ATI RN Nursing Care of Children PROCTORED Questions with Answers

ATI RN Nursing Care of Children PROCTORED Questions with Answers A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify thesound as which of the following? Click the audio button to listen. A- Biots respiration B- Chaney Stokes respiration C- tackypnea D - Bradypnea Answer- c A nurse is caring for a school-age child who has peripheral edema. Which of the DO NOT COPY followingassessments should the nurse perform to confirm peripheral edema? A- Palpate the dorsum of the child's feet B- play the child daily using the same scale C- assess the child's skin turgor D- observe the child for periorbital swelling Answer- a Teaching the parents of a school-aged child who has a new diagnosis of osteomyelitis of the tibia. Thenurse should identify that which of the following statements by the parents indicates an understanding of the teaching? my child will have a cast until healing is complete. My child will receive antibiotics for several weeks. My child can return to playing sports once he is discharged.My child needs to be in contact isolation. DO NOT COPY Answer: b A nurse in an emergency department is caring for a school-age child who is experiencing ananaphylactic reaction. Which of the following is the priority action by the nurse? A- Elevate the head of the child's bed B- insert a large-bore IV catheter for the child C- determine the allergen that caused the child's reaction D- administer IM epinephrine to the childAnswer- d The nurse should instruct the parent that the child will receive antibiotic therapy for at least 4weeks. Surgery might be indicated if the antibiotics are not successful. A - incorrect Weight bearing must be avoided with osteomyelitis. Therefore, the child is placed in acomfortable position with the limb supported. There is no indication for a cast. C- incorrect Weight bearing should be avoided to prevent complications and minimize pain. Therefore, it willbe several weeks to months before the child can play contact sports. D- incorrect Contact isolation is NOT necessary, because osteomyelitis is not a communicable illness. The nurse should identify the sound heard during auscultation as tachypnea, which is a rapid,regular breathing pattern. This breathing pattern often occurs with anxiety, fever, metabolic acidosis, or severe anemia. A- Biot's respirations are periods of apnea alternating with two or three shallow breaths. B- Cheyne-Stokes respirations are periods of apnea alternating with periods of hyperventilation. D- Bradypnea is a slow, regular breathing pattern. A nurse is receiving change-of-shift Report on for children. Which of the following childrenshould the nurse assess first? A- A toddler who has a concussion and an episode of forceful vomiting B- an adolescent who has infective endocarditis and reports having a headache C- an adolescent who was placed into Halo traction 1 hour ago and rates his pain at a 6 on a 0-10 scale D- school-age child who has acute glomerulonephritis and brown colored urine Answer- a When using the urgent vs nonurgent approach to client care, the nurse determines that the priority action is administering IM epinephrine to the child. During an anaphylactic reaction, histamine release causes bronchoconstriction and vasodilation. Thisis an emergency becauseultimately it causes decreased blood return to the heart. A- Elevating the head of the child's bed is important to facilitate breathing and circulation.However, it is not the priority action the nurse should take. B- Inserting a large bore IV catheter is important to facilitate administration of IV fluids andmedications. However, it is not the priority action the nurse should take. C- Determining the allergen that caused the child's reaction is important to prevent any additional episodes of anaphylaxis. However, it is not the priority action the nurse should take. A nurse is preparing to administer ibuprofen 5 mg per kg every 6 hours PRN for temperatures above 38.0 degrees Celsius or 100.5 degrees Fahrenheit to an infant who weighs 17.6 lb. The infant has a temperature of 38.4 degrees Celsius or 100 + 1.2 degrees Fahrenheit. Available is ibuprofen liquid 100mg/ 5 ml. how many milliliters should the nurse administer to the infant . . . . . . . . .