ATI CMS Nursing Exam 1 2024

Assisting with administration of nasogastric enteral feeding for an infant (x2) - Position the head of crib at 30 degree angle between feedings Planning to administer a nasogastric enteral feeding - Always confirm placement first (with pH- you cannot just auscultate to confirm placement) then aspirate contents Best food options for a child who has phenylketonuria - Child with PKU cannot digest phenylalanine, which is present in most animal products Caring for a child in buck's traction - This is a skin traction of the lower extremity; make sure that knots are away from pulleys, that the leg remains extended, that weights are free-hanging at all times, that blankets do not cover ropes and that the child cannot reach or interfere with the mechanism Converting ounces to mL - 1 oz = 30 mL Dietary recommendations for a child who has celiac disease (x2) - Child with celiac disease cannot process plant protein gluten (present in wheat, barley, rye). Avoid oats b/c usually contaminated with gluten. Rice is okay! Dietary recommendations for child with lactose intolerance - Child needs supplementary calcium and vitamin D intake, as the dairy products that they cannot consume are high in calcium. Also, take lactase when consuming a dairy product. Findings associated with poststreptococcal glomerulonephritis - Oliguria Nutritional needs of the child who has acute postreptococcal glomerulonephritis - Sodium restrictions (they are puffy and edematous and sodium follows water; limit it) Reinforcing Dietary Teaching for a Child who is recovering from Glomerulnephritis - Pick lowest sodium option: apples Identifying nutritional risks in an adolescent - Adolescents tend to eat a lot of junk foods high in calories but low in other nutritional content. At risk for inadequate micronutrient nutrition. Priority findings to report with skeletal traction - Skeletal traction consists of force applied directly to bones through pins. Increased crusting or purulent drainage, along with other signs of infection, should be reported to provider. Priority intervention during a lumbar puncture - Immediately after the procedure, maintain the child in their side lying position to prevent injury to the spinal nerves. Responding to a patient's refusal of medication - "Provide the parent with vaccine information sheet." (Don't ask why, don't question them, don't tell them they HAVE to get vaccine) Identifying risk factors for Urinary Tract Infection - Constipation (bowel movements every 4-5 days), urinary stasis, episode/hypospadias Assisting with scoliosis screenings for school age children - Stand with feet together and then bend down as if touching toes, back parallel to floor Checking skin turgor in a child - Best on abdomen Deviation from expected growth and development for a 12 month old infant - Birth weight should be tripled Expected behavior for a 7 year old female child - Spends a lot of time by herself Facilitating communication for a child who has hearing loss - Speak slowly, facing the patient, avoid exaggerated movements, use facial expressions and hand gestures