ATI CMS Final Nursing Care of Children
Final PEDs 2024 Exam Review
Questions and Answers 100% Pass
Assisting with administration of nasogastric enteral feeding for an infant (x2) - Answer>> Position the head of crib at 30 degree angle between feedings
Planning to administer a nasogastric enteral feeding - Answer>> Always confirm placement first (with pH- you cannot just auscultate to confirm placement) then aspirate contents
Best food options for a child who has phenylketonuria - Answer>> Child with PKU cannot digest phenylalanine, which is present in most animal products
Caring for a child in buck's traction - Answer>> This is a skin traction of the lower extremity; make sure that knots are away from pulleys, that the leg remains extended, that weights are free-
hanging at all times, that blankets do not cover ropes and that the child cannot reach or interfere with the mechanism
Converting ounces to mL - Answer>> 1 oz = 30 mL
Dietary recommendations for a child who has celiac disease (x2) -
Answer>> Child with celiac disease cannot process plant protein gluten (present in wheat, barley, rye). Avoid oats b/c usually contaminated with gluten. Rice is okay!
Dietary recommendations for child with lactose intolerance - Answer>> Child needs supplementary calcium and vitamin D intake, as the dairy products that they cannot consume are high in
calcium. Also, take lactase when consuming a dairy product. Findings associated with poststreptococcal glomerulonephritis - Answer>> Oliguria
Nutritional needs of the child who has acute postreptococcal glomerulonephritis - Answer>> Sodium restrictions (they are puffy and edematous and sodium follows water; limit it)
Reinforcing Dietary Teaching for a Child who is recovering from Glomerulnephritis - Answer>> Pick lowest sodium option: apples
Identifying nutritional risks in an adolescent - Answer>> Adolescents tend to eat a lot of junk foods high in calories but low in other nutritional content. At risk for inadequate micronutrient nutrition.
Priority findings to report with skeletal traction - Answer>> Skeletal traction consists of force applied directly to bones through pins. Increased crusting or purulent drainage, along with other signs of infection, should be reported to provider.
Priority intervention during a lumbar puncture - Answer>> Immediately after the procedure, maintain the child in their side lying position to prevent injury to the spinal nerves.
Responding to a patient's refusal of medication - Answer>> "Provide the parent with vaccine information sheet." (Don't ask why, don't question them, don't tell them they HAVE to get vaccine)
Identifying risk factors for Urinary Tract Infection - Answer>> Constipation (bowel movements every 4-5 days), urinary stasis, episode/hypospadias
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