2023 ATI Nursing Care of Children Proctored Exam 2023 , Nursing Care of Children ATI Proctored Exam 2023

2023 ATI Nursing Care of Children Proctored Exam 2023 , Nursing Care of Children ATI Proctored Exam 2023 A nurse in the emergency department is caring for a 2-year-old child who was found by his parents crying and holding a container of toilet bowl cleaner. The child's lips are edematous and inflamed, and he is drooling. Which of the following is the priority action by the nurse? a. Remove the child's contaminated clothing. b. Check the child's respiratory status. c. Administer an antidote to the child. d. Establish IV access for the child. Rationale: The nurse should apply the ABC priority-setting framework when answering this item. This framework emphasizes the basic core of human functioning: having an open airway, being able to breathe in adequate amounts of oxygen, and circulating oxygen to the body's organs via the blood. An alteration in any of these can indicate a threat to life, and is therefore the nurse’s priority concern. When applying the ABC priority setting framework, airway is always the highest priority because the airway must be clear and open for oxygen exchange to occur. Breathing is the second highest priority in the ABC priority setting framework because adequate ventilatory effort is essential in order for oxygen exchange to occur. Circulation is the third highest priority in the ABC priority setting framework because delivery of oxygen to critical organs only occurs if the heart and blood vessels are capable of efficiently carrying oxygen to them. The nurse observes that the child’s lips are edematous and inflamed and that he is drooling. These findings indicate that the child might have swelling of the oral cavity and pharynx, which can result in a compromised airway. 2. A nurse is teaching a parent of a 12-month old child about development during the toddleryears. Which of the following statements should the nurse include? a. "Your child should be referring to himself using the appropriate pronoun by 18 months of age." b. "A toddler's interest in looking at pictures occurs at 20 months of age." c. "A toddler should have daytime control of his bowel and bladder by 24 months of age." d. "Your child should be able to scribble spontaneously using a crayon at the age of 15 months." Rationale: The nurse should teach the parent that at the age of 15 months, the toddler should be able to scribble spontaneously, and at the age of 18 months, the toddler should be able to make strokes imitatively. 3. A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride 100 mL IV to infuse over 4 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) 25 gtt Rationale: 100ml/4 hr x 60gtt/1mlx 1 hr/60min= 6000/240= 25 gtt Ratio and Proportion STEP 1: What is the unit of measurement to calculate? gtt/min STEP 2: What is the volume needed? 100 mL STEP 3: What is the total infusion time? 4 hr STEP 4: Should the nurse convert the units of measurement? Yes (min does not equal hr) 1 hr/60 min = 4 hr/X min X = 240 min STEP 5: Set up an equation and solve for X. Volume (mL)/Time (min) = drop factor (gtt/mL) = X 100 mL/240 min x 60 gtt/mL = X gtt/min X = 25 STEP 6: Round if necessary. STEP 7: Reassess to determine whether the amount to administer makes sense. If the prescription reads 100 ml of 0.9% sodium chloride IV to infuse over 4 hr, it makes sense to administer 25 gtt/min. The nurse should set the manual IV infusion to deliver0.9% sodium chloride IV at 25 gtt/min. Dimensional Analysis STEP 1: What is the unit of measurement to calculate? gtt/min STEP 2: What is the volume needed? 100 mL STEP 3: What is the total infusion time? 4 hr STEP 4: Should the nurse convert the units of measurement? Yes (min does not equal hr) STEP 5: Set up an equation and solve for X. X = Quantity / 1 mL x Conversion (hr) / Conversion (min) x Volume (mL) / Time (hr) X gtt/min = 60 gtt/1 mL x 1 hr/ 60 min x 100 mL/4 hr X = 25 STEP 6: Round if necessary. STEP 7: Reassess to determine whether the amount to administer makes sense. If the prescription reads 100 ml of 0.9% sodium chloride IV to infuse over 4 hr, it makes sense to administer 25 gtt/min. The nurse should set the manual IV infusion to deliver 0.9% sodium chloride IV at 25 gtt/min. 1) A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative following hypospadiasrepair with a stent placement. Which of the following instructions should the nurse include in the teaching? a) "You may bathe your infant in an infant bathtub when you go home." b) "Apply hydrocortisone cream to your infant's penis daily." c) "You should clamp yourinfant'sstent twice daily." d) "Allow the stent to drain directly into your infant's diaper." 2) A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant? a) Wrist b) Great toe c) Index finger d) Heel 3) A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone. Following 1 week of treatment, which of the following manifestations indicates to the nurse that the medication is effective? a) Decreased edema b) Increased abdominal girth c) Decreased appetite d) Increased protein in the urine 4) A nurse is planning care for a newly admitted school-age child who has generalized seizure disorder. Which of the following interventionsshould the nurse plan to include? a) Ensure that a padded tongue blade is at the child's bedside. b) Allow the child to play video games on a tablet computer. c) Allow the child to take a tub bath independently. d) Ensure the oxygen source is functioning in the child's room. 5) A nurse isreceiving change-of-shift report for four children. Which of the following children should the nurse assess first? a) A toddler who has a concussion and an episode of forceful vomiting b) An adolescent who hasinfective endocarditis and reports having a headache c) An adolescent who was placed into halo traction 1 hr ago and reports pain as 6 on a scale of 0 to 10 d) A school-age child who has acute glomerulonephritis and brown-colored urine 6) A nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. Which of the following statementsshould the nurse make? a) "You should offer your child high-protein meals and snacks throughout the day." b) "You should decrease your child's dietary fat intake to lessthan 10% of their caloric intake." c) "You should restrict your child's calorie intake to 1,200 per day." d) "You should give your child a multivitamin once weekly." 7) A nurse is providing discharge teaching to the guardians of a toddler who had lower leg cast applied 24 hr ago. The nurse should instruct the guardians to report which of the following finding to the provider? a) Capillary refill time less than 2 seconds b) Restricted ability to move the toes c) Swelling of the casted foot when the leg is dependent d) Pedal pulse +3 bilateral 8) A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing dyspnea. The nurse should identify the sound as which of the following? 15 different versions of the ATI Nursing Care of Children Proctored Exam. The bundle includes 14 different ATI Exams. For this exam download the first item or the ATI e