ATI Capstone Pediatrics QUESTIONS
AND ANSWERS
1. a charge nurse is assisting a newly licensed nurse with the preoperative assessment of
a 2 year old child who has a Wilm's tumor, what actions by the newly licensed nurse
requires intervention from the charge nurse - ANS -palpating the child's abdomen
2. a home health nurse is providing teaching about post-seizure management to the
parents of a school-age child who has epilepsy, what should be included - ANS -record
the length and character of the child's postictal period following a seizure
3. call for emergency medical services if the size of the child's pupils are unequal after the
seizure
4. a nurse in a pediatric clinic is discussing the physiology of Reye syndrome with a newly
licensed nurse, what statements by the newly licensed nurse indicates an understanding
of the disorder - ANS -Reye's syndrome causes fatty changes in the liver
5. a nurse in a pediatric clinic is performing a history and physical for a toddler who is going
to receive a MMR immunization, what indicates that it should be withheld - ANS
-receiving prednisone for nephrotic syndrome
6. a nurse in the ED is creating a plan of care for a child who has an acute head injury
following a fall from playground equipment, what interventions should the nurse include -
ANS -initiate seizure precautions for the child
7. a nurse in the emergency department is caring for a preschooler who has epiglottitis ,
what action should the nurse take - ANS -initiate droplet precautions for the child
8. a nurse is admitting a child who has bacterial meningitis, what actions should the nurse
take first - ANS -initiate antibiotic therapy for the child
9. a nurse is admitting a toddler who has RSV, what action should the nurse take - ANS
-keep thermometer in the toddler's room
10.a nurse is admitting an infant who has severe dehydration from acute gastroenteritis,
what finding should the nurse expect - ANS -3% weight loss
11.a nurse is assessing a 12m old infant who is immediately postop hernia repair surgery,
what pain measurement tools should the nurse use to determine if the infant is
experiencing pain - ANS -FLACC
12.a nurse is assessing a 3yr old preschooler at a well-child visit, what developmental tasks
should be expected - ANS -uses primarily two word phrases
13.a nurse is assessing a 5 month year old infant during a well-child visit, what finding
should the nurse report to the provider - ANS -the infant does not make consonant
sounds when babbling
, 14.a nurse is assessing a 6 month old infant during a well-child visit, what finings should the
nurse report to the provider - ANS -the infant does not roll over from his abdomen to his
back
15.a nurse is assessing a child who has acute renal failure, what clinical manifestations are
expected - ANS -edema
16.a nurse is assessing a child who has received the first 50 mL of a blood transfusion,
what findings indicates the child may be experiencing an air embolism - ANS -sharp pain
in the middle of the chest
17.a nurse is assessing a child who has sickle cell anemia and is experiencing a
vasoocclusive crisis, what manifestations should the nurse expect - ANS -pain
18.a nurse is assessing a toddler who has infective endocarditis, what findings should the
nurse expect - ANS -new heart murmur
19.a nurse is assessing a toddler who is toilet-trained and has a temperature of 38.5/101.3,
what findings should the nurse suspect a UTI - ANS -incontinence
20.a nurse is assessing an infant who has hydrocephalus, what clinical manifestations
should the nurse expect - ANS -separated cranial sutures
21.a nurse is assessing an infant who has intussusception, what manifestation is expected -
ANS -gelatinous red stool
22.a nurse is assessing the physical development of a 3 month old infant, what findings
should indicate that the infant may be developmentally delayed - ANS -does not attempt
to raise head when placed on stomach
23.a nurse is assisting with the admission of a child who has measles. which of the isolation
precautions should the nurse initiate - ANS -airborne
24.a nurse is caring for a 10 month old infant who is in a cast for developmental dysplasia of
the hip (DDH). which of the following strategies should the nurse implement to promote
the infant's growth and development - ANS -allow the infant to stand in the crib
25.a nurse is caring for a 4 year old child who has a new diagnosis of diabetes mellitus and
is distressed after an insulin injection. which of the following play activities should the
nurse recognize is therapeutic in helping the child deal with the injection? - ANS -a
needleless syringe and a doll
26.a nurse is caring for a 4m old infant who is immediately postop following cleft palate
repair, what intervention should the nurse take - ANS -apply elbow restraints to the infant
27.a nurse is caring for a 6 month old pt who has sudden abdominal pain, vomiting,
distended abdomen and red current jelly like stools. the nurse should know that these
are signs of what - ANS -intussuception
28.a nurse is caring for a 6month old infant following surgery. which of the following should
the nurse use to measure pain in this client - ANS -FLACC pain scale
29.a nurse is caring for a an infant who has GERD, what action should the nurse take to
avoid regurgitation - ANS -thicken the pt's formula
30.avoid giving the pt citrus juices
31.position the child with head elevated after meals
32.a nurse is caring for a child who has acute glomerlulonephritis without edema, what
action should the nurse take - ANS -obtain a daily weight
AND ANSWERS
1. a charge nurse is assisting a newly licensed nurse with the preoperative assessment of
a 2 year old child who has a Wilm's tumor, what actions by the newly licensed nurse
requires intervention from the charge nurse - ANS -palpating the child's abdomen
2. a home health nurse is providing teaching about post-seizure management to the
parents of a school-age child who has epilepsy, what should be included - ANS -record
the length and character of the child's postictal period following a seizure
3. call for emergency medical services if the size of the child's pupils are unequal after the
seizure
4. a nurse in a pediatric clinic is discussing the physiology of Reye syndrome with a newly
licensed nurse, what statements by the newly licensed nurse indicates an understanding
of the disorder - ANS -Reye's syndrome causes fatty changes in the liver
5. a nurse in a pediatric clinic is performing a history and physical for a toddler who is going
to receive a MMR immunization, what indicates that it should be withheld - ANS
-receiving prednisone for nephrotic syndrome
6. a nurse in the ED is creating a plan of care for a child who has an acute head injury
following a fall from playground equipment, what interventions should the nurse include -
ANS -initiate seizure precautions for the child
7. a nurse in the emergency department is caring for a preschooler who has epiglottitis ,
what action should the nurse take - ANS -initiate droplet precautions for the child
8. a nurse is admitting a child who has bacterial meningitis, what actions should the nurse
take first - ANS -initiate antibiotic therapy for the child
9. a nurse is admitting a toddler who has RSV, what action should the nurse take - ANS
-keep thermometer in the toddler's room
10.a nurse is admitting an infant who has severe dehydration from acute gastroenteritis,
what finding should the nurse expect - ANS -3% weight loss
11.a nurse is assessing a 12m old infant who is immediately postop hernia repair surgery,
what pain measurement tools should the nurse use to determine if the infant is
experiencing pain - ANS -FLACC
12.a nurse is assessing a 3yr old preschooler at a well-child visit, what developmental tasks
should be expected - ANS -uses primarily two word phrases
13.a nurse is assessing a 5 month year old infant during a well-child visit, what finding
should the nurse report to the provider - ANS -the infant does not make consonant
sounds when babbling
, 14.a nurse is assessing a 6 month old infant during a well-child visit, what finings should the
nurse report to the provider - ANS -the infant does not roll over from his abdomen to his
back
15.a nurse is assessing a child who has acute renal failure, what clinical manifestations are
expected - ANS -edema
16.a nurse is assessing a child who has received the first 50 mL of a blood transfusion,
what findings indicates the child may be experiencing an air embolism - ANS -sharp pain
in the middle of the chest
17.a nurse is assessing a child who has sickle cell anemia and is experiencing a
vasoocclusive crisis, what manifestations should the nurse expect - ANS -pain
18.a nurse is assessing a toddler who has infective endocarditis, what findings should the
nurse expect - ANS -new heart murmur
19.a nurse is assessing a toddler who is toilet-trained and has a temperature of 38.5/101.3,
what findings should the nurse suspect a UTI - ANS -incontinence
20.a nurse is assessing an infant who has hydrocephalus, what clinical manifestations
should the nurse expect - ANS -separated cranial sutures
21.a nurse is assessing an infant who has intussusception, what manifestation is expected -
ANS -gelatinous red stool
22.a nurse is assessing the physical development of a 3 month old infant, what findings
should indicate that the infant may be developmentally delayed - ANS -does not attempt
to raise head when placed on stomach
23.a nurse is assisting with the admission of a child who has measles. which of the isolation
precautions should the nurse initiate - ANS -airborne
24.a nurse is caring for a 10 month old infant who is in a cast for developmental dysplasia of
the hip (DDH). which of the following strategies should the nurse implement to promote
the infant's growth and development - ANS -allow the infant to stand in the crib
25.a nurse is caring for a 4 year old child who has a new diagnosis of diabetes mellitus and
is distressed after an insulin injection. which of the following play activities should the
nurse recognize is therapeutic in helping the child deal with the injection? - ANS -a
needleless syringe and a doll
26.a nurse is caring for a 4m old infant who is immediately postop following cleft palate
repair, what intervention should the nurse take - ANS -apply elbow restraints to the infant
27.a nurse is caring for a 6 month old pt who has sudden abdominal pain, vomiting,
distended abdomen and red current jelly like stools. the nurse should know that these
are signs of what - ANS -intussuception
28.a nurse is caring for a 6month old infant following surgery. which of the following should
the nurse use to measure pain in this client - ANS -FLACC pain scale
29.a nurse is caring for a an infant who has GERD, what action should the nurse take to
avoid regurgitation - ANS -thicken the pt's formula
30.avoid giving the pt citrus juices
31.position the child with head elevated after meals
32.a nurse is caring for a child who has acute glomerlulonephritis without edema, what
action should the nurse take - ANS -obtain a daily weight
