ATI NURSING CARE OF THE CHILD- LATEST STUDY GUIDE

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ATI NURSING CARE OF THE CHILD- LATEST STUDY GUIDE 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 s... kin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first? a. Prednisone b. Epinephrine c. Diphenhydramine d. Albuterol 2. A nurse is teaching the parent of an infant about ways to prevent sudden infant death syndrome (SIDS). Which of the following instructions should the nurse include? a. “Give the infant a pacifier at bedtime.” b. “Place the infant in a prone position to sleep.” c. “Allow the infant to sleep on a large pillow.” d. “Use a soft mattress in the infant’s crib.” 3. 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.) a. Negative Babinski reflex b. Ankle clonus c. Exaggerated stretch reflexes d. Uncontrollable movements of her face e. Contractures 4. The nurse is providing discharge teaching to the parent of a child who is 1 week postoperative following a cleft palate repair. For which of the following members of the inter professional team should the nurse initiate a referral? a. Occupational therapist b. Speech therapist c. Respiratory therapist d. Physical therapist 5. 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? a. Position the infant side-lying with their head at a 0 and 5 angle. b. perform a neurological assessment every 4 hour. c. Suction the infant’s nares to remove secretions. d. Implemental seizure precautions for the infant. 6. A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the nurse take? a. Place a cardiac monitor on the adolescent prior to the procedure. b. Apply topical analgesic cream to the site 1 hr prior to the procedure. c. Keep the adolescent in a semi-Fowler’s position for 4 hr following the procedure. d. Restrict fluids 2 hr following the procedure. 7. A nurse providing teaching to the parent of a school-age child who has a new prescription of oral nystatin for the treatment of oral candidiasis. Which of the following instruction should the nurse include? a. “Shake the medication prior to administration.” b. “Provide the medication through a straw.” c. “Rinse the child’s mouth with water immediately after giving the medication.” d. “Mix the medication with apple cause if the child dislikes the taste.” 8. A nurse in an emergency department is performing a physical assessment on a 2-week- old male newborn. Which of the following findings is priority for the nurse to report to the provider? a. Excoriated scrotal area b. Multiple capillary hemangiomas c. Depressed posterior fontanel d. Substernal retractions 9. A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse see first? a. A school-age child who has sickle cell anemia and reports decreases vision in the left eye b. A school-age child who has cystic fibrosis and a frequent nonproductive cough c. A preschooler who has asthma and a peak flow meter reading in the green zone d. An adolescent who has meningitis and reports a sensitivity to lights and noise 10. A nurse is assessing a school-age child who has meningitis. Which of the following findings is the priority for the nurse to report the provider? a. Reports a headache as 5 on a 0 to 10 pain scale b. Petechia on the lower extremities c. Nuchal rigidity d. Positive Kernig’s sign 11. A nurse is assessing a 3-year-old toddler at a well-child visit. Which of the following manifestations should the nurse report to the provider? a. Blood pressure 90/50 mm Hg b. Respiratory rate 45/min c. Weight 14.5 kg (32 lb) d. Heart rate 110/min 12. 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? a. Hematocrit 28% b. Hemoglobin 13.5 g/dL c. WBC count 8,000/mm3 d. Platelets 250,000/ mm3 13. 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? a. Administer ibuprofen to the child for a temperature greater than 30 C (100.4 F). b. Assess the child’s blood pressure every 8 hr. c. Weight the children weekly at various times of the day. d. Initiate seizure precautions for the child. 14. A nurse is assessing the vitals of a 10-year-old child following a burn injury. The nurse should identify that which of the following finding is as indication of early septic shock? a. Blood pressure 130/90 mm Hg b. Heart rate 60/min c. Temperatures 39.1 C (102. 4 F) d. Urinary output 100 mL/hr 15. A nurse is caring for an infant who has respiratory syncytial virus (RSV). Which of the following actions should that nurse implement for infection control? a. Have a designated stethoscope in the infant’s room. b. Place the infants in a room equipped with negative airflow. c. Administer palivizumab as prescribed for the infant. d. Remove gloves after leaving the infants room. 16. A nurse is caring for a 15-year-old client following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing syndrome of an inappropriate antidiuretic hormone secretions (SIADH)? a. Sodium 148 mEq/L b. Urine specific gravity 1.020 c. Mental confusion d. Weak peripheral pulses 17. A nurse in a provider's office if preparing to administer immunizations to a toddler during a well-child visit. Which of the following actions should the nurse plan to take? Age 15 months Provider Prescriptions Tuberculin skin test (TST) Measles, mumps, and rubella (MMR) vaccine Inactivated influenza vaccine Diphtheria, tetanus, and pertussis (DTaP) vaccine a. Withhold the measles, mumps, rubella (MMR) vaccine. b. Withhold the diphtheria, tetanus, and pertussis (DTap) vaccine. c. Withhold the influenza vaccine. d. Withhold the tuberculin skin test (TST). 18. A nurse is teaching the guardian of a 6-month-old infant about car seat use. Which of the following statements by the guardian indications and understanding of the teaching? a. “ I should secure the car seat using lower anchors and tethers instead of the seat belt." b. "I should position the car seat harness 1 inch above my baby's shoulders." c. "I will make sure that the car seat is placed at a 90-degree angle." d. "I will pad my baby's car seat with a blanket for traveling long distances." 19. A nurse is providing teaching to the parent of an infant who has diaper dermatitis. The nurse should instruct the parent to apply which of the following to the affected area? a. Zinc oxide b. Antibiotic ointment c. Talcum powder d. Antiseptic solution 20. A nurse is reviewing the lumbar puncture results of a school-age child who is suspected of having bacterial meningitis. Which of the following findings should the nurse identify as an indication of bacterial meningitis? a. Decreased cerebrospinal fluid pressu CONTINUED....DOWNLOAD FOR BEST SCORES [Show More]

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