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Exam (elaborations)

ATI PEDS NURSING

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Exam study book Nursing Care of Children of Susan R. James, Kristine Nelson, Jean Ashwill - ISBN: 9781455703678 (ATI PEDS NURSING)

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  • September 17, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
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ATI PEDS NURSING CARE OF CHILDREN PROCTORED VERSION
D NEWEST ACTUAL EXAM
A nurse is providing education about dietary modifications to the parent of a school
age
child who
has glomerulonephritis. Which of the following information should the nurse include
in
the teaching?

A. Increase the child calcium intake
B. Decrease the Child's sodium intake
C. Increase the child's intake of carbohydrates
D. Decrease the child's fat intake - ANSWER: B. Decrease the Child's sodium intake

A nurse is providing teaching to the parents of a school-age child newly diagnosed
with
a seizure
disorder. The nurse should teach the parents to take which of the following actions
during a seizure?

A. Minimize movement of the limbs
B. Insert a tongue blade between the teeth
C. Clear the area of hard object
D. Place the child in a prone position - ANSWER: C. Clear the area of hard object

A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the
following findings is the nurse's priority?

A. HbA1C 11.5%
B. cholesterol 189 mg/dL
C. Preprandial blood glucose 124 mg/dL
D. Glycosuria - ANSWER: A. HbA1C 11.5%

A nurse is providing anticipatory guidance to a parent of a 1- month-old infant. The
nurse should include that it is recommended to start this series of which of the
following
immunization first?

A. Varicella
B. measles, mumps, rubella
C. Inactivated poliovirus
D. Hepatitis A tetra - ANSWER: C. Inactivated poliovirus

A nurse is reviewing the laboratory report of a toddler who has hemolytic uremic

,syndrome. Which of the following findings should the nurse expect?

A. Creatinine 0.3 mg/dL
B. Hbg 18 g/dL
C. Urine casts absent
D. BUN 28 mg/dL - ANSWER: D. BUN 28 mg/dL

A nurse is caring for a school-age child who is experiencing a sickle cell crisis. Which
of
the following actions should the nurse take?

A. Administer furosemide IV twice per day.
B. Apply warm compresses to the affected areas
C. Decrease the child's fluid intake
D. Initiate contact precautions. - ANSWER: B. Apply warm compresses to the affected
areas

A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The
nurse
should immediately report which of the following finding to the provider?

A. Rhinorrhea
B. Tachypnea
C. Pharyngitis
D. Coughing - ANSWER: B. Tachypnea

A nurse is planning to teach an adolescent who is lactose intolerant about dietary
guidelines. Which of the following instructions should the nurse include in the
teaching?

A. You can drink milk on an empty stomach.
B. You should consume flavored yogurt instead of plain yogurt.
C. You can tolerate plain milk better than chocolate milk.
D. You can replace milk with nondairy source of calcium - ANSWER: D. You can
replace milk
with nondairy source of calcium

A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg
(26.5
Ib) and is postoperative following open heart surgery. Which of the following
findings
should the nurse report to
the provider?

A. Skin temperature 36C (96.8 F)
B. Pedal and posterior tibial pulses of 2+
C. Urine output of 15 mL in the last 2 hr - urine output should = 1mL/kg/hr =>24mL

, D. Drainage from the chest tube of 22 mL in the last hour - ANSWER: C. Urine output
of 15 mL
in the last 2 hr - urine output should = 1mL/kg/hr =>24mL

A nurse is providing dietary teaching to a parent of a 10-month-old infant who has
phenylketonuria. Which of the following responses by the parent indicate an
understanding of the teaching?

A. My daughter can't drink orange juice
B. I will steam carrots and cut them into small pieces for her."
C. I should ensure that my daughter eats one ounce of meat every day."
D. I will switch her to whole milk now that she is old enough." - ANSWER: B.
I will steam carrots and cut them into small pieces for her."

A nurse is providing teaching to the parent of a preschool-age child who has celiac
disease. Which of the following instructions should the nurse include?

A. Your child will be on a gluten-free diet for the rest of her life."
B. Your child will need to follow a low-protein diet temporarily."
C. You should place your child on a high-fiber diet when she has an exacerbation."
D. You should replace white flour with wheat flour when preparing meals for your
child." - ANSWER: A. Your child will be on a gluten-free diet for the rest of her life."

A nurse is administering albuterol by metered dose inhaler for a preschool-age child
who is experiencing an asthma exacerbation. Which of the following findings should
the
nurse report to the
provider?

A. Respiratory rate 24 /min
B. Peak flow rate of 80%
C. Intercoastal retractions
D. Elevated heart rate - ANSWER: C. Intercoastal retractions

A nurse is caring for a school-age child who is 1 hr postoperative following it
tonsillectomy. Which of the following actions should the nurse take? (Select all that
apply.)

A. Administer an analgesic to the child on a scheduled basis.
B. Observe the child for frequent swallowing
C. Provide cranberry juice to the child.
D. Maintained a child in supine position.
E. Discourage the child from coughing - - ANSWER: A. Administer an analgesic to the
child on a
scheduled basis.
B. Observe the child for frequent swallowing
E. Discourage the child from coughing

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