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ATI RN Paediatric Assessment 2022

Total Questions : 71

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Question 1:

A nurse teaching the parents of a 10-month-old infant about home safety. Which of the following information should the nurse include in the teaching? (Select all that apply.)

Answer and Explanation

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Question 2:

A parent of a 9-year-old child newly diagnosed with diabetes mellitus is very concerned about the child participating in social events at school. The nurse creating a plant of care would formulate which goals to address these concerns? Select all that apply.

Answer and Explanation

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Question 3:

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 4:

The nurse caring for a child diagnosed with rubeola (measles) notes that the pediatrician has documented the presence of Koplik's spots. On the basis of this documentation, which observation is expected?

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Question 5:

A school nurse is performing screening examinations for scoliosis. Which signs of scoliosis should the nurse assess for? Select all that apply.

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Question 6:

The nurse is assessing a child admitted with a diagnosis of rheumatic fever. Which significant question would the nurse ask the child's parent during the assessment?

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Question 7:

A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?

Answer and Explanation

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Question 8:

The parent of a child with mumps calls the health care clinic to tell the nurse that the child has been lethargic and vomiting. What instruction would the nurse give to the parent?

Answer and Explanation

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Question 9:

A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in order to meet the developmental needs of the client?

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Question 10:

The nurse is providing home-care instructions to a mother of a 12-month-old infant with mild diarrhea. Which would the nurse instruct the mother to do?

Answer and Explanation

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Question 11:

The nurse is collecting data on a 2 month-old-child with left-sided congestive heart failure. Which clinical manifestation would support this diagnosis of left-sided congestive heart failure?

Answer and Explanation

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Question 12:

A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.)

Answer and Explanation

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Question 13:

A nurse is providing health promotion teaching to the parents of a toddler. Which of the following information should the nurse include in the teaching? (Select all that apply.)

Answer and Explanation

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Question 14:

The nurse provides home care instructions to the parents of a child hospitalized with pertussis who is in the convalescent stage and is being prepared for discharge. Which statement by a parent indicates a need for further instruction?

Answer and Explanation

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Question 15:

The parent of a 6-year-old child arrives at a clinic because the child has been experiencing itchy, red, and swollen eyes. The nurse notes a discharge from the eyes and sends a culture to the laboratory for analysis. Chlamydial conjunctivitis is diagnosed. On the basis of this diagnosis. the nurse determines that which requires further investigation?

Answer and Explanation

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Question 16:

A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicates an understanding of the teaching?

Answer and Explanation

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Question 17:

A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?

Answer and Explanation

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Question 18:

A nurse is caring for an infant who has gastroesophageal reflux. The nurse should recognize that which of the following findings are associated with this condition? (Select all that apply.)

Answer and Explanation

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Question 19:

A nurse is caring for a child who is on a clear liquid diet. At lunch, the child consumed ½ cup of juice, 3 oz gelatin, 1 oz of an ice pop, and 20 mL ginger ale. How many mL should the nurse record as the child's fluid intake?

Answer and Explanation
Correct Answer: 260ml mL

Explanation

To calculate the total fluid intake, add the volumes of each item consumed:

Juice: ½ cup

1 cup = 240 mL

½ cup = 240 mL / 2 = 120 mL

Gelatin: 3 oz

1 oz ≈ 30 mL

3 oz = 3 * 30 mL = 90 mL

Ice pop: 1 oz

1 oz ≈ 30 mL

1 oz = 30 mL

Ginger ale: 20 mL

Now, add these values:

120 mL (juice) + 90 mL (gelatin) + 30 mL (ice pop) + 20 mL (ginger ale) = 260 mL

Therefore, the nurse should record 260 mL as the child's fluid intake.


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Question 20:

The clinic nurse is providing instructions to the parent of a child with cystic fibrosis regarding the immunization schedule for the child. Which statement would the nurse make to the parent?

Answer and Explanation

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Question 21:

A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate?

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Question 22:

A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? (Select all that apply.)

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Question 23:

The nurse in the emergency department is caring for a child who appears extremely ill with a high fever, unable to control their oral secretions. with voice hoarseness and inspiratory stridor and inspiratory sternal retractions while breathing. The nurse suspects epiglottitis. Which would the nurse do next?

Answer and Explanation

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Question 24:

A nurse is assessing an adolescent who has an exacerbation of Graves' disease. Which of the following findings should the nurse expect?

Answer and Explanation

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Question 25:

A parent brings a 2-week-old infant to a clinic for a phenylketonuria rescreening blood test. The test indicates a serum phenylalanine level of 1 mg/dL (60.5 mcmol/L). The nurse reviews this result and makes which interpretation?

Answer and Explanation

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