ATI RN Nursing Care of Children Final
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. - Question and answersAdminister 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." - Question and answers"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." - Question and answers"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." - Question and answers"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.) - Question and answers15 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. - Question and answersEncourage 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 - Question and answersVaricella
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 - Question and
answers3 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. - Question and answersAssess 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?
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. - Question and answersAdminister 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." - Question and answers"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." - Question and answers"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." - Question and answers"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.) - Question and answers15 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. - Question and answersEncourage 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 - Question and answersVaricella
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 - Question and
answers3 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. - Question and answersAssess 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?
