Peds ATI Practice B Online
A nurse is providing dietary-teaching to the parents of a child who has celiac disease. The nurse should recommend that the parent offer which of the following foods to the child?
A. Wheat crackers
B. Rye bread
C. Barley soup
D. White Rice
White Rice
The nurse sho...
Peds ATI Practice B Online 2019 - 2023
A nurse is providing dietary-teaching to the parents of a child who has celiac disease. The nurse should recommend that the parent offer which of the following
foods to the child?
A. Wheat crackers
B. Rye bread
C. Barley soup
D. White Rice
White Rice
The nurse should recommend that the parent offer white rice to the child because
it is a gluten-free food. The nurse should instruct the parent that the child will remain on a lifelong gluten-free diet and the child should not consume oats, rye, barley, or wheat, and that sometimes lactose deficiency can be secondary to this disease.
Wrong
Contain gluten and should be avoided. * Wheat crackers *Rye bread * Barley soup
Nurse is reviewing lab results of a school age child 1 week postop following an open fracture repair. Which findings should nurse ID as indication of potential complication?
a. Erythrocyte sedimentation rate 18 mm/hr
b. WBC count 6,200/mm3
c. C-reactive protein 1.4 mg/LRBC count 4.7 million/mm3
d. RBC count 4.7 million/mm3:
Erythrocyte sedimentation rate 18 mm/hr - above the expected reference range of up to 10 mm/hr and is an indication of osteomyelitis.
Wrong Answers:
WBC count 6,200/mm3:- within the expected reference range of 5,000 to 10,000/mm3. C-reactive protein 1.4 mg/L:- within the expected reference range of <10.0 mg/L. Elevated C-reactive protein indication of osteomyelitis.
RBC count 4.7 million/mm3:- within the range of 4.0 to 5.5 million/mm3. Nurse planning care for school age child with tunneled CVA device. Which interventions should the nurse include in plan?
a. Use sterile scissors to remove the dressing from the site.
b. Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in use
c. Access the site using a noncoring angled needle
d. Use a semipermeable transparent dressing to cover the site
Use a semipermeable transparent dressing to cover the site - The nurse should cover the site with a semipermeable transparent dressing to reduce the risk of infection.
Wrong Answers:
a. Use sterile scissors to remove the dressing from the site - avoid the use of scissors when performing dressing changes because this can result in accidental cutting of the catheter.
b. Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in use
- flush each lumen of the catheter with a heparin solution daily when not in use.
c. Access the site using a noncoring angled needle - should use a noncoring angled
or straight needle accessing an implanted port.
Nurse in ED auscultates lungs of adolescent experiencing dyspnea. Nurse should ID sound as what?
a. Wheezes
b. Crackles
c. Pleural friction rub
d. Rhonchi a. Wheezes
- high-pitched, musical or whistling-like sounds heard primarily on expiration as air
passes through and vibrates narrowed airways.
Wrong answers:
b. Crackles
- high-pitched, short, and noncontinuous sounds usually heard at the end of inspiration. Crackles occur when air expands deflated alveoli or when the passage of air through small airways is disrupted.
c. Pleural friction rub
- a loud, rough, grating sound that can be heard during inspiration or expiration. A pleural friction rub occurs when the pleurae are inflamed and the surfaces rub together.
d. Rhonchi
- low-pitched, continuous sounds that have a snore-like quality and are usually louder during expiration. Rhonchi occur when the larger airways are obstructed.
Nurse is planning care to address nutritional needs for preschooler with cystic fibrosis. Which interventions should the nurse include in plans?
a. Administer pancreatic enzymes 2 hr after meals.
b. Discontinue the use of pancreatic enzymes if steatorrhea develops.
c. Limit fluid intake to 750 mL per day.
d. Increase fat content in the child's diet to 40% of total calories.
Increase fat content in the child's diet to 40% of total calories - A child who has cystic fibrosis is unable to properly digest fats due to fibrosis of the pancreas and limited secretion of pancreatic enzymes. The nurse should increase the child's fat intake to 35% to 40% of total caloric intake.
Wrong Answers:
- The nurse should plan to administer pancreatic enzymes within 30 min of meals and snacks to replace the enzymes lost with cystic fibrosis.
- A child who has cystic fibrosis and develops steatorrhea, or fatty stools, might need to have their dosage of pancreatic enzyme increased by their provider until the steatorrhea resolves. - The nurse should encourage fluid intake, rather than restrict it, to prevent dehydration caused by the loss of sodium and chloride through perspiration.
Nurse assesses school age child with infratentorial brain tumor. Which findings should the nurse ID as manifestation of IICP?
a. Hypotension
b. Reports insomnia
c. Difficulty concentrating
d. Tachycardia
Difficulty concentrating
- The nurse should identify that irritability, inability to follow commands, and difficulty concentrating are manifestations of IICP due to decreased blood flow within the brain and pressure on the brainstem.
Wrong Answers:
a. Hypotension - HTN is a late manifestation of IICP due to compression of the brain vessels.
b. Reports insomnia - somnolence and lethargy are manifestations of IICP .
c. Tachycardia - bradycardia is a late manifestation of IICP .
Nurse assesses infant with pneumonia. Which findings is priority for nurse to report to HCP?
a. Nasal flaring
b. WBC count 11,300/mm3
c. Diarrhea
d. Abdominal distension
Nasal flaring
- When using the ABC approach to client care, the nurse should determine that the priority finding to report to the provider is nasal flaring. Nasal flaring indicates the infant is experiencing acute respiratory distress.
Wrong Answers:
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