ATI RN Nursing Care of Children Study Guide
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Rationales | 100% Guarantee Pass | Highly
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A nurse on a pediatric unit is admitting a preschooler.After
reviewing the information in the medical record, the nurse should
identify that the child is at risk for developing which of the following
conditions?
Complete the following sentence by using the list of options.
CORRECT ANSWER:
dropdown 1: splenomegaly
dropdown 2: positive mononucleosis rapid test
Nurses' Notes
1000, 1 week ago:
Parent presents to primary care provider's office with 13-month-old.
Parent states the toddler is having trouble passing stool. States this
has been happening on and off for the last few months. Toddler is
awake and alert. S1 and S2 auscultated, no murmur. Respirations
unlabored. Hypoactive bowel sounds. Provider recommended over-
the-counter stool softener and encouraged hydration and increasing
fruits and vegetables in diet.
Click to highlight the findings that require follow-up. To deselect a
finding, click on the finding again
,CORRECT ANSWER:
highlight:
When recognizing cues, the nurse should identify that the
assessment findings of lethargy, disinterest in eating, hypoactive
bowel sounds, distended abdomen, palpable fecal mass, ribbon-like,
foul-smelling stools and elevated blood pressure require follow-up.
These findings indicate the toddler's constipation has worsened and
the toddler needs further evaluation for suspected Hirschsprung's
disease.
A nurse is caring for a preschooler who has congestive heart failure.
The nurse observes wide QRS complexes and peaked T waves on
the cardiac monitor. Which of the following prescriptions should the
nurse clarify with the provider
CORRECT ANSWER:
potassium chloride
For each assessment finding, click to specify if the finding is
consistent with nightmares, sleep terrors, or insomnia. Each finding
may support more than 1 disease process.
CORRECT ANSWER:
When analyzing cues, the nurse should recognize that
manifestations of nightmares include awakening during the night
after a scary dream. Nightmares are sleep disturbances that cause
distress after the dream is over. The child might be crying, fearful of
returning to sleep, and believe the dream is real. Sleep disturbances
cause interruptions in the sleep-wake cycle and can cause impaired
concentration, daytime fatigue, and impulsive behaviors.
When analyzing cues, the nurse should recognize that
manifestations of sleep terrors include partial awakening during a
deep sleep. Sleep terrors are sleep disturbances that cause a child
to exhibit behaviors such as thrashing, screaming, moaning, and
diaphoresis that disappear once the child awakens. The child does
,not remember the episode and is not comforted by others during the
disturbance. The child usually falls asleep easily afterwards. Sleep
terrors cause interruptions in the sleep-wake cycle and can cause
impaired concentration, daytim
0830:Child is alert and responsive to stimuli. Skin is warm and dry.
Capillary refill less than 3 seconds. Respirations regular and
shallow. Mild intercostal retractions noted. Expiratory wheezes
auscultated in the anterior and posterior lung bases. Abdomen is
soft, flat, and non-distended.
CORRECT ANSWER:
arterial blood gases, WBC, oxygen sat, respiratory assessment
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 (32 lb)
Heart rate 110/min
CORRECT ANSWER:
resp of 45 per min
RATIONALE: The nurse should identify that a respiratory rate of
45/min is above the expected reference range of 20 to 25/min for a 3-
year-old toddler and can indicate respiratory dysfunction and acute
respiratory distress. Therefore, the nurse should report this finding
to the provider.
Complete the diagram by dragging from the choices below to specify
what condition the client is most likely experiencing, 2 actions the
nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client's progress.
, CORRECT ANSWER:
middle- cystic fibrosis
educate the parents on sweat chloride testing and prepare for chest
physiotherapy
monitor the oxygen saturation and stools
Which of the following statements by a guardian indicate that the
discharge teaching was effective? Select all that apply.
"We should apply a skin emollient immediately after bathing our
child."
"We should keep our child's fingernails trimmed short."
"We should rub the sores vigorously to remove scabs."
"We should allow our child to take a bubble bath prior to bed."
"We should use a mild detergent for our laundry."
"We should apply a large amount of the ointment to the sores."
CORRECT ANSWER:
apply skin emollient
keep the fingernails trimmed short
use a mild detergent for laundry
A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hr PRN
for a temperatures above 38.0º C (100.5º F) to an infant who weighs
17.6 lb. Available is ibuprofen oral suspension 100 mg/5 mL. How
many mL should the nurse administer to the infant per dose? (Round
the answer to the nearest whole number. Use a leading zero if it
applies. Do not use a trailing zero.)
CORRECT ANSWER:
2ml per dose
A nurse is providing discharge teaching to the guardians of a toddler
who had a lower leg cast applied 24 hr ago. The nurse should
| Actual Questions, Verified Answers &
Rationales | 100% Guarantee Pass | Highly
Tested Questions | Latest Exam and Brand
new Version!!!!
A nurse on a pediatric unit is admitting a preschooler.After
reviewing the information in the medical record, the nurse should
identify that the child is at risk for developing which of the following
conditions?
Complete the following sentence by using the list of options.
CORRECT ANSWER:
dropdown 1: splenomegaly
dropdown 2: positive mononucleosis rapid test
Nurses' Notes
1000, 1 week ago:
Parent presents to primary care provider's office with 13-month-old.
Parent states the toddler is having trouble passing stool. States this
has been happening on and off for the last few months. Toddler is
awake and alert. S1 and S2 auscultated, no murmur. Respirations
unlabored. Hypoactive bowel sounds. Provider recommended over-
the-counter stool softener and encouraged hydration and increasing
fruits and vegetables in diet.
Click to highlight the findings that require follow-up. To deselect a
finding, click on the finding again
,CORRECT ANSWER:
highlight:
When recognizing cues, the nurse should identify that the
assessment findings of lethargy, disinterest in eating, hypoactive
bowel sounds, distended abdomen, palpable fecal mass, ribbon-like,
foul-smelling stools and elevated blood pressure require follow-up.
These findings indicate the toddler's constipation has worsened and
the toddler needs further evaluation for suspected Hirschsprung's
disease.
A nurse is caring for a preschooler who has congestive heart failure.
The nurse observes wide QRS complexes and peaked T waves on
the cardiac monitor. Which of the following prescriptions should the
nurse clarify with the provider
CORRECT ANSWER:
potassium chloride
For each assessment finding, click to specify if the finding is
consistent with nightmares, sleep terrors, or insomnia. Each finding
may support more than 1 disease process.
CORRECT ANSWER:
When analyzing cues, the nurse should recognize that
manifestations of nightmares include awakening during the night
after a scary dream. Nightmares are sleep disturbances that cause
distress after the dream is over. The child might be crying, fearful of
returning to sleep, and believe the dream is real. Sleep disturbances
cause interruptions in the sleep-wake cycle and can cause impaired
concentration, daytime fatigue, and impulsive behaviors.
When analyzing cues, the nurse should recognize that
manifestations of sleep terrors include partial awakening during a
deep sleep. Sleep terrors are sleep disturbances that cause a child
to exhibit behaviors such as thrashing, screaming, moaning, and
diaphoresis that disappear once the child awakens. The child does
,not remember the episode and is not comforted by others during the
disturbance. The child usually falls asleep easily afterwards. Sleep
terrors cause interruptions in the sleep-wake cycle and can cause
impaired concentration, daytim
0830:Child is alert and responsive to stimuli. Skin is warm and dry.
Capillary refill less than 3 seconds. Respirations regular and
shallow. Mild intercostal retractions noted. Expiratory wheezes
auscultated in the anterior and posterior lung bases. Abdomen is
soft, flat, and non-distended.
CORRECT ANSWER:
arterial blood gases, WBC, oxygen sat, respiratory assessment
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 (32 lb)
Heart rate 110/min
CORRECT ANSWER:
resp of 45 per min
RATIONALE: The nurse should identify that a respiratory rate of
45/min is above the expected reference range of 20 to 25/min for a 3-
year-old toddler and can indicate respiratory dysfunction and acute
respiratory distress. Therefore, the nurse should report this finding
to the provider.
Complete the diagram by dragging from the choices below to specify
what condition the client is most likely experiencing, 2 actions the
nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client's progress.
, CORRECT ANSWER:
middle- cystic fibrosis
educate the parents on sweat chloride testing and prepare for chest
physiotherapy
monitor the oxygen saturation and stools
Which of the following statements by a guardian indicate that the
discharge teaching was effective? Select all that apply.
"We should apply a skin emollient immediately after bathing our
child."
"We should keep our child's fingernails trimmed short."
"We should rub the sores vigorously to remove scabs."
"We should allow our child to take a bubble bath prior to bed."
"We should use a mild detergent for our laundry."
"We should apply a large amount of the ointment to the sores."
CORRECT ANSWER:
apply skin emollient
keep the fingernails trimmed short
use a mild detergent for laundry
A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hr PRN
for a temperatures above 38.0º C (100.5º F) to an infant who weighs
17.6 lb. Available is ibuprofen oral suspension 100 mg/5 mL. How
many mL should the nurse administer to the infant per dose? (Round
the answer to the nearest whole number. Use a leading zero if it
applies. Do not use a trailing zero.)
CORRECT ANSWER:
2ml per dose
A nurse is providing discharge teaching to the guardians of a toddler
who had a lower leg cast applied 24 hr ago. The nurse should
