ATI PROCTORED NURSING CARE OF CHILDREN 2019 EXAM A & B - STUDY GUIDE

1.ATI PROCTORED NURSING CARE OF CHILDREN 2019 EXAM (A) 2.ATI PROCTORED NURSING CARE OF CHILDREN 2019 EXAM (A)

 ATI PROCTORED NURSING CARE OF CHILDREN 2019 EXAM ( A)

A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart

failure. Which of the following interventions should the nurse include in the plan?

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 that which of the following statements by the parent

indicates an understanding of the teaching?

"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 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?

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?

Absence of peristalsis

A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the

nurse take?

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?

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?

"I should keep my child indoors when I mow the yard."

A nurse is proving 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?

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?

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?

Perform a finger stick.

A nurse is assessing a school-age child who has meningitis. Which of the following findings is the priority

for the nurse to report to the provider?

Petechiae on the lower extremities

A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should

the nurse expect?

Loud, harsh murmur

A nurse is creating a plan of care for an infant who has an epidural hematoma from a head injury. Which

of the following interventions should the nurse include in the plan?

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?

Serum creatinine 3.0 mg/dL

A nurse in an emergency department is performing an admission assessment on a 2 week-old male

newborn. Which of the following findings is the priority for the nurse to report to the provider?

Substernal retractions

A hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse that he

cannot cope anymore and has decided to move out of the house. Which of the following statements

should the nurse make?

"Let's talk about some of the ways you have handled previous stressors in your life."

A nurse in an emergency department is caring for an adolescent who has severe abdominal pain due to

appendicitis. Which of the following locations should the nurse identify as McBurney's point?

A. The nurse should identify this area of the client's abdomen as McBurney's point. This area of the

right lower quadrant located about two-thirds of the way between the umbilicus and the client's

anterosuperior iliac spine is the area where a client who has appendicitis is most likely to report pain

and tenderness.

A nurse is reviewing the laboratory report of a 7 year-old child who is receiving chemotherapy. Which of

the following lab values should the nurse report to the provider?

Hgb 8.5 g/dL

A nurse is caring for a 15 year-old client who is married and is scheduled for a surgical procedure. The

client asks, "who should sign my surgical consent?" Which of the following responses should the nurse

make?

"You can sign the consent form because you are married."

A nurse is assessing a 4-year-old child at a well-child visit. Which of the following developmental

milestones should the nurse expect to observe?

Cuts an outlined shape using scissors.

A nurse is caring for an infant who has respiratory syncytial virus (RSV). Which of the following actions

should the nurse implement for infection control?

Have a designated stethoscope in the infant's room.

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?

Give morphine 0.05mg/kg IV

ATI RN Proctored Nursing Care of Children

Form B Exam 2019

1. A nurse is providing education to the parent of a child who has cystic fibrosis

and has a prolapsed rectum. The nurse should teach that which of the

following is a cause of this complication:

Bulky stools

2. A pre-schooler is admitted to the emergency department with full thickness

third degree burn over 45% of his body. Which of the following actions should

the nurse take first:

Administer IV solutions

3. A nurse is providing teaching to a parent of a pre-schooler who has Tinea

Capitis. Which of the following should the nurse include in the teaching:

Leave the shampoo on the scalp for 5 to 10 minutes

4. A nurse is caring for a child who has sickle cell anemia. Which of the following

signs of acute chest syndrome should the nurse report to the primary care

provide immediately:

Congestive cough

5. A nurse is assessing a 3month old infant for suspected intussusception. Which

of the following findings should the nurse expect:

Jelly-like stool

6. A nurse is planning a teaching session for parents regarding infant

development. Which of the following parent activities regarding play should

the nurse include in the teaching:

Give the infant a large piece puzzle

7. A school-aged child with sickle cell anemia has been admitted in vasoocclusive crisis. Which of the following assessment findings should the nurse

recognize as an emergency?

Fever of 38.30 C (1010 F)

8. A nurse in an emergency department is assessing a child who was in a motor

vehicle accident. Which of the following assessment findings require

immediate intervention:

Dilated and fixed pupils

9. A nurse is assessing a child who has sustained a head injury. During the

assessment, the nurse observes clear drainage leaking from the child’s nose.

Which of the following actions should the nurse take?

Testthe nasal secretions for glucose

10. A nurse at a provider’s office is preparing a newborn for a routine heel

puncture. Which of the following actions should the nurse take?

Prepare concentrated sucrose for oral administration

11. A nurse is caring for a child who has rheumatic fever. Which of the following is

an indication that the child has developed carditis?

Chest pain

12. A parent calls the clinic asking for pinworm testing information, the nurse

should advise the parent to perform the test at which of the following times?

Immediately after the child awakes in the morning

13. A nurse is educating the parents of an infant who has mild gastroesophageal

reflux. Which dietary adjustment should the nurse recommend?

Thicken feedings with rice cereal

14. A nurse is teaching an adolescent client about managing asthma and using a

peak respiratory flow meter. Which of the following by the client

demonstrates an understanding of the teaching:

I will continue to take my medication when my peak flow meter is

in the green zone

15. A nurse is instructing the parent of an infant who has clubfeet and has cast

applied. Which of the following statements by the parent indicates a need for

further teaching:

My baby will need to have surgery at 18 months if his toes aren’t

fixed

16. A nurse assesses an infant that is admitted for acute gastroenteritis. Which of

the following is the priority finding?

Capillary refill of 5 seconds

17. A nurse is planning to teach a nutrition class for preschoolers. Which of the

following is an appropriate instructional strategy? (Select all that apply.)

Limit the teaching session to 45 minutes

Use simple language

Incorporate games into the lesson

Provide concrete examples

18. A nurse is caring for a toddler who has a fever, high-pitched cry, irritability and

vomiting. Which of the following is an appropriate action for the nurse to

take?

Place the toddler in a cold water bath