Pediatrics ATI Practice A
A nurse is a companies office is making ready to manage vaccinations to a infant for the
duration of a well-child go to. Which of the moves must the nurse plan to take? (child has
multiplied RR & HR; hypersensitive reaction to Neomycin)
A. Withhold the measles, mumps, and rubella (MMR) vaccine.
B. Withhold the diphtheria, tetanus, and pertussis (DTaP) vaccine.
C. Withhold the influenza vaccine.
D. Withhold the tuberculin skin check (TST). - ans-A. Withhold the measles, mumps, and rubella
(MMR) vaccine.
Rationale: The nurse should recognize that an allergic reaction to neomycin with an
anaphylactic response is a contraindication for receiving the MMR vaccine. Clients who've a
extreme allergy to eggs or gelatin need to not acquire this vaccine.
A nurse is imparting coaching to the figure of a college-aged infant who has a brand new
prescription for oral nystatin for the treatment of oral candidacies. Which of the following
instructions need to the nurse include?
A. "Shake the drugs previous to administration."
B. "Provide the drugs through a straw."
C. "Rinse the kid's mouth with water at once after giving the medicine."
D. "Mix the medicine with applesauce if the kid dislikes the taste." - ans-A. "Shake the drugs
previous to management."
Rationale: The nurse must instruct the determine to shake the medication prior to administration
to disperse the medication flippantly inside the suspension.
A nurse is reviewing the lumbar puncture effects of a school-elderly child who has suspected
bacterial meningitis. Which of the following findings must the nurse identify as a demonstration
of bacterial meningitis?
A. Decreased cerebrospinal fluid strain
B. Decreased WBC count number
C. Increased protein attention
D. Increased glucose degree - ans-C. Increased protein awareness
Rationale: The nurse must pick out that an elevated protein awareness inside the spinal fluid is
a locating that can suggest bacterial meningitis.
A nurse is caring for a preschooler whose father is going domestic home for a few hours while
another relative remains with the child. Which of the subsequent statements ought to the nurse
make to explain to the child while their father will go back?
A. "Your daddy will be back at 7 p.M."
B. "Your daddy could be back when you consume."
C. "Your daddy may be again inside the morning."
,D."Your daddy might be lower back after he looks after your brother." - ans-B. "Your daddy will
be lower back after you eat."
Rationale: Preschoolers make experience of time first-rate whilst they could accomplice it with
an anticipated daily ordinary, such as meals and bedtime. Therefore, the child comprehends
time satisfactory when it is defined to them on the subject of an event they are acquainted with,
including ingesting.
A nurse is reviewing the laboratory file of a school-elderly toddler who's experiencing fatigue.
Which of the subsequent findings have to the nurse recognize as a demonstration of anemia?
A. Hematocrit 28%
B. Hemoglobin 13.5 g/dL
C. WBC matter eight,000/mm3
D. Platelets 250,000/mm3 - ans-A. Hematocrit 28%
Rationale: The nurse should understand that this hematocrit degree is below the anticipated
reference variety of 32% to 44% for a college-age child. The infant can show off fatigue,
lightheadedness, tachycardia, dyspnea, and pallor due to the reduced oxygen-sporting ability.
A nurse is reviewing the laboratory effects of an toddler who's receiving remedy for extreme
dehydration. The nurse ought to become aware of which of the following lab values indicates
that the remedy is working?
A. Potassium 2.Nine mEq/L
B. Sodium 140 mEq/L
C. Urine specific gravity 1.1/2
D. BUN 25 mg/dL - ans-B. Sodium a hundred and forty mEq/L
Rationale: The nurse have to perceive that a sodium level of a hundred and forty mEq/L is
inside the expected reference variety of 134 to a hundred and fifty mEq/L and suggests the
cutting-edge treatment routine the little one is receiving for dehydration is powerful.
A nurse is reviewing the laboratory document of a 7-yr-old toddler who's going via
chemotherapy. Which of the subsequent lab values ought to the nurse record to the company?
A. Hgb eight.5 g/dL
B. WBC matter 9,500/mm3
C. Prealbumin 18 mg/dL
D. Platelets three hundred,000/mm3 - ans-A. Hgb 8.Five g/dL
Rationale: A baby receiving chemotherapy is at hazard for anemia because of the
chemotherapy effects at the blood-forming cells of the bone marrow. The development of
anemia is diagnosed through laboratory checking out of hemoglobin and hematocrit tiers. The
nurse must understand that a hemoglobin degree of eight.5 g/dL is below the predicted
reference range of 10 to 15.Five g/dL for a 7-year-old toddler and should be said to the
company.
A nurse is coaching the dad and mom of an infant ways to save you unexpected little one
demise syndrome (SIDS). Which of the subsequent instructions have to the nurse consist of?
A. "Place the little one in a inclined function to sleep."
, B. "Allow the toddler to sleep on a huge pillow."
C. "Use a tender mattress within the little one's crib."
D. "Give the infant a pacifier at bedtime." - ans-D. "Give the little one a pacifier at bedtime."
Rationale: The nurse have to tell the figure that protective elements towards SIDS include
breastfeeding and using a pacifier whilst the infant is sleeping.
A nurse is being concerned for a preschooler who has been receiving IV fluids via a peripheral
IV catheter. When getting ready to stop the IV fluids and catheter, which of the following moves
have to the nurse plan to take? (region so as)
Remove the tape securing the catheter
Turn off the IV pump
Occlude the IV tubing
Apply pressure over the catheter insertion web site - ans-First, the nurse need to turn off the IV
pump. Next, the nurse have to occlude the IV tubing, and then get rid of the tape securing the
catheter. Last, the nurse must follow strain over the catheter insertion website.
A faculty nurse is assessing a young person who has a couple of burns in various levels of
restoration. Which of the subsequent behaviors need to the nurse pick out as viable indication of
physical abuse?
A. Expresses a reluctance to depart home
B. Provides an in depth description of ways the burns took place
C. Denies soreness at some point of assessment of injuries
D. Describes strong relationships with friends - ans-C. Denies soreness at some point of
evaluation of accidents
Rationale: The nurse must suspect baby maltreatment within the shape of bodily abuse if the
adolescent has a blunted response to painful stimuli or injury.
A nurse is teaching the determine of an little one who has the Palvik Harness for the remedy of
developmental dysplasia of the hip. The nurse must discover that which of the subsequent
statements made by the parents suggests an knowledge of the coaching?
A. "I have to take away the harness at night time to allow my little one to stretch her legs."
B. "I will need to regulate the straps at the harness as soon as every week."
C. "I have to observe child powder to my toddler's skin twice every day."
D. "I will area my little one's diapers beneath the harness straps." - ans-D. "I will area my
toddler's diapers underneath the harness straps."
Rationale: To save you soiling of the harness, the discern need to observe the toddler's diaper
below the straps.
A nurse is assessing a college-elderly toddler who has peritonitis. Which of the following
findings have to the nurse assume?
A. Hyperactive bowel sounds
B. Abdominal distention
C. Bradycardia
D.Bloody stool - ans-B. Abdominal distention
A nurse is a companies office is making ready to manage vaccinations to a infant for the
duration of a well-child go to. Which of the moves must the nurse plan to take? (child has
multiplied RR & HR; hypersensitive reaction to Neomycin)
A. Withhold the measles, mumps, and rubella (MMR) vaccine.
B. Withhold the diphtheria, tetanus, and pertussis (DTaP) vaccine.
C. Withhold the influenza vaccine.
D. Withhold the tuberculin skin check (TST). - ans-A. Withhold the measles, mumps, and rubella
(MMR) vaccine.
Rationale: The nurse should recognize that an allergic reaction to neomycin with an
anaphylactic response is a contraindication for receiving the MMR vaccine. Clients who've a
extreme allergy to eggs or gelatin need to not acquire this vaccine.
A nurse is imparting coaching to the figure of a college-aged infant who has a brand new
prescription for oral nystatin for the treatment of oral candidacies. Which of the following
instructions need to the nurse include?
A. "Shake the drugs previous to administration."
B. "Provide the drugs through a straw."
C. "Rinse the kid's mouth with water at once after giving the medicine."
D. "Mix the medicine with applesauce if the kid dislikes the taste." - ans-A. "Shake the drugs
previous to management."
Rationale: The nurse must instruct the determine to shake the medication prior to administration
to disperse the medication flippantly inside the suspension.
A nurse is reviewing the lumbar puncture effects of a school-elderly child who has suspected
bacterial meningitis. Which of the following findings must the nurse identify as a demonstration
of bacterial meningitis?
A. Decreased cerebrospinal fluid strain
B. Decreased WBC count number
C. Increased protein attention
D. Increased glucose degree - ans-C. Increased protein awareness
Rationale: The nurse must pick out that an elevated protein awareness inside the spinal fluid is
a locating that can suggest bacterial meningitis.
A nurse is caring for a preschooler whose father is going domestic home for a few hours while
another relative remains with the child. Which of the subsequent statements ought to the nurse
make to explain to the child while their father will go back?
A. "Your daddy will be back at 7 p.M."
B. "Your daddy could be back when you consume."
C. "Your daddy may be again inside the morning."
,D."Your daddy might be lower back after he looks after your brother." - ans-B. "Your daddy will
be lower back after you eat."
Rationale: Preschoolers make experience of time first-rate whilst they could accomplice it with
an anticipated daily ordinary, such as meals and bedtime. Therefore, the child comprehends
time satisfactory when it is defined to them on the subject of an event they are acquainted with,
including ingesting.
A nurse is reviewing the laboratory file of a school-elderly toddler who's experiencing fatigue.
Which of the subsequent findings have to the nurse recognize as a demonstration of anemia?
A. Hematocrit 28%
B. Hemoglobin 13.5 g/dL
C. WBC matter eight,000/mm3
D. Platelets 250,000/mm3 - ans-A. Hematocrit 28%
Rationale: The nurse should understand that this hematocrit degree is below the anticipated
reference variety of 32% to 44% for a college-age child. The infant can show off fatigue,
lightheadedness, tachycardia, dyspnea, and pallor due to the reduced oxygen-sporting ability.
A nurse is reviewing the laboratory effects of an toddler who's receiving remedy for extreme
dehydration. The nurse ought to become aware of which of the following lab values indicates
that the remedy is working?
A. Potassium 2.Nine mEq/L
B. Sodium 140 mEq/L
C. Urine specific gravity 1.1/2
D. BUN 25 mg/dL - ans-B. Sodium a hundred and forty mEq/L
Rationale: The nurse have to perceive that a sodium level of a hundred and forty mEq/L is
inside the expected reference variety of 134 to a hundred and fifty mEq/L and suggests the
cutting-edge treatment routine the little one is receiving for dehydration is powerful.
A nurse is reviewing the laboratory document of a 7-yr-old toddler who's going via
chemotherapy. Which of the subsequent lab values ought to the nurse record to the company?
A. Hgb eight.5 g/dL
B. WBC matter 9,500/mm3
C. Prealbumin 18 mg/dL
D. Platelets three hundred,000/mm3 - ans-A. Hgb 8.Five g/dL
Rationale: A baby receiving chemotherapy is at hazard for anemia because of the
chemotherapy effects at the blood-forming cells of the bone marrow. The development of
anemia is diagnosed through laboratory checking out of hemoglobin and hematocrit tiers. The
nurse must understand that a hemoglobin degree of eight.5 g/dL is below the predicted
reference range of 10 to 15.Five g/dL for a 7-year-old toddler and should be said to the
company.
A nurse is coaching the dad and mom of an infant ways to save you unexpected little one
demise syndrome (SIDS). Which of the subsequent instructions have to the nurse consist of?
A. "Place the little one in a inclined function to sleep."
, B. "Allow the toddler to sleep on a huge pillow."
C. "Use a tender mattress within the little one's crib."
D. "Give the infant a pacifier at bedtime." - ans-D. "Give the little one a pacifier at bedtime."
Rationale: The nurse have to tell the figure that protective elements towards SIDS include
breastfeeding and using a pacifier whilst the infant is sleeping.
A nurse is being concerned for a preschooler who has been receiving IV fluids via a peripheral
IV catheter. When getting ready to stop the IV fluids and catheter, which of the following moves
have to the nurse plan to take? (region so as)
Remove the tape securing the catheter
Turn off the IV pump
Occlude the IV tubing
Apply pressure over the catheter insertion web site - ans-First, the nurse need to turn off the IV
pump. Next, the nurse have to occlude the IV tubing, and then get rid of the tape securing the
catheter. Last, the nurse must follow strain over the catheter insertion website.
A faculty nurse is assessing a young person who has a couple of burns in various levels of
restoration. Which of the subsequent behaviors need to the nurse pick out as viable indication of
physical abuse?
A. Expresses a reluctance to depart home
B. Provides an in depth description of ways the burns took place
C. Denies soreness at some point of assessment of injuries
D. Describes strong relationships with friends - ans-C. Denies soreness at some point of
evaluation of accidents
Rationale: The nurse must suspect baby maltreatment within the shape of bodily abuse if the
adolescent has a blunted response to painful stimuli or injury.
A nurse is teaching the determine of an little one who has the Palvik Harness for the remedy of
developmental dysplasia of the hip. The nurse must discover that which of the subsequent
statements made by the parents suggests an knowledge of the coaching?
A. "I have to take away the harness at night time to allow my little one to stretch her legs."
B. "I will need to regulate the straps at the harness as soon as every week."
C. "I have to observe child powder to my toddler's skin twice every day."
D. "I will area my little one's diapers beneath the harness straps." - ans-D. "I will area my
toddler's diapers underneath the harness straps."
Rationale: To save you soiling of the harness, the discern need to observe the toddler's diaper
below the straps.
A nurse is assessing a college-elderly toddler who has peritonitis. Which of the following
findings have to the nurse assume?
A. Hyperactive bowel sounds
B. Abdominal distention
C. Bradycardia
D.Bloody stool - ans-B. Abdominal distention
