ATI CHILD CARE PROCTORED EXAM | (Latest DOCX UPDATE) | DETAILED SOLUTIONS

ATI.CHILD CARE 1.0 1 A child diagnosed with asthma begins corticosteroid treatments. The nurse explains to the parents that the purpose of corticosteroid treatment is to produce which therapeutic effect? Dilation of bronchial airways Decrease bronchospasms Prevention of infection Anti-inflammatory effect 2 Which is the recommended treatment for moderate to severe lead poisoning? 3 Which treatment is a nursing priority when providing care for an infant diagnosed with bacterial meningitis? Initiate cardiorespiratory monitoring. Initiate intravenous fluids. Observe respiratory isolation. Administer antibiotic therapy. 4 The dosage of a pediatric medication is 120mg/kg/day to be give t.i.d. The patient weighs 12 pounds. What is the correct dose for the nurse to administer? 120 mg 480 mg 218 mg 651 mg 5 In a child diagnosed with Tetralogy of Fallot, which of the following is a compensatory mechanism to decrease venous return to the heart? 6 A 1-year-old receives routine health maintenance care at the pediatric clinic. The child receives an MMR immunization. The mother asks the nurse, "When will my child get the next dose of MMR vaccine?" Which is the correct response by the nurse? 7 Which is a major difference in the clinical manifestation of adolescents with anorexia nervosa compared to bulimia? Binge eating Purging 8 Which is the most common factor associated with non-organic failure to thrive? A cool, drafty area for sleeping Disturbance of mother/child relationship Lack of interest in the surroundings Financial hardship causing poor nutritional care 9 An adolescent recovering from substance abuse is diagnosed with hepatitis B. Which nursing instruction should be included when planning the client's care? 10 Changes in the growth and development of the preschooler are characterized by: Preschoolers' gait resembles that of an adult. Rapid physical growth and a persistent curiosity. 11 A teacher asks the school nurse to assess the behavior of a child with attention deficit- hyperactivity disorder (ADHD). Which situation best facilitates an effective nurse/child interaction? In the classroom at the end of the day Nurse's office before school Physical education class 12 The health care provider orders 60% oxygen to be administered with a partial rebreather mask and bag reservoir. Which error regarding the oxygen delivery system requires correction? 13 A toddler is admitted to the hospital for treatment of acute gastroenteritis and dehydration. The mother states that she must go home to make arrangements for the care of her other children. To reduce the child's separation anxiety, which nursing intervention is most appropriate? 14 Which technique is most appropriate when assessing the circulation of a child's leg in traction? . 15 Initially, which solid food is generally recommended for an infant's diet? Infant rice cereal 16 A boy diagnosed with hemophilia falls while roller-blading and injures his knee. The nurse is most likely to assess which physical finding? 17 A toddler is admitted to the emergency department following a febrile seizure. Which information does the nurse provide to the family regarding febrile seizures? 18 The nurse assesses Koplik spots on the lingual and buccal mucosa of a 4-year-old. Which disease is likely to appear within the next two to three days? 19 Which is the most appropriate pain scale to use for a Spanish speaking 5-year-old child who communicates very little in English? 20 If a child with Type I diabetes mellitus takes regular insulin at 0800, which time during the day should the parents be taught to expect the peak action of regular insulin? The nurse evaluates the effectiveness of care for the school-aged child with juvenile rheumatoid arthritis (JRA). Which clinical outcome does the nurse expect the child to demonstrate after nursing care interventions are implemented? The child is able to move with minimal or no discomfort. The child limits his own physical activity to prevent pain. The family copes with the child's manipulative behaviors. 22 The nurse providing care to the child with pediculosis capitus (head lice) educates the family about the condition, transmission, and treatment. Which condition is necessary for survival of the louse on the host? 23 An adolescent with Type I diabetes mellitus asks her mother for permission to go with friends to get pizza and ice cream. Which response by the adolescent's mother indicates that previous nursing instruction has been effective? "Your friends need to learn that there are certain foods that you cannot have. They will understand that you can't go with them." "You must stay away from those foods. It is easier for you to avoid the situation. You can go with your friends another time." 24 When obtaining a health history, which significant event may precede a diagnosis of rheumatic fever? 25 Which intervention is most appropriate when providing nursing care for the child diagnosed with Duchenne's muscular dystrophy? 26 An adolescent comes to the clinic with a fever, sore throat, and fatigue. Physical assessment findings reveal enlargement of the spleen and lymph nodes. Mononucleosis is diagnosed. Which is the nurse's priority in planning the care for the child at home? 27 The presence of which classic cell provides data for the definitive diagnosis of Hodgkin's disease? 28 Which is the most common complication of acetaminophen toxicity in the toddler? Respiratory distress Fluid overload Renal failure Hepatic damage 29 During the acute phase of glomerulonephritis in a child, which intervention is the most appropriate? 30 An 18-year-old female diagnosed with systemic lupus erythematosus (SLE) comes to the rheumatology clinic for a follow-up visit. The nurse assesses the client's skin and reviews the client's BUN and creatinine levels. Which is the rationale for the nurse's actions? 31 At an unscheduled clinic appointment, the mother of a 9-month-old states that she is concerned about her baby's small size and frequent crying. The mother has limited support systems and poor role modeling for parenthood from her own childhood. Which initial physical assessment data is most important for the nurse to obtain at this time? 32 Which information regarding suspected episodes of child abuse should the nurse include in the documentation? 33 A toddler is diagnosed with impetigo and the nurse gives the toddler's mother instructions about skin care. Which statement by the mother indicates a need for further education? 34 The nurse provides nutritional education for the mother of a toddler. Which information in the toddler's health history indicates a problem regarding nutrition? 35 During the mental health examination of a troubled teen, the nurse assesses for the risk of violence. Which nursing response is most appropriate? 36 A physician orders gentamicin (Garamycin) one drop OS four times daily for a 3-year-old child. Which method of medication administration is most appropriate? 37 A school-age client receives a blood transfusion. The nurse assesses shortness of breath, bulging neck veins, and a moist cough. These findings are indicative of which complication? 38 The nurse plans the preoperative care of the infant with pyloric stenosis. In feeding the infant, which measure should be implemented until surgery? 39 When providing instructions to a day care provider about the transmission of chickenpox, which statement by the day-care worker reflects a need for further education about the infectious phase of this disease? " 40 Digoxin (Lanoxin) is used in the treatment of a client diagnosed with a congenital heart defect. Which is the mechanism of action? 41 The nurse provides care for the child diagnosed with glomerulonephritis and collects a urine sample for urinalysis. Which urine color suggests the presence of red blood cells? 42 A 2-month-old baby is diagnosed with cystic fibrosis. Which statement most accurately defines this disorder? Dominant disorder in which secretions produced in the lungs plug the airway and induce respiratory distress Recessive disorder in which structural changes occur in the heart muscle Recessive disorder in which abnormal amounts of secretions are produced by the exocrine glands 43 Initial treatment for unilateral (talipes equinus) clubfoot includes which intervention? Passive range of motion exercises to the ankle and toes four times daily Application of a cast to the affected foot as soon as diagnosis is made The use of a spica cast until the newborn is ready for surgery 44 A 10-year-old is seen in the allergy clinic. The child describes itchy, watery eyes and nasal congestion after spending time outdoors. The skin is noted to be dry and scaly in patches on the back of the arms. Skin testing is ordered. Which measure by the nurse promotes the accuracy of the testing? 45 A school-age child falls from a bicycle and sustains head trauma. Upon arrival to the emergency department, the nurse identifies signs indicating increased intracranial pressure. Which sign should the nurse document? 46 According to Erikson's theory of child development, the normal school-aged child masters which psychosocial stage for development of healthy personality? 47 A preschool child is brought to the primary-care clinic because of anal itching at night. The child is diagnosed with pinworm infestation and mebendazole (Vermox) is prescribed. Which instruction to the family is most important regarding follow-up care? Contact with other children should be avoided for 7-10 days. Daily tub bathing is recommended during infestation. . 48 A nurse assesses the growth and development of a 3-month-old. Which activity is undeveloped at this age? 49 Which diagnostic procedure is used to ascertain if a female client has gonorrhea? Take a blood specimen. 50 The nurse assesses the development of a 3-year-old child at a routine clinic visit. The nurse should expect the mastery of which developmental task? 51 The nurse providing nutritional instruction to parents of a child diagnosed with cystic fibrosis recommends which type of diet? 52 Which nursing assessment indicates bleeding in the postoperative phase after a tonsillectomy? Frequent swallowing 53 The school nurse provides an educational program for a group of preadolescents regarding the use of birth control pills. Which is the mechanism of action for oral contraceptives? 54 The mother of a school-aged child diagnosed with a terminal illness asks the nurse, “How should I explain this to my child?” Which nursing instruction is most appropriate? 55 The nurse prepares to administer an intramuscular injection to a 4-year-old child. Which site is most appropriate? 56 Which is the peak age for the occurrence of sudden infant death syndrome (SIDS)? Incorrect: Two to four weeks of age is early for most cases of SIDS. 57 An adolescent seeks health care at a free clinic and states she is sexually active and concerned about AIDS. Which nursing instruction regarding transmission of sexually transmitted diseases is most appropriate? 58 An adolescent girl is diagnosed with scoliosis and her mother is reluctant to pursue treatment. The nurse educates the mother that untreated scoliosis may ultimately have which outcome? 59 When assessing the heart rate for infants and small children, which pulse point should the nurse use? 60 A hospitalized 18-month-old is diagnosed with gastroenteritis. When providing discharge teaching for the child's parents, which food should the nurse suggest be reintroduced last? 61 A child with Type I diabetes mellitus experiences polyuria, polydipsia, and polyphagia, and has a history of diabetic ketoacidosis. The family should be instructed that ketones can appear in the urine when the blood glucose reaches which level? 62 A hospitalized preschool child is recovering from surgery and is in the playroom. Which behavior should the nurse expect to observe? 63 A 4-week-old infant with an atrial septal defect (ASD) is monitored for signs of congestive heart failure (CHF) prior to surgery. The nurse measures intake and output to determine the fluid status of the child. Which is the best method to obtain an approximation of the volume of urine output? 64 A 12-week-old infant requires the insertion of a ventricular peritoneal (VP) shunt for the treatment of hydrocephalus. Which is the most serious complication of VP shunts? 65 A mother brings her toddler into the clinic because of fussiness, fever, and pulling of the right ear. The mother states that the symptoms are the same as when the child had a previous ear infection. Which is the most appropriate nursing response? 66 An 11-year-old receives an allergy shot during a clinic visit. Which symptom indicates the early stage of anaphylactic shock? 67 When initiating a plan of care for the child with leukemia, the nurse informs the family to anticipate which diagnostic test? Positron Emission Tomography (PET) Bone marrow aspiration 68 The administration of aspirin has been discouraged in pediatric use because of the association of which condition? Erb palsy Hodgkin's disease Kaposi sarcoma Reye's syndrome 69 A child diagnosed with sickle cell disease experiences an acute, vasoocclusive crisis. Which nursing intervention is the priority? Maintain hydration. 70 The nurse provides discharge instructions to the parent of a child who has a newly applied cast to the leg. Which statement by the parent indicates the need for further nursing instruction? 71 Which is the main difference between the male and female anatomy related to urinary tract infections? 72 A teenage boy commits suicide. Which is the main cause of suicide? An act of defiance 73 Which signs indicate IV infiltration in a child? Fever, chills, and pain 74 Following the surgical repair of a toddler's cleft palate, which method of administering fluid is most appropriate in the post-operative recovery period? 75 The nurse planning the care for a child that has partial and full thickness burns understands that an early complication with extensive burns is Show Less