ATI Test A. (ASSURED A)

ATI Test A. A nurse is reinforcing teaching about home safety with the parent of a toddler. Which of the following parent statements indicates an understanding of the teaching? - The nurse should instruct the parent to place a screen in front of a fireplace or other heating appliances to prevent burns A nurse is reinforcing teaching with the parent of a child who has hemophilia and is experiencing acute hemarthosis. Which of the following instructions should the nurse include in the teaching? - The nurse should reinforce with the parent to keep the child’s affected joints elevated and immobilized to minimize bleeding. After the acute episode, the child should begin active range-of-motion exercise. A nurse is collecting data about the dietary habits of an adolescent client. The nurse should identify that which of the following findings puts the client at risk for nutritional deficits? - The nurse should identify that adolescents are often at risk for developing poor eating habits. Skipping dinner twice each week puts this client at risk for nutritional deficits. A nurse is assisting with the care of a child who has tonic-clonic seizures. Which of the following actions should the nurse take? - The nurse should have a suction canister and tubing available in the child’s room to keep the child’s airway patent during a seizure. A nurse is reinforcing home safety instructions with the parents of a toddler. Which of the following parent statements indicates an understanding of the teaching? - The nurse should instruct the parents to turn pot handles toward the back of the stove to prevent the toddler from pulling a pot off the stove, resulting in a burn. A nurse in a pediatric clinic is collecting data from an infant who recently started taking digoxin. Which of the following manifestations should the nurse identify as an indication of digoxin toxicity and report to the provider? - The nurse should identify that vomiting, especially unrelated to feedings, is a manifestation of digoxin toxicity and should be reported to the provider. A nurse is caring for a school-age girl who is being treated for frequent, severe urinary tract infections (UTIs). The nurse should recognize that which of the following statements by the parent indicates a possible cause of the UTIs? - My daughter has bowel movements every 4 to 5 days—the nurse should recognize that this frequency indicates the child is constipated. Therefore, large stool masses might prevent complete emptying of the bladder and lead to urinary stasis and infection. A nurse is caring for a school-age child who has been admitted to facility in sickle cell crisis. The nurse is measuring the child’s oral intake for the shift. The child consumed 4 oz of juice at breakfast. For lunch, the child consumed 6 oz of milk, 6 oz of gelatin, and drank 7 oz of water. What is the child’s oral intake for this shit of milliliters. (Round to the nearest whole number.) - 1oz = 30 mL Client consumed 23 oz of fluids 23 oz X 30 mL = 690 mL