ATI PEDS Proctored Exam

1. 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 2. A nurse is caring for a 1-month old infant who weighs 3540 g and is prescribed a dose of cefazolin 50mg/kg IV bolus TID. How many mg should the nurse administer per dose? - 3. A nurse is preforming a pre-college assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering? - Meningococcal polysaccharide vaccine 4. A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect? - Nocturia at night 5. 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 6. 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 7. 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." 8. A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect? - Pain 9. 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 10. 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 11. -Weak pulses 12. -Murmur 13. 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 14. 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 15. 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. 16. 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 17. 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 18. 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. 19. 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 20. 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 21. 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 22. 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 23. 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 24. 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 25. 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. 26. 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 27. 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 28. 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" 29. 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 30. -Localized edema 31. A nurse is removing PPE after giving direct care to a client who requires isolation. Which of the following must be removed first? - Gloves 32. 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 33. 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. 34. A nurse is assessing a client who has right ventricular failure. Which of the following findings should the nurse expect? - Hepatomegaly 35. 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 36. 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 37. 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 38. 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 39. 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 40. 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 41. 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 42. 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 43. 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 44. 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 45. 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 46. A nurse in an emergency room is caring for a client who sustained partialthickness 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 47. 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 48. 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 49. A nurse is assessing a client who has SLE. Which of the following findings should the nurse expect? - Decreased urine output. 50. Butterfly rash. 51. Joint inflammation.