ATI Care of Children RN 2019 Proctored Exam - Level 3! QUES TION A ND A NSWERS LA TES T VERSION 2 022 1. A nurseisassessingaschool-agechild whohasheart failureandistakingfurosemide. Which of the f... ollowing findings should the nurse identify as an indication thatthe medication is effective? a. An increase in venous pressure b. a decrease in peripheral edema c. adecreasein cardiac output d. an increase in potassium levels 2. A nurse is assessing an infant who has acute otitis media. Which of thefollowing findings should the nurse expect (select all that apply) a. Increased appetite b. enlarged subclavian lymph nodec. Crying d. Restlessnesse. fever 3. a nurse is providing teaching to the parents of an infant who is to undergopilocarpine lontophoresis Testingfor CysticFibrosis. Whichof thefollowingstatementsshould the nurse include in the teaching? a. We will measure the amount of protein in your baby's urine over 24 hourperiod b. The test will measure the amount of water in your baby’s sweat c. anurse will insert anIVprior to thetest d. your baby will need tofast for 8 hours prior to the test 4. A nurseinanurgent careclinic is prioritizing carefor children. Whichofthe following children should the nurse assess first? a. A toddler who has nephrotic syndrome and facial edema b. a preschool-age child who has a muffled voice and no spontaneous cough c. a preschool-age child who has diabetes mellitus and a blood glucose of NELSON DOC 200 mg/dL d. anadolescent whohas Crohn'sdiseaseandrecent weight lossof 5kg mg(11 lb) 5 .A nurse is providing teaching to the parents of a toddler who is to undergoa sweat chloride test. Which of the following statements should the nurse include? a. The purpose of the test is to determine if your child has Crohn's disease b. thetechnician will usea device to produce anelectrical currentduring thetest c. duringthe test, your child willbe inaroom that is coldd. your child sweat will be collected over 24hours 6. A nurse in the emergency department is caring for an adolescent who is requestingtesting for STI. Which of thefollowing action is appropriatefor thenurse to take? a. Request verbal consent from the social worker b. contact the client's parents to obtain phone consent c. postpone the testing until the client's parents are presentd. obtain written consent from the client 7. A nurse in the emergency department is assessing the toddler who hashyperpyrexia severe dyspnea and drooling which of the following actions should the nursetakefirst? a. obtainabloodculturefrom thetoddler b. administering antibiotictothetoddler c. insertanIVcatheter for the toddler d. preparethe toddler for nasotracheal intubation 8. A nurse is providing teaching to a 10 year old child with scheduled for an arterialcardiaccatheterization. Whichof thefollowing informationshouldthenurse include in the teaching? a. You will have your dressing removed 12 hours after the procedureb. you will need to keep your legs straight for 8 hours following the procedure c. you willbeonaclear liquid diet for24hours following the procedure d. you will be on bedrest for2 days after the procedure9. 10. A nurse is caring for a preschooler who is post-operative following atonsillectomy. The child NELSON DOC is now ready to resume oral intake which of the following dietary choicesshould the nurse offer thechild? a. sugar-free Cherry gelatin b. vanillaice cream c. chocolate milk d. limeflavored icepop 11. A nurse is caring for an infant who has Patent ductus arteriosus. Thenurse should identify that thedefect isaswitchof thefollowinglocationsof theheart. (you willfind hot spots to select intheartwork below. Select only the hot spot that corresponds to youranswer)Answer: B 12. A nurse is caring for a 10 month old child was brought to the emergencydepartment by his parents following a head injury. Which of the following actions should the nurse take first? a. Inspect for fluid leaking from the ears (thinking about CSF leakage severetrauma = urgent,after respiratory status is confirmed) b. assessrespiratorystatus c. check pupil reactions d. examine the scalp for lacerations 13. A charge nurse is planning care for an infant who has failure to thrive. Whichof thefollowing actions should the nurse include in the plan of care? a. Assign consistent nursing Staff Care for the infant b. Keep infant in a visually stimulating environment c.usehalf-strengthformula when feedingtheinfant d.givetheinfant fruit juicebetweenfeedings 14. A nurse is providing teaching about home care to the parent of a child who has scabies. Which of the following instruction should the nurse includein the teaching? a. Wash your clients hair with shampoo containing Ketoconazoleb. soak Combs and brushes in boiling water for 10 minutes c.applypetroleum jellytotheaffectedareas d. treat everyone who came into close contact with a child 15. A nurse is caring for a preschooler who refuses to take a start dose of NELSON DOC oral diphenhydramine. Which of the following statements should the nurse make? a. The medication isn't bad it taste like candy b. let me know when you want to take the medication c. the medication will treatyourhypersensitivity reaction( too much“Adult”terminology/ jargon for pre schooler to understand) d. sometimes, when a child has to take medication, they feel sad. 16. A nurse is teaching the parent of a school-age child about bicycle safety.Which of the following instructions should the nurse include in the teaching? a. Your childshould walk the bicycle through intersections b. your child's feet should be three to six inches off the ground when Seatedonthe bicycle c. youshouldtry to keep the bicycle at least three feet from the curb whileriding inthe street d. yourchildshouldridethebicycleagainst theflow of traffic 17. A nurse is caring for a school-age child following the application of a castto a Fractured right tibia. Which of the following actions should the nurse take first? a. Teachthechildaboutcastcare b. Pad the edges of the cast c. administer pain medicationd. Elevate the child's leg 18. 19. A nurse is preparing a school-age child for an invasive procedure. Whichof thefollowing actions should thenurseplanto take? a. plan for 30 minute teaching session about the procedure b. use vague language to describe the procedure c. explain the procedure to the child when they are inthe playroom d. demonstrate deep breathing and Counting exercises20. 21. A nurse is preparing to collect a urine specimen from a female infant using a urine collection bag. Which of the following actions should the nursetake? NELSON DOC -Apply lidocaine gel to the perineum before attaching the bag -Position the opening of the bag over the urethra and the anus -Stretch the perineum taught when applying the bag -Place a snuff fitting diaper over the drainage bag 22. A nurse is planning care for a toddler who has developed oral ulcers inresponse to chemotherapy. Which of the following actions should the nurse include in theplan of care? a. Schedule routine Oral Care every 8 hours b. Cleanse the gums with saline soaked gauze c. more sending me closer with lemon glycerin swabs d. administer oral viscous lidocaine 23. A nurse is providing discharge teaching to the parents of an infant who isat risk for sudden infant death syndrome (SIDS). Which of the following statementsbytheparent indicatesanunderstandingof theteaching? a. I will have my baby sleep next to me in the bed during the night b. Elmo my baby stuffed animal to the corner of her crib while she sleepsc. I will dress my baby inlightweight clothing to sleep d. I will lay my baby on her side to sleep for her naps 24. A nurse is monitoring an infant who is receiving opioids for pain. Which ofthe following findings should indicate to the nurse that the medication is having a therapeutic effect? a. Increased blood pressure b. Limb withdrawal c. relaxed facial expression d. bradycardia 25. A nurse is caring for athree-month-oldinfant who has cleftof the softpalate. Which of the following actions should the nurse take? a. discontinue feeding if the client's eyes become watery b. postpone burping the infant until after completing each feeding c. Elevate the infant’s head to a 10 degree angle during feedings d. Feed the infant 177.4 ml (6 oz) of Formula 3 times a day 26. A nurse is caring for a child who has hyponatremia. Which of thefollowing findings should the nurse expect? a. Tetany NELSON DOC b. weight gain c. Elevated heart rate d. excessive diaphoresis 27. A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first? a. Set the administration rate on the feeding pump b. flushthetube with water c. check the pH of the gastric secretion d. attach the feeding bag tubing to the endof the NG Tube 28. A nurse is caring for an adolescent who is 1 hour post-operative followingan appendectomy. Which of the following findings should the nurse report to theprovider? a. Heart rate 63 / minuteb. muscle rigidity c. temperature 36.4 Celsius (97.5 Fahrenheit) d. abdominal pain 29. A nurse in a provider's office is preparing to administer immunization to a12 year old client during a well-child visit. Which of the following immunization should the nurse plan to administer? a. Diptheria, tetanus and pertussis (D-Tap) b. human papillomavirus (HPV) c. Varicella d. hepatitis A 30. Nurse is planning care for an 8 month old infant who has heart failure.Which of the following actions should the nurse include in the plan of care? a. Repeat digoxin dosage is the infant vomit within 1 hour of administration b. Placeinfant ina prone position c. administer cool, humidified oxygen via nasal cannula d. provide less frequent, higher volume feeding 31. A nurse is planning care for a school-age child who is admitted from theemergency department 12 hours ago. Which of the following interventions should the nurse include to promote adequate sleep for the child? a. Provide the child with video games prior to bedtime to reduce stress b. allow thechildto adjust theirbedtime topromote [Show More]
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