ATI RN NURSING CARE OF CHILDREN NUR 212 PROCTORED EXAM Q& A GURANTEED SUCCESS LATEST UPDATE 2022/2023 HIGHLY RATED A+ SCORE

ATI RN NURSING CARE OF CHILDREN NUR 212 PROCTORED EXAM Q& A GURANTEED SUCCESS LATEST UPDATE 2022/2023 HIGHLY RATED A+ SCORE A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the nurse take? A- Place a cardiac monitor on the Adolescent prior to the procedure B- apply topical analgesic cream to the site one hour prior to the procedure C- keep the Adolescent in a semi Fowler's position for 4 hours following the procedure D- restrict fluids for 2 hours following the procedure Answer- b The nurse should apply a topical analgesic to the lumbar site 60 min prior to the procedure to decrease the adolescent's pain while the lumbar needle is inserted. A- Cardiac monitoring is not necessary during a lumbar puncture. C- The nurse should place the adolescent in the prone position or flat in bed for up to 12 hr to prevent post procedural spinal headache. D- The adolescent should be encouraged to drink extra fluids following the procedure to replace the cerebrospinal fluid removed during the procedure. A nurse is providing teaching to the parents of a toddler about the administration of a prescribed eye drops and eye ointment. Which of the following instructions should the nurse include? A- Apply the eye ointment within 30 minutes of your toddler Awakening in the morning B- apply the eye ointment from the outer canthus to the inner campus C- use one hand to pull the upper eyelid upward when instilling the eye drops D- administer the eye drops 3 minutes before the ointment Answer- d The nurse should instruct the parents to administer the eye drops first and then wait 3 min before administering the eye ointment. This action provides adequate time and spacing for each separate medication to work. A- The nurse should instruct the parents to administer the eye ointment prior to a nap or bedtime since the medication can cause temporary blurred vision. B- The nurse should apply the eye ointment from the inner canthus to the outer canthus to prevent the entry of infectious organisms into the lacrimal duct. C- The nurse should instruct the parents to use one hand to pull the lower eyelid downward when instilling the eye medication to ensure placement of the medication in the conjunctival sac. The nurse is providing discharge teaching to the parent of an 18 month old toddler who has dehydration as a result of acute diarrhea. Which of the following statements by the parent indicates an understanding of the teaching? A- I will offer my child small amounts of fruit juice frequently B- I will avoid giving my child solid foods until his diarrhea has stopped C- I will monitor my child's number of wet diapers D- I will give my child polyethylene glycol daily for 7 days Answer- c The nurse should teach the parent to closely monitor the child's number of wet diapers. Monitoring the number of wet diapers per day is the best way for the parent to monitor adequate output and hydration status. A- Children recovering from dehydration should not be encouraged to drink frequent, small amounts of fruit juice because it is high in carbohydrates, low in electrolytes, and has a high osmolality value. B- The nurse should teach the parent to encourage solid foods even when the child has diarrhea. D- Polyethylene glycol is an osmotic agent that will pull fluid into the bowel, increasing the frequency of stools, which will increase the level of dehydration. A nurse is preparing to collect a sample from a toddler for a sickle turbidity test. Which of the following actions should the nurse plan to take? A- Obtain a sputum specimen B- perform an allen test C- perform a finger stick D- obtain a stool specimen Answer- c The nurse should perform a finger stick on a toddler as a component of the sickle-turbidity test. If the test is positive, hemoglobin electrophoresis is required to distinguish between children who have the genetic trait and children who have the disease. A- Sputum specimens are collected to identify the infectious organism in a child who has as acute respiratory tract infection. Therefore, this is not a component of the sickle-turbidity test. B- An Allen test determines adequate circulation by observing capillary refill before an arterial puncture. Therefore, this is not a component of the sickle-turbidity test. D- Stool specimens are collected to identify organisms or parasites that cause diarrhea or to check for the presence of occult blood. Therefore, this is not a component of the sickle-turbidity test. Teaching the parents of a school-aged child who has a new diagnosis of osteomyelitis of the tibia. The nurse should identify that which of the following statements by the parents indicates an understanding of the teaching? my child will have a cast until healing is complete. My child will receive antibiotics forseveral weeks. My child can return to playing sports once he is discharged. My child needs to be in contact isolation. Answer: b The nurse should instruct the parent that the child will receive antibiotic therapy for at least 4 weeks. Surgery might be indicated if the antibiotics are not successful. A - incorrect Weight bearing must be avoided with osteomyelitis. Therefore, the child is placed in a comfortable position with the limb supported. There is no indication for a cast. C- incorrect Weight bearing should be avoided to prevent complications and minimize pain. Therefore, it will be several weeks to months before the child can play contact sports. D- incorrect Contact isolation is NOT necessary, because osteomyelitis is not a communicable illness. A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the sound as which of the following? Click the audio button to listen. A- Biots respiration B- Chaney Stokes respiration C- tackypnea D - Bradypnea Answer- c The nurse should identify the sound heard during auscultation as tachypnea, which is a rapid, regular breathing pattern. This breathing pattern often occurs with anxiety, fever, metabolic acidosis, or severe anemia. A- Biot's respirations are periods of apnea alternating with two or three shallow breaths. B- Cheyne-Stokes respirations are periods of apnea alternating with periods of hyperventilation. D- Bradypnea is a slow, regular breathing pattern. A nurse in an emergency department is caring for a school-age child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse? A- Elevate the head of the child's bed B- insert a large-bore IV catheter for the child C- determine the allergen that caused the child's reaction D- administer IM epinephrine to the child Answer- d When using the urgent vs nonurgent approach to client care, the nurse determines that the priority action is administering IM epinephrine to the child. During an anaphylactic reaction, histamine release causes bronchoconstriction and vasodilation. This is an emergency because ultimately it causes decreased blood return to the heart. A- Elevating the head of the child's bed is important to facilitate breathing and circulation. However, it is not the priority action the nurse should take. B- Inserting a large bore IV catheter is important to facilitate administration of IV fluids and medications. However, it is not the priority action the nurse should take. C- Determining the allergen that caused the child's reaction is important to prevent any additional episodes of anaphylaxis. However, it is not the priority action the nurse should take. The nurse is preparing to administer an immunization to a four-year-old child. Which of the following actions should the nurse plan to take? A- Place the child in a prone position for the immunization B- request that the child's caregiver leave the room during the immunization C- administer the immunization using a 24 gauge needle D- inject the immunization slowly after aspirating for 3 seconds