74 Question & Answers ATI PROCTORED PEDS 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? 2.      A nurse is caring for a 1-month old infant who weighs 3540 g and is prescribed a dose of cephazolin 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 shouldthe nurse anticipate administering? 4.      A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect? 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?   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? 7.      A nurse receives a call from a parent of a child who has von Wille brand disease and has having a nosebleed. Which of the following instructions should the nurse give to the parents? 8.      A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect? 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? 10.  A nurse is assessing a 3-year-old child who has aortic stenosis.  Which ofthe following findings shouldthe nurse expect? (select all that apply). 11.  A nurse is planning care for a client who has idiopathic thrombocytopenic purpur (ITP). Which ofthe following manifestations isthe most appropriate forthe nurse to monitor? 12.  A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled for initial surgery. Which ofthe following statements indicates an understanding ofthe teaching? 13.  A school nurse identifies that a child has pediculosis capitis and educatesthe child’s parents aboutthe condition. Which ofthe following statements bythe parents indicated an understanding ofthe teaching? 14.  A nurse is providing dietary teaching tothe parents of a newborn who is being nurse should instruct thatthe transition to whole milk can occur at which ofthe following ages? 15.  A nurse is assessing a 6-month old patient at a well-child visit.  Which ofthe following findings shouldthe nurse expect? a.       (8 weeks). 16.  A nurse is caring for a 2-year old child who has seizures and is receiving phenytoin in suspension form.  Which ofthe following actions shouldthe nurse take before administering each dose? a.       ?? 17.  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 ofthe following actions shouldthe nurse include inthe client’s plan of care? 18.  A nurse is planning care for a child who has suspected epiglottis. Which ofthe following actions shouldthe nurse take?A nurse is instructing a group of clients regarding calcium rich food. Which ofthe following shouldthe nurse include inthe teaching asthe best source of calcium? a.         19.  A nurse is caring for an 8-month-old infant who screams whenthe parent leavesthe 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 ofthe following statements shouldthe nurse make? a.         20.  A nurse is caring for a 4-year-old child who is resistant to taking medication. Which ofthe following strategies shouldthe nurse use to elicitthe child’s cooperation? a.         21.  A nurse is caring for a client who requires droplet precautions. Which ofthe following personal protective equipment shouldthe nurse wear when setting upthe meal tray? a.         22.  A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which ofthe following actions bythe client indicates an understanding ofthe teaching? 23.  A nurse is caring for a 2-month-old infant who is post-operative following surgical repair of a cleft lip. Which ofthe following actions shouldthe nurse take?A nurse is caring for a child who has Kawasaki disease. Which ofthe following systems shouldthe nurse monitor in response to this diagnosis? a.         24.  A nurse is providing teaching to a client who has oral candidiasis and a new script for nystatin suspension.  Which ofthe following statements bythe client indicates an understanding ofthe teaching? a.         25.  A nurse is assessing a client who has diabetes mellitus and reports foot pain. the nurse should evaluatethe client for which ofthe following alterations as indications thatthe client has an infection? (Select all that apply). a.       ?? 26.  A nurse is removing PPE after giving direct care to a client who requires isolation. Which ofthe following must be removed first? a.         27.  A nurse is assessing a client who is receiving a unit of RBC. Which ofthe following findings is a manifestation of acute hemolytic reaction? a.         28.  A nurse is teaching a group of clients about emergency care for a snake bite. Which ofthe following information shouldthe nurse include inthe teaching? a.         29.  A nurse is assessing a client who has right ventricular failure. Which ofthe following findings shouldthe nurse expect?            a.         30.  A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which ofthe following nursing interventions is unnecessary inthe client’s plan of care? a.         31.  A nurse is caring for a pre-school child who has epiglottitis with a barking cough. Which ofthe following actions shouldthe nurse take? a.         32.  A nurse is caring for a child who 2 hr postoperative following a tonsillectomy.  Which ofthe following fluid items shouldthe nurse offerthe child at this time? a.         33.  A nurse is assessing a client who has a fracture ofthe nurse obtains vital signs on admission and again in 2 hours. Which ofthe following assessment should indicate tothe nurse thatthe client could be developing a serious complication? a.         34.  A nurse is providing discharge teaching to a client who has SLE. Which ofthe following instructions shouldthe nurse include? a.         35.  A nurse is caring for an infant who has congenital heart defect. Which ofthe following defects is associated with increased pulmonary blood flow? a.         36.  A community health nurse in a pediatric clinic is reviewing a history of a 12-year-old client. Which ofthe following immunizations shouldthe nurse expect to administer? a.         b.      HPV, Tdap. 37.  A nurse is presenting an in-service aboutthe use of postural drainage for infants who have cystic fibrosis. Which ofthe following positions shouldthe nurse identify as being contraindicated forthe infant? a.       ? 38.  A nurse is caring for a client who has a prescription for digoxin 0.25mg PO amount available is 0.125mg client’s current vital signs are: BP 144/96, hear rate 54/min, respirations 18/min, and temperature 98.6 F. Which ofthe following actions shouldthe nurse take? a.         39.  A nurse is speaking withthe mother of a 6-year-old child. Which ofthe following statements bythe mother should concernthe nurse? a.         40.  A nurse is conducting a primary survey of a client who has sustained life-threatening injuries do to a motor-vehicle crash. Identifythe sequence of actionsthe nurse should take. 41.  A nurse is reinforcing teaching about food choices withthe mother of an 8-month-old infant. Which ofthe following statements bythe mother indicates a need for further teaching? a.         42.  A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face, and both forearms. Which ofthe following isthe priority actionthe nurse should take? a.         43.  A charge nurse is making a room assignment for a client who has scabies. In which ofthe following rooms shouldthe nurse placethe client? a.         44.  A nurse is reviewingthe lab findings for a client who has ITP. Which ofthe following findings shouldthe nurse expect to be decreased? a.         45.  A nurse is assessing a client who has SLE. Which ofthe following findings shouldthe nurse expect? a.         46.  A client is admitted tothe emergency room with a respiratory rate of 7/min. ABG revealthe following values. Which ofthe following is an appropriate analysis ofthe ABGs? pH 7.22 paCO2 68 Base excess -2 PaO2 78 Sat 80% Bicarb 26 a.         47.  A nurse is caring for a group of clients in an infectious disease nurse should wear OSHA-approved N95 respirator mask when caring for a client with which ofthe following infectious diseases? a.         48.  A nurse is teaching a client about taking nurse should explain tothe client that which ofthe following is an adverse effect of this medication? a.         49.  A nurse is admitting a child who has leukemia. Which ofthe following clients shouldthe nurse place inthe same room with this child? a.         50.  A nurse is instructingthe parents of a client who has a new prescription for methylphenidate. Which ofthe following instructions shouldthe nurse include? a.         51.  A nurse is caring for a client who is experiencing anaphylactic shock in response tothe administration of PCN. Which ofthe following meds shouldthe nurse administer first? a.         52.  A nurse is providing teaching to a parent of a toddler about appropriate snacks. Which ofthe following foods shouldthe nurse include? a.         53.  A nurse is creating a teaching plan for a client who has thrombocytopenia. Which ofthe following instructions shouldthe nurse include? (select all that apply). a.         54.  A nurse is admitting a toddler who has respiratory syncytial virus (RSV). Which ofthe following actions shouldthe nurse take? a.         55.  A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. Prior tothe procedure,the nurse should anticipate thatthe client will receive which ofthe following products? a.       cryoprecipiatate           56.  A nurse is assessing a school-aged child whose blood glucose level is 280. Which ofthe following findings shouldthe nurse expect? a.         57.  A nurse is assessing for cyanosis in a client who has dark skin. Which ofthe following sites shouldthe nurse examine to identify cyanosis in this client? a.         58.  A nurse is caring for a client who has congestive heart failure and is taking digoxin client refused breakfast and is complaining of nausea and weakness. Which ofthe following action shouldthe nurse take first? a.         59.  A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid nurse should informthe client that which ofthe following is a therapeutic effect of this medication? a.         60.  A nurse is caring for a client who just had a cardiac catherization. Which ofthe following nursing interventions shouldthe nurse include inthe clients plan of care? a.         61.  A nurse in an urgent care center is caring for a client who is having an acute asthma exacerbation. Which ofthe following actions isthe nurse’s highest priority? a.         62.  A nurse is assessing a 9-month-old infant. Which ofthe following findings require further interventions? a.         63.  A nurse is caring for a client who has HIV. Which ofthe following lab values isthe nurse’s priority? 64.  A nurse is providing dietary teaching to a client who has a burn injury and adheres to a vegan nurse should recommend which ofthe following foods asthe best source of protein to promote wound healing? 65.  A nurse is caring for a client who has hemophilia A and hemarthrosis ofthe left knee. Which ofthe following actions shouldthe nurse take? 66.  A nurse is assessing a client who has infective endocarditis. Which ofthe following findings should bethe priority forthe nurse to report tothe provider? a.         67.  A nurse is caring for a client who is well-hydrated and who demonstrates no evidence of anemia. Which ofthe following lab values givesthe nurse an assessment ofthe adequacy ofthe client’s protein uptake and synthesis? a.         68.  A child is admitted with suspected diagnosis of Wilms’ nurse should place a sign with which ofthe following warnings overthe child’s bed? 69.  A nurse inthe ER is caring for a client who has extensive partial and full-thickness burns ofthe head, neck, and chest. While planningthe client’s care,the nurse should identify which ofthe following risks asthe priority for assessment and intervention? a.         70.  A client tellsthe nurse that he is concerned because his provider told him he has a heart nurse should explain tothe client that a murmur a.         71.  A nurse is administering nasal decongestant drops for a client. Which ofthe following actions shouldthe nurse take? a.       Tellthe client to blow her nose gently beforethe instillation. 72.  A nurse is caring for an 8-year-old who has acute rheumatic fever. Which ofthe following assessments isthe nurse’s priority immediately after admission?