ATI Peds proctored exam

ATI Peds proctored exam A nurse is planning to care for a child who has severe diarrhea. Which of the following actions is the nurse's priority? - ANS Assess fluid balance A nurse is caring for a toddler who's parent states that the child has a mass in his abdominal area and his urine is a pink color. Which of the following actions is the nurse's priority? - ANS Instruct the parent to avoid pressing on the abdominal area A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority? - ANS Check the Child's weight daily A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following is the nurse's priority? - ANS Administer antibiotics when available A nurse is collecting data from an adolescent. Which of the following represents the greatest risk for suicide? - ANS Active psychiatric disorder (Mark, mental problems, patients mind is unstable) A nurse is collecting data from an infant who has otitis media (middle ear infection). The nurse should expect which of the following findings? - ANS Tugging on the affected ear lobe A nurse is reinforcing teaching with a parent of a 1 month old infant who is to undergo the initial surgery to treat Hirschsprung's disease (a ganglionic megacolon, part of the colon isn't connected to the nerves or not functioning, so there will be an increase size of the colon and stool gets stuck in there). Which of the following statements should indicate to the nurse that the parent understands the goal of surgery? - ANS "I'm glad that the ostomy is only temporary " (1st there going to cut the nonfunctioning of the colon, and then apply temporary colostomy, after a couple of months they will suture it together) A nurse is caring for an infant who is 1 day postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take? - ANS Apply an antibiotic ointment to the suture site A nurse is reinforcing discharge instructions with a parent of a child who has cystic fibrosis. Which of the following statements by the parent indicates an understanding of the teaching? - ANS "I will make sure my child washes her hands before eating" A nurse working at a clinic speaks on the telephone with a parent of a 2-month old infant. The parent tells the nurse that the infant has projectile vomiting followed by hunger after meals. Which of the following responses by the nurse is appropriate? - ANS ``Bring your infant into the clinic today to be seen" A nurse is caring for a 4 year old child who is 2 days postoperative following the insertion of a ventriculoperitoneal shunt. Which of the following findings should the nurse identify as the priority . (causes icp hydrocephalus) - ANS lethargy (high pitched cry, respiratory changes, bradycardia, wide pulse pressure, irritability a nurse is caring for a child following an open reduction and internal fixation of a fractured femur and application of a cast. The cast has a window cut in it for viewing of the incision. Which of the following actions should the nurse take first? - ANS Perform neurovascular checks of the affected extremity (check for infection, color, capillary refill, redness) A nurse is an urgent care clinic is assisting with the care of a toddler who ingested 30 tablets of aspirin. Which of the following substances should the nurse administer to the toddler? - ANS Activated charcoal (can work with toxin, poison. Given through ng tube absorbs toxins) A nurse is caring for a 3 year old client who has persistent otitis media. To help identify contributing factors, the nurse should ask the parents which of the following questions? - ANS Does anyone smoke in the same house as your daughter? (smoking can cause irritation, cause mucus in the respiratory and cause otitis media?) (otitis media is purulent color) A nurse is collecting data from a 2 year old toddler who has AIDS. The nurse should inspect inside the toddler mouth for which of the following opportunistic infections (fungus infections is usually opportunistic infections)? - ANS Candidiasis (also called oral thrush) A nurse is caring for a 4 year old child who has dehydration. Which of the following findings should the nurse identify as the priority? - ANS Potassium 2.5 mEq/L