ATI Pediatrics Study guide

ATI PEDS 1.A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate? A. "As a nurse, I am required by law to report suspected child abuse." B. "I am unable to discuss this, but I can contact my supervisor to speak with you." C. "The provider will be coming to explain the situation." D. "I reported the incident to my supervisor who decided to contact the authorities." 2.A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse? A. "The teacher says my child has to squint to see the board." B. "My child has recently lost both front top teeth." C. "My child often cheats when we play board games." D. "Sometimes my child acts bossy with his friends." 3.A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? (Select all that apply.) A. Measles, mumps rubella (MMR) B. Diphtheria, tetanus and acellular pertussis (DTaP) C. Varicella (VAR) D. Rotavirus (RV) E. Human papillomavirus (HPV4) 4.A nurse is assessing a toddler at a well-child visit. At what point in the physical examination should the nurse examine the child's tympanic membrane? A. At the end B. At the beginning C. Before examining the head and neck D. Before auscultating the chest and abdomen 5.A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take? A. Encourage the parents to rock the infant. B. Offer the infant a pacifier. C. Administer ibuprofen as needed for pain. D. Position the infant on her abdomen. 6.A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) A. 1. Inspection B. 3. Superficial palpation C. 4. Deep palpation D. 2. Auscultation 7.A nurse is caring for a 4-year-old child who has croup and wet the bed overnight. When the parents visit the next day, the nurse explains the situation and one of the parents says, "She never wets the bed at home. I am so embarrassed." Which of the following responses should the nurse make? A. "It is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better." B. "I know this can really be embarrassing. I have kids myself, so I understand, and it doesn't bother me." C. "Your child did not seem upset, so I wouldn't worry about it if I were you." D. "Why does it bother you that your child has wet the bed?" 8.A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in order to meet the developmental needs of the client? A. Large building blocks B. Hanging crib toys C. Modeling clay D. Crayons and a coloring book 9.A nurse is reviewing data for four children. Which of the following children should the nurse assess first? A. A 10-year-old child who has sickle cell anemia who reports severe chest pain B. A 7-year-old child who has diabetes insipidus and a urine specific gravity of 1.016 C. A 1-year-old toddler who has roseola and a temperature of 39° C (102.2° F) D. A 4-year-old child who has asthma and a PCO2 of 37 mm Hg 10.A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days. After the toddler's mother leaves the room, the nurse observes the toddler sitting quietly in the corner of the crib, sucking her thumb. When the nurse approaches the crib, the toddler turns away from the nurse. The nurse should understand that these behaviors indicate which of the following developmental reactions? A. An anxiety reaction B. Regression C. Resentment toward the mother D. Developing autonomy 11.A nurse is caring for a 2-year-old child who is hospitalized and throws a tantrum when his parent leaves. Which of the following toys should the nurse provide to alleviate the child's stress? A. Set of building blocks B. Toy hammer and pounding board C. Picture book about hospitals D. Stuffed animal 12.A nurse is caring for a child who ingested kerosene. Which of the following assessments is the nurse's priority? A. Respiratory rate B. Burns of the mouth C. Bowel sounds D. Visual acuity 13.A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the plan of care to meet the client's psychosocial needs according to Erikson? A. Encourage the client to complete school work. B. Vary the child's schedule each day. C. Discourage visits from the client's friends. D. Provide a daily session with a play therapist. 14.A parent of a toddler asks a nurse at a well-child visit how the child's frequent temper tantrums can best be handled. Which of the following actions should the nurse suggest to the parent? A. Restrain the child physically. B. Ignore the temper tantrums. C. Tell the child that temper tantrums are not acceptable. D. Distract the child by offering to play a game. 15.A nurse is assessing a female child in an area struck by an earthquake. The child, who is crying, walks well, can state her first name, and repeatedly says "All done" and "Go bye-bye now" during the assessment. The child has 24 deciduous teeth and her anterior fontanel is closed. Based on these observations, the nurse should estimate that the child is how many months old? A. 12 B. 18 C. 24 D. 30 16. A nurse is providing nutritional teaching to the mother of a preschooler and is recommending food options to provide 1 oz of grains. Which of the following foods should the nurse recommend? A. 1 cup ready-to-eat cereal flakes B. ½ slice whole wheat bread C. 1 cup cooked rice D. ½ flour tortilla 17. The parent of a 4-year-old child tells a nurse that the child believes there are monsters hiding in the closet at bedtime. Which one of the following statements should the nurse make? A. "Let your child sleep in your bed with you." B. "Keep a night light on in your child's room." C. "Tell your child that monsters are not real." D. "Stay with your child until the child is asleep." 18.A nurse is caring for a child who is on a clear liquid diet. At lunch, the child consumed ½ cup of juice, 3 oz gelatin, 1 oz of an ice pop, and 20 mL ginger ale. How many mL should the nurse record as the child's fluid intake? mL 19.A nurse participating in lead screening at a community center. The nurse should instruct parents to bring their children back for rescreening in a year for which of the following laboratory values? A. 4 mcg/dL B. 10 mcg/dL C. 18 mcg/dL D. 44 mcg/dL 20.A nurse is developing a health program for the parents of school-age boys. Which of the following information about pubescent changes should the nurse include in the program? A. Changes in the voice signal the beginning of puberty. B. Gynecomastia commonly occurs during late puberty. C. Puberty might be delayed if scrotal changes have not occurred by the age of 11 years. D. Growth spurts in height occur toward the end of midpuberty.