ATI PN Nursing Care of Children Practice A NGN 2023

A nurse is reinforcing teaching with the guardians of a school-age child who has hearing loss. Which of the following techniques should the nurse recommend to facilitate communication with the child? - Use facial expressions when speaking A nurse is contributing to the plan of care for a child who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following is the priority intervention for the nurse to recommend to include in the plan? - Promote oxygen utilization A nurse is caring for a child who has a fractured tibia and is in Buck's traction. Which of the following actions should the nurse take? - Ensure the weights are hanging freely A nurse has just received change-of-shift report for four children in a pediatric unit. Which of the following children should the nurse collect data from first? - A child who has a fever and nuchal rigidity A nurse is monitoring a preschooler following an abdominal CT scan with contrast dye. The nurse should identify which of the following as an indication that the preschooler experienced an allergic reaction to the contrast dye? - Urticaria A nurse is auscultating heart sounds on an infant. The nurse should identify this sound as which of the following? (Click on the audio button to listen to the clip.) - Sinus rhythm A nurse is reviewing the laboratory report of a preschooler. Which of the following laboratory results should the nurse report to the provider? - Lead 14 mcg/dL A nurse is reinforcing home safety instructions with the parents of a toddler. Which of the following parent statements indicates an understanding of the teaching? - "we will purchase a toy storage box with a lightweight lid." A nurse in a pediatric clinic is collecting data from an infant who was recently exposed to pertussis. The nurse should recognize which of the following as a manifestation of pertussis? - Dry cough A nurse is caring for a child who has a head injury following a motor vehicle crash. Which of the following should the nurse recognize as an early manifestation of increased intracranial pressure? - increased irritability A nurse is caring for a school-age female who is being treated for frequent, severe urinary tract infections (UTIs). The nurse should recognize that which of the following statements by the parent indicates a possible cause of the UTIs? - "My daughter has bowel movements every 4 to 5 days." A nurse is assisting with scoliosis screenings for a group of school-age children. The nurse should place the students in which of the following positions during the screening? - bending forward with back parallel to the floor A nurse is reviewing the medical record of a female adolescent client who has primary amenorrhea. Which of the following findings should the nurse identify as a risk factor for this disorder? (Select all that apply.) - hypothyroidism cannabis use oral contraceptive use emotional stress A nurse is monitoring a child who is receiving a transfusion of packed RBCs. Which of the following responses by the child is an indication of a transfusion reaction? - "I am cold. Can I have an extra blanket?" A nurse is reinforcing discharge teaching with the parent of a school-age child who is being treated for nephrotic syndrome. The parent asks the nurse why it is necessary to check the child's urine for protein. Which of the following explanations should the nurse offer? - "A decrease in urine protein indicates that treatment is effective." A nurse is caring for a school-age child who has skeletal traction applied to the right lower leg to repair a femur fracture. Which of the following findings is the priority for the nurse to report to the provider? - Report of tingling in the right foot A nurse is reinforcing teaching with the guardian of a child who has a new diagnosis of enterobiasis. The nurse should advise the guardian to take which of the following actions to prevent infection? - Trim the child's fingernails short. A nurse is reinforcing teaching with the parents of a 7-year-old female child about behavioral expectations. Which of the following behaviors should the nurse include in the teaching? - Spends a lot of time by herself A nurse is reinforcing teaching with an adolescent female client who has acne vulgaris and a new prescription for isotretinoin. Which of the following information should the nurse include? - "You will need to have two negative pregnancy tests prior to starting this medication." A nurse is collecting data from a toddler at a well-child visit. Which of the following findings should the nurse identify as a possible indication of child maltreatment? - Laceration on the side of the torso A nurse is reviewing the laboratory report of a school-age child who is receiving prednisone. Which of the following laboratory results should the nurse report to the provider? - Sodium 150 mEq/L A nurse in a community center is reinforcing teaching about poison control with a group of parents. A parent asks what to do if a child ingests a large quantity of acetaminophen. Identify the sequence of actions the nurse should recommend to the parent. (Move the steps into the box on the right, placing them in the order of performance. All steps must be used.) - Determine fi the child is breathing Empty the child's mouth of remaining pills and residue Identify the medication and dosage strength Call a poison control center