ATI RN Pediatric Nursing Online Practice 2023 B
Study online at https://quizlet.com/_etkknm
1. A nurse is -Timing of child's crying: Nightmares
caring for
a preschool-age -Child's responsiveness to guardian: Nightmares
child. For each
-Child's return to sleeping: Sleep terrors
assessment find-
ing, click to spec-
-Child's description of the dream: Nightmares
ify if the find-
ing is consistent -Impulsivity: Sleep terrors and Nightmares
with nightmares
or sleep ter- -Child's concentration: Sleep terrors and Nightmares
rors. Each find-
ing may support -Daytime alertness: Sleep terrors and Nightmares
more than 1 dis-
ease process. Rationale: When analyzing cues, the nurse should recognize that manifestations of
nightmares include awakening during the night after a scary dream. Nightmares
are a sleep disturbance that cause distress after the dream is over. The child
might be crying, fearful of returning to sleep, and believe the dream is real. Sleep
disturbances cause interruptions in the sleep-wake cycle and can cause impaired
concentration, daytime fatigue, and impulsive behaviors.
When analyzing cues, the nurse should recognize that manifestations of sleep
terrors include a partial awakening during a deep sleep. Sleep terrors are sleep
disturbances that cause a child to exhibit behaviors such as thrashing, screaming,
moaning, and diaphoresis that disappear once the child awakens. The child does
not remember the episode and is not comforted by others during the disturbance.
The child usually falls asleep easily afterwards. Sleep terrors cause interruptions in
the sleep-wake cycle and can cause impaired concentration, daytime fatigue, and
impulsive behaviors.
2. A nurse is car- -Dress the toddler in minimal clothing
ing for a tod-
dler who has Rationale: The nurse should recognize that dressing the toddler in minimal clothing
acute otitis me-
, ATI RN Pediatric Nursing Online Practice 2023 B
Study online at https://quizlet.com/_etkknm
dia and a temper- will expose the skin to air and maximize heat evaporation from the skin, thus
ature of 40 C (104 reducing the toddler's temperature.
F). After admin-
istering aceta-
minophen, which
of the following
actions should
the nurse plan
to take to re-
duce the tod-
dler's tempera-
ture?
3. A nurse on a -Arterial blood gases
pediatric unit is Rationale: The child's arterial blood gases (ABGs) indicate respiratory alkalosis,
caring for a which is associated with complications of asthma, such as hyperventilation and
school-age child. hypoxia. Therefore, the nurse should report these findings to the provider.
After reviewing
the information -WBC Count
in the child's Rationale: The child's WBC count is above the expected reference range, which
medical record, could be an indication of infection or inflammation. Therefore, the nurse should
which of the fol- report this finding to the provider.
lowing findings
-Oxygen Saturation
should the nurse
Rationale: The child's oxygen saturation level has decreased below the expected
report to the
reference range despite the use of supplemental oxygen. Therefore, the nurse
provider?
should report this finding to the provider.
Select the 4 find-
ings that the
-Respiratory Assessment
nurse should re-
Rationale: The child's respiratory assessment indicates increased respiratory dis-
port to the
tress, as evidenced by the presence of tachypnea, retractions, and increased
provider.
wheezing. Therefore, the nurse should report these findings to the provider.
, ATI RN Pediatric Nursing Online Practice 2023 B
Study online at https://quizlet.com/_etkknm
4. A nurse is caring -Potassium chloride
for a preschooler
who has conges- Rationale: The nurse should identify that a child who has congestive heart failure
tive heart failure. can develop electrolyte imbalances, such as hyperkalemia or hypokalemia. The
The nurse ob- nurse should identify that the child is exhibiting manifestations of hyperkalemia
serves wide QRS and contact the provider about the administration of potassium chloride, which
complexes and can increase the severity of hyperkalemia.
peaked T waves
on the cardiac
monitor. Which
of the follow-
ing prescriptions
should the nurse
clarify with the
provider?
5. A nurse is car- Potential Condition: Cystic Fibrosis
ing for a toddler.
Complete the di- Actions to take:
agram by drag- 1: Educate the guardian about swear chloride testing.
ging from the 2: Prepare toddler for chest physiotherapy.
choices below to
Parameters to Monitor:
specify what con-
1: Oxygen saturation level
dition the client
2: Stools
is most likely ex-
periencing, 2 ac-
Rationale: Upon recognizing and analyzing client findings, the nurse's priority
tions the nurse
hypothesis is that the toddler is most likely experiencing cystic fibrosis and that
should take to ad-
is it important to generate solutions and take actions by planning to educate the
dress that condi-
guardian about sweat chloride testing for the toddler and prepare the toddler
tion, and 2 para-
for chest physiotherapy. The toddler is most likely experiencing cystic fibrosis,
meters the nurse
as evidenced by reports of recurring respiratory infections, wheezing, coughing,
should monitor
Study online at https://quizlet.com/_etkknm
1. A nurse is -Timing of child's crying: Nightmares
caring for
a preschool-age -Child's responsiveness to guardian: Nightmares
child. For each
-Child's return to sleeping: Sleep terrors
assessment find-
ing, click to spec-
-Child's description of the dream: Nightmares
ify if the find-
ing is consistent -Impulsivity: Sleep terrors and Nightmares
with nightmares
or sleep ter- -Child's concentration: Sleep terrors and Nightmares
rors. Each find-
ing may support -Daytime alertness: Sleep terrors and Nightmares
more than 1 dis-
ease process. Rationale: When analyzing cues, the nurse should recognize that manifestations of
nightmares include awakening during the night after a scary dream. Nightmares
are a sleep disturbance that cause distress after the dream is over. The child
might be crying, fearful of returning to sleep, and believe the dream is real. Sleep
disturbances cause interruptions in the sleep-wake cycle and can cause impaired
concentration, daytime fatigue, and impulsive behaviors.
When analyzing cues, the nurse should recognize that manifestations of sleep
terrors include a partial awakening during a deep sleep. Sleep terrors are sleep
disturbances that cause a child to exhibit behaviors such as thrashing, screaming,
moaning, and diaphoresis that disappear once the child awakens. The child does
not remember the episode and is not comforted by others during the disturbance.
The child usually falls asleep easily afterwards. Sleep terrors cause interruptions in
the sleep-wake cycle and can cause impaired concentration, daytime fatigue, and
impulsive behaviors.
2. A nurse is car- -Dress the toddler in minimal clothing
ing for a tod-
dler who has Rationale: The nurse should recognize that dressing the toddler in minimal clothing
acute otitis me-
, ATI RN Pediatric Nursing Online Practice 2023 B
Study online at https://quizlet.com/_etkknm
dia and a temper- will expose the skin to air and maximize heat evaporation from the skin, thus
ature of 40 C (104 reducing the toddler's temperature.
F). After admin-
istering aceta-
minophen, which
of the following
actions should
the nurse plan
to take to re-
duce the tod-
dler's tempera-
ture?
3. A nurse on a -Arterial blood gases
pediatric unit is Rationale: The child's arterial blood gases (ABGs) indicate respiratory alkalosis,
caring for a which is associated with complications of asthma, such as hyperventilation and
school-age child. hypoxia. Therefore, the nurse should report these findings to the provider.
After reviewing
the information -WBC Count
in the child's Rationale: The child's WBC count is above the expected reference range, which
medical record, could be an indication of infection or inflammation. Therefore, the nurse should
which of the fol- report this finding to the provider.
lowing findings
-Oxygen Saturation
should the nurse
Rationale: The child's oxygen saturation level has decreased below the expected
report to the
reference range despite the use of supplemental oxygen. Therefore, the nurse
provider?
should report this finding to the provider.
Select the 4 find-
ings that the
-Respiratory Assessment
nurse should re-
Rationale: The child's respiratory assessment indicates increased respiratory dis-
port to the
tress, as evidenced by the presence of tachypnea, retractions, and increased
provider.
wheezing. Therefore, the nurse should report these findings to the provider.
, ATI RN Pediatric Nursing Online Practice 2023 B
Study online at https://quizlet.com/_etkknm
4. A nurse is caring -Potassium chloride
for a preschooler
who has conges- Rationale: The nurse should identify that a child who has congestive heart failure
tive heart failure. can develop electrolyte imbalances, such as hyperkalemia or hypokalemia. The
The nurse ob- nurse should identify that the child is exhibiting manifestations of hyperkalemia
serves wide QRS and contact the provider about the administration of potassium chloride, which
complexes and can increase the severity of hyperkalemia.
peaked T waves
on the cardiac
monitor. Which
of the follow-
ing prescriptions
should the nurse
clarify with the
provider?
5. A nurse is car- Potential Condition: Cystic Fibrosis
ing for a toddler.
Complete the di- Actions to take:
agram by drag- 1: Educate the guardian about swear chloride testing.
ging from the 2: Prepare toddler for chest physiotherapy.
choices below to
Parameters to Monitor:
specify what con-
1: Oxygen saturation level
dition the client
2: Stools
is most likely ex-
periencing, 2 ac-
Rationale: Upon recognizing and analyzing client findings, the nurse's priority
tions the nurse
hypothesis is that the toddler is most likely experiencing cystic fibrosis and that
should take to ad-
is it important to generate solutions and take actions by planning to educate the
dress that condi-
guardian about sweat chloride testing for the toddler and prepare the toddler
tion, and 2 para-
for chest physiotherapy. The toddler is most likely experiencing cystic fibrosis,
meters the nurse
as evidenced by reports of recurring respiratory infections, wheezing, coughing,
should monitor
