Download ATI Nursing Care of Children Proctored Exam | Latest Real Questions and Correct Answers – and more Exams Health sciences in PDF only on Docsity!
ATI NURSING CARE OF CHILDREN
PROCTORED EXAM LATEST REAL
QUESTIONS AND CORRECT ANSWERS
GRADE A
A nurse is caring for a patient who possibly has Reye syndrome. Which of the following is a risk factor for developing reye syndrome? A. recent hisotyr of infectious cystitis cauased by candida B. recent hisotrial of bacterial otitis media C. recent epidose of gastrenteritis D. Recent episode of Haemophilus influenzae meningitis - CORRECT ANSWER C A nurse is developing an inservice about viral and bacterial meningiting. The nurse shoudl include that the introduction of which of the following immunizations decreased the incidence of bacterial meningitis in children? (select all that apply) A. IPV B. PCV C. Dtap D. Hib E TIB - CORRECT ANSWER B, D A nurse is caring for a child who has absence seizures. Which of the following findings should the nurse expect? (select all that apply)
A. loss of consciousness B. appearance of daydreamimg C. dropping held objects D. falling to the floor E having a piercing cry - CORRECT ANSWER A, B, C A nurse is caring for a child who just experienced a generalized seizure. Which of teh following is the priority actio for the nurse to take? A. Maintain the child in a side ying position B. loosen the childs restricitve clothing C. reorient the hcild to the environment D. not the time and characteristics of the seizure - CORRECT ANSWER A A nurse is providing teaching to the parent of a child who is to have an EEG. Which of the following responses hodul the nurse include in the teaching? A. decaffieicated beverages should be offred on the morning of the procedure B. do nto wash your child's care the night before the procedure C. withold all foods the morning of the procedure D. give your child an analgesic the night before the procedure - CORRECT ANSWER A A nurse ic teaching a group of parents about the risk factors for seizures. Which of the following factors shoudl the nurse include in the teaching? (select all that apply) A. febrole episodes B. hypoglycemia C. sodium imbalances D. low serum lead levels
A nurse is caring for a child with ICP. Which of the following actions shudl the nurse take? (select all that apply) A. suction the endotracheal tube every 2hours B. maintian a quiet environment C. use two pillows to elevate the head D. administer a stool softener E. maintian body alignment - CORRECT ANSWER B, D, E A nurse is assessing a child who has a concussion. Which of the following findings should the nurse expect. (select all that apply) A. amnesia B. systemic hypertension C. bradycardia D. respiratory depression E. confusion - CORRECT ANSWER A, C, D, E A nurse is caring for a child who is taking mannitol for cerebral edema. Which of the following adverse effects shoudl the nurse monitor the child for and report to the provider? A. bradycardia B. weight loss C. confusion E. constipation - CORRECT ANSWER C A nurse manager on a pediatric floor is preparing an education program on working with families for a group of newly hired nurses. Which of the following should the nurse include when discussing the developmental theory? A. describes that stress is inevitable B. emphasizes that change with one member affects the entire family C. provides guidance to assist families adapting to stress
D. Defines consistencies in how families change - CORRECT ANSWER D A nurse is assisting a group of parents of adolescents to develop skills that will improve communication. The nurse heads one parent states "my son knows he better do what I say". Which of the parenting styles is he exhibiting? A. Authoritarian B. Permissive C. Authroitative D. Passive - CORRECT ANSWER A A nurse is performimg family assessment. Which of the following should the nurse include? (select all that apply) A. medical history B. parents' education level C. child's physical growth D. Support systems E. Stressors - CORRECT ANSWER A, B, D, E A nurse is preparing to assess a preschool-age child. Which of the following is an appripirate action by the nurse to prepare the child? A. Allow the child to role play using miniature equipment B. use medical terminology to describe what will happen C. separate th child from her parents during examination D. keep medical equipment visible to the child - CORRECT ANSWER A A nurse is checking the vital signs of a 3-year-old during a well child visit, which of the following findings should the nurse report to the provider?
A nurse is assessing a 12 months old infant during a well-child visit. Which of the following findings should the nurse report to the provider? A. closed anterior fontanel B. eruption of 6 teeth C. Birth weight doubled D. Birth length increased by 50 % - CORRECT ANSWER C A nurse is performing a developmental screening of a 10-month old infant. Which of the following fine motor skills should the nurse expect to find? (select all that apply) A. grasp a raddle by the handle B. try building a two-block tower C. use a crude pincer grasp D. Place objects into a container E. Walkes with one hand held - CORRECT ANSWER A, C A nurse is conducting a well-baby visit with a 4 motnh old infant. Which of the following immunizations should the nurse plan to administer? (select all that apply) A. MMR B. IPV C. PCV D. varicella E. RV - CORRECT ANSWER B, C, E A nurse is providing education about introducing new foods to the parents of a 4 months old infant. The nurse should recommend that the parents introduce which of the following foods first? A. Strained yellow vegetables B. Iron fortified cereals C. Pureed foods
D. Whole Milk - CORRECT ANSWER B A nurse is providing teaching about dental care and teething to the parent of a 9-month-old. Which of the following statements by the parent indicates an understanding of the teaching? A. I can give my baby a warm teething ring to relieve discomfort B. I should clean my baby's teeth which a cool, wet washcloth C. I can give Advil for up to 5 days while my baby is teething D. I should place diluted juice in the bottle my baby drinks while falling asleep - CORRECT ANSWER B A nurse is assessing a 2.5-year-old toddler at a well-child visit. Which of the following findings should the nurse report to the provider? A. height increased by 7.5cm or 3inches in the past year B. Head circumference exceeds chest circumference C. anterior and posterior fontanels are closed D. current weight equals four times the birth weight - CORRECT ANSWER B A nurse is performing a develomental screening on an 18 month old. Which of the following skills should the toddler be able to perform? (select all that apply) A. build a tower with 6 blocks B. Throw a ball overhead C. walk up and down stais D. draw circles E. use a spoon without rotation - CORRECT ANSWER B, E A nurse is providing teaching about age-appropriate activities to the parent of a 2 year old. Which of the following statemetns by the parent indicates an understanding of the teaching?
A. DTaP B. IPV C. MMR D. PCV E. Hib - CORRECT ANSWER A, B, C A nurse is preparing an education program for a group of parents of preschool-age children about promoting optimum nutrition. Which of the following information should the nurse include in the teaching? A. saturated fats should equal 20% of total daily caloric intake B. Average calorie intake should be 1800 calories per day C. dailyintake of fruits and vegetables should total 2 servings D. Healthy diets include a total of 8g of protein each day - CORRECT ANSWER B A nurse is performing a developmental screening on a 3 year old child. WHich of the following skills should the nurse expect the child to perform? A. ride a tricycle B. Hop on one foot C. jump rope D. throw a ball overhead - CORRECT ANSWER A A nurse is caring for a preschool age child who says she needs to leave the hospital because her doll is scared to be at home alone. Which of the following characteristics of preoperational thought is the child exhibiting? A. Egocentrism B. Centration C. Animism D. Magical thinking - CORRECT ANSWER C
A nurse is discussing prepubesence and preadolescen with a group of parents of school-age children. Which of the following information should the nurse include in the discussion? A. initial phsyciologic changes appear during early childhood B. changes in heigh and weight occur slowly during this period C. growth differences between boys and girls become evident D. signs of sexual maturation become highly visible in boys - CORRECT ANSWER C A nurse is conducting a well child visit with a child who is scheduled to recive the recommended immunizations for 11 to 12 year olds. Which of the following immunizations should the nurse administer? (select all that apply) A. TIV B. PCV C. MCV D. Tdap E. RV - CORRECT ANSWER A,C, D A nurse is teaching a course about safety during the school age years to a group of parents. Which of the following information should the nurse include in the course? (select all that apply) A. gating stairs at the top and bottom B. wearing helmets when riding bicyles or skateboarding C. riding safely in bed of pickup trucks D. implementing firearm safety E. wearing seat belts - CORRECT ANSWER B, D, E A nurse is providing teaching about expected changes during puberty to a gorup of parents of early adolescent girls. Which of the following statements by one of the parents indicates and understanding of the teaching?
A nurse is planning to administer the influenza vaccine to a toddler. Which of the following actions should the nurse take? A. administer subq to the abdomen B. use a 20guage needle C. Divide the medicaiton into two injections D. place the child in supine position - CORRECT ANSWER D A nurse is preparing to administer an IM injection to a child. Which of the following muscle gorups is contraindicated? A. Deltoid B. ventrogluteal C. vastus lateralus D. dorsogluteal - CORRECT ANSWER D A nurse is teaching a parent of an infant about administration of oral medications. Which of the following should the nurse include in the teaching? (select all that apply) A. use a universal dropper for medication administration B. as the pharamacy to add flavoringto the medication C. add the medication to a formula bottle before feeding D. use the nipple of a bottle to administer the medication E. hold the infant in a semireclining position - CORRECT ANSWER B, D, E A nurse is preparing to administer medication to a toddler. Which of the following actions should the nurse take? (select all that apply) A. identiy the toddler by asking the parent B. tell the parent to administer the medication C. calculate the safe dosage D. ask the toddler what toy he wants to hold during administration E. offer juice after the medication - CORRECT ANSWER C, D,
E
A nurse is caring for an infant who needs otic medicatioin. Which of the following is an appropirate action for the nurse to take? A. Hold the infant in an upright position B. pull the pinna downward and straight back C. hyperextend the infants neck D. ensyure that the medication is cool - CORRECT ANSWER B A nurse is competing a pian assessment of an infant. Which of the following pian scales should the nurse use? A. FACES B. FLACC C. Oucher D. Non-communicating childrens pain checklist - CORRECT ANSWER B A nurse is planning care for achild following a surgical procedure. Which of the following interventions dhoul the nurse incldue in the plan of care? A. administer NSAIDS for a pain grater than 7 on a scale fo 0 to 10 B. administer intranasal analgesics PRN C. Administer IM analgesics for pain D. administer IV analgesics on a schedule - CORRECT ANSWER D A nurse is assessing an infant. Which of the following are manifestations of pain in an infant? (select all that apply) A. Pursed lips B. loud cry C. lowered eybrows
A. believes the experience is a punishment B. experiences separtion anxiety C. displays intense emotions D. axhibits regressive behaviors E. Manifests disturbance in body image - CORRECT ANSWER B, C, D A nurse is teaching a parent about parallel play in children. Which of the following should the nurse include in the teaching? A. children sit and observe others playing B. Children exhibit organized play when in a group C. the child plays alone D. The child plays independently when in a group - CORRECT ANSWER D A nurse is teaching a group of parents about separation anxiety. Which of the following information shoudl the nurse include in the teaching? A. it is often observed int the school age child B. detachment is the stage exhibited in the hospital C. it results in prolonged issues of adaptibility D. kicking a stranger is an example - CORRECT ANSWER D A nurse is caring for child who is dying. Which of the following are findings of impending death? ( select all that apply) A. heightened sense of hearing B. tachycardia C. difficulty swallowing D. sensation of being cold E. cheyne-stokes respirations - CORRECT ANSWER C, E
A nurse is teaching a parent about complicated grief. Which of the following statements should the nurse make? A. it is considred complicated gried if you are still grieving after 6 months B. personal acitciites are affected wehn expericining complicated grief C. parents will expeirce complicated grief together D. complicated grief self-resolved in 12 months - CORRECT ANSWER B A nurse is teaching a parent of a preeschol child about factors that affect the child's perception of death. Which of teh following factors should the nurse include in the teaching? A. Preschool children have no concept of death B. Preschool children percieve death as temporary C. preschool children often regress to an earlier stage of behavior D. preschool children experience fear related to the disease process - CORRECT ANSWER B A nurse often care for children who are dying. WHich of the following are approporate actions of rhte nurse to take to maintian professional effectivness? (select all that apply) A. remain in contact with the family after thier loss B. develop a professional support system C. take time off from work D. suggest that a hospital representative attend the funeral E. demonstrate feelings of sympathy toward the family - CORRECT ANSWER B, C A nurse is caring for a child who has a terminal illnes and revies palliative care with an assistive personel (AP). Which of the
C. presence of rooting reflex D. high pitched crying - CORRECT ANSWER D
