STUDY REVIEWED EXAM FOR ATI NURSING CARE OF CHILDREN

STUDY REVIEWED EXAM FOR ATI NURSING CARE OF CHILDREN A nurse ic teaching a group of parents about the risk factors for seizures. Which of the following factors shoudl the nurse include in the teaching? (select all that apply) A. febrole episodes B. hypoglycemia C. sodium imbalances D. low serum lead levels E. presence of diphtheria -CORRECT ANSWER- A, B, C A nurse is assessing a 2.5-year-old toddler at a well-child visit. Which of the following findings should the nurse report to the provider? A. height increased by 7.5cm or 3inches in the past year B. Head circumference exceeds chest circumference C. anterior and posterior fontanels are closed D. current weight equals four times the birth weight -CORRECT ANSWER- B A nurse is assessing a 6-month-old infant. Which of the following reflexes shoudl the infant exhibit? A. Moro B. Plantar grasp C. Stepping D. Tonic necl -CORRECT ANSWER- B A nurse is assessing a 12 months old infant during a well-child visit. Which of the following findings should the nurse report to the provider? A. closed anterior fontanel B. eruption of 6 teeth C. Birth weight doubled D. Birth length increased by 50 % -CORRECT ANSWER- C A nurse is assessing a child who has a concussion. Which of the following findings should the nurse expect. (select all that apply) A. amnesia B. systemic hypertension C. bradycardia D. respiratory depression E. confusion -CORRECT ANSWER- A, C, D, E A nurse is assessing a child's ears. Which of the following is an expected finding? A. Light reflex is located at the 2 o clock position B. Tympanic membrane is red in color C. bone landmarks are not visible D. Cerumen is present bilaterally -CORRECT ANSWER- D A nurse is assessing an infant. Which of the following are manifestations of pain in an infant? (select all that apply) A. Pursed lips B. loud cry C. lowered eybrows D. Rigid body E. pushes away stimulus -CORRECT ANSWER- B,C,D A nurse is assisting a group of parents of adolescents to develop skills that will improve communication. The nurse heads one parent states "my son knows he better do what I say". Which of the parenting styles is he exhibiting? A. Authoritarian B. Permissive C. Authroitative D. Passive -CORRECT ANSWER- A A nurse is caring for a child who has a terminal illnes and revies palliative care with an assistive personel (AP). Which of the following statements by the AP indicates understanding of this review? A. im sure the family is hopeful that the new medication will stop the illness B. Ill miss wokring wit this client now that only nurses will be caring for him C. I will get all the clients personal object out of his room D. I will listen and respons as the family talks about thier child's life -CORRECT ANSWER- D A nurse is caring for a child who has absence seizures. Which of the following findings should the nurse expect? (select all that apply) A. loss of consciousness B. appearance of daydreamimg C. dropping held objects D. falling to the floor E having a piercing cry -CORRECT ANSWER- A, B, C A nurse is caring for a child who is taking mannitol for cerebral edema. Which of the following adverse effects shoudl the nurse monitor the child for and report to the provider? A. bradycardia B. weight loss C. confusion E. constipation -CORRECT ANSWER- C A nurse is caring for a child who just experienced a generalized seizure. Which of teh following is the priority actio for the nurse to take? A. Maintain the child in a side ying position B. loosen the childs restricitve clothing C. reorient the hcild to the environment D. not the time and characteristics of the seizure -CORRECT ANSWER- A A nurse is caring for a child with ICP. Which of the following actions shudl the nurse take? (select all that apply) A. suction the endotracheal tube every 2hours B. maintian a quiet environment C. use two pillows to elevate the head D. administer a stool softener E. maintian body alignment -CORRECT ANSWER- B, D, E A nurse is caring for a client who has suspected meningitis and a decreased level of consiousness. Which fo the following actions by the nurse is appropriate? A. place the patient on NPO status B. prepare the client for a liver biopsy C. position the patient in dorsal recumbent D. put the client in a protective environment -CORRECT ANSWER- A A nurse is caring for a patient who possibly has Reye syndrome. Which of the following is a risk factor for developing reye syndrome? A. recent hisotyr of infectious cystitis cauased by candida B. recent hisotrial of bacterial otitis media C. recent epidose of gastrenteritis D. Recent episode of Haemophilus influenzae meningitis -CORRECT ANSWER- C A nurse is caring for a preschool age child who says she needs to leave the hospital because her doll is scared to be at home alone. Which of the following characteristics of preoperational thought is the child exhibiting? A. Egocentrism B. Centration C. Animism D. Magical thinking -CORRECT ANSWER- C A nurse is caring for a preschooler. Which of the following is the expected behavior of a preschool-age child? A. Describing manifestations of illness B. relating fears to magical thinking C. understanding cause of illness D. awareness of body functioning -CORRECT ANSWER- B A nurse is caring for an adolescent who has a closed head injury. Which of the following findings are indications of increased ICP? (select all that apply) A. report of headache B. alteration in pupillary response C. increase motor response D. increased sleeping E. increased senory response -CORRECT ANSWER- A, B, D A nurse is caring for an adolescent whose mother expresses ocncersn about her child sleeping such long hours. Which of the following conditions shoudl the nurse inform the mother as requiring additional sleep during adolescnets? A. sleep terrors B. rapid growth C. elevated zinc levels D. slowed metabolism -CORRECT ANSWER- B A nurse is caring for an infant who needs otic medicatioin. Which of the following is an appropirate action for the nurse to take? A. Hold the infant in an upright position B. pull the pinna downward and straight back C. hyperextend the infants neck D. ensyure that the medication is cool -CORRECT ANSWER- B A nurse is caring for child who is dying. Which of the following are findings of impending death? ( select all that apply) A. heightened sense of hearing B. tachycardia C. difficulty swallowing D. sensation of being cold E. cheyne-stokes respirations -CORRECT ANSWER- C, E A nurse is caring fro a 4 month old infant who has meningitis, Which fo the following findings is associated with this diagnosis? A. fepressed anterior fontanel B. constipation C. presence of rooting reflex D. high pitched crying -CORRECT ANSWER- D A nurse is checking the vital signs of a 3-year-old during a well child visit, which of the following findings should the nurse report to the provider? A. temperature 37.2C (99.0F) B. Heart rate of 106/min C. Respirations 30/min D. Blood pressure 88/54 mmHg -CORRECT ANSWER- C A nurse is competing a pian assessment of an infant. Which of the following pian scales should the nurse use?