Pediatric ATI Practice Exam 3 (final)2021 with complete solution

a nrse is reviewing sick-day management with a parent of a child who has type 1 DM. which of the following should the nrse include in the teaching (SATA) a. monitor blood glucose levels every 3 hours b. discontinue taking insulin until feeling better c. drink 8 oz of fruit juice every hour d. test urine for ketones e. call the provider if blood glucose is greater than 2540 mg/dL Correct answer- A D E a nrse is teaching a child who has type 1 DM about self care. which of the following statements by the child indicates understanding of the teaching? a. I should skip breakfast when I am not hungry b. I should increase by insulin with exercise c. I should drink a glass of milk when I am feeling irritable d. I should draw up the NPH insulin into the syringe before the regular insulin Correct answer- C a nrse is caring for a child who has type 1 DM. which of the following are manifestations of diabetic keotacidosis (SATA) a. blood glucose 58 b. weight gain c. dehydration d. mental confusion e. fruit breath Correct answer- C D E a nrse is teaching a school-age child who has DM about insulin administration. which of the following should the nrse include in the teaching? a. you should inject the needle at a 30 degree angle b. you should combine your glargine and regular insulin in the same syringe c. you should aspirate for blood before injecting the insulin d. you should give four or five injections in one area before switching sites Correct answer- D a nrse is teaching an adolescent who has DM about manifestations of hypoglycemia. which of the following findings should the nrse include in the teaching (SATA) a. increased urination b. hunger c. signs of dehydration d. irritability e. sweating f. kussmaul respirations Correct answer- B D E a nrse is caring for a child who has short stature. which of the following diagnostic tests should be completed to confirm growth hormone (GH) deficiency? (SATA) a. CT scan of the head b. bone age scan c. GH stimulation test D. serum IGF-1 e. DNA testing Correct answer- A B C D a nrse is teaching the parent of a child who has growth hormone deficiency. which of the following are complications of untreated growth hormone deficiency? (SATA) a. delayed sexual development b. premature aging c. advanced bone age d. short stature e. increased epiphyseal closure Correct answer- A B D a parent of a school-age child who has GH deficiency asks the nrse how long the child will need to take injections for growth delay. which of the following responses should the nrse make a. injections are usually continued until age 10 for girls and age 12 for boys b. injections continue until your child reaches the fifth percentile on the growth chart c. injections should be continued until there is evidence of epiphyseal closure d. the injections will need to be administered throughout your child's entire life Correct answer- C a nrse is assessing a child who has short stature. which of the following findings would indicate a growth hormone deficiency a. proportional height to weight b. heigh proportionally greater than weight c. weight proportionally greater than height d. BMI greater than height/weight ratio Correct answer- A a nrse is caring for a child who has watery diarrhea for the past 3 days. which of the following is an appropriate action for the nrse to take? a. offer chicken broth b. initiate oral rehydration therapy c. start hypertonic IV solution d. keep NPO until diarrhea subsides Correct answer- B a nrse is caring for a child who is suspected to have Enterobius vermicularis. which of the following actions should the nrse take a. perform a tape test b. collect stool specimen c. test the stool for occult blood d. initiate IV fluids Correct answer- A a nrse is assessing a child who has a rotavirus infection. which of the following are expected findings (SATA) a. fever b. vomiting c. watery stools d. bloody stools e. confusion Correct answer- A B C a nrse is teaching a group of parents about salmonella. which of the following information should the nrse include in the teaching (SATA) a. incubation period is nonspecific b. it is a bacterial infection c. bloody diarrhea is common d. transmission can be from house pets e. antibiotics are used for treatment Correct answer- B C D a nrse is teaching a group of parents about E coli. which of the following information should the nrse include in the teaching (SATA) a. severe abdominal cramping occurs b. watery diarrhea is present for more than 5 days c. it can lead to hemolytic uremia syndrome d. it is a food borne pathogen e. antibiotics are given for treatment Correct answer- A C D a nrse is assessing an infant who has hypertrophic pyloric stenosis. which of the following findings should the nrse expect? (SATA) a. projectile vomiting b. dry mucus membranes c. currant jelly stools d. sausage-shaped abdominal mass e. constant hunger Correct answer- A B E a nrse is caring for a child who has Hirschsprung's disease. which of the following actions should the nrse take? a. encourage a high fiber, low portion, low calorie diet b. prepare the family for surgery c. place an NG tube for decompression d. initiate bed rest Correct answer- B a nrse is caring for an infant who is postoperative following cleft lip and palate repair. which of the following actions should the nrse take a. remove the packing in the mouth b. place the infant in an upright position c. offer a pacifier with sucrose d. assess the mouth with a tongue blade Correct answer- B a nrse is caring for a child who has Meckel's diverticulum. which of the following manifestations should the nrse expect (SATA) a. abdominal pain b. fever c. mucus, bloody stools d. vomiting e. rapid, shallow breathing Correct answer- A C a nrse is teaching a parent of an infant about gastrointestinal reflux disease. which of the following should the nrse include in the teaching (SATA) a. offer frequent feedings b. thicken formula with rice cereal c. use a bottle with a one-way valve d. position baby upright after feedings e. use a wide-based nipple for feedings Correct answer- A B D a nrse is teaching a parent of a child who has a UTI. which of the following should the nrse include in the teaching (SATA) a. wear nylon underpants b. avoid bubble baths c. empty bladder completely with each void d. provide information about manifestations of infectious e. wipe perineal area back to front Correct answer- B C D a nrse is planning care of a child who has a UTI. which of the following should the nrse include a. administer an antidiuretic b. restrict fluids c. evaluate the child's self esteem d. encourage frequent voiding Correct answer- D a nrse is caring for a child who has enuresis. which of the following is a complication of enuresis a. UTI b. emotional problems c. urospesis d. progressive kidney disease Correct answer- B a nrse is assessing an infant who has suspected UTI. which of the following are anticipated findings (SATA) a. increase in hunger b. irritability c. decrease in urination d. vomiting e. fever Correct answer- B D E a nrse is assessing a child who has a UTI. which of the following are manifestations of a UTI (SATA) a. night sweats b. swelling of face c. pallor d. pale-colored urine e. fatigue Correct answer- B C E a nrse is caring for an infant who has hydrocele. which of the following actions should the nrse take? a. prepare the child for surgery b. explain to the parents that the issue will self-resolve c. restrict the foreskin and cleanse several times daily d. refer the family for genetic counseling Correct answer- B a nrse is caring for a male infant who has epispadias. which of the following findings should the nrse expect (SATA) a. bladder exstrophy b. inability to restrict foreskin c. widened pubic symphysis d. broad, spade-like penis e. pain Correct answer- A C D a nrse is caring for an infant who has ambiguous genitalia. which of the following actions should the nrse take (SATA) a. prepare the child for surgery b. obtain a detailed family history c. gather supples for a circumcision d. refer the family for genetic counseling e. explain the needs for a chromosomal analysis Correct answer- A B D E a nrse is caring for an infant who has obstructive uropathy. which of the following findings should the nrse expect (SATA) a. decrease urine flow b. UTI c. metabolic alkalosis d. concentrated urine e. hydronephrosis Correct answer- B E a nrse is assessing a child who has nephrotic syndrome. which of the following findings should the nrse expect (SATA) a. dipstick protein of 1+ b. edema in the ankles c. hyperlipidemia d. weight loss e. anorexia Correct answer- B C E a nrse is caring for a 10-year old child who has acute glomerulonephritis. which of the following findings should the nrse report to the provider a. BUN 8 b. creatinine 1.3 c. blood pressure 100/74 d. urine output 550 in 24 hours Correct answer- B a nrse is caring for a 10 year old child who has nephrotic syndrome. which of the following findings should the nrse report to the provider a. protein 5.0 b. Hgb 14.5 c. Hit 40% d. platelet 200,000 Correct answer- A a nrse is assessing a child who has chronic renal failure, which of the following findings should the nrse expect a. flushed face b. hyperactivity c. weight gain d. delayed growth Correct answer- D a nrse is caring for a child who has post streptococcal glomerulonephritis. which of the following manifestations should the nrse expect (SATA) a. frothy urine b. periorbrial edema c. ill appearance d. decrease creatinine e. hypertension Correct answer- B C E a nrse is providing teaching about the management of epistaxis to a child and his family. which of the following position should the nrse instruct the child to take when experiencing a nosebleed a. sit up and lean forward b. sit up and tilt the head up c. lie in a supine position d. lie in a prone position Correct answer- A a nrse is providing teaching about epistaxis to the parent of a school age child. which of the following should the nrse include as an appropriate action to take when managing an episode of epistaxis (SATA) a. press the nares together for at least 10 minutes b. breathe through the nose until bleeding stops c. pack cotton or tissue into the naris that is bleeding d. apply a warm cloth across the bridge of the nose e. insert petroleum into the saris after the bleeding stops Correct answer- A C a nrse is providing teaching to the parent of a child who has a new prescription for liquid oral iron supplements. which of the following statements by the parent indicates an understanding of the teaching a. I should take my child to the emergency department if his stools become dark b. my child should avoid eating citrus fruits while taking supplements c. I should give the iron with milk to help prevent an upset stomach d. my child should take the supplement through a straw Correct answer- D a nrse is preparing to administer iron dextran IM to a school age child who has an iron deficiency anemia. which of the following actions by the nrse is appropriate? a. administer the dose in the deltoid muscle b. use the z track method when administering the dose c. avoid injecting more than 2 ml with each dose d. massage the injection site for 1 minute after administering the dose Correct answer- B a nrse is caring for an infant whose screening test reveals that he might have sickle cell disease. which of the following tests should be performed to distinguish if the infant has the trait or the disease a. sickle solubility test b. hemoglobin electrophoresis c. complete blood count d. transcranial doppler Correct answer- B a nrse is teaching a group of parents about complications of communicable disease. which of the following communicable disease can lead to pneumonia (SATA) a. rubella b. rubeola c. pertussis d. varicella e. mumps Correct answer- B C D a nrse is providing teaching for an adolescent client who has mononucleosis. the client has a fever, fatigue, swollen lymph nodes, sore throat and a sore upper abdomen. which of the following instructions should the nrse include in the teaching (SATA) a. take antibiotics until symptoms subside b. drink plenty of liquids c. avoid participating in strenuous activities d. allow for periods of rest e. take aspirin as needed for fever and discomfort e. gargle with salt water every 2-3 hours Correct answer- A B C D F a nrse is assessing a client who has pertussis. which of the following findings should the nrse expect (SATA) a. runny nose b. mild fever c. cough with whooping sound d. swollen salivary glands e. red rash Correct answer- A B C a nrse is teaching a group of parents about communicable disease. the nrse should include that which of the following is the best method to prevent a communicable disease a. hand washing b. avoiding person who have active disease c. covering your cough d. obtaining immunizations Correct answer- D a nrse is caring for a toddler who has acute otitis media. which of the following is the priority action for the nrse to take? a. provide emotional support to the family b. educate the family on care of the child c. prevent clinical complications d. administer analgesics Correct answer- D a nrse in an outpatient facility is caring for an infant who has manifestations of acute otitis media. which of the following factors places the infant at risk for otitis media (SATA) a. breastfeeding without formula supplementation b. attends daycare 4 days per week c. immunizations are up to date d. history of cleft palate repair e. parents smoke cigarettes outside Correct answer- B D E a nrse is caring for a toddler who has rhinitis, cough, diarrhea for 2 days. upon assessment, it is noted that the tympanic membrane has an orange discoloration and decreased movement. which of the following statements should the nrse to make a. you child has an ear infection that requires antibiotics b. you child could experience transient hearing loss c. you child will need to be on a decongestant until this clears up d. you child will need to have a myringotomy Correct answer- B a nrse is caring for a 2 year old child who has had three ear infections in the past 5 months. which of the following long-term complications is the child at risk for developing? a. balance difficulties b. prolonged hearing loss c. speech delays d. mastoiditis Correct answer- C a nrse is assessing an infant. which of the following findings are clinical manifestations of acute otitis media (SATA) a. decreased pain in the supine positions b. rolling head side to side c. loss of appetite d. increase sensitivity to sound e. crying Correct answer- B C E a nrse is teaching a parent of a child who has HIV. which of the following information should the nrse include (SATA) a. obtain yearly influenza vaccination b. monitor a fever for 24 hours before seeking medical care c. avoid individuals who have colds d. provide nutritional supplements e. administer aspirin for pain Correct answer- A C D a nrse is caring for a child who has AIDS. which of the following isolation precautions should the nrse implement a. contact b. airborne c. droplet d. standard Correct answer- D a nrse is admitting a child who has HIV. the nrse should identify which of the following findings as an indication that the child is in the mild symptomatic category of HIV (SATA) a. herpes zoster b. anemia c. dermatitis d. hepatomegaly e. lymphadenopathy Correct answer- B D E a nrse is teaching a group of adolescents about HIV/AIDS. which of the following statements should the nrse include in the teaching a. you can contract HIV through casual kissing b. HIV is transmitted through IV substance use c. HIV is now curable if caught in the early stages d. medications inhibit transmission of the HIV virus Correct answer- B a nrse is admitting a child who has severely symptomatic HIV. which of the following findings should the nrse expect (SATA) a. kaposi's sarcoma b. hepatitis c. wasting syndrome d. pulmonary candidiasis e. cardiomyopathy Correct answer- A C D a nrse is providing teaching to the parent of a child who has a neuroblastoma. which of the following statements should the nrse include in the teaching (SATA) a. half of the children who has neuroblastoma have metastatic disease b. your child will need a bone marrow biopsy c. your child will be paralyzed because of this tumor d. most children are diagnosed around age 12 e. your child will need surgery for resection of the tumor Correct answer- A B E a nrse is caring for a toddler who has Wilm's tumor. which of the following actions should the nrse take a. palpate the child's abdomen to identify the size of the tumor b. prepare the child for surgery c. teach the parents about dialysis d. obtain a 24 hours urine specimen form the child Correct answer- B a nrse is teaching the parent of a child who has a Wilm's tumor. which of the following statements should the nrse include in the teaching (SATA) a. your child will need to have chemotherapy for 12 months b. wilm's tumor are typically genetic in nature c. surgery is done usually within 48 hours of diagnosis d. palpating the tumor could cause spread of the cancer e. further treatments will start immediately after surgery Correct answer- C D E a nrse is caring for a child who is postoperative following surgical removal of a Wilm's tumor. which of the following assessments is an indication to continue NPO status a. abdominal girth 1 cm larger than yesterday b. report of pain at the operative site c. absent bowel sounds d. passing of flatus every 30 minutes Correct answer- C a nrse is assessing a child who has neuroblastoma of the adrenal gland. which of the following are indications of metastasis from the primary site (SATA) a. weight gain b. bone pain c. periorbital eccymoses d. proptosis e. ill appearance Correct answer- B C D E a nrse is assessing a child who has leukemia. which of the following are early manifestations of leukemia (SATA) a. hematuria b. anorexia c. petechiae d. ulcerations in the mouth e. unsteady gait Correct answer- B C E a nrse is caring for a child who has thrombocytopenia. which of the following actions should the nrse take (SATA) a. monitor for signs up bleeding b. administer routine immunizations c. obtain rectal temperatures d. avoid peripheral venipuncture e. limit visitors Correct answer- A D a nrse is caring for a child who is experiencing neuropathy due to chemotherapy. which of the following are manifestations of neuropathy (SATA) a. constipation b. skin breakdown c. foot drop d. jaw pain e. hemorrhage cystitis Correct answer- A C D a nrse is caring for a child who has oral mucositis. which of the following actions should the nrse take (SATA) a. swab the mucosa with lemon glycerin swabs b. apply viscous lidocaine. c. offer soft foods d. use a soft, disposable toothbrush for oral care e. encourage gargling with a warm saline mouthwash Correct answer- C D E a nrse is planning care for an infant who is scheduled to have a lumbar puncture. which of the following actions should the nrse include in the plan of care a. cleanse the thoracic area of the infants back with an antiseptic solution b. apply a eutectic mixture of local anesthetic cream just before the procedure begins c. restrain the infant during the procedure to prevent movement d. position the infant with his head extended and chin raised Correct answer- C a nrse is caring for a child following an above the knee left leg amputation. which of the following actions should the nrse take a. avoid discussing the amputation b. administer aspirin for phantom pain c. prepare the child for a prosthesis fitting d. maintain the affected limb in the dependent position Correct answer- C a nrse is caring for an adolescent who has a new dx of osteosarcoma. which of the following actions should the nrse take a. ensure that the adolescent has a referral for psychiatrist visit b. prepare a teaching plan to educate the adolescent in detail about his diagnosis and treatment c. spend time with the adolescent to answer any question he can have d. perform a mental status examination to assess the thought patterns Correct answer- C a nrse is providing home care instructions to a parent of a child who is receiving chemotherapy. which of the following instructions should the nrse include in the teaching (SATA) a. manifestations of infection b. bleeding precautions c. hand hygiene d. homeschooling e. airborne precautions Correct answer- A B C a nrse is assessing a child who has rhabdomyosarcoma of the nasopharynx. which of the following are manifestation of rhabdomyosarcoma (SATA) a. enlarged neck lymph nodes b. pain c. vomiting d. epistaxis e. diplopia Correct answer- A B D a nrse is assessing a child who has rhabdomyosarcoma of the upper arm. which of the following findings should the nrse expect (SATA) a. pain b. discoloration c. lymph node enlargement d. easy bruising e. palpable mass Correct answer- A C E a nrse is caring for a child who is in a plaster spic cast. which of the following actions should the nrse take a. use a heat lamp to facilitate drying b. avoid turning the child until the cast is dry c. assist the client with crutch walking after the cast is dry d. apply moleskin to the edges of the cast Correct answer- D a nrse is teaching a group of parents about fractures. which of the following information should the nrse include in the teaching a. children need a longer time to heal from a fracture than an adult b. epiphyseal plate injuries can result in altered bone growth c. a greenstick fracture is a complete break in the bone d. bones are unable to bend, so they break Correct answer- B a nrse is caring for a child who sustained a fracture. which of the following action should the nrse take (SATA) a. place heat pack of the site of injury b. elevate the affected limb c. assess neuromuscular status frequently d. encourage ROM of the affected limb e. stabilize the injury Correct answer- B C E a nrse is caring for a child who has a fracture. which of the following are manifestations of a fracture (SATA) a. crepitus b. edema c. pain d. fever e. ecchymosis Correct answer- A B C E a nrse is caring for a child who is in skeletal traction. which of the following actions should the nrse take (SATA) a. remove the weights to reposition the client b. assess the child's position frequently c. asses pins sites every 4 hours d. ensure the weights are hanging freely e. ensure the ropes knot is in contact with the pulley Correct answer- B C D a nrse is caring for a toddler who is dx with hip dysplasia and has been placed in a hip spica cast. the child's mother asks the nrse why pavlik harness is not being used. which of the following responses should the nrse make? a. that is used for children with scoliosis, not hip dysplasia b. that is used for school aged children c. that cannot be used for you child because her condition is too severe d. that is used for infants less than 6 months of age Correct answer- D a nrse is completing preoperative teaching with an adolescent client who is scheduled to receive spinal instrumentation for scoliosis. which of the following information should the nrse include in the teaching a. you will go home the same day of surgery b. you will have minimal pain c. you will need to receive blood d you will not be able to eat until the day after surgery Correct answer- C a nrse is caring for a child who is suspected of having Legg-calve-perthes disease. the nrse should prepare the child for which of the following diagnostic procedures a. bone biopsy b. genetic testing c. MRI d. radiographs Correct answer- D a nrse is assessing a child who has Legg-calve-perthes disease. which of the following findings should the nrse expect (SATA) a. longer affected leg b. hip stiffness c. intense pain d. limited ROM e. limp with walking Correct answer- B D E a nrse is assessing a preschool-age child for developmental dysplasia of the hip. which of the following assessment should the nrse include a. Barlow test b. trendelenburg sign c. manipulation of foot and ankle d. ortolani test Correct answer- B a nrse is caring for a child who has cerebral palsy. which of the following medications should the nrse expect to administer to treat painful muscle spasms (SATA) a. baclofen b. diazepam c. oxybutynin d. methotrexate e. prednisone Correct answer- A B a nrse is developing a plan of care for a toddler who has cerebral palsy. which of the following actions should the nrse include a. structure interventions according to the toddlers chronological age b. evaluate the toddler's need for an evaluation of hearing ability c. monitor the toddler's pain level routinely using a numeric rating scale d. provide total care for daily hygiene activities Correct answer- B a nrse is caring for a school age child who has juvenile idiopathic arthritis. which of the following home care instructions should the nrse include in the teaching? (SATA) a. provide extra time for completion of ADLs b. use cold compresses for joint pain c. take ibuprofen on an empty stomach d. remain home during periods of exacerbation e. perform ROM exercises Correct answer- A E a nrse is caring for a child who has muscular dystrophy. for which of the following findings should the nrses assess (SATA) a. purposeless, involuntary, abnormal movements b. spinal defect and saclike protrusion c. muscular weakness in lower extremities d. unsteady, wide-based or waddling gait e. upward slant to the eyes Correct answer- C D a nrse is caring for an infant who has myelomeningocele. which of the following actions should the nrse include in the preoperative plan of care a. assist the mother with cuddling the infant b. assess the infant's temperature rectally c. place the infant in a supine position d. apply a sterile, moist dressing on the face of the meiniges Correct answer- D