ATI Peds Final Exam

A child is admitted with an anticipated diagnosis of Wilm's tumor. The nurse should place a sign with which of the following warnings over the child's bed. A. Do not palpate the abdomen. B. No venipuncture or BP in the left arm. C. Contact precautions. D. Collect all urine - A. Do not palpate the abdomen. A nurse is admitting a client a child who has leukemia. Which of the following clients should the nurse place in the room with the child? A. A child who has nephrotic syndrome. B. A child recovering from a ruptured appendix. C. A child who has rheumatic fever. D. A child who has cystic fibrosis. - A. A child who has nephrotic syndrome. A nurse is admitting a child who has leukemia and a critically low platelet count. Which of the following should the nurse initiate? A. Neutropenic. B. Bleeding. C. Contact. D. Droplet - B. Bleeding A nurse assessing a one year old toddler notices a large abdominal mass and pink frothy sputum. Which of the following disorders should the nurse suspect? A. Pyloric stenosis. B. Nephritic syndrome. C. Wilms' tumor. D. Intussusception. - C. Wilms' tumor. A nurse is caring for a toddler whose parent states while bathing the child she noticed a mass in his abdomen and that his urine is pink in color. Which of the following actions is the nurses priority? A. Schedule the child for an abdominal ultrasound. B. Instruct the parent to avoid pressing on the abdominal area. C. Determine if the child is having pain. D. Obtain a urine specimen for a urinalysis. - B. Instruct the parent to avoid pressing on the abdominal area. A nurse is caring for a child on the oncology unit. The child's parents are asking the nurse about the cancer diagnosis. Which of the following information should the nurse provide the parents about the most common malignant renal and intraabdominal tumor of childhood? A. Ewing sarcoma. B. Osteosarcoma. C. Neuroblastoma. D. Wilms' tumor. - D. Wilms' tumor. A nurse on an oncology unit is assessing a child who has a brain tumor. Which of the following findings should the nurse expect? A. Negative babinski reflex. B. Increased appetite. C. Hyporeflexia. D. Tachycardia. - C. Hyporeflexia. A nurse is caring for a preschooler who has a partial-thickness burn on her right forearm. Which of the following findings should the nurse expect? A. Dry surface. B. Sensitive to touch. C. Would blanches with pressure. D. Intact epidermis. E. Blisters. - B. Sensitive to touch. C. Would blanches with pressure. E. Blisters. A nurse is caring for a 3 year old child who has had 160mL of urine output in the past 8 hour period. The child weighs 33 lbs. Which of the following actions should the nurse take? A. Notify the provider. B. Continue to monitor the client. C. Provide oral rehydration fluids. D. Perform a bladder scan at the bedside. - B. Continue to monitor the client. A nurse is caring for a 4 year old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection? A. A needless syringe and a doll. B. A video game. C. A story book about a child who has diabetes. D. A period of play in the playroom. - A. A needless syringe and a doll. A school nurse is assessing an adolescent who reports feeling shaky and is having difficulty speaking and concentrating on the questions the nurse is asking. The nurse checks the adolescents blood glucose level and identifies a value of 55 mg/dL. Which of the following findings should the nurse expect? A. Dry, flushed skin. B. Deep, rapid respirations. C. Tachycardia. D. Polyuria - C. Tachycardia. A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following should the nurse include in the teaching? A. Administer glucagon for hyperglycemia. B. Obtain an influenza vaccine annually. C. Inject insulin in the deltoid muscle. D. Take glyburide with breakfast. - B. Obtain an influenza vaccine annually. A nurse is providing teaching about self-administration of insulin to the parent of a school-aged child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parent indicates a need for further teaching? A. I will be sure my child aspirates before injecting the insulin. B. The insulin can be injected anywhere there is adipose tissue. C. I will be sure my child rotates sites after 5 injections in one area. D. The insulin should be injected at a 90 degree angle. - A. I will be sure my child aspirates before injecting the insulin. A nurse is providing discharge teaching to the parents of a child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parents indicates an understanding of the teaching? A. The onset of low blood glucose usually occurs slowly. B. My son might complain of feeling shaky when he has a low glucose level. C. Sweating can occur with hyperglycemia. D. My son might have nausea and vomiting with hypoglycemia. - B. My son might complain of feeling shaky when he has a low glucose level. A nurse is assessing a school-age child whose blood glucose level is 280 mg/dL. Which of the following findings should the nurse expect? A. Lethargy B. Pallor. C. Tremors D. Shallow respirations. - A. Lethargy A nurse is caring for a 7 year old child who has an upper respiratory infection and type 1 diabetes mellitus. Which of the following statements by the mother indicates a need for further instruction? A. I will encourage her to drink half a cup of water or sugar-free fluids every 30 minutes. B. I will report a change in her breathing or any signs of confusion. C. I will notify the doctor if her temperature is not controlled with acetaminophen. D. I will continue to check his blood sugar two times a day. - D. I will continue to check his blood sugar two times a day. A nurse is providing teaching to a school aged child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching? A. My morning blood glucose should be between 90 and 130. B. I should eat a snack a half an hour before playing soccer. C. I should not take my regular insulin when I am sick. D. I can store unopened bottles of insulin in the freezer. - B. I should eat a snack a half an hour before playing soccer. A nurse is teaching a school age child who has type 2 diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include? A. Withhold insulin dose if feeling nauseous. B. Notify the provider if blood glucose levels are over C. Test the urine for ketones. D. Limit fluid intake during meal time. - C. Test the urine for ketones. A nurse is providing teaching to a 17 year old female client who has severe acne about the use of isotretinoin. Which of the following adverse effects should the nurse the client is the priority to report to the provider? A. Frequent nosebleeds. B. Itching of skin. C. Back pain. D. Feelings of isolation - D. Feelings of isolation A nurse is providing teaching to a preschooler who has eczema. Which of the following instructions should the nurse include in the teaching? A. Apply a topical corticosteroid ointment to the affected area. B. Launder the child's clothing with fabric softener. C. Give the child a bubble bath every day. D. Dress the child in woolen clothes during cold months. - A. Apply a topical corticosteroid ointment to the affected area. A nurse is caring for an infant who has diaper dermatitis. Which of the following actions should the nurse take? A. Apply a light layer of talcum powder with each diaper change. B. Change to cloth diapers until the skin is healed. C. Expose the excoriated area to hot air frequently. D. Use moisturizer to wipe urine from the skin. - D. Use moisturizer to wipe urine from the skin. A nurse has accepted a position on a pediatric unit and is learning about psychosocial development. Place the Erikson's stages of psychosocial development in order from birth to adolescence.