ATI RN Nursing care of children 2019

Total Questions : 69

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Question 1:

A nurse is providing teaching to the guardians of a school-age child who has sickle cell disease about management of the illness.
Which of the following instructions should the nurse include?

Answer and Explanation

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Question 2:
A nurse is providing support to a family whose infant died from sudden infant death syndrome (SIDS) Which of the following actions should the nurse take?
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Question 3:
A nurse is assessing an infant who has intussusception.
Which of the following findings should the nurse expect?
Answer and Explanation

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Question 4:
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?
Answer and Explanation

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Question 5:

A nurse is caring for a preschooler who is postoperative following a tonsillectomy. The child is now ready to resume oral intake.
Which of the following dietary choices should the nurse offer the child?

Answer and Explanation

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Question 6:
A nurse is assessing a 5-month-old infant.
Which of the following findings should the nurse report to the provider?
Answer and Explanation

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Question 7:
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?
Answer and Explanation

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Question 8:
A nurse is admitting a child who has acute epiglottitis.
Which of the following actions should the nurse take?
Answer and Explanation

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Question 9:
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?
Answer and Explanation

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Question 10:
Exhibit 1. Exhibit 2. Provider Prescriptions.
Exhibit 3. Pancrelipase 8,000 units PO with each meal and snack.
Chest physiotherapy three times daily.
A nurse is reviewing the medical record of a school-age child who has cystic fibrosis.
Which of the following findings should the nurse report to the provider? (Click on the "Exhibit" button for additional information about the client.
There are three tabs that contain separate categories of data.)
Answer and Explanation

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Question 11:
Exhibit 1. Diagnostic Results.
HbA1c 8.5%. Exhibit 2. Hgb 13.5 mg/dL. Hct 39%. WBC count 9,600/mm3.
Exhibit 3. A nurse is reviewing the medical record of a school-age child who has cystic fibrosis.
Which of the following findings should the nurse report to the provider? (Click on the "Exhibit" button for additional information about the client.
There are three tabs that contain separate categories of data.)
Answer and Explanation

A
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Question 12:

A nurse is reviewing the medical record of a school-age child who has cystic fibrosis. Which of the following findings should the nurse report to the provider? (Click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of data.)

Exhibit 1: Vital Signs

Temperature: 37.2°C
Heart rate: 98beats/min
Respiratory rate: 28 breaths/min
Blood pressure: 120/80 mm Hg
Oxygen saturation: 92% on room air
Exhibit 2: Laboratory Results

WBC count: 10,000/mm3
HbA1c: 6.5%
Sweat chloride test: 80 mEq/L
Stool analysis: positive for fat and elastase
Exhibit 3: Provider Prescriptions

Pancrelipase 8,000 units PO with each meal and snack
Chest physiotherapy three times daily
Albuterol inhaler as needed
Azithromycin 250 mg PO once daily

Answer and Explanation

A
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Question 13:
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 parents indicates an understanding of the teaching?
Answer and Explanation

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Question 14:
A nurse is performing a cranial nerve assessment on a school-age child.
Which of the following findings indicates proper functioning of the child's trigeminal nerve?
Answer and Explanation

A
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Question 15:

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?

Answer and Explanation

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Question 16:
A 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?
Answer and Explanation

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Question 17:
A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis testing for cystic fibrosis.
Which of the following statements should the nurse include in the teaching?
Answer and Explanation

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Question 18:
A nurse is teaching a group of female adolescents about healthy eating.
Which of the following instructions should the nurse include in the teaching?
Answer and Explanation

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Question 19:
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?
Answer and Explanation

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Question 20:
A nurse is caring for a 10-month-old child who was brought to the emergency department by his parents following a head injury.
Which of the following actions should the nurse take first?
Answer and Explanation

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Question 21:
A nurse is planning care for a school-age child who was admitted from the emergency department 2 hr ago.
Which of the following interventions should the nurse include to promote adequate sleep for the child?
Answer and Explanation

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Question 22:
A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy.
Which of the following findings should the nurse identify as an indication of hemorrhage?
Answer and Explanation

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Question 23:
A nurse is discussing coping mechanisms with a parent of a 3-month-old infant.
Which of the following therapeutic questions should the nurse ask the parent?
Answer and Explanation

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Question 24:
A nurse is preparing a school-age child for an invasive procedure.
Which of the following actions should the nurse plan to take?
Answer and Explanation

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Question 25:
A nurse in the emergency department is caring for a child who has a temperature of 39.1° C (102.4° F) and a suspected diagnosis of bacterial meningitis.
Which of the following actions should the nurse take first?
Answer and Explanation

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Question 26:
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?
Answer and Explanation

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Question 27:

A nurse is providing teaching to the guardians of a school-age child who has a seizure disorder. Which of the following factors should the nurse include as a common trigger that increases the risk of seizures?

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Question 28:
A nurse in a provider's office is preparing to administer immunizations to a 12-year-old client during a well-child visit.
Which of the following immunizations should the nurse plan to administer?
Answer and Explanation

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Question 29:
A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever.
The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? (Select all that apply.)
Answer and Explanation

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Question 30:
A nurse is caring for an adolescent who is 1 hr postoperative following an appendectomy.
Which of the following findings should the nurse report to the provider?
Answer and Explanation

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Question 31:
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?
Answer and Explanation

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Question 32:
A nurse is providing teaching to the parents of a 2-month-old infant who has developmental dysplasia of the hip and has a prescription for a Pavlik harness.
Which of the following statements by the parents indicates an understanding of the teaching?
Answer and Explanation

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Question 33:
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?
Answer and Explanation

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Question 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.)

Answer and Explanation

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Question 35:
A nurse is providing teaching to a 10-year-old child who is scheduled for an arterial cardiac catheterization.
Which of the following information should the nurse include in the teaching?
Answer and Explanation

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Question 36:
A nurse is caring for a preschooler who refuses to take a stat dose of oral diphenhydramine.
Which of the following statements should the nurse make?
Answer and Explanation

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Question 37:

A nurse is caring for an infant who has rotavirus.
Which of the following findings indicates that the infant is moderately dehydrated?

Answer and Explanation

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Question 38:
A nurse in an urgent care clinic is prioritizing care for four children.
Which of the following children should the nurse assess first?
Answer and Explanation

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Question 39:
A nurse is caring for an infant who receives intermittent enteral feedings through a gastrostomy tube.
Which of the following actions should the nurse take when administering a feeding? (Select all that apply.)
Answer and Explanation

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Question 40:
A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs.
Which of the following actions is appropriate for the nurse to take?
Answer and Explanation

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Question 41:
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?
Answer and Explanation

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Question 42:
A nurse is evaluating a 4-year-old child who has cystic fibrosis and has been receiving chest physiotherapy treatments.
The nurse should identify which of the following findings as an indication that the therapy has been effective?
Answer and Explanation

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Question 43:
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?
Answer and Explanation

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Question 44:
A nurse is caring for a 3-month-old infant who has a cleft of the soft palate.
Which of the following actions should the nurse take?
Answer and Explanation

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Question 45:
A nurse is reviewing the laboratory results of a preschooler who has gastroenteritis and notes the client's potassium level is 3.2 mEq/L. Which of the following assessment findings should the nurse expect?
Answer and Explanation

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Question 46:
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?
Answer and Explanation

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Question 47:
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?
Answer and Explanation

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Question 48:
A nurse in the emergency department is assessing a toddler who has hyperpyrexia, severe dyspnea, and is drooling.
Which of the following actions should the nurse take first?
Answer and Explanation

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Question 49:
A nurse is planning care for a child who has varicella.
Which of the following interventions should the nurse plan to include?
Answer and Explanation

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Question 50:
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?
Answer and Explanation

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Question 51:

A nurse is reviewing the medical record of a 15-month-old child who is scheduled to receive the measles, mumps, and rubella (MMR) vaccine.
Which of the following findings should the nurse identify as a contraindication for receiving this vaccine?

Answer and Explanation

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Question 52:
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?
Answer and Explanation

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Question 53:

A nurse in a provider's office is assessing the vital signs of a 2-year-old child at a well-child visit.
Which of the following findings should the nurse report to the provider?

Answer and Explanation

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Question 54:
A nurse is assessing an infant who has severe dehydration due to gastroenteritis.
Which of the following findings should the nurse expect?
Answer and Explanation

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Question 55:
A nurse is assessing a school-age child's cranial nerve function.
Which of the following actions should the nurse ask the child to take when assessing the accessory nerve?
Answer and Explanation

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Question 56:
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?
Answer and Explanation

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Question 57:
A nurse is assessing an infant who has acute otitis media.
Which of the following findings should the nurse expect? (Select all that apply.)
Answer and Explanation

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Question 58:
A nurse is planning care for a 6-month-old infant who has bacterial meningitis.
Which of the following interventions should the nurse include in the plan of care?
Answer and Explanation

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Question 59:
A nurse is providing teaching about home care to the parent of a child who has scabies.
Which of the following instructions should the nurse include in the teaching?
Answer and Explanation

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Question 60:

A nurse in a PACU is caring for a school-age child immediately following a tonsillectomy.
Which of the following actions should the nurse take?

Answer and Explanation

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Question 61:
The nurse has reviewed the Nurses' Notes at 1010.
Exhibit 1. Nurses' Notes.
Today, 1000: Exhibit 2. Infant here at the provider's office for a scheduled visit.
The infant is in their parent's arms, grimacing.
Exhibit 3. S1 and S2 auscultated, no murmur noted.
Respirations are symmetric and unlabored with abdominal movement.
Abdomen is soft and flat, bowel sounds present.
Current weight is 4.1 kg (9 lb) The parent states they have exclusively breast- and bottle-fed breastmilk to the infant since birth.
The parent states the infant sometimes chokes with bottle feedings.
The parent noticed that the infant recently started "spitting up" during the night and after feeds, and cries excessively.
They state the infant has been vomiting more forcefully and has become disinterested in feeding.
Today, 1010: Provider assessed infant and discussed gastroesophageal reflux with parent.
Education provided.
Select the 3 statements the nurse should include in the teaching.
Answer and Explanation

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Question 62:
A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder.
The nurse should teach the parents to take which of the following actions during a seizure?
Answer and Explanation

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Question 63:
A nurse is providing teaching to the parents of a child who has impetigo.
Which of the following instructions should the nurse include in the teaching?
Answer and Explanation

A
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Question 64:
A nurse in an emergency department is caring for a preschool-age child who has acute acetylsalicylic acid poisoning.
Which of the following should the nurse expect?
Answer and Explanation

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Question 65:
A nurse is assessing a 6-month-old infant who has respiratory syncytial virus.
The nurse should immediately report which of the following findings to the provider?
Answer and Explanation

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Question 66:

Which characteristic of a research statement is missing in this statement?

"A study was conducted to evaluate whether short-term, cultural immersion, clinical experiences could effect change in cultural sensitivity and cultural self-efficacy.”

Answer and Explanation

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Question 67:

Exhibit 1. Nurses' Notes.

Today, 1000: Exhibit 2. Infant here at the provider's office for a scheduled visit.

The infant is in their parent's arms, grimacing.

S1 and S2 auscultated, no murmur noted.

Respirations are symmetric and unlabored with abdominal movement.

Abdomen is soft and flat, bowel sounds present.

Current weight is 4.1 kg (9 lb) The parent states they have exclusively breast- and bottle-fed breastmilk to the infant since birth.

The parent states the infant sometimes chokes with bottle feedings.

The parent noticed that the infant recently started "spitting up" during the night and after feeds, and cries excessively.

They state the infant has been vomiting more forcefully and has become disinterested in feeding.

Today, 1010: Exhibit 3. Provider assessed infant and discussed gastroesophageal reflux with parent.

Education provided.

1 month later: Infant here for follow-up visit.

Infant is calm and alert in parent's arms.

Parent states infant is sleeping through the night.

Parent states infant continues to spit up. States they have been thickening bottle feedings and the infant has taken them well.

Current weight is 5 kg (11 lb)

What is the most notable change observed in the infant's condition during the one-month follow-up visit?

Answer and Explanation

A
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Question 68:

The nurse has reviewed the Nurses' Notes 1 month later.

Exhibit 1. Nurses' Notes.

Today, 1000: Exhibit 2. Infant here at the provider's office for a scheduled visit.

The infant is in their parent's arms, grimacing.

S1 and S2 auscultated, no murmur noted.

Respirations are symmetric and unlabored with abdominal movement.

Abdomen is soft and flat, bowel sounds present.

Current weight is 4.1 kg (9 lb) The parent states they have exclusively breast- and bottle-fed breastmilk to the infant since birth.

The parent states the infant sometimes chokes with bottle feedings.

The parent noticed that the infant recently started "spitting up" during the night and after feeds, and cries excessively.

They state the infant has been vomiting more forcefully and has become disinterested in feeding.

Today, 1010: Exhibit 3. Provider assessed infant and discussed gastroesophageal reflux with parent.

Education provided.

1 month later: Infant here for follow-up visit.

Infant is calm and alert in parent's arms.

Parent states infant is sleeping through the night.

What notable improvement or change has been observed in the infant's condition during the one-month follow-up visit?

Answer and Explanation

A
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Question 69:

A nurse is assessing a 6-month-old infant who has respiratory syncytial virus.
The nurse should immediately report which of the following findings to the provider?

Answer and Explanation

A
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