Pediatric ati practice questions Final Exam

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? a. my child will have a cast until healing is complete. b. My child will receive antibiotics for several weeks. c. My child can return to playing sports once he is discharged. d. My child needs to be in contact isolation. - ANSWERSb 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 - ANSWERSc 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 - ANSWERSD 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 - ANSWERSC A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. The nurse should identify which of the following laboratory values indicates effectiveness of the current treatment? A- Potassium 2.9 mEq/L B- sodium 140 C- urine specific gravity 1.035 D- BUN 25 mg - ANSWERSb The nurse is providing teaching about Social Development to the parents of a preschooler. Which of the following play activities should the nurse recommend for the child? A- Play pat-a-cake B- using a push pull toy C- creating a scrapbook D- playing dress-up - ANSWERSD A nurse is teaching the parents of a newborn about ways to prevent sudden infant death syndrome SIDS. Which of the following instructions should the nurse include? A- Place the infant in a prone position to sleep. B- Allow the infant to sleep on a large pillow. C- User soft mattress in the infant's crib. D- Give the infant a pacifier at bedtime. - ANSWERSd A nurse is assessing an infant who has pneumonia. Which of the following findings is the priority for the nurse to report to the provider? A- Nasal flaring B- WBC 11,300 C- diarrhea D- abdominal distension - ANSWERSa A school nurse is assessing a school-age child blood pressure while he is seated in a chair. The child starts to experience a tonic-clonic seizure. Which of the following actions should the nurse take first? A- Clear the immediate area around the child of hazardous objects B- loosen the child restrictive clothing C- assist the child to a side-lying position on the floor D- apply an oxygen mask to the child - ANSWERSc A nurse is preparing to administer ibuprofen 5 mg per kg every 6 hours PRN for temperatures above 38.0 degrees Celsius or 100.5 degrees Fahrenheit to an infant who weighs 17.6 lb. The infant has a temperature of 38.4 degrees Celsius or 100 + 1.2 degrees Fahrenheit. Available is ibuprofen liquid 100mg/ 5 ml. how many milliliters should the nurse administer to the infant per dose? Round the answer to the nearest whole number. Use a leading zero if it applies. - ANSWERS2 mL A nurse is receiving change-of-shift Report on for 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 hour ago and rates his pain at a 6 on a 0-10 scale D- school-age child who has acute glomerulonephritis and brown colored urine - ANSWERSA A nurse in the emergency department is caring for an adolescent who has severe abdominal pain due to appendicitis. Which of the following locations should the nurse identify as Mcburney's point? - ANSWERSA A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include in the teaching? A- Limit the movement of the child large joints. B- Encourage the child to perform independent self care. C- Provide the child with a soft mattress for sleeping. D- Schedule a 2-hour daily nap for the child in the afternoon. - ANSWERSb Pediatric creatinine - ANSWERS0.3-0.7 Pediatric BUN - ANSWERS5-18 Pediatric Uric acid - ANSWERS2-5.5 Pediatric urine specific gravity - ANSWERS1.001-1.030 Pediatric potassium - ANSWERS4.1-5.3 Pediatric sodium - ANSWERS134-150 Pediatric magnesium - ANSWERS1.4-1.7 Pediatric hemoglobin - ANSWERS10-17 Pediatric platelets - ANSWERS150,000-400,000 Pediatric hematocrit - ANSWERS32-44% Pediatric WBC - ANSWERS5,000-10,000 A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride 100 mL IV to infuse over 4 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - ANSWERS25 gtt a nurse in the ED is caring for a 2-year-old child who was found by his parents crying and holding a container of toilet bowl cleaner. the Childs lips are edematous and inflamed, and he is drooling. which of the following is the priority action by the nurse? a- remove the Childs contaminated clothing b- check the Childs respiratory status c- administer an antidote to the child d- establish IV access for the child - ANSWERSb a nurse is teaching a parent of a 12-month old child about the development during the toddler years. which of the following statements should the nurse include? a- your child should be referring to himself using the appropriate pronoun by 18 months of age b- a toddlers interest in looking at pictures occurs at 20 months of age c- a toddler should have daytime control of his bowel and bladder by 24 months of age d- your child should be able to scribble spontaneously using a crayon at the age of 15 months - ANSWERSd A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the following actions should the nurse take? a. Perform the assessment in a head to toe sequence. b. Minimize physical contact with the child initially. c. Explain procedures using medical terminology. d. Stop the assessment if the child becomes uncooperative. - ANSWERSb A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations and is planning to attend college. The nurse should inform the client that he should receive which of the following immunizations prior to moving into a campus dormitory? a. Pneumococcal polysaccharide b. Meningococcal polysaccharide c. Rotavirus d. Herpes zoster - ANSWERSb A nurse is teaching the parent of an infant about food allergens. Which of the following foods should the nurse include as being the most common food allergy in children? a. Cow's milk b. Wheat bread c. Corn syrup d. Eggs - ANSWERSa A nurse is teaching the parent of a toddler about home safety. Which of the following statements by the parent indicates an understanding of the teaching? a. "I lock my medications in the medicine cabinet." b. "I keep my child's crib mattress at the highest level." c. "I turn pot handles to the side of my stove while cooking." d. "I will give my child syrup of ipecac if she swallows something poisonous." - ANSWERSa A nurse is performing a physical assessment on a 6-month-old infant. Which of the following reflexes should the nurse expect to find? a. Stepping b. Babinski c. Extrusion d. moro - ANSWERSB A nurse is preparing to administer recommended immunizations to a 2-month-old infant. Which of the following immunizations should the nurse plan to administer? a. Human papillomavirus (HPV) and hepatitis A b. Measles, mumps, rubella (MMR) and tetanus, diphtheria, and acellular pertussis (TDaP) c. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV) d. Varicella (VAR) and live attenuated influenza vaccine (LAIV) - ANSWERSc A nurse is developing a plan of care for a school-age child who underwent a surgical procedure that resulted in temporary loss of vision. Which of the following interventions should the nurse include in the plan of care? a. Assign an assistive personnel to feed the child. b. Explain sounds the child is hearing. c. Have the child use a cane when ambulating. d. Rotate nurses caring for the child. - ANSWERSb A nurse is assessing a 3-year-old child who is 1 day postoperative following a tonsillectomy. Which of the following methods should the nurse use to determine if the child is experiencing pain? a. Ask the parents. b. Use the FACES scale. c. Use the numeric rating scale. d. Check the child's temperature. - ANSWERSb A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings indicates the need for further assessment? a. Grabs feet and pulls them to her mouth b. Posterior fontanel is closed c. Legs remain crossed and extended when supine d. Birth weight has doubled - ANSWERSc A nurse is observing a mother who is playing peek-a-boo with her 8-month-old child. The mother asks if this game has any developmental significance. The nurse should inform the mother that peek-a-boo helps develop which of the following concepts in the child? a. Hand-eye coordination b. Sense of trust c. Object permanence d. Egocentrism - ANSWERSc A nurse is caring for a 15-month-old toddler who requires droplet precautions. Which of the following actions should the nurse take? a. Have the toddler wear a disposable gown when in the unit's playroom. b. Wear sterile gloves when changing the toddler's diapers. c. Wear a mask when assisting the toddler with meals. d. Ask visitors to wear an N-95 mask when entering the room. - ANSWERSC A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? a. Head lags when pulled from a lying to a sitting position b. Absence of startle and crawl reflexes c. Inability to pick up a rattle after dropping it d. Rolls from back to side - ANSWERSA A nurse is planning to collect a specimen from a male infant using a urine collection bag. Which of the following actions should the nurse take? a. Wash and dry the infant's genitalia and perineum thoroughly. b. Apply a small coating of water-soluble lubricant to the skin of the infant's perineal area. c. Avoid placing the scrotum inside the collection bag. d. wait several hours after positioning the device before checking it - ANSWERSA A nurse in a pediatric clinic is caring for a 3-year-old child who has a blood lead level of 3 mcg/dL. When teaching the toddler's parents about the correlation of nutrition with lead poisoning, which of the following information is appropriate for the nurse to include in the teaching? a. Decrease the child's vitamin C intake until the blood lead level decreases to zero. b. Administer a folic acid supplement to the child each day. c. Give pancreatic enzymes to the child with meals and snacks. d. Ensure the child's dietary intake of calcium and iron is adequate. - ANSWERSd A nurse is planning care for a 10-month-old infant who has suspected failure to thrive (FTT). Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) a. Observe the parents' actions when feeding the child. b. Maintain a detailed record of food and fluid intake. c. Follow the child's cues as to when food and fluids are provided. d. Sit beside the child's high chair when feeding the child. e. Play music videos during scheduled meal times. - ANSWERSa, b A nurse is assessing a 7-year-old child's psychosocial development. Which of the following findings should the nurse recognize as requiring further evaluation? a. The child prefers playmates of the same sex. b. The child is competitive when playing board games. c. The child complains daily about going to school. d. The child enjoys spending time alone. - ANSWERSc A nurse is providing education to the parent of a toddler who is about to receive her first dose of the MMR (measles, mumps and rubella) immunization. Which of the following statements by the parent indicates an understanding of the teaching? a. "I am not going to let my child play with other children for 2 days." b. "I will need to return in 2 weeks for my child to receive the varicella immunization." c. "I can give my child acetaminophen for discomfort associated with the immunization." d. "My child might have some discharge from the injection site." - ANSWERSc A nurse is providing teaching to the parents of a 4-year-old child about fine motor development. Which of the following tasks should the nurse include in the teaching as an expected finding for this age group? a. Copies a circle b. Cuts foods using a table knife c. Begins writing in cursive d. Prints first and last name clearly - ANSWERSa A nurse is providing teaching to the parents of a 4-year-old child about fine motor development. Which of the following tasks should the nurse include in the teaching as an expected finding for this age group? a. Brightly colored mobile b. Plastic stethoscope c. Small piece jigsaw puzzle d. A book of short stories - ANSWERSb A nurse in an emergency department is caring for an 8-year old who is up-to-date with current immunization recommendations and has a deep puncture injury. Which of the following should the nurse anticipate administering? a. Diphtheria, tetanus, and acellular pertussis (DTaP) vaccine b. A single injection of tetanus immune globulin (TIG) mixed with the pediatric tetanus booster (DT) c. Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine d. Adult tetanus booster (Td) - ANSWERSd A nurse is providing teaching about promoting sleep with the parent of a 3-year-old toddler. Which of the following information should the nurse include? a. Follow a nightly routine and established bedtime. b. Encourage active play prior to bedtime. c. Let the child remain awake until tired enough to go to sleep. d. Reward the child with a food treat just prior to sleep if the child goes to bed on time. - ANSWERSa A nurse is planning to implement relaxation strategies with a young child prior to a painful procedure. Which of the following actions should the nurse take? a. Ask the child to hold his breath and then blow it out slowly. b. Ask the child to describe a pleasurable event. c. Bounce the child gently while holding him upright. d. Rock the child in long rhythmic movements. - ANSWERSd A nurse is assessing a 6-year-old child at a well-child visit. Which of the following findings requires further assessment by the nurse? a. Presence of sparse, fine pubic hair b. Decreased head circumference compared to full height c. Increased leg length related to height