ATI NURSING CARE OF THE CHILD 2019 PROCTORED EXAM STUDY GUIDE

1. 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 2. 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 3. 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 4. 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 b. Dilute hearing c. Hct of 10g/dl d. Systolic murmur 5. A nurse is assessing a 3month old infant for suspected intussusception. Which of the following findings should the nurse expect: a. Jelly-like stool b. Board-like abdomen c. Projectile vomiting d. Oliguria 6. A nurse is planning a teaching session for parents regarding infant development. Which of the following parent activities regarding play should the nurse include in the teaching: a. Encourage the infant in one on one play b. Promote play with other infants c. Provide visual stimulation with pastel colored toys d. Give the infant a large piece puzzle 7. A school-aged child with sickle cell anemia has been admitted in vaso- occlusive crisis. Which of the following assessment findings should the nurse recognize as an emergency? a. Slurred speech b. Fever of 38.30 C (1010 F) c. Hematuria d. Pain level of 7 on a faces scale 8. A nurse in an emergency department is assessing a child who was in a motor vehicle accident. Which of the following assessment findings require immediate intervention: a. Dilated and fixed pupils b. Disorientation to person and place c. Positive Babinski reflex d. Restless and irritable 9. A nurse is assessing a child who has sustained a head injury. During the assessment, the nurse observes clear drainage leaking from the child’s nose. Which of the following actions should the nurse take? a. Perform naso-tracheal suctioning b. Test the nasal secretions for glucose c. Maintain direct lighting on the child d. Lower the head of the bed 10. A nurse at a provider’s office is preparing a newborn for a routine heel puncture. Which of the following actions should the nurse take? a. Administer tolectin (tolmetin) prior to the procedure b. Apply EMLA cream to the heel after the procedure c. Prepare concentrated sucrose for oral administration d. Place the new born in an extended position 11. A nurse is caring for a child who has rheumatic fever. Which of the following is an indication that the child has developed carditis? a. Carotid bruit b. Chest pain c. Hypotension d. Cyanosis 12. A parent calls the clinic asking for pinworm testing information, the nurse should advise the parent to perform the test at which of the following times? a. Immediately after child has a bowel movement b. After being on a clear diet for 24hrs c. Immediately after the child awakes in the morning d. After soaking for 20 minutes in a warm bath 13. A nurse is educating the parents of an infant who has mild gastroesophageal reflux. Which dietary adjustment should the nurse recommend? a. Provide a little sprout formula b. Administer nasogastric feedings c. Thicken feedings with rice cereal d. Place infant in a lateral position for one hour after feedings 14. A nurse is teaching an adolescent client about managing asthma and using a peak respiratory flow meter. Which of the following by the client demonstrates an understanding of the teaching: a. I will use my peak flow meter whenever I feel short of breath b. I will continue to take my medication when my peak flow meter is in the green zone c. I need to use the average of three readings when I measure my flow rate d. My asthma is being controlled if my flow rate is in the yellow zone 15. A nurse i