ATI RN Nursing Care of Children Online Practice 2019 B

1. A nurse is assessing the pain level of a 3 year old toddler. Which of the following assessment scales should the nurse use? FACES Numeric CRIES Visual Analog - FACES 2. A nurse is planning an educational program to teach parents about protecting their children from sunburns. Which of the following instructions should the nurse plan to include? "Allow your child to play outside during the hours between 10:00 a.m. and 2:00 p.m." "Choose a waterproof sunscreen with a minimum SPF of 15." "Dress your child in loose weave polyester fabric prior to sun exposure." "Reapply sunscreen every 4 hours." - "Choose a waterproof sunscreen with a minimum SPF of 15." 3. A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a more extensive hearing evaluation? An 18-month-old toddler who has unintelligible speech A 3-month-old infant who has an exaggerated startle response A 4-year-old preschooler who prefers playing with others rather than alone An 8-month-old infant who is not yet making babbling sounds - An 8-month-old infant who is not yet making babbling sounds 4. 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 - Sunken anterior fontanel 5. A nurse is admitting a 4-month-old infant who has heart failure. Which of the following findings is the nurse's priority? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data). Episodes of vomiting Formula consumption Weight Temperature - Episdoes of vomiting 6. A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic arthrisis. Which of the following instructions should the nurse include in the teaching? "Limit movement of the child's large joints." "Encourage the child to perform independent self-care." "Provide the child with a soft mattress for sleeping." "Schedule a 2-hour daily nap for the child in the afternoon." - "Encourage the child to perform independent self-care." 7. A nurse is planning care for a school age child who has a tunneled central venous access device. Which of the following interventions should the nurse include in the plan? Use sterile scissors to remove the dressing from the site. Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in use. Access the site using a noncoring angled needle. Use a semipermeable transparent dressing to cover the site. - Use a semipermeable transparent dressing to cover the site. 8. A nurse is providing anticipatory guidance to the parent of a toddler. Which of the following expected behavior characteristics of toddlers should the nurse include? Controls impulsive feelings Understands right from wrong Easily separates from parents for long periods of time Expresses likes and dislikes - Expresses likes and dislikes 9. A nurse is providing discharge teaching to the parent of a school age child who has moderate persistent asthma. Which of the following instructions should the nurse include? "You should give your child their salmeterol inhaler every 4 hours when they are having an acute episode of wheezing." "You should monitor your child's weight weekly while they are receiving inhaled corticosteroid therapy." "Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy." "When using the peak expiratory flow meter, record your child's average of three readings." - "Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy." 10. A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the following findings indicates effectiveness of the medication? Reports an absence of nausea and vomiting Reports experiencing an onset of loose stools within 15 min of administration Serum potassium level 4.1 mEq/L Blood pressure 86/52 mm Hg - Serum potassium level 4.1 mEq/L 11. A nurse is assessing an infant who has pneumonia. Which of the following findings is the priority for the nurse to report the provider? Nasal flaring WBC count 11,300/mm3 Diarrhea Abdominal distension - Nasal flaring