NUR 875 PEDS ATI C.

Form C 1. A nurse is caring for a child during a tonic-clonic seizure. Which of the following actions should the nurse take? ( select all that apply) A. Clear the area of hard objects. B. Firmly hold the child’s arms to one side. C. Place a pillow under the child’s head. D. Insert a tongue blade into the child’s mouth. E. Loosen tight clothing around the child’s neck 2. A nurse is preparing to perform a venipuncture to collect a blood sample from an infant. Which of the following restraints should the nurse plan to use for this procedure? A. Elbow B. Mitten C. Jacket D. Mummy 3. A nurse is teaching a parent of a preschool-age child about management of sleep terrors. Which of the following instructions should the nurse include? A. Take the child to the parent’s bed to resume sleep. B. Allow the child to fall asleep with the television on. C. Remain uninvolved until the child awakens D. Schedule professional counseling for the child 4. A nurse is assessing a toddler who is 8 hr postoperative following a cardiac catheterization procedure. Which of the following findings should the nurse report to the provider? A. Weak pedal pulse distal to the site. B. Bilateral cool extremities C. Serum glucose 90 mg/DL D. Blood pressure 102/58 mm Hg 5. A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings in the priority? A. The child swallows frequently B. The child refuses clear liquids C. The child’s throat pain increases D. The child cries often 6. A nurse is planning care for an 8 month-old infant who has bronchitis. Which of the following actions the nurse include in the plan of care? A. Use a bulb syringe to suction the nares. B. Place the infant in a room with negative-pressure airflow. Administer a meningococcal vaccine