ATI Pediatric Exam
a nurse is planning care for a child who has severe diarrhea. which of the following
actions is the nurse priority?
Introduce a regular diet
Rehydrate
Maintain fluid therapy
Assess fluid balance
(ANS- assess fluid balance
A nurse is caring for a toddler who's parent states that the child has a mass in his
abdominal area and his urine is a pink color. Which of the following actions is the
nurse's priority?
A. Schedule the child for an abdominal ultrasound
B.Instruct the parent to avoid pressing on the abdominal area
C.Determine if the child is having pain
D. Obtain a urine specimen for a urinalysis
(ANS- B
A nurse is caring for a child who has acute glomerulonephritis. Which of the
following actions is the nurse's priority?
A.Place the child on a no salt added diet
B.Check the Childs weight daily
C.Educate the parents about potential complications
D.Maintain a saline lock (IV access that is attached to any fluids. For
emergency)
(ANS- B
A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis.
Which of the following is the nurse's priority?
Which of the following is the nurse's priority?
A.Administer antibiotics when available
B.Reduce environmental stimuli (because of increase of ICP and can cause
seizures)
,C.Document intake and output
(ANS- A
A nurse is collecting data from an adolescent. Which of the following represents
the greatest risk for suicide?
A.Availability of firearms
B.Family conflict
C.Homosexuality
D.Active psych disorder
(ANS- D
A nurse is collecting data from an infant who has otitis media (middle ear
infection). The nurse should expect which of the following findings?
A.Tugging on the affected earlobe
B. Bluish green discharge from the ear canal (there'susuallynodischarge,
discharge only comes out if there's opening in the ear drum)
C.Increaseinappetite(decreaseinappetite)
D. Erythema and edema of the affected auricle (usually no redness in the
affected auricle)
(otitis externa: infection of the outer ear)
(ANS- A
A nurse is reinforcing reaching with a parent of a 1 month old infant who is to
undergo the initial surgery to treat Hirschsprung's disease (a ganglionic megacolon,
part of the colon isn't connected to the nerves or not functioning, so there will be an
increase size of the colon and stool gets stuck in there). Which of the following
statements should indicate to the nurse that the parent understanding the goal of
surgery?
A."I'm glad that the ostomy is only temporary "
B."I'm glad my child will have normal bowel movements now"
C."I want to learn how to use the feeding tube as soon as possible"
D."the operation will straighten out the kink in the intestine"
(ANS- A
, A nurse is reinforcing discharge instructions with a parent of a child who has cystic
fibrosis. Which of the following statements by the parent indicates an
understanding of the teaching?
A."I will make sure my child washes her hands before eating"
B."I will restrict the amount of salt in my child's meal"
C."I will put my child in day care to ensure that she socializes with other
children"
D."I will provide low fat meals for my child
(ANS- A
A nurse working at a clinic speaks on the telephone with a parent of a 2-month- old
infant. The parent tells the nurse that the infant has projectile vomiting followed by
hunger after meals. Which of the following response by the nurse is appropriate?
A. "Bring your infant into the clinic today to be seen"
B."Burp your child more frequently during feedings"
C. "Give your infant an ora lrehydrating solution"
D. "You might want to try switching to different formula"
(ANS- A
A nurse is caring for a 4 year old child who is 2 days postoperative following the
insertion of a ventriculoperitoneal shunt. Which of the following findings should
the nurse identify as the priority . (causes icp hydrocephalus)
A.lethargy
B.lying flat on the unaffected side
C.respiratoryrate20/min
D.urine output 50 mL in 2hr
(ANS- A
a nurse is caring for a child following an open reduction and internal fixation of a
fractured femur and application of a cast. The cast has a window cut in it for
viewing of the incision. Which of the following actions should the nurse take first?
A. Remove the window and view the incision
B. Turntheclientsothecastwilldryonallsides
C. Medicate the client for pain
D.Perform neurovascular checks of the affected extremity (check for infection,
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