PEDS-Nursing Care of Children ATI
A nurse in the emergency department is caring for a child who has bruises that support a suspicion
of child abuse. Which of the following actions should the nurse take? - Report the suspected abuse
to local authorities
A nurse is providing discharge teaching to parents whose infant had a ventriculoperitoneal shunt
placement for the treatment of hydrocephalus. Which of the following statements by the parents
indicates an understanding of the teaching? - We will notify the doctor right away if he has a fever
A nurse is assessing a preschooler who has HIV. Which of the following manifestations should the
nurse expect? - Chronic diarrhea
A nurse is caring for a 5-year-old child who has a fever and begins to have a seizure. Which of the
following actions should the nurse take? - Place the child in a side-lying position
A nurse is caring for a 7-year-old child who is in skeletal traction following a complete fracture of the
femur. Which of the following diversional activities should the nurse offer the child? - Chapter books
A nurse is providing discharge teaching to the parents of a child who has nephrotic syndrome. Which
of the following instructions should the nurse include in the teaching? - Keep the child away from
people who have an infection
A nurse is teaching an adolescent about various strategies for chronic pain management. Which of
the following activities should the nurse use as an example of the nonpharmacological strategy of
thought-stopping? - Repeat memorized facts about the painful event
A nurse is caring for an infant who is preoperative for the treatment of an intact myelomeningocele
sac. In which of the following positions should the nurse place the infant? - Prone
A nurse is developing a plan of care for a school-age child who underwent a surgical procedure that
resulted in a temporary loss of vision. Which of the following interventions should the nurse include
in the plan of care? - Explain the sounds the child is hearing
A nurse is caring for a child who has glomerulonephritis. Which of the following actions should the
nurse take? - Weigh the child once each day
,A nurse is assessing an adolescent who has sustained a broken tibia. Following the application of a
fiberglass cast, the adolescent reports pain and a tingling feeling in the limb. Which of the following
actions should the nurse take first? - Assess for manifestations of circulatory impairment
A nurse is caring for a toddler who has otitis media and a temperature of 39.1°C (102.4°F). Which of
the following actions should the nurse take first? - Administer an antipyretic to the child
A nurse is assessing the fine motor skills of a 3-year-old preschooler. Which of the following findings
should the nurse expect? - The preschooler builds a tower of 9 cubes
A nurse is planning preoperative teaching for a preschooler who is scheduled for a tonsillectomy.
Which of the following interventions should the nurse plan to include? - Encourage the preschooler
to bring a favorite toy to the hospital
A nurse is caring for a 4-year-old child who has pneumonia. The child's mother left 2 hours ago, and
he is currently experiencing the separation anxiety stage of despair. Which of the following findings
should the nurse expect? - Inactivity and thumb sucking
A nurse on a pediatric unit is planning care for a preschooler who will be having a surgical procedure
in the morning. The child has been crying despite his parents' presence at his bedside. The nurse
should add engaging the child in therapeutic play to the care plan to offer which of the following
benefits? - Allow the child to manipulate toy medical equipment
A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child visit. Which of the
following findings should the nurse report to the provider? - Head lagging when the infant is pulled
from a lying to a sitting position
A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings
indicates the need for further assessment? - The infant's legs remain crossed and extended when
supine.
A nurse is assessing a 6-month-old infant following a cardiac catheterization. Which of the following
findings should the nurse report to the provider? - BP 86/40 mmHg
,A nurse is providing teaching to the guardian of a child who has Kawasaki disease. Which of the
following statements by the guardian indicates an understanding of the teaching? (Select all that
apply.) - "My child will likely be irritable for the next few weeks."
"I will ensure my child does not receive any live vaccines for at least 18 months."
"I will keep a record of my child's temperature until she has no fever for several days."
A school nurse is providing care to a child who has a nosebleed. Which of the following actions
should the nurse perform? (Select all that apply.) - Apply pressure to the child's nose using the
thumb and forefinger
Keep the child calm
A nurse is assessing the vital signs of a 1-month-old infant. Which of the following actions should the
nurse perform? - Count respirations before taking other vital signs
A nurse is providing teaching about home care to the parents of an infant who has diaper dermatitis.
Which of the following instructions should the nurse include? - Leave the zinc oxide ointment intact
and reapply as necessary during diaper changes
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the following actions
should the nurse take? - Minimize physical contact with the child initially
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? - Meningococcal polysaccharide
A nurse is providing education about the introduction of solid foods for the parent of an infant.
Which of the following instructions should the nurse include? - Begin after the extrusion reflex has
diminished.
A nurse is caring for a school-aged child who begins to have a tonic-clonic seizure when leaving the
bathroom. Which of the following actions should the nurse take first? - Ease the child to the floor in
Sims' position
, A nurse is caring for a child who is in the emergency department after ingesting a bottle of
acetaminophen. Which of the following medications should the nurse plan to administer? -
Acetylcysteine
A nurse is assessing a 30-month-old toddler during a well-child visit. Which of the following findings
requires further assessment by the nurse? - The toddler's birth weight is tripled.
A nurse is teaching the guardians of a toddler who has a new prescription for an oral iron
supplement. To increase the child's absorption of the iron, the nurse should recommend
administering the supplement with which of the following? - Orange juice
A nurse is assessing a 24-month-old toddler who has a new diagnosis of autism spectrum disorder
(ASD). Which of the following findings should the nurse expect? - Impaired language skills
A nurse in an emergency department is caring for a toddler who is in acute respiratory distress.
Which of the following findings should alert the nurse to the possibility of epiglottitis? - Drooling
A nurse is teaching a group of parents of toddlers about growth and development. A parent asks,
"Why does my child's abdomen stick out?" Which of the following replies should the nurse provide?
- "Toddlers do not have well-developed abdominal muscles."
A nurse is planning care for a child who has hyperthermia. Which of the following actions should the
nurse take? - Position the child on a cooling blanket and cover her with a sheet
A nurse is planning care for a 6-year-old child who is receiving chemotherapy. The child has a
highlight platelet count of 20,000/mm^3. Based on this laboratory value, which of the following
interventions should the nurse include in the plan of care? - Encourage quiet play
A nurse is planning care for an adolescent who has sickle cell anemia and is experiencing a vaso-
occlusive crisis. Which of the following interventions should the nurse include in the plan? - Maintain
the child on bed rest
A nurse is assessing a 6-month-old infant. The guardian reports that the infant does not appear
interested in the brightly colored mobile hanging above the crib at home. Which of the following
techniques should the nurse use to check the infant's visual acuity? - Move a brightly colored toy
from side to side in front of the infant's face
A nurse in the emergency department is caring for a child who has bruises that support a suspicion
of child abuse. Which of the following actions should the nurse take? - Report the suspected abuse
to local authorities
A nurse is providing discharge teaching to parents whose infant had a ventriculoperitoneal shunt
placement for the treatment of hydrocephalus. Which of the following statements by the parents
indicates an understanding of the teaching? - We will notify the doctor right away if he has a fever
A nurse is assessing a preschooler who has HIV. Which of the following manifestations should the
nurse expect? - Chronic diarrhea
A nurse is caring for a 5-year-old child who has a fever and begins to have a seizure. Which of the
following actions should the nurse take? - Place the child in a side-lying position
A nurse is caring for a 7-year-old child who is in skeletal traction following a complete fracture of the
femur. Which of the following diversional activities should the nurse offer the child? - Chapter books
A nurse is providing discharge teaching to the parents of a child who has nephrotic syndrome. Which
of the following instructions should the nurse include in the teaching? - Keep the child away from
people who have an infection
A nurse is teaching an adolescent about various strategies for chronic pain management. Which of
the following activities should the nurse use as an example of the nonpharmacological strategy of
thought-stopping? - Repeat memorized facts about the painful event
A nurse is caring for an infant who is preoperative for the treatment of an intact myelomeningocele
sac. In which of the following positions should the nurse place the infant? - Prone
A nurse is developing a plan of care for a school-age child who underwent a surgical procedure that
resulted in a temporary loss of vision. Which of the following interventions should the nurse include
in the plan of care? - Explain the sounds the child is hearing
A nurse is caring for a child who has glomerulonephritis. Which of the following actions should the
nurse take? - Weigh the child once each day
,A nurse is assessing an adolescent who has sustained a broken tibia. Following the application of a
fiberglass cast, the adolescent reports pain and a tingling feeling in the limb. Which of the following
actions should the nurse take first? - Assess for manifestations of circulatory impairment
A nurse is caring for a toddler who has otitis media and a temperature of 39.1°C (102.4°F). Which of
the following actions should the nurse take first? - Administer an antipyretic to the child
A nurse is assessing the fine motor skills of a 3-year-old preschooler. Which of the following findings
should the nurse expect? - The preschooler builds a tower of 9 cubes
A nurse is planning preoperative teaching for a preschooler who is scheduled for a tonsillectomy.
Which of the following interventions should the nurse plan to include? - Encourage the preschooler
to bring a favorite toy to the hospital
A nurse is caring for a 4-year-old child who has pneumonia. The child's mother left 2 hours ago, and
he is currently experiencing the separation anxiety stage of despair. Which of the following findings
should the nurse expect? - Inactivity and thumb sucking
A nurse on a pediatric unit is planning care for a preschooler who will be having a surgical procedure
in the morning. The child has been crying despite his parents' presence at his bedside. The nurse
should add engaging the child in therapeutic play to the care plan to offer which of the following
benefits? - Allow the child to manipulate toy medical equipment
A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child visit. Which of the
following findings should the nurse report to the provider? - Head lagging when the infant is pulled
from a lying to a sitting position
A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings
indicates the need for further assessment? - The infant's legs remain crossed and extended when
supine.
A nurse is assessing a 6-month-old infant following a cardiac catheterization. Which of the following
findings should the nurse report to the provider? - BP 86/40 mmHg
,A nurse is providing teaching to the guardian of a child who has Kawasaki disease. Which of the
following statements by the guardian indicates an understanding of the teaching? (Select all that
apply.) - "My child will likely be irritable for the next few weeks."
"I will ensure my child does not receive any live vaccines for at least 18 months."
"I will keep a record of my child's temperature until she has no fever for several days."
A school nurse is providing care to a child who has a nosebleed. Which of the following actions
should the nurse perform? (Select all that apply.) - Apply pressure to the child's nose using the
thumb and forefinger
Keep the child calm
A nurse is assessing the vital signs of a 1-month-old infant. Which of the following actions should the
nurse perform? - Count respirations before taking other vital signs
A nurse is providing teaching about home care to the parents of an infant who has diaper dermatitis.
Which of the following instructions should the nurse include? - Leave the zinc oxide ointment intact
and reapply as necessary during diaper changes
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the following actions
should the nurse take? - Minimize physical contact with the child initially
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? - Meningococcal polysaccharide
A nurse is providing education about the introduction of solid foods for the parent of an infant.
Which of the following instructions should the nurse include? - Begin after the extrusion reflex has
diminished.
A nurse is caring for a school-aged child who begins to have a tonic-clonic seizure when leaving the
bathroom. Which of the following actions should the nurse take first? - Ease the child to the floor in
Sims' position
, A nurse is caring for a child who is in the emergency department after ingesting a bottle of
acetaminophen. Which of the following medications should the nurse plan to administer? -
Acetylcysteine
A nurse is assessing a 30-month-old toddler during a well-child visit. Which of the following findings
requires further assessment by the nurse? - The toddler's birth weight is tripled.
A nurse is teaching the guardians of a toddler who has a new prescription for an oral iron
supplement. To increase the child's absorption of the iron, the nurse should recommend
administering the supplement with which of the following? - Orange juice
A nurse is assessing a 24-month-old toddler who has a new diagnosis of autism spectrum disorder
(ASD). Which of the following findings should the nurse expect? - Impaired language skills
A nurse in an emergency department is caring for a toddler who is in acute respiratory distress.
Which of the following findings should alert the nurse to the possibility of epiglottitis? - Drooling
A nurse is teaching a group of parents of toddlers about growth and development. A parent asks,
"Why does my child's abdomen stick out?" Which of the following replies should the nurse provide?
- "Toddlers do not have well-developed abdominal muscles."
A nurse is planning care for a child who has hyperthermia. Which of the following actions should the
nurse take? - Position the child on a cooling blanket and cover her with a sheet
A nurse is planning care for a 6-year-old child who is receiving chemotherapy. The child has a
highlight platelet count of 20,000/mm^3. Based on this laboratory value, which of the following
interventions should the nurse include in the plan of care? - Encourage quiet play
A nurse is planning care for an adolescent who has sickle cell anemia and is experiencing a vaso-
occlusive crisis. Which of the following interventions should the nurse include in the plan? - Maintain
the child on bed rest
A nurse is assessing a 6-month-old infant. The guardian reports that the infant does not appear
interested in the brightly colored mobile hanging above the crib at home. Which of the following
techniques should the nurse use to check the infant's visual acuity? - Move a brightly colored toy
from side to side in front of the infant's face
