ATI: Pediatrics
Study online at https://quizlet.com/_dfm53c
1. A nurse is teaching an Correct Answer: B. "You should drink 4 oz of orange juice if you experi-
adolescent client who ence hypoglycemia."
has type 1 diabetes mel- The nurse should tell the client to drink 4 oz of orange juice if hypo-
litus about managing hy- glycemia occurs.
poglycemia. Which of Incorrect Answers:
the following statements A. The nurse should tell the client to drink 6 oz (NOT 8 oz) of a regular
should the nurse include soft drink if hypoglycemia occurs.
in the teaching? C. The nurse should tell the client to take 4 glucose tablets (NOT 2) if
A. "You should drink 8 hypoglycemia occurs.
oz of a regular soft drink D. The nurse should tell the client to take 2 tsp (NOT 3) of sugar if
if you experience hypo- hypoglycemia occurs
glycemia."
B. "You should drink
4 oz of orange juice
if you experience hypo-
glycemia."
C. "You should take 2 glu-
cose tablets if you expe-
rience hypoglycemia."
D. "You should take 3 tsp
of sugar if you experi-
ence hypoglycemia."
2. A nurse is assessing a Correct Answer: A. Presence of sparse, fine pubic hair
6-year-old client at a The development of sexual characteristics prior to the age of 9 years
well-child visit. Which of in boys and 8 years in girls is an indication of precocious puberty and
the following findings requires further evaluation.
requires further assess- Incorrect Answers:
ment by the nurse? B. The head circumference of a school-age child decreases when com-
A. Presence of sparse, pared to full height due to skeletal lengthening.
fine pubic hair C. Body proportion varies with a slimmer appearance and longer legs
B. Decreased head cir- in a school-age child. Leg length increases and waist circumference
, ATI: Pediatrics
Study online at https://quizlet.com/_dfm53c
cumference compared decreases related to height in this age group.
to full height D. The deciduous teeth start shedding at this age, beginning with the
C. Increased leg length in lower central incisors
relation to height
D. Presence of a loose
central incisor
3. RBC Range: Male: 4.3-5.9 million/mm3
Female 3.5 -5.5 million/mm3
4. A nurse is assessing Correct Answer: A. Tension pneumothorax
an infant who develops The nurse should identify these manifestations as an indication the
respiratory distress, ab- infant is developing a tension pneumothorax. The infant might also
sence of breath sounds become cyanotic and show asymmetry of the thorax.
on one side, and devia- Incorrect Answers:
tion of the trachea away B. Manifestations of flail chest include a pulling of the traumatized rib
from the affected side. area inward during inspiration and outward during expiration.
Based on these manifes- C. Manifestations of pulmonary contusion include decreased breath
tations, which of the fol- sounds, tachycardia, tachypnea, and blood-tinged secretions.
lowing conditions is the D. Manifestations of a rib fracture include pain and ecchymosis in the
infant experiencing? area of trauma, swelling, and muscle spasms.
A. Tension pneumotho-
rax
B. Flail chest
C. Pulmonary contusion
D. Fractured rib
5. TSH Range: (0.5-5.0 µU/mL
6. A nurse is assessing Correct Answer: A. Koplik spots
a toddler who has Koplik spots are small, irregular oral lesions with a bluish-white center.
measles (rubeola). Which They are characteristic of measles (rubeola). Koplik spots appear about
of the following find- 2 days before the maculopapular rash and are accompanied by fevers,
, ATI: Pediatrics
Study online at https://quizlet.com/_dfm53c
ings should the nurse ex- malaise, conjunctivitis, and other cold manifestations.
pect? Incorrect Answers:
A. Koplik spots B. Swollen parotid glands are an expected finding in a child who has
B. Parotitis MUMPS.
C. Strawberry tongue C. Strawberry tongue is an expected finding in a child who has SCARLET
D. Paroxysmal coughing FEVER.
D. Paroxysmal coughing is an expected finding in a child who has
PERTUSSIS
7. Nevus simplex or Stork Discoloration that typically blanches with pressure and becomes more
bite prominent with crying. This finding does not require notification of the
provider.
8. A nurse is assess- D. Small bowel bacterial overgrowth is possible in people with HIV.
ing a preschooler who Intestinal problems may make a person with HIV more likely to have an
has HIV. Which of the overgrowth of bacteria. This may lead to diarrhea and other digestive
following manifestations issues
should the nurse ex- Incorrect Answers:
pect? A. Generalized petechiae are not a manifestation of HIV in a preschool-
A. Generalized petechi- er.
ae B. Jaundice is not a manifestation of HIV in a preschooler.
B. Jaundice C. Failure to thrive and weight loss are expected findings for a
C. Obesity preschooler who has HIV.
D. Chronic diarrhea
9. A nurse is assessing a Correct Answer: B. Murmur at the left sternal border
child who has a ventric- A ventricular septal defect (a hole in the septal wall between the ventri-
ular septal defect. Which cles) is an acyanotic heart defect. A systolic murmur can be heard best
of the following find- at the lower left sternal border. The sound is transmitted in the direction
ings should the nurse ex- of blood flow, so any backflow of blood from the left to the right ventricle
Study online at https://quizlet.com/_dfm53c
1. A nurse is teaching an Correct Answer: B. "You should drink 4 oz of orange juice if you experi-
adolescent client who ence hypoglycemia."
has type 1 diabetes mel- The nurse should tell the client to drink 4 oz of orange juice if hypo-
litus about managing hy- glycemia occurs.
poglycemia. Which of Incorrect Answers:
the following statements A. The nurse should tell the client to drink 6 oz (NOT 8 oz) of a regular
should the nurse include soft drink if hypoglycemia occurs.
in the teaching? C. The nurse should tell the client to take 4 glucose tablets (NOT 2) if
A. "You should drink 8 hypoglycemia occurs.
oz of a regular soft drink D. The nurse should tell the client to take 2 tsp (NOT 3) of sugar if
if you experience hypo- hypoglycemia occurs
glycemia."
B. "You should drink
4 oz of orange juice
if you experience hypo-
glycemia."
C. "You should take 2 glu-
cose tablets if you expe-
rience hypoglycemia."
D. "You should take 3 tsp
of sugar if you experi-
ence hypoglycemia."
2. A nurse is assessing a Correct Answer: A. Presence of sparse, fine pubic hair
6-year-old client at a The development of sexual characteristics prior to the age of 9 years
well-child visit. Which of in boys and 8 years in girls is an indication of precocious puberty and
the following findings requires further evaluation.
requires further assess- Incorrect Answers:
ment by the nurse? B. The head circumference of a school-age child decreases when com-
A. Presence of sparse, pared to full height due to skeletal lengthening.
fine pubic hair C. Body proportion varies with a slimmer appearance and longer legs
B. Decreased head cir- in a school-age child. Leg length increases and waist circumference
, ATI: Pediatrics
Study online at https://quizlet.com/_dfm53c
cumference compared decreases related to height in this age group.
to full height D. The deciduous teeth start shedding at this age, beginning with the
C. Increased leg length in lower central incisors
relation to height
D. Presence of a loose
central incisor
3. RBC Range: Male: 4.3-5.9 million/mm3
Female 3.5 -5.5 million/mm3
4. A nurse is assessing Correct Answer: A. Tension pneumothorax
an infant who develops The nurse should identify these manifestations as an indication the
respiratory distress, ab- infant is developing a tension pneumothorax. The infant might also
sence of breath sounds become cyanotic and show asymmetry of the thorax.
on one side, and devia- Incorrect Answers:
tion of the trachea away B. Manifestations of flail chest include a pulling of the traumatized rib
from the affected side. area inward during inspiration and outward during expiration.
Based on these manifes- C. Manifestations of pulmonary contusion include decreased breath
tations, which of the fol- sounds, tachycardia, tachypnea, and blood-tinged secretions.
lowing conditions is the D. Manifestations of a rib fracture include pain and ecchymosis in the
infant experiencing? area of trauma, swelling, and muscle spasms.
A. Tension pneumotho-
rax
B. Flail chest
C. Pulmonary contusion
D. Fractured rib
5. TSH Range: (0.5-5.0 µU/mL
6. A nurse is assessing Correct Answer: A. Koplik spots
a toddler who has Koplik spots are small, irregular oral lesions with a bluish-white center.
measles (rubeola). Which They are characteristic of measles (rubeola). Koplik spots appear about
of the following find- 2 days before the maculopapular rash and are accompanied by fevers,
, ATI: Pediatrics
Study online at https://quizlet.com/_dfm53c
ings should the nurse ex- malaise, conjunctivitis, and other cold manifestations.
pect? Incorrect Answers:
A. Koplik spots B. Swollen parotid glands are an expected finding in a child who has
B. Parotitis MUMPS.
C. Strawberry tongue C. Strawberry tongue is an expected finding in a child who has SCARLET
D. Paroxysmal coughing FEVER.
D. Paroxysmal coughing is an expected finding in a child who has
PERTUSSIS
7. Nevus simplex or Stork Discoloration that typically blanches with pressure and becomes more
bite prominent with crying. This finding does not require notification of the
provider.
8. A nurse is assess- D. Small bowel bacterial overgrowth is possible in people with HIV.
ing a preschooler who Intestinal problems may make a person with HIV more likely to have an
has HIV. Which of the overgrowth of bacteria. This may lead to diarrhea and other digestive
following manifestations issues
should the nurse ex- Incorrect Answers:
pect? A. Generalized petechiae are not a manifestation of HIV in a preschool-
A. Generalized petechi- er.
ae B. Jaundice is not a manifestation of HIV in a preschooler.
B. Jaundice C. Failure to thrive and weight loss are expected findings for a
C. Obesity preschooler who has HIV.
D. Chronic diarrhea
9. A nurse is assessing a Correct Answer: B. Murmur at the left sternal border
child who has a ventric- A ventricular septal defect (a hole in the septal wall between the ventri-
ular septal defect. Which cles) is an acyanotic heart defect. A systolic murmur can be heard best
of the following find- at the lower left sternal border. The sound is transmitted in the direction
ings should the nurse ex- of blood flow, so any backflow of blood from the left to the right ventricle
