ATI Nursing Care of Children Assessment 2019 A

1.

2. A nurse is caring for a school-age child who is receiving a blood

transfusion. Which of the following manifestations should alert

the nurse to a possible hemolytic transfusion reaction?

 Flank pain

3. 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

4. A nurse is teaching the guardian of a 6-month—old infant about

car seat use. Which of the following statements by the guardian

indicates an understanding of the teaching?

 “I should secure the car seat using lower anchors and

tethers instead of the seat belt.”

5. A nurse is planning care for a toddler who has a serum lead level

of 4 mcg/dL. Which of the following actions should the nurse plan

to take?

 Schedule the toddler for a yearly rescreening

6. A nurse is caring for a toddler who has spastic (pyramidal)

cerebral palsy. Which of the following findings should the nurse

expect? (Select all that apply.)

 Ankle clonus

 Exaggerated stretch reflexes

 Contractures

7. 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

8.

9.

10.

11. A nurse is assessing a 4 year old child at well-child visit.

Which of the following developmental milestones should the

nurse expect to observe?

 Cuts an outlined shape using scissors

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12.

13. 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.

14.

15.

16.

17. A nurse is reviewing the laboratory report of an infant who

is receiving treatment for severe dehydration. The nurse should

identify that which of the following laboratory values indicates

effectiveness of the current treatment?

 Sodium 140 mEq/L

18.

19.

20.

21.

22.

23.

24. A nurse is assessing a toddler who has gastroenteritis and

is exhibiting manifestations of dehydration. Which of the

following findings is the nurse’s priority?

 Tachypnea

25. A nurse is interviewing the parent of an 18-month-old

toddler during a well-child visit. The nurse should identify which

of the following findings indicates a need to assess the toddler

for hearing loss?

 The toddler received tobramycin during a hospitalization 2

weeks ago.

26.

27.

28. A nurse is assessing a 3-year-old toddler at a well-child

visit. Which of following manifestations should the nurse report

to the provider?

 Respiratory rate 45/min

29. A nurse is caring for an infant who has respiratory

synctivial virus (RSV). Which of the following actions should the

nurse implement for infection control?

 Have a designated stethoscope in the infant’s room.

30.

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