LECTSTEPHE
ATI Pediatric Practice B
• A nurse is collecting date from a school-age child. The nurse should identify that
which ofthe following findings is a manifestation of physical abuse?
• Multiple dental caries
• Malnutrition
• Recurrent urinary tract infections
• Bruises at various stages of healing (The nurse should recognize that bruises at
variousstages of healing are a clinical manifestation of physical abuse.)
• A nurse is reinforcing teaching with an adolescent who has an inflamed
nonperforatedappendix and is scheduled for a laparoscopic assisted
appendectomy. Which of the following instructions should the nurse include in
the teaching?
• “You can begin drinking fluids again 2 days after your surgery.”
• “You will need to ask for pain medication for the first 24 hours after surgery.”
• “You will have your vital signs monitored every 8 hours after surgery.”
• “You will sit in your chair at least twice a day after surgery.” (The nurse should
instruct the client that she will sit in a bedside chair at least twice a day and will
be encouraged toambulate as soon as possible following surgery. This activity
will enhance lung function and help prevent postoperative complications.)
• A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) with the
parentof a 1-month-old infant. Which of the following statements by the parent
indicates an understanding of the teaching?
• “I will let my baby sleep with me in bed at night.”
• “I will allow my baby to have a pacifier while sleeping.” (The nurse should
reinforcewith the parent that allowing the infant to fall asleep with a pacifier
in his mouth decreases the risk for SIDS.)
• “I will place my baby on a soft mattress to sleep.”
• “I will cover my baby with a quilt while he sleeping.”
• A nurse is assisting with the care of a child who is postoperative and received a
transfusionduring a surgical procedure. Which of the following findings indicates
the child is havig a hemolytic reaction?
• Chills and flank pain (Chills and flank pain are findings that indicate an
incompatibilityof the transfused blood product with the client's blood. The
nurse should identify this finding as an indication that the child is having a
hemolytic reaction.)
• Pruritus and flushing
, LECTSTEPHEN
• Rales and cyanosis
• Bradycardia and diarrhea
• A guardian calls the clinic nurse after his child has developed symptoms of
varicella and asks when his child will no longer be contagious. Which of the
following responses shouldthe nurse make?
• “When your child no longer has a fever.”
• “Three days after the rash started.”
• “Six days after lesions appear if they are crusted.” (The nurse should inform the
guardian that a child will stop being contagious around 6 days after the lesions
appeared, as long as they are crusted over.)
• “When your child’s lesions disappear.”
• A nurse is collecting date from a child during a well-child visit. The nurse should
recognize that which of the following findings places the child at a higher risk for
abuse?
• The child is 6 years old.
• The child is male.
• The child was born at 30 weeks of gestation. (The nurse should identify that
childrenwho are born prematurely are at greater risk for abuse because of the
potential for impaired bonding during early infancy.)
• The child was born via cesarean birth.
• A nurse is reinforcing teaching with the guardian of a child who has a new
diagnosis ofrheumatic fever. Which of the following statements by the guardian
indicates an understanding of the teaching?
• “I should not give my child aspirin for pain or fever.”
• “My child will take antibiotic for 6 months.”
• “My child might have a period of irregular movement of the extremities.” (The
nurse should instruct the guardian that the child might experience chorea weeks
or months after the initial diagnosis. Chorea is a temporary lack of coordination
and the presence ofsudden, irregular movements or periods of clumsiness.)
• “I should expect there to be blood in my child’s urine.”
• A nurse is collecting data from an infant during a well-child visit. Which of the
followingsites should the nurse use when obtaining the infant’s heart rate?
• Apical (The nurse should use the apical pulse to obtain the infant's heart rate and
count itfor a full minute, because it gives a reliable rate and rhythm and provides
accurate baseline assessment data. In an infant, the apical heart rate is
auscultated at the fourth intercostal space lateral to the midclavicular line.)
• Radial
• Carotid
• Femoral
• A nurse is preparing a toddler for suturing of a minor facial laceration. The nurse
shouldplace the toddler in which of the following restraints?
ATI Pediatric Practice B
• A nurse is collecting date from a school-age child. The nurse should identify that
which ofthe following findings is a manifestation of physical abuse?
• Multiple dental caries
• Malnutrition
• Recurrent urinary tract infections
• Bruises at various stages of healing (The nurse should recognize that bruises at
variousstages of healing are a clinical manifestation of physical abuse.)
• A nurse is reinforcing teaching with an adolescent who has an inflamed
nonperforatedappendix and is scheduled for a laparoscopic assisted
appendectomy. Which of the following instructions should the nurse include in
the teaching?
• “You can begin drinking fluids again 2 days after your surgery.”
• “You will need to ask for pain medication for the first 24 hours after surgery.”
• “You will have your vital signs monitored every 8 hours after surgery.”
• “You will sit in your chair at least twice a day after surgery.” (The nurse should
instruct the client that she will sit in a bedside chair at least twice a day and will
be encouraged toambulate as soon as possible following surgery. This activity
will enhance lung function and help prevent postoperative complications.)
• A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) with the
parentof a 1-month-old infant. Which of the following statements by the parent
indicates an understanding of the teaching?
• “I will let my baby sleep with me in bed at night.”
• “I will allow my baby to have a pacifier while sleeping.” (The nurse should
reinforcewith the parent that allowing the infant to fall asleep with a pacifier
in his mouth decreases the risk for SIDS.)
• “I will place my baby on a soft mattress to sleep.”
• “I will cover my baby with a quilt while he sleeping.”
• A nurse is assisting with the care of a child who is postoperative and received a
transfusionduring a surgical procedure. Which of the following findings indicates
the child is havig a hemolytic reaction?
• Chills and flank pain (Chills and flank pain are findings that indicate an
incompatibilityof the transfused blood product with the client's blood. The
nurse should identify this finding as an indication that the child is having a
hemolytic reaction.)
• Pruritus and flushing
, LECTSTEPHEN
• Rales and cyanosis
• Bradycardia and diarrhea
• A guardian calls the clinic nurse after his child has developed symptoms of
varicella and asks when his child will no longer be contagious. Which of the
following responses shouldthe nurse make?
• “When your child no longer has a fever.”
• “Three days after the rash started.”
• “Six days after lesions appear if they are crusted.” (The nurse should inform the
guardian that a child will stop being contagious around 6 days after the lesions
appeared, as long as they are crusted over.)
• “When your child’s lesions disappear.”
• A nurse is collecting date from a child during a well-child visit. The nurse should
recognize that which of the following findings places the child at a higher risk for
abuse?
• The child is 6 years old.
• The child is male.
• The child was born at 30 weeks of gestation. (The nurse should identify that
childrenwho are born prematurely are at greater risk for abuse because of the
potential for impaired bonding during early infancy.)
• The child was born via cesarean birth.
• A nurse is reinforcing teaching with the guardian of a child who has a new
diagnosis ofrheumatic fever. Which of the following statements by the guardian
indicates an understanding of the teaching?
• “I should not give my child aspirin for pain or fever.”
• “My child will take antibiotic for 6 months.”
• “My child might have a period of irregular movement of the extremities.” (The
nurse should instruct the guardian that the child might experience chorea weeks
or months after the initial diagnosis. Chorea is a temporary lack of coordination
and the presence ofsudden, irregular movements or periods of clumsiness.)
• “I should expect there to be blood in my child’s urine.”
• A nurse is collecting data from an infant during a well-child visit. Which of the
followingsites should the nurse use when obtaining the infant’s heart rate?
• Apical (The nurse should use the apical pulse to obtain the infant's heart rate and
count itfor a full minute, because it gives a reliable rate and rhythm and provides
accurate baseline assessment data. In an infant, the apical heart rate is
auscultated at the fourth intercostal space lateral to the midclavicular line.)
• Radial
• Carotid
• Femoral
• A nurse is preparing a toddler for suturing of a minor facial laceration. The nurse
shouldplace the toddler in which of the following restraints?
