Assessment (2024 A&B).docx
ATI RN Nursing Care of Children
Assessment (2024 A&B).docx
1.
2. A nurse is caring for a school-age child who is receiving a
bloodtransfusion. Which of the following manifestations should
alert the nurse to a possible hemolytic transfusion reaction?
• Flank pain
3. A nurse is caring for a school-age child who is receiving
cefazolinvia intermittent IV bolus. The child suddenly develops
diffuse flushing of the skin and angioedema. After discontinuing
the medication infusion, which of the following medications
should the nurse administer first?
• Epinephrine
4. A nurse is teaching the guardian of a 6-month—old infant about
car seat use. Which of the following statements by the guardian
indicates an understanding of the teaching?
• “I should secure the car seat using lower anchors
and tethers instead of the seat belt.”
5. A nurse is planning care for a toddler who has a serum lead level
of 4 mcg/dL. Which of the following actions should the nurse plan
to take?
• Schedule the toddler for a yearly rescreening
6. A nurse is caring for a toddler who has spastic (pyramidal)
cerebral palsy. Which of the following findings should the
nurseexpect? (Select all that apply.)
• Ankle clonus
• Exaggerated stretch reflexes
• Contractures
7. A nurse is assessing a school-age child immediately following
aperforated appendix repair. Which of the following findings
should the nurse expect?
• Absence of peristalsis
8.
9.
10.
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, 11. A nurse is assessing a 4 year old child at well-child visit.Which
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