Nursing Care of Children VATI Exam
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A nurse is caring for a toiler who is 24hr postoperative following a cleft palate repair. WHich of
the following actions should the nurse take? - Answer✔Administer opioids for pain
A nurse is assessing a 10-day-old client. Which of the following should the nurse understand is a
clinical manifestation of pyloric stenosis? - Answer✔Projectile vomiting after feedings
Pyloric stenosis is a narrowing and thickening of the pyloric canal between the stomach and the
duodenum, resulting in projectile vomiting.
A nurse is planning care for an adolescent who is postoperative following scoliosis repair with
Harrington rod instrumentation. Which of the following interventions should the nurse include in
the plan of care? - Answer✔Initiate the use of a PCA pump for pain control
A nurse is assessing an adolescent who has attention deficit hyperactivity disorder (ADHD).
Which of the following findings should the nurse expect? - Answer✔Impulsivity
A nurse is reviewing the laboratory results of a client who has acute leukemia and received an
aggressive chemotherapy treatment 10 days ago. Which of the following hematologic laboratory
values should the nurse expect? (Select all that apply.) - Answer✔Decreased platelet count
Decreased leukocyte count
Decreased erythrocyte count
A nurse is preparing to administer the first measles, mumps, and rubella (MMR) immunization to
15-month-old toddler. Which of the following findings is a contraindication for this
immunization? - Answer✔The child has a congenital immunodeficiency
A nurse is providing health promotion teaching to the parents of an infant. Which of the
following conditions should the nurse identify as the leading cause of death among this age
group? - Answer✔Congenital amnomalies
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A nurse is caring for an infant who has a congenital heart defect. Which of the following defects
is associated with increased pulmonary blood flow? - Answer✔Patent ductus arteriosus
the area between the pulmonary artery and aorta remains open, allowing the blood to flow
through the patent ductus arteriosus and back to the pulmonary artery and lungs.
A nurse is assessing a 3-month-old infant. Which of the following findings should the nurse
report to the provider? - Answer✔Inability to raise head when in prone position.
A 3 month-old infant should be able to raise her head and shoulders from prone position;
therefore, the nurse should report this finding to the provider.
A school nurse is performing a routine health assessment for a school-age child. Which of the
following findings indicates the nurse should investigate further for pediculosis capitis? -
Answer✔Pruritus of the scalp
Pediculosis capitis is an infestation of head lice. Generally, the. only manifestation is scalp
itchiness.
A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions
is the nurse's priority? - Answer✔Administer antibiotics to the client
The greatest risk to this client is bacteremia caused by the infection which can lead to septic
shock; therefore, the priority intervention is antibiotic therapy. The client might require multiple
antibiotics for an extended time.
A nurse is preparing to assist with applying a cast to a preschooler's arm. Which of the following
actions should the nurse take? - Answer✔Wrap the arm of the child's doll or toy prior to the
procedure.
A nurse is caring for a child who is postoperative following ventriculoperitoneal (VP) shunt
placement. In which of the following positions should the nurse place the client? - Answer✔On
the unoperative side
A nurse is providing anticipatory guidance about child development to the parents of a toddler.
Which of the following developmental tasks should the nurse include as expected of a toddler? -
Answer✔Separates easily form primary care giver for short periods of time
A nurse is teaching a client who has a family history of hemophilia A about manifestations of the
disorder. The nurse should include which of the following manifestations in the teaching? -
Answer✔Disabling joint pain
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