ATI- Pre Assessment Nursing Care of Children 100% Solutions Test Questions

Drawing, painting, riding a tricycle - ANSWER preschoolers Banging large block - ANSWER 9 - 12 months Team sports - ANSWER school-aged Watching black-and-white mobiles - ANSWER Birth to 3 months Playing peek-a-boo - ANSWER 6 to 9 months Holding a soft rattle - ANSWER 3 to 6 months Loud, harsh murmur; Mild heart failure; Possible enlarged right atrium; Increased oxygen saturations in the right atrium; Asymptomatic (possibly). - ANSWER Atrial septal defect (ASD) Increased blood pressure and oxygen saturation in the upper extremities compared to the lower extremities; Nosebleeds; Headaches, vertigo, leg pain, weak or absent lower extremity pulses (indicate decreased cardiac output). - ANSWER Coarctation of the aorta Murmur (machine-hum); Wide pulse pressure; Bounding pulses; Asymptomatic (possibly) - ANSWER Patent ductus arteriosus (PDA) Systolic ejection murmur; Right ventricular enlargement; Exercise intolerance; Cyanosis with severe narrowing. - ANSWER Pulmonary stenosis Loud, harsh murmur that is not usually audible until pulmonary pressures drop at about 4 to 8 weeks of age; Heart failure; Failure to thrive; Small, possibly asymptomatic defects. - ANSWER Ventricular septal defect (VSD) Murmur; Cyanosis, severe dyspnea, clubbing of the fingers, hypercyanotic spells, and acidosis; Polycythemia, clot formation; Frequently sits in a squatting position (decreases venous return); Failure to thrive and growth retardation - ANSWER Tetralogy of Fallot May have difficulty accepting death because they are discovering who they are, establishing an identity, and dealing with issues of puberty. - ANSWER Adolescents Experience fear of the disease process, the death process, the unknown, and loss of control - ANSWER School-age children Have egocentric thinking that prevents them from understanding death. - ANSWER Toddlers View dying as temporary because they have no concept of time and because the dead person may still have attributes of the living (sleeping, eating, breathing). - ANSWER Preschool A nurse is caring for a 6-month-old infant following surgery. Which of the following should the nurse use to measure pain in this client? a. FLACC pain scale. b. There is no special pain scale for infants. c. Wong-Baker faces pain rating scale. d. Oucher numeric scale. - ANSWER a. FLACC pain scale