ATI PN Nursing Care of Children Online Practice 2020 B
A nurse is assisting with the admission of a toddler who has bacterial meningitis caused by Haemophilus
influenzae type B. Which of the following isolation guidelines should the nurse plan to initiate? - Droplet
precautions
A nurse is reinforcing teaching to the guardian of a toddler who is receiving chemotherapy and has
developed stomatitis. Which of the following instructions should the nurse include in the teaching? -
Frequently rinse the mouth with chlorihexidine mouthwash
A nurse is reinforcing discharge teaching with the guardians of a 6month old infant following a surgical
procedure to repair a hypospadias. Which of the following instructions should the nurse include? - Wait
1 week before giving the infant a tub bath
Keep the infants penis as dry as possible until the stent or cather is removed.
A nurse is reviewing the laboratory findings of a school-age child who reports feeling tired and being
easily bruised. Which of the following laboratory values should the nurse report to the provider? -
Platelets 85,000/mm3
A nurse is contributing to the plan of care for a child who has type 1 diabetes mellitus and is
experiencing an acute illness. Which of the following actions should the nurse include in the plan of
care? - - Encourage an increased fluid intake
to flush out ketones and prevent dehydration; this can lead to DKA
A nurse is contributing to the plan of care for a child who is in Buck's traction. Which of the following
interventions should the nurse include in the plan? - Maintain the leg in an extended position
, -decreases the risk for further injury to the extremity and minimizes the occurrence of muscle spasms
A nurse in a pediatric clinic is caring for an infant who has heart failure and a prescription for digoxin.
Which of the following statements by the parent indicates desired therapeutic effect of the medication?
- My baby is breathing easier than she used to
-Digoxin(increases cardiac output and decrease venous pressure and pulmonary edema, which will
reduce respiratory demands
A nurse is caring for a group of children in an acute care setting. The nurse should identify that which of
the following children is at risk for impaired elimation? - A child who has hyperglycemia
-A client who has hyperglycemia exhibits manifestations of polyuria, lethargy, confusion, thirst, nausea,
vomiting, abdominal pain, signs of dehydration, rapid respiration, and fruity breath. A child who has
hyperglycemia is at risk for dehydration
A nurse is caring for a toddler who has terminal cancer and is receiving hospice care. The child's parent
tells the nurse, "I'm a bad parent, and I cant deal with this." Which of the following responses should the
nurse make? - I'm not sure I follow you. Can you explain?
A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) with the parent of a 1month
old infant. Which of the following statement by the parent indicates an understanding of the teaching? -
I will allow my baby to have a pacifier while sleeping
-decreases the risk for SIDS
A nurse is reinforcing teaching with the guardian of a school-age child who has acute bacterial
conjunctivitis and a new prescription for sulfacetamide. Which of the following instructions should the
nurse include? - Instill medication immediately after cleansing the eye
A nurse is assisting with the admission of a toddler who has bacterial meningitis caused by Haemophilus
influenzae type B. Which of the following isolation guidelines should the nurse plan to initiate? - Droplet
precautions
A nurse is reinforcing teaching to the guardian of a toddler who is receiving chemotherapy and has
developed stomatitis. Which of the following instructions should the nurse include in the teaching? -
Frequently rinse the mouth with chlorihexidine mouthwash
A nurse is reinforcing discharge teaching with the guardians of a 6month old infant following a surgical
procedure to repair a hypospadias. Which of the following instructions should the nurse include? - Wait
1 week before giving the infant a tub bath
Keep the infants penis as dry as possible until the stent or cather is removed.
A nurse is reviewing the laboratory findings of a school-age child who reports feeling tired and being
easily bruised. Which of the following laboratory values should the nurse report to the provider? -
Platelets 85,000/mm3
A nurse is contributing to the plan of care for a child who has type 1 diabetes mellitus and is
experiencing an acute illness. Which of the following actions should the nurse include in the plan of
care? - - Encourage an increased fluid intake
to flush out ketones and prevent dehydration; this can lead to DKA
A nurse is contributing to the plan of care for a child who is in Buck's traction. Which of the following
interventions should the nurse include in the plan? - Maintain the leg in an extended position
, -decreases the risk for further injury to the extremity and minimizes the occurrence of muscle spasms
A nurse in a pediatric clinic is caring for an infant who has heart failure and a prescription for digoxin.
Which of the following statements by the parent indicates desired therapeutic effect of the medication?
- My baby is breathing easier than she used to
-Digoxin(increases cardiac output and decrease venous pressure and pulmonary edema, which will
reduce respiratory demands
A nurse is caring for a group of children in an acute care setting. The nurse should identify that which of
the following children is at risk for impaired elimation? - A child who has hyperglycemia
-A client who has hyperglycemia exhibits manifestations of polyuria, lethargy, confusion, thirst, nausea,
vomiting, abdominal pain, signs of dehydration, rapid respiration, and fruity breath. A child who has
hyperglycemia is at risk for dehydration
A nurse is caring for a toddler who has terminal cancer and is receiving hospice care. The child's parent
tells the nurse, "I'm a bad parent, and I cant deal with this." Which of the following responses should the
nurse make? - I'm not sure I follow you. Can you explain?
A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) with the parent of a 1month
old infant. Which of the following statement by the parent indicates an understanding of the teaching? -
I will allow my baby to have a pacifier while sleeping
-decreases the risk for SIDS
A nurse is reinforcing teaching with the guardian of a school-age child who has acute bacterial
conjunctivitis and a new prescription for sulfacetamide. Which of the following instructions should the
nurse include? - Instill medication immediately after cleansing the eye
