ATI PEDS Proctored Exam, ATI Peds- Use this one for Test Graded A+ 2024

diet A nurse is completing an admission assessment on an adolescent child who is a vegetarian. He eats milk products but does not like beans. Which of the following items should the nurse suggest the client order for lunch to provide nutrients most likely to be lacking in his diet? Peanut Butter and Jelly Sandwich dose A nurse is caring for a 1-month old infant who weighs 3540 3.52 g and is prescribed a dose of cefazolin 50mg/kg IV bolus TID. How many mg should the nurse administer per dose? 176 administering A nurse is preforming a pre-college assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering? Meningococcal polysaccharide vaccine expect A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect? Nocturia at night effects A nurse is caring for a client who has active TB and is to be started on IV rifampin therapy. The nurse should instruct the client that this medication can cause which of the following adverse effects? Body sections turning a red orange color expect A nurse is caring for a 6-week-old infant who as a pyloric stenosis. Which of the following manifestations should the nurse expect? Projectile vomiting parents A nurse receives a call from a parent of a child who has von Willebrand disease and has having a nosebleed. Which of the following instructions should the nurse give to the parents? "Have your child sit with her head tilted forward and hold pressure on her nose for 10 minutes." expect A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect? Pain demonstration A nurse is providing preoperative teaching by demonstrating diaphragmatic breathing to a client who is scheduled for surgery in the morning. Which of the following actions should the nurse include in the demonstration? Place her hands on the sides of her rib cage expect A nurse is assessing a 3-year-old child who has aortic stenosis. Which of the following findings should the nurse expect? (select all that apply). -Hypotension -Weak pulses -Murmur monitor A nurse is planning care for a client who has idiopathic thrombocytopenic purpur (ITP). Which of the following manifestations is the most appropriate for the nurse to monitor? Bleeding teaching A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled for initial surgery. Which of the following statements indicates an understanding of the teaching? I'm glad that my child's ostomy is only temporary teaching A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicated an understanding of the teaching? All recently used clothing, bedding, and towels must be washed in hot water. ages A nurse is providing dietary teaching to the parents of a newborn who is being breastfed. The nurse should instruct that the transition to whole milk can occur at which of the following ages? 12 months expect A nurse is assessing a 6-month old patient at a well-child visit. Which of the following findings should the nurse expect? Closed posterior fontanel dose A nurse is caring for a 2-year old child who has seizures and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose? Shake the container vigorously. care A nurse is planning care for a female client who has a T4 spinal cord injury and is at risk for acquiring urinary tract infections. Which of the following actions should the nurse include in the client's plan of care? Obtain a order for an in and out catheter take A nurse is planning care for a child who has suspected epiglottis. Which of the following actions should the nurse take? Place the child on droplet precautions calcium A nurse is instructing a group of clients regarding calcium rich food. Which of the following should the nurse include in the teaching as the best source of calcium? 1 cup of milk make A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The parent begins to cry and says " I don't understand why my child is so upset. I've never seen my child act this way around others before." Which of the following statements should the nurse make? This is a normal, expected reaction for a child of this age cooperation A nurse is caring for a 4-year-old child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child's cooperation? Offer the child a choice of crushed pills or elixir tray A nurse is caring for a client who requires droplet precautions. Which of the following personal protective equipment should the nurse wear when setting up the meal tray? Mask teaching A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching? The client holds his breath for 10 seconds after inhaling the medication. take A nurse is caring for a 2-month-old infant who is post-operative following surgical repair of a cleft lip. Which of the following actions should the nurse take? Encourage the parents to rock the infant diagnosis A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis? Cardiovascular teaching A nurse is providing teaching to a client who has oral candidiasis and a new script for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching? "I will store the medication at room temperature" infection A nurse is assessing a client who has diabetes mellitus and reports foot pain. The nurse should evaluate the client for which of the following alterations as indications that the client has an infection? (Select all that apply). -An increase in neutrophils -Localized edema first A nurse is removing PPE after giving direct care to a client who requires isolation. Which of the following must be removed first? Gloves reaction A nurse is assessing a client who is receiving a unit of RBC. Which of the following findings is a manifestation of acute hemolytic reaction? Client reports lower back pain teaching A nurse is teaching a group of clients about emergency care for a snake bite. Which of the following information should the nurse include in the teaching? Immobilize the limb at the level of the heart. expect A nurse is assessing a client who has right ventricular failure. Which of the following findings should the nurse expect? Hepatomegaly care A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care? Measure head circumference every shift take A nurse is caring for a pre-school child who has epiglottitis with a barking cough. Which of the following actions should the nurse take? Monitor O2 sat time A nurse is caring for a child who 2 hr postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time? Crushed Ice complication A nurse is assessing a client who has a fracture of the femur. The nurse obtains vital signs on admission and again in 2 hours. Which of the following assessment should indicate to the nurse that the client could be developing a serious complication? Dyspnea include A nurse is providing discharge teaching to a client who has SLE. Which of the following instructions should the nurse include? I should wear gloves when it is cold outside flow A nurse is caring for an infant who has congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow? Patent ductus arteriosus administer A community health nurse in a pediatric clinic is reviewing a history of a 12-year-old client. Which of the following immunizations should the nurse expect to administer? Meningococcal conjugate infant A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant? Trendelenburg take A nurse is caring for a client who has a prescription for digoxin 0.25mg PO daily. The amount available is 0.125mg tab. The client's current vital signs are: BP 144/96, hear rate 54/min, respirations 18/min, and temperature 98.6 F. Which of the following actions should the nurse take? Withhold the digoxin dose for decreased pulse rate nurse 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? The teacher says my child has to squint to see the board teaching A nurse is reinforcing teaching about food choices with the mother of an 8-month-old infant. Which of the following statements by the mother indicates a need for further teaching? I will give my child peanut butter and mashed egg whites take A nurse in an emergency room is caring for a client who sustained partial- thickness burns to both lower legs, chest, face, and both forearms. Which of the following is the priority action the nurse should take? Inspect the mouth for sings of inhalation injuries client A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client? A private room decreased A nurse is reviewing the lab findings for a client who has ITP. Which of the following findings should the nurse expect to be decreased? Platelets expect A nurse is assessing a client who has SLE. Which of the following findings should the nurse expect? Decreased urine output. Butterfly rash. Joint inflammation. diseases A nurse is caring for a group of clients in an infectious disease unit. The nurse should wear OSHA-approved N95 respirator mask when caring for a client with which of the following infectious diseases? TB medicationA nurse is teaching a client about taking diphenhydramine. The nurse should explain to the client that which of the following is an adverse effect of this medication? Sedation child A nurse is admitting a child who has leukemia. Which of the following clients should the nurse place in the same room with this child? A child who has nephrotic syndrome include A nurse is instructing the parents of a client who has a new prescription for methylphenidate. Which of the following instructions should the nurse include? Take the medication orally once daily in the morning. first A nurse is caring for a client who is experiencing anaphylactic shock in response to the administration of PCN. Which of the following meds should the nurse administer first? Epinephrine include A nurse is providing teaching to a parent of a toddler about appropriate snacks. Which of the following foods should the nurse include? A: Graham crackers are appropriate snack foods for toddlers B:Apple slices are appropriate snack foods for toddlers E: Cheese cubes are appropriate snack foods for toddlers include A nurse is creating a teaching plan for a client who has thrombocytopenia. Which of the following instructions should the nurse include? (select all that apply). Avoid ventipucture take A nurse is admitting a toddler who has respiratory syncytial virus (RSV). Which of the following actions should the nurse take? Keep thermometer in the toddler's room. products A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of the following products? Recombinant expect A nurse is assessing a school-aged child whose blood glucose level is 280. Which of the following findings should the nurse expect? Lethargy client A nurse is assessing for cyanosis in a client who has dark skin. Which of the following sites should the nurse examine to identify cyanosis in this client? Conjunctiva, lips, and oral mucous. first A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following action should the nurse take first? Check the clients vital signs. medication A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid arthritis. The nurse should inform the client that which of the following is a therapeutic effect of this medication? Decreases inflammation care A nurse is caring for a client who just had a cardiac catherization. Which of the following nursing interventions should the nurse include in the clients plan of care? Notify the provider of the client's allergy. priority A nurse in an urgent care center is caring for a client who is having an acute asthma exacerbation. Which of the following actions is the nurse's highest priority? Administering a nebulizer beta- adrenergic interventions A nurse is assessing a 9-month-old infant. Which of the following findings require further interventions? Positive Moro reflex priority A nurse is caring for a client who has HIV. Which of the following lab values is the nurse's priority? CD4-T- cell count less than 180 cells/mm healing A nurse is providing dietary teaching to a client who has a burn injury and adheres to a vegan diet. The nurse should recommend which of the following foods as the best source of protein to promote wound healing? One cup of lentils take A nurse is caring for a client who has hemophilia A and hemarthrosis of the left knee. Which of the following actions should the nurse take? Prepare for replacement of the missing clotting factor provider A nurse is assessing a client who has infective endocarditis. Which of the following findings should be the priority for the nurse to report to the provider? Dyspnea synthesis A nurse is caring for a client who is well-hydrated and who demonstrates no evidence of anemia. Which of the following lab values gives the nurse an assessment of the adequacy of the client's protein uptake and synthesis? Albumin bed A child is admitted with suspected diagnosis of Wilms' tumor. The nurse should place a sign with which of the following warnings over the child's bed? Do not palpate abdomen. intervention A nurse in the ER is caring for a client who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention? Airway obstruction murmur A client tells the nurse that he is concerned because his provider told him he has a heart murmur. The nurse should explain to the client that a murmur? Indicates turbulent blood flow through a valve. take A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take? Tell the client to blow her nose gently before the instillation. admission A nurse is caring for an 8-year-old who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission? Auscultating the rate and characteristics of the child's heart sounds. plan A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart failure. Which of the following interventions should the nurse include in the plan? provide small, frequent meals for the child teaching.A nurse is teaching the parent of an infant who has Pavlik harness for the treatment of developmental dysplasia of the hip. The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching? "I will place my infant's diaper under the harness straps." plan A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury (AKI) and has a sodium level of 129 meq/L. Which of the following interventions should the nurse include in the plan? initiate seizure precautions for the child expect A nurse is assessing a school-age child immediately following a perforated appendix repair. Which of the following findings should the nurse expect? absence of peristalsis take A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the nurse take? apply topical analgesic cream to the site 1hr prior to the procedure first A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first? epinephrine teaching A nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks. Which of the following statements by the parent indicates an understanding of the teaching? "I house keep my child indoors when I mow the yard." child A nurse is providing dietary teaching to the parent of a school-age child who has celiac disease. The nurse should recommend that the parent offer which of the following foods to the child? white rice anemia A nurse is reviewing the laboratory report of a school-age child who is experiencing fatigue. Which of the following findings should the nurse recognize as an indication of anemia? hematocrit 28% take A nurse is preparing to collect a sample form a toddler for a sickle-turbidity test. Which of the following actions should the nurse plant to take? perform a finger stick provider A nurse is assessing a school-age child who has meningitis. Which of the following findings is the priority for the nurse to report to the provider? petechiae on the lower extremities expect A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should the nurse expect? loud, hard murmur plan A nurse is creating a plan of care for an infant who has an epidural hematoma form a head injury. Which of the following interventions should the nurse include in the plan? implement seizure precautions for the infant kidney A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney? serum creatinine 3.0 mg/dL provider A nurse in an emergency department is performing a physical assessment on a 2 week old male newborn. Which of the following findings is priority for the nurse to report to the provider? substernal retractions make A hospice nurse is caring for a preschooler who has a terminal illness. One of the preschooler's parents tells the nurse that they cannot cope anymore and are thinking about moving out of the house. Which of the following statements should the nurse make? "Let's talk about some of the ways you have handled previous stressors in your life." provider A nurse is reviewing the laboratory report of a 7-year-old child who is receiving chemotherapy. Which of the following laboratory values should the nurse report to the provider? hgb 8.5g/dL We have an expert-written solution to this problem! make A nurse is caring for a 15 year old client who is married and is scheduled for a surgical procedure. The client asks, "Who should sign my surgical consent?" Which of the following responses should the nurse make? "You can sign the consent form because you are married" observe A nurse is assessing a 4 year old child at a well-child visit. Which of the following developmental milestones should the nurse expect to observe? cuts an outlined shape using scissors control A nurse is caring for an infant who has respiratory syncytial virus (RSV). Which of the following actions should the nurse implement for a infection control? have a designated stethoscope in the infant's room take A nurse in an emergency department is caring for a school-age child who has appendicitis and rates their pain as 7 on a 0-10 scale. Which of the following actions should the nurse take? give morphine 0.05mg/kg IV shock A nurse is assessing the vital signs of a 10 year old child following a burn injury. The nurse should identify that which of the following findings is an indication of early septic shock? Temp 39.1 Degrees C (102.4 Degrees F) abuse A school nurse is assessing an adolescent who has multiple burns in various stages of healing. Which of the following behaviors should the nurse identify as a possible indication of physical abuse? denies discomfort during assessment of injuries (SIADH)- A nurse is caring for a 15 year old client following a head injury. Which of the following should the nurse identify as an indication that the child is developing syndrome of inappropriate antidiuretic hormone secretion (SIADH)? mental confusion expect A nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy. Which of the following findings should the nurse expect? (Select all the apply) ankle clonus exaggerated stretch reflexes contractures expect A school nurse is assessing an adolescent who has scoliosis. Which of the following findings should the nurse expect? a unilateral rib hump return A nurse is caring for a preschooler whose father is going home for a few hours while another relative stays with the child. Which of the following statements should the nurse make to explain to the child when their father will return? "Your daddy will be back after you eat. take A nurse is caring for a preschooler who has been receiving IV fluids via a peripheral IV catheter. When preparing to discontinue the IV fluids and catheter, which of the following actions should the nurse plan to take? (place in order of performance) Turn off the IV pump occlude the IV tubing remove the tape securing the catheter apply pressure over the catheter insertion site period A nurse is caring for a school-age child who has experienced a tonic-clonic seizure. Which of the following actions should the nurse take during the immediate postictal period? place the child in a side-laying position teaching A nurse is teaching the guardian of a 6 month old infant about car seat use. Which of the following statements by the guardian indicates an understanding of the teaching? "I should secure the car seat using lower anchors and tethers instead of the seat belt. pertussis A nurse in an urgent care clinic is assessing an adolescent who has an upper respiratory tract infection. Which of the following findings should the nurse identify as a manifestation of pertussis? dry, hacking cough take A nurse is preparing to administer an immunization to a 4 year old child. Which of the following actions should the nurse plan to take? administer the immunization using a 24 gauge needle referral A nurse is providing discharge teaching to the parent of a child who is 1 week postop following a cleft palate repair. For which of the following members of the interprofessional team should the nurse initiate a referral? speech therapist reaction A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the following manifestations should alert the nurse to a possible hemolytic transfusion reaction? flank pain take A nurse in an emergency department is caring for a toddler who has partial- thickness burns on their right arm. Which of the following actions should the nurse take? cleanse the affected area with mild soap and water meningitis A nurse is reviewing the lumbar puncture results of a school-age child who is suspected of having bacterial meningitis. Which of the following findings should the nurse identify as an indication of bacterial meningitis? increased protein concentration provider A nurse is assessing a 3 year old toddler at a well-child visit. Which of the following manifestations should the nurse report to the provider? RR 45 teaching A nurse is teaching the parents of a school-age child who has a new diagnosis of osteomyelitis of the tibia. Which of the following statements by a parent indicates an understanding of the teaching? "My child will receive antibiotics for several weeks." child A nurse is providing teaching about play activities for social development to the parents of a preschooler. Which of the following play activities should the nurse recommend for the child? playing dress-up treatment A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. The nurse should identify that which of the following laboratory values indicates effectiveness of the current treatment? sodium 140 mEq/L procedure A nurse is caring for a preschooler who is scheduled for hydrotherapy treatment for wound debridement following a burn injury. Which of the following actions should the nurse take prior to the procedure? administer an analgesic to the child abuse A charge nurse in an emergency department is preparing an in-service for a group of newly licensed nurses about the manifestations of child maltreatment. Which of the following manifestations should the charge nurse include as a potential indication of physical abuse? symmetric burns of the lower extremities