ATI-PN Peds_Exam_2021.

ATI-PN Peds_Exam_2021. 1) A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative following hypospadias repair with a stent placement. Which of the following instructions should the nurse include in the teaching? a) "You may bathe your infant in an infant bathtub when you go home." b) "Apply hydrocortisone cream to your infant's penis daily." c) "You should clamp your infant's stent twice daily." d) "Allow the stent to drain directly into your infant's diaper." 2) A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant? a) Wrist b) Great toe c) Index finger d) Heel 3) A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone. Following 1 week of treatment, which of the following manifestations indicates to the nurse that the medication is effective? a) Decreased edema b) Increased abdominal girth c) Decreased appetite d) Increased protein in the urine 4) A nurse is planning care for a newly admitted school-age child who has generalized seizure disorder. Which of the following interventions should the nurse plan to include? a) Ensure that a padded tongue blade is at the child's bedside. b) Allow the child to play video games on a tablet computer. c) Allow the child to take a tub bath independently. d) Ensure the oxygen source is functioning in the child's room. 5) A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse assess first? a) A toddler who has a concussion and an episode of forceful vomiting b) An adolescent who has infective endocarditis and reports having a headache c) An adolescent who was placed into halo traction 1 hr ago and reports pain as 6 on a scale of 0 to 10 d) A school-age child who has acute glomerulonephritis and brown-colored urine 6) A nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. Which of the following statements should the nurse make? a) "You should offer your child high-protein meals and snacks throughout the day." b) "You should decrease your child's dietary fat intake to less than 10% of their caloric intake." c) "You should restrict your child's calorie intake to 1,200 per day." d) "You should give your child a multivitamin once weekly." 7) A nurse assessing a school-age child who has an infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure? a) Hypotension b) Reports insomnia c) Difficulty concentrating d) Tachycardia 8) A nurse is providing teaching to an adolescent about how to manage tinea pedis. Which of the following statements by the adolescent indicates an understanding of the teaching? a) "I should buy plastic shoes to wear at the swimming pool." b) "I should wear sandals as much as possible." c) "I should place the permethrin cream between my toes twice daily." d) "I should seal my nonwashable shoes in plastic bags for a couple of weeks." 9) A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect? a) Deep respirations of 32/min b) Shallow respirations of 10/min c) Paradoxic respirations of 26/min d) Periods of apnea lasting for 20 seconds 10) A nurse is planning n educational program to teach parents about protecting their children from sunburns. Which of the following instructions should the nurse plan to include? a) "Allow your child to play outside during the hours between 10:00 a.m. and 2:00 p.m." b) "Choose a waterproof sunscreen with a minimum SPF of 15." c) "Dress your child in loose weave polyester fabric prior to sun exposure." d) "Reapply sunscreen every 4 hours." 11) A nurse is providing teaching to the parents of a preschooler who has heart failure and a new prescription for digoxin twice daily. Which of the following instructions should the nurse include in the teaching? a) "Use a kitchen teaspoon to measure the medication." b) "Brush the child's teeth after giving the medication." c) "Double the next dose if the child misses a dose." d) "Repeat the dose if the child vomits." 12) A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic arthritis. Which if the following instructions should the nurse include in the teaching? a) "Limit movement of the child's large joints." b) "Encourage the child to perform independent selfcare." c) "Provide the child with a soft mattress for sleeping." d) "Schedule a 2-hour daily nap for the child in the afternoon." 13) A nurse is creating a plan of care for a child who has varicella. Which of the following interventions should the nurse include? a) Maintain the child's room temperature at 80° F. b) Prepare the child for a lumbar puncture. c) Administer aspirin to the child for a temperature greater than 38.3° C (101° F). d) Initiate airborne precautions for the child. 14) A nurse is assessing a school-age child who has an acute spinal cord injury following a sports injury 1 week ago. Identify the area the nurse should tap to elicit the bicep reflect. i) Correct answer is A 15) A school nurse is providing an in-service for faculty about improving education for students who have ADHD. Which of the following statements by a faculty member indicates an understanding of the teaching? a) "I will plan to increase the amount of homework I assign to students who have ADHD." b) "I will give students who have ADHD the same amount of time as other students to complete tests." c) "I will allow students who have ADHD one rest break throughout the day." d) "I will teach challenging academic subjects to students who have ADHD in the morning."