ATI PEDS PROCTORED NURSING CARE OF THE CHILDREN EXAM PRACTICE WITH RATIONALES

A school nurse is providing an in service for faculty about improving education for students who have ADHD. Which of the following statements by a faculty member indicates an understanding of the teaching? A) I will plan to increase the amount of homework I assign to students who have ADHD B) I will give students who have ADHD the same amount of time as other students to complete tests C) I will allow students who have ADHD one rest break throughout the day D) I will teach challenging academic subjects to students who have ADHD in the morning - I will teach challenging academic subjects to students who have ADHD in the morning (challenging subjects should be taught in the morning when students who have ADHD are most able to focus and their medication is more effective) A nurse is providing teaching to an adolescent about how to manage tinea pedis. Which of the following statements by the adolescent indicates an understanding of the teaching A) I should buy plastic shoes to wear at the swimming pool B) I should wear sandals as much as possible C) I should place the permethrin cream between my toes daily D) I should seal my non-washable shoes in a plastic bag for a couple weeks - I should wear sandals as much as possible (permethrin is a treatment for scabies, sealing shoes in a plastic bag is a treatment for pediculosis, wearing plastic shoes increases occurrence of tinea pedis, wearing sandals allows air to circulate around the feet creating a dryer environment which is not a good environment for bacteria or fungus to grow) A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the following findings indicates effectiveness of the medication? A) Reports an absence of nausea and vomiting B) Reports experiencing an onset of loose stools within 15 min of administration C) Serum potassium level 4.1 D) Blood pressure 86/52 - Serum potassium level 4.1 (The administration of this type of enema is used to treat hyperkalemia by exchanging sodium ions for potassium ions in the intestine) A nurse is planning care for a school aged child who has tunneled central venous access device. Which of the following interventions should the nurse include in the plan? A) use sterile scissors to remove the dressing from the site B) irrigate each lumen weekly with 10 ml of NS solutions when not in use C) Access the site using a non-coring angled needle D) use a semipermeable transparent dressing to cover the site - D) use a semipermeable transparent dressing to cover the site (the nurse should cover the site with a semipermeable dressing to reduce the risk of infection) A charge nurse is preparing to make a room assignment for a newly admitted school aged child. Which of the following considerations is the nurses priority? A) Length of stay B) treatment schedule C) disease process D) self care ability - Disease process (although all of these should be considered disease process is the priority because the greatest risk to others on the unit is infectious disease) 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 movement of the childs 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 - encourage the child to perform independent self care (this will minimize pain while maximizing mobility) A nurse is caring for a toddler who has acute otitis media and a temperature of 40. after administering tylenol, which of the following actions should the nurse plan to take to reduce the toddlers temp? A) apply a cooling blanket B) dress the toddler in minimal clothing C) give the toddler a tepid bath D) administer diphenhydramine - Dress the toddler in minimal clothing ( minimal clothing exposes the skin to air and maximize heat evaporation from the skin to reduce the temp) A nurse is assessing the pain level of a 3 year old toddler. Which of the following pain assessment scale should the nurse use? A) FACES B) numeric C) CRIES D) visual analog - FACES (CRIES should be used for infants <40 weeks, numeric and visual should be used for pt >8 y/o) A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone. Following 1 week of treatment, which of the following manifestations indicates to the nurse that the medication is effective? A) decreased edema B) increased abdominal girth C) decreased appetite D) increased protein in the urine - Decreased edema (nephrotic syndrome causes edema which increases protein loss prednisone helps move the fluid to reduce edema, other side effects of prednisone are decreased abdominal girth and increased appetite) A nurse is creating a plan of care for a preschooler who has wilms tumor and is scheduled for surgery. Which of the following interventions should the nurse include? A) avoid palpating the child abdomen before surgery B) refrain from auscultating the childs bowel sounds postop C) encourage the child to play with other children D) explain to the child that their pain will be managed after the surgery - Avoid palpating the abdomen before surgery ( palpating the abdomen before surgery can cause the tumor to dislodge and cancer cells to grow in other areas) A nurse is teaching a school age child and their parent about postop care following cardiac catheterization. Which of the following instructions should the nurse include? A) stay home from school for 1 week B) follow and low fiber diet C) wait 3 days to take a bath D) apply a pressure dressing for 3 days - wait 3 days to take a bath ( soaking in a tub increases risk of infection) A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistent asthma. Which of the following instructions should the nurse include? A) give your child salmeterol inhaler q4hrs when they are having an acute asthma episode B) monitor weight weekly d/t steroid use C) PFT will be done every 12 to 24 months to see how the child responds to therapy D) PEFM should be done 3 times and you should record the average - PFT will be done every 12 to 24 months to see how the child responds to therapy ( always evaluate if therapy is working) A nurse is admitting an infant who has intussusception. which of the following findings should the nurse expect? SATA A) steatorrhea B) vomiting C) constipation D) lethargy E weight gain - Vomiting, lethargy (intussusception is an inversion of the bowel. it is a bowel obstruction)