ATI PEDIATRICS PRACTICE QUESTIONS AND ANSWERS NUR 265 SOLVED
100% CORRECT
A nurse is teaching the parents of a toddler who has cognitive impairment about
toilet training. Which of the following instructions should the nurse include in the
teaching?
The nurse should instruct the parent that the child will receive antibiotic therapy for
at least 4 weeks. Surgery might be indicated if the antibiotics are not successful.
Bearing weight must be avoided with osteomyelitis & it will be several weeks to
months before the child can play contact sports.. –ANSWER; should be placed in a
comfortable position with the limb supported. There is no indication for a cast.
Contact isolation is not necessary because osteomyelitis is not a communicable
illness.
A school nurse is assessing an adolescent who has multiple burns in various stages
of healing. Which of the following behaviors should the nurse identify as a possible
indication of physical abuse?
Expresses a reluctance to leave home
Provides a detailed description of how the burns occurred
Denies discomfort during assessment of injuries
Describes strong relationships with peers - ANSWER: Denies discomfort
during assessment of injuries.
The nurse should suspect child maltreatment in the form of physical abuse if the
adolescent has a blunted response to painful stimuli or injury, expresses a
reluctance to return home or demonstrates a fear of parents, description of the injury
is vague and inconsistent with the actual wounds, OR has withdrawn behavior and
poor relationships with peers.
"Scold your child when they have a toileting accident."
"Award your child with a sticker when they sit on the potty chair."
"Play your child's favorite song while teaching them to use the potty chair."
"Teach multiple steps of the skill at the same time." - ANSWER: b. "Award
your child with a sticker when they sit on the potty chair."
A child who has a cognitive impairment learns through shaping behaviors. The
parents should reward the child for sitting on the potty chair as a reinforcement of
the desired behavior of continence. As the child repeats this action, the parents can
gradually decrease this reward and then give rewards for the next step in the task,
such as voiding while sitting on the potty chair. The parents should use positive
reinforcement when teaching their child a new task. Reinforcing positive behaviors,
such as remaining dry through the night, will have a greater effect on the child than
the negative reinforcement of scolding. A child who has a cognitive impairment has
difficulty discriminating between two or more cues or stimuli. The nurse should
instruct the parents to eliminate all other stimuli when teaching the child the task of
toilet training. Children who have a cognitive impairment have difficulty remembering
multiple steps.
,ATI PEDIATRICS PRACTICE QUESTIONS AND ANSWERS NUR 265 SOLVED
100% CORRECT
A charge nurse in an emergency department is preparing an in-service for a group of
newly licensed nurses on the clinical manifestations of child maltreatment. Which of
the following manifestations should the charge nurse include as suggestive of
potential physical abuse?
Recurrent urinary tract infections
Symmetric burns of the lower extremities
Failure to thrive
Lack of subcutaneous fat - ANSWER: Symmetric burns of the lower
extremities
The nurse should include that symmetric burns to the lower extremities can indicate
physical abuse. The patterns are usually characteristic of the method or object used,
such as cigar or cigarette burns, or burns in the shape of an iron. Recurrent UTIs are
a clinical manifestation that can indicate sexual abuse. Failure to thrive can be an
indication of physical neglect due to malnutrition. Lack of subcutaneous fat can be
an indication of physical neglect. This manifestation can be a result of poor health
care, infections that were untreated, and/or a lack of or delayed childhood
immunizations.
A charge nurse is preparing to make a room assignment for a newly admitted
school-age child. Which of the following considerations is the nurses priority?
Length of stay
Treatment schedule
Disease process
Self-care ability - ANSWER: c. Disease process
The transmission of infectious diseases is the greatest risk to this child & other
children on the unit. Therefore, the child's disease process is the nurse's priority
consideration
A community health nurse is assessing an 18-month-old toddler in a community day
care. Which of the following findings should the nurse identify as a potential
indication of physical neglect?
Resists having an axillary temperature taken
Exhibits withdrawal behaviors when their parent leaves
Has multiple bruises on their knees
Poor personal hygiene - ANSWER: d. Poor personal hygiene
A toddler who has poor personal hygiene can be a potential indication of physical
neglect. Because toddlers are still dependent on their parents or guardians for help
with hygiene needs, poor personal hygiene can indicate a lack of supervision.
,ATI PEDIATRICS PRACTICE QUESTIONS AND ANSWERS NUR 265 SOLVED
100% CORRECT
A hospice nurse is caring for a preschooler who has a terminal illness. The father
tells the nurse that he cannot cope anymore and has decided to move out of the
house. Which of the following statements should the nurse make?
"It is important that you provide emotional support for your family at this time."
"You have to do what you feel is best. Everything will turn out fine."
"I know how you feel. This is an extremely stressful time for your family."
"Let's talk about some of the ways you have handled previous stressors in
your life." - ANSWER: d. "Let's talk about some of the ways you have handled
previous stressors in your life."
This statement offers a general lead to allow the parent to express their feelings and
previous actions when faced with stressful situations. It also helps the parent to
focus on ways that they can cope with the current situation.
A nurse assessing a school-age child who has an infratentorial brain tumor. Which of
the following findings should the nurse identify as a manifestation of increased
intracranial pressure?
Hypotension
Reports insomnia
Difficulty concentrating
Tachycardia - ANSWER: c. Difficulty concentrating
The nurse should identify that irritability, inability to follow commands, & difficulty
concentrating are manifestations of ICP due to decreased blood flow within the brain
& pressure on the brainstem. The nurse should identify that hypertension &
bradycardia is a late manifestation of ICP. Somnolence & lethargy are
manifestations of ICP.
A nurse in a health department is caring for an emancipated adolescent who has an
STI and is unaccompanied by a guardian. Which of the following actions should the
nurse take?
Have the adolescent sign a consent form for treatment.
Instruct the adolescent to return with a guardian.
Obtain consent from the adolescent's guardian over the phone.
Treat the adolescent without a consent form. - ANSWER: a. Have the
adolescent sign a consent form for treatment.
The nurse should identify that an emancipated minor can sign the consent form for
treatment of an STI or any other form of medical treatment requiring consent.
A nurse in a provider's office if preparing to administer immunizations to a toddler
during a well-child visit. Which of the following actions should the nurse plan to take?
, ATI PEDIATRICS PRACTICE QUESTIONS AND ANSWERS NUR 265 SOLVED
100% CORRECT
Age 15 months
Allergies Neomycin (anaphylactic reaction)
Caregiver reports rhinitis with clear nasal drainage for 2 days Occasional
nonproductive cough for 2 days
History of asthma
RR 24/min HR115/min Temperature 36.9° C (98.4° F)
Withhold the measles, mumps, and rubella (MMR) vaccine.
Withhold the diphtheria, tetanus, and pertussis (DTaP) vaccine.
Withhold the influenza vaccine.
Withhold the tuberculin skin test (TST). - ANSWER: a. Withhold the measles,
mumps, and rubella (MMR) vaccine.
The nurse should recognize that an allergy to neomycin with an anaphylactic
reaction is a contraindication for receiving the MMR vaccine. Clients who have a
severe allergy to eggs or gelatin should not receive this vaccine. It is safe to
administer the DTaP vaccine at the same time as the MMR vaccine and TST. DTaP
vaccines are not contraindicated for children who have mild acute illness or asthma.
A child who has asthma can receive the inactivated influenza vaccine. It is safe to
perform a TST at the same time as administering MMR and varicella vaccines. A
TST is not contraindicated for children who have mild acute illness or asthma.
A nurse in a providers office is caring for a school-age child who has varicella. The
parents asks the nurse when their child will no longer be contagious. Which of the
following responses should the nurse make?
"When your child no longer has an increased temperature."
"Three days after you first noticed the rash appear on your child."
"When your child's lesions are crusted, usually 6 days after they appear."
"Two to three weeks, when your child's lesions completely disappear." -
ANSWER: c. "When your child's lesions are crusted, usually 6 days after they
appear."
The nurse should inform the parent that the child is contagious 1 day prior to lesion
eruption and until the vesicles have crusted over, which usually takes about 6 days.
A nurse in an emergency department is assessing a 3-month-old infant who has
rotavirus and is experiencing acute vomiting and diarrhea. Which of the following
manifestations should the nurse identify as an indication that the infant has
moderate to severe dehydration?
Heart rate 124/min
Increased tear production
Sunken anterior fontanel
Capillary refill 2 seconds - ANSWER: c. Sunken anterior fontanel
100% CORRECT
A nurse is teaching the parents of a toddler who has cognitive impairment about
toilet training. Which of the following instructions should the nurse include in the
teaching?
The nurse should instruct the parent that the child will receive antibiotic therapy for
at least 4 weeks. Surgery might be indicated if the antibiotics are not successful.
Bearing weight must be avoided with osteomyelitis & it will be several weeks to
months before the child can play contact sports.. –ANSWER; should be placed in a
comfortable position with the limb supported. There is no indication for a cast.
Contact isolation is not necessary because osteomyelitis is not a communicable
illness.
A school nurse is assessing an adolescent who has multiple burns in various stages
of healing. Which of the following behaviors should the nurse identify as a possible
indication of physical abuse?
Expresses a reluctance to leave home
Provides a detailed description of how the burns occurred
Denies discomfort during assessment of injuries
Describes strong relationships with peers - ANSWER: Denies discomfort
during assessment of injuries.
The nurse should suspect child maltreatment in the form of physical abuse if the
adolescent has a blunted response to painful stimuli or injury, expresses a
reluctance to return home or demonstrates a fear of parents, description of the injury
is vague and inconsistent with the actual wounds, OR has withdrawn behavior and
poor relationships with peers.
"Scold your child when they have a toileting accident."
"Award your child with a sticker when they sit on the potty chair."
"Play your child's favorite song while teaching them to use the potty chair."
"Teach multiple steps of the skill at the same time." - ANSWER: b. "Award
your child with a sticker when they sit on the potty chair."
A child who has a cognitive impairment learns through shaping behaviors. The
parents should reward the child for sitting on the potty chair as a reinforcement of
the desired behavior of continence. As the child repeats this action, the parents can
gradually decrease this reward and then give rewards for the next step in the task,
such as voiding while sitting on the potty chair. The parents should use positive
reinforcement when teaching their child a new task. Reinforcing positive behaviors,
such as remaining dry through the night, will have a greater effect on the child than
the negative reinforcement of scolding. A child who has a cognitive impairment has
difficulty discriminating between two or more cues or stimuli. The nurse should
instruct the parents to eliminate all other stimuli when teaching the child the task of
toilet training. Children who have a cognitive impairment have difficulty remembering
multiple steps.
,ATI PEDIATRICS PRACTICE QUESTIONS AND ANSWERS NUR 265 SOLVED
100% CORRECT
A charge nurse in an emergency department is preparing an in-service for a group of
newly licensed nurses on the clinical manifestations of child maltreatment. Which of
the following manifestations should the charge nurse include as suggestive of
potential physical abuse?
Recurrent urinary tract infections
Symmetric burns of the lower extremities
Failure to thrive
Lack of subcutaneous fat - ANSWER: Symmetric burns of the lower
extremities
The nurse should include that symmetric burns to the lower extremities can indicate
physical abuse. The patterns are usually characteristic of the method or object used,
such as cigar or cigarette burns, or burns in the shape of an iron. Recurrent UTIs are
a clinical manifestation that can indicate sexual abuse. Failure to thrive can be an
indication of physical neglect due to malnutrition. Lack of subcutaneous fat can be
an indication of physical neglect. This manifestation can be a result of poor health
care, infections that were untreated, and/or a lack of or delayed childhood
immunizations.
A charge nurse is preparing to make a room assignment for a newly admitted
school-age child. Which of the following considerations is the nurses priority?
Length of stay
Treatment schedule
Disease process
Self-care ability - ANSWER: c. Disease process
The transmission of infectious diseases is the greatest risk to this child & other
children on the unit. Therefore, the child's disease process is the nurse's priority
consideration
A community health nurse is assessing an 18-month-old toddler in a community day
care. Which of the following findings should the nurse identify as a potential
indication of physical neglect?
Resists having an axillary temperature taken
Exhibits withdrawal behaviors when their parent leaves
Has multiple bruises on their knees
Poor personal hygiene - ANSWER: d. Poor personal hygiene
A toddler who has poor personal hygiene can be a potential indication of physical
neglect. Because toddlers are still dependent on their parents or guardians for help
with hygiene needs, poor personal hygiene can indicate a lack of supervision.
,ATI PEDIATRICS PRACTICE QUESTIONS AND ANSWERS NUR 265 SOLVED
100% CORRECT
A hospice nurse is caring for a preschooler who has a terminal illness. The father
tells the nurse that he cannot cope anymore and has decided to move out of the
house. Which of the following statements should the nurse make?
"It is important that you provide emotional support for your family at this time."
"You have to do what you feel is best. Everything will turn out fine."
"I know how you feel. This is an extremely stressful time for your family."
"Let's talk about some of the ways you have handled previous stressors in
your life." - ANSWER: d. "Let's talk about some of the ways you have handled
previous stressors in your life."
This statement offers a general lead to allow the parent to express their feelings and
previous actions when faced with stressful situations. It also helps the parent to
focus on ways that they can cope with the current situation.
A nurse assessing a school-age child who has an infratentorial brain tumor. Which of
the following findings should the nurse identify as a manifestation of increased
intracranial pressure?
Hypotension
Reports insomnia
Difficulty concentrating
Tachycardia - ANSWER: c. Difficulty concentrating
The nurse should identify that irritability, inability to follow commands, & difficulty
concentrating are manifestations of ICP due to decreased blood flow within the brain
& pressure on the brainstem. The nurse should identify that hypertension &
bradycardia is a late manifestation of ICP. Somnolence & lethargy are
manifestations of ICP.
A nurse in a health department is caring for an emancipated adolescent who has an
STI and is unaccompanied by a guardian. Which of the following actions should the
nurse take?
Have the adolescent sign a consent form for treatment.
Instruct the adolescent to return with a guardian.
Obtain consent from the adolescent's guardian over the phone.
Treat the adolescent without a consent form. - ANSWER: a. Have the
adolescent sign a consent form for treatment.
The nurse should identify that an emancipated minor can sign the consent form for
treatment of an STI or any other form of medical treatment requiring consent.
A nurse in a provider's office if preparing to administer immunizations to a toddler
during a well-child visit. Which of the following actions should the nurse plan to take?
, ATI PEDIATRICS PRACTICE QUESTIONS AND ANSWERS NUR 265 SOLVED
100% CORRECT
Age 15 months
Allergies Neomycin (anaphylactic reaction)
Caregiver reports rhinitis with clear nasal drainage for 2 days Occasional
nonproductive cough for 2 days
History of asthma
RR 24/min HR115/min Temperature 36.9° C (98.4° F)
Withhold the measles, mumps, and rubella (MMR) vaccine.
Withhold the diphtheria, tetanus, and pertussis (DTaP) vaccine.
Withhold the influenza vaccine.
Withhold the tuberculin skin test (TST). - ANSWER: a. Withhold the measles,
mumps, and rubella (MMR) vaccine.
The nurse should recognize that an allergy to neomycin with an anaphylactic
reaction is a contraindication for receiving the MMR vaccine. Clients who have a
severe allergy to eggs or gelatin should not receive this vaccine. It is safe to
administer the DTaP vaccine at the same time as the MMR vaccine and TST. DTaP
vaccines are not contraindicated for children who have mild acute illness or asthma.
A child who has asthma can receive the inactivated influenza vaccine. It is safe to
perform a TST at the same time as administering MMR and varicella vaccines. A
TST is not contraindicated for children who have mild acute illness or asthma.
A nurse in a providers office is caring for a school-age child who has varicella. The
parents asks the nurse when their child will no longer be contagious. Which of the
following responses should the nurse make?
"When your child no longer has an increased temperature."
"Three days after you first noticed the rash appear on your child."
"When your child's lesions are crusted, usually 6 days after they appear."
"Two to three weeks, when your child's lesions completely disappear." -
ANSWER: c. "When your child's lesions are crusted, usually 6 days after they
appear."
The nurse should inform the parent that the child is contagious 1 day prior to lesion
eruption and until the vesicles have crusted over, which usually takes about 6 days.
A nurse in an emergency department is assessing a 3-month-old infant who has
rotavirus and is experiencing acute vomiting and diarrhea. Which of the following
manifestations should the nurse identify as an indication that the infant has
moderate to severe dehydration?
Heart rate 124/min
Increased tear production
Sunken anterior fontanel
Capillary refill 2 seconds - ANSWER: c. Sunken anterior fontanel
