NURSING CARE OF
CHILDREN ATI
PRACTICE EXAM WITH
NGN
,School-age child who is experiencing fatigue. Which finding should nurse
recognize as an indication of anemia?
A. Hematocrit 28%
B. Hemoglobin 13.5 g/dl
C. WBC count 8,000/mm^3
D. Platelets 250,000/mm^3 - ans a. Hematocrit 28%
- expected range: 32%-44% for a school aged child
- the child can also exhibit fatigue, lightheadedness, tachycardia, dyspnea,
& pallor due to the decreased oxygen carrying capacity
A nurse is reviewing the lumbar puncture results of a school-age child who
is suspected of having bacterial meningitis. Which of the following findings
should the nurse identify as an indication of bacterial meningitis?
A. Decreased cerebrospinal fluid pressure
B. Decreased WBC count
C. Increased protein concentration
D. Increased glucose level - ans c. Increased protein concentration
A nurse is reviewing the laboratory report of a 7-year-old child who is
receiving chemotherapy. Which of the following laboratory values should
the nurse report to the provider?
A. Hgb 8.5 g/dl
B. WBC count 9,500/mm^3
C. Prealbumin 18 mg/dl
D. Platelets 300,000/mm^3 - ans a. Hgb 8.5 g/dl
- a child receiving chemotherapy is at risk for anemia due to the
chemotherapy effects on the blood-forming cells of the bone marrow
- the development of anemia is diagnosed through lab testing of hgb &
hematocrit levels
, - the nurse should recognize that a hemoglobin level of 8.5 g/dl is below
the expected reference range of 10 to 15.5 g/dl for a 7 year old child and
should be reported to the provider
A nurse is caring for a preschooler whose father is going home for a few
hours while another relative stays with the child. Which of the following
statements should the nurse make to explain to the child when their father
will return?
A. "Your daddy will be back at 7 pm"
B. Your daddy will be back after he takes care of your brother"
C. Your daddy will be back in the morning"
D. "Your daddy will be back after you eat" - ans d. "Your daddy will be
back after you eat"
- preschoolers make sense of time best when they can associate it with an
expected daily routine, such as meals and bedtime
- therefore, the child comprehends time best when it is explained to them in
relation to an event they are familiar with, such as eating
A nurse if receiving change-of-shift report for four children. Which of the
following children should the nurse see first?
A. A school aged child who has sickle cell anemia & reports decreased
vision in the left eye
B. A school aged child who has cystic fibrosis & a frequent nonproductive
cough
C. A preschooler who has asthma & a peak flow meter reading in the green
zone
D. An adolescent who has meningitis & reports a sensitivity to lights &
noise - ans a. A school aged child who has sickle cell anemia and reports
decreased vision in the left eye
- when using urgent vs non-urgent approach to client care, the nurse
should determine the priority finding is a report of decreased vsiion in the
left eye
- this finding indicates that the child is experiencing a vaso-occlusive crisis
and should be reported to the provide immediately
CHILDREN ATI
PRACTICE EXAM WITH
NGN
,School-age child who is experiencing fatigue. Which finding should nurse
recognize as an indication of anemia?
A. Hematocrit 28%
B. Hemoglobin 13.5 g/dl
C. WBC count 8,000/mm^3
D. Platelets 250,000/mm^3 - ans a. Hematocrit 28%
- expected range: 32%-44% for a school aged child
- the child can also exhibit fatigue, lightheadedness, tachycardia, dyspnea,
& pallor due to the decreased oxygen carrying capacity
A nurse is reviewing the lumbar puncture results of a school-age child who
is suspected of having bacterial meningitis. Which of the following findings
should the nurse identify as an indication of bacterial meningitis?
A. Decreased cerebrospinal fluid pressure
B. Decreased WBC count
C. Increased protein concentration
D. Increased glucose level - ans c. Increased protein concentration
A nurse is reviewing the laboratory report of a 7-year-old child who is
receiving chemotherapy. Which of the following laboratory values should
the nurse report to the provider?
A. Hgb 8.5 g/dl
B. WBC count 9,500/mm^3
C. Prealbumin 18 mg/dl
D. Platelets 300,000/mm^3 - ans a. Hgb 8.5 g/dl
- a child receiving chemotherapy is at risk for anemia due to the
chemotherapy effects on the blood-forming cells of the bone marrow
- the development of anemia is diagnosed through lab testing of hgb &
hematocrit levels
, - the nurse should recognize that a hemoglobin level of 8.5 g/dl is below
the expected reference range of 10 to 15.5 g/dl for a 7 year old child and
should be reported to the provider
A nurse is caring for a preschooler whose father is going home for a few
hours while another relative stays with the child. Which of the following
statements should the nurse make to explain to the child when their father
will return?
A. "Your daddy will be back at 7 pm"
B. Your daddy will be back after he takes care of your brother"
C. Your daddy will be back in the morning"
D. "Your daddy will be back after you eat" - ans d. "Your daddy will be
back after you eat"
- preschoolers make sense of time best when they can associate it with an
expected daily routine, such as meals and bedtime
- therefore, the child comprehends time best when it is explained to them in
relation to an event they are familiar with, such as eating
A nurse if receiving change-of-shift report for four children. Which of the
following children should the nurse see first?
A. A school aged child who has sickle cell anemia & reports decreased
vision in the left eye
B. A school aged child who has cystic fibrosis & a frequent nonproductive
cough
C. A preschooler who has asthma & a peak flow meter reading in the green
zone
D. An adolescent who has meningitis & reports a sensitivity to lights &
noise - ans a. A school aged child who has sickle cell anemia and reports
decreased vision in the left eye
- when using urgent vs non-urgent approach to client care, the nurse
should determine the priority finding is a report of decreased vsiion in the
left eye
- this finding indicates that the child is experiencing a vaso-occlusive crisis
and should be reported to the provide immediately
