2024 ATI RN Nursing Care of Children Proctored Exam Latest Update

1. A nurse is providing teaching to the guardian of a school age child who has sickle cell disease. Management? Wear surgical mask at school 2. a nurse is caring for a 12 year old child in a wheelchair. The child begins to experience a tonic clonic seizure. Which of the following actions should the nurse take? move the child on the floor 3. A nurse is assessing a child who has intussusception. Which of the following findings should the nurse expect? Sausage shaped abdominal mass 4.a nurse is caring for a school age child following a femoral venous cardiac catherization. Which of the following actions should the nurse take? keep extremities straight for at least 4 hours 5. a nurse is caring for a preschooler who is post-operative following a tonsillectomy. The child is now ready to begin eating orally. Which of the following dietary choices should the nurse offer the child Lime popsicle Do not choose sugarfree CHERRY gelatin!!! 6. a nurse is assessing a 5 month old infant. Which of the following finding should the nurse report to the provider? instant head lag when in sitting position 7. a nurse in a pediatric clinic is providing teaching to the guardian of an infant who has a new prescription for digoxin. Which of the following actions should the nurse include in the plan of care as an indication of digoxin toxicity? bradycardia 8. A nurse is admitting a child who is has acute epiglottitis. Which of the following actions should the nurse take? Initiate droplet isolation precautions 9. a nurse is planning care for a child who has osteomyelitis. Which of the following interventionshould the nurse include in the plan of care? maintain a patient intravenous catheter 10. the nurse is reviewing the medical record of a school age child who has cystic fibrosis. Which of the following findings should the nurse report to the provider? a) Heart rate b) O2 sat c) HbA1c DON’T CHOOSE THIS ANSWER! IT’S WRONG ON FOCUS REVIEW d) WBC 11. A nurse is providing discharge teaching to the parents of an infant for sudden infant death syndrome ( SIDS). Which of the following statements by the parents indicates an understanding of the teaching? I will dress my baby in lightweight clothing to sleep - 12. a nurse is teaching the guardian of a child who suspected to have cystic fibrosis and is scheduled for a sweat chloride test. Which of the following statements should the nurse include two separate test is taken to ensure accuracy of the results 13. A nurse is preparing to initiate iv antibiotics for a newly admitted 12 month old infant. Whichof the following actions should the nurse plan to take? use a 24 gauge catheter to start the iv 14. a nurse is planning care for an 8 month infant who has heart failure. Which of the following actions should the nurse include in the plan of care? a) Place the infant in a prone position b) Repeat a digoxin dosage if the infant vomits within 1 hour of administration do not choose this one… its wrong according to focus review c) Admin cool humidified O2 via nasal cannula d) Provide less frequent high volume feeding 15. a nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis testing for cystic fibrosis. Which of the following statements should the nurse include in the teaching? “The test will measure the amount of chloride in your baby’s sweat” 16. A nurse is teaching a group of female adolescents about healthy eating. Which of the following instructions should the nurse include in the teaching? “Increase the amount of your dietary iron intake.” 17. a nurse is preparing to administer a prescribe medication to a toddler who parents is nearby. which of the following actions should the nurse take to identify the toddler? Check the toddler ID band against the medical record 18. a nurse is preparing to administer ampicillin 50mg/kg/day divided equally every 6 hours to a child who weighs 66 lbs. available is ampicillin 125mg/ 5ml. how many ml should the nurse admister per day? 15ml 66/2.2=30 50mgX30=1500. 1500/125=12. 12X5ml= 60 divided equally every 6 hours 60/4=15ml 19. a nurse is planning care for a school aged child who was admitted to the emergency department 2 hours ago. Which of the following interventions should the nurse include to promote adequate sleep for the child? Follow the child home sleep routine to reduce anxiety