ATI RN-PN NURSING CARE OF CHILDREN ACTUAL EXAM TEST
BANK
A charge nurse in an emergency department is preparing an in-service for a group of
newly licensed nurses about the manifestations of child
maltreatment. Which of the following manifestations should the charge nurse
include as a potential indication of physical abuse? - ANSWER: Symmetric burns of
the lower extremities
A hospice nurse is caring for a preschooler who has a terminal illness. One of the
preschooler's parents tells the nurse that they cannot cope
anymore and are thinking about moving out of the house. Which of the following
statements should the nurse make? - ANSWER: "Let's talk about some of the ways
you have handled previous stressors in your life."
A nurse in a provider's office is preparing to administer immunizations to
a toddler during a well-child visit. Which of the following actions should
the nurse plan to take? - ANSWER: Withhold the measles, mumps, and rubella
(MMR) vaccine.
A nurse in an emergency department is caring for a school-age child who has
appendicitis and rates their abdominal pain as 7 on a scale of 0 to 10.
Which of the following actions should the nurse take? - ANSWER: Give morphine
0.05mg/kg IV
A nurse in an emergency department is caring for a school-age child who is
experiencing an anaphylactic reaction. Which of the following is the
priority action by the nurse? - ANSWER: Administer epinephrine IM to the child.
A nurse in an emergency department is caring for a toddler who has partial-thickness
burns on their right arm. Which of the following actions
should the nurse take? - ANSWER: Cleanse the affected area with mild soap and
water.
A nurse in an emergency department is caring for an adolescent who has severe
abdominal pain due to appendicitis. Which of the following
locations should the nurse identify as McBurney's point? - ANSWER: A.
A nurse in an emergency department is performing a physical assessment on a 2-
week-old male newborn. Which of the following findings is the
priority for the nurse to report to the provider? - ANSWER: Substernal retractions
A nurse in an urgent care clinic is assessing an adolescent who has an upper
respiratory tract infection. Which of the following findings should the
nurse identify as a manifestation of pertussis? - ANSWER: Dry, hacking cough
, A nurse is admitting a school-age child who has pertussis. Which of the following
actions should the nurse take? - ANSWER: Initiate droplet precautions for the child.
A nurse is assessing a 3-year-old toddler at a well-child visit. Which of the following
manifestations should the nurse report to the provider? - ANSWER: Respiratory rate
45/min
A nurse is assessing a 4-year-old child at a well-child visit. Which of the following
developmental milestones should the nurse expect to observe? - ANSWER: Cuts an
outlined shape using scissors
A nurse is assessing a school-age child immediately following a perforated appendix
repair. Which of the following findings should the nurse - ANSWER: Absence of
peristalsis
A nurse is assessing a school-age child who has meningitis. Which of the following
findings is the priority for the nurse to report to the provider? - ANSWER: Petechiae
on the lower extremities
A nurse is assessing a school-age child who has peritonitis. Which of the following
findings should the nurse expect? - ANSWER: Abdominal distention
A nurse is assessing a toddler who has gastroenteritis and is exhibiting
manifestations of dehydration. Which of the following findings is the
nurse's priority? - ANSWER: Tachypnea
A nurse is assessing an infant who has a ventricular septal defect. Which of the
following findings should the nurse expect? - ANSWER: Loud, harsh murmur
A nurse is assessing the vital signs of a 10-year-old child following a burn injury. The
nurse should identify that which of the following findings is an
indication of early septic shock? - ANSWER: Temperature 39.1° C (102.4° F)
A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should
identify the sound as which of the following? (Click on the
audio button to listen to the clip.) - ANSWER: Tachypnea
A nurse is caring for a 15-year-old client following a head injury. Which of the
following findings should the nurse identify as an indication that the
child is developing syndrome of inappropriate antidiuretic hormone secretion
(SIADH)? - ANSWER: Mental confusion
A nurse is caring for a 15-year-old client who is married and is scheduled for a
surgical procedure. The client asks, "Who should sign my surgical
consent?" Which of the following responses should the nurse make? - ANSWER:
"You can sign the consent form because you are married."
BANK
A charge nurse in an emergency department is preparing an in-service for a group of
newly licensed nurses about the manifestations of child
maltreatment. Which of the following manifestations should the charge nurse
include as a potential indication of physical abuse? - ANSWER: Symmetric burns of
the lower extremities
A hospice nurse is caring for a preschooler who has a terminal illness. One of the
preschooler's parents tells the nurse that they cannot cope
anymore and are thinking about moving out of the house. Which of the following
statements should the nurse make? - ANSWER: "Let's talk about some of the ways
you have handled previous stressors in your life."
A nurse in a provider's office is preparing to administer immunizations to
a toddler during a well-child visit. Which of the following actions should
the nurse plan to take? - ANSWER: Withhold the measles, mumps, and rubella
(MMR) vaccine.
A nurse in an emergency department is caring for a school-age child who has
appendicitis and rates their abdominal pain as 7 on a scale of 0 to 10.
Which of the following actions should the nurse take? - ANSWER: Give morphine
0.05mg/kg IV
A nurse in an emergency department is caring for a school-age child who is
experiencing an anaphylactic reaction. Which of the following is the
priority action by the nurse? - ANSWER: Administer epinephrine IM to the child.
A nurse in an emergency department is caring for a toddler who has partial-thickness
burns on their right arm. Which of the following actions
should the nurse take? - ANSWER: Cleanse the affected area with mild soap and
water.
A nurse in an emergency department is caring for an adolescent who has severe
abdominal pain due to appendicitis. Which of the following
locations should the nurse identify as McBurney's point? - ANSWER: A.
A nurse in an emergency department is performing a physical assessment on a 2-
week-old male newborn. Which of the following findings is the
priority for the nurse to report to the provider? - ANSWER: Substernal retractions
A nurse in an urgent care clinic is assessing an adolescent who has an upper
respiratory tract infection. Which of the following findings should the
nurse identify as a manifestation of pertussis? - ANSWER: Dry, hacking cough
, A nurse is admitting a school-age child who has pertussis. Which of the following
actions should the nurse take? - ANSWER: Initiate droplet precautions for the child.
A nurse is assessing a 3-year-old toddler at a well-child visit. Which of the following
manifestations should the nurse report to the provider? - ANSWER: Respiratory rate
45/min
A nurse is assessing a 4-year-old child at a well-child visit. Which of the following
developmental milestones should the nurse expect to observe? - ANSWER: Cuts an
outlined shape using scissors
A nurse is assessing a school-age child immediately following a perforated appendix
repair. Which of the following findings should the nurse - ANSWER: Absence of
peristalsis
A nurse is assessing a school-age child who has meningitis. Which of the following
findings is the priority for the nurse to report to the provider? - ANSWER: Petechiae
on the lower extremities
A nurse is assessing a school-age child who has peritonitis. Which of the following
findings should the nurse expect? - ANSWER: Abdominal distention
A nurse is assessing a toddler who has gastroenteritis and is exhibiting
manifestations of dehydration. Which of the following findings is the
nurse's priority? - ANSWER: Tachypnea
A nurse is assessing an infant who has a ventricular septal defect. Which of the
following findings should the nurse expect? - ANSWER: Loud, harsh murmur
A nurse is assessing the vital signs of a 10-year-old child following a burn injury. The
nurse should identify that which of the following findings is an
indication of early septic shock? - ANSWER: Temperature 39.1° C (102.4° F)
A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should
identify the sound as which of the following? (Click on the
audio button to listen to the clip.) - ANSWER: Tachypnea
A nurse is caring for a 15-year-old client following a head injury. Which of the
following findings should the nurse identify as an indication that the
child is developing syndrome of inappropriate antidiuretic hormone secretion
(SIADH)? - ANSWER: Mental confusion
A nurse is caring for a 15-year-old client who is married and is scheduled for a
surgical procedure. The client asks, "Who should sign my surgical
consent?" Which of the following responses should the nurse make? - ANSWER:
"You can sign the consent form because you are married."
