ATI RN NURSING CARE OF CHILDREN
PROTOCORED NEWEST 2024 EXAM 13
LATEST VERSION (VERSION 1-13) ACTUAL
EXAM EACH VERSION CONTAINS 70
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
a nurse is providing teaching to the parent of a school age child who has a new
prescription for oral nystatin for the treatment of oral candidiasis which of the following
instructions should the nurse include
- shake the medication prior to administration
- provide the medication through a straw
- rinse the child's mouth with water immediately after giving the medication
- mix the medication with applesauce if the child dislikes the taste - ANSWER-shake the
medication prior to administration
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
- place the infant in a prone position to sleep
- allow the infant to sleep on a large pillow
- use a soft mattress in the infant's crib
- give the infant a pacifier at bedtime - ANSWER-give the infant a pacifier at bedtime
a nurse is reviewing the laboratory report of a 7-year-old child who is receiving
chemotherapy which of the following laboratory values should the nurse report to the
provider
- hgb 8.5 g/dl
- wbc count 9,500/mm3
- prealbumin 18 mg/dl
- platelets 300,000/mm3 - ANSWER-hgb 8.5 g/dl
a nurse is caring for a toddler who is experiencing acute diarrhea and has moderate
dehydration which of the following nutritional items should the nurse offer to the toddler
- apple juice
- peanut butter
- chicken broth
- oral rehydration solution - ANSWER-oral rehydration solution
a nurse is caring for a school-age child who is receiving a blood transfusion which of the
following manifestations should alert the nurse to a possible hemolytic transfusion
reaction
- laryngeal edema
- flank pain
- distended neck veins
- muscular weakness - ANSWER-flank pain
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
- decreased cerebrospinal fluid pressure
- decreased WBC count
- increased protein concentration
- increased glucose level - ANSWER-increased protein concentration
a school nurse is assessing an adolescent who has scoliosis which of the following
findings should the nurse expect
- increase in anterior convexity of the lumbar spine
- increased curvature of the thoracic spine
- lateral flexion of the neck
- a unilateral rib hump - ANSWER-a unilateral rib hump
a nurse is receiving change-of-shift report for four children which of the following
children should the nurse see first
- a school-age child who has sickle cell anemia and reports decreased vision in the left
eye
- a school-age child who has cystic fibrosis and a frequent nonproductive cough
- a preschooler who has asthma and a peak flow meter reading in the green zone
- an adolescent who has meningitis and reports a sensitivity to lights and noise -
ANSWER-a school-age child who has sickle cell anemia and reports decreased vision
in the left eye
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
- hematocrit 28%
- hemoglobin 13.5 g/dl
- wbc count 8,000/mm3
- platelets 250,000/mm3 - ANSWER-hematocrit 28%
a nurse is admitting a school-age child who has pertussis which of the following actions
should the nurse take
- place the child in a room with positive-pressure airflow.
- place the child in a room with negative-pressure airflow.
- initiate contact precautions for the child.
- initiate droplet precautions for the child. - ANSWER-initiate droplet precautions for the
child.
a school nurse is preparing to administer atomoxetine 1.2 mg/kg/day po to a school age
child who weighs 75 lb available is atomoxetine 40 mg/capsule how many capsules
should the nurse administer per day - ANSWER-1 capsule
- 75/2.2= 34.09
- 1.2 x 34.00= 40.90
- 40.90/40= 1
a nurse is creating a plan of care for an infant who has an epidural hematoma from and
head injury which of the following interventions should the nurse include in the plan
- position the infant side-laying with their head at 0-5 degree angle
- perform a neurological assessment every 4 hours
- suction the infants nares to remove secretions
- implement seizure precautions for the infant - ANSWER-implement seizure
precautions for the infant
a school nurse is assessing an adolescent who had multiple burns in various stages of
healing which of the following behaviors should the nurse identify as a possible
indication of physical abuse
- expresses a reluctance to leave home
- provides a detailed description of how the burns occurred
- denies discomfort during assessment of injuries
- describes strong relationship with peers - ANSWER-denies discomfort during
assessment of injuries
a nurse is auscultating the lungs of an adolescent who has asthma the nurse should
identify the sound as which of the following
- biot respiration
- cheyne-strokes respirations
- tachypnea
- bradypnea - ANSWER-tachypnea
a nurse is caring for a 15 year old client who is married and is scheduled for a surgical
procedure the client asks who should sign my surgical consent which of the following
responses should the nurse make
- you can sign the consent form because you are married
- your spouse should sign the consent form for you
- your parent should sign the consent form for you
- you can appoint a legal guardian to sign the consent form - ANSWER-you can sign the
consent form because you are married
nurse teaches the guardian of 6 month/old infant about care seat use. Which
statements by guardian indicates understanding of teaching
- i should secure the car seat using lower anchors and tethers instead of the seat belt
- i should position the car seat harness 1 inch above my baby's shoulders
- i will make sure that the car seat is placed at a 90-degree angle
- iwill pad my baby's car seat with a blanket for traveling long distances." - ANSWER-i
should secure the car seat using lower anchors and tethers instead of the seat belt
nurse interviews parent of 18 month old toddler during well-child visit nurse should ID
which findings that indicates a need to assess toddler for hearing loss
- toddler has vocabulary of 25 words
- the toddler developed a mild rash following a recent varicella immunization
- the toddler's moro reflex is absent
- the toddler received tobramycin during a hospitalization 2 weeks ago - ANSWER-the
toddler received tobramycin during a hospitalization 2 weeks ago
nurse assesses a 4 year old child at well-child visit which developmental milestone
should the nurse expect to observe
- identifies right from left hand
- uses a utensil to spread butter
- cuts an outlined shape using scissors
- drawing a stick figure with seven body parts - ANSWER-cuts an outlined shape using
scissors
a nurse is caring for a preschooler who has been receiving IV fluids via a peripheral IV
catheter. When preparing to discontinue the IV fluids and cath, which of the following
actions should the nurse plan to take (ORDER)
- occlude the IV tubbing
- remove the tape securing the catheter
- turn off the IV pump
- apply pressure over the catheter insertion site - ANSWER-- turn off the IV pump
- occlude the IV tubbing
- remove the tape securing the catheter
- apply pressure over the catheter insertion site
a nurse is providing teaching to the parent of an infant who has diaper dermatitis the
nurse should instruct parent to apply what to the affected areas
- zinc oxide
- antibiotic ointment
- talcum powder
- antiseptic solution - ANSWER-zinc oxide
nurse cares for adolescent who received kidney transplant which findings should the
nurse ID as indication adolescent is rejecting the kidney
- negative leukocyte esterase
- serum creatinine 3.0 mg/dL
- negative urine protein
- urine output 40 mL/hr - ANSWER-serum creatinine 3.0 mg/dL
nurse is caring for school age child receiving chemotherapy and severely
immunocompromised which actions should the nurse take
- use surgical asepsis when providing routine care for the child
- administer the measles, mumps, and rubella (MMR) vaccine to the child
- screen the child's visitors for indications of infection
- infuse packed RBCs. - ANSWER-screen the child's visitors for indications of infection
nurse provides dietary teaching to parent of school age child with celiac disease nurse
should recommend parent offer which foods to child
- wheat crackers
- rye bread
- barley soup
- white rice - ANSWER-white rice
nurse is creating a plan of care for school age child with heart disease and has
developed heart failure which of the following interventions should the nurse include in
plan
- provide small, frequent meals for the child
- schedule time in the play room for the child
- weigh the child weekly
- maintain the child in a supine position - ANSWER-provide small, frequent meals for
the child
nurse is preparing to collect sample from toddler for sickle-turbidity test. Which actions
should the nurse plan to take
- obtain a sputum specimen
- perform an Allen test
- perform a finger stick
- obtain a stool specimen - ANSWER-perform a finger stick
n nurse is reviewing the lab report of an infant who is receiving treatment for severe
dehydration the nurse should identify that which of the following laboratory values
indicated effectiveness of the current treatment
- potassium 2.9 meq/l
- sodium 140 meq/l
- urine specific gravity 1.035
- bunn 25 mg/dl - ANSWER-sodium 140 meq/l
nurse assessing toddler with gastroenteritis and exhibits manifestations of dehydration
which findings is the nurse's priority
- skin breakdown
- hypotension
- hyperpyrexia
- tachypnea - ANSWER-tachypnea
5 documents
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