1. Assess fluid balance a nurse is planning care for a child who has severe
diarrhea. which of the following actions is the nurse
priority?
2. Instruct the parent A nurse is caring for a toddler who's parent states that
to avoid pressing on the child has a mass in his abdominal area and his
the abdominal area urine is a pink color. Which of the following actions is
the nurse's priority?
3. Check the Childs A nurse is caring for a child who has acute glomeru-
weight daily lonephritis. Which of the following actions is the
nurse's priority?
4. Administer antibi- A nurse is caring for a child who has a suspected di-
otics when available agnosis of bacterial meningitis. Which of the following
is the nurse's priority?
5. Active psychiatric A nurse is collecting data from an adolescent. Which of
disorder (Mark, men- the following represents the greatest risk for suicide?
tal problems, pa-
tients mind is unsta-
ble)
6. Tugging on the af- A nurse is collecting data from an infant who has otitis
fected ear lobe media (middle ear infection). The nurse should expect
which of the following findings?
7. "I'm glad that the A nurse is reinforcing reaching with a parent of a 1
ostomy is only month old infant who is to undergo the initial surgery
temporary " (1st to treat Hirschsprung's disease (a ganglionic mega-
there going to cut colon, part of the colon isn't connected to the nerves
the nonfunctioning or not functioning, so there will be an increase size of
of the colon, and the colon and stool gets stuck in there). Which of the
then apply tempo- following statements should indicate to the nurse that
rary colostomy, after the parent understanding the goal of surgery?
a couple of months
they will suture it to-
gether)
8.
, ATI Peds proctored exam with Verified Solutions
Apply an antibiotic A nurse is caring for an infant who is 1 day postopera-
ointment to the su- tive following surgical repair of a cleft lip. Which of the
ture site following actions should the nurse take?
9. "I will make sure A nurse is reinforcing discharge instructions with a
my child washes her parent of a child who has cystic fibrosis. Which of
hands before eating" the following statements by the parent indicates an
understanding of the teaching?
10. "Bring your infant A nurse working at a clinic speaks on the telephone
into the clinic today with a parent of a 2-monthold infant. The parent tells
to be seen" the nurse that the infant has projectile vomiting fol-
lowed by hunger after meals. Which of the following
response by the nurse is appropriate?
11. lethargy (high A nurse is caring for a 4 year old child who is 2
pitched cry, respira- days postoperative following the insertion of a ven-
tory changes, brady- triculoperitoneal shunt. Which of the following findings
cardia, wide pulse should the nurse identify as the priority . (causes icp
pressure, irritability hydrocephalus)
12. Perform neurovascu- a nurse is caring for a child following an open reduction
lar checks of the and internal fixation of a fractured femur and appli-
affected extremity cation of a cast. The cast has a window cut in it for
(check for infection, viewing of the incision. Which of the following actions
color, capillary refill, should the nurse take first?
redness)
13. Activated charcoal A nurse is an urgent care clinic is assisting with the
(can work with tox- care of a toddler who ingested 30 tablets of aspirin.
in, poison. Given Which of the following substances should the nurse
through ng tube ab- administer to the toddler?
sorbs toxins)
14. Does anyone smoke A nurse is caring for a 3 year old client who has persis-
in the same house tent otitis media. To help identify contributing factors,
as your daughter? the nurse should ask the parents which of the following
(smoking can cause questions?
irritation, cause mu-
cus in respiratory