ATI RN Nursing Care of Children Online
Practice 2022 B
A nurse is planning care for a newly admitted schole-age child who has generalized
seizure disorder. Which of the following interventions should the nurse plan to include?
- Answer Ensure the oxygen source is functioning in the childs room: The nurse should
recognize that maintaining the child's airway is important during a seizure. The nurse
should ensure that the oxygen source is functioning because the child might require
supplemental oxygen following a seizure.
A nurse is providing dietary teaching to the guardian of a school-age child who has
cystic fibrosis. Which of the following statements should the nurse make? –
Answer "You should offer your child high-protein meals and snacks throughout the
day." The nurse should instruct the guardian to provide a diet that is well-balanced and
high in protein and calories. Children who have cystic fibrosis require a higher
percentage of the recommended dietary allowances of all nutrients to meet their energy
requirements. Children who have good nutritional intake have improved lung function
and decreased risk of infection.
A nurse is providing discharge teaching to the parents of a 6-month-old infant who is
postoperative following hypospadias repair with a stent placement. Which of the
following instructions should the nurse include in the teaching? - Answer "Allow the
stent to drain into your infants diaper." The nurse should instruct the parents to ensure
that the stent drains directly into the infant's diaper to prevent kinking or twisting that can
interfere with urine flow.
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? - Answer Decreased edema: A
child who has nephrotic syndrome can experience edema due to the increased
glomerular permeability, which increases protein loss. Prednisone decreases glomerular
permeability, which causes fluid to shift from the extracellular spaces, resulting in
decreased edema.
A nurse is receiving change-of-shift report for four children. Which of the following
children should the nurse assess first? - Answer A toddler who has a concussion and
an episode of forceful vomiting.: When using the urgent vs. nonurgent approach to client
care, the nurse should assess this child first. An episode of forceful vomiting is an
indication of increased intracranial pressure in a toddler who has a concussion.
A nurse is providing discharge teaching to the guardians of a toddler who had lower leg
cast applied 24 hr ago. The nurse should instruct the guardians to report which of the
following finding to the provider? - Answer Restricted ability to move the toes.: The
nurse should inform the guardians that a restricted ability of the toddler to move their
, toes is an indication of neurovascular compromise and requires immediate notification
of the provider. Permanent muscle and tissue damage can occur in just a few hours.
A nurse in an emergency department is auscultating the lungs of an adolescent who is
experiencing dyspnea. The nurse should identify the sound as which of the following? -
Answer Wheezes: The nurse should identify the sound during auscultation as wheezes,
which are high-pitched, musical or whistling-like sounds heard primarily on expiration as
air passes through and vibrates narrowed airways.
A nurse is caring for a preschooler who has congestive heart failure. The nurse
observes wide QRS complexes and peaked T waves on the cardiac monitor. Which of
the following prescriptions should the nurse clarify with the provider? - Answer
Potassium Chloride: The nurse should identify that a child who has congestive heart
failure can develop electrolyte imbalances, such as hyperkalemia or hypokalemia. The
nurse should identify that the child is exhibiting manifestations of hyperkalemia and
contact the provider about the administration of potassium chloride, which can increase
the severity of hyperkalemia.
A nurse is planning an educational program for school-age children and their parents
about bicycle safety. Which of the following information should the nurse plan to
include? - Answer The child should be able to stand on the balls of their feet when
sitting on the bike.: To decrease the risk for injury, parents should ensure that the bike is
the correct size for the child. When seated on the bike, the child should be able to stand
with the ball of each foot touching the ground and should be able to stand with each foot
flat on the ground when straddling the bike's center bar.
A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The
nurse should secure the sensor to which of the following areas on the infant? - Answer
Great Toe. The nurse should secure the sensor to the great toe of the infant and then
place a snug-fitting sock on the foot to hold the sensor in place. The nurse should also
check the skin under the sensor site frequently for temperature, color, and the presence
of a pulse.
A nurse is an emergency department is caring for a school-age child who has
epiglottitis. Which of the following actions should the nurse take? - Answer Monitor the
childs oxygen saturation: The nurse should monitor the child's oxygen saturation level
because the child is experiencing acute respiratory distress and it is necessary to
determine if the child is responding to treatment.
A nurse in an emergency department is caring for a school-age child who has sustained
a minor superficial burn from fireworks on their forearm. Which of the following actions
should the nurse take? - Answer Apply an antimicrobial ointment to the affected area.:
The nurse should apply an antimicrobial ointment to the burned area to prevent
infection.
Practice 2022 B
A nurse is planning care for a newly admitted schole-age child who has generalized
seizure disorder. Which of the following interventions should the nurse plan to include?
- Answer Ensure the oxygen source is functioning in the childs room: The nurse should
recognize that maintaining the child's airway is important during a seizure. The nurse
should ensure that the oxygen source is functioning because the child might require
supplemental oxygen following a seizure.
A nurse is providing dietary teaching to the guardian of a school-age child who has
cystic fibrosis. Which of the following statements should the nurse make? –
Answer "You should offer your child high-protein meals and snacks throughout the
day." The nurse should instruct the guardian to provide a diet that is well-balanced and
high in protein and calories. Children who have cystic fibrosis require a higher
percentage of the recommended dietary allowances of all nutrients to meet their energy
requirements. Children who have good nutritional intake have improved lung function
and decreased risk of infection.
A nurse is providing discharge teaching to the parents of a 6-month-old infant who is
postoperative following hypospadias repair with a stent placement. Which of the
following instructions should the nurse include in the teaching? - Answer "Allow the
stent to drain into your infants diaper." The nurse should instruct the parents to ensure
that the stent drains directly into the infant's diaper to prevent kinking or twisting that can
interfere with urine flow.
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? - Answer Decreased edema: A
child who has nephrotic syndrome can experience edema due to the increased
glomerular permeability, which increases protein loss. Prednisone decreases glomerular
permeability, which causes fluid to shift from the extracellular spaces, resulting in
decreased edema.
A nurse is receiving change-of-shift report for four children. Which of the following
children should the nurse assess first? - Answer A toddler who has a concussion and
an episode of forceful vomiting.: When using the urgent vs. nonurgent approach to client
care, the nurse should assess this child first. An episode of forceful vomiting is an
indication of increased intracranial pressure in a toddler who has a concussion.
A nurse is providing discharge teaching to the guardians of a toddler who had lower leg
cast applied 24 hr ago. The nurse should instruct the guardians to report which of the
following finding to the provider? - Answer Restricted ability to move the toes.: The
nurse should inform the guardians that a restricted ability of the toddler to move their
, toes is an indication of neurovascular compromise and requires immediate notification
of the provider. Permanent muscle and tissue damage can occur in just a few hours.
A nurse in an emergency department is auscultating the lungs of an adolescent who is
experiencing dyspnea. The nurse should identify the sound as which of the following? -
Answer Wheezes: The nurse should identify the sound during auscultation as wheezes,
which are high-pitched, musical or whistling-like sounds heard primarily on expiration as
air passes through and vibrates narrowed airways.
A nurse is caring for a preschooler who has congestive heart failure. The nurse
observes wide QRS complexes and peaked T waves on the cardiac monitor. Which of
the following prescriptions should the nurse clarify with the provider? - Answer
Potassium Chloride: The nurse should identify that a child who has congestive heart
failure can develop electrolyte imbalances, such as hyperkalemia or hypokalemia. The
nurse should identify that the child is exhibiting manifestations of hyperkalemia and
contact the provider about the administration of potassium chloride, which can increase
the severity of hyperkalemia.
A nurse is planning an educational program for school-age children and their parents
about bicycle safety. Which of the following information should the nurse plan to
include? - Answer The child should be able to stand on the balls of their feet when
sitting on the bike.: To decrease the risk for injury, parents should ensure that the bike is
the correct size for the child. When seated on the bike, the child should be able to stand
with the ball of each foot touching the ground and should be able to stand with each foot
flat on the ground when straddling the bike's center bar.
A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The
nurse should secure the sensor to which of the following areas on the infant? - Answer
Great Toe. The nurse should secure the sensor to the great toe of the infant and then
place a snug-fitting sock on the foot to hold the sensor in place. The nurse should also
check the skin under the sensor site frequently for temperature, color, and the presence
of a pulse.
A nurse is an emergency department is caring for a school-age child who has
epiglottitis. Which of the following actions should the nurse take? - Answer Monitor the
childs oxygen saturation: The nurse should monitor the child's oxygen saturation level
because the child is experiencing acute respiratory distress and it is necessary to
determine if the child is responding to treatment.
A nurse in an emergency department is caring for a school-age child who has sustained
a minor superficial burn from fireworks on their forearm. Which of the following actions
should the nurse take? - Answer Apply an antimicrobial ointment to the affected area.:
The nurse should apply an antimicrobial ointment to the burned area to prevent
infection.
