ATI: Nursing Care of Children 2
A nurse is educating a parent on the treatment for pinworms. Which of the following
statements by the parent indicate that teaching has been effective? - Question and
answers"I will give my child mebendazole (Vermox) today and in two weeks."
A nurse is assessing a 4-year-old child at a well-child appointment. The parent
expresses concern over the child's stuttering. The nurse provides teaching to the
parent. Which of the following statements by the parent indicates a need for further
teaching? - Question and answers"It may help if you encourage your child to stop and
begin the word over."
A nurse is caring for a child who is diagnosed with Wilms' tumor. Which of the following
interventions should the nurse do first? - Question and answersPlace a sign over the
bed that says "Do Not Palpate the Abdomen".
A nurse is caring for a child with dehydration. Which of the following should the nurse
recognize as an appropriate assessment to determine the child's response to parenteral
fluids? - Question and answersWeighing the child at the same time every day
A nurse is caring for an 8-year-old child who has acute glomerulonephritis. Which of the
following should the nurse expect to find with this client? - Question and
answersElevated red blood cells
A nurse is caring for a child who has had a spinal fusion. Which of the following
statements by the nurse indicates an understanding of the care of this client? - Question
and answers"I'll log roll the client every 2 hr."
A nurse is caring for a 3-year-old child who is in need of a hypospadias repair. Which of
the following should the nurse recognize as a concern to this age group? - Question and
answersDamage to body integrity
A nurse is caring for a child with bronchiolitis. Assessment findings indicate wheezing,
oxygen saturation of 100%, respiratory rate of 40/min, and a heart rate of 92/min. The
child is receiving oxygen at 2 LPM. An order is written to wean oxygen maintaining
oxygen saturation 95% or greater. Which of the following actions is most appropriate for
the nurse to take? - Question and answersLower the oxygen to 1 L/min, check the
oxygen saturation, and reassess the child.
A nurse is caring for a 4 year old child who has a malfunctioning ventriculo peritoneal
shunt. Following a new shunt placement, the nurse conducts a postoperative check.
Which of the following assessments should the nurse immediately respond to? -
Question and answersSleepy, very difficult to arouse
, A nurse is caring for a 6 year old child who is newly diagnosed with diabetes mellitus.
The nurse is educating the child on how to do finger sticks for blood glucose checks.
The nurse knows the most effective method to teach this skill will be to do which of the
following? - Question and answersAllow the child to practice the skill on themselves or
others.
A nurse is caring for an adolescent with diabetes mellitus who has been admitted twice
this year to the hospital with diabetic ketoacidosis. Which of the following tests should
the nurse recognize as the best information to evaluate the client's compliance? -
Question and answersHemoglobin A1C
A nurse observes an adolescent with celiac disease ordering a gluten free breakfast
tray. The nurse should know that the client understands the diet when the client orders
which of the following items? - Question and answersEggs and orange juice
A nurse is caring for a child diagnosed with sickle cell anemia. The nurse should make
which of the following recommendations to the client regarding sickle cell anemia? -
Question and answersIncrease fluid intake.
A nurse is caring for a preschooler diagnosed with human immunodeficiency virus who
is at the clinic to receive immunizations. Which of the following statements about HIV
immunizations for this child is the most appropriate? - Question and answersThe only
immunization contraindicated for this client is the oral polio.
A nurse is caring for a 4-year-old who is brought into the emergency room with burns to
the neck and face following a house fire. Which of the following assessments should the
nurse prioritize for this child at this time? - Question and answersBreathing pattern
A nurse is caring for a 2 month old infant with a ventricular septal defect. Which of the
following observations should indicate to the nurse that the child's condition is
worsening? - Question and answersWeight gain of 275 g
A nurse is caring for a newborn with a myelomeningocele. In planning care for the
newborn, the nurse should be aware that postoperatively, the child is most prone to
developing which of the following? - Question and answersHydrocephalus
A nurse is caring for a child who has had a tonsillectomy. Which of the following findings
should the nurse give the most attention to 8 hr after surgery? - Question and
answersFrequent swallowing
A nurse is caring for an 18-month-old toddler who has been admitted following surgical
repair of a cleft palate. Postoperatively, the child complains of thirst. The nurse should
provide fluids using which of the following? - Question and answersCup
A nurse is caring for a 4-year-old child with leukemia. The child has undergone
chemotherapy and now has a fever, pallor, fatigue, and petechiae. Based on this
A nurse is educating a parent on the treatment for pinworms. Which of the following
statements by the parent indicate that teaching has been effective? - Question and
answers"I will give my child mebendazole (Vermox) today and in two weeks."
A nurse is assessing a 4-year-old child at a well-child appointment. The parent
expresses concern over the child's stuttering. The nurse provides teaching to the
parent. Which of the following statements by the parent indicates a need for further
teaching? - Question and answers"It may help if you encourage your child to stop and
begin the word over."
A nurse is caring for a child who is diagnosed with Wilms' tumor. Which of the following
interventions should the nurse do first? - Question and answersPlace a sign over the
bed that says "Do Not Palpate the Abdomen".
A nurse is caring for a child with dehydration. Which of the following should the nurse
recognize as an appropriate assessment to determine the child's response to parenteral
fluids? - Question and answersWeighing the child at the same time every day
A nurse is caring for an 8-year-old child who has acute glomerulonephritis. Which of the
following should the nurse expect to find with this client? - Question and
answersElevated red blood cells
A nurse is caring for a child who has had a spinal fusion. Which of the following
statements by the nurse indicates an understanding of the care of this client? - Question
and answers"I'll log roll the client every 2 hr."
A nurse is caring for a 3-year-old child who is in need of a hypospadias repair. Which of
the following should the nurse recognize as a concern to this age group? - Question and
answersDamage to body integrity
A nurse is caring for a child with bronchiolitis. Assessment findings indicate wheezing,
oxygen saturation of 100%, respiratory rate of 40/min, and a heart rate of 92/min. The
child is receiving oxygen at 2 LPM. An order is written to wean oxygen maintaining
oxygen saturation 95% or greater. Which of the following actions is most appropriate for
the nurse to take? - Question and answersLower the oxygen to 1 L/min, check the
oxygen saturation, and reassess the child.
A nurse is caring for a 4 year old child who has a malfunctioning ventriculo peritoneal
shunt. Following a new shunt placement, the nurse conducts a postoperative check.
Which of the following assessments should the nurse immediately respond to? -
Question and answersSleepy, very difficult to arouse
, A nurse is caring for a 6 year old child who is newly diagnosed with diabetes mellitus.
The nurse is educating the child on how to do finger sticks for blood glucose checks.
The nurse knows the most effective method to teach this skill will be to do which of the
following? - Question and answersAllow the child to practice the skill on themselves or
others.
A nurse is caring for an adolescent with diabetes mellitus who has been admitted twice
this year to the hospital with diabetic ketoacidosis. Which of the following tests should
the nurse recognize as the best information to evaluate the client's compliance? -
Question and answersHemoglobin A1C
A nurse observes an adolescent with celiac disease ordering a gluten free breakfast
tray. The nurse should know that the client understands the diet when the client orders
which of the following items? - Question and answersEggs and orange juice
A nurse is caring for a child diagnosed with sickle cell anemia. The nurse should make
which of the following recommendations to the client regarding sickle cell anemia? -
Question and answersIncrease fluid intake.
A nurse is caring for a preschooler diagnosed with human immunodeficiency virus who
is at the clinic to receive immunizations. Which of the following statements about HIV
immunizations for this child is the most appropriate? - Question and answersThe only
immunization contraindicated for this client is the oral polio.
A nurse is caring for a 4-year-old who is brought into the emergency room with burns to
the neck and face following a house fire. Which of the following assessments should the
nurse prioritize for this child at this time? - Question and answersBreathing pattern
A nurse is caring for a 2 month old infant with a ventricular septal defect. Which of the
following observations should indicate to the nurse that the child's condition is
worsening? - Question and answersWeight gain of 275 g
A nurse is caring for a newborn with a myelomeningocele. In planning care for the
newborn, the nurse should be aware that postoperatively, the child is most prone to
developing which of the following? - Question and answersHydrocephalus
A nurse is caring for a child who has had a tonsillectomy. Which of the following findings
should the nurse give the most attention to 8 hr after surgery? - Question and
answersFrequent swallowing
A nurse is caring for an 18-month-old toddler who has been admitted following surgical
repair of a cleft palate. Postoperatively, the child complains of thirst. The nurse should
provide fluids using which of the following? - Question and answersCup
A nurse is caring for a 4-year-old child with leukemia. The child has undergone
chemotherapy and now has a fever, pallor, fatigue, and petechiae. Based on this
