Exam (elaborations)

PEDS-Nursing Care of Children ATI (Dynamics test bank):

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PEDS-Nursing Care of Children

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PEDS-Nursing Care Of Children

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Uploaded on August 16, 2024
Number of pages 31
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Type Exam (elaborations)
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peds nursing care of children ati dynamics test
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Institution PEDS-Nursing Care of Children
Course PEDS-Nursing Care of Children

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PEDS-Nursing Care of Children ATI
(Dynamics test bank):
A charge nurse is providing education about child maltreatment to a group of newly licensed nurses.
Which of the following pieces of information should the charge nurse include in the teaching? -
ANSWER-Children who were born prematurely are more likely to be maltreated.

A charge nurse is reviewing the expected growth and development of school-aged children with a group
of staff nurses. Which of the following statements should the nurse include? - ANSWER-"A 6-year-old
child should be able to count 13 coins."

A charge nurse on a pediatric unit receives the laboratory results for several clients. Which of the
following results should the nurse report to the provider? - ANSWER-A client who has diabetic
ketoacidosis (DKA) and a blood glucose of 375 mg/dL

A clinic nurse is providing teaching to the parent of a 1-month-old infant who has gastroesophageal
reflux. Which of the following statements by the parent indicates an understanding of the teaching? -
ANSWER-"I will add rice cereal to my baby's feedings."

A home health nurse is developing a plan of care a toddler who has hemophilia. Which of the following
instructions for the parents should the nurse include in the plan? - ANSWER-Inspect the toddler's toys
for sharp edges.

A hospice nurse is conducting a support group for parents of toddlers who have a terminal illness. Which
of the following pieces of information should the nurse include in the teaching? - ANSWER-Toddlers will
react to the parents' anxiety and sadness.

A nurse at a community health department is discussing the nutritional needs of children with a group of
parents and guardians. Which of the following pieces of information should the nurse include? -
ANSWER-Toddlers can be given up to 120-180 mL (4-6 oz) of juice per day.

A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child visit. Which of the
following findings should the nurse report to the provider? - ANSWER-Head lagging when the infant is
pulled from a lying to a sitting position

A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the following actions
should the nurse take? - ANSWER-Minimize physical contact with the child initially

A nurse in a pediatric clinic is caring for a 3-year-old child who has a blood lead level of 3 mcg/dL. When
teaching the toddler's parent about the correlation of nutrition with lead poisoning, which of the
following pieces of information is appropriate for the nurse to include? - ANSWER-Ensure the child's
dietary intake of calcium and iron is adequate

A nurse in a pediatric clinic is talking with the parent of a toddler who states that her child will not sit at
the table to eat with the family. She asks the nurse for recommendations for "finger foods" for her child.
Which of the following foods should the nurse suggest? - ANSWER-Slices of ripe banana

A nurse in a provider's office enters an examination room to assess an 8-month-old infant for the first
time. Which of the following reactions by the infant should the nurse expect? - ANSWER-The infant
turns away when the nurse approaches.

,PEDS-Nursing Care of Children ATI
(Dynamics test bank):
A nurse in a provider's office is assessing a client. The nurse determines the client's body mass index is
21.2. This finding is classified as which of the following? - ANSWER-Healthy weight

A nurse in a provider's office is observing children playing in the waiting room. The nurse should expect
to identify parallel behavior in which of the following age groups? - ANSWER-Toddlers

A nurse in a provider's office receives a phone call from the guardian of an infant who just vomited after
the administration of digoxin. Which of the following actions should the nurse take first? - ANSWER-Tell
the guardian that a repeat dose of medication should not be given

A nurse in an emergency department is assessing an infant who has laryngotracheobronchitis. Which of
the following findings should the nurse report as an indication of impending airway obstruction? -
ANSWER-Nasal flaring

A nurse in an emergency department is assisting with the care of a 4-year-old child who ingested toilet
bowl cleaner. The child has hemoptysis, is crying, and states, "It burns." Which of the following actions
should the nurse perform? (Select all that apply.) - ANSWER-Identify how much cleaner was in the bottle

Insert an IV for morphine administration

Apply a pulse oximeter

A nurse in an emergency department is caring for a 4-year-old child who has burns to the neck and face
following a house fire. Which of the following actions should the nurse take first? - ANSWER-Determine
the child's breathing pattern

A nurse in an emergency department is caring for a toddler who is in acute respiratory distress. Which of
the following findings should alert the nurse to the possibility of epiglottitis? - ANSWER-Drooling

A nurse in an emergency department is caring for an 8-year old who is up-to-date with current
immunization recommendations and has a deep puncture injury. Which of the following should the
nurse anticipate administering? - ANSWER-Adult tetanus booster (Td)

A nurse in the emergency department is assessing a preschooler for indications of child maltreatment.
The nurse should identify that which of the following findings is a manifestation of physical abuse? -
ANSWER-Bruises at various stages of healing

A nurse in the emergency department is assessing an infant who recently started taking digoxin to treat
a supraventricular arrhythmia. Which of the following findings should the nurse identify as an indication
of digoxin toxicity? - ANSWER-Vomiting

A nurse in the emergency department is caring for a 12-year-old child who has ingested bleach. Which
of the following statements by the nurse indicates an understanding of this ingestion? - ANSWER-"Injury
by a corrosive liquid is more extensive than by a corrosive solid."

,PEDS-Nursing Care of Children ATI
(Dynamics test bank):
A nurse in the emergency department is caring for a 2-year-old child who was found by his parents
crying and holding a container of toilet bowl cleaner. The child's lips are edematous and inflamed, and
he is drooling. Which of the following is the priority action by the nurse? - ANSWER-Check the child's
respiratory status

A nurse in the emergency department is caring for a child who accidentally ingested an overdose of
acetaminophen. Which of the following medications should the nurse expect to administer? - ANSWER-
Acetylcysteine

A nurse in the emergency department is caring for a child who has bruises that support a suspicion of
child abuse. Which of the following actions should the nurse take? - ANSWER-Report the suspected
abuse to local authorities

A nurse in the emergency department is caring for an unaccompanied infant following a motor-vehicle
crash. During the assessment, the nurse notes that the infant's anterior fontanel is almost closed. She
has 6 teeth, is able to sit unsupported, and can drink from a cup. The child cries whenever anyone new
to her enters the room, says a few words, and is asking for "mama" and "dada." The nurse should make
which of the following age assessments for this child? - ANSWER-12 months old

A nurse is admitting a child who has a history of tonic-clonic seizures. Which of the following items is the
priority to have in the child's room? - ANSWER-Suction equipment

A nurse is admitting a child who has a urinary tract infection (UTI) and a history of myelomeningocele.
After completing the admission history, which of the following actions should the nurse plan to take? -
ANSWER-Attach a latex allergy alert identification band

A nurse is admitting a child who has acute lymphocytic leukemia. Which of the following laboratory
values should the nurse expect? - ANSWER-RBCs 2.5 million/uL

A nurse is admitting a child who has Wilms' tumor. Which of the following actions should the nurse
take? - ANSWER-Put a "no abdominal palpation" sign over the child's bed.

A nurse is assessing a 1-week-old infant at a well-child visit. The nurse should notify the provider about
which of the following assessment findings? - ANSWER-A blue coloring of the sclera

A nurse is assessing a 10-month-old infant at a well-infant checkup. Which of the following assessment
findings should the nurse report to the provider? - ANSWER-The infant needs assistance to sit up

A nurse is assessing a 12-month-old male infant's vital signs during a well-child visit. The infant is in the
90th percentile for height. Which of the following findings should the nurse report to the provider? -
ANSWER-Heart rate 175/min

A nurse is assessing a 12-year-old child during a well-child checkup. Which of the following physical
findings should the nurse report to the provider? - ANSWER-Hyperopia

A nurse is assessing a 2-month-old infant who has a ventricular septal defect. Which of the following
findings should the nurse report to the provider? - ANSWER-Weight gain of 1.8 kg (4 lb)

, PEDS-Nursing Care of Children ATI
(Dynamics test bank):
A nurse is assessing a 24-month-old toddler who has a new diagnosis of autism spectrum disorder (ASD).
Which of the following findings should the nurse expect? - ANSWER-Impaired language skills

A nurse is assessing a 3-year-old child during a well-child examination. Which of the following findings
should the nurse report to the provider? - ANSWER-The child cannot walk on tiptoe

A nurse is assessing a 3-year-old child who is 1 day postoperative following a tonsillectomy. Which of the
following methods should the nurse use to determine if the child is experiencing pain? - ANSWER-Use
the FACES scale

A nurse is assessing a 3-year-old preschooler. Which of the following developmental milestones should
the nurse expect the preschooler to demonstrate? - ANSWER-Stacking 10 blocks

A nurse is assessing a 30-month-old toddler during a well-child visit. Which of the following findings
requires further assessment by the nurse? - ANSWER-The toddler's birth weight is tripled.

A nurse is assessing a 4-year-old child for growth and developmental milestones during a well-child visit.
Which of the following findings suggests a possible delay in development? - ANSWER-Speaking using 2-
or 3-word sentences

A nurse is assessing a 4-year-old child. The nurse should expect the child to be able to perform which of
the following activities? - ANSWER-Fastening buttons on a shirt

A nurse is assessing a 4-year-old child's cognitive development during a well-child visit. Which of the
following should the nurse expect the child to display? - ANSWER-Development of the superego

A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings indicates
the need for further assessment? - ANSWER-The infant's legs remain crossed and extended when
supine.

A nurse is assessing a 6-month-old infant following a cardiac catheterization. Which of the following
findings should the nurse report to the provider? - ANSWER-BP 86/40 mmHg

A nurse is assessing a 6-month-old infant who had a cardiac catheterization with right femoral entry to
diagnose a possible congenital heart defect. Which of the following findings should the nurse report to
the provider? - ANSWER-Cool toes on the right foot

A nurse is assessing a 6-month-old infant who was recently admitted with acute vomiting and diarrhea.
Which of the following findings indicates the infant has moderate dehydration? - ANSWER-Tachypnea

A nurse is assessing a 6-month-old infant. The guardian reports that the infant does not appear
interested in the brightly colored mobile hanging above the crib at home. Which of the following
techniques should the nurse use to check the infant's visual acuity? - ANSWER-Move a brightly colored
toy from side to side in front of the infant's face

A nurse is assessing a 6-year-old child who is immediately postoperative following a tonsillectomy.
Which of the following findings should the nurse report to the provider? - ANSWER-The child is
swallowing frequently

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