ATI NURSING CARE OF CHILDREN STUDY REVIEWS

ATI NURSING CARE OF CHILDREN STUDY REVIEWS A nurse is reinforcing home safety instructions with the parents of a toddler. Which of the following parent statements indicates an understanding of the teaching? - CORRECT ANSWER-"We will turn the pot handles toward the back of the stove." The nurse should instruct the parents to turn pot handles toward the back of the stove to prevent the toddler from pulling a pot off the stove, resulting in a burn. A nurse is caring for an adolescent client who is a practicing Jehovah's Witness and is scheduled for surgery for a ruptured appendix. The adolescent tells the nurse that based on her religious beliefs, she cannot receive a blood transfusion. Which of the following responses should the nurse make? - CORRECT ANSWER-"Let's discuss the possibility of you needing a blood transfusion with your parents." The nurse should offer to involve the child's parents to understand the family's beliefs about blood transfusions. A nurse is reviewing the laboratory report of a preschooler. Which of the following laboratory results should the nurse report to the provider? - CORRECT ANSWER-Lead 14 mcg/dL This lead level is above the expected reference range for a preschooler. Therefore, the nurse should report this result to the provider. A nurse is collecting data from a 12-month-old infant during a well-child visit. The nurse should identify which of the following findings as a deviation from expected growth and development? - CORRECT ANSWER-Birth weight doubled The nurse should identify this finding as a deviation from expected growth and development. The infant's birth weight should triple by 12 months of age. Therefore, the nurse should report this finding to the provider. A nurse is reinforcing discharge teaching with the guardian of a school-age child who has acute lymphocytic leukemia and an absolute neutrophil count of 450/mm3. Which of the following instructions should the nurse include? - CORRECT ANSWER-"Keep your child away from crowded areas." The nurse should instruct the guardian to keep the child away from crowds and visitors who have an illness to decrease the risk for infection. A nurse in a clinic is collecting data from an adolescent who has received all recommended immunizations through the age of 6 years. Which of the following immunizations should the nurse plan to administer? - CORRECT ANSWER-Tetanus, diphtheria toxoids, and acellular pertussis (Tdap) The Tdap vaccine is recommended between the ages of 11 and 12 years. Therefore, this adolescent should receive the Tdap vaccine now. A nurse is reinforcing teaching with the parent of a child who has a new prescription for ferrous sulfate. The nurse should reinforce that the parent should administer the medication with which of the following fluids to enhance the medication absorption? - CORRECT ANSWER-Orange juice The nurse should reinforce with the parent that administering ferrous sulfate with orange juice will enhance medication absorption. A nurse in a pediatric clinic is observing for an anaphylactic reaction after administering an IM antibiotic to a child 5 min ago. Which of the following manifestations should the nurse expect to observe first? - CORRECT ANSWER-Hives The nurse should observe for hives first because this is an early manifestation of an anaphylactic reaction. A nurse is reinforcing dietary teaching about a low-sodium diet with the parents of a child who is recovering from acute glomerulonephritis. Which of the following food choices by the parents indicates an understanding of the teaching? - CORRECT ANSWER-Apples The nurse should instruct the parents that apples are low in sodium and supply the child with energy needed for recovery. A nurse is collecting data from a 12-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? - CORRECT ANSWER- BP 115/70 mm Hg The nurse should identify that this blood pressure is above the expected reference range for a 12-month-old infant and report this finding to the provider. A nurse is reinforcing discharge teaching with the guardian of a child who has juvenile idiopathic arthritis (JIA). Which of the following statements by the parent indicates an understanding of the teaching? - CORRECT ANSWER-"I will have my child sleep in knee, wrist, and hand splints." The nurse should reinforce with the guardian that splinting the child's joints at night will decrease pain and enhance joint function. A nurse is collecting data about the dietary habits of an adolescent client. The nurse should identify that which of the following findings puts the client at risk for nutritional deficits? - CORRECT ANSWER-The client skips eating dinner for track practice three times per week. The nurse should identify that adolescents are often at risk for developing poor eating habits. Skipping dinner twice each week puts this client at risk for nutritional deficits. A nurse is reinforcing teaching with the guardians of a school-age child who has hearing loss. Which of the following techniques should the nurse recommend to facilitate communication with the child? - CORRECT ANSWER-Speak at the child's eye level. The nurse should instruct the guardian to speak at the child's eye level and ensure that there is adequate lighting on the speaker's face to facilitate lipreading and communication. A nurse is assisting with a sterile dressing change for an adolescent who has a partial thickness burn on the right hip. Which of the following actions should the nurse take first? - CORRECT ANSWER-Administer pain medication to the client. According to evidence-based practice, the nurse should first provide pain medication to the client to reduce discomfort during the procedure. A nurse is reviewing the laboratory report of a school-age child who is receiving prednisone. Which of the following laboratory results should the nurse report to the provider? - CORRECT ANSWER-Sodium 150 mEq/L Hypernatremia is an adverse effect of prednisone. This level is above the expected reference range for a school-age child. Therefore, the nurse should report this value to the provider. A nurse in a community center is reinforcing teaching about poison control with a group of parents. A parent asks what to do if a child ingests a large quantity of acetaminophen. Identify the sequence of actions the nurse should recommend to the parent. - CORRECT ANSWER-Determine if the child is breathing. Empty the child's mouth of remaining pills and residue. Identify the medication and dosage strength. Call a poison control center. The child's respiratory and cardiovascular status should be checked first to determine if CPR is necessary. Then, the child's mouth should be emptied of pills and residue to prevent additional exposure to the medication. Next, the parent should identify the medication and dosage strength by looking at the medication container. Lastly, the parent should contact a poison control center for advice on the next course of action. A nurse is caring for a preschooler who has a new diagnosis of asthma. Which of the following medications should the nurse instruct the parent to administer for an acute asthma attack? - CORRECT ANSWER-Albuterol The nurse should inform the parent to administer albuterol, a short-acting beta2 agonist, to the preschooler for acute asthma attacks. A nurse is assisting with the care of an infant who has spina bifida and recently had a ventriculoperitoneal shunt placed for hydrocephalus. Which of the following findings should the nurse identify as an indication of increased ICP? - CORRECT ANSWER- High-pitched cry The nurse should identify that a high-pitched cry is an indication of increased intracranial pressure. A nurse is reinforcing discharge teaching with the guardian of a school-age child who has a new prescription for home oxygen therapy. Which of the following statements by the guardian indicates an understanding of the teaching? - CORRECT ANSWER-"I will make sure that electrical devices in the house are grounded." This response by the guardian indicates an understanding of the nurse's instructions. Due to the combustible nature of oxygen, all pieces of electrical equipment in the home should be grounded to decrease the risk of a fire caused by an electrical spark. A nurse is caring for a school-age girl who is being treated for frequent, severe UTI's. The nurse should recognize that which of the following statements by the parent indicates a possible cause of the UTI's? - CORRECT ANSWER-"My daughter has bowel movements every 4 to 5 days." The nurse should recognize that this frequency indicates the child is constipated. Therefore, large stool masses might prevent complete emptying of the bladder and lead to urinary stasis and infection. A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to a preschooler. The nurse should recognize which of the following statements by the parent as a contraindication to receiving the immunization? - CORRECT ANSWER-"My child received an immunoglobulin last month." The nurse should identify that a preschooler who received an immunoglobulin less than 1 month ago should not receive the MMR vaccine on this day. The nurse should instruct the parent to reschedule the immunization after 3 months have elapsed, since the child received passive immunity via administration of an immunoglobulin. A nurse is reinforcing teaching with the guardian of a child who has scabies and a new prescription for permethrin 5% cream. Which of the following information should the nurse include? - CORRECT ANSWER-"The medication will eliminate your child's itching within 2 to 3 weeks." The nurse should instruct the guardian that, although the medication kills the mites, itching can continue for 2 to 3 weeks following application of the medication. A nurse is collecting data from an infant who has severe dehydration. Which of the following findings should the nurse expect? - CORRECT ANSWER-Weight loss of 10% The nurse should expect an infant who has severe dehydration to experience weight loss of 10% or greater. A nurse is assisting with the administration of a nasogastric enteral feeding for an infant. Which of the following actions should the nurse take? - CORRECT ANSWER-Place the infant in semi-Fowler's position for 1 hr after the feeding. The nurse should elevate the head of the infant's bed by 30º to 45º for 30 min to 1 hr after the feeding. A nurse is caring for a school-age child who has been admitted to the facility in sickle cell crisis. The nurse is measuring the child's oral intake for the shift. The child consumed 4 oz of juice at breakfast. For lunch, the child consumed 6 oz of milk, 6 oz of gelatin, and drank 7 oz of water. What is the child's oral intake for this shift in mL? - CORRECT ANSWER-690 mL 1 oz = 30 mL A nurse is assisting with the care of a 3-year-old child who is prescribed a lumbar puncture. Which of the following actions should the nurse take to prevent complications? - CORRECT ANSWER-Maintain the child in a flat position after the procedure. After a lumbar puncture, the optimal position for the client is flat and supine to prevent headaches. A nurse is collecting data from a 6-month-old child who is experiencing a sickle cell crisis. Which of the following areas should the nurse observe when monitoring for manifestations of splenic sequestration? - CORRECT ANSWER-The nurse should observe the location over the infant's spleen (LUQ of abdomen) when monitoring for manifestations of splenic sequestration. Splenic sequestration is an enlargement of the spleen due to pooling of sickled cells in the blood. A nurse is reinforcing teaching with an adolescent female client who has acne vulgaris and a new prescription for isotretinoin. Which of the following information should the nurse include? - CORRECT ANSWER-"You will need to have two negative pregnancy tests prior to starting this medication." The nurse should reinforce with the client that isotretinoin is teratogenic. Pregnancy must be ruled out prior to administration and before each subsequent refill. The client should use two effective forms of contraception while taking this medication. A nurse is assisting the provider with a developmental assessment of a toddler. Which of the following behaviors should the nurse recognize as an expected finding? - CORRECT ANSWER-Stands on one foot for several seconds Standing on one foot for several seconds is an expected behavior for a toddler. A nurse is reinforcing teaching about home safety with the parent of a toddler. Which of the following parent statements indicates an understanding of the teaching? - CORRECT ANSWER-"I will place a screen in front of the fireplace." The nurse should instruct the parent to place a screen in front of a fireplace or other heating appliances to prevent burns. A nurse is reinforcing dietary teaching with the guardian of a school-age child who has celiac disease. Which of the following foods should the nurse recommend including in the child's diet? - CORRECT ANSWER-White rice The nurse should reinforce to the guardian that celiac disease is a genetic autoimmune disorder in which eating gluten, even in very small amounts, can damage the child's small intestine. Currently, the only treatment for the disease is a lifelong, strict adherence to a gluten-free diet. The nurse should stress the importance of avoiding foods containing wheat, rye, barley, and oats. The child should consume foods that are gluten-free, such as milk, cheese, rice, corn, eggs, potatoes, fruits, vegetables, fresh poultry, meats, fish, and dried beans