Ati Pn Nursing Care Of Children Exam. Questions And Answers With Rationales.

45. A nurse is assisting with the care of an infant who requires emergency surgery and whose parent is an emancipated adolescent. Which of the following people can sign the informed consent form for the procedure? A. The parent of the adolescent parent B. The adolescent parent C. The infant's provider D. The adult sibling of the adolescent parent 46. A nurse is reinforcing teaching with the guardian of a 1-month-old infant who has colic. Which of the following instructions should the nurse include in the teaching? A. "Offer a pacifier when your baby is fussy." B. "You should offer water in between feedings." C. "You should place a warm heating pad on your baby's abdomen." D. "Allow your baby to cry for 5 minutes before responding." 47. A nurse is reinforcing teaching with a school-age child who has mild persistent asthma and has a new prescription for therapy with montelukast. Which of the following information should the nurse include? A. "This medication helps prevent bronchospasms" B. "This medication is a corticosteriod." C. "You should take this medication for an acute asthma attack." D. "You should take this medication first thing in the morning." 48. A nurse is caring for a 4-year-old child who has pneumonia due to varicella zoster. The parent asks the nurse what types of activities are available for the child. Which of the following play activities should the nurse recommend? A. Watching cartoons in the unit activity room with peers. B. Pulling a wagon of stuffed animals in the hallway. C. Writing a short letter to send to a friend. D. Playing an alphabet flash card game with the parent. 49. A nurse in a pediatric unit is assisting with providing care for multiple children. Which of the following physical findings and parental reports should cause the nurse to suspect child maltreatment? A. A toddler has a spiral fracture, and the parent reports a fall from a swing. B. A preschooler has bruises on the shins, and the parent reports a collision with furniture. C. An adolescent has a head injury, and the parent reports a fall from a bike. D. A school-age child has a black eye, and the parent reports a fight with a classmate. 50. A nurse is assisting with providing care for an adolescent client who has neuropathic pain. Which of the following medications should the nurse anticipate administering? A. Oxycodone B. Gabapentin C. Acetaminophen D. Duloxetine 51. A nurse is collecting data about sleep patterns from the parent of a preschooler during a well-child visit. The parent states, "My child has nightmares three to four times each week." I hope they grow out of this soon." Which of the following findings indicates to the nurse that the child is experiencing sleep terrors rather than nightmares? A. The child can describe what they were frightened of. B. The child usually goes back to sleep immediately. C. The child becomes fully awake and is in a panic. D. The child is easily comforted by the presence of the parent. 52. A nurse is reinforcing car seat safety instructions with the parent of a 15-month-old toddler. Which of the following statements by the parents indicates an understanding of the teaching? A. " I should place my child in a forward-facing car seat to ensure safety." B. "I should place my child in the front seat in a rear-facing car seat." C. "I should continue to use a booster seat until my child is 5 years old." D. "I should place my child in a rear-facing car seat until age 2." 53. A nurse is caring for an adolescent who reports manifestations of an STI. Which of the following actions should the nurse take? A. Request that the adolescent sign a consent for treatment form prior to performing STI screening. B. Instruct the adolescent that a guardian must be present to provide consent for STI screening. C. Plan to notify the adolescent's guardian if the STI screening comes back positive. D. Obtain phone consent from the guardian of the adolescent prior to performing STI screening. 54. A nurse is reinforcing teaching with the parents of a preschooler who has recently started to stutter. Which of the following instructions should the nurse include? A. "Critique your child's speech." B. "Look away from your child when they start to stutter." C. "Avoid completing your child's sentences." D. "Tell your child to take a deep breath when they are stuttering." 55. A nurse is reinforcing discharge teaching about preventing infections with the parent of a child who is receiving chemotherapy and has a platelet count of 100,000/mm³. Which of the following statements by the parent indicates an understanding of the teaching? A. "I will take my child's rectal temperature daily to ensure the most accurate reading." B. "I will make sure my child receives the MMR vaccine by the end of the week." C. "I will take my child to the park to ride her new bike." D. "I will inspect the inside of my child's mouth for sores every day." 56. A nurse is assisting in preparing a preschooler for a diagnostic procedure. Which of the following strategies should the nurse use? (SATA) A. Review the child's present understanding B. Use abstract terms to describe the procedure C. Prepare the child shortly before the procedure D. Describe any expected sensations experienced during the procedure E. Plan for a 20 min teaching session 57. A nurse is reinforcing teaching with the parent of a toddler about promoting effective sleep patterns. Which of the following statements by the parent indicates an understanding of the teaching/ A. "My child and I will watch TV for 30 minutes before we go to bed." B. "After my child falls asleep in my bed. I will move them to their bed." C. "I will allow my child to have a drink of water each night prior to bedtime." D. "I will allow my child to eat dinner 1 hour before bedtime." 58. A nurse is reinforcing teaching about injury prevention with the parents of a toddler. Which of the following instructions should the nurse include in the teaching? (SATA) A. Install window guards on windows B. Place scatter rugs over hardwood floors C. Keep doors locked D. Supervise at playgrounds E. Turn pot handles toward the front of the stove 59. A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take? (SATA) A. Loosen restrictive clothing B. Hyperextend the child's neck C. Time the seizure episode D. Place the child in a side-lying position E. Restrain the child