ATI RN PEDIATRICS PROCTORED EXAM VERSION 1 1. A nurse in a pediatric unit is caring for a school-age child following a cardiac catheterization. Which of the following interventions would the nurse take?  Maintain NPO status for 24 hrs. following the procedure  Administer meperidine for pain every 4 hrs.  Perform a sterile dressing change 8 hrs. after the procedure  Keep the affected extremity straight for 6 hrs. 2. A nurse is teaching a parent of a toddler about administering digoxin. Which of the following statements by the parent indicates understanding of the teaching?  “I should mix the medication with 4 ounces of my child’s favorite juice.”  “I should give my child water after giving the medication.”  “I should give my child another dose if he vomits right after taking the medication.”  “I should give the medication with foods that are high in fiber.” 3. A nurse is caring for a 9-year-old child who has major burns to her face and upper torso. Which of the following actions should the nurse take first?  Administer a tetanus vaccine  Give pain medication  Begin enteral feedings  Initiate a crystalloid IV bolus 4. A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following should the nurse include in the plan of care?  Schedule routine oral care every 8 hrs.  Administer oral viscous lidocaine  Moisten the mucous with lemon glycerin swabs  Cleanse the gums with saline soaked gauze 5. A nurse in a community health clinic is assessing the needs of a single parent who has three young children and works full time. Which of the following resources should the nurse recommend?  12-step support group  Respite child care  Child home health care  Counseling for depression 2 6. A nurse is preparing to assess a 4-year old child’s visual acuity. Which of the following actions should the nurse plan first?  Use a tumbling E chart for the assessment  Position the child 4.6 meters (15 feet) from the chart  Assess both eyes together first, then each eye separately  Test the child without glasses before testing with glasses 7. A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription of prednisone/etarnecept. Which of the following statement should the nurse include in the teaching?  “Discontinue this medication if gastrointestinal upset occurs.”  “Expect that this medication will stimulate a growth spurt.”  “Limit your child’s intake of potassium-rich foods.”  “Monitor your child for indications of infection.” 8. A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?  An adolescent who has hepatitis A  A toddler who has seasonal influenza  A preschool-age child who has pediculosis capitis  A school-age child who has viral conjunctivitis 9. A nurse is providing teaching to an adolescent who has vulvovaginitis. Which of the following statements should the nurse include in the teaching?  “Apply a warm, moist compress three times per day.”  “Apply scented baby powder to absorb residual moisture.”  “Wear a feminine deodorant pad for vaginal drainage.”  “Wear nylon underwear at night.” 10. A nurse is creating a plan of care for a school-age child who has nephrotic syndrome. Which of the following interventions should the nurse include? (Select all that apply)  Provide a low-sodium diet  Encourage increased fluid intake  Assess for protein in the urine  Initiate contact precautions  Obtain a daily weight 11. A nurse in a pediatric unit is caring for a school-age child following a cardiac catheterization. Which of the following interventions would the nurse take?  Maintain NPO status for 24 hrs. following the procedure 3  Administer meperidine for pain every 4 hrs.  Perform a sterile dressing change 8 hrs. after the procedure  Keep the affected extremity straight for 6 hrs. 12. A nurse is teaching a parent of a toddler about administering digoxin. Which of the following statements by the parent indicates understanding of the teaching?  “I should mix the medication with 4 ounces of my child’s favorite juice.”  “I should give my child water after giving the medication.”  “I should give my child another dose if he vomits right after taking the medication.”  “I should give the medication with foods that are high in fiber.” 13. A nurse is caring for a 9-year-old child who has major burns to her face and upper torso. Which of the following actions should the nurse take first?  Administer a tetanus vaccine  Give pain medication  Begin enteral feedings  Initiate a crystalloid IV bolus 14. A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following should the nurse include in the plan of care?  Schedule routine oral care every 8 hrs.  Administer oral viscous lidocaine  Moisten the mucous with lemon glycerin swabs  Cleanse the gums with saline soaked gauze 15. A nurse in a community health clinic is assessing the needs of a single parent who has three young children and works full time. Which of the following resources should the nurse recommend?  12-step support group  Respite child care  Child home health care  Counseling for depression 16. A nurse is caring for a child who has a prescription for fluticasone and has developed white patches and sores in his mouth. Which of the following is an appropriate action for the nurse to take?  Encourage the use of a spacer  Withhold the medication until the lesions heal  Obtain a prescription for oral prednisone  Collect a culture from the lesions 4 17. A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?  Seal soft toys in a plastic bag for 14 days  Apply bactericidal ointment to lesions  Administer acyclovir PO two times per day  Soak hairbrushes in boiling water for 10 min. 18. A nurse in an emergency department is caring for a child who has epiglottis. Which of the following actions should the nurse take?  Provide nebulizer aerosol therapy  Administer IV antibiotics  Inspect the tonsils using a tongue depressor  Collect a throat culture