Peds ati pre-exam
a nurse is planning care for a child who has severe diarrhea. which of the following actions is the nurse
priority? - ANSAssess fluid balance
A nurse is caring for a toddler who's parent states that the child has a mass in his abdominal area and his
urine is a pink color. Which of the following actions is the nurse's priority? - ANSInstruct the parent to
avoid pressing on the abdominal area
A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the
nurse's priority? - ANSCheck the Childs weight daily
A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following
is the nurse's priority? - ANSAdminister antibiotics when available
A nurse is collecting data from an adolescent. Which of the following represents the greatest risk for
suicide? - ANSActive psychiatric disorder (Mark, mental problems, patients mind is unstable)
A nurse is collecting data from an infant who has otitis media (middle ear infection). The nurse should
expect which of the following findings? - ANSTugging on the affected ear lobe
A nurse is reinforcing reaching with a parent of a 1 month old infant who is to undergo the initial surgery
to treat Hirschsprung's disease (a ganglionic megacolon, part of the colon isn't connected to the nerves
or not functioning, so there will be an increase size of the colon and stool gets stuck in there). Which of
the following statements should indicate to the nurse that the parent understanding the goal of
surgery? - ANS"I'm glad that the ostomy is only temporary " (1st there going to cut the nonfunctioning
of the colon, and then apply temporary colostomy, after a couple of months they will suture it together)
A nurse is caring for an infant who is 1 day postoperative following surgical repair of a cleft lip. Which of
the following actions should the nurse take? - ANSApply an antibiotic ointment to the suture site
A nurse is reinforcing discharge instructions with a parent of a child who has cystic fibrosis. Which of the
following statements by the parent indicates an understanding of the teaching? - ANS"I will make sure
my child washes her hands before eating"
, A nurse working at a clinic speaks on the telephone with a parent of a 2-monthold infant. The parent
tells the nurse that the infant has projectile vomiting followed by hunger after meals. Which of the
following response by the nurse is appropriate? - ANS"Bring your infant into the clinic today to be seen"
A nurse is caring for a 4 year old child who is 2 days postoperative following the insertion of a
ventriculoperitoneal shunt. Which of the following findings should the nurse identify as the priority .
(causes icp hydrocephalus) - ANSlethargy (high pitched cry, respiratory changes, bradycardia, wide pulse
pressure, irritability
a nurse is caring for a child following an open reduction and internal fixation of a fractured femur and
application of a cast. The cast has a window cut in it for viewing of the incision. Which of the following
actions should the nurse take first? - ANSPerform neurovascular checks of the affected extremity (check
for infection, color, capillary refill, redness)
A nurse is an urgent care clinic is assisting with the care of a toddler who ingested 30 tablets of aspirin.
Which of the following substances should the nurse administer to the toddler? - ANSActivated charcoal
(can work with toxin, poison. Given through ng tube absorbs toxins)
A nurse is caring for a 3 year old client who has persistent otitis media. To help identify contributing
factors, the nurse should ask the parents which of the following questions? - ANSDoes anyone smoke in
the same house as your daughter? (smoking can cause irritation, cause mucus in respiratory and causes
otitis media?) (otitis media is purulent color)
A nurse is collecting data from a 2 year old toddler who has AIDS. The nurse should inspect inside the
toddler mouth for which of the following opportunistic infections (fungus infections is usually
opportunistic infections)? - ANSCandidiasis (also called oral thrush)
A nurse is caring for a 4 year old child who has dehydration. Which of the following findings should the
nurse identify as the priority? - ANSPotassium 2.5 mEq/L
A nurse is caring for a child who Is postoperative following the insertion of a ventriculorperitoneal shunt.
The nurse should place the child in which of the following positions? - ANSOn the nonoperative side
a nurse is planning care for a child who has severe diarrhea. which of the following actions is the nurse
priority? - ANSAssess fluid balance
A nurse is caring for a toddler who's parent states that the child has a mass in his abdominal area and his
urine is a pink color. Which of the following actions is the nurse's priority? - ANSInstruct the parent to
avoid pressing on the abdominal area
A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the
nurse's priority? - ANSCheck the Childs weight daily
A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following
is the nurse's priority? - ANSAdminister antibiotics when available
A nurse is collecting data from an adolescent. Which of the following represents the greatest risk for
suicide? - ANSActive psychiatric disorder (Mark, mental problems, patients mind is unstable)
A nurse is collecting data from an infant who has otitis media (middle ear infection). The nurse should
expect which of the following findings? - ANSTugging on the affected ear lobe
A nurse is reinforcing reaching with a parent of a 1 month old infant who is to undergo the initial surgery
to treat Hirschsprung's disease (a ganglionic megacolon, part of the colon isn't connected to the nerves
or not functioning, so there will be an increase size of the colon and stool gets stuck in there). Which of
the following statements should indicate to the nurse that the parent understanding the goal of
surgery? - ANS"I'm glad that the ostomy is only temporary " (1st there going to cut the nonfunctioning
of the colon, and then apply temporary colostomy, after a couple of months they will suture it together)
A nurse is caring for an infant who is 1 day postoperative following surgical repair of a cleft lip. Which of
the following actions should the nurse take? - ANSApply an antibiotic ointment to the suture site
A nurse is reinforcing discharge instructions with a parent of a child who has cystic fibrosis. Which of the
following statements by the parent indicates an understanding of the teaching? - ANS"I will make sure
my child washes her hands before eating"
, A nurse working at a clinic speaks on the telephone with a parent of a 2-monthold infant. The parent
tells the nurse that the infant has projectile vomiting followed by hunger after meals. Which of the
following response by the nurse is appropriate? - ANS"Bring your infant into the clinic today to be seen"
A nurse is caring for a 4 year old child who is 2 days postoperative following the insertion of a
ventriculoperitoneal shunt. Which of the following findings should the nurse identify as the priority .
(causes icp hydrocephalus) - ANSlethargy (high pitched cry, respiratory changes, bradycardia, wide pulse
pressure, irritability
a nurse is caring for a child following an open reduction and internal fixation of a fractured femur and
application of a cast. The cast has a window cut in it for viewing of the incision. Which of the following
actions should the nurse take first? - ANSPerform neurovascular checks of the affected extremity (check
for infection, color, capillary refill, redness)
A nurse is an urgent care clinic is assisting with the care of a toddler who ingested 30 tablets of aspirin.
Which of the following substances should the nurse administer to the toddler? - ANSActivated charcoal
(can work with toxin, poison. Given through ng tube absorbs toxins)
A nurse is caring for a 3 year old client who has persistent otitis media. To help identify contributing
factors, the nurse should ask the parents which of the following questions? - ANSDoes anyone smoke in
the same house as your daughter? (smoking can cause irritation, cause mucus in respiratory and causes
otitis media?) (otitis media is purulent color)
A nurse is collecting data from a 2 year old toddler who has AIDS. The nurse should inspect inside the
toddler mouth for which of the following opportunistic infections (fungus infections is usually
opportunistic infections)? - ANSCandidiasis (also called oral thrush)
A nurse is caring for a 4 year old child who has dehydration. Which of the following findings should the
nurse identify as the priority? - ANSPotassium 2.5 mEq/L
A nurse is caring for a child who Is postoperative following the insertion of a ventriculorperitoneal shunt.
The nurse should place the child in which of the following positions? - ANSOn the nonoperative side
