ATI Nursing care of childrenc c c c
1.A nurse is caring for a 6-year-
c c c c c c
old child who is experiencing encopresis. Which of the following actions should the n
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urse take? c
Determine if there are any recent stressors in the child's environment
c c c c c c c c c c
2. A nurse is caring for a child who has an exacerbation of cystic fibrosis. Which of the
c c c c c c c c c c c c c c c c c
following laboratory findings should the nurse report to the provider immediately?
c c c c c c c c c c c
Oxygen saturation 85% c c
3. A nurse is a pediatric clinic is caring for a 3-year-
c c c c c c c c c c c
old child who has a blood lead level of 3 mcg/dL. When teaching the toddler's parent a
c c c c c c c c c c c c c c c c
bout the correlation of nutrition with lead poisoning, which of the following pieces of
c c c c c c c c c c c c c c
information is appropriate for the nurse to include? c c c c c c c
Ensure the child's dietary intake of calcium and iron is adequate
c c c c c c c c c c
4. A nurse is caring for a child who has sickle cell anemia and is experiencing a vaso-
c c c c c c c c c c c c c c c c c
occlusive crisis. Which of the following actions should the nurse take?
c c c c c c c c c c
Administer ibuprofen c
5. A nurse at a pediatric clinic is assessing a 5-month-
c c c c c c c c c c
old infant during a well child visit. Which of the following findings should the nurse r
c c c c c c c c c c c c c c c
eport to the provider?
c c c
Head lagging when the infant is pulled from a lying to a sitting position
c c c c c c c c c c c c c
6. A nurse is providing teaching to the guardians of an infant who has failure to thrive (
c c c c c c c c c c c c c c c c c
FTT). Which of the following pieces of information should the nurse include in the tea
c c c c c c c c c c c c c c
ching?
,Add fortified rice cereal to the infants formula
c c c c c c c
7. A nurse is an emergency department is caring for a 4-year-
c c c c c c c c c c c
old child who has burns to the neck and face following a house fire. Which of the follo
c c c c c c c c c c c c c c c c c
wing actions should the nurse take first?
c c c c c c
Determine the child's breathing pattern c c c c
8. A nurse is teaching to a group of parents of adolescents about developmental needs.
c c c c c c c c c c c c c c c
Which of the following statements by a parent should the nurse investigate further?
c c c c c c c c c c c c
"My child spends 4 hours per day using online chat rooms."
c c c c c c c c c c
9. A nurse is providing discharge teaching to parents whose infant had a ventriculoper
c c c c c c c c c c c c c
itoneal shunt placement for the treatment of hydrocephalus. Which of the following st
c c c c c c c c c c c c
atements by the parents indicates an understanding of the teaching?
c c c c c c c c c
"We will notify the doctor right away if he has a fever."
c c c c c c c c c c c
10. A nurse is performing a nutritional screening for a 12-year-
c c c c c c c c c c
old client who weighs 41 kg (90 lb) and has a height of 1.5 m (60 in). Which of the foll
c c c c c c c c c c c c c c c c c c c c
owing values is the client's body mass index (BMI)
c c c c c c c c
18.2 - c
to calculate the clients BMI, the nurse should divide the clients weight in kilograms b
c c c c c c c c c c c c c c c
y the square of the clients height in meters. Therefore, 41 kg divided by the square of 1
c c c c c c c c c c c c c c c c c
.5 m gives a correct BMI of 18.2
c c c c c c c
11. A nurse is teaching the parents of an infant about treatment option for profound se
c c c c c c c c c c c c c c c
nsorineural hearing loss. The nurse should include which of the following pieces of in
c c c c c c c c c c c c c
formation about the function of cochlear implants?
c c c c c c
The provide direct stimulation of auditory nerve fiber
c c c c c c c
,12. A nurse is instructing a group of parents and guardians about child development.
c c c c c c c c c c c c c c
Which of the following recommendations should the nurse make to promote the devel
c c c c c c c c c c c c
opmental task of industry in the school-age child?
c c c c c c c
Assign the child several small chores
c c c c c
13. A nurse is providing teaching to the guardian of an adolescent. The guardian repor
c c c c c c c c c c c c c c
ts that the adolescent sleeps about 10 hour on weekend nights. Which of the following
c c c c c c c c c c c c c c c
responses should the nurse provide? c c c c
"Adolescents need more sleep due to rapid growth." c c c c c c c
14. A nurse is caring for a child who is in skeletal traction. Which of the following acti
c c c c c c c c c c c c c c c c c
ons is the nurse's priority?
c c c c
Encourage the child to use an incentive spirometer c c c c c c c
15. A nurse is assessing the gross motor skills of a 4-year-
c c c c c c c c c c c
old preschooler. The nurse should expect the preschooler to perform which of the foll
c c c c c c c c c c c c c
owing activities? c
Hopping on 1 foot c c c
16. A nurse is caring for a school-aged child who begins to have a tonic-
c c c c c c c c c c c c c c
clinic seizure when leaving the bathroom. Which of the following actions should the n
c c c c c c c c c c c c c
urse take first?
c c
Ease the child to the floor in Sims' position
c c c c c c c c
17. A nurse is assessing a 4-year-
c c c c c c
old child. The nurse should expect the child to be able to perform which of the followi
c c c c c c c c c c c c c c c c
ng activities?
c
Fastening buttons on a shirt c c c c
, 18. A nurse is reviewing the laboratory report of a 2-year-
c c c c c c c c c c
old child who has diarrhea and has been vomiting for 24 hr. Which of the following fin
c c c c c c c c c c c c c c c c
dings should the nurse report to the provider?
c c c c c c c
Potassium 2.5 mEq/L c c
19. A nurse is evaluating the outcome of surgery for an infant who had a bile duct obst
c c c c c c c c c c c c c c c c c
ruction which of the following findings should indicate to the nurse that the surgery w
c c c c c c c c c c c c c c
as successful?
c
The color of the infants stool is yellowish-brown
c c c c c c c
20. A nurse is teaching an adolescent client who has type 1 diabetes mellitus about ma
c c c c c c c c c c c c c c c
naging hypoglycemia. Which of the following statements should the nurse include in t
c c c c c c c c c c c c
he teaching?
c
"You should drink 4 ox of orange juice if you experience hypoglycemia
c c c c c c c c c c c
21. A nurse is assessing the fine motor skills development of a 4-year-
c c c c c c c c c c c c
old child. The nurse should expect the child to be able to perform which of the followi
c c c c c c c c c c c c c c c c
ng activities?
c
Copying a square c c
A nurse is teaching the parents of a 4-month-
c c c c c c c c
old infant who has gastroesophageal reflex. Which of the following statements by a pa
c c c c c c c c c c c c c
rent indicates an understanding of the teaching?
c c c c c c
"I will add 1 teaspoon of rice cereal per ounce to my baby's formula"
c c c c c c c c c c c c c
A nurse is caring for a 15-month-
c c c c c c
old client who requires droplet precautions. Which of the following actions should the
c c c c c c c c c c c c
nurse take?
c c
1.A nurse is caring for a 6-year-
c c c c c c
old child who is experiencing encopresis. Which of the following actions should the n
c c c c c c c c c c c c c
urse take? c
Determine if there are any recent stressors in the child's environment
c c c c c c c c c c
2. A nurse is caring for a child who has an exacerbation of cystic fibrosis. Which of the
c c c c c c c c c c c c c c c c c
following laboratory findings should the nurse report to the provider immediately?
c c c c c c c c c c c
Oxygen saturation 85% c c
3. A nurse is a pediatric clinic is caring for a 3-year-
c c c c c c c c c c c
old child who has a blood lead level of 3 mcg/dL. When teaching the toddler's parent a
c c c c c c c c c c c c c c c c
bout the correlation of nutrition with lead poisoning, which of the following pieces of
c c c c c c c c c c c c c c
information is appropriate for the nurse to include? c c c c c c c
Ensure the child's dietary intake of calcium and iron is adequate
c c c c c c c c c c
4. A nurse is caring for a child who has sickle cell anemia and is experiencing a vaso-
c c c c c c c c c c c c c c c c c
occlusive crisis. Which of the following actions should the nurse take?
c c c c c c c c c c
Administer ibuprofen c
5. A nurse at a pediatric clinic is assessing a 5-month-
c c c c c c c c c c
old infant during a well child visit. Which of the following findings should the nurse r
c c c c c c c c c c c c c c c
eport to the provider?
c c c
Head lagging when the infant is pulled from a lying to a sitting position
c c c c c c c c c c c c c
6. A nurse is providing teaching to the guardians of an infant who has failure to thrive (
c c c c c c c c c c c c c c c c c
FTT). Which of the following pieces of information should the nurse include in the tea
c c c c c c c c c c c c c c
ching?
,Add fortified rice cereal to the infants formula
c c c c c c c
7. A nurse is an emergency department is caring for a 4-year-
c c c c c c c c c c c
old child who has burns to the neck and face following a house fire. Which of the follo
c c c c c c c c c c c c c c c c c
wing actions should the nurse take first?
c c c c c c
Determine the child's breathing pattern c c c c
8. A nurse is teaching to a group of parents of adolescents about developmental needs.
c c c c c c c c c c c c c c c
Which of the following statements by a parent should the nurse investigate further?
c c c c c c c c c c c c
"My child spends 4 hours per day using online chat rooms."
c c c c c c c c c c
9. A nurse is providing discharge teaching to parents whose infant had a ventriculoper
c c c c c c c c c c c c c
itoneal shunt placement for the treatment of hydrocephalus. Which of the following st
c c c c c c c c c c c c
atements by the parents indicates an understanding of the teaching?
c c c c c c c c c
"We will notify the doctor right away if he has a fever."
c c c c c c c c c c c
10. A nurse is performing a nutritional screening for a 12-year-
c c c c c c c c c c
old client who weighs 41 kg (90 lb) and has a height of 1.5 m (60 in). Which of the foll
c c c c c c c c c c c c c c c c c c c c
owing values is the client's body mass index (BMI)
c c c c c c c c
18.2 - c
to calculate the clients BMI, the nurse should divide the clients weight in kilograms b
c c c c c c c c c c c c c c c
y the square of the clients height in meters. Therefore, 41 kg divided by the square of 1
c c c c c c c c c c c c c c c c c
.5 m gives a correct BMI of 18.2
c c c c c c c
11. A nurse is teaching the parents of an infant about treatment option for profound se
c c c c c c c c c c c c c c c
nsorineural hearing loss. The nurse should include which of the following pieces of in
c c c c c c c c c c c c c
formation about the function of cochlear implants?
c c c c c c
The provide direct stimulation of auditory nerve fiber
c c c c c c c
,12. A nurse is instructing a group of parents and guardians about child development.
c c c c c c c c c c c c c c
Which of the following recommendations should the nurse make to promote the devel
c c c c c c c c c c c c
opmental task of industry in the school-age child?
c c c c c c c
Assign the child several small chores
c c c c c
13. A nurse is providing teaching to the guardian of an adolescent. The guardian repor
c c c c c c c c c c c c c c
ts that the adolescent sleeps about 10 hour on weekend nights. Which of the following
c c c c c c c c c c c c c c c
responses should the nurse provide? c c c c
"Adolescents need more sleep due to rapid growth." c c c c c c c
14. A nurse is caring for a child who is in skeletal traction. Which of the following acti
c c c c c c c c c c c c c c c c c
ons is the nurse's priority?
c c c c
Encourage the child to use an incentive spirometer c c c c c c c
15. A nurse is assessing the gross motor skills of a 4-year-
c c c c c c c c c c c
old preschooler. The nurse should expect the preschooler to perform which of the foll
c c c c c c c c c c c c c
owing activities? c
Hopping on 1 foot c c c
16. A nurse is caring for a school-aged child who begins to have a tonic-
c c c c c c c c c c c c c c
clinic seizure when leaving the bathroom. Which of the following actions should the n
c c c c c c c c c c c c c
urse take first?
c c
Ease the child to the floor in Sims' position
c c c c c c c c
17. A nurse is assessing a 4-year-
c c c c c c
old child. The nurse should expect the child to be able to perform which of the followi
c c c c c c c c c c c c c c c c
ng activities?
c
Fastening buttons on a shirt c c c c
, 18. A nurse is reviewing the laboratory report of a 2-year-
c c c c c c c c c c
old child who has diarrhea and has been vomiting for 24 hr. Which of the following fin
c c c c c c c c c c c c c c c c
dings should the nurse report to the provider?
c c c c c c c
Potassium 2.5 mEq/L c c
19. A nurse is evaluating the outcome of surgery for an infant who had a bile duct obst
c c c c c c c c c c c c c c c c c
ruction which of the following findings should indicate to the nurse that the surgery w
c c c c c c c c c c c c c c
as successful?
c
The color of the infants stool is yellowish-brown
c c c c c c c
20. A nurse is teaching an adolescent client who has type 1 diabetes mellitus about ma
c c c c c c c c c c c c c c c
naging hypoglycemia. Which of the following statements should the nurse include in t
c c c c c c c c c c c c
he teaching?
c
"You should drink 4 ox of orange juice if you experience hypoglycemia
c c c c c c c c c c c
21. A nurse is assessing the fine motor skills development of a 4-year-
c c c c c c c c c c c c
old child. The nurse should expect the child to be able to perform which of the followi
c c c c c c c c c c c c c c c c
ng activities?
c
Copying a square c c
A nurse is teaching the parents of a 4-month-
c c c c c c c c
old infant who has gastroesophageal reflex. Which of the following statements by a pa
c c c c c c c c c c c c c
rent indicates an understanding of the teaching?
c c c c c c
"I will add 1 teaspoon of rice cereal per ounce to my baby's formula"
c c c c c c c c c c c c c
A nurse is caring for a 15-month-
c c c c c c
old client who requires droplet precautions. Which of the following actions should the
c c c c c c c c c c c c
nurse take?
c c