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ATI RN Paediatric Nursing 2023
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Total Questions : 55
Showing 25 questions, Sign in for moreQuestion 1:
A nurse is caring for a school-age child who has cystic fibrosis.
Exhibit 1
Exhibit 2
Exhibit 3
History and Physical
School-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul-smelling stools. The child has deficient levels of vitamin A, D, E, and K.
Barrel-shaped chest
Clubbing of the fingers bilaterally
Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal cough
Vital Signs
Temperature 38.4° C (101.1° F) Heart rate 100/min Respiratory rate 40/min
Blood pressure 100/57 mm Hg
Laboratory Results
Sputum culture positive for Pseudomonas aeruginosa Stool analysis positive for presence of fat and enzymes Chest x-ray indicates obstructive emphysema WBC count 20,000/mm3 (5,000 to 10,000/mm3)
A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list?
Select all that apply.
Exhibit 1
Exhibit 2
Exhibit 3
History and Physical
School-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul-smelling stools. The child has deficient levels of vitamin A, D, E, and K.
Barrel-shaped chest
Clubbing of the fingers bilaterally
Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal cough
Vital Signs
Temperature 38.4° C (101.1° F) Heart rate 100/min Respiratory rate 40/min
Blood pressure 100/57 mm Hg
Laboratory Results
Sputum culture positive for Pseudomonas aeruginosa Stool analysis positive for presence of fat and enzymes Chest x-ray indicates obstructive emphysema WBC count 20,000/mm3 (5,000 to 10,000/mm3)
A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list?
Select all that apply.
Answer and Explanation
A
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Question 2:
A nurse is caring for an adolescent who is admitted with a vaso-occlusive crisis.
Exhibit 1 Exhibit Exhibit 3
Exhibit 4
History and Physical
A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right- sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10.
Vital Signs
Temperature 37.8° C (100° F) Heart rate 100/min
Blood pressure 110/72 mm Hg Respiratory rate 20/min Oxygen saturation 95% on room air
Assessment
Awake, alert, and oriented x 3
Yellow sclera of eyes noted bilaterally
Right upper quadrant tender to palpation Hands painful to touch and swollen bilaterally
Right knee is swollen, warm to palpation, and the client reports pain as 8 on a scale of 0 to 10.
Client is tearful and grimacing during the examination.
The nurse is planning care for the adolescent. Select the 5 interventions the nurse should include.
Exhibit 1 Exhibit Exhibit 3
Exhibit 4
History and Physical
A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right- sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10.
Vital Signs
Temperature 37.8° C (100° F) Heart rate 100/min
Blood pressure 110/72 mm Hg Respiratory rate 20/min Oxygen saturation 95% on room air
Assessment
Awake, alert, and oriented x 3
Yellow sclera of eyes noted bilaterally
Right upper quadrant tender to palpation Hands painful to touch and swollen bilaterally
Right knee is swollen, warm to palpation, and the client reports pain as 8 on a scale of 0 to 10.
Client is tearful and grimacing during the examination.
The nurse is planning care for the adolescent. Select the 5 interventions the nurse should include.
Answer and Explanation
A
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Question 3:
A nurse is caring for a child who has disseminated intravascular coagulation. Which of the following laboratory findings should the nurse expect?
Answer and Explanation
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Question 4:
A nurse is caring for a group of clients. Which of the following findings should the nurse report to the provider?
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Question 5:
A nurse is providing teaching about injury prevention to the parents of a toddler. Which of the following safety measures should the nurse include in the teaching?
Answer and Explanation
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Question 6:
A nurse is providing discharge teaching to the guardian of a preschooler who had a tonsillectomy. Which of the following statements should the nurse include?
Answer and Explanation
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Question 7:
A nurse is providing teaching to the parent of a toddler who is scheduled for an electrocardiogram. Which of the following statements should the nurse make?
Answer and Explanation
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Question 8:
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 9:
A nurse is teaching a newly licensed nurse about infant safety. Which of the following information should the nurse include in the teaching?
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Question 10:
A nurse in an emergency department is caring for a toddler who has manifestations of epiglottitis. Which of the following actions should the nurse take first?
Answer and Explanation
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Question 11:
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?
Which of the following instructions should the nurse include in the teaching?
Answer and Explanation
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Question 12:
A nurse is providing teaching for a 20-year-old adolescent who has syphilis. Which of the following statements should the nurse make?
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Question 13:
A nurse is preparing to administer an oral medication to a preschooler. Which of the following actions should the nurse take to encourage acceptance of the medication?
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Question 14:
A nurse in the emergency department is preparing to discharge a 3-year- old child.
Exhibits
Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian?
Select all that apply.
Answer and Explanation
A
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Question 15:
Exhibit 1 Exhibit 2
Exhibit 3 Diagnostic Results Cerebrospinal fluid
Pressure: 22 cm H,O (less than 20 cm H2O) Color: Cloudy (clear or colorless)
Blood: None (none)
Cells
RBC: 0 (0)
WBC: 36 cells/mcL (0 to 30 cells/mcL) Protein: 92 mg/dL (up to 70 mg/dL) Glucose: 36 mg/dL (50 to 75 mg/dL)
Serum glucose: 64 mg/dL (60 to 100 mg/dL)
A nurse in an emergency department is caring for a 3-month-old infant. Which of the following actions should the nurse take? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)
Exhibit 3 Diagnostic Results Cerebrospinal fluid
Pressure: 22 cm H,O (less than 20 cm H2O) Color: Cloudy (clear or colorless)
Blood: None (none)
Cells
RBC: 0 (0)
WBC: 36 cells/mcL (0 to 30 cells/mcL) Protein: 92 mg/dL (up to 70 mg/dL) Glucose: 36 mg/dL (50 to 75 mg/dL)
Serum glucose: 64 mg/dL (60 to 100 mg/dL)
A nurse in an emergency department is caring for a 3-month-old infant. Which of the following actions should the nurse take? (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 16:
A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5 lb) and is postoperative following open heart surgery. Which of the following findings should the nurse report to the provider?
Answer and Explanation
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Question 17:
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Answer and Explanation
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Question 18:
A nurse is caring for a school-age child who has heart failure. Which of the following findings should the nurse expect?Select all that apply.
Answer and Explanation
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Question 19:
A nurse is providing teaching to the parent of a school-age child who has a maintenance prescription for prednisone following an acute asthma attack. Which of the following statements by the parent indicates an understanding of the teaching?
Answer and Explanation
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Question 20:
A nurse is caring for a child whose guardian requests information about essential oils to help their child relax. Which of the following oils should the nurse recommend?
Answer and Explanation
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Question 21:
A nurse is preparing to administer recommended immunizations to a 12-month-old infant who is up-to-date with the current schedule. Which of the following immunizations should the nurse plan to administer?Select all that apply.
Answer and Explanation
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Question 22:
A nurse is caring for a preschool-age child who is postoperative following a tonsillectomy and is clearing her throat frequently. Which of the following actions should the nurse take first?
Answer and Explanation
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Question 23:
A nurse is assessing a child who has heart failure. Which of the following findings is a clinical manifestation associated with this diagnosis?
Answer and Explanation
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Question 24:
A nurse is caring for a school-age child who has diabetes mellitus. Which of the following findings should the nurse recognize as being consistent with hyperglycemia?
Answer and Explanation
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Question 25:
A nurse is caring for an 8-year-old child who was recently diagnosed with chronic renal failure. The child's parents ask for information on hemodialysis. Which of the following statements should the nurse make?
Answer and Explanation
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