CAPSTONE ATI RN NURSING CARE OF CHILDREN 2023 / NURSING CARE OF CHILDREN CAPSTONE / PEDS ACTUAL EXAM TEST BANK 320 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

CAPSTONE ATI RN NURSING CARE OF CHILDREN

2023 / NURSING CARE OF CHILDREN CAPSTONE /

PEDS ACTUAL EXAM TEST BANK 320 QUESTIONS

AND CORRECT DETAILED ANSWERS WITH

RATIONALES (VERIFIED ANSWERS) |ALREADY

GRADED A+

A nurse is providing dietary teaching to the guardian of a school-age

child who has cystic fibrosis. Which of the following statements should

the nurse make?

"You should offer your child high-protein meals and snacks throughout

the day."

"You should decrease your child's dietary fat intake to less than 10% of

their caloric intake."

"You should restrict your child's calorie intake to 1,200 per day."

"You should give your child a multivitamin once weekly." - ANSWER-

"You should offer your child high-protein meals and snacks throughout

the day."

Rationale: The nurse should instruct the guardian to provide a diet

that is well-balanced and high in protein and calories. Children who

have cystic fibrosis require a higher percentage of the recommended

dietary allowances of all nutrients to meet their energy

requirements. Children who have good nutritional intake have

improved lung function and decreased risk of infection.

A nurse is providing discharge teaching to the parents of a 6-month-old

infant who is postoperative following hypospadias repair with a stent

placement. Which of the following instructions should the nurse include

in the teaching?

"You may bathe your infant in an infant bathtub when you go home."

"Apply hydrocortisone cream to your infant's penis daily."

"You should clamp your infant's stent twice daily."

"Allow the stent to drain directly into your infant's diaper." - ANSWER-

"Allow the stent to drain directly into your infant's diaper."

The nurse should instruct the parents to ensure that the stent drains

directly into the infant's diaper to prevent kinking or twisting that can

interfere with urine flow.

A nurse is caring for a school-age child who has primary nephrotic

syndrome and is taking prednisone. Following 1 week of treatment,

which of the following manifestations indicates to the nurse that the

medication is effective?

Decreased edema

Increased abdominal girth

Decreased appetite

Increased protein in the urine - ANSWER- Decreased edema

Rationale: A child who has nephrotic syndrome can experience

edema due to the increased glomerular permeability, which

increases protein loss. Prednisone decreases glomerular

permeability, which causes fluid to shift from the extracellular

spaces, resulting in decreased edema.

A nurse is receiving change-of-shift report for four children. Which of

the following children should the nurse assess first?

A toddler who has a concussion and an episode of forceful vomiting

An adolescent who has infective endocarditis and reports having a

headache

An adolescent who was placed into halo traction 1 hr ago and reports

pain as 6 on a scale of 0 to 10

A school-age child who has acute glomerulonephritis and brown-colored

urine - ANSWER- A toddler who has a concussion and an episode of

forceful vomiting

Rationale: When using the urgent vs. nonurgent approach to client

care, the nurse should assess this child first. An episode of forceful

vomiting is an indication of increased intracranial pressure in a

toddler who has a concussion.

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?

Capillary refill time less than 2 seconds

Restricted ability to move the toes

Swelling of the casted foot when the leg is dependent

Pedal pulse +3 bilateral - ANSWER- Restricted ability to move the toes

Rationale: The nurse should inform the guardians that a restricted

ability of the toddler to move their toes is an indication of

neurovascular compromise and requires immediate notification of

the provider. Permanent muscle and tissue damage can occur in just

a few hours.

A nurse in an emergency department is auscultating the lungs of an

adolescent who is experiencing dyspnea. The nurse should identify the

sound as which of the following? (Click on the audio button to listen to

the clip.)

Wheezes

Crackles

Pleural friction rub

Rhonchi - ANSWER- Wheezes

Rationale: The nurse should identify the sound during auscultation

as wheezes, which are high-pitched, musical or whistling-like sounds

heard primarily on expiration as air passes through and vibrates

narrowed airways.

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?

Furosemide

Captopril

Regular insulin

Potassium chloride - ANSWER- Potassium chloride

Rationale: The nurse should identify that a child who has congestive

heart failure can develop electrolyte imbalances, such as