ATI RN Nursing Care of Children Form B

 

 

1    Which of the following actions indicates to a nurse that the parent of a preschooler is using an age-appropriate disciplinary technique?

 

 

 

     Explains to the child why her behavior is unacceptable

     Places the child in time out after misbehaving

     Allows the child to choose the consequence for her misbehavior

     Assigns an extra chore for the misbehavior

 

 

 

 

 

2     A nurse is performing a neurological examination on a 15-month-old child. Which of the following is an expected normal finding?

 

 

     Negative Babinski reflex

     Presence of Moro reflex

     Absence of corneal reflexes

     Positive palmar grasp

 

 

 

 

 

3     A nurse is reviewing the morning laboratory results for an infant who is receiving digoxin (Lanoxin) and furosemide (Lasix) for the treatment of heart failure. Which of the following values should be reported to the primary care provider?

 

 

     Sodium 140 mEq/L     Calcium 10.2 mg/dL     Chloride 100 mEq/L

     Potassium 3.2 mEq/L

 

 

 

 

 

4     A nurse is caring for an infant with AIDS who is being treated for candidiasis.

Which of the following findings in the infant indicates to the nurse that treatment has been effective?

 

 

     Heart rate of 170/min

     4 to 5 wet diapers per day

     Oxygen saturation of 92%

     Consumes 3 oz of formula per feeding

5      A nurse is caring for a school-age child who is dying. In which of the following ways can the nurse appropriately meet the child's needs?

 

 

     Discourage the child's aggressive behavior.     Share her feelings with the child.

     Encourage the child to talk about his feelings.

     Whisper when talking to the child.

 

 

 

 

 

6    An adolescent is undergoing a lumbar puncture to confirm a diagnosis of meningitis.

Following the procedure, which of the following interventions should the nurse anticipate implementing to prevent postprocedure complications?

 

 

     Administer an antibiotic.

     Give the adolescent an IV bolus of normal saline.     Apply analgesic cream to the puncture site.

     Instruct the adolescent to lie flat for several hours.

 

 

 

 

 

7      A nurse is caring for a child with a tracheostomy. Which of the following techniques should the nurse use to suction the child?

 

 

     Insert catheter to 2 cm beyond end of tracheostomy tube.     Remove catheter while applying intermittent suction.

     Instill saline to loosen secretions while suctioning.

     Continue suctioning until secretions are removed.

 

 

 

 

 

8      A nurse is speaking to a child who is hearing impaired. To assist the child in communication, which of the following actions should the nurse take?

 

 

     Exaggerate pronunciation of words.

     Change positions frequently to maintain attention.     Use touch to initiate conversation.

     Speak in a monotone voice.

9     A nurse is caring for a school-age child who had an arm cast applied 8 hr ago.

Which

of the following findings should alert the nurse to a complication related to the casting?

 

 

     Child rates pain as a 5 on a scale from 0 to 10

     Child’s hands are cool bilaterally     Child reports tightness at the wrist     Child's grasp is weak

 

 

 

 

 

10   A nurse is planning a teaching session for parents regarding infant development.

Which of the following parent activities regarding play should the nurse include in the teaching?

 

 

     Watch educational videos with the infant.     Promote play with other infants.

     Engage with the infant in one-on-one play.

     Give the infant a large-piece puzzle.

 

 

 

 

 

11    An infant is scheduled for surgery for pyloric stenosis at 0700. Which of the following nursing interventions is appropriate prior to transferring the infant to surgery?

 

 

     Apply cardiac monitor.     Complete a bowel prep.     Insert an NG tube.

     Apply oxygen via nasal cannula.

 

 

 

 

 

12   A school-age child has returned from surgery and is placed in skeletal traction.

Which of the following orders should the nurse question?

 

 

     Encourage use of trapeze to release pressure.

     Check neurovascular status of affected extremity.     Adjust traction as needed if child is in pain.

     Maintain alignment of traction.

 

 

13    A school-age child with type 1 diabetes mellitus presents to the emergency department with an admitting blood glucose of 478 mg/dL and a pH of 7.30. Which of the following actions should the nurse anticipate taking?

 

 

     Obtain hematocrit and hemoglobin.     Initiate IV fluid therapy.

     Insert an indwelling urinary catheter.

     Administer 1 mg of IM glucagon.

 

 

 

 

 

14    An adolescent diagnosed with mononucleosis is brought to the primary care provider by her parent. When assessing the adolescent's current condition, which of the following should the nurse expect to find?

 

 

     Splenomegaly

     Koplik spots

     Maculopapular rash

     Paroxysmal coughing

 

 

 

 

 

15    A newborn who has been experiencing diarrhea for the past 72 hr is brought to the emergency department by her parent. Which of the following assessment findings is the highest priority for the nurse?

 

 

     Irritated perianal area     Decreased skin turgor     Irritable behavior

     Absent tears

 

 

 

 

 

16    A nurse is caring for a school-age child who has sustained a closed-head injury from a bicycle accident. Which of the following nursing actions is appropriate?

 

 

     Elevate the head of the child's bed to a 30 degree angle.     Provide opioid analgesics every 3 hr.

     Turn the child every 4 hr.