ATI RN Nursing Care of Children | High-Yield Questions
&Answers , Rationales & Pediatric Exam Prep Guide|
100% Verified and Updated | Guarantee Pass | Most
Highly Tested Questions |Latest Exam !!!!
A nurse in an emergency department is performing a physical
assessment on a 2 week old male newborn. Which of the following
findings is priority for the nurse to report to the provider?
excoriated scrotal area
multiple capillary hemangiomas
depressed posterior fontanel
substernal retractions
ANSWER: substernal retractions
A nurse is caring for a school-age child who is receiving cefazolin via
intermittent IV bolus. The child suddenly develops diffuse flushing of
the skin and angioedema. After discontinuing the medication
infusion, which of the following medications should the nurse
administer first?
prednisone
epinephrine
diphenhydramine
albuterol
ANSWER: epinephrine
A nurse is assessing a school-age child who has meningitis. Which of
the following findings is the priority for the nurse to report to the
provider?
,Reports a headache as 6 on a 0 to 10 pain scale
Petechiae on the lower extremities
Nuchal rigidity
Positive Kernig's sign
ANSWER: Petechiae on the lower extremities
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 caring for a toddler who has spastic (pyramidal) cerebral
palsy. Which of the following findings should the nurse expect?
(Select all the apply)
Negative Babinski reflex
Ankle clonus
Exaggerated stretch reflexes
Uncontrollable movements of the face
Contractures
ANSWER:
Ankle clonus
Exaggerated stretch reflexes
Contractures
A nurse is providing discharge teaching to the parent of a child who
is 1 week postoperative following a cleft palate repair. For which of
the following members of the inter professional team should the
nurse initiate a referral?
,occupational therapist
speech therapist
respiratory therapist
physical therapist
ANSWER: speech therapist
A nurse is creating a plan of care for an infant who has an epidural
hematoma from a head injury. Which of the following interventions
should the nurse include in the plan?
Position the infant side-lying with their head at a 0° to 5° angle.
Perform a neurological assessment every 4 hr.
Suction the infant's naers to remove secretions.
Implement seizure precautions for the infant.
ANSWER: Implement seizure precautions for the infant.
A nurse is preparing an adolescent for a lumbar puncture. Which of
the following actions should the nurse take?
Place a cardiac monitor on the adolescent prior to the procedure.
Apply topical analgesic cream to the site 1hr prior to the procedure.
Keep the adolescent in a semi-fowler's position for 4hrs following the
procedure.
Restrict fluids for 2hrs following procedure.
ANSWER: Apply topical analgesic cream to the site 1hr prior to the
procedure.
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 receiving change-of-shift report on 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.
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 assessing a 3 year old toddler at a well-child visit. Which
of the following manifestations should the nurse report to the
provider?
Blood pressure 90/50 mm Hg
Respiratory rate 45/min
Weight 14.5 kg (32lbs)
Heart rate 110/min
ANSWER: Respiratory rate 45/min
&Answers , Rationales & Pediatric Exam Prep Guide|
100% Verified and Updated | Guarantee Pass | Most
Highly Tested Questions |Latest Exam !!!!
A nurse in an emergency department is performing a physical
assessment on a 2 week old male newborn. Which of the following
findings is priority for the nurse to report to the provider?
excoriated scrotal area
multiple capillary hemangiomas
depressed posterior fontanel
substernal retractions
ANSWER: substernal retractions
A nurse is caring for a school-age child who is receiving cefazolin via
intermittent IV bolus. The child suddenly develops diffuse flushing of
the skin and angioedema. After discontinuing the medication
infusion, which of the following medications should the nurse
administer first?
prednisone
epinephrine
diphenhydramine
albuterol
ANSWER: epinephrine
A nurse is assessing a school-age child who has meningitis. Which of
the following findings is the priority for the nurse to report to the
provider?
,Reports a headache as 6 on a 0 to 10 pain scale
Petechiae on the lower extremities
Nuchal rigidity
Positive Kernig's sign
ANSWER: Petechiae on the lower extremities
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 caring for a toddler who has spastic (pyramidal) cerebral
palsy. Which of the following findings should the nurse expect?
(Select all the apply)
Negative Babinski reflex
Ankle clonus
Exaggerated stretch reflexes
Uncontrollable movements of the face
Contractures
ANSWER:
Ankle clonus
Exaggerated stretch reflexes
Contractures
A nurse is providing discharge teaching to the parent of a child who
is 1 week postoperative following a cleft palate repair. For which of
the following members of the inter professional team should the
nurse initiate a referral?
,occupational therapist
speech therapist
respiratory therapist
physical therapist
ANSWER: speech therapist
A nurse is creating a plan of care for an infant who has an epidural
hematoma from a head injury. Which of the following interventions
should the nurse include in the plan?
Position the infant side-lying with their head at a 0° to 5° angle.
Perform a neurological assessment every 4 hr.
Suction the infant's naers to remove secretions.
Implement seizure precautions for the infant.
ANSWER: Implement seizure precautions for the infant.
A nurse is preparing an adolescent for a lumbar puncture. Which of
the following actions should the nurse take?
Place a cardiac monitor on the adolescent prior to the procedure.
Apply topical analgesic cream to the site 1hr prior to the procedure.
Keep the adolescent in a semi-fowler's position for 4hrs following the
procedure.
Restrict fluids for 2hrs following procedure.
ANSWER: Apply topical analgesic cream to the site 1hr prior to the
procedure.
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 receiving change-of-shift report on 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.
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 assessing a 3 year old toddler at a well-child visit. Which
of the following manifestations should the nurse report to the
provider?
Blood pressure 90/50 mm Hg
Respiratory rate 45/min
Weight 14.5 kg (32lbs)
Heart rate 110/min
ANSWER: Respiratory rate 45/min
