ATI RN Nursing Care of Children 2021/2022

1. A nurse is providing teaching to the guardians of a school-age child who has a seizure disorder. Which of the following factors should the nurse include as a common trigger that increases the risk of seizures? a. Prolonged headache b. Lack of sleep c. Decreased temperature d. Exposure to secondhand smoke 2. A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching? a. “You can replace milk with nondairy sources of calcium” b. “You can drink milk on an empty stomach” c. “You should consume flavored yogurt instead of plain yogurt” d. “You might tolerate plain milk better than chocolate milk” 3. A nurse is caring for an infant who has rotavirus. Which of the following findings indicates that the infant is moderately dehydrated? a. Respiratory rate 28/min b. Weight loss 7% c. Capillary refill 1 second d. Bradycardia 4. A nurse is caring for an adolescent who is 1 hr. postoperative following an appendectomy. Which of the following findings should the nurse report to the provider? a. Muscle rigidity b. Heart rate 63/min c. Temperature 36.4oC (97.5o F) d. Abdominal pain 5. A nurse is planning care for an 8-month old infant who has heart failure. Which of the following actions should the nurse include in the plan of care? a. Place the infant in a prone position b. Provide less frequent, higher volume feedings c. Repeat a digoxin dosage if the infant vomits within I hour of administration d. Administer cool, humidified oxygen via nasal cannula 6. A nurse is caring for a preschooler who is postoperative following a tonsillectomy. The child is now ready to resume oral intake. Which of the following dietary choices should the nurse offer the child? a. Chocolate milk b. Sugar-free cherry gelatin c. Vanilla ice cream d. Lime-flavored ice pop 7. A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following immunizations should the nurse include in the plan? a. Measles, mumps, and rubella (MMR) b. Pneumococcal conjugate (PCV13) c. Rotavirus