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1. a nurse is planning care for a child who has se- Assess fluid balance
vere diarrhea. which of the following actions is the
nurse priority?
2. A nurse is caring for a toddler who's parent states Instruct the parent to
that the child has a mass in his abdominal area avoid pressing on the
and his urine is a pink color. Which of the following abdominal area
actions is the nurse's priority?
3. A nurse is caring for a child who has acute Check the Childs
glomerulonephritis. Which of the following actions weight daily
is the nurse's priority?
4. A nurse is caring for a child who has a suspected Administer antibiotics
diagnosis of bacterial meningitis. Which of the fol- when available
lowing is the nurse's priority?
5. A nurse is collecting data from an adolescent. Active psychiatric dis-
Which of the following represents the greatest risk order (Mark, men-
for suicide? tal problems, patients
mind is unstable)
6. A nurse is collecting data from an infant who Tugging on the affect-
has otitis media (middle ear infection). The nurse ed ear lobe
should expect which of the following findings?
7. A nurse is reinforcing reaching with a parent of a "I'm glad that the osto-
1 month old infant who is to undergo the initial my is only temporary "
surgery to treat Hirschsprung's disease (a gan- (1st there going to cut
glionic megacolon, part of the colon isn't connect- the nonfunctioning of
ed to the nerves or not functioning, so there will be the colon, and then ap-
an increase size of the colon and stool gets stuck ply temporary colosto-
in there). Which of the following statements should my, after a couple of
indicate to the nurse that the parent understand- months they will suture
ing the goal of surgery? it together)
8. A nurse is caring for an infant who is 1 day post- Apply an antibiotic
operative following surgical repair of a cleft lip. ointment to the suture
Which of the following actions should the nurse site
take?
, ATI Peds proctored exam
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9. A nurse is reinforcing discharge instructions with "I will make sure
a parent of a child who has cystic fibrosis. Which my child washes her
of the following statements by the parent indicates hands before eating"
an understanding of the teaching?
10. A nurse working at a clinic speaks on the tele- "Bring your infant into
phone with a parent of a 2-monthold infant. The the clinic today to be
parent tells the nurse that the infant has projectile seen"
vomiting followed by hunger after meals. Which of
the following response by the nurse is appropri-
ate?
11. A nurse is caring for a 4 year old child who is lethargy (high pitched
2 days postoperative following the insertion of a cry, respiratory
ventriculoperitoneal shunt. Which of the following changes, bradycardia,
findings should the nurse identify as the priority . wide pulse pressure,
(causes icp hydrocephalus) irritability
12. a nurse is caring for a child following an open Perform neurovas-
reduction and internal fixation of a fractured femur cular checks of
and application of a cast. The cast has a window the affected extremi-
cut in it for viewing of the incision. Which of the ty (check for infection,
following actions should the nurse take first? color, capillary refill,
redness)
13. A nurse is an urgent care clinic is assisting with Activated charcoal
the care of a toddler who ingested 30 tablets of (can work with toxin,
aspirin. Which of the following substances should poison. Given through
the nurse administer to the toddler? ng tube absorbs tox-
ins)
14. A nurse is caring for a 3 year old client who Does anyone smoke
has persistent otitis media. To help identify con- in the same house as
tributing factors, the nurse should ask the parents your daughter? (smok-
which of the following questions? ing can cause irrita-
tion, cause mucus in
respiratory and caus-
es otitis media?) (otitis