ATI NURSING CARE OF CHILDREN CMS PRACTICE EXAM B (Latest 2023/ 2024) | Questions and Verified Answers with Rationales | 100% Correct

ATI NURSING CARE OF CHILDREN CMS PRACTICE EXAM B (Latest 2023/ 2024) | Questions and Verified Answers with Rationales | 100% Correct Q: A nurse is reinforcing teaching w/ parents of preschoolers regarding the use of booster seats in a motor vehicle. Which of the following instructions should the nurse include in the teaching? -Ensure the shoulder-lap portion of the seat belt fits across the child's ab- domen when sitting in the booster seat. -Use a no-back, belt-positioning booster seat if the motor vehicle does not have head rests. -Discontinue using a booster seat when the child is 135 cm (4 feet 5 inches) in height. -Secure the child in the booster seat using the motor vehicle's shoulder-lap seat belt.: Answer: Secure the child in the booster seat using the motor vehicle's shoulder-lap seat belt. The nurse should instruct the parents to secure both the child and the booster seat with the shoulder-lap seat belt inside the motor vehicle, because booster seats do not have built-in straps. Q: A nurse is reinforcing teaching about interventions for mild hypoglycemia w/ the parent of a child who has diabetes mellitus. Which of the following statements by the parent indicates that the teaching has been effective? -"I should administer a glucagon injection to my child." -"I should give my child 5 grams of a simple carbohydrate." -"I should give my child 4 ounces of orange juice followed by cheese and crackers." -"I should give my child a snack that is 10 percent of his daily caloric intake."- : Answer: "I should give my child 4 ounces of orange juice followed by cheese and crackers." The parent should treat mild hypoglycemia with 10-15 g of a simple carbohydrate, such as 4 oz of orange juice, and follow it with a starch-protein snack. Q: A nurse in a provider's office is caring for a preschooler who has findings of croup. Which of the following statements by the parent requires immediate intervention by the nurse? -"My child has refused to drink any fluids for the past 8 hours." -"My child has been coughing throughout the night." -"My child is very hoarse and has a fever of 100.4 F." -"My child recently had the flu.": Answer: "My child has refused to drink any fluids for the past 8 hours." An inadequate fluid intake indicates the child is at greatest risk for dehydration and electrolyte imbalance. Therefore, this statement by the parent requires immediate intervention by the nurse. Q: A nurse is collecting data from a school-age child. The nurse should identify that which of the following findings is a manifestation of physical abuse? -Multiple dental caries -Malnutrition -Recurrent urinary tract infections -Bruises at various stages of healing: Answer: Bruises at various stages of healing. The nurse should recognize that bruises at various stages of healing are a clinical manifestation of physical abuse. Q: A nurse is caring for a school-aged child who has hemophilia A. Which of the following should the nurse recognize as a manifestation of this disorder? -Joint pain and stiffness -Concave fingernails -Prominent frontal bossing -Increased risk of infection: Answer: Joint pain and stiffness. The nurse should recognize that joint pain and stiffness can occur as a result of bleeding into the joint, which is a manifestation of hemophilia A. Q: A nurse is reinforcing teaching to the guardian of a toddler who is receiving chemotherapy and has developed stomatitis. Which of the following instruc- tions should the nurse include in the teaching? -Administer viscous lidocaine before feedings. -Brush teeth using a firm toothbrush. -Frequently rinse the mouth with chlorhexidine mouthwash -Increase vitamin C intake by offering orange slices.: Answer: Frequently rinse the mouth with chlorhexidine mouthwash. The nurse should encourage the guardian to rinse the toddler's mouth frequently with chlorhexidine mouthwash. Q: A nurse is preparing a toddler for suturing of a minor facial laceration. The nurse should place the toddler in which of the following restraints? -Mummy restraint -Jacket restraint -Elbow restraints -Wrist restraints: Answer: Mummy restraint The nurse should use a mummy wrap when a short-term restraint is needed for treatment of the toddler that involves the head and neck. The nurse should always use the least amount of restraint necessary. Q: A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) w/ the parent of a 1-month-old infant. Which of the following statements by the parent indicates an understanding of the teaching? -"I will let my baby sleep with me in the bed at night." -"I will allow my baby to have a pacifier while sleeping." -"I will place my baby on a soft mattress to sleep." -"I will cover my baby with a quilt while he is sleeping.": Answer: "I will allow my baby to have a pacifier while sleeping." The nurse should reinforce with the parent that allowing the infant to fall asleep with a pacifier in his mouth decreases the risk for SIDS.