ATI PEDS Proctored; Peds- ATI Practice Exam B 2019 (questions and answers verified 100%)

ATI PEDS Proctored; Peds- ATI Practice Exam B 2019 (questions and answers verified 100%) A nurse is completing an admission assessment on an adolescent child who is a vegetarian. He eats milk products but does not like beans. Which of the following items should the nurse suggest the client order for lunch to provide nutrients most likely to be lacking in his diet? - Peanut Butter and Jelly Sandwich A nurse is caring for a 1-month old infant who weighs 3540 g and is prescribed a dose of cefazolin 50mg/kg IV bolus TID. How many mg should the nurse administer per dose? - A nurse is preforming a pre-college assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering? - Meningococcal polysaccharide vaccine A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect? - Nocturia at night A nurse is caring for a client who has active TB and is to be started on IV rifampin therapy. The nurse should instruct the client that this medication can cause which of the following adverse effects? - Body sections turning a red orange color A nurse is caring for a 6-week-old infant who as a pyloric stenosis. Which of the following manifestations should the nurse expect? - Projectile vomiting A nurse receives a call from a parent of a child who has von Willebrand disease and has having a nosebleed. Which of the following instructions should the nurse give to the parents? - "Have your child sit with her head tilted forward and hold pressure on her nose for 10 minutes." A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect? - Pain A nurse is providing preoperative teaching by demonstrating diaphragmatic breathing to a client who is scheduled for surgery in the morning. Which of the following actions should the nurse include in the demonstration? - Place her hands on the sides of her rib cage A nurse is assessing a 3-year-old child who has aortic stenosis. Which of the following findings should the nurse expect? (select all that apply). - -Hypotension -Weak pulses -Murmur A nurse is planning care for a client who has idiopathic thrombocytopenic purpur (ITP). Which of the following manifestations is the most appropriate for the nurse to monitor? - Bleeding A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled for initial surgery. Which of the following statements indicates an understanding of the teaching? - I'm glad that my child's ostomy is only temporary A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicated an understanding of the teaching? - All recently used clothing, bedding, and towels must be washed in hot water. A nurse is providing dietary teaching to the parents of a newborn who is being breastfed. The nurse should instruct that the transition to whole milk can occur at which of the following ages? - 12 months A nurse is assessing a 6-month old patient at a well-child visit. Which of the following findings should the nurse expect? - Closed posterior fontanel A nurse is caring for a 2-year old child who has seizures and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose? - Shake the container vigorously. A nurse is planning care for a female client who has a T4 spinal cord injury and is at risk for acquiring urinary tract infections. Which of the following actions should the nurse include in the client's plan of care? - Obtain a order for an in and out catheter A nurse is planning care for a child who has suspected epiglottis. Which of the following actions should the nurse take? - Place the child on droplet precautions A nurse is instructing a group of clients regarding calcium rich food. Which of the following should the nurse include in the teaching as the best source of calcium? - 1 cup of milk A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The parent begins to cry and says " I don't understand why my child is so upset. I've never seen my child act this way around others before." Which of the following statements should the nurse make? - This is a normal, expected reaction for a child of this age A nurse is caring for a 4-year-old child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child's cooperation? - Offer the child a choice of crushed pills or elixir A nurse is caring for a client who requires droplet precautions. Which of the following personal protective equipment should the Peds- ATI Practice Exam B 2019 questions and answers verified 100% Nurse is reviewing lab results of a school age child 1 week postop following an open fracture repair. Which findings should nurse ID as indication of potential complication? a. Erythrocyte sedimentation rate 18 mm/hr b. WBC count 6,200/mm3 c. C-reactive protein 1.4 mg/LRBC count 4.7 million/mm3 - a. Erythrocyte sedimentation rate 18 mm/hr - above the expected reference range of up to 10 mm/hr and is an indication of osteomyelitis. Wrong Answers: b. WBC count 6,200/mm3:- within the expected reference range of 5,000 to 10,000/mm3. -An elevated WBC count is an indication of osteomyelitis. c. C-reactive protein 1.4 mg/L:- within the expected reference range of <10.0 mg/L. -An elevated C-reactive protein level is an indication of osteomyelitis.RBC count 4.7 million/mm3:- within the expected reference range of 4.0 to 5.5 million/mm3. A decreased RBC count can indicate hemorrhage. Nurse planning care for school age child with tunneled CVA device. Which interventions should the nurse include in plan? a. Use sterile scissors to remove the dressing from the site. b. Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in use c. Access the site using a noncoring angled needle d. Use a semipermeable transparent dressing to cover the site - d. Use a semipermeable transparent dressing to cover the site - The nurse should cover the site with a semipermeable transparent dressing to reduce the risk of infection. Wrong Answers: a. Use sterile scissors to remove the dressing from the site - The nurse should avoid the use of scissors when performing dressing changes because this can result in accidental cutting of the catheter. b. Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in use - The nurse should flush each lumen of the catheter with a heparin solution daily when not in use. c. Access the site using a noncoring angled needle - The nurse should use a noncoring angled or straight needle when accessing an implanted port. Nurse is planning care to address nutritional needs for preschooler with cystic fibrosis. Which interventions should the nurse include in plans? a. Administer pancreatic enzymes 2 hr after meals. b. Discontinue the use of pancreatic enzymes if steatorrhea develops. c. Limit fluid intake to 750 mL per day. d. Increase fat content in the child's diet to 40% of total calories. - d. Increase fat content in the child's diet to 40% of total calories - A child who has cystic fibrosis is unable to properly digest fats due to fibrosis of the pancreas and limited secretion of pancreatic enzymes. The nurse should increase the child's fat intake to 35% to 40% of total caloric intake. Wrong Answers: a. Administer pancreatic enzymes 2 hr after meals - The nurse should plan to administer pancreatic enzymes within 30 min of meals and snacks to replace the enzymes lost with cystic fibrosis. b. Discontinue the use of pancreatic enzymes if steatorrhea develops - A child who has cystic fibrosis and develops steatorrhea, or fatty stools, might need to have their dosage of pancreatic enzyme increased by their provider until the steatorrhea resolves. c. Limit fluid intake to 750 mL per day - The nurse should encourage fluid intake, rather than restrict it, to prevent dehydration caused by the loss of sodium and chloride through perspiration. Nurse in ED auscultates lungs of adolescent experiencing dyspnea. Nurse should ID sound as what? a. Wheezes b. Crackles c. Pleural friction rub d. Rhonchi - a. Wheezes - high-pitched, musical or whistling-like sounds heard primarily on expiration as air passes through and vibrates narrowed airways. Wrong answers: b. Crackles - high-pitched, short, and noncontinuous sounds usually heard at the end of inspiration. Crackles occur when air expands deflated alveoli or when the passage of air through small airways is disrupted. c. Pleural friction rub - a loud, rough, grating sound that can be heard during inspiration or expiration. A pleural friction rub occurs when the pleurae are inflamed and the surfaces rub together. d. Rhonchi - low-pitched, continuous sounds that have a snore-like quality and are usually louder during expiration. Rhonchi occur when the larger airways are obstructed. Nurse assesses school age child with infratentorial brain tumor. Which findings should the nurse ID as manifestation of IICP? a. Hypotension b. Reports insomnia c. Difficulty concentrating d. Tachycardia - c. Difficulty concentrating - The nurse should identify that irritability, inability to follow commands, and difficulty concentrating are manifestations of IICP due to decreased blood flow within the brain and pressure on the brainstem. Wrong Answers: a. Hypotension - HTN is a late manifestation of IICP due to compression of the brain vessels. b. Reports insomnia - somnolence and lethargy are manifestations of IICP. c. Tachycardia - bradycardia is a late manifestation of IICP. Nurse assesses infant with pneumonia. Which findings is priority for nurse to report to HCP? a. Nasal flaring b. WBC count 11,300/mm3 c. Diarrhea d. Abdominal distension - a. Nasal flaring - When using the ABC approach to client care, the nurse should determine that the priority finding to report to the provider is nasal flaring. Nasal flaring indicates the infant is experiencing acute respiratory distress. Wrong Answers: b. WBC count 11,300/mm3 - The nurse should report a WBC count of 11,300/mm3 because it is above the expected reference range of 5,000 to 10,000/mm3 and indicates infection. However, there is another finding that is the priority for the nurse to report. c. Diarrhea - The nurse should report diarrhea because it is a manifestation of pneumonia in infants and indicates the current treatment is not effective. However, there is another finding that is the priority for the nurse to report. d. Abdominal distension - The nurse should report abdominal distension because it is a manifestation of pneumonia in infants and indicates the current treatment is not effective. However, there is another finding that is the priority for the nurse to report. Nurse in health department is caring for emancipated adolescent with STI and unaccompanied by guardian. Which actions should the nurse take? a. Have the adolescent sign a consent form for treatment. b. Instruct the adolescent to return with a guardian. c. Obtain consent from the adolescent's guardian over the phone d. Treat the adolescent without a consent form - a. Have the adolescent sign a consent form for treatment - The nurse should identify that an emancipated minor can sign the consent form for treatment of an STI or any other form of medical treatment requiring consent. Nurse teaches adolescent about how to manage tinea pedis. Which statements by adolescent indicates understanding of 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." - b. "I should wear sandals as much as possible." - Sandals allow air to circulate around the feet, decreasing perspiration and eliminating the medium for bacteria and fungus to grow. -The nurse should inform the adolescent that wearing sandals, open-toed, or well-ventilated shoes