ATI RN Nursing Care of Children Final Exam
Question and Correct Answers
A nurse is caring for a child who is receiving treatment for diabetic ketoacidosis and has
current blood glucose level of 250mg/dL. Which of the following actions should the nurse take?
Administer 5% dextrose in 0.9% sodium chloride by continuous IV infusion.
Give potassium as a rapid IV bolus.
Administer 3 units of ultralente insulin subcutaneously.
Obtain an HbA1c level stat. - Correct Answer Administer 5% dextrose in 0.9% sodium chloride by continuous IV infusion.
A nurse is teaching the parents of a child who has rheumatic fever. Which of the following statements by a parent indicates an understanding of the teaching?
"My child may take aspirin for his joint pain."
"My child will need a blood transfusion prior to discharge."
"I will need to wear a gown when in my child's room."
"I will apply lotion to my child's peeling hands." - Correct Answer "My child may take aspirin for his joint pain."
A nurse is providing postoperative teaching for the parent of a 3-month-old infant who is
recovering from umbilical hernia repair. Which of the following statements by the parents indicates an understanding of the teaching?
"I will expect the site to bulge when my baby cries."
"I will place a belly band around my child's abdomen."
"I will fold my baby's diaper away from the incision."
"I will bathe my child in the bath tub daily." - Correct Answer "I will fold my baby's diaper away from the incision."
A nurse is reviewing the medical record of a 2-month-old infant who has rotavirus. The nurse notes a hemoglobin level of 12g/dL and a hematocrit of 51%. Which of the following statements by the nurse indicates an understanding of the laboratory values?
"The infant might be dehydrated."
"The infant might be anemic."
"The infant might have received too much fluid."
"The infant might have leukemia." - Correct Answer "The infant might be dehydrated."
A nurse is preparing to administer diphenhydramine 5mg/kg/day PO to divide equally every 8 hr to school-age child who weighs 50 Ib. Available is diphenhydramine oral solution 12.5 mg/5mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - Correct Answer 15 mL A nurse is caring for a toddler who has asthma. The parents are concerned about the toddler's reaction to the hospitalization. Which of the following actions should the nurse take to decrease the child's anxiety?
Provide privacy.
Give the child a thorough explanation before providing care.
Encourage rooming-in.
Tell the child you will help fix her. - Correct Answer Encourage rooming-in.
A nurse is caring who has a vesicular rash. The parents of the child asks the nurse what
illness can cause this rash for 6 days. The nurse should expert that the child has which of the following conditions?
Measles
Fifth disease
Tetanus
Varicella - Correct Answer Varicella
A nurse is caring fora school-age child who has glomerulonephritis. The child has decreased urinary output, a blood pressure of 160/78 mm Hg, and is receiving hydralazine. Which of the following lunch choices should the nurse recommend?
1 hot dog, 22 potato chips, and 120 mL (4 oz) of orange juice
1 sandwich with lettuce, tomato, and 4 slices bacon, a small apple, and 240 mL (8 oz) of
milk
3 oz grilled chicken, 1 cup of pear slices, and 120 mL (4 oz) of apple juice
1 cup of cottage cheese, a small banana, and 240 mL (8 oz) of soda - Correct Answer 3
oz grilled chicken, 1 cup of pear slices, and 120 mL (4 oz) of apple juice
A nurse is assessing an adolescent who has sustained a broken tibia. Following the application of a fiberglass cast, the adolescent reports pain and a tingling feeling in the limb. Which of the following actions should the nurse take first?
Give the adolescent ibuprofen.
Elevate the adolescent's leg on pillows.
Place an ice pack on the cast.
Assess for manifestations of circulatory impairment. - Correct Answer Assess for manifestations of circulatory impairment.
A nurse is caring for a 4-year-old child who has superficial partial-thickness burns over 50% of his body. When planning for the nutritional needs of the child, which of the following actions should the nurse plan to take?
Administer pancrelipase to the child prior to each meal.
Supplement the child's feedings with enteral feedings.
Question and Correct Answers
A nurse is caring for a child who is receiving treatment for diabetic ketoacidosis and has
current blood glucose level of 250mg/dL. Which of the following actions should the nurse take?
Administer 5% dextrose in 0.9% sodium chloride by continuous IV infusion.
Give potassium as a rapid IV bolus.
Administer 3 units of ultralente insulin subcutaneously.
Obtain an HbA1c level stat. - Correct Answer Administer 5% dextrose in 0.9% sodium chloride by continuous IV infusion.
A nurse is teaching the parents of a child who has rheumatic fever. Which of the following statements by a parent indicates an understanding of the teaching?
"My child may take aspirin for his joint pain."
"My child will need a blood transfusion prior to discharge."
"I will need to wear a gown when in my child's room."
"I will apply lotion to my child's peeling hands." - Correct Answer "My child may take aspirin for his joint pain."
A nurse is providing postoperative teaching for the parent of a 3-month-old infant who is
recovering from umbilical hernia repair. Which of the following statements by the parents indicates an understanding of the teaching?
"I will expect the site to bulge when my baby cries."
"I will place a belly band around my child's abdomen."
"I will fold my baby's diaper away from the incision."
"I will bathe my child in the bath tub daily." - Correct Answer "I will fold my baby's diaper away from the incision."
A nurse is reviewing the medical record of a 2-month-old infant who has rotavirus. The nurse notes a hemoglobin level of 12g/dL and a hematocrit of 51%. Which of the following statements by the nurse indicates an understanding of the laboratory values?
"The infant might be dehydrated."
"The infant might be anemic."
"The infant might have received too much fluid."
"The infant might have leukemia." - Correct Answer "The infant might be dehydrated."
A nurse is preparing to administer diphenhydramine 5mg/kg/day PO to divide equally every 8 hr to school-age child who weighs 50 Ib. Available is diphenhydramine oral solution 12.5 mg/5mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - Correct Answer 15 mL A nurse is caring for a toddler who has asthma. The parents are concerned about the toddler's reaction to the hospitalization. Which of the following actions should the nurse take to decrease the child's anxiety?
Provide privacy.
Give the child a thorough explanation before providing care.
Encourage rooming-in.
Tell the child you will help fix her. - Correct Answer Encourage rooming-in.
A nurse is caring who has a vesicular rash. The parents of the child asks the nurse what
illness can cause this rash for 6 days. The nurse should expert that the child has which of the following conditions?
Measles
Fifth disease
Tetanus
Varicella - Correct Answer Varicella
A nurse is caring fora school-age child who has glomerulonephritis. The child has decreased urinary output, a blood pressure of 160/78 mm Hg, and is receiving hydralazine. Which of the following lunch choices should the nurse recommend?
1 hot dog, 22 potato chips, and 120 mL (4 oz) of orange juice
1 sandwich with lettuce, tomato, and 4 slices bacon, a small apple, and 240 mL (8 oz) of
milk
3 oz grilled chicken, 1 cup of pear slices, and 120 mL (4 oz) of apple juice
1 cup of cottage cheese, a small banana, and 240 mL (8 oz) of soda - Correct Answer 3
oz grilled chicken, 1 cup of pear slices, and 120 mL (4 oz) of apple juice
A nurse is assessing an adolescent who has sustained a broken tibia. Following the application of a fiberglass cast, the adolescent reports pain and a tingling feeling in the limb. Which of the following actions should the nurse take first?
Give the adolescent ibuprofen.
Elevate the adolescent's leg on pillows.
Place an ice pack on the cast.
Assess for manifestations of circulatory impairment. - Correct Answer Assess for manifestations of circulatory impairment.
A nurse is caring for a 4-year-old child who has superficial partial-thickness burns over 50% of his body. When planning for the nutritional needs of the child, which of the following actions should the nurse plan to take?
Administer pancrelipase to the child prior to each meal.
Supplement the child's feedings with enteral feedings.
