Page 1 of 83 ATI RN PEDIATRIC NURSING EXAM B/ RECENT COMPLETE VERSION ALL 350 QUESTIONS AND CORRECT ANSWERS/ BEST GRADED A+ After reviewing the information in the child's medical record, which of the following find ings should the nurse report to the provider? Select the 4 findings that the nurse should report to the provider. Arterial blood gases Cardiovascular assessment WBC count Hemoglobin Oxygen saturation level Respiratory assessment - ANSWER: Arterial blood gase s WBC count Oxygen saturation level Respiratory assessment A nurse is receiving change -of-shift report for four children. Which of the following children should the nurse assess first? An adolescent who was placed into halo traction 1 hr ago and reports p ain as 6 on a scale of 0 to 10 An adolescent who has infective endocarditis and reports having a headache A toddler who has a concussion and is experiencing an episode of forceful vomiting A school -age child who has acute glomerulonephritis and brown -color ed urine - ANSWER: A toddler who has a concussion and is experiencing an episode of forceful vomiting Page 2 of 83 For each assessment finding, click to specify if the finding is consistent with nightmares, sleep terrors, or insomnia. Each finding may support more than 1 disease process. A. Timing of child's crying B. Daytime alertness C. child's concentration D. Impulsivity E. Child's description of the dream F. Child's return to sleeping G. Child's responsiveness to guardian - ANSWER: A nurse is providing discharge teaching to the guardians of a toddler who had a lower leg cast applied 24 hr ago. The nurse should instruct the guardians to report which of the following findings to the provider? A. Capillary refill time less than 2 second s B. Restricted ability to move the toes C. Swelling of the casted foot when the leg is dependent D. Pedal pulse +3 bilateral - ANSWER: B. Restricted ability to move the toes A nurse is providing discharge teaching to the parent of a school -age child who ha s moderate persistent asthma. Which of the following instructions should the nurse include? A. "You should give your child their salmeterol inhaler every 4 hours when they are having an acute episode of wheezing." B. "You should monitor your child's weight weekly while they are receiving inhaled corticosteroid therapy." C. "Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy." Page 3 of 83 D. "When using the peak expiratory flow meter, record your child's average of three readings." - ANSWER: C. "Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy." A nurse is assessing an infant who has pneumonia. Which of the following findings is the priorit y for the nurse to report to the provider? A. Nasal flaring B. WBC count 18,000/mm3 (6,200 to 17,000/mm3) C. Diarrhea D. Abdominal distension - ANSWER: A. Nasal flaring A nurse is planning developmental activities for a newly admitted 10 -year-old child who has neutropenia. Which of the following actions should the nurse plan to take? A. Provide the child with a book about adventure. B. Arrange frequent visits from family members and peers. C. Give the child a large -piece puzzle. D. Use puppets to entertain t he child. - ANSWER: A. Provide the child with a book about adventure. A school nurse is caring for a child following a tonic -clonic seizure. Which of the following actions should the nurse take first? A. Check the child for a head injury. B. Observe for oral bleeding. C. Check the child's respiratory rate. D. Observe for extremity weakness. - ANSWER: C. Check the child's respiratory rate. Page 4 of 83 A nurse is caring for a school -age child who is receiving a blood transfusion. Which of the following ma nifestations should alert the nurse to a possible hemolytic transfusion reaction? A. Laryngeal edema B. Flank pain C. Distended neck veins D. Muscular weakness - ANSWER: B. Flank pain A nurse is caring for a school -age child who is receiving cefazolin via i ntermittent 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. Diphenhydrami ne D. Albuterol - ANSWER: B. Epinephrine A nurse in an emergency department is caring for a school -age child who has appendicitis and rates their abdominal pain as 7 on a scale of 0 to 10. Which of the following actions should the nurse take? A. Instill a 5 00 mL tap water enema. B. Give morphine 0.05 mg/kg IV. C. Administer polyethylene glycol 1g/kg PO. D. Apply a heating pad to the child's abdomen. - ANSWER: B. Give morphine 0.05 mg/kg IV. A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the nurse clarify with the provider?
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