ATI.Peds.proctored.exam.202
5/26.QUESTIONS.AND.ANS
WERS.
a.nurse.is.planning.care.for.a.child.who.has.severe.diarrhea..which.of.the.following
.actions.is.the.nurse.priority?.-.........ANSWER............Assess.fluid.balance
A.nurse.is.caring.for.a.toddler.who's.parent.states.that.the.child.has.a.mass.in.his.ab
dominal.area.and.his.urine.is.a.pink.color..Which.of.the.following.actions.is.the.nu
rse's.priority?.-.........ANSWER............Instruct.the.parent.to.avoid.pressing.on.the.a
bdominal.area
A.nurse.is.caring.for.a.child.who.has.acute.glomerulonephritis..Which.of.the.follo
wing.actions.is.the.nurse's.priority?.-.........ANSWER............Check.the.Childs.weig
ht.daily
A.nurse.is.caring.for.a.child.who.has.a.suspected.diagnosis.of.bacterial.meningitis..
Which.of.the.following.is.the.nurse's.priority?.-.........ANSWER............Administer.
antibiotics.when.available
A.nurse.is.collecting.data.from.an.adolescent..Which.of.the.following.represents.th
e.greatest.risk.for.suicide?.-.........ANSWER............Active.psychiatric.disorder.
(Mark,.mental.problems,.patients.mind.is.unstable)
,A.nurse.is.collecting.data.from.an.infant.who.has.otitis.media.
(middle.ear.infection)..The.nurse.should.expect.which.of.the.following.findings?.-..
.......ANSWER............Tugging.on.the.affected.ear.lobe
A.nurse.is.reinforcing.reaching.with.a.parent.of.a.1.month.old.infant.who.is.to.und
ergo.the.initial.surgery.to.treat.Hirschsprung's.disease.
(a.ganglionic.megacolon,.part.of.the.colon.isn't.connected.to.the.nerves.or.not.funct
ioning,.so.there.will.be.an.increase.size.of.the.colon.and.stool.gets.stuck.in.there)..
Which.of.the.following.statements.should.indicate.to.the.nurse.that.the.parent.unde
rstanding.the.goal.of.surgery?.-.........ANSWER............"I'm.glad.that.the.ostomy.is.
only.temporary.".
(1st.there.going.to.cut.the.nonfunctioning.of.the.colon,.and.then.apply.temporary.c
olostomy,.after.a.couple.of.months.they.will.suture.it.together)
A.nurse.is.caring.for.an.infant.who.is.1.day.postoperative.following.surgical.repair.
of.a.cleft.lip..Which.of.the.following.actions.should.the.nurse.take?.-.........ANSWE
R............Apply.an.antibiotic.ointment.to.the.suture.site
A.nurse.is.reinforcing.discharge.instructions.with.a.parent.of.a.child.who.has.cystic
.fibrosis..Which.of.the.following.statements.by.the.parent.indicates.an.understandi
ng.of.the.teaching?.-.........ANSWER............"I.will.make.sure.my.child.washes.her.
hands.before.eating"
A.nurse.working.at.a.clinic.speaks.on.the.telephone.with.a.parent.of.a.2-
monthold.infant..The.parent.tells.the.nurse.that.the.infant.has.projectile.vomiting.fo
llowed.by.hunger.after.meals..Which.of.the.following.response.by.the.nurse.is.appr
opriate?.-.........ANSWER............"Bring.your.infant.into.the.clinic.today.to.be.seen
"
, A.nurse.is.caring.for.a.4.year.old.child.who.is.2.days.postoperative.following.the.in
sertion.of.a.ventriculoperitoneal.shunt..Which.of.the.following.findings.should.the.
nurse.identify.as.the.priority...
(causes.icp.hydrocephalus).-.........ANSWER............lethargy.
(high.pitched.cry,.respiratory.changes,.bradycardia,.wide.pulse.pressure,.irritability
a.nurse.is.caring.for.a.child.following.an.open.reduction.and.internal.fixation.of.a.f
ractured.femur.and.application.of.a.cast..The.cast.has.a.window.cut.in.it.for.viewin
g.of.the.incision..Which.of.the.following.actions.should.the.nurse.take.first?.-.........
ANSWER............Perform.neurovascular.checks.of.the.affected.extremity.
(check.for.infection,.color,.capillary.refill,.redness)
A.nurse.is.an.urgent.care.clinic.is.assisting.with.the.care.of.a.toddler.who.ingested.
30.tablets.of.aspirin..Which.of.the.following.substances.should.the.nurse.administe
r.to.the.toddler?.-.........ANSWER............Activated.charcoal.
(can.work.with.toxin,.poison..Given.through.ng.tube.absorbs.toxins)
A.nurse.is.caring.for.a.3.year.old.client.who.has.persistent.otitis.media..To.help.ide
ntify.contributing.factors,.the.nurse.should.ask.the.parents.which.of.the.following.q
uestions?.-.........ANSWER............Does.anyone.smoke.in.the.same.house.as.your.d
aughter?.
(smoking.can.cause.irritation,.cause.mucus.in.respiratory.and.causes.otitis.media?).
(otitis.media.is.purulent.color)
A.nurse.is.collecting.data.from.a.2.year.old.toddler.who.has.AIDS..The.nurse.shoul
d.inspect.inside.the.toddler.mouth.for.which.of.the.following.opportunistic.infectio
ns.
(fungus.infections.is.usually.opportunistic.infections)?.-.........ANSWER............Ca
ndidiasis.(also.called.oral.thrush)
5/26.QUESTIONS.AND.ANS
WERS.
a.nurse.is.planning.care.for.a.child.who.has.severe.diarrhea..which.of.the.following
.actions.is.the.nurse.priority?.-.........ANSWER............Assess.fluid.balance
A.nurse.is.caring.for.a.toddler.who's.parent.states.that.the.child.has.a.mass.in.his.ab
dominal.area.and.his.urine.is.a.pink.color..Which.of.the.following.actions.is.the.nu
rse's.priority?.-.........ANSWER............Instruct.the.parent.to.avoid.pressing.on.the.a
bdominal.area
A.nurse.is.caring.for.a.child.who.has.acute.glomerulonephritis..Which.of.the.follo
wing.actions.is.the.nurse's.priority?.-.........ANSWER............Check.the.Childs.weig
ht.daily
A.nurse.is.caring.for.a.child.who.has.a.suspected.diagnosis.of.bacterial.meningitis..
Which.of.the.following.is.the.nurse's.priority?.-.........ANSWER............Administer.
antibiotics.when.available
A.nurse.is.collecting.data.from.an.adolescent..Which.of.the.following.represents.th
e.greatest.risk.for.suicide?.-.........ANSWER............Active.psychiatric.disorder.
(Mark,.mental.problems,.patients.mind.is.unstable)
,A.nurse.is.collecting.data.from.an.infant.who.has.otitis.media.
(middle.ear.infection)..The.nurse.should.expect.which.of.the.following.findings?.-..
.......ANSWER............Tugging.on.the.affected.ear.lobe
A.nurse.is.reinforcing.reaching.with.a.parent.of.a.1.month.old.infant.who.is.to.und
ergo.the.initial.surgery.to.treat.Hirschsprung's.disease.
(a.ganglionic.megacolon,.part.of.the.colon.isn't.connected.to.the.nerves.or.not.funct
ioning,.so.there.will.be.an.increase.size.of.the.colon.and.stool.gets.stuck.in.there)..
Which.of.the.following.statements.should.indicate.to.the.nurse.that.the.parent.unde
rstanding.the.goal.of.surgery?.-.........ANSWER............"I'm.glad.that.the.ostomy.is.
only.temporary.".
(1st.there.going.to.cut.the.nonfunctioning.of.the.colon,.and.then.apply.temporary.c
olostomy,.after.a.couple.of.months.they.will.suture.it.together)
A.nurse.is.caring.for.an.infant.who.is.1.day.postoperative.following.surgical.repair.
of.a.cleft.lip..Which.of.the.following.actions.should.the.nurse.take?.-.........ANSWE
R............Apply.an.antibiotic.ointment.to.the.suture.site
A.nurse.is.reinforcing.discharge.instructions.with.a.parent.of.a.child.who.has.cystic
.fibrosis..Which.of.the.following.statements.by.the.parent.indicates.an.understandi
ng.of.the.teaching?.-.........ANSWER............"I.will.make.sure.my.child.washes.her.
hands.before.eating"
A.nurse.working.at.a.clinic.speaks.on.the.telephone.with.a.parent.of.a.2-
monthold.infant..The.parent.tells.the.nurse.that.the.infant.has.projectile.vomiting.fo
llowed.by.hunger.after.meals..Which.of.the.following.response.by.the.nurse.is.appr
opriate?.-.........ANSWER............"Bring.your.infant.into.the.clinic.today.to.be.seen
"
, A.nurse.is.caring.for.a.4.year.old.child.who.is.2.days.postoperative.following.the.in
sertion.of.a.ventriculoperitoneal.shunt..Which.of.the.following.findings.should.the.
nurse.identify.as.the.priority...
(causes.icp.hydrocephalus).-.........ANSWER............lethargy.
(high.pitched.cry,.respiratory.changes,.bradycardia,.wide.pulse.pressure,.irritability
a.nurse.is.caring.for.a.child.following.an.open.reduction.and.internal.fixation.of.a.f
ractured.femur.and.application.of.a.cast..The.cast.has.a.window.cut.in.it.for.viewin
g.of.the.incision..Which.of.the.following.actions.should.the.nurse.take.first?.-.........
ANSWER............Perform.neurovascular.checks.of.the.affected.extremity.
(check.for.infection,.color,.capillary.refill,.redness)
A.nurse.is.an.urgent.care.clinic.is.assisting.with.the.care.of.a.toddler.who.ingested.
30.tablets.of.aspirin..Which.of.the.following.substances.should.the.nurse.administe
r.to.the.toddler?.-.........ANSWER............Activated.charcoal.
(can.work.with.toxin,.poison..Given.through.ng.tube.absorbs.toxins)
A.nurse.is.caring.for.a.3.year.old.client.who.has.persistent.otitis.media..To.help.ide
ntify.contributing.factors,.the.nurse.should.ask.the.parents.which.of.the.following.q
uestions?.-.........ANSWER............Does.anyone.smoke.in.the.same.house.as.your.d
aughter?.
(smoking.can.cause.irritation,.cause.mucus.in.respiratory.and.causes.otitis.media?).
(otitis.media.is.purulent.color)
A.nurse.is.collecting.data.from.a.2.year.old.toddler.who.has.AIDS..The.nurse.shoul
d.inspect.inside.the.toddler.mouth.for.which.of.the.following.opportunistic.infectio
ns.
(fungus.infections.is.usually.opportunistic.infections)?.-.........ANSWER............Ca
ndidiasis.(also.called.oral.thrush)
