Exam (elaborations)
NUR 875 PEASD ATI C
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Exam of 13 pages for the course Health Nurs at Health Nurs (NUR 875 PEASD ATI C)
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Form C1. A nurse is caring for a child during a tonic-clonic seizure. Which of the following actions
should the nurse take? ( select all that apply)
A. Clear the area of hard objects.
B. Firmly hold the child’s arms to one side.
C. Place a pillow under the child’s head.
D. Insert a tongue blade into the child’s mouth.
E. Loosen tight clothing around the child’s neck
2. A nurse is preparing to perform a venipuncture to collect a blood sample from an infant.
Which of the following restraints should the nurse plan to use for this procedure?
A. Elbow
B. Mitten
C. Jacket
D. Mummy
3. A nurse is teaching a parent of a preschool-age child about management of sleep terrors.
Which of the following instructions should the nurse include?
A. Take the child to the parent’s bed to resume sleep.
B. Allow the child to fall asleep with the television on.
C. Remain uninvolved until the child awakens
D. Schedule professional counseling for the child
4. A nurse is assessing a toddler who is 8 hr postoperative following a cardiac catheterization
procedure. Which of the following findings should the nurse report to the provider?
A. Weak pedal pulse distal to the site.
B. Bilateral cool extremities
C. Serum glucose 90 mg/DL
D. Blood pressure 102/58 mm Hg
5. A nurse is assessing a preschool-age child who is in the immediate postoperative period
following a tonsillectomy. Which of the following assessment findings in the priority?
A. The child swallows frequently
B. The child refuses clear liquids
C. The child’s throat pain increases
D. The child cries often
6. A nurse is planning care for an 8 month-old infant who has bronchitis. Which of the following
actions the nurse include in the plan of care?
A. Use a bulb syringe to suction the nares.
B. Place the infant in a room with negative-pressure airflow.
C. Administer a meningococcal vaccine upon admission
D. Initiate IV antibiotic therapy.
7. **A nurse is preparing a parent's’ education class about nutrition for toddlers. The nurse
should identify which of the following findings as an indication of protein deficiency?
A. Dry, thinning hair
B. Muscle twitching
C. Dental caries
D. Poor skin turgor
, 8. A nurse is caring for a 10 month-old child who was brought to the ED by his parents following
a head injury. Which of the following actions should the nurse take first?
A. Examine the scalp for lacerations.
B. Inspect for fluid leaking from the ears.
C. Assess respiratory status
D. Check pupil reactions
9. A nurse is collecting data from a toddler who weighs 20 kg (44lb) and has a full-thickness
burn to 10% of his body.Which of the following findings should the nurse report to the provider?
A. Bowel sounds 20/min
B. Increased restlessness
C. Resp. rate 25/min
D. Urinary output 35 mL/hr
10. A nurse is an ED is caring for a preschool-age child who has acute acetylsalicylic acid
poisoning. Which of the following should the nurse expect.
A. Jaundice
B. Hyperpyrexia
C. Polyuria
D. Neck vein distention
11. A nurse is assessing a preschool-age child who has celiac disease. Which of the following
finds should the nurse expect?
A. Obesity
B. Polyphagia
C. Steatorrhea
D. Chronic constipation
12. A school nurse is assessing a 7 y/o student. The nurse should identify which of the following
findings as a potential indicator of physical abuse?
A. Bruising around the wrists
B. Front deciduous teeth missing
C. Abrasions on the knees
D. Weight in 45th percentile
13.** A nurse is planning care for a child who has osteomyelitis. Which of the following
interventions should the nurse include in the plan of care?
A. Provide a high-calorie, low-protein diet
B. Encourage frequent physical activity to increase bone mass.
C. Initiate contact precautions for the child
D. Maintain a patent intravenous catheter.
14. A nurse is reviewing the laboratory results of a preschool-age who has hematuria. Which of
the following results should the nurse report to the provider?
A. Platelet count 170,000/mm3
B. Hgb 12 g/dL
C. Hematocrit 36%
D. BUN 21 mg/dL
15. A nurse is preparing to administer immunizations to a 3-month-old infant. Which of the
following is an appropriate action for the nurse to take to deliver atraumatic care?
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