ATI- Pre Assessment Nursing Care of Children Exam Questions and Answers

ATI- Pre Assessment Nursing Care of Children Exam Questions and Answers Drawing, painting, riding a tricycle - Answer-preschoolers Banging large block - Answer-9 - 12 months Team sports - Answer-school-aged Watching black-and-white mobiles - Answer-Birth to 3 months Playing peek-a-boo - Answer-6 to 9 months Holding a soft rattle - Answer-3 to 6 months Loud, harsh murmur; Mild heart failure; Possible enlarged right atrium; Increased oxygen saturations in the right atrium; Asymptomatic (possibly). - Answer-Atrial septal defect (ASD) Increased blood pressure and oxygen saturation in the upper extremities compared to the lower extremities; Nosebleeds; Headaches, vertigo, leg pain, weak or absent lower extremity pulses (indicate decreased cardiac output). - Answer-Coarctation of the aorta Murmur (machine-hum); Wide pulse pressure; Bounding pulses; Asymptomatic (possibly) - Answer-Patent ductus arteriosus (PDA) Systolic ejection murmur; Right ventricular enlargement; Exercise intolerance; Cyanosis with severe narrowing. - Answer-Pulmonary stenosis Loud, harsh murmur that is not usually audible until pulmonary pressures drop at about 4 to 8 weeks of age; Heart failure; Failure to thrive; Small, possibly asymptomatic defects. - Answer-Ventricular septal defect (VSD) Murmur; Cyanosis, severe dyspnea, clubbing of the fingers, hypercyanotic spells, and acidosis; Polycythemia, clot formation; Frequently sits in a squatting position (decreases venous return); Failure to thrive and growth retardation - Answer-Tetralogy of Fallot May have difficulty accepting death because they are discovering who they are, establishing an identity, and dealing with issues of puberty. - Answer-Adolescents Experience fear of the disease process, the death process, the unknown, and loss of control - Answer-School-age children Have egocentric thinking that prevents them from understanding death. - Answer- Toddlers View dying as temporary because they have no concept of time and because the dead person may still have attributes of the living (sleeping, eating, breathing). - Answer- Preschool A nurse is caring for a 6-month-old infant following surgery. Which of the following should the nurse use to measure pain in this client? a. FLACC pain scale. b. There is no special pain scale for infants. c. Wong-Baker faces pain rating scale. d. Oucher numeric scale. - Answer-a. FLACC pain scale. A nurse is caring for an infant following a cleft lip and palate repair. Which of the following actions should the nurse take in the post-operative period? Select one: a. Encourage the use of a pacifier. b. Assess incision using tongue blade. c. Provide hard toys. d. Administer analgesics. - Answer-d. Administer analgesics. The nurse should keep the infant pain-free to decrease crying and stress on the repair. A nurse is caring for a child with a closed head injury. Which of the following interventions should the nurse institute to decrease intracranial pressure? Select all that apply. Select one or more: a. Instruct to avoid coughing and blowing nose. b. Keep the head of the bed flat. c. Provide a calm, restful environment. d. Avoid extreme flexion, extension or rotation of the head. e. Keep the body in alignment. - Answer-Avoid extreme flexion, extension or rotation of the head., Keep the body in alignment., Instruct to avoid coughing and blowing nose., Provide a calm, restful environment