantrum C. Eats a large amount of food one day, then very little the next D. Steps 11 to 12 hr per day. ---------- Correct Answer --------- A. Has a vocabulary of 30 words (normal = 50 -300 words) A nurse is caring for a child in the PACU following a tonsillectomy. Which of the following findings requires immediate interventions by the nurse? A. Frequent swallowing B. Dark brown blood noted in emesis C. Axillary temperature 38C( 100 F) D. Child reports a pain level of 5 on the FACES scale ---------- Correct Answer --------- A. Frequent swallowing A nurse is providing teaching to the guardians of an infant who requires a Pavlik harness. Which of the following instructions should the nurse include? A. Apply baby powder under the harness straps daily B. Massage lotion into the skin under the harness twice per day C. Adjust the harness straps daily D. Place the diaper under the straps of the harness. ---------- Correct Answer --------- D. Place the diaper under the straps of the harness. A nurse is planning care for a child who is experiencing a sickle cell crisis. Which of the following interventions should the nurse include in the plan of care? A. Apply a cold compress to affected joints B. Limit fruit intake C. Administer meperidine as needed for pain D. Initiate bed rest ---------- Correct Answer --------- D. Initiate bed rest A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first? A. An adolescent who has sickle cell anemia and slurred speech
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