PEDS-Nursing Care of Children ATI
(Dynamics test bank)
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? - ANS Report the suspected abuse to
local authorities
A nurse is providing discharge teaching to parents whose infant had a ventriculoperitoneal shunt
placement for the treatment of hydrocephalus. Which of the following statements by the parents
indicates an understanding of the teaching? - ANS We will notify the doctor right away if he has a fever
A nurse is assessing a preschooler who has HIV. Which of the following manifestations should the nurse
expect? - ANS Chronic diarrhea
A nurse is caring for a 5-year-old child who has a fever and begins to have a seizure. Which of the
following actions should the nurse take? - ANS Place the child in a side-lying position
A nurse is caring for a 7-year-old child who is in skeletal traction following a complete fracture of the
femur. Which of the following diversional activities should the nurse offer the child? - ANS Chapter
books
A nurse is providing discharge teaching to the parents of a child who has nephrotic syndrome. Which of
the following instructions should the nurse include in the teaching? - ANS Keep the child away from
people who have an infection
A nurse is teaching an adolescent about various strategies for chronic pain management. Which of the
following activities should the nurse use as an example of the nonpharmacological strategy of thought-
stopping? - ANS Repeat memorized facts about the painful event
A nurse is caring for an infant who is preoperative for the treatment of an intact myelomeningocele sac.
In which of the following positions should the nurse place the infant? - ANS Prone
,A nurse is developing a plan of care for a school-age child who underwent a surgical procedure that
resulted in a temporary loss of vision. Which of the following interventions should the nurse include in
the plan of care? - ANS Explain the sounds the child is hearing
A nurse is caring for a child who has glomerulonephritis. Which of the following actions should the nurse
take? - ANS Weigh the child once each day
A nurse is assessing an adolescent who has sustained a broken tibia. Following the application of a
fiberglass cast, the adolescent reports pain and a tingling feeling in the limb. Which of the following
actions should the nurse take first? - ANS Assess for manifestations of circulatory impairment
A nurse is caring for a toddler who has otitis media and a temperature of 39.1°C (102.4°F). Which of the
following actions should the nurse take first? - ANS Administer an antipyretic to the child
A nurse is assessing the fine motor skills of a 3-year-old preschooler. Which of the following findings
should the nurse expect? - ANS The preschooler builds a tower of 9 cubes
A nurse is planning preoperative teaching for a preschooler who is scheduled for a tonsillectomy. Which
of the following interventions should the nurse plan to include? - ANS Encourage the preschooler to
bring a favorite toy to the hospital
A nurse is caring for a 4-year-old child who has pneumonia. The child's mother left 2 hours ago, and he is
currently experiencing the separation anxiety stage of despair. Which of the following findings should
the nurse expect? - ANS Inactivity and thumb sucking
A nurse on a pediatric unit is planning care for a preschooler who will be having a surgical procedure in
the morning. The child has been crying despite his parents' presence at his bedside. The nurse should
add engaging the child in therapeutic play to the care plan to offer which of the following benefits? -
ANS Allow the child to manipulate toy medical equipment
,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? - ANS Head lagging when the infant is pulled
from a lying to a sitting position
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? - ANS 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? - ANS BP 86/40 mmHg
A nurse is providing teaching to the guardian of a child who has Kawasaki disease. Which of the
following statements by the guardian indicates an understanding of the teaching? (Select all that apply.)
- ANS "My child will likely be irritable for the next few weeks."
"I will ensure my child does not receive any live vaccines for at least 18 months."
"I will keep a record of my child's temperature until she has no fever for several days."
A school nurse is providing care to a child who has a nosebleed. Which of the following actions should
the nurse perform? (Select all that apply.) - ANS Apply pressure to the child's nose using the thumb and
forefinger
Keep the child calm
A nurse is assessing the vital signs of a 1-month-old infant. Which of the following actions should the
nurse perform? - ANS Count respirations before taking other vital signs
A nurse is providing teaching about home care to the parents of an infant who has diaper dermatitis.
Which of the following instructions should the nurse include? - ANS Leave the zinc oxide ointment intact
and reapply as necessary during diaper changes
, A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the following actions
should the nurse take? - ANS Minimize physical contact with the child initially
A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations and is planning to
attend college. The nurse should recommend which of the following immunizations prior to moving into
a campus dormitory? - ANS Meningococcal polysaccharide
A nurse is providing education about the introduction of solid foods for the parent of an infant. Which of
the following instructions should the nurse include? - ANS Begin after the extrusion reflex has
diminished.
A nurse is caring for a school-aged child who begins to have a tonic-clonic seizure when leaving the
bathroom. Which of the following actions should the nurse take first? - ANS Ease the child to the floor in
Sims' position
A nurse is caring for a child who is in the emergency department after ingesting a bottle of
acetaminophen. Which of the following medications should the nurse plan to administer? - ANS
Acetylcysteine
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? - ANS The toddler's birth weight is tripled.
A nurse is teaching the guardians of a toddler who has a new prescription for an oral iron supplement.
To increase the child's absorption of the iron, the nurse should recommend administering the
supplement with which of the following? - ANS Orange juice
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? - ANS Impaired language skills
(Dynamics test bank)
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? - ANS Report the suspected abuse to
local authorities
A nurse is providing discharge teaching to parents whose infant had a ventriculoperitoneal shunt
placement for the treatment of hydrocephalus. Which of the following statements by the parents
indicates an understanding of the teaching? - ANS We will notify the doctor right away if he has a fever
A nurse is assessing a preschooler who has HIV. Which of the following manifestations should the nurse
expect? - ANS Chronic diarrhea
A nurse is caring for a 5-year-old child who has a fever and begins to have a seizure. Which of the
following actions should the nurse take? - ANS Place the child in a side-lying position
A nurse is caring for a 7-year-old child who is in skeletal traction following a complete fracture of the
femur. Which of the following diversional activities should the nurse offer the child? - ANS Chapter
books
A nurse is providing discharge teaching to the parents of a child who has nephrotic syndrome. Which of
the following instructions should the nurse include in the teaching? - ANS Keep the child away from
people who have an infection
A nurse is teaching an adolescent about various strategies for chronic pain management. Which of the
following activities should the nurse use as an example of the nonpharmacological strategy of thought-
stopping? - ANS Repeat memorized facts about the painful event
A nurse is caring for an infant who is preoperative for the treatment of an intact myelomeningocele sac.
In which of the following positions should the nurse place the infant? - ANS Prone
,A nurse is developing a plan of care for a school-age child who underwent a surgical procedure that
resulted in a temporary loss of vision. Which of the following interventions should the nurse include in
the plan of care? - ANS Explain the sounds the child is hearing
A nurse is caring for a child who has glomerulonephritis. Which of the following actions should the nurse
take? - ANS Weigh the child once each day
A nurse is assessing an adolescent who has sustained a broken tibia. Following the application of a
fiberglass cast, the adolescent reports pain and a tingling feeling in the limb. Which of the following
actions should the nurse take first? - ANS Assess for manifestations of circulatory impairment
A nurse is caring for a toddler who has otitis media and a temperature of 39.1°C (102.4°F). Which of the
following actions should the nurse take first? - ANS Administer an antipyretic to the child
A nurse is assessing the fine motor skills of a 3-year-old preschooler. Which of the following findings
should the nurse expect? - ANS The preschooler builds a tower of 9 cubes
A nurse is planning preoperative teaching for a preschooler who is scheduled for a tonsillectomy. Which
of the following interventions should the nurse plan to include? - ANS Encourage the preschooler to
bring a favorite toy to the hospital
A nurse is caring for a 4-year-old child who has pneumonia. The child's mother left 2 hours ago, and he is
currently experiencing the separation anxiety stage of despair. Which of the following findings should
the nurse expect? - ANS Inactivity and thumb sucking
A nurse on a pediatric unit is planning care for a preschooler who will be having a surgical procedure in
the morning. The child has been crying despite his parents' presence at his bedside. The nurse should
add engaging the child in therapeutic play to the care plan to offer which of the following benefits? -
ANS Allow the child to manipulate toy medical equipment
,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? - ANS Head lagging when the infant is pulled
from a lying to a sitting position
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? - ANS 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? - ANS BP 86/40 mmHg
A nurse is providing teaching to the guardian of a child who has Kawasaki disease. Which of the
following statements by the guardian indicates an understanding of the teaching? (Select all that apply.)
- ANS "My child will likely be irritable for the next few weeks."
"I will ensure my child does not receive any live vaccines for at least 18 months."
"I will keep a record of my child's temperature until she has no fever for several days."
A school nurse is providing care to a child who has a nosebleed. Which of the following actions should
the nurse perform? (Select all that apply.) - ANS Apply pressure to the child's nose using the thumb and
forefinger
Keep the child calm
A nurse is assessing the vital signs of a 1-month-old infant. Which of the following actions should the
nurse perform? - ANS Count respirations before taking other vital signs
A nurse is providing teaching about home care to the parents of an infant who has diaper dermatitis.
Which of the following instructions should the nurse include? - ANS Leave the zinc oxide ointment intact
and reapply as necessary during diaper changes
, A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the following actions
should the nurse take? - ANS Minimize physical contact with the child initially
A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations and is planning to
attend college. The nurse should recommend which of the following immunizations prior to moving into
a campus dormitory? - ANS Meningococcal polysaccharide
A nurse is providing education about the introduction of solid foods for the parent of an infant. Which of
the following instructions should the nurse include? - ANS Begin after the extrusion reflex has
diminished.
A nurse is caring for a school-aged child who begins to have a tonic-clonic seizure when leaving the
bathroom. Which of the following actions should the nurse take first? - ANS Ease the child to the floor in
Sims' position
A nurse is caring for a child who is in the emergency department after ingesting a bottle of
acetaminophen. Which of the following medications should the nurse plan to administer? - ANS
Acetylcysteine
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? - ANS The toddler's birth weight is tripled.
A nurse is teaching the guardians of a toddler who has a new prescription for an oral iron supplement.
To increase the child's absorption of the iron, the nurse should recommend administering the
supplement with which of the following? - ANS Orange juice
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? - ANS Impaired language skills
