ATI Peds Practice Exam 3

A school nurse is assessing a child who has been stung by a bee. The child's hand is swelling and the nurse notes that the child is allergic to insect stings. Which of the following findings should the nurse expect if the child develops anaphylaxis? (SATA) A) Bradycardia B) Nausea C) Hypertension D) Urticaria E) Stridor - B) Nausea D) Urticaria E) Stridor A nurse is caring for a client who is unconscious. Which of the following actions should the nurse take when providing oral care for the client? A) Test for the presence of the clients gag reflex B) Place the client in the supine position C) Use a firm toothbrush for tooth and gum care D) Use 2 gauze-wrapped fingers to hold the mouth open - A) Test for the presence of the clients gag reflex A nurse is planning care for a client who has acute myelogenous leukemia and a platelet count of 48,000/mm^3. Which of the follow interventions should the nurse include? A) Avoid IM injections B) Assess the client for ecchymosis once per shift C) Do not allow the client to have visitors D) Encourage daily flossing between teeth - A) Avoid IM injection A nurse is preparing to assess the function of the clients trigeminal nerve (cranial nerve V). Which of the following items should the nurse gather for the test? A) Sugar B) Coffee C) Cotton wisps D) Snellen chart - C) Cotton wisps A nurse is caring for a client with alcohol use disorder who has undergone detoxification. Which of the following medications should the nurse expect the provider to prescribe to assist the client with maintaining sobriety A) Varenicline B) Clonidine C) Buprenorphine D) Disulfiram - D) Disulfiram A newly admitted client who has major depressive disorder states to the nurse, "I'm a failure, I can't even cope with the little things anymore." Which of the following responses should the nurse provide? A) "What happened in your life to make you feel like such a failure?" B) "It sounds as if you are feeling pretty overwhelmed right now" C) "Do you feel like you don't deserve to feel good about yourself?" D) "I know you feel like that now, but you'll feel differently when you get better" - C) "Do you feel like you don't deserve to feel good about yourself?" A nurse is caring for a middle-aged adult client. The nurse should identify which of the following statements as an indication that the client has completed Eriksons developmental task for her age group? A) "I am comfortable with my decision to choose a lifelong partner." B) "I think I have done a good job with my children since they are all independent now." C) "As I look back over my life, I can see that I have achieved most of the goals I set for myself." D) I love my work so much that it's difficult to think about retirement." - B) "I think I have done a good job with my children since they are all independent now." A nurse is conducting an admission interview with a client. Which of the following pieces of assessment information should the nurse collect during the introductory phase of the interview?" A) Clients level of comfort and ability to participate in the interview B) Previous illnesses and surgeries C) Events surrounding the clients recent illness D) Sociocultural history - A) Clients level of comfort and ability to participate in the interview A nurse is planning to assess the abdomen of a client who reports feeling bloated for several weeks. Which of the following methods of assessment should the nurse use first?