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ATI PEDS PROCTORED Care of Children Study Guide 2022/2023. With 100%
Accurate and Well-Reasoned Solutions. All you need!
1. A caregiver in an emergency department is caring for a 4-year-old child who has burns to the neck and face following a house fire. Which of the
following actions should the caregiver take first?
A. Cover the child's wounds with a clean, dry cloth.
B. Establish IV access for the child with a large-bore catheter.
C. Provide reassurance to the child's
parents. D. Determine the child's breathing
pattern.
Determine the child's breathing pattern.
The caregiver should apply the ABC priority setting framework. This framework emphasizes the basic core of human functioning: having an open
airway, being able to breathe in adequate amounts of oxygen, and circulating oxygen to the body's organs via the blood. An alteration in any of
these can indicate a threat to life, and is therefore the caregiver's priority concern. When applying the ABC priority setting framework, airway is
always the highest priority because the airway must be clear and open for oxygen exchange to occur. Breathing is the second highest priority in the
ABC priority setting framework because adequate ventilatory effort is essential in order for oxygen exchange to occur. Determining the child's
breathing pattern is the first action the caregiver should take. Circulation is the third highest priority in the ABC priority setting framework because
delivery of oxygen to critical organs only occurs if the heart and blood vessels are capable of efficiently carrying oxygen to them.
2. A caregiver is providing teaching to the parent of a 2-year-old toddler about nutrition. Which of the following statements by the parent indicates an
understanding of the teaching?
A. "My child should consume 1,000 calories per day."
B. "My child should have 4 ounces of protein per day."
C. "I should give my child 32 ounces (4 cups) of milk per day."
D. "I should feed my child 4 ounces (1/2 cup) of vegetables per
day." "My child should consume 1,000 calories per day."
Toddlers who are 2 years old should consume 1,000 calories daily.
3. A caregiver is providing discharge teaching to the parent of a school-age child who has leukemia and is receiving chemotherapy. Which of the
following statements by the parent indicates an understanding of the teaching?
A. "I will take my child's rectal temperature daily."
B. "I will make sure my child gets his MMR vaccine this
week." C. "I will inspect my child's mouth every day for
sores."
D. "I will allow my child to ride his bicycle
tomorrow." "I will inspect my child's mouth every day
for sores."
A child who has leukemia is at an increased risk for mucositis; therefore, the parent should inspect the child's mouth daily for lesions or ulcerations.
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4. A caregiver is preparing to obtain an antistreptolysin O (ASO) titer from a child who has acute glomerulonephritis. The child's parent asks the
caregiver to explain the purpose of the test. Which of the following responses should the caregiver make?
A. "The test determines the level of antibiotics in your child's blood."
B. "The test tells us if your child ever had the measles."
C. "The test verifies the amount of albumin in your child's
blood." D. "The test shows us if your child had a recent strep
infection."
"The test shows us if your child had a recent strep infection
n ASO titer indicates that the child has had a recent strep infection. In determining a definitive diagnosis for acute glomerulonephritis, this must be
documented as it is usually the result of this type of infection.
5. A caregiver is providing nutritional teaching to an adolescent client who has celiac disease. Which of the following breakfast foods should the
caregiverrecommend?
A. Plain flour pastry
B. Wheat cereal
C. Scrambled eggs
D. Rye toast
Scrambled eggs
The client who has celiac disease should be on a low-gluten diet and should avoid foods containing barley, oat, rye, and wheat; therefore, scrambled
eggs are an appropriate breakfast item for the caregiver to recommend to the client.
6. A caregiver is providing teaching to an adolescent who has scoliosis and a new prescription for a Boston brace. Which of the following responses
by the adolescent indicates an understanding of the teaching?
A. "I can take my brace off to sleep every night at bedtime."
B. "I can take my brace of f for about an hour daily to
shower."
C. "I should loosen the straps on my brace if it is rubbing my skin."
D. "I should place the pads of brace against my skin with a t-shirt over
them." "I can take my brace off for about an hour daily to shower."
The caregiver should instruct the child to wear the brace for 23 hr each day and to only remove it for showering or participating in physical therapy.
7. A caregiver is assessing a toddler who has measles (rubeola). Which of the following findings should the caregiver expect?
A. Koplik spots
B. Parotitis
C. Strawberry tongue
D. Paroxysmal cough
Koplik spots
Koplik spots are small, irregular oral lesions with a bluish-white center and are characteristic of measles (rubeola). Koplik spots appear about 2 days
before the maculopapular rash appears and are accompanied by manifestations of fever, malaise, conjunctivitis, and other cold manifestations.
8. A caregiver is providing dietary teaching to the parent of a child who has cystic fibrosis. Which of the following dietary recommendations should
the caregiver make?