NUR 2310 Miami Dade College, Miami ATI peds retake 2019

1) A nurse is assisting a child who has multiple closed fractures of the lower extremities due to a motor- vehicle crash. The nurse should monitor the child for which of the following complications during the first 24 hr after the injury occurred? c. Volkmann ischemic contracture 2) A nurse is teaching the parent of a toddler who has phenylketonuria about meal planning. Which of the following information should the nurse include in the teaching? b. Avoid foods containing milk products 3) A nurse at an inpatient facility is planning care for a child who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan of care? c. Keep staff visits with the child brief 4) A nurse is assisting an infant who has severe dehydration due to gastroenteritis. Which of the following findings should the nurse expect? c. Increase respiratory rate 5) A nurse is planning care for a child who has cystic fibrosis. Which of the following interventions should the nurse plan to include? d. Use a vest to perform high-frequency chest compressions 6) A nurse is teaching the parent of a school age child about bicycle safety. Which of the following instructions should the nurse include in the teaching? b. Your child should walk the bicycle through intersections 7) A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure? a. Lateral 8) A nurse is reviewing the complete blood count results for a child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect? d. RBC count 5/mm 9) A nurse is caring for a school age child who has pertussis. Which of the following actions should the nurse take? a. Report the diagnosis to the public health department b. Place the child in a protected environment for 48hr ? c. Administer the pertussis vaccine d. Restrict oral fluids to 500mL per day 10) A nurse is assessing a week old infant. The nurse should identify which of the following manifestations can indicate neonatal abstinence syndrome? d. Lethargy 11 )A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12 month-old infant. Which of the following actions should the nurse plan to take? c. Cover the insertion site with an opaque dressing 12) A nurse is assessing a toddler who is 8 hr. postoperative following a cardiac catheterization procedure. Which of the following findings should the nurse report to the provider? c. Bilateral cool extremities 18) A nurse is providing teaching to the parents of a child who has varicella about management of the disease. Which of the following instructions should the nurse include in the teaching? b. Keep the child away from others until the skin is clever of scabs 30) A nurse is planning care for a child who is experiencing a sickle cell crisis. Which of the following interventions should the nurse include in the plan of care? d. Apply cold compresses to affected joints 31) A charge nurses teaching a group of nurses about identifying child abuse. Which of the following findings should the nurse identify as a potential indicator of child abuse? b. A toddler repeatedly refuses to let a nurse auscultate his lungs 32) A nurse is teaching the guardian of a 5 year old child who has encopresis about management of the condition. Which of the following statements by the guardian indicates an understanding of the teaching? d. I will have my child try to defecate 15 minutes after each meal 33) A nurse is assisting an infant who has respiratory syncytial virus. For which of the following findings should the nurse intervene? a. Brisk capillary refill b. Tachypnea c. Rhinorrhea d. Coughing 34) A nurse is performing a health assessment for a 6 month old infant. The nurse should begin the assessment by performing which of the following actions while the infant is quiet and sitting on the guardians lap? a. Obtaining the infant's health history from the guardian 35) A nurse is caring for an adolescent who has major depressive disorder. Which of the following actions should the nurse take first d. assist the client in completing his ADLs 36) A nurse is caring for a child in the PACU following a tonsillectomy. Which of the following findings requires immediate intervention by the nurse? d. Frequent swallowing 37) A nurse in the emergency department is caring for a school age child who has developed respiratory stridor, wheezing, and urticarial after receiving an IV medication. Which of the following actions should the nurse take first? d. Administer epinephrine 38) A nurse is caring for an infant who has a patent ductus arteriosus. The nurse should identify that the defect is at which of the following locations of the heart? ( You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) B A C D The correct answer is = 39) A nurse is caring for a school aged child who is 1hr postoperative following a tonsillectomy. Which of the following actions should the nurse take first? ( Select all that apply) b. Observe the child for frequent swallowing c. Discourage the child from coughing d. Administer an analgesic to the child on a scheduled basis 40) a nurse is teaching the guardian of an infant who has congestive heart failure about methods to preserve energy during bottle feeding. Which of the following statements by the guardian indicates a clear understanding of the teaching? a. I will feed my baby every 2 hours 41) A nurse in a family practice clinic is assessing a preschool age child who recently experienced the death of a sibling. Which of the following reactions in an age appropriate response to death? b. The child feels responsible for the siblings death 59) A nurse is teaching a parent of a toddler about administering digoxin. Which of the following statements by the parent indicates a clear understanding of the teaching? c. I should give my child water after giving the medication 60) A nurse is providing a teaching to the guardian of a 2year old about typical toddler behavior. Which of the following behaviors should the nurse include? a. Frequency negative responses 61) A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take? c. Reposition the client using a turning sheet 62) A nurse is caring for a 1 year old infant who has GERD. Which of the following actions should the nurse take to promote sleep for the infant? a. Place the infant in surprise position to sleep 63) A nurse is assessing a toddler who has a history of lead poisoning. Which of the following actions should the nurse take? c. Perform development testing for delays 64) A nurse is collecting data from a toddler who weighs 25 kg (44ib) and has a full thickness burn to 10% of his body. Which of the following findings should the nurse report to the provider? c. Increased restlessness 65) A nurse is educating an adolescent following the application of an arm cast. Which of the following statements by the client indicates an understanding of the teaching? b. I should limit the use of fingers of my broken arm 66) A nurse is teaching a parent about home interventions for a preschooler who is experiencing night terrors. Which of the following instructions should the nurse include in the teaching? b. Avoid allowing your child to sleep in your bed 67) A nurse is reviewing the laboratory results of a preschooler who has gastroenteritis and notes the client's potassium level is 3.2 mEq/L. Which of the following assessment findings should the nurse expect? c. Hyperactive bowel sounds 68) A nurse is assessing a child who has heart failure. Which of the following findings is a clinical manifestation associated with this diagnosis? a. Tachypnea 69) A nurse is planning to administer ondansetron 0.15 mg/kg IV to a child who is receiving chemotherapy and weighs 29.4kg. Available is ondansetron 4 mg/2 solution. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) mL 13. A nurse is caring for an adolescent who has scoliosis and is refusing to wear a back brace which of the following statement should the nurse make? b. Let’s sit down and discuss why you do not want to wear the brace. 14. A nurse is providing teaching to a parent of a child who has HIV. which of the following statements by the parent indicates an understanding of the teaching? a. I will ensure that my child is tested for tuberculosis every year. 15.A nurse is caring for a 2-month-old infant who has heart failure and is receiving furosemide. Which of the following finding is the nurse’s priority ? b. negative doll’s eye reflex. 16.A nurse in an emergency department is caring for a child who experienced submersion injury. Which of the following is the priority action for the nurse to take? c. Assist with intubation. 17.A nurse is caring for a school- age child who is experiencing a sickle cell crisis. Which of the following action s should the nurse take ? b. Apply warm compresses to the affected area. 19. A nurse is planning care for an adolescent following repair of Meckel diverticulum. Which of the following action should the nurse include in the plan of care? b. Maintain an NG tube for decompression. 20. A nurse is teaching a parent of a10-month-old infant about home safety. Which of the following instructions should the nurse include in the teaching?( select all that apply). a. place gate at the top and bottom of the stairs. b. Ensure the crib mattress is in the lowest position. 21. A nurse is communicating with a child who had hearing loss. Which of the following action should the nurse take? d. use light touch when initiating conversation. 22. A nurse is creating plan of care for an adolescent who has muscular dystrophy. Which of the following intervention should the include in the plan ? c .recommend the adolescent use a wheel chair to prevent stress the lower extremities. 23. A nurse is creating a plan of care for a toddler who is recovering following a routine surgical procedure. Which of the following interventions should the include. c. encourage the toddler to use an incentive spirometer. 24. a nurse is caring for a child who has bacterial meningitis. Which of the following finding s should indicate to the nurse that the child can be removed from droplet precaution? a. antibiotics initiated 24hr ago 25. A nurse is preparing to perform a venipuncture to collect a blood sample from an infant. Which of the following restraints should the nurse plan to use for this this procedure. a. Mummy b. Elbow ? c. Mitten d. Jacket 27. a nurse is planning to perform tracheostomy care for a toddler . which of the following is an appropriated action for nurse to take? a. use clean technique to change the tracheostomy tube. 28. A nurse is teaching an adolescent who has type1 diabetes mellitus. Which of the following finding is the nurse priority? d. pre-prandial blood glucose.124mg/dL. 42. A nurse is planning to admit a preschooler from the PACU following removal of a Wilms’ tumor. Which of the following children should the nurse identify as an appropriate roommate for the preschooler ? a. A child who has a fractured lef t femur. 43.A nurse is planning to administer immunizations to a 2-month –old infant. Which of the following actions should the nurse take to decrease the infant pain. d. Administer the injections while the infant is breastfeeding. 44. A nurse is caring for a 4-year old child who is postoperative following an appendectomy. Which of the following pain rating scales should the nurse use to assess the child’s need for pain medication ? c. FACE 45. A nurse is reviewing the medical record of a 15-month –old child who is schedule to receive the measles. Mumps. And rubella MMR vaccine. Which of the following finding should the nurse identify as a contraindication for receiving this vaccine. a. Allergy to neomycin 46A nurse is caring for a child who received partial –thickness burn s to over 50% of his body 10 days ago and has splints over his joints to prevent contractures. Which of the following action should the nurse take? ( select all that apply.). b. Administer analgesics IM . monitor intake and output e. change dressing using aseptic technique. 47. A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following immunization should the nurse include in the plan? a. pneumococcal conjugate (PCV13) 48. A nurse is assessing an client who has Hodgkin’s lymphoma .which of the following finding s should the nurse expect? d. night sweat. 49. A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that infant should receive the first dose of which of the following 12 months of age. Varicella. 50. A nurse in a community clinic is reviewing the laboratory result of four client s. the nurse should identify that which of the following sexually transmitted infections is nationally notifiable. ? b. Gonorrhea 51.A nurse is caring for a group of client s. which of the following findings should the nurse report to the provider? a. An 18 –month –old toddler who has a heart rate of 68/min. 52. A nurse is caring for a preschooler who has a brain tumor. Which of the following findings is the priority for the nurse to report to the provider. A. diplopia. 53. a nurse is admitting a child who has acute epiglottitis. Which of the following action should the nurse take? a. initiate droplet isolation precaution. 54. A nurse is caring for an infant who has increase intracranial pressure (ICP). Which of th following should the nurse identify as late finding of (ICP) ? a. Flexion posturing 55. A nurse is assessing a 24- month –old toddler. Which of the following finding should the nurse report to the provider ? a. Has a vocabulary of 30 words. 56. A nurse is teaching about growth and development to a parent of 12 year-old child .the nurse should instruct the parent to expect the child to exhibit which of the following characteristics during early adolescent. d. mood swing. 57. A nurse is evaluating 4-year –old child who has cystic fibrosis and has been receiving chest physiotherapy treatments the nurse should identify which of the following finding as an indication that the therapy has been effective ? increase expectoration 58. A nurse is providing teaching to the guardians of an infant who require a pavlik harness. Which instructions should the nurse include ? b. place the diaper under the straps of the hardness.