ATI Care of Children 2019 B Exam with complete solution
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?
Ensure the oxygen source is functioning in the childs room
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?
"You should offer your child high-protein meals and snacks throughout the day."; 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.
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?
"Allow the stent to drain into your infants diaper."
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?
Decreased edema; 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?
A toddler who has a concussion and an episode of forceful vomiting.; 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?
Restricted ability to move the toes.; 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?
Wheezes
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?
Potassium Chloride
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?
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
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?
, Great Toe
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?
Monitor the childs oxygen saturation
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?
Apply an antimicrobial ointment to the affected area.
A nurse in a providers office is caring for a school-age child who has varicella. The
parents asks the nurse when their child will no longer be contagious. Which of the
following responses should the nurse make?
"When your childs lesions are crusted, usually 6 days after they appear."; the child is
contagious 1 day prior to lesion eruption and until the vesicles have crusted over, which
usually takes about 6 days.
A nurse is providing discharge teaching to the parent of a school-age child who has
moderate persistant asthma. Which of the following instructions should the nurse
include?
"Pulmonary function tests will be performed every 12 to 24 months to evaluate how your
child is responding to therapy."
A nurse is admitting an infant who has intussusception. Which of the following findings
should the nurse expect? (Select all that apply.)
Vomiting; due to the obstruction that occurs when a segment of the bowel telescopes
within another segment of the bowel.
Lethargy; due to episodes of severe pain during which the infant cries inconsolably,
leading to exhaustion and decreased nutritional intake.
A nurse is reviewing the laboratory results of a school-age child who is 1 week
postoperative following an open fracture repair. Which of the following findings should
the nurse identify as an indication of a potential complication?
Erythrocyte sedimentation rate 18 mm/hr; bove the expected reference range of up to
10 mm/hr and is an indication of osteomyelitis.
WBC Count Normal: 5,000 to 10,000/mm3
C-Reactive Protein Normal: Less than 10.0 mg/L
RBC Count Normal: 4.0 to 5.5 million/mm3
A nurse is providing discharge teaching to the parents of a 3-month old infant following
a cheiloplasty. Which of the following instructions should the nurse include?
"Apply a thin layer of antibiotic ointment on the your babys suture line daily for the next
3 days."
A nurse is discussion organ donation with the parents of a school-age child who has
sustained brain death due to a bicycle crash. Which of the following actions should the
nurse take first?
Explore the parents feelings and wishes regarding organ donation.
A nurse is caring for a 1-month-old infant who is breastfeeding and requires a heel stick.
Which of the following actions should the nurse take to minimize the infants pain?
Allow the mother to breastfeed while the sample is being obtained.
A nurse is assessing an adolescent who received a sodium polystyrene sulfonate
enema. Which of the following findings indicates effectiveness of the medication?
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?
Ensure the oxygen source is functioning in the childs room
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?
"You should offer your child high-protein meals and snacks throughout the day."; 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.
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?
"Allow the stent to drain into your infants diaper."
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?
Decreased edema; 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?
A toddler who has a concussion and an episode of forceful vomiting.; 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?
Restricted ability to move the toes.; 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?
Wheezes
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?
Potassium Chloride
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?
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
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?
, Great Toe
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?
Monitor the childs oxygen saturation
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?
Apply an antimicrobial ointment to the affected area.
A nurse in a providers office is caring for a school-age child who has varicella. The
parents asks the nurse when their child will no longer be contagious. Which of the
following responses should the nurse make?
"When your childs lesions are crusted, usually 6 days after they appear."; the child is
contagious 1 day prior to lesion eruption and until the vesicles have crusted over, which
usually takes about 6 days.
A nurse is providing discharge teaching to the parent of a school-age child who has
moderate persistant asthma. Which of the following instructions should the nurse
include?
"Pulmonary function tests will be performed every 12 to 24 months to evaluate how your
child is responding to therapy."
A nurse is admitting an infant who has intussusception. Which of the following findings
should the nurse expect? (Select all that apply.)
Vomiting; due to the obstruction that occurs when a segment of the bowel telescopes
within another segment of the bowel.
Lethargy; due to episodes of severe pain during which the infant cries inconsolably,
leading to exhaustion and decreased nutritional intake.
A nurse is reviewing the laboratory results of a school-age child who is 1 week
postoperative following an open fracture repair. Which of the following findings should
the nurse identify as an indication of a potential complication?
Erythrocyte sedimentation rate 18 mm/hr; bove the expected reference range of up to
10 mm/hr and is an indication of osteomyelitis.
WBC Count Normal: 5,000 to 10,000/mm3
C-Reactive Protein Normal: Less than 10.0 mg/L
RBC Count Normal: 4.0 to 5.5 million/mm3
A nurse is providing discharge teaching to the parents of a 3-month old infant following
a cheiloplasty. Which of the following instructions should the nurse include?
"Apply a thin layer of antibiotic ointment on the your babys suture line daily for the next
3 days."
A nurse is discussion organ donation with the parents of a school-age child who has
sustained brain death due to a bicycle crash. Which of the following actions should the
nurse take first?
Explore the parents feelings and wishes regarding organ donation.
A nurse is caring for a 1-month-old infant who is breastfeeding and requires a heel stick.
Which of the following actions should the nurse take to minimize the infants pain?
Allow the mother to breastfeed while the sample is being obtained.
A nurse is assessing an adolescent who received a sodium polystyrene sulfonate
enema. Which of the following findings indicates effectiveness of the medication?
