Page 1 of 16 ATI PEDIATRICS PROCTORED EXAM/ RECENT COMPLETE VERSION A LL QUESTIONS AND CORRECT ANSWERS WITH RATIONALES / BEST GRADED A+ A nurse is teaching the parents of a toddler who has enterobiasis about managing this parasitic disease. Which of the following pieces of information should the nurse include in the te aching? - ANSWER: You should keep your child's fingernails trimmed short. A nurse on a pediatric unit is admitting a 4 -year-old child. Which of the following toys should the nurse plan to provide for the child to engage in independent play? - ANSWER: Plastic stethoscope A nurse is reviewing the risk factors for the development of congenital heart disease with a client who is planning to conceive. Which of the following conditions should the nurse include as a maternal risk factor? - ANSWER: Alcohol consumption A nurse is caring for an adolescent following a lumbar puncture. which of the following actions should the nurse take? - initiate NPO status for the adolescent - place the adolescent in a supine position - place a moist, warm pack on the adolescents lower back - apply a eutectic mixture of local anesthetics to the adolescent's puncture site - ANSWER: Place the adolescent in supine position (The nurse should place the adolescent in a supine position for 30 minutes to an 1 hour following a lumbar puncture to decrease the risk of a post Dural puncture headache) Page 2 of 16 A nurse is assessing a child who is receiving IV chemotherapy. assessment findings include extravasation of the tissues surrounding the IV insertion site. In which order should the nurse take the following actions? -Remove IV line -Elevate the extremity -Stop the infusion -Notify the provider - ANSWER: Stop the infusion Elevate the extremity Notify the provider Remove the IV line A nurse is discussing the causes of chronic diarrhea with a client. which of the following conditions is caused by malabsorption -Celiac disease -Ulcerative colitis -Hirschsprung's disease -Crohn's disease - ANSWER: Celiac Disease (the n urse should recognize that celiac disease causes chronic diarrhea due to malabsorption. other malabsorption conditions include short bowel syndrome, lactose intolerance, and congenital enzyme deficiency) A nurse is caring for an 8 year old child who has s ickle cell anemia. which of the following actions should the nurse take? -Apply cool compresses to the painful area -Initiate contact isolation precautions Page 3 of 16 -Give the child flavored popsicles -Administer phytonadione - ANSWER: Give the child flavored popsicle s (Maintaining hydration with a child who has sickle cell anemia is important to prevent sickling. children often accept flavored popsicles as a source of fluid A nurse is caring for a toddler who has a fever, a high pitched cry, irritability, and vomiti ng. which of the following actions should the nurse take? -Administer 81 mg of aspirin to the toddler -Give the toddler a cold bath -Place the toddler in a supine position -Pad the rails of the toddler's bed - ANSWER: Pad the rails of the toddler's bed (Whe n caring for a toddler who has manifestations of bacterial meningitis, the nurse should implement seizure precautions, which includes padding the side rails of the bed) A Nurse is teaching the guardian of a preschooler. The guardian states that the preschooler has had an imaginary playmate for about 3 months. which of the following pieces of information should the nurse give to guardian? -children commonly begin having im aginary friends when they reach school age -Notify your provider if the imaginary friend persists longer than 6 months -Have your child take responsibility for actions if he tries to blame the imaginary friend -Set limits by not allowing your child to have the imaginary friend present during family meals - ANSWER: Have your child take responsibility or actions if he tries to blame the imaginary friend
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