ATI Care of Children RN 2019 Proctored Exam - Level 3!. Peds 2019. All 70

Questions with the Answers Higlighted

Peds 2019

1. A nurse is assessing a school-age child who has heart failure and is taking

furosemide.

Which of the following findings should the nurse identify as an indication that

the medication is

effective?

a. An increase in venous pressure

b. a decrease in peripheral edema

c. a decrease in cardiac output

d. an increase in potassium levels

2. A nurse is assessing an infant who has acute otitis media. Which of the

following findings

should the nurse expect (select all that apply)

a. Increased appetite

b. enlarged subclavian lymph node

c. Crying

d. Restlessness

e. fever

3. a nurse is providing teaching to the parents of an infant who is to undergo

pilocarpine

lontophoresis Testing for Cystic Fibrosis. Which of the following statements

should the nurse

include in the teaching?

a. We will measure the amount of protein in your baby's urine over 24 hour

period

b. The test will measure the amount of water in your baby’s sweat

c. a nurse will insert an IV prior to the test

d. your baby will need to fast for 8 hours prior to the test

4. A nurse in an urgent care clinic is prioritizing care for children. Which of

the following children should the nurse assess first?

a. A toddler who has nephrotic syndrome and facial edema

b. a preschool-age child who has a muffled voice and no spontaneous cough

c. a preschool-age child who has diabetes mellitus and a blood glucose of

200 mg/dL

d. an adolescent who has Crohn's disease and recent weight loss of 5kg mg

(11 lb)

5 .A nurse is providing teaching to the parents of a toddler who is to undergo

a sweat chloride test. Which of the following statements should the nurse

include?

a. The purpose of the test is to determine if your child has Crohn's disease

b. the technician will use a device to produce an electrical current during the

test

c. during the test, your child will be in a room that is cold

d. your child sweat will be collected over 24 hours

6. A nurse in the emergency department is caring for an adolescent who is

requesting testing for STI. Which of the following action is appropriate for the

nurse to take?

a. Request verbal consent from the social worker

b. contact the client's parents to obtain phone consent

c. postpone the testing until the client's parents are present

d. obtain written consent from the client

7. A nurse in the emergency department is assessing the toddler who has

hyperpyrexia severe dyspnea and drooling which of the following actions

should the nurse take first?

a. obtain a blood culture from the toddler

b. administering antibiotic to the toddler

c. insert an IV catheter for the toddler

d. prepare the toddler for nasotracheal intubation

8. A nurse is providing teaching to a 10 year old child with scheduled for an

arterial cardiac catheterization. Which of the following information should the

nurse include in the teaching?

a. You will have your dressing removed 12 hours after the procedure

b. you will need to keep your legs straight for 8 hours following the

procedure

c. you will be on a clear liquid diet for 24 hours following the procedure

d. you will be on bed rest for 2 days after the procedure

9.

10. A nurse is caring for a preschooler who is post-operative following a

tonsillectomy. The child

is now ready to resume oral intake which of the following dietary choices

should the nurse offer

the child?

a. sugar-free Cherry gelatin

b. vanilla ice cream

c. chocolate milk

d. lime flavored ice pop

11. A nurse is caring for an infant who has Patent ductus arteriosus. The

nurse should identify

that the defect is a switch of the following locations of the heart. ( you will

find hot spots to select

in the artwork below. Select only the hot spot that corresponds to your

answer)Answer: B

12. A nurse is caring for a 10 month old child was brought to the emergency

department by his parents following a head injury. Which of the following

actions should the nurse take first?

a. Inspect for fluid leaking from the ears (thinking about CSF leakage severe

trauma =

urgent, after respiratory status is confirmed)

b. assess respiratory status

c. check pupil reactions

d. examine the scalp for lacerations

13. A charge nurse is planning care for an infant who has failure to thrive.

Which of the following

actions should the nurse include in the plan of care?

a. Assign consistent nursing Staff Care for the infant

b. Keep infant in a visually stimulating environment

c. use half-strength formula when feeding the infant

d. give the infant fruit juice between feedings

14. A nurse is providing teaching about home care to the parent of a child

who has scabies. Which of the following instruction should the nurse include

in the teaching?

a. Wash your clients hair with shampoo containing Ketoconazole

b. soak Combs and brushes in boiling water for 10 minutes

c. apply petroleum jelly to the affected areas

d. treat everyone who came into close contact with a child

15. A nurse is caring for a preschooler who refuses to take a start dose of

oral

diphenhydramine. Which of the following statements should the nurse make?

a. The medication isn't bad it taste like candy

b. let me know when you want to take the medication

c. the medication will treat your hypersensitivity reaction ( too much “Adult”

terminology/

jargon for pre schooler to understand)

d. sometimes, when a child has to take medication, they feel sad.

16. A nurse is teaching the parent of a school-age child about bicycle safety.

Which of the following instructions should the nurse include in the teaching?

a. Your child should walk the bicycle through intersections

b. your child's feet should be three to six inches off the ground when Seated

on the bicycle

c. you should try to keep the bicycle at least three feet from the curb while

riding in the

street

d. your child should ride the bicycle against the flow of traffic

17. A nurse is caring for a school-age child following the application of a cast

to a Fractured right tibia. Which of the following actions should the nurse

take first?

a. Teach the child about cast care

b. Pad the edges of the cast

c. administer pain medication

d. Elevate the child's leg

18.

19. A nurse is preparing a school-age child for an invasive procedure. Which

of the following actions should the nurse plan to take?

a. plan for 30 minute teaching session about the procedure

b. use vague language to describe the procedure

c. explain the procedure to the child when they are in the playroom

d. demonstrate deep breathing and Counting exercises

20.

21. A nurse is preparing to collect a urine specimen from a female infant

using a urine collection bag. Which of the following actions should the nurse

take?

-Apply lidocaine gel to the perineum before attaching the bag

-Position the opening of the bag over the urethra and the anus

-Stretch the perineum taught when applying the bag

-Place a snuff fitting diaper over the drainage bag

22. A nurse is planning care for a toddler who has developed oral ulcers in

response to

chemotherapy. Which of the following actions should the nurse include in the

plan of care?

a. Schedule routine Oral Care every 8 hours

b. Cleanse the gums with saline soaked gauze

c. more sending me closer with lemon glycerin swabs

d. administer oral viscous lidocaine

23. A nurse is providing discharge teaching to the parents of an infant who is

at risk for sudden infant death syndrome (SIDS). Which of the following

statements by the parent indicates an understanding of the teaching?

a. I will have my baby sleep next to me in the bed during the night

b. Elmo my baby stuffed animal to the corner of her crib while she sleeps

c. I will dress my baby in lightweight clothing to sleep

d. I will lay my baby on her side to sleep for her naps

24. A nurse is monitoring an infant who is receiving opioids for pain. Which of

the following findings should indicate to the nurse that the medication is

having a therapeutic effect?

a. Increased blood pressure

b. Limb withdrawal

c. relaxed facial expression

d. bradycardia

25. A nurse is caring for a three-month-old infant who has cleft of the soft

palate. Which of the following actions should the nurse take?

a. discontinue feeding if the client's eyes become watery

b. postpone burping the infant until after completing each feeding

c. Elevate the infant’s head to a 10 degree angle during feedings

d. Feed the infant 177.4 ml (6 oz) of Formula 3 times a day

26. A nurse is caring for a child who has hyponatremia. Which of the

following findings should the nurse expect?

a. Tetany

b. weight gain

c. Elevated heart rate

d. excessive diaphoresis

27. A nurse is preparing to administer an enteral feeding to an adolescent

who has an NG tube. Which of the following actions should the nurse take

first?

a. Set the administration rate on the feeding pump

b. flush the tube with water

c. check the pH of the gastric secretion

d. attach the feeding bag tubing to the end of the NG Tube

28. A nurse is caring for an adolescent who is 1 hour post-operative following

an

appendectomy. Which of the following findings should the nurse report to the

provider?

a. Heart rate 63 / minute

b. muscle rigidity

c. temperature 36.4 Celsius (97.5 Fahrenheit)

d. abdominal pain

29. A nurse in a provider's office is preparing to administer immunization to a

12 year old client during a well-child visit. Which of the following

immunization should the nurse plan to administer?

a. Diptheria, tetanus and pertussis (D-Tap)

b. human papillomavirus (HPV)

c. Varicella

d. hepatitis A

30. Nurse is planning care for an 8 month old infant who has heart failure.

Which of the following actions should the nurse include in the plan of care?

a. Repeat digoxin dosage is the infant vomit within 1 hour of administration

b. Place infant in a prone position

c. administer cool, humidified oxygen via nasal cannula

d. provide less frequent, higher volume feeding

31. A nurse is planning care for a school-age child who is admitted from the

emergency department 12 hours ago. Which of the following interventions

should the nurse include to promote adequate sleep for the child?

a. Provide the child with video games prior to bedtime to reduce stress

b. allow the child to adjust their bedtime to promote autonomy

c. leave the lights on in the child's room to promote safety

d. follow the child home sleep routine to reduce anxiety

32. A nurse is preparing to initiate IV antibiotic therapy for a newly admitted

12 month old infant. Which of the following actions should the nurse plan to

take?

a. cover the insertion site with an opaque dressing

b. use a 24 gauge catheter to start the IV

c. start the IV on the infant’s foot

d. change the IV site every 3 days

33. A nurse in a pediatric clinic is providing teaching to the guardian of an

infant who has a new prescription for digoxin. Which of the following

manifestations should the nurse include as an indication of digoxin toxicity?

a. Diaphoresis

b. Polyuria

c. Bradycardia

d. jaundice

34. A nurse is preparing to administer amoxicillin 80 mg/kg/day divided into

two doses daily to a 2-year-old client who weighs 10 kg (22 lb). Available is

amoxicillin suspension 400 mg/5 mL. how many mL of amoxicillin should the

nurse administer per dose? (Round the answer to the nearest whole number.

Use a leading zero if it applies. Do not use a trailing zero.)

 10ml

35. A nurse is reviewing the laboratory results of a child was recently

admitted or suspected rheumatic fever. The nurse should identify that which

of the following laboratory tests can contribute to confirm this diagnosis

(select all that apply)

a. partial thromboplastin time (PTT)

b. erythrocyte sedimentation rate (ESR)

c. blood urea nitrogen (BUN)

d. C-reactive protein (CRP)

e. anti streptolysin O (ASO) titer

36. A nurse is teaching a group of female adolescents about healthy eating.

Which of the following instructions should the nurse include in the teaching?

a. Increase the amount of your dietary iron intake

b. limit your sodium intake to 3000 mg per day

c. consumer 1,500 to 1700 calories per day

d. decrease your vitamin D intake once you start to menstruate

37. A nurse is caring for an infant who receives intermittent enteral feeding

through a

gastrostomy tube. Which of the following actions should the nurse take when

administering a feeding? Select all that apply

a. offer the infant a pacifier during readings

b. formula to 39° C (102 degrees Fahrenheit ) prior to Administration

c. check the for residual volume by aspirating stomach contents

d. instill the formula over a period Of 30 and 45 minutes

38. A nurse is planning care for a child who has osteomyelitis. Which of the

following

interventions should the nurse include in the plan of care?

a. Encourage frequent physical activity to increase bone mass

b. maintain patent intravenous catheter

c. initiate contact precaution for the child

d. provide a high calorie low protein diet

40. A nurse is providing teaching to the guardian of a school-age child who

has sickle cell disease about management of the illness. Which of the

following instructions should the nurse

include?

a. Apply cold compress to painful areas

b. but I shall wear a surgical mask to school

c. encourage physical activity as tolerated

d. offer fluids of bedtime

41. A nurse is assessing a 5 month old infant. Which of the following findings

should the nurse report to the provider?

a. Unable to hold a bottle

b. exhibits head lag when pulled a sitting position

c. absent grasp reflex

d. unable to roll from back to abdomen

42. A nurse is caring for a five-year-old child following a tonsillectomy and

adenoidectomy. Which of the following findings should the nurse identify as

an indication of hemorrhage?

a. Flushing of the face

b. continuous swallowing

c. blood pressure 99/ 56 mmhg

d. heart rate 54/ minutes

43. A nurse is discussing coping mechanisms with a parent of a three-monthold infant which of the following therapeutic questions should the nurse ask

the parent?

a. What do you do when your infant is fussy?

b. Are you willing to take new parenting classes?

c. Does parenting cause you stress?

d. Is it overwhelming when your infant is having a bad day?

44. A nurse is providing teaching about the effects of sun exposure to a

parent of a toddler. which of the following responses by the parent indicates

an understanding of the teaching?

a. my child should wear a wide-brimmed hat

b. my child should remain under a beach umbrella umbrella during morning

hours

c. I should apply 10 SPF sunscreen to my child's entire body

d. I should dress my child in loose active clothing

45. A nurse is evaluating a 6 year old child who has cystic fibrosis and has

been receiving chest physiotherapy treatment. The nurse should identify

which of the following findings as an indication of the therapy has been

effective?

a. Increased urine output

b. increase expectoration

c. reduced pain

d. increased heart rate

46. A nurse is planning care for a six-month-old infant who has bacterial

meningitis. Which of the following interventions should the nurse include in

the plan of care?

a. Place the infant in a semi-private room

b. keep the television on in the room to provide background noise

c. Pad the side rails of the crib

d. provide for you can range of motion to the neck and shoulders

47. A nurse is reviewing the medical record of a child with cystic fibrosis

which of the following should the nurse report to the provider? Click on the

exhibit button for additional information about the client.

a. heart rate

b. HbA1c

c. oxygen saturation

d. WBC48.

48. A nurse is assessing an infant who has severe dehydration due to

gastroenteritis which of the following findings should the nurse expect?

a. Increased respiratory rate

b. capillary refill of 2 seconds

c. Hypertension

d. increased urine output

49. A nurse is assessing an infant who has intussusception. Which of the

following findings should the nurse expect?

a. sausage-shaped abdominal Mass

b. board like abdomen

c. Constipation

d. increased urinary output

50. A nurse is caring for a 14 year old adolescent who has a cast on the right

arm and swelling of their right hand. The nurse elevates The Adolescents

affected extremity. The nurse should identify that which of the following

findings is an indication that the intervention has been effective?

a. The Adolescent reports of the cast feels tight

b. The Adolescents hands feel cool to touch

c. the Adolescent is able to move their fingers freely

d. the Adolescent reports feeling tingling in their arms

51. A nurse in a provider's office is assessing the vital signs of a two-year-old

child at a

well-child visit. Which of the following findings should the nurse report to the

provider?

a. Respiratory rate 26 / min

b. pulse rate 98 / minutes

c. temperature 37.2 Celsius (99 Fahrenheit)

d. blood pressure 118 / 74 mmhg

52. A nurse is preparing to administer a prescribed medication to a toddler

whose parent is nearby. Which of the following actions should the nurse take

to identify the toddler?

a. check the toddler's room number against their ID band

b. check the toddler's ID band against the medical record

c. ask the parent to confirm the toddler's identity

d. ask another nurse to confirm to toddlers identity

53. A nurse is teaching home care to the parents of a preschool-age child

who has heart failure. Which of the following information should the nurse

include in the teaching?

a. Weight the child once each month month

b. withhold digoxin of the child's pulse is greater than 100 / minutes

c. provide for periods of rest

d. increase the child's oxygen flow rate until the child no longer has cyanosis

54. A nurse in the PACU is caring for a school-age child immediately following

a tonsillectomy. Which of the following actions should the nurse take?

a. Place the child in a side-lying position

b. offer the child ice cream when alert

c. instruct a child to drink fluids through a straw

d. encourage the child to deep breathe and cough

55. A nurse is reviewing the medical record of a 15 month old child who is

scheduled to receive measles, mumps, rubella1. Which of the following

findings Should the nurse identify as a contradiction for receiving the

vaccine?

a. Allergy to neomycin

b. upper respiratory infection 2 days ago

c. temperature of 37.2 (99 Fahrenheit)

d. family history of seizures

56. A nurse is assessing a school-age child cranial nerve function. Which of

the following actions should the nurse ask the child to take when assessing

the accessory nerve?

a. Move their tongue in all directions

b. follow a light in the six cardinal position

c. shrug their shoulders against mild pressure

d. show their teeth while smiling

57. A nurse is performing a cranial nerve assessment on a school-age child.

Which of the following findings indicates proper function of the child

trigeminal nerve?

a. The child montanes balance when standing with eyes closed

b. the child correctly identify specific scent

c. the child has asymmetrical jaw strength when Biting Down

d. the child exhibits a gag reflex when stimulated with a tongue blade

58. A nurse is providing support to a family whose infant died from sudden

infant death

syndrome (Sid's) which of the following actions should the nurse take?

a. Discourage the parents from allowing siblings to view the body

b. avoid discussing details of the attempt to revive the infant

c. provide a follow-up phone call one week following the infant's death

d. acknowledge the family members feelings of guilt

59. A nurse in the emergency department is caring for a child who has a

temperature of 39.1 degrees C is (102.4 Fahrenheit) and suspect the

diagnosis of bacterial meningitis. Which of the following actions should the

nurse take first? Tell me more

a. prepare the child for a lumbar puncture

b. dim the lights in the child's room (SEIZURE PRECAUTION)

c. administering an antipyretic to the child

d. Implement droplet precautions for the child

60. A nurse is caring for an infant who has rotavirus. Which of the following

findings indicates that the infant is moderately dehydrated?

a. capillary refill 1 seconds

b. weight loss 7% lower

c. Respiratory rate 28/ minute

d. bradycardia

61. A nurse is providing teaching to the guardian of a school-age child who

has seizure

disorder. Which of the following factors should the nurse include as a

common trigger that increases the risk of seizure?

a. Prolonged headache

b. decrease temperature

c. lack of sleep

d. exposure to second-hand smoke

62. A nurse is reviewing the laboratory results of a preschooler who has

gastroenteritis and notes the clients potassium level is 3.2 meq L which of

the following assessment findings should the nurse expect?

a. Hypertension

b. Hyporeflexia

c. hyperactive bowel sounds

d. Oliguria

63. A nurse is planning care for an adolescent who has sickle cell anemia.

Which of the

following immunizations should the nurse include in the plan?

a. Respiratory sync functional virus (RSV to call)

b. Rotavirus

c. measles, mumps, and rubella (MMR)

d. pneumococcal conjugate (pcv13)

64. A nurse is planning care for a child who has varicella. Which of the

following interventions should the nurse plan to include?

a. Initiate Airborne precaution

b. assess the oral cavity for koplik spots

c. administer aspirin for fever

d. provide the child with a warm blanket

65. A nurse is planning care for a school-age child who has a new diagnosis

of Legg calve perthes disease. Which of the following interventions should

the nurse include in the plan of care?

a. instruct a child to perform weight bearing exercises

b. explain to the child that the disease will last 3 to 6 months

c. encourage the guardian to keep their child home from school for one

month

d. administer ibuprofen to the child for discomfort

66. A nurse is caring for a two-year-old child who has cystic fibrosis and is

being discharged from the hospital. The nurse should ensure that which of

the following pieces of equipment is available for the child's home?

a. steam vaporizer

b. suction machine

c. continuous positive airway pressure machine

d. high frequency chest compression vest

67.

68. A nurse is providing teaching for the parent of a child who has measles.

Which of the following information should the nurse include?

a. Bathe the child using tepid water

b. remove loose crust from the lesions

c. give the child aspirin for a fever

d. withhold live vaccines for 3 months

69. A nurse is assessing a toddler who has cystic fibrosis. Which of the

following findings should the nurse expect?

a. Steatorrhea

b. Rhinorrhea

c. weight gain

d. visible peristalsis

70. A nurse is planning to administer diphenhydramine 1.25 mg/kg IV to a

school-age child who weighs 55 lb. Available is diphenhydramine 50 mg / ml.

How many ml should the nurse administer. Round the answer to the nearest

tenth. Use leading zero that applies. Do not use a trailing zero.

0.6 mL