ATI Nursing Care of Children Practice A
A nurse is reinforcing home safety instructions with the parents of a toddler. Which of
the following parent statements indicates an understanding of the teaching? - Question
and answers"We will turn the pot handles toward the back of the stove."
The nurse should instruct the parents to turn pot handles toward the back of the stove to
prevent the toddler from pulling a pot off the stove, resulting in a burn.
A nurse is caring for an adolescent client who is a practicing Jehovah's Witness and is
scheduled for surgery for a ruptured appendix. The adolescent tells the nurse that
based on her religious beliefs, she cannot receive a blood transfusion. Which of the
following responses should the nurse make? - Question and answers"Let's discuss the
possibility of you needing a blood transfusion with your parents."
The nurse should offer to involve the child's parents to understand the family's beliefs
about blood transfusions.
A nurse is reviewing the laboratory report of a preschooler. Which of the following
laboratory results should the nurse report to the provider? - Question and answersLead
14 mcg/dL
This lead level is above the expected reference range for a preschooler. Therefore, the
nurse should report this result to the provider.
A nurse is collecting data from a 12-month-old infant during a well-child visit. The nurse
should identify which of the following findings as a deviation from expected growth and
development? - Question and answersBirth weight doubled
The nurse should identify this finding as a deviation from expected growth and
development. The infant's birth weight should triple by 12 months of age. Therefore, the
nurse should report this finding to the provider.
A nurse is reinforcing discharge teaching with the guardian of a school-age child who
has acute lymphocytic leukemia and an absolute neutrophil count of 450/mm3. Which of
the following instructions should the nurse include? - Question and answers"Keep your
child away from crowded areas."
The nurse should instruct the guardian to keep the child away from crowds and visitors
who have an illness to decrease the risk for infection.
A nurse in a clinic is collecting data from an adolescent who has received all
recommended immunizations through the age of 6 years. Which of the following
immunizations should the nurse plan to administer? - Question and answersTetanus,
diphtheria toxoids, and acellular pertussis (Tdap)
The Tdap vaccine is recommended between the ages of 11 and 12 years. Therefore,
this adolescent should receive the Tdap vaccine now.
, A nurse is reinforcing teaching with the parent of a child who has a new prescription for
ferrous sulfate. The nurse should reinforce that the parent should administer the
medication with which of the following fluids to enhance the medication absorption? -
Question and answersOrange juice
The nurse should reinforce with the parent that administering ferrous sulfate with orange
juice will enhance medication absorption.
A nurse in a pediatric clinic is observing for an anaphylactic reaction after administering
an IM antibiotic to a child 5 min ago. Which of the following manifestations should the
nurse expect to observe first? - Question and answersHives
The nurse should observe for hives first because this is an early manifestation of an
anaphylactic reaction.
A nurse is reinforcing dietary teaching about a low-sodium diet with the parents of a
child who is recovering from acute glomerulonephritis. Which of the following food
choices by the parents indicates an understanding of the teaching? - Question and
answersApples
The nurse should instruct the parents that apples are low in sodium and supply the child
with energy needed for recovery.
A nurse is collecting data from a 12-month-old infant during a well-child visit. Which of
the following findings should the nurse report to the provider? - Question and
answersBP 115/70 mm Hg
The nurse should identify that this blood pressure is above the expected reference
range for a 12-month-old infant and report this finding to the provider.
A nurse is reinforcing discharge teaching with the guardian of a child who has juvenile
idiopathic arthritis (JIA). Which of the following statements by the parent indicates an
understanding of the teaching? - Question and answers"I will have my child sleep in
knee, wrist, and hand splints."
The nurse should reinforce with the guardian that splinting the child's joints at night will
decrease pain and enhance joint function.
A nurse is collecting data about the dietary habits of an adolescent client. The nurse
should identify that which of the following findings puts the client at risk for nutritional
deficits? - Question and answersThe client skips eating dinner for track practice three
times per week.
The nurse should identify that adolescents are often at risk for developing poor eating
habits. Skipping dinner twice each week puts this client at risk for nutritional deficits.
A nurse is reinforcing teaching with the guardians of a school-age child who has hearing
loss. Which of the following techniques should the nurse recommend to facilitate
communication with the child? - Question and answersSpeak at the child's eye level.
The nurse should instruct the guardian to speak at the child's eye level and ensure that
there is adequate lighting on the speaker's face to facilitate lipreading and
communication.
A nurse is reinforcing home safety instructions with the parents of a toddler. Which of
the following parent statements indicates an understanding of the teaching? - Question
and answers"We will turn the pot handles toward the back of the stove."
The nurse should instruct the parents to turn pot handles toward the back of the stove to
prevent the toddler from pulling a pot off the stove, resulting in a burn.
A nurse is caring for an adolescent client who is a practicing Jehovah's Witness and is
scheduled for surgery for a ruptured appendix. The adolescent tells the nurse that
based on her religious beliefs, she cannot receive a blood transfusion. Which of the
following responses should the nurse make? - Question and answers"Let's discuss the
possibility of you needing a blood transfusion with your parents."
The nurse should offer to involve the child's parents to understand the family's beliefs
about blood transfusions.
A nurse is reviewing the laboratory report of a preschooler. Which of the following
laboratory results should the nurse report to the provider? - Question and answersLead
14 mcg/dL
This lead level is above the expected reference range for a preschooler. Therefore, the
nurse should report this result to the provider.
A nurse is collecting data from a 12-month-old infant during a well-child visit. The nurse
should identify which of the following findings as a deviation from expected growth and
development? - Question and answersBirth weight doubled
The nurse should identify this finding as a deviation from expected growth and
development. The infant's birth weight should triple by 12 months of age. Therefore, the
nurse should report this finding to the provider.
A nurse is reinforcing discharge teaching with the guardian of a school-age child who
has acute lymphocytic leukemia and an absolute neutrophil count of 450/mm3. Which of
the following instructions should the nurse include? - Question and answers"Keep your
child away from crowded areas."
The nurse should instruct the guardian to keep the child away from crowds and visitors
who have an illness to decrease the risk for infection.
A nurse in a clinic is collecting data from an adolescent who has received all
recommended immunizations through the age of 6 years. Which of the following
immunizations should the nurse plan to administer? - Question and answersTetanus,
diphtheria toxoids, and acellular pertussis (Tdap)
The Tdap vaccine is recommended between the ages of 11 and 12 years. Therefore,
this adolescent should receive the Tdap vaccine now.
, A nurse is reinforcing teaching with the parent of a child who has a new prescription for
ferrous sulfate. The nurse should reinforce that the parent should administer the
medication with which of the following fluids to enhance the medication absorption? -
Question and answersOrange juice
The nurse should reinforce with the parent that administering ferrous sulfate with orange
juice will enhance medication absorption.
A nurse in a pediatric clinic is observing for an anaphylactic reaction after administering
an IM antibiotic to a child 5 min ago. Which of the following manifestations should the
nurse expect to observe first? - Question and answersHives
The nurse should observe for hives first because this is an early manifestation of an
anaphylactic reaction.
A nurse is reinforcing dietary teaching about a low-sodium diet with the parents of a
child who is recovering from acute glomerulonephritis. Which of the following food
choices by the parents indicates an understanding of the teaching? - Question and
answersApples
The nurse should instruct the parents that apples are low in sodium and supply the child
with energy needed for recovery.
A nurse is collecting data from a 12-month-old infant during a well-child visit. Which of
the following findings should the nurse report to the provider? - Question and
answersBP 115/70 mm Hg
The nurse should identify that this blood pressure is above the expected reference
range for a 12-month-old infant and report this finding to the provider.
A nurse is reinforcing discharge teaching with the guardian of a child who has juvenile
idiopathic arthritis (JIA). Which of the following statements by the parent indicates an
understanding of the teaching? - Question and answers"I will have my child sleep in
knee, wrist, and hand splints."
The nurse should reinforce with the guardian that splinting the child's joints at night will
decrease pain and enhance joint function.
A nurse is collecting data about the dietary habits of an adolescent client. The nurse
should identify that which of the following findings puts the client at risk for nutritional
deficits? - Question and answersThe client skips eating dinner for track practice three
times per week.
The nurse should identify that adolescents are often at risk for developing poor eating
habits. Skipping dinner twice each week puts this client at risk for nutritional deficits.
A nurse is reinforcing teaching with the guardians of a school-age child who has hearing
loss. Which of the following techniques should the nurse recommend to facilitate
communication with the child? - Question and answersSpeak at the child's eye level.
The nurse should instruct the guardian to speak at the child's eye level and ensure that
there is adequate lighting on the speaker's face to facilitate lipreading and
communication.