Download ATI NURSING CARE OF CHILDREN PROCTORED 2019 WITH NGN (3 VERSIONS) EACH WITH 60 QUESTIONS and more Exams Nursing in PDF only on Docsity!
ATI NURSING CARE OF CHILDREN PROCTORED 2019
WITH NGN (3 VERSIONS) EACH WITH 60 QUESTIONS
& CORRECT ANSWERS/ 2019 NURSING CARE OF
CHILDREN PROCTORED NGN LATEST VERSIONS/
AGRADE
NGN ATI NURSING CARE OF CHILDREN 2019 VERSION 1 A nurse is providing education about dietary modifications to the parent of a school age child who has glomerulonephritis. Which of the following information should the nurse include in the teaching? A. Increase the child calcium intake B. Decrease the Child's sodium intake C. Increase the child's intake of carbohydrates D. Decrease the child's fat intake - ANSWER-B. Decrease the Child's sodium intake A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure? A. Minimize movement of the limbs B. Insert a tongue blade between the teeth C. Clear the area of hard object D. Place the child in a prone position - ANSWER-C. Clear the area of hard object A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the following findings is the nurse's priority? A. HbA1C 11.5% B. cholesterol 189 mg/dL C. Preprandial blood glucose 124 mg/dL D. Glycosuria - ANSWER-A. HbA1C 11.5%
A nurse is providing anticipatory guidance to a parent of a 1- month-old infant. The nurse should include that it is recommended to start this series of which of the following immunization first? A. Varicella B. measles, mumps, rubella C. Inactivated poliovirus D. Hepatitis A tetra - ANSWER-C. Inactivated poliovirus A nurse is reviewing the laboratory report of a toddler who has hemolytic uremic syndrome. Which of the following findings should the nurse expect? A. Creatinine 0.3 mg/dL B. Hbg 18 g/dL C. Urine casts absent D. BUN 28 mg/dL - ANSWER-D. BUN 28 mg/dL A nurse is caring for a school-age child who is experiencing a sickle cell crisis. Which of the following actions should the nurse take? A. Administer furosemide IV twice per day. B. Apply warm compresses to the affected areas C. Decrease the child's fluid intake D. Initiate contact precautions. - ANSWER-B. Apply warm compresses to the affected areas A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following finding to the provider? A. Rhinorrhea B. Tachypnea C. Pharyngitis D. Coughing - ANSWER-B. Tachypnea A nurse is planning to teach an adolescent who is lactose intolerant about dietary
C. You should place your child on a high-fiber diet when she has an exacerbation." D. You should replace white flour with wheat flour when preparing meals for your child." - ANSWER-A. Your child will be on a gluten-free diet for the rest of her life." A nurse is administering albuterol by metered dose inhaler for a preschool-age child who is experiencing an asthma exacerbation. Which of the following findings should the nurse report to the provider? A. Respiratory rate 24 /min B. Peak flow rate of 80% C. Intercoastal retractions D. Elevated heart rate - ANSWER-C. Intercoastal retractions A nurse is caring for a school-age child who is 1 hr postoperative following it tonsillectomy. Which of the following actions should the nurse take? (Select all that apply.) A. Administer an analgesic to the child on a scheduled basis. B. Observe the child for frequent swallowing C. Provide cranberry juice to the child. D. Maintained a child in supine position. E. Discourage the child from coughing - - ANSWER-A. Administer an analgesic to the child on a scheduled basis. B. Observe the child for frequent swallowing E. Discourage the child from coughing A nurse is caring for a school-age child who has heart failure. Which of the following findings should the nurse expect? (select all that apply.) A. Tachycardia B. Weight loss C. Cyanosis D. Dyspnea
E. Bounding peripheral pulses - ANSWER-A. Tachycardia D. Dyspnea E. Bounding peripheral pulses A nurse in an emergency department is assisting a toddler who has a head injury. Which of the following findings should the nurse report to the provider? A. Glasgow coma scale score of 15 B. Respiratory rate 25/min C. Vomiting D. Negative Babinski reflex - ANSWER-C. Vomiting A nurse caring for a toddler who is in the terminal stage of neuroblastoma. The parents ask, how can we help our child now? Which of the following responses by the nurse is appropriate? A. Talk to your child about the meaning of death." B. Encourage your child's friends to visit." C. Stay close to your child." D. Change your child's schedule every day." - ANSWER-C. "Stay close to your child." A nurse is preparing to administer cephalexin 25 mg/kg PO to a child who has otitis media and weighs 22 kg (48.5 Ib). Available is Cephalexin solution 250 mg/5 mL how many mL should the nurse administer? (Round to the nearest whole number. Using a leading Zero if applies. Do not use a trailing zero.) - ANSWER-11 mL During a well-baby visit, the parent of a 2- week-old newborn tells the nurse, "My baby always keeps her head tilt to the right side. The nurse should further assess which of the following areas? A.Sternocleidomastoid muscle
D. Limit your sodium intake to 3,000 grams per day." - ANSWER-C. 'Increase the amount of your dietary iron intake." A nurse is preparing to administer immunization to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care? A. Provide a pacifier coated with an oral sucrose solution prior to the injections. B. Inject the immunizations into the deltoid muscle C. Apply eutectic mixture of local anesthetics (EMLA) cream immediately before the injections. D. Use a 20-gauge needle for the injections - ANSWER-A. Provide a pacifier coated with an oral sucrose solution prior to the injections. A nurse is caring for a child who has impetigo contagiosa that developed in the hospital. Which of the following actions should the nurse take? A. Report the disease to the state health department. B. Administer amphotericin B IV. C. Initiate contact isolation precautions. D. Applying lidocaine ointment topically. - ANSWER-C. Initiate contact isolation precautions. A nurse is providing discharge teaching to the parents of a school-age child who has cystic fibrosis. Which of the following responses by the parents indicate an understanding of the teaching? A. I will limit my child's daily fluid intake." B. I will restrict the amount of sodium in my child's diet." C. I will give my child pancreatic enzymes with snacks and meals." D .I will prepare low-fat meals with limited protein for my child." - ANSWER-C. "I will give my child pancreatic enzymes with snacks and meals." A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin.
Which of the following laboratory values should the nurse report to the provider? A. Creatinine 1.4 mg/dL B. Creatinine 0.3 mg/dL C. BUN 6 mg/dL D. BUN 12 mg/dL - ANSWER-A. Creatinine 1.4 mg/dL A nurse is providing teaching to the parent of a school-age child who has ADHD and a new prescription for methylphenidate. The nurse should explain that this medication will have which of the following therapeutic effects? A. Promoting rest B. Improving appetite C. Reducing anxiety D. Increasing focus - ANSWER-D. Increasing focus A nurse in a provider's office is caring for a preschool-age child who might have acute epiglottitis. Which of the following actions should the nurse take? A. Examine the oral mucosa using a tongue depressor. B. Obtain a sterile throat culture. C. Provide humidified oxygen via nasal cannula. D. Allow the child to sit in a comfortable position. - ANSWER-C. Provide humidified oxygen via nasal cannula. A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching? A. Administer as acyclovir PO two times per day. B. Soak hairbrushes in boiling water for 10 minutes C. Apply bactericidal ointment to lesions. D. Seals soft toys in a plastic bag for 14 days. - ANSWER-C. Apply bactericidal ointment to lesions.
decompression. A nurse is preparing to perform peritoneal dialysis for a child who has an elevated serum creatinine level. After explaining the procedure, which of the following action should the nurse plan to take? A. Initiate IV access B. Keep the dialysate refrigerated until time of infusion C. Check the fistula site for a bruit. D. Obtain the child's weight - ANSWER-D. Obtain the child's weight A nurse is caring for an adolescent who is one hour postoperative following an appendectomy. Which of the following findings should the nurse report to the provider? A. Muscle rigidity B. heart rate 63/min C. temperature 36.4 C (97.5 F) D. abdominal pain - ANSWER-A. Muscle rigidity A nurse is caring for a preschool-age child who is postoperative following a tonsillectomy and is clearing her throat frequently. Which of the following actions should the nurse take first? A. Give the child small sips of water. B. Observe the child's throat with a flashlight. C. Administer an Analgesic. D. Offer the child an ice collar - ANSWER-B. Observe the child's throat with a flashlight. A nurse is planning care for a Toddler who has developed oral ulcers in response to chemotherapy. Which of the following actions should the nurse include in the plan of care? A. Clean the gums with Saline soaked gauze. B. Administer oral viscous lidocaine.
C. Schedule routine oral care every 8 hr. D. Moisten the mucosa with lemon glycerin swabs - ANSWER-A. Clean the gums with Saline soaked gauze. A nurse is planning care for a child immediately following the insertion of a chest tube for continuous suction with a closed drainage system. Which of the following interventions should the nurse include in the plan of care? A. Change the chest tube insertion site dressing every 12 hr. B. Report the presence of tidaling of fluid in the water seal chamber. C. Ensure continuous bubbling is present in the suction control chamber D. Record the amount of chest tube drainage every 2 hr. - ANSWER-A. Change the chest tube insertion site dressing every 12 hr. A nurse is prioritizing care for 4 clients. Which of the following clients should the nurse assess 1st? A. An adolescent who is in skin traction and report a pain level of 7 on a scale from 0 to 10 B. An adolescent who has sickle cell anemia and slurred speech C. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin D. A toddler who has a partial-thickness burn on his right hand and requires a dressing change - ANSWER-B. An adolescent who has sickle cell anemia and slurred speech - indicates stroke A nurse is assisting an adolescent who has Cushing's syndrome. Which of the following findings should the nurse expect? A. Cachectic appearance
A. Temperature 39 C (102.2 F) B. Periorbital edema C. Hypotension D. Positive urine culture - ANSWER-B. Periorbital edema A nurse is assessing a 1-month- old infant at a well-child visit. Identify the location the nurse should stroke to elicit this rooting reflex. (You will find hot spot to select in the artwork below. Select only the hot spot that corresponds to your answer. ) - ANSWER- A nurse is providing postoperative care for a child following an arterial cardiac catheterization. Which of the following actions should the nurse take? A. Keep the affected extremity straight for at least 6 hr. B. Monitor output using an indwelling urinary catheter for the first 24 hr. C. Remove the child's pressure dressing after the first 4 hr. D. Maintain the child's NPO status for 4 to 6 hr. - ANSWER-A. Keep the affected extremity straight for at least 6 hr. A nurse in a provider's office is providing teaching to the parents of a preschooler who has Down syndrome. Which of the following statements by one of the parents indicate an understanding of the instructions? A. We'll have soft music playing in the background when we teach our son in new skill B. We'll explain that it's best for our son to wait until kindergarten to start going to school C. we'll be sure to demonstrate a new skill before expecting our son to perform it ." D. We'll focus on ou - ANSWER-C. "we'll be sure to demonstrate a new skill before expecting our son to perform it ." A nurse is teaching a parent of a 10-month-old infant about home safety. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
A. Remove labels from containers that contain toxic substances B. Select a toy chest that has a heavy, hanged lid C. Place gates at the top and bottom of the stairs. D. Keep toilet lids in the upright position. E. Ensure the crib mattress is in the lowest position - ANSWER-C. Place gates at the top and bottom of the stairs. E. Ensure the crib mattress is in the lowest position. A nurse is providing discharge teaching to a parent of a toddler who has a ventriculoperitoneal shunt. which of the following statements by the parents indicates an understanding of the teaching? A. My child will need to take prophylactic antibiotics daily until they shunt is removed." B. I should call my doctor if my child begins vomiting." C. I should pump the shunt at the same time each day." D. I should check my child's heart rate before administering medications - ANSWER-B. "I should call my doctor if my child begins vomiting." A nurse in a provider's office is assessing the vital signs of a 2-year-old child at a wellchild visit. Which of the following findings should the nurse report to the provider? A. Temperature 37.2C (99 F) B. Respiratory rate 26/min C. Blood pressure 118/74 mm Hg D. Pulse rate 98/min - ANSWER-C. Blood pressure 118/74 mm Hg A nurse is assessing a 3-month-old infant who has diarrhea. Which of the following findings should the nurse expect? A. Bulging fontanel
D. Perform development testing for delays - ANSWER-D. Perform development testing for delays. A nurse is reviewing the medical record of a 24-month-old child who has acute lymphocytic leukemia. Which of the following actions should the nurse take? (Click on the Exhibit button for additional information about the client. There are three tabs that contain separate categories of data.) A. Obtain a rectal temperature every 4 hr. B. Apply viscous lidocaine to the oral mucosa C. Place the child in knee-chest position. D. Initiate bleeding precautions. - ANSWER-D. Initiate bleeding precautions. A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse? A. Weight in 45th percentile B. Front deciduous teeth missing C. Bruising around the wrists D. Abrasions on the knees - ANSWER-C. Bruising around the wrists A nurse is providing teaching to the parent of a school-age child who has diabetes mellitus about managing diabetes during illness. Which of the following statements by the parent indicate an understanding of the teaching? A. I will monitor my child's blood glucose levels every 8 hours. B. I will offer my child 20 grams of carbohydrate every 2 hours. C. I will withhold my child's dose of insulin when his appetite is poor D. I will increase the amount of fluids I offer my child. - ANSWER-D. I will increase the amount of fluids I offer my child. A nurse is providing discharge teaching to the parents of a toddler who has iron deficiency anemia and new prescription for ferrous sulfate elixir. Which of the following
instructions should the nurse include? A. Don't allow your child to have orange juice while taking this medication. B. Administer this medication to your child with a dropper. C. Give your child this medication with a glass of milk. D. Stop this medication if you child's stools are a tarry green color. - ANSWER-B. Administer this medication to your child with a dropper A nurse is caring for an infant who has tetralogy of Fallot and is having a hypercyanotic episode after crying. Which of the following interventions should the nurse implement? A. Initiate continuous positive airway pressure. B. Provide firm stimulation to the infant's trunk. C. Place the infant in the knee-chest position. D. Perform postural drainage. - ANSWER-C. Place the infant in the knee-chest position A nurse is providing teaching to an adolescent who has Vulvovaginitis. Which of the following statements should the nurse include in the teaching? A. Wear a feminine deodorant pad for vaginal drainage." B. Wear nylon underwear at night." C. Apply scented baby powder to absorb residual moisture." D. Apply a warm, moist compress three times per day." - ANSWER-D. Apply a warm, moist compress three times per day." A nurse is providing discharge instructions to the parents of a toddler who has heart failure and a new prescription for digoxin. Which of the following statements indicate an understanding of the instructions? A. We will wait to give the medication at the next scheduled time if a dose is missed B. we will mix the medication with 1 cup of fruit juice for administration
should the nurse plan to take? A. Position the child 4.6 meters (15 feet) from the chart B. Use a trumbling E chart for the assessment. C. Test the child without glasses before testing with glasses. D. Assess both eyes together first, then each eye separately. - ANSWER-B. Use a trumbling E chart for the assessment. A nurse in an emergency department is caring for a child following an overdose of acetylsalicylic acid. Which of the following medications should the nurse plan to administer? A. Phytonadione B. Midazolam C. Naloxone D. Flumazenil - ANSWER-A. Phytonadione A nurse is providing teaching to the parents of a toddler who is exhibiting negativism during mealtimes. Which of the following statements by the nurse is appropriate? A. Tell her she is having her favorite sandwich for lunch." B. Ask her if she would like to have her favorite sandwich for lunch." C. Ask her if she is ready to eat her sandwich for lunch." D. Tell her that she may have a sandwich or soup for lunch." - ANSWER-D. "Tell her that she may have a sandwich or soup for lunch." A nurse in an emergency department is caring for a child who weighs 18 kg (39. Ib) and ingested six 500 mg acetaminophen tablets 4 hr ago. Which of the following actions should the nurse take? A. Prepare to give oral N-acetylcysteine. B. send a child home on increased fluid intake. C. Begin hemodialysis within the next 24 hr.
D. Perform gastric lavage with activated charcoal - ANSWER-A. Prepare to give oral N-acetylcysteine.
ATI RN NURSING CARE OF CHILDREN 2019
VERSION 2 WITH NGN ALL 60 QUESTIONS &
CORRECT ANSWERS WITH RATIONALES
GRADED A+ (NEW!!)
A nurse is caring for a newly admitted school-age child who has hypopituitarism. Which of the following medications should the nurse expect the provider to prescribe? Desmopressin Luteinizing hormone-releasing hormone Recombinant growth hormone Levothyroxine Recombinant growth hormone Recombinant growth hormone injections are used to treat hypopituitarism, which inhibits cell growth and results in growth failure. The nurse should expect the provider to prescribe this treatment. A nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. Which of the following statements should the nurse make? "You should offer your child high-protein meals and snacks throughout the day." "You should decrease your child's dietary fat intake to less than 10% of their caloric intake." "You should restrict your child's calorie intake to 1,200 per day." "You should give your child a multivitamin once weekly."
