ATI RN PEDS 2020/2021 PROCTORED EXAM REVISION GUIDE AND FINAL GUIDE

The nurse is teaching a nursing student about standard precautions. Which statement made by the student indicates a need for further teaching? “I will use precautions when administering oral medications to a school-age child.” A teen has a scoliosis curve of 35°. What treatment option does the nurse prepare the child and family for? Bracing-Applies to use of Brace or an orthotic for the correction of scoliosis to help straighten the spine. A nurse is caring for a child with suspected epilepsy. Which diagnostic test does the nurse facilitate as the priority for this child? Electroencephalogram (EEG)-To help assess brain activity. An adolescent child has just had surgery and has an abdominal dressing Which question should the nurse expect the child to initially ask? “Will I have a large scar?” A child, age 3 years, refuses to have his temperature checked by the nurse. What nursing action should the nurse implement? Do the procedure quickly as possible, involving the parent to help child cooperation , if present. After returning from cardiac catheterization, the nurse monitors the child’s vital signs. The heart rate should be counted for how many seconds? 60 seconds The nurse is planning home care for a 2-year-old child with a tracheostomy. What recommendation should be included? Parents are able to change the tracheostomy tube when needed and should ensure high aseptic technique. What factor is most important for parents implementing do not resuscitate (DNR) orders? Acknowledgement by health care team of what will and will not be done for the child The nurse must suction a 6-month-old infant with a tracheostomy. What intervention should be included? Perform each pass of the suction catheter for no longer than 5 seconds. The parents of a young child with heart failure (HF) tell the nurse that they are nervous about giving digoxin. The nurse’s response should be based on which knowledge? Parents need to learn specific, important guidelines for administration of digoxin. According to Erikson, the psychosocial task of adolescence is developing what? Identity Cognitive development influences response to pain. What age group is most concerned with the fear of losing control during a painful experience? Adolescents Parents ask for help for their other children to cope with the changes in the family resulting from the special needs of their sibling. What strategy does the nurse recommend? Invite the siblings to attend meetings to develop plans for the child with special needs. A 6-year-old child is admitted to the pediatric unit and requires bed rest. Having art supplies available meets which purpose? Let’s the child express thoughts and feelings through pictures rather than words The nurse finds that a 6-month-old infant has an apical pulse of 166 beats/min during sleep. What nursing intervention is most appropriate at this time? Report data to the practitioner. The nurse stops to assist an adolescent who has experienced severe trauma when hit by a motorcycle. The emergency medical system (EMS) has been activated. The first person who provided assistance applied a tourniquet to the child’s leg because of arterial bleeding. What should the nurse do related to the tourniquet? Leave the tourniquet in place. The school nurse is informed that a child with human immunodeficiency virus (HIV) infection will be attending school soon. What is an important nursing intervention to include in the plan of care? Carefully follow universal precautions. An 8-year-old child is hit by a motor vehicle in the school parking lot. The school nurse notes that the child is responding to verbal stimulation but is not moving his extremities when requested. What is the first action the nurse should take? Have someone notify the emergency medical services (EMS) system A school-age child is diagnosed with a life-threatening illness. The parents want to protect their child from knowing the seriousness of the illness. The nurse should provide which explanation? Terminally ill children know when they are seriously ill, even when protected from the truth. .........................................................................................CONTINUED