Peds CMS ATI – Questions And Verified Answers A nurse is preparing to administer regular insulin to a child who has type 1 diabetes mellitus. Which of the following actions should the nurse take? ✔ Ans -Administer insulin at room temp (cold insulin can cause more pain)
2. A nurse is assisting in the admission of a client who has measles. Which of the following isolation precautions should the nurse initiate? ✔ Ans -
Airborne
A nurse is caring for an adolescent client who has diabetes mellitus. Which of the following findings indicates that the client is experiencing hyperglycemia? ✔ Ans -Reports of thirst
A nurse is preparing to administer acetaminophen rectal suppository to a child who is vomiting. Which of the following actions should the nurse take? ✔ Ans -Hold the child's buttocks together following insertion
A nurse is collecting data from a 6-month-old infant during a well-baby visit. At birth, the infant weighed 3.26 kg (7 lb 3 oz) Which of the following is the anticipated weight at 6 months of age. ✔ Ans -15 to 17 lb? Weight should be doubled
A nurse is administering oral ondansetron to a preschooler who has cancer and is receiving chemotherapy. Which of the following therapeutic effects should the nurse expect? ✔ Ans -Decreased nausea (That's what ondansetron does)
A nurse is caring for a child who is brought to the urgent care clinic following exposure to poison ivy 1 hr. ago. Which of the following actions should the nurse take? ✔ Ans -Flush with cold running water
A nurse is reinforcing teaching with the parents of a 7-year-old who has a new
prescription for levalbuterol. Which of the following instructions should the nurse include in the teaching? (Select all that apply) ✔ Ans -A. Use the medication with a space device C. take PRN every 4 hr for difficulty breathing D. Wait 1 min between puffs A nurse is reinforcing discharge teaching with a parent of a child who has varicella zoster, which of the following instructions should the nurse include in the teaching? ✔ Ans -Apply calamine lotion directly to the vesicles
A nurse is reinforcing teaching with the parents of a 2-month-old infant who has gastroesophageal reflux. The parents are feeding the infant formula. Which of the following instructions should the nurse include in the teaching? ✔ Ans -Keep the infant at 30-degree angle for 1 hr following each feeding
A school nurse cares for a child who has asthma and is beginning to have difficulty breathing. Which of the following actions should the nurse take? ✔ Ans -Encourage the use of a flutter mucus clearance device
A nurse is collecting data from an infant who has respiratory syncytial virus and observes intercostal retractions. Which of the following actions should the nurse take first? ✔ Ans -Check the pulse oximeter level
A nurse is caring for a child who has cystic fibrosis and is taking donarse alfa. Which of the following actions should the nurse take to evaluate the effectiveness of the medication? ✔ Ans -Auscultate the child's breath sounds.
A nurse is reviewing urinalysis results from a toddler. Which of the following findings indicates the child has a urinary tract infection? ✔ Ans -Bacteria 150.000 organisms/mL
A nurse is collecting data from an infant who has respiratory syncytial virus. Which of the following findings should the nurse expect? ✔ Ans -Rhinorrhea
A nurse is reinforcing teaching with the parent of a child who has hypothyroidism and is to start taking levothyroxine. Which of the following should the nurse include? ✔ Ans -"Expect your child to take this medication for his lifetime"
A nurse is caring for a preschooler who is terminally ill. The nurse should identify which of the following reactions to death as a developmentally appropriate for the child? ✔ Ans -Believes the condition is a punishment
2. A nurse is assisting in the admission of a client who has measles. Which of the following isolation precautions should the nurse initiate? ✔ Ans -
Airborne
A nurse is caring for an adolescent client who has diabetes mellitus. Which of the following findings indicates that the client is experiencing hyperglycemia? ✔ Ans -Reports of thirst
A nurse is preparing to administer acetaminophen rectal suppository to a child who is vomiting. Which of the following actions should the nurse take? ✔ Ans -Hold the child's buttocks together following insertion
A nurse is collecting data from a 6-month-old infant during a well-baby visit. At birth, the infant weighed 3.26 kg (7 lb 3 oz) Which of the following is the anticipated weight at 6 months of age. ✔ Ans -15 to 17 lb? Weight should be doubled
A nurse is administering oral ondansetron to a preschooler who has cancer and is receiving chemotherapy. Which of the following therapeutic effects should the nurse expect? ✔ Ans -Decreased nausea (That's what ondansetron does)
A nurse is caring for a child who is brought to the urgent care clinic following exposure to poison ivy 1 hr. ago. Which of the following actions should the nurse take? ✔ Ans -Flush with cold running water
A nurse is reinforcing teaching with the parents of a 7-year-old who has a new
prescription for levalbuterol. Which of the following instructions should the nurse include in the teaching? (Select all that apply) ✔ Ans -A. Use the medication with a space device C. take PRN every 4 hr for difficulty breathing D. Wait 1 min between puffs A nurse is reinforcing discharge teaching with a parent of a child who has varicella zoster, which of the following instructions should the nurse include in the teaching? ✔ Ans -Apply calamine lotion directly to the vesicles
A nurse is reinforcing teaching with the parents of a 2-month-old infant who has gastroesophageal reflux. The parents are feeding the infant formula. Which of the following instructions should the nurse include in the teaching? ✔ Ans -Keep the infant at 30-degree angle for 1 hr following each feeding
A school nurse cares for a child who has asthma and is beginning to have difficulty breathing. Which of the following actions should the nurse take? ✔ Ans -Encourage the use of a flutter mucus clearance device
A nurse is collecting data from an infant who has respiratory syncytial virus and observes intercostal retractions. Which of the following actions should the nurse take first? ✔ Ans -Check the pulse oximeter level
A nurse is caring for a child who has cystic fibrosis and is taking donarse alfa. Which of the following actions should the nurse take to evaluate the effectiveness of the medication? ✔ Ans -Auscultate the child's breath sounds.
A nurse is reviewing urinalysis results from a toddler. Which of the following findings indicates the child has a urinary tract infection? ✔ Ans -Bacteria 150.000 organisms/mL
A nurse is collecting data from an infant who has respiratory syncytial virus. Which of the following findings should the nurse expect? ✔ Ans -Rhinorrhea
A nurse is reinforcing teaching with the parent of a child who has hypothyroidism and is to start taking levothyroxine. Which of the following should the nurse include? ✔ Ans -"Expect your child to take this medication for his lifetime"
A nurse is caring for a preschooler who is terminally ill. The nurse should identify which of the following reactions to death as a developmentally appropriate for the child? ✔ Ans -Believes the condition is a punishment
