ATI Pediatric Proctored Exam 2019

A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective? a. decrease in venous pressure b. decrease in peripheral edema c. decrease in cardiac output d. increase in potassium levels - b. decrease in peripheral edema A nurse is assessing an infant who has acute otitis media. Which of the following findings should the nurse expect (select all that apply) a. increased appetite b. enlarged subclavian lymph node c. crying d. restlessness e. fever - c. crying d. restlessness e. fever a nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis Testing for Cystic Fibrosis. Which of the following statements should the nurse include in the teaching? a. we will measure the amount of protein in your baby's urine over 24 hour period. b. the test will measure the amount of water in your baby's sweat c. a nurse will insert an IV prior to the test. d. your baby will need to fast for 8 hours prior to the test. - b. the test will measure the amount of water in your baby's sweat. A nurse in an urgent care clinic is prioritizing care for children. Which of the following children should the nurse assess first? a. a toddler who has nephrotic syndrome and facial edema. b. a preschool-age child who has muffled voice and no spontaneous cough. c. a pre-school age child who has diabetes mellitus and blood glucose of 200 mg/dl d. an adolescent who has crohn's disease and recent weight loss of 5kg mg (11 lb). - b. a preschool-age child who has a muffled voice and no spontaneous cough. A nurse is providing teaching to the parents of a toddler who is to undergo a sweat chloride test. Which of the following statements should the nurse include? a. the purpose of the test is to determine if your child has Crohn's disease. b. the technician will use a device to produce an electrical current during the test. c. during the test, your child will be in a room that is cold. d. your child sweat will be collected over 24 hours. - d. your child's sweat will be collected over 24 hours. A nurse in the emergency department is caring for an adolescent who is requesting testing for STI. Which of the following action is appropriate for the nurse to take? a. request verbal consent from the social worker. b. contact the client's parents to obtain phone consent. c. postpone the testing until the client's parents are present. d. obtain written consent from the client. - d. obtain written consent from the client. A nurse in the emergency department is assessing the toddler who has hyperpyrexia severe dyspnea and drooling which of the following actions should the nurse take first? a. obtain a blood culture from the toddler b. administering antibiotic to the toddler c. insert an IV catheter for the toddler. d. prepare the toddler for nasotracheal intubation. - d. prepare the toddler for nasotracheal intubation. A nurse is providing teaching to a 10 year old child with scheduled for an arterial cardiac catheterization. Which of the following information should the nurse include in the teaching? a. you will have your dressing removed 12 hours after the procedure. b. you will need to keep your legs straight for 8 hours following the procedure. c. you will be on clear liquid diet for 24 hours following the procedure. d. you will be on bed rest for 2 days after the procedure. - b. you will need to keep your legs straight for 8 hours following the procedure. A nurse is caring for a preschooler who is post-operative following a tonsillectomy. The child is now ready to resume oral intake which of the following dietary choices should the nurse offer the child? a. sugar-free cherry gelatin b. vanilla ice cream c. chocolate milk d. lime-flavored ice pop - d. lime flavored icepop A nurse is caring for an infant who has Patent ductus arteriosus. The nurse should identify that the defect is a switch of the following locations of the heart. ( you will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer) - b A nurse is caring for a 10 month old child was brought to the emergency department by his parents following a head injury. Which of the following actions should the nurse take first? a. inspect for leaking fluid from the ears (thinking about CSF leakage severe trauma= urgent, after respiratory is confirmed) b. assess respiratory status. c. check pupil reactions d. examine the scalp for lacerations. - b. assess respiratory status A charge nurse is planning care for an infant who has failure to thrive. Which of the following actions should the nurse include in the plan of care? a. assign consistent nursing staff care for the infant. b. keep infant in a visually stimulating environment. c. use half-strength formula when feeding the infant. d. give the infant fruit juice between feedings. - a. assign consistent nursing staff care for the infant. A nurse is providing teaching about home care to the parent of a child who has scabies. Which of the following instruction should the nurse include in the teaching? a. wash your client's hair with shampoo containing ketoconazole. b. soak combs and brushes in boiling water for 10 mins. c. apply petroleum jelly to the affected areas. d. treat everyone who came into close contact with a child. - d. treat everyone who came into close contact with the child. A nurse is caring for a preschooler who refuses to take a start dose of oral diphenhydramine. Which of the following statements should the nurse make? a. the medication isnt bad it tastes like candy b. let me know when you want to take your medication. c. the medication will treat your hypersensitivity reaction (too much "adult" terminology/jargon for pre schooler to understand) d. sometimes, when a child has to take medication, they feel sad. - d. sometimes when a child has to take medication they feel sad. A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching? a. your child should walk the bicycle though intersections. b. your child's feet should be three to six inches off the ground when seated on the bicycle. c. you should try to keep the bicycle at least three feet from the curb while riding in the street. d. your child should ride the bicycle against the flow of traffic. - a. your child should walk the bicycle through intersections. 17. A nurse is caring for a school-age child following the application of a cast to a Fractured right tibia. Which of the following actions should the nurse take first? a. teach the child about case care b. pad the edges of the cast c. administer pain medication d. elevate the child's leg. - b. pad the edges of the cast. A nurse is preparing a school-age child for an invasive procedure. Which of the following actions should the nurse plan to take? a. plan for 30 minute teaching session about the procedure b. use vague language to describe the procedure. c. explain the procedure to the child when they are in the playroom. d. demonstrate deep breathing and counting exercises. - d. explain the procedure to the child when they are in the play room. A nurse is preparing to collect a urine specimen from a female infant using a urine collection bag. Which of the following actions should the nurse take? a. apply lidocaine gel to the perineum before attaching the bad. b. position the opening of the bag over the urethra and the anus. c. stretch the perineum taught when applying the bag. d. place a snuff fitting diaper over the drainage bag. - all of the above. A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following actions should the nurse include in the plan of care? a. schedule routine oral care every 8 hours b. cleanse the gums with saline soaked gauze. c. more sending me closer with lemon glycerin swab. d. administer oral viscous lidocaine. - a. schedule routine oral care every 8 hours. A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome (SIDS). Which of the following statements by the parent indicates an understanding of the teaching? a. I will have my baby sleep next to me in the bed during the night. b. Elmo my baby stuffed animal to the corner of her crib while she sleeps. c. I will dress my baby in lightweight clothing to sleep. d. i will lay my baby on her side to sleep for her naps. - c. i will dress my baby in light weight clothing to sleep. A nurse is monitoring an infant who is receiving opioids for pain. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect? a. Increased blood pressure b. limb withdrawal c. relaxed facial expression d. bradycardia. - c. relaxed facial expression A nurse is caring for a three-month-old infant who has cleft of the soft palate. Which of the following actions should the nurse take? a. discontinue feeding if the client's eyes become watery. b. postpone burping the infant until after completing each feeding. c. elevate the infant's head to a 10 degree angle during feedings. d. feed the infant 177.4 ml (6oz0 of formula three times a day. - a. discontinue feeding if the client's eyes become watery. A nurse is caring for a child who has hyponatremia. Which of the following findings should the nurse expect? a. tetany b. weight gain c. elevated heart rate d. excessive diaphoresis - a. tetany A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first? a. set the administration rate on the feeding pump. b. flush the tube with water. c. check the pH of the gastric secretion d. attach the feeding bag tubing to the end of the NG tube. - c. Check the pH of the gastric secretion. A nurse is caring for an adolescent who is 1 hour post-operative following an appendectomy. Which of the following findings should the nurse report to the provider? a. Heart rate 63 / minute b. muscle rigidity c. temperature of 36.4 (97.5) d. abdominal pain - d. abdominal pain A nurse in a provider's office is preparing to administer immunization to a 12 year old client during a well-child visit. Which of the following immunization should the nurse plan to administer? select all that apply a. diptheria, tetanus and pertussis (T-dap) b. human papillomavirus (HPV) c. varicella d. hepatitis A - a. diptheria, tetanus and pertussis (d-tap) b. HPV Nurse is planning care for an 8 month old infant who has heart failure. Which of the following actions should the nurse include in the plan of care? a. repeat digoxin dosage if the infant vomits within 1 hour of administration. b. palce infant in prone position c. administer cool, humidified oxygen via nasal cannula d. provide less frequent, higher volume foods. - d. provide less frequent, higher volume foods. A nurse is planning care for a school-age child who is admitted from the emergency department 12 hours ago. Which of the following interventions should the nurse include to promote adequate sleep for the child? a. provide the child with video games prior to bedtime to reduce stress. b. allow the child to adjust their bedtime to promote autonomy c. leave the lights on in the child's room to promote safety. d. follow the child home sleep routine to reduce anxiety - b. allow the child to adjust their bedtime to promote autonomy A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12 month old infant. Which of the following actions should the nurse plan to take? a. cover the insertion site with an opaque dressing b. use a 24 gauge catheter to start the IV c. start the IV on the infants foot. d. change the iv site every 3 days. - b. use a 24 gauge catheter to start the IV. A nurse in a pediatric clinic is providing teaching to the guardian of an infant who has a new prescription for digoxin. Which of the following manifestations should the nurse include as an indication of digoxin toxicity? a. diaphoresis b. polyuria c. bradycarida d. jaundice - c. bradycardia A nurse is reviewing the laboratory results of a child was recently admitted or suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirm this diagnosis select all that apply. a. partial thromboplastin time (PTT) b. erythrocyte sedimentation rate (ESR) c. blood urea nitrogen d. c-reactive protein e. anti streptolysin O (ASO) titer - b. erythrocyte sedimentation rate (ESR) d. c-reactive protein e. anti streptolysin O (ASO) titer A nurse is teaching a group of female adolescents about healthy eating. Which of the following instructions should the nurse include in the teaching? a. increase the amount of your dietary iron intake b. limit your sodium intake to 3000 mg per day c. consume 1500 to 1700 calories per day decrease your vitamin d intake once you start to mensturate. - a. increase the amount of your dietary iron intake.