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ATI Paediatric Final Exam 2

Total Questions : 48

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Question 1:

A nurse is reviewing data for four children. Which of the following children should the nurse assess first?

Answer and Explanation

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Question 2:

A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?

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Question 3:

A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The parent begins to cry and says, “I don’t understand why my child is so upset. I’ve never seen my child act this way around others before.” Which of the following statements should the nurse make?

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Question 4:

A nurse is assessing a child who is postoperative following a tonsillectomy. Which of the following findings is a manifestation of hemorrhage?

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Question 5:

A nurse is planning care for a child who has mumps. Which of the following instructions should the nurse include in the plan?

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Question 6:

A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. Which of the following instructions should the nurse provide the parents regarding administration of this medication?

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Question 7:

A nurse is caring for a 4-year-old child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child's cooperation?

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Question 8:

A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?

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Question 9:

A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days. After the toddler's mother leaves the room, the nurse observes the toddler sitting quietly in the corner of the crib, sucking her thumb. When the nurse approaches the crib, the toddler turns away from the nurse.

The nurse should understand that these behaviors indicate which of the following developmental reactions?

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Question 10:

A nurse is caring for a child who has been physically abused by a family member. Which of the following statements should the nurse say to the child?

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Question 11:

A nurse in a PACU is admitting a client who is postoperative following a tonsillectomy.
Which of the following actions should the nurse plan to take to prevent aspiration?

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Question 12:

A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse?

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Question 13:

A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days. After the toddler's mother leaves the room, the nurse observes the toddler sitting quietly in the corner of the crib, sucking her thumb. When the nurse approaches the crib, the toddler turns away from the nurse.

The nurse should understand that these behaviors indicate which of the following developmental reactions?

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Question 14:

The parent of a 4-year-old child tells a nurse that the child believes there are monsters hiding in the closet at bedtime. Which one of the following statements should the nurse make?

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Question 15:

A nurse is assessing an adolescent who experienced blunt trauma to the abdomen. Which of the following findings is the nurse's priority?

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Question 16:

A nurse is reinforcing teaching about nutritional considerations with the parents of a toddler.
Which of the following statements by the parents indicates an understanding of the teaching?

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Question 17:

A nurse is caring for a toddler who is 24 hr postoperative following a cleft palate repair.
Which of the following actions should the nurse take?

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Question 18:

A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?

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Question 19:

A nurse is admitting a child who has suspected epiglottitis. Which of the following actions should the nurse take first?

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Question 20:

A parent of a toddler asks a nurse at a well-child visit how the child's frequent temper tantrums can best be handled. Which of the following actions should the nurse suggest to the parent?

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Question 21:

A child is admitted with a suspected diagnosis of Wilms’ tumor. The nurse should place a sign with which of the following warnings over the child’s bed?

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Question 22:

A nurse is assisting with a routine physical examination of an adolescent. The provider observes a lateral curvature of the spine. The nurse should expect the provider to document which of the following disorders?

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Question 23:

A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection?

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Question 24:

A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids.
The nurse should anticipate providing which of the following types of fluid?

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Question 25:

A nurse is caring for a 2-year-old child who is hospitalized and throws a tantrum when his parent leaves. Which of the following toys should the nurse provide to alleviate the child’s stress?

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