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1. A nurse is teaching the parents of a 4-month old infant who has gastroe-
sophageal reflux. Which of the following statements indicates an understand-
ing of the teaching?: "I will add 1 TBS of rice cereal per ounce to my baby's formula"
The parents can give the infant thickened feedings with rice cereal to help decrease
reflux. The added calories also can help infants who are underweight due to gas-
troesophageal reflux
2. A nurse is assessing a preschooler who has recurrent and persistent otitis
media. When obtaining the child's history from her parent, which of the fol-
lowing questions should the nurse ask?: "Does anyone smoke around or in the
same house as your child?"
Otitis media is an infection of the middle ear. Passive smoking promotes adherence
of respiratory pathogens to the lining of the middle ear space and prolongs the
inflammation and impedes drainage from the ear
3. A nurse is caring for an 18-year-old adolescent who is up-to-date on im-
munizations and is planning to attend college. The nurse should recommend
which of the following immunizations prior to moving into a campus dormito-
ry?: Meningococcal polysaccharide
used to prevent infection by m bacteria. This infection can cause life-threatening
illness such as m meningitis and meningococcemia(blood). Both can be fatal. CDC
recommends this for all incoming college students staying in dormitories.
4. A nurse is caring for a 12-month-old infant following the surgical repair of
a cleft palate. The nurse should plan to feed the infant using which of the
following instruments?: Cup
The infant should be fed clear liquids using a cup for 7-10 days following repair to
prevent trauma and injury tot he suture line
5. A nurse in a provider's office is assessing a client. The nurse determines the
client's BMI is 21.2. This finding is classified as which of the following?: Healthy
weight
BMI from 18.5-24.9 is the healthy range
6. A nurse is caring for a child who received penicillin IM 15 min ago. The child
is now irritable and restless. Which of the following actions should the nurse
take first?: Assess for laryngeal edema
The greatest risk to this child is bronchoconstriction due to an anaphylactic reaction
, ATI: nursing care of children dynamic quiz
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to penicillin. Therefore, the first action the nurse should take is to assess the child
for laryngeal edema and implement interventions to maintain patent airway.
7. A nurse is caring for an infant who is breastfed and is receiving amoxi-
cillin for an upper respiratory infection. AN assessment of the mouth reveals
whitish patches on the tongue that will not scrape off. Which of the following
actions should the nurse take?: Administer an antifungal medication after feed-
ings
This ensures adequate contact time with the oral mucosa and tongue to enhance
treatment of the oral candidiasis
8. A nurse is providing discharge teaching to parents whose infant had a ven-
triculoperitoneal shunt placement for the treatment of hydrocephalus. Which
statements by the parents indicates understanding of the teaching?: "We will
notify the provider right away if he has a fever"
Infection is a risk after v shunt insertion, especially 1-2 months after placement. The
parents should report fevers, vomiting, seizure activity, and decreased responsive-
ness, as these findings can indicate infection
9. A nurse is discussing the cause of chronic diarrhea with a client. Which of
the following conditions is caused by malabsorption?: Celiac disease
CD causes chronic diarrhea due to malabsorption. Other malabsorption conditions
include short-bowel syndrome, lactose intolerance and congenital enzyme deficien-
cy
10. A nurse is providing education to the parent of a toddler who is about to
receive an MMR immunization. Which statement by the parent indicates an
understanding of the teaching?: I will help my child to blow bubbles during the
injection
Providing distraction is a technique that can minimize pain and discomfort for the
child
11. A nurse is caring for an 8 yo child who has acute glomerulonephritis. which
of the findings should the nurse expect?: Periorbital edema
this is an expected finding. elevated BP is expected, stomatitis is expected with
chronic renal failure. bloody diarrhea is expected with hemolytic uremic syndrome
12. A nurse is caring for a 3yo child who has a cyanotic cardiac defect.
The child cries when her parents leave the room, worsening her cyanosis
and dyspnea. What position should the child be placed in to improve these
manifestations?: Knee-chest