ATI RN nursing care of children
2023/2024 GRADED A
A nurse is assessing a child who is postoperative and received a unit of packed RBCs during a surgical
procedure. Which of the following findings indicates the child is experiencing a hemolytic transfusion
reaction? - CORRECT ANSWER Chills and Flank pain -------
Indicates an incompatibility of the transfused blood product with the clients blood. The nurse should
Identify that the child is having a hemolytic reaction.
A nurse is caring for a preschooler who has a terminal illness. The nurse should expect the preschooler to
have which of the following perspectives about death? - CORRECT ANSWER Believes that her own
thoughts can cause death -------
The nurse should expect preschoolers to believe that their own thoughts or actions can cause death, and
they might believe that death is a punishment for wrong doing
A nurse is assessing an adolescent who has a new diagnosis of anorexia nervosa. Which of the followig
findings should the nurse expect? - CORRECT ANSWER Lanugo over the back -----
The nurse should expect an adolescent who has anorexia nervosa to have lanugo present on the skin as
a result of impaired metabolic activity. Other manifestations of anorexia nervosa include hypothermia,
hypotension, and dry skin.
A nurse is caring for an 18 year old adolescent who is up to date on immunizations and is planning to
attend college. The nurse should recommend which of the following immunizations prior to moving into
a campus dormitory? - CORRECT ANSWER Meningcoccal polysaccharide-----
The meningcoccal polysaccharide immunization is used to prevent infection by certain groups of
meningcoccal bacteria. College freshman, particularly those who live in dorms, are at an increased risk
for meningcoccal disease relative to other persons their age.
A nurse is creating a plan of care for a child who has leukopenia secondary to chemotherapy. Which of
the following interventions should the nurse include in the plan? - CORRECT ANSWER Monitor the child
for increased temperature------
Leukopenia places the child at risk of infection; therefore, the nurse should monitor the child for a fever.
, A nurse is providing teaching to a 12 year old client who is recovering from an acute episode of
hemophilia A. Which of the following statements should the nurse include in the teaching? - CORRECT
ANSWER "You will be able to participate in physical exercises"-------
Physical exercise is important for the maintenance of joint mobility and muscle strenghening.
Participation in non-contact sports and the use of protective equipment such as knee pads are
encouraged, although high-impact athletic activities such as karate should be avoided.
A nurse is caring for a child who has epitaxis. Which of the following actions should the nurse perform? -
CORRECT ANSWER Apply continuous pressure to the child's nose for at least 10 mins------
The nurse needs to apply continuous pressure for at least 10 mins to help stop bleeding.
A nurse is providing teaching to the guardian of an adolescent. The Guardian reports that the adolescent
sleeps about 10 hr on weekend nights. Which of the responses should the nurse provide? - CORRECT
ANSWER "Adolescents need more sleep due to rapid growth"--------
The nurse should identify that sleeping 10 hrs on the weekend nights is an expected finding in
adolescents, who need more sleep time than other age groups. Common reasons for the increased need
for sleep include stress, busy schedule, and rapid physical growth.
A nurse is caring for the family of a preschooler who has a terminal illness. The nurse should teach the
family to expect the preschooler to have which of the following concepts of death? - CORRECT ANSWER
People can come back to life after they die.---------
A preschoooler typically views death as temporary and interchangeable with life.
A nurse is caring for a child who has a tracheostomy. Which of the following techniques should the nurse
use to suction the child's tracheostomy? - CORRECT ANSWER Remove the catheter while applying
intermittent suction---------
The nurse should insert the catheter without suction and then withdraw the catheter while applying
intermittent suction.
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? - CORRECT ANSWER Administer ibuprofen --------
The nurse should administer ibuprofen or acetaminophen for mild to moderate pain. If pain is not
relieved, the nurse should administer an opioid analgesic.
2023/2024 GRADED A
A nurse is assessing a child who is postoperative and received a unit of packed RBCs during a surgical
procedure. Which of the following findings indicates the child is experiencing a hemolytic transfusion
reaction? - CORRECT ANSWER Chills and Flank pain -------
Indicates an incompatibility of the transfused blood product with the clients blood. The nurse should
Identify that the child is having a hemolytic reaction.
A nurse is caring for a preschooler who has a terminal illness. The nurse should expect the preschooler to
have which of the following perspectives about death? - CORRECT ANSWER Believes that her own
thoughts can cause death -------
The nurse should expect preschoolers to believe that their own thoughts or actions can cause death, and
they might believe that death is a punishment for wrong doing
A nurse is assessing an adolescent who has a new diagnosis of anorexia nervosa. Which of the followig
findings should the nurse expect? - CORRECT ANSWER Lanugo over the back -----
The nurse should expect an adolescent who has anorexia nervosa to have lanugo present on the skin as
a result of impaired metabolic activity. Other manifestations of anorexia nervosa include hypothermia,
hypotension, and dry skin.
A nurse is caring for an 18 year old adolescent who is up to date on immunizations and is planning to
attend college. The nurse should recommend which of the following immunizations prior to moving into
a campus dormitory? - CORRECT ANSWER Meningcoccal polysaccharide-----
The meningcoccal polysaccharide immunization is used to prevent infection by certain groups of
meningcoccal bacteria. College freshman, particularly those who live in dorms, are at an increased risk
for meningcoccal disease relative to other persons their age.
A nurse is creating a plan of care for a child who has leukopenia secondary to chemotherapy. Which of
the following interventions should the nurse include in the plan? - CORRECT ANSWER Monitor the child
for increased temperature------
Leukopenia places the child at risk of infection; therefore, the nurse should monitor the child for a fever.
, A nurse is providing teaching to a 12 year old client who is recovering from an acute episode of
hemophilia A. Which of the following statements should the nurse include in the teaching? - CORRECT
ANSWER "You will be able to participate in physical exercises"-------
Physical exercise is important for the maintenance of joint mobility and muscle strenghening.
Participation in non-contact sports and the use of protective equipment such as knee pads are
encouraged, although high-impact athletic activities such as karate should be avoided.
A nurse is caring for a child who has epitaxis. Which of the following actions should the nurse perform? -
CORRECT ANSWER Apply continuous pressure to the child's nose for at least 10 mins------
The nurse needs to apply continuous pressure for at least 10 mins to help stop bleeding.
A nurse is providing teaching to the guardian of an adolescent. The Guardian reports that the adolescent
sleeps about 10 hr on weekend nights. Which of the responses should the nurse provide? - CORRECT
ANSWER "Adolescents need more sleep due to rapid growth"--------
The nurse should identify that sleeping 10 hrs on the weekend nights is an expected finding in
adolescents, who need more sleep time than other age groups. Common reasons for the increased need
for sleep include stress, busy schedule, and rapid physical growth.
A nurse is caring for the family of a preschooler who has a terminal illness. The nurse should teach the
family to expect the preschooler to have which of the following concepts of death? - CORRECT ANSWER
People can come back to life after they die.---------
A preschoooler typically views death as temporary and interchangeable with life.
A nurse is caring for a child who has a tracheostomy. Which of the following techniques should the nurse
use to suction the child's tracheostomy? - CORRECT ANSWER Remove the catheter while applying
intermittent suction---------
The nurse should insert the catheter without suction and then withdraw the catheter while applying
intermittent suction.
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? - CORRECT ANSWER Administer ibuprofen --------
The nurse should administer ibuprofen or acetaminophen for mild to moderate pain. If pain is not
relieved, the nurse should administer an opioid analgesic.
