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RN nursing care of children ATI tests
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RN nursing care of children ATI testsa nurse is creating a plan of care for a school-age child who has heart
disease and has developed heart failure. which intervention should the nurse
include in the plan?
a. provide small, frequent meals for the child
b. schedule time in the play room for the child
c. weight the child weekly
d. maintain the child in a supine position - -a. provide small, frequent meals
for the child
a nurse is teaching the parent of an infant who has a pavlik harness for the
treatment of developmental dysplasia of the hip. the nurse should identify
which statement by the parent indicates an understanding of the teaching?
a. "i should remove the harness at night to allow my infant to stretch her
legs"
b. "i will need to adjust the straps on the harness once each week"
c. "i should apply baby powder to my infant's skin twice daily"
d. "i will place my infant's diapers under the harness straps" - -d. "i will place
my infant's diapers under the harness straps"
a nurse is planning care for a school-age child who is in the oliguric phase of
an acute kidney injury (aki) and has a sodium level of 129 mEq/L. which of
the following interventions should the nurse include in the plan?
a. administer ibuprofen to the child for a temperature greater than 38
degrees C (100.4 degrees F)
b. assess the child's blood pressure every 8 hours
c. weigh the child weekly at various times of the day
d. initiate seizure precautions of the child - -d. initiate seizure precautions
for the child
a nurse is assessing a school-age child immediately following a perforated
appendix repair. which of the following findings should the nurse expect?
a. purulent nasogastric drainage
b. absence of peristalsis
c. passage of dark red stool with mucus
d. WBC count 6,000/mm^3 - -b. absence of peristalsis
a nurse is preparing an adolescent for a lumbar puncture. which of the
following actions should the nurse take?
a. place a cardiac monitor on the adolescent prior to the procedure
b. apply topical analgesic cream to the site 1 hr prior to the procedure
c. keep the adolescent in a semi-fowlers position for 4 hr following the
procedure
,d. restrict fluids for 2 hr following the procedure - -b. apply topical analgesic
cream to the site 1 hr prior to the procedure
a nurse is caring for a school-age child who is receiving cefazolin via
intermittent IV bolus. the child suddenly develops diffuse flushing of the skin
and angioedema. after discontinuing the medication infusion, which of the
following medications should the nurse administer first?
a. prednisone
b. epinephrine
c. diphenhydramine
d. albuterol - -b. epinephrine
a nurse is teaching the parent of a preschooler about ways to prevent acute
asthma attacks. which of the following statements by the parent indicates an
understanding of the teaching?
a. "i will use a humidifier in my child's room at night"
b. "i will give my child a cough suppressant every 6 hrs if he has a cough"
c. "i should avoid using a wet mop on my floors when i am cleaning"
d. "i should keep my child indoors when i move the yard" - -d. "i should keep
my child indoors when i mow the yard"
a nurse is providing dietary teaching to the parent of a school-age child who
has celiac disease. the nurse should recommend that the parent offer which
of the following foods to the child?
a. wheat crackers
b. rye bread
c. barely soup
d. white rice - -d. white rice
a nurse is reviewing the laboratory report of a school-age child who is
experiencing fatigue. which of the following findings should the nurse
recognize as an indication of anemia?
a. hematocrit 28%
b. hemoglobin 13.5 g/dL
c. WBC count 8,000/mm^3
d. platelets 250,000/mm^3 - -a. hematocrit 28%
a nurse is preparing to collect a sample from a toddler for a sickle-turbidity
test. which of the following actions should the nurse plan to take?
a. obtain a sputum specimen
b. perform an allen test
c. perform a finger stick
d. obtain a stool specimen - -c. perform a finger stick
a nurse is assessing a school-age child who has meningitis. which of the
following findings is priority for the nurse to report to the provider?
, a. reports a headache as 6 on a 0-10 pain scale
b. petechiae on the lower extremities
c. nuchal rigidity
d. positive kernig's sign - -b. petechiae on the lower extremities
a nurse is assessing an infant who has ventricular septal defect. which of the
following findings should the nurse expect?
a. loud, harsh murmur
b. dysrhythmias
c. weak femoral pulses
d. high blood pressure - -a. loud, harsh murmur
a nurse is creating a plan of care for an infant who has epidural hematoma
from a head injury. which of the following interventions should the nurse
include in the plan?
a. position the infant side-lying with their head at a 0-5 degree angle
b. perform a neurological assessment every 4 hr
c. suction the infant's nares to remove secretions
d. implement seizure precautions for the infant - -d. implement seizure
precautions for the infant
a nurse is caring for an adolescent who received a kidney transplant. which
of the following findings should the nurse identify as an indication the
adolescent is rejecting the kidney?
a. negative leukocyte esterase
b. serum creatinine 3.0 mg/dL
c. negative urine protein
d. urine output 40 mL/hr - -b. serum creatinine 3.0 mg/dL
a nurse in an emergency department is performing a physical assessment on
a 2-week-old male newborn. which of the following findings is the priority for
the nurse to report to the provider?
a. excoriated scrotal area
b. multiple capillary hemangiomas
c. depressed posterior fontanel
d. substernal retractions - -d. substernal retractions
a hospice nurse is caring for a preschooler who has a terminal illness. one of
the preschooler's parents tells the nurse that they cannot cope anymore and
are thinking about moving out of the house. which of the following
statements should the nurse make?
a. "it is important that you provide emotional support for your family at this
time"
b. "you have to do what you feel is best. everything will turn out fine"
c. "i know how you feel. this is an extremely stressful time for your family"
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