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GEN ATI PEDIATRICS PROCTORED
EXAM EACH EXAM CONTAINS 70
QUESTIONS AND
CORRECT DETAILED ANSWERS
After reviewing the information in the child's medical
record, which of the following findings should the nurse
report to the provider?
Select the 4 findings that the nurse should report to the
provider.
Arterial blood gases
Cardiovascular assessment
WBC count
Hemoglobin
Oxygen saturation level
Respiratory assessment --Verified--Solution----Arterial
blood gases WBC count
Oxygen saturation level
Respiratory assessment
A nurse is receiving change-of-shift report for four
children. Which of the following children should the
nurse assess first?
An adolescent who was placed into halo traction 1 hr ago
and reports pain as 6 on a scale of 0 to 10
An adolescent who has infective endocarditis and reports
having a headache
A toddler who has a concussion and is experiencing an
episode of forceful vomiting
A school-age child who has acute glomerulonephritis and
brown-colored urine --Verified--Solution----A toddler who
has a concussion and is experiencing an episode of
forceful vomiting
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For each assessment finding, click to specify if the
finding is consistent with nightmares, sleep terrors, or
insomnia. Each finding may support more than 1 disease
process.
A. Timing of child's crying
B. Daytime alertness
C. child's concentration
D. Impulsivity
E. Child's description of the dream
F. Child's return to sleeping
G. Child's responsiveness to guardian --Verified--
Solution----
A nurse is providing discharge teaching to the guardians of
a toddler who had a lower leg cast applied 24 hr ago. The
nurse should instruct the guardians to report which of the
following findings to the provider?
A. Capillary refill time less than 2 seconds
B. Restricted ability to move the toes
C. Swelling of the casted foot when the leg is dependent
D. Pedal pulse +3 bilateral --Verified--Solution----B.
Restricted ability to move the toes
A nurse is providing discharge teaching to the parent
of a school-age child who has moderate persistent
asthma. Which of the following instructions should the
nurse include?
A. "You should give your child their salmeterol inhaler
every 4 hours when they are having an acute episode of
wheezing."
B. "You should monitor your child's weight weekly while
they are receiving inhaled corticosteroid therapy."
C. "Pulmonary function tests will be performed every 12 to
24 months to evaluate how your child is responding to
therapy."
D. "When using the peak expiratory flow meter, record
your child's average of three readings." --Verified--
Solution----C. "Pulmonary function tests will be performed
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A nurse is assessing an infant who has pneumonia. Which
of the following findings is the priority for the nurse to
report to the provider?
A. Nasal flaring
B. WBC count 18,000/mm3 (6,200 to 17,000/mm3)
C. Diarrhea
D. Abdominal distension --Verified--Solution----A.
Nasal flaring
A nurse is planning developmental activities for a newly
admitted 10-year-old child who has neutropenia. Which
of the following actions should the nurse plan to take?
A. Provide the child with a book about adventure.
B. Arrange frequent visits from family members and peers.
C. Give the child a large-piece puzzle.
D. Use puppets to entertain the child. --Verified--
Solution----A. Provide the child with a book about
adventure.
A school nurse is caring for a child following a tonic-
clonic seizure. Which of the following actions should
the nurse take first?
A. Check the child for a head injury.
B. Observe for oral bleeding.
C. Check the child's respiratory rate.
D. Observe for extremity weakness. --Verified--Solution----
C. Check the child's respiratory rate.
A nurse is caring for a school-age child who is receiving a
blood
transfusion. Which of the following manifestations should
alert the nurse to a possible hemolytic transfusion
reaction?
A. Laryngeal edema
B. Flank pain
C. Distended neck veins
D. Muscular weakness --Verified--Solution----B.
Flank pain
GEN ATI PEDIATRICS PROCTORED
EXAM EACH EXAM CONTAINS 70
QUESTIONS AND
CORRECT DETAILED ANSWERS
After reviewing the information in the child's medical
record, which of the following findings should the nurse
report to the provider?
Select the 4 findings that the nurse should report to the
provider.
Arterial blood gases
Cardiovascular assessment
WBC count
Hemoglobin
Oxygen saturation level
Respiratory assessment --Verified--Solution----Arterial
blood gases WBC count
Oxygen saturation level
Respiratory assessment
A nurse is receiving change-of-shift report for four
children. Which of the following children should the
nurse assess first?
An adolescent who was placed into halo traction 1 hr ago
and reports pain as 6 on a scale of 0 to 10
An adolescent who has infective endocarditis and reports
having a headache
A toddler who has a concussion and is experiencing an
episode of forceful vomiting
A school-age child who has acute glomerulonephritis and
brown-colored urine --Verified--Solution----A toddler who
has a concussion and is experiencing an episode of
forceful vomiting
,2|Page
For each assessment finding, click to specify if the
finding is consistent with nightmares, sleep terrors, or
insomnia. Each finding may support more than 1 disease
process.
A. Timing of child's crying
B. Daytime alertness
C. child's concentration
D. Impulsivity
E. Child's description of the dream
F. Child's return to sleeping
G. Child's responsiveness to guardian --Verified--
Solution----
A nurse is providing discharge teaching to the guardians of
a toddler who had a lower leg cast applied 24 hr ago. The
nurse should instruct the guardians to report which of the
following findings to the provider?
A. Capillary refill time less than 2 seconds
B. Restricted ability to move the toes
C. Swelling of the casted foot when the leg is dependent
D. Pedal pulse +3 bilateral --Verified--Solution----B.
Restricted ability to move the toes
A nurse is providing discharge teaching to the parent
of a school-age child who has moderate persistent
asthma. Which of the following instructions should the
nurse include?
A. "You should give your child their salmeterol inhaler
every 4 hours when they are having an acute episode of
wheezing."
B. "You should monitor your child's weight weekly while
they are receiving inhaled corticosteroid therapy."
C. "Pulmonary function tests will be performed every 12 to
24 months to evaluate how your child is responding to
therapy."
D. "When using the peak expiratory flow meter, record
your child's average of three readings." --Verified--
Solution----C. "Pulmonary function tests will be performed
, 3|Page
A nurse is assessing an infant who has pneumonia. Which
of the following findings is the priority for the nurse to
report to the provider?
A. Nasal flaring
B. WBC count 18,000/mm3 (6,200 to 17,000/mm3)
C. Diarrhea
D. Abdominal distension --Verified--Solution----A.
Nasal flaring
A nurse is planning developmental activities for a newly
admitted 10-year-old child who has neutropenia. Which
of the following actions should the nurse plan to take?
A. Provide the child with a book about adventure.
B. Arrange frequent visits from family members and peers.
C. Give the child a large-piece puzzle.
D. Use puppets to entertain the child. --Verified--
Solution----A. Provide the child with a book about
adventure.
A school nurse is caring for a child following a tonic-
clonic seizure. Which of the following actions should
the nurse take first?
A. Check the child for a head injury.
B. Observe for oral bleeding.
C. Check the child's respiratory rate.
D. Observe for extremity weakness. --Verified--Solution----
C. Check the child's respiratory rate.
A nurse is caring for a school-age child who is receiving a
blood
transfusion. Which of the following manifestations should
alert the nurse to a possible hemolytic transfusion
reaction?
A. Laryngeal edema
B. Flank pain
C. Distended neck veins
D. Muscular weakness --Verified--Solution----B.
Flank pain
