ATI PEDS REAL EXAM Review Answers

1. A nurse is providing education about dietary modifications to the parent of a school age child who has glomerulonephritis. Which of the following information should the nurse include in the teaching? A. Increase the child calcium intake B. Decrease the Child’ssodium intake C. Increase the child'sintake of carbohydrates D. Decrease the child's fat intake 2. A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure? A. Minimize movement of the limbs B. Insert a tongue blade between the teeth C. Clear the area of hard object D. Place the child in a prone position 3. A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the following findings is the nurse’s priority? A. HbA1C 11.5% B. cholesterol 189 mg/dL C. Preprandial blood glucose 124 mg/dL D. Glycosuria 4. A nurse is providing anticipatory guidance to a parent of a 1- month-old infant. The nurse should include that it is recommended to start this series of which of the following immunization first? A. Varicella B. measles, mumps, rubella C. Inactivated poliovirus D. Hepatitis A tetra 5. A nurse is reviewing the laboratory report of a toddler who has hemolytic uremic syndrome. Which of the following findings should the nurse expect? A. Creatinine 0.3 mg/dL (elevated Creatinine) B. Hbg 18 g/dL (Low H&H) C. Urine casts absent (urine cast present) D. BUN 28 mg/dL (elevated BUN) ATI pg.169 6. A nurse is caring for a school-age child who is experiencing a sickle cell crisis. Which of the following actions should the nurse take? A. Administer furosemide IV twice per day. B. Apply warm compresses to the affected areas C. Decrease the child’s fluid intake D. Initiate contact precautions. ATI pg. 126 lOM oA R c P S D| 866 12 62 7. A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the followings finding to the provider? A. Rhinorrhea (expected finding) B. Tachypnea C. Pharyngitis(Expected finding) D. Coughing (and sneezing) 8. A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching? A. You can drink milk on an empty stomach. B. You should consume flavored yogurt instead of plain yogurt. C. You can tolerate plain milk betterthan chocolate milk. D. You can replace milk with nondairy source of calcium 9. A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5 Ib) and is postoperative following open heart surgery. Which of the following findings should the nurse report to the provider? A. Skin temperature 36C (96.8 F) B. Pedal and posterior tibial pulses of 2+ C. Urine output of 15 mL in the last 2 hr D. Drainage from the chest tube of 22 mL in the last hour. 10. A nurse is providing dietary teaching to a parent of a 10-month-old infant who has phenylketonuria. Which ofthe following responses by the parent indicate an understanding of the teaching? A. My daughter can't drink orange juice B. I willsteam carrots and cutthem into small piecesfor her.” (offer the child food that are low in protein such as carrot and fruits.) C. Ishould ensure that my daughter eats one ounce of meat every day.” (avoid food high in protein) D. I willswitch her to whole milk now that she is old enough.” (whole milk is high in protein, should be avoided.) 11. A nurse is providing teaching to the parent of a preschool-age child who has celiac disease. which of the following instructions should the nurse include? A. Your child will be on a gluten-free diet for the rest of her life.” B. Your child will need to follow a low-protein diet temporarily.” C. You should place your child on a high-fiber diet when she has an exacerbation.” D. You should replace white flour with wheat flour when preparing mealsfor your child.” 12. A nurse is administering albuterol by metered dose inhaler for a preschool-age child who is experiencing an asthma exacerbation. Which of the following findingsshould the nurse report to the provider? A. Respiratory rate 24 /min B. Peak flow rate of 80% (normal 80 to 100) C. Intercoastal retractions D. Elevated heart rate lOM oA R c P S D| 866 12 62 13. A nurse is caring for a school-age child who is 1 hr postoperative following it tonsillectomy. Which of the following actions should the nurse take? (Select all that apply.) A. Administer an analgesic to the child on a scheduled basis. (may be given rectally or intravenously) B. Observe the child for frequent swallowing C. Provide cranberry juice to the child.(avoid red or brown color fluids) D. Maintained a child in supine position. (placed on his abdomen orside to facilitate drainage of secretion) E. Discourage the child from coughing.(discouraged from coughing frequently, clearing the throat, blowing the nose, and any other activity that may aggravate the operative site.) 14. A nurse is caring for a school-age child who has heart failure. Which of the following findings should the nurse expect? (select all that apply.) A. Tachycardia B. Weight loss(weight gain) C. Cyanosis D. Dyspnea E. Bounding peripheral pulses 15. A nurse in an emergency department is assisting a toddler who has a head injury. Which of the following findings should the nurse report to the provider? A. Glasgow coma scale score of 15 B. Respiratory rate 25/min (24 to 40 per minute is normal) C. Vomiting D. Negative Babinski reflex ATI pg. 72 16. A nurse caring for a toddler who isin the terminalstage of neuroblastoma. The parents ask, how can we help our child now? Which of the following responses by the nurse is appropriate? A. Talk to your child about the meaning of death.” B. Encourage your child'sfriends to visit.” C. Stay close to your child.” D. Change your child’sschedule every day.” 16. A nurse is preparing to administer cephalexin 25 mg/kg PO to a child who has otitis media and weighs 22 kg (48.5 Ib). Available is Cephalexin solution 250 mg/5 mL how many mL should the nurse administer? (Round to the nea 17. whole number. Using a leading Zero if applies. Do not use a trailing zero.) 11mL 18. During a well-baby visit, the parent of a 2- week-old newborn tells the nurse, “My baby always keeps her head tilt to the right side. The nurse should further assess which of the following areas