ATI: Nursing Care of Children 2 Exam Questions With Answers Verified 100% Correct

ATI: Nursing Care of Children 2 Exam Questions With Answers Verified 100% Correct A nurse is caring for an 18-month-old toddler who has been admitted following surgical repair of a cleft palate. Postoperatively, the child complains of thirst. The nurse should provide fluids using which of the following? - ANSWER Cup A nurse is caring for a 4-year-old child with leukemia. The child has undergone chemotherapy and now has a fever, pallor, fatigue, and petechiae. Based on this information, which of the following should the nurse expect to find? - ANSWER Hemoglobin 6 g/dL A nurse is caring for a toddler who is exhibiting acute respiratory distress. Which of the following findings should alert the nurse to the possible diagnosis of epiglottitis? - ANSWER Drooling A nurse is caring for a child diagnosed with nephrotic syndrome who is receiving Predisone (Deltasone). Which of the following should the nurse recognize as a therapeutic response of the medication? - ANSWER Weight drops 500 g A nurse is caring for a child with a history of diarrhea for 24 hr. The primary care provider orders a urine specific gravity. Which of the following values should the nurse expect to see? - ANSWER 1.030 A nurse is providing care to a child with a possible intussusception. The parents of the child ask the nurse how the diagnosis is made. Based on an understanding of the diagnostic evaluation for intussusception, which of the following statements should the nurse use? - ANSWER "A barium enema will be given to visualize the obstruction." A nurse is caring for a child with acute glomerulonephritis and an ASO titer is ordered. The child's parent asks the nurse, "Why does the child need this titer?" Which of the following would be an appropriate response by the nurse? - ANSWER "It will tell us if the child had a recent strep infection." In planning care for a child with severe reactive airway disease, the nurse knows that when chronic steroid use is indicated, inhaled steroids are preferred over oral steroids for which of the following reasons? - ANSWER Oral steroids can slow linear growth in children. A nurse is caring for a newborn infant who is suspected of having a tracheo esophageal fistula (TEF). Which of the following nursing assessments would be consistent with this diagnosis? - ANSWER Copious oral secretions A nurse is caring for a child with a Milwaukee brace for scoliosis. After educating the adolescent, the nurse evaluates the client understands the proper application and use of the brace. Which of the following statements should indicate to the nurse that the adolescent understands the use of the brace? - ANSWER "I can take my brace off for about an hour to shower daily." A nurse is caring for a 2 year old child with vomiting and dehydration. Which of the following assessments should prompt the nurse to contact the primary care provider? - ANSWER Potassium 2.5 mEq/L A nurse is caring for a 2-year-old child who has not received any immunizations. During assessment, the child is noted to have maculopapular rash and fever. The child's parent tells the nurse that the child has been exposed to rubeola. Which of the following assessment findings should the nurse expect? - ANSWER Koplik spot A nurse is caring for a 4 month old infant with otitis media. The nurse is educating the child's parent on how to prevent reoccurrences. Which of the following statements by the parent should the nurse recognize as an understanding of the teaching? - ANSWER "I will make sure my baby is sitting upright when drinking a bottle." A nurse is caring for a child with a ventricular septal defect. Which of the following should the nurse expect to assess in this child? - ANSWER Murmur best heard at the lower left sternal border A nurse is caring for a 6 week old infant who is admitted to the pediatric acute care unit following pyloromyotomy. The nurse should anticipate the feeding schedule 8 hr postoperative will be which of the following? - ANSWER Small, frequent bottle feedings A nurse is caring for a 4 month old infant who is admitted with a ventricular septal defect (VSD) and undergoing a cardiac catheterization. Post catheterization, which of the following manifestations should alert the nurse to a potential complication? - ANSWER Groin dressing with small amount of blood noted A nurse is caring for a child with cystic fibrosis. In planning nutritional care for this child, the nurse should include which of the following actions? - ANSWER Increased protein intake. A nurse is teaching a 12-year-old child how to use an steroid inhaler. The nurse should recognize that the teaching has been effective when the child makes which of the following statements? - ANSWER "I will use this medication every day even if I don't have any manifestations." A nurse is caring for a child receiving chemotherapy. The white blood cell count is 1,200/mm^3. In planning the child's care, the nurse should prepare to do which of the following? - ANSWER Maintain protective isolation and monitor for fever. A nurse is caring for a child in skeletal traction. At the change of shift, the nurse finds the client crying in pain, and the right foot is pale and pulseless. Which of the following should the nurse recognize as the appropriate explanation of this finding? - ANSWER This is a critically abnormal finding, and the primary care provider must be notified immediately. A nurse is caring for an adolescent with a fiberglass cast. When providing education for the adolescent, which of the following should the nurse explain? - ANSWER Place plastic over the cast while bathing. A nurse is caring for a 6-month-old infant who has been diagnosed with thalassemia major. After providing a teaching plan, the nurse should recognize that the parent understands the disease process when the parent states which of the following? - ANSWER "My infant will require frequent transfusions." A nurse is educating a parent on the treatment for pinworms. Which of the following statements by the parent indicate that teaching has been effective? - ANSWER "I will give my child mebendazole (Vermox) today and in two weeks." A nurse is assessing a 4-year-old child at a well-child appointment. The parent expresses concern over the child's stuttering. The nurse provides teaching to the parent. Which of the following statements by the parent indicates a need for further teaching? - ANSWER "It may help if you encourage your child to stop and begin the word over." A nurse is caring for a child who is diagnosed with Wilms' tumor. Which of the following interventions should the nurse do first? - ANSWER Place a sign over the bed that says "Do Not Palpate the Abdomen".