ATI RN Proctored Nursing Care of Children FORM B

1. A nurse is caring for a school aged child who has an arm cast applied 8 hours ago. Which of the following findings should alert the nurse of complications related to the casting: a. Child rates pain of 5 on a scale from 0 to 10 b. Child’s hands are cool bilaterally c. Child reports tightness at the wrist d. Child grasp is weak 2. A nurse is performing a neurological examination on a 15-month-old child. Which of the following is an expected normal finding? a. Negative Babinski reflex b. Presence of Moro reflex c. Absence of corneal reflexes d. Positive palmar grasp 3. Which of the following actions indicates to the nurse that the parent of a preschooler is using an age-appropriate disciplinary technique? a. Explains to the child why her behavior is unacceptable ? b. Places the child in time out after misbehaving c. Allows the child to choose the consequence for her misbehavior d. Assigns an extra chore for the misbehavior 4. A nurse is caring for an infant who is pre-operative for the treatment of mild myelomeningocele. In which of the following positions should the nurse place the infant: a. Side-lying b. Supine c. Prone d. Semi-Fowlers 5. A nurse is providing postoperative care for an infant who has pyloric stenosis. Which of the following actions should the nurse take? a. Use a re-breather mask to provide oxygen b. Place the infant in a supine position c. Initiate feedings with clear fluids d. Weigh the infant every 48 hours 6. A nurse is admitting a child with tonic clonic seizures. Which of the following is the priority to have in the room: a. Pulse ox meter b. Oxygen therapy c. Valve mask d. Suction equipment 7. An infant has had a cardiac catheterization with a right femoral entry to diagnose a possible congenital heart defect. Following this procedure, the nurse should be concerned about which of the following: a. Cool toes on the right foot b. Weak pedal pulses on both feet c. Positive Babinski on both feet d. Erythema on the right foot 8. A nurse is developing a health program for the parents of school age females. Which of the following regarding sexual maturation should the nurse include: a. Higher body fat content is often highly associated with earlier onset of menarche b. Pubic hair is typically present prior to breast development c. Ovulation begins after sexual maturation is complete 9. A nurse is providing education to the parent of a child who has cystic fibrosis and has a prolapsed rectum. The nurse should teach that which of the following is a cause of this complication: a. Bulky stools b. Weakened rectal sphincter c. Elevated pancreatic enzymes d. Decreased intra abdominal pressure 10. A pre-schooler is admitted to the emergency department with full thickness third degree burn over 45% of his body. Which of the following actions should the nurse take first: a. Administer IV morphine b. Administer IV antibiotics c. Administer IV solutions d. Administer total parenteral nutrition 11. A nurse is providing teaching to a parent of a pre-schooler who has Tinea Capitis. Which of the following should the nurse include in the teaching: a. Apply 1 to 20 burrow’s solution compressed to the lesions b. Apply hydrocortisone cream to the lesions twice daily c. Seal and wash toys in plastic bag for two weeks d. Leave the shampoo on the scalp for 5 to 10 minutes 12. A nurse is caring for a child who has sickle cell anemia. Which of the following signs of acute chest syndrome should the nurse report to the primary care provide immediately: a. Congestive cough