Peds ATI 2019 A_ 100% Score

A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first? 2. A nurse is teaching the parent of an infant about ways to prevent sudden infant death syndrome (SIDS). Which of the following instructions should the nurse include? 3. A nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy. Which of the following findings should the nurse expect? (Select all that apply.) 4. The nurse is providing discharge teaching to the parent of a child who is 1 week postoperative following a cleft palate repair. For which of the following members of the inter professional team should the nurse initiate a referral? 5. A nurse is creating a plan of care for an infant who has an epidural hematoma from a head injury. Which of the following interventions should the nurse include in the plan? 6. A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the nurse take? 7. A nurse is providing teaching to the parent of a school-age child who has a new prescription for oral nystatin for the treatment of oral candidiasis. Which of the following instructions should the nurse include? 8. A nurse in an emergency department is performing an admission assessment on a 2 week-old male newborn. Which of the following findings is the priority for the nurse to report to the provider? 9. A nurse is receiving change-of-shift report on four children. Which of the following children should the nurse see first? 10. A nurse is assessing a school-age child who has meningitis. Which of the following findings is the priority for the nurse to report to the provider? 11. 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? 12. A nurse is reviewing the laboratory report of a school-age child who is experiencing fatigue. Which of the following findings should the nurse recognize as an indication of anemia? 13. A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury (AKI) and has a sodium level of 129 mEq/L. Which of the following interventions should the nurse include in the plan? 14. A nurse is assessing the vital signs of a 10-year-old child following a burn injury. The nurse should identify that which of the following findings in an indication of early septic shock? 15. A nurse is caring for an infant who has respiratory syncytial virus (RSV). Which of the following actions should the nurse implement for infection control? 16. A nurse is caring for a 15 year-old client following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing syndrome of inappropriate antidiuretic hormone secretion (SIADH)? 17. A nurse in a provider's office if preparing to administer immunizations to a toddler during a well-child visit. Which of the following actions should the nurse plan to take? 18. A nurse is teaching the guardian of a 6-month-old infant about car seat use. Which of the 19. A nurse is providing teaching to the parent of an infant who has diaper dermatitis. The nurse should instruct the parent to apply which of the following to the affected area? 20. A nurse is reviewing the lumbar puncture results of a school-age child suspected of having bacterial meningitis. Which of the following results should the nurse identify as a finding associated with bacterial meningitis? 21. The nurse is interviewing the parent of an 18-month-old toddler during a well-child visit. The nurse should identify that which of the following findings indicates a need to assess the toddler for hearing loss? 22. A nurse is caring for a school-age child who has experienced a tonic-clonic seizure. Which of the following actions should the nurse take during the immediate postictal period? 23. A nurse in the emergency department is caring for a toddler who has a partial thickness burns on their right arm. Which of the following actions should the nurse take? 24. A nurse is proving dietary teaching to the parent of a school-age child who has celiac disease. The nurse should recommend that the parent offer which of the following foods to the child? 25. A nurse is assessing a 4-year-old child at a well-child visit. Which of the following developmental milestones should the nurse expect to observe? 26. A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. The nurse should identify that which of the following laboratory values indicates effectiveness of the current treatment?. 27. A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the sound as which of the following? 28. A nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks. Which of the following statements by the parent indicates an understanding of the teaching? 29. A hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse that he cannot cope anymore and has decided to move out of the house. Which of the following statements should the nurse make? 30. A nurse is assessing a school-age child immediately following a perforated appendix repair. Which of the following findings should the nurse expect? 31. A nurse is caring for a toddler who is experiencing acute diarrhea and has moderate dehydration. Which of the following nutritional items should the nurse offer to the toddler? 32. A nurse is preparing to administer an immunization to a 4-year-old child. Which of the following actions should the nurse plan to take? 33. A nurse in an urgent care clinic is assessing an adolescent who has an upper respiratory tract infection. Which of the following findings should the nurse identify as a manifestation of pertussis? 34. A nurse is teaching the parent of an infant who has a Pavlik harness for the treatment of developmental dysplasia of the hip. The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching? 35. A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart failure. Which of the following interventions should the nurse include in the plan? 36. A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. Which of the following actions should the nurse plan to take? 37. A nurse is providing teaching about social development to the parents of a preschooler. Which of the following play activities should the nurse recommend for the child? 38. A school nurse is assessing an adolescent who has multiple burns in various stages of healing. Which of the following behaviors should the nurse identify as a possible indication of physical abuse? 39. A nurse is admitting a school-age child who has Pertussis. Which of the following actions should the nurse take? 40. A nurse in an emergency department is caring for a school-age child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse? 41. A nurse is caring for a preschooler whose father is going home for a few hours while another relative stays with the child. Which of the following statements should the nurse make to explain to the child when their father will return? 42. A nurse is teaching the parents of a school-age child who has a new diagnosis of osteomyelitis of the tibia. The nurse should identify that which of the following statements by the parents indicates an understanding of the teaching? 43. The nurse is assessing a school-age child who has peritonitis. Which of the following findings should the nurse expect? 44. A nurse is caring for a 15 year-old client who is married and is scheduled for a surgical procedure. The client asks, "who should sign my surgical consent?" Which of the following responses should the nurse make? 45. A school nurse is assessing an adolescent who has scoliosis. Which of the following findings should the nurse expect? 46. A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching? 47. A nurse is caring for a preschooler who is scheduled for hydrotherapy treatment for wound debridement following a burn injury. Which of the following actions should the nurse take prior to the procedure? 48. A nurse in an emergency department is caring for an adolescent who has severe abdominal pain due to appendicitis. Which of the following locations should the nurse identify as McBurney's point? 49. A nurse is caring for a school-age child who is receiving chemotherapy and is severely immunocompromised. Which of the following actions should the nurse take? 50. A charge nurse in an emergency department is preparing an in-service for a group of newly licensed nurses on the clinical manifestations of child maltreatment. Which of the following manifestations should the charge nurse include as suggestive of potential physical abuse? 51. A nurse in an emergency department is caring for a school-age child who has appendicitis and rates their abdominal pain as 7 on a scale of 0 to 10. Which of the following actions should the nurse take? 52. A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings is the nurses priority? 53. A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. Which of the following actions should the nurse plan to take? 54. The nurse is caring for a preschooler who has been receiving IV fluids via a peripheral IV catheter. When preparing to discontinue the IV fluids and catheter, which of the following actions should the nurse plan to take? 55. A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the following manifestations should alert the nurse to a possible hemolytic transfusion reaction? 56. . 57. A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should the nurse expect? 58. A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney? 59. A nurse is caring for a school-age child who in in Buck's traction following a leg fracture 24 hr ago. Which of the following actions should the nurse take? 60. A nurse is reviewing the laboratory report of a 7 year-old child who is receiving chemotherapy. Which of the following lab values should the nurse report to the provider? 61. a nurse is teaching the parent of a 13-month-old toddler about home safety precautions. which of the following statements should the nurse make? 62. a nurse is providing teaching about car seat safety with the guardian of an 18 month old toddler who weighs 9.1 kg. which of the following responses by the guardian indicates an understanding of the teaching 63. a nurse is admitting a preschooler who is suspected to have pharyngeal diphtheria. what transmission-based precautions should the nurse initiate 64. a nurse is providing discharge teaching to the guardian of an infant who has a tracheostomy. which should the nurse ID as an item that should be in the infant's home prior to discharge 65. a nurse is reviewing the lab results of a 6 month old infant who has GER and is receiving treatment with lansoprazole. which of the following should indicate that the lansoprazole should be withheld and the provider should be notified? 66. a nurse is providing teaching to the guardians of a school-age child who has partial seizures and a new prescription for gabapentin. which of the following info should the nurse included in the teaching 67. a nurse is preparing to administer ondansetron to a school-age child who is receiving chemotherapy to treat cancer. which of the following assessment findings should the nurse id as an indication that the ondansetron has been effective 68. a nurse is admitting a 4-month old infant who has heart failure. which of the following findings is the nurse's priority? 69. a nurse is caring for a school-age child who has varicella. the parent asks the nurse when their child will no longer be contagious. which is correct? 70. a school nurse is caring for a child following a tonic-clonic seizure. which of the following actions should the nurse take first? 71. a nurse is caring for a 10 y/o child following a head injury. which of the following findings should the nurse identify as an indication that the child is developing diabetes insipidus 72. a nurse is teaching the parents of a toddler who has cognitive impairment about toilet training. which should be included? 73. a nurse is planning care to address nutritional needs for a preschooler who has cystic fibrosis. which of the following should be included? 74. a nurse in an ED is assessing a toddler who has kawasaki disease. which of the following should the nurse expect? 75. a nurse is planning care for a school-age child who has a tunneled central venous access device. which of the following interventions should be planned? 76. The nurse should cover the site with a semipermeable transparent dressing to reduce the risk of infection. 77. a nurse is planning developmental activities for a newly admitted 10 y/o child with neutropenia. which of the following actions should the nurse take? 78. a nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone. following 1 week of treatment, which of the following manifestations indicates to the nurse that the medication is effective? 79. a nurse in a health department is caring for an emancipated adolescent who has an STI and is unaccompanied by a guardian. which should the nurse do? 80. a nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. which should the nurse state? 81. a nurse is admitting an infant who has intussuscpetion. which of the following findings should the nurse expect? 82. a nurse is providing teaching to the family of a school age child who has juvenile idiopathic arthritis. which should be included? 83. a nurse is planning an educational program for school-age child and their parents about bicycle safety. which should be included? 84. a nurse is reviewing the risk factors for the development of congenital heart disease with a client who is planning to conceive. which of the following conditions should the nurse include as a maternal risk factor? 85. a nurse is caring for a 4-month-old child who is hospitalized. which of the following toys should the nurse provide for the child? 86. a nurse is preparing to obtain an antistreptolysin O (ASO) titer from a child who has acute glomerulonephritis. the child's parent asks the nurse to explain the purpose of the test. which of the following responses should the nurse provide? 87. a charge nurse is reviewing the expected growth and development of school-aged children with a group of staff nurses. which of the following statements should the nurse include 88. a nurse is planning care for a preschooler who is immediately postoperative following the replacement of a ventriculoperitoneal shunt. which of the following interventions should the nurse include in the plan? 89. a nurse is caring for a toddler. which of the following labs would the nurse report to the provider? 90. a nurse is assessing a school-aged child who has acute glomerulonephritis. which of the following manifestations should the nurse expect Correct Ans- periorbital edema 91. a nurse is providing teaching about immunizations to the parents of a severely immunocompromised child who has HIV. which of the following should the nurse include in the teaching? 92. a nurse is caring for a 3 year old child on a pediatric unit. the nurse should identify which of the following as an appropriate toy for the child? 93. a nurse is caring for a 12 month old infant following the surgical repair of a cleft palate. the nurse should plan to feed the infant using which instrument? 94. a nurse is planning care for an adolescent who has sickle cell anemia and is experiencing a vaso-occlusive crisis. which of the following interventions should the nurse include in the plan? 95. school age children are attempting to master which of the following? 96. a nurse is caring for a child who has sickle cell anemia and is experiencing a vaso-occlusive crisis which of the following actions should the nurse take 97. a nurse is caring for a child who has paralytic poliomyelitis. which of the following actions should the nurse take? 98. a nurse is caring for a child who has tetralogy of fallot. which of the following labs should t