ATI RN Nursing Care of Children

Practice | Questions and Answers

A nurse is creating a plan of care for a school-age child who has heart disease and has developed

heart failure. Which of the following interventions should the nurse include in the plan?

Provide small, frequent meals for the child.

A nurse is teaching the parent of an infant who has a Pavlik harness for the treatment of

developmental dysplasia of the hip. The nurse should identify that which of the following

statements by the parent indicates an understanding of the teaching?

"I will place my infant's diapers under the harness straps."

A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury

(AKI) and has a sodium level of 129 mEq/L. Which of the following interventions should the

nurse include in the plan?

Initiate seizure precautions for the child.

A nurse is assessing a school-age child immediately following a perforated appendix repair.

Which of the following findings should the nurse expect?

Absence of peristalsis

A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should

the nurse take?

Apply topical analgesic cream to the site 1 hr prior to the procedure.

A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The

child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the

medication infusion, which of the following medications should the nurse administer first?

Epinephrine

A nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks.

Which of the following statements by the parent indicates an understanding of the teaching?

"I should keep my child indoors when I mow the yard."

A nurse is proving dietary teaching to the parent of a school-age child who has celiac disease.

The nurse should recommend that the parent offer which of the following foods to the child?

White rice

A nurse is reviewing the laboratory report of a school-age child who is experiencing fatigue.

Which of the following findings should the nurse recognize as an indication of anemia?

Hematocrit 28%

A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. Which of the

following actions should the nurse plan to take?

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Perform a finger stick.

A nurse is assessing a school-age child who has meningitis. Which of the following findings is

the priority for the nurse to report to the provider?

Petechiae on the lower extremities

A nurse is assessing an infant who has a ventricular septal defect. Which of the following

findings should the nurse expect?

Loud, harsh murmur

A nurse is creating a plan of care for an infant who has an epidural hematoma from a head injury.

Which of the following interventions should the nurse include in the plan?

Implement seizure precautions for the infant.

A nurse is caring for an adolescent who received a kidney transplant. Which of the following

findings should the nurse identify as an indication the adolescent is rejecting the kidney?

Serum creatinine 3.0 mg/dL

A nurse in an emergency department is performing an admission assessment on a 2 week-old

male newborn. Which of the following findings is the priority for the nurse to report to the

provider?

Substernal retractions

A hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse

that he cannot cope anymore and has decided to move out of the house. Which of the following

statements should the nurse make?

"Let's talk about some of the ways you have handled previous stressors in your life."

A nurse in an emergency department is caring for an adolescent who has severe abdominal pain

due to appendicitis. Which of the following locations should the nurse identify as McBurney's

point?

A. The nurse should identify this area of the client's abdomen as McBurney's point. This

area of the RLQ located about 2/3rds of the way between the umbilicus and the client's

antero superior iliac spine is the area where a client who has appendicitis is most likely to

report pain and tenderness.

A nurse is reviewing the laboratory report of a 7 year-old child who is receiving chemotherapy.

Which of the following lab values should the nurse report to the provider?

Hgb 8.5 g/dL

A nurse is caring for a 15 year-old client who is married and is scheduled for a surgical

procedure. The client asks, "who should sign my surgical consent?" Which of the following

responses should the nurse make?

"You can sign the consent form because you are married."

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