Peds ATI Exam 3

Term
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a nurse is providing teaching about the management of epistaxis to an adolescent. Which of the following positions should the nurse instruct the adolescent to take when experiencing a nosebleed?
A. sit up and lean forward
B. sit up and tilt the head up
C. lie in a supine position
D. lie in a prone position
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Terms in this set (73)
a nurse is providing teaching about the management of epistaxis to an adolescent. Which of the following positions should the nurse instruct the adolescent to take when experiencing a nosebleed?
A. sit up and lean forward
B. sit up and tilt the head up
C. lie in a supine position
D. lie in a prone position
A. sit up and lean forward
a nurse is providing teaching about epistaxis to the parent of a school aged child. which of the following should the nurse include as an action to take when managing an episode of epistaxis? (select all that apply)
A. press the nares together for at least 10 minutes
B. breathe through the nose until bleeding stops
C. pack cotton or tissue into the naris that is bleeding
D. apply a warm cloth across the bridge of the nose
E. insert petroleum into the naris after the bleeding stops
A. press the nares together for at least 10 minutes
C. pack cotton or tissue into the naris that is bleeding
a nurse is providing teaching to the parent of a child who has a new prescription for liquid oral iron supplements. which of the following statements by the parent indicates an understanding of the teaching?
A. i should take my child to the emergency department if his stools become dark
B. my child should avoid eating citrus fruits while taking the supplements
C. i should give iron with milk to help prevent an upset stomach
D. my child should take the supplement through a straw
D. my child should take the supplement through a straw
a nurse is preparing to administer iron dextran IM to a school aged child who has iron deficiency anemia. which of the following actions by the nurse is appropriate?
A. administer the dose in the deltoid muscle
B. use the z-track method when administering the dose
C. avoid injecting more than 2 mL with each dose
D. massage the injection site for 1 minute after administering the dose
B. use the z-track method when administering the dose
a nurse is caring for an infant whose screening test reveals a potential diagnosis of sickle cell disease. which of the following tests should be performed to distinguish if the infant has the trait or the disease?
A. sickle solubility test
B. hemoglobin electrophoresis
C. CBC
D. transcranial doppler
B. hemoglobin electrophoresis
a nurse is caring for a child who has had watery diarrhea for the past 3 days. which of the following is an action for the nurse to take?
A. offer chicken broth
B. initiate oral rehydration therapy
C. start hypertonic IV solution
D. keep NPO until the diarrhea subsides
B. initiate oral rehydration therapy
a nurse is caring for a child who is suspected to have enterobius vermicularis. which of the following actions should the nurse take?
A. perform a tape test
B. collect stool specimen for culture
C. test the stool for occult blood
D. initiate IV fluids
A. perform a tape test
a nurse is assessing a child who has a rotavirus infection. which of the following are expected findings? (select all that apply)
A. fever
B. vomiting
C. water stools
D. bloody stools
E. confusion
A. fever
B. vomiting
C. watery stools
a nurse is teaching a group of parents about salmonella. which of the following information should the nurse include in the teaching? (select all that apply)
A. incubation period is nonspecific
B. it is a bacterial infection
C. bloody diarrhea is common
D. transmission can be from house pets
E. antibiotics are used for treatment
B. it is a bacterial infection
C. bloody diarrhea is common
D. transmission can be from house pets
a nurse is teaching a group of caregivers about E. coli. which of the following information should the nurse include in the teaching? (select all that apply)
A. severe abdominal cramping occurs
B. watery diarrhea is present for more than 5 days
C. it can lead to hemolytic uremic syndrome
D. it is a food borne pathogen
E. antibiotics are given for treatment
A. severe abdominal cramping occurs
C. it can leads to hemolytic uremic syndrome
D. it is a food borne pathogen
a nurse is assessing an infant who has hypertrophic pyloric stenosis. which of the following manifestations should the nurse expect? (select all that apply) A. projectile vomiting B. dry mucus membranes C. currant jelly stools D. sausage-shaped abdominal mass E. constant hungerA. projectile vomiting B. dry mucus membranes E. constant hungera nurse is caring for a child who has Hirschsprung's disease. which of the following actions should the nurse take? A. encourage a high-fiber, low-protein, low-calorie diet B. prepare the family for surgery C. place an NG tube for decompression D. initiate bed restB. prepare the family for surgerya nurse is caring for an infant who has just returned from PACU following cleft lip and palate repair. which of the following actions should the nurse take? A. remove the packing in the mouth B. place the infant in an upright position C. offer a pacifier with sucrose D. assess the mouth with a tongue bladeB. place the infant in an upright positiona nurse is caring for a child who has Meckel's diverticulum. which of the following manifestations should the nurse expect? (select all that apply) A. abdominal pain B. fever C. mucus and blood in stools D. vomiting E. rapid, shallow breathingA. abdominal pain C. mucus and blood in stoolsa nurse is teaching a parent of an infant about GERD. which of the following should the nurse include in the teaching? (select all that apply) A. offer frequent feedings B. thicken formula with rice cereal C. use a bottle with a one-way valve D. position baby upright after feedings E. use a wide-based nipple for feedingsA. offer frequent feedings B. thicken formula with rice cereal D. position baby upright after feedingsa nurse is teaching a parent of a child who has a urinary tract infection. which of the following should the nurse include in the teaching? (select all that apply) A. wear nylon underpants B. avoid bubble baths C. empty bladder completely with each void D. watch for manifestations of infection E. wipe perineal area back to frontB. avoid bubble baths C. empty bladder completely with each void D. watch for manifestations of infectiona nurse is planning care of a child who has a UTI. which of the following interventions should the nurse include? A. administer an antidiuretic B. restrict fluids C. evaluate the child's self-esteem D. encourage frequent voidingD. encourage frequent voidinga nurse is caring for a child who has enuresis. which of the following is a complication of enuresis? A. UTI B. emotional problems C. urosepsis D. progressive kidney diseaseB. emotional problemsa nurse is assessing an infant who has a suspected UTI. which of the following are expected findings? (select all that apply) A. increase in hunger B. irritability C. decrease in urination D. vomiting E. feverB. irritability D. vomiting E. fevera nurse is assessing a child who has a UTI. which of the following are manifestations of a UTI? (select all that apply) A. night sweats B. swelling of the face C. pallor D. pale colored urine E. fatigueB. swelling of the face C. pallor E. fatiguea nurse is caring for an infant who has a hydrocele. which of the following actions should the nurse take? A. prepare the child for surgery B. explain to the parents that the issue will self resolve C. retract the foreskin and cleanse several times daily D. refer the family for genetic counselingB. explain to the parents that the issue will self resolvea nurse is caring for a male infant who has an epispadias. which of the following findings should the nurse expect? (select all that apply) A. bladder exstrophy B. inability to retract foreskin C. widened pubic symphysis D. urethral opening on the dorsal side of the penis E. painA. bladder exstrophy C. widened pubic symphysis D. urethral opening on the dorsal side of the penisa nurse is caring for an infant who has ambiguous genitalia. which of the following actions should the nurse take? (select all that apply) A. prepare the child for surgery B. test the child's infants function C. cover the genitals with a sterile dressing D. refer the family for genetic counseling E. explain the need for chromosomal analysisA. prepare the child for surgery D. refer the family for genetic counseling E. explain the need for chromosomal analysisa nurse is caring for an infant who has obstructive uropathy. which of the following findings should the nurse expect? (select all that apply) A. decreased urine flow B. UTI C. intrauterine polyhydraminos D. concentrated urine E. hydronephrosisB. UTI E. hydronephrosisa nurse is assessing a child who has nephrotic syndrome. which of the following findings should the nurse expect? (select all that apply) A. urine dipstick +2 protein B. edema in the ankles C. hyperlipidemia D. polyuria E. anorexiaA. urine dipstick +2 protein B. edema in the ankles C. hyperlipidemia E. anorexiaa nurse is caring for a school age child who has acute glomerulonephritis. which of the following findings should the nurse report to the provider? A. BUN 8 mg/dL B. blood creatinine 1.3 mg/dL C. blood pressure 100/74 mmHg D. urine output 550 mL in 24 hoursB. blood creatinine 1.3 mg/dLa nurse is caring for a preschooler who has nephrotic syndrome. which of the following findings should the nurse report to the provider? A. blood protein 5.0 g/dL B. Hgb 14.5 g/dL C. Hct 40% D. platelet 200,000 mmA. blood protein 5.0 g/dLa nurse is assessing a child who has a chronic renal failure. which of the following findings should the nurse expect? A. flushed face B. hyperactivity C. weight gain D. delayed growthD. delayed growtha nurse is caring for a child who has acute post-streptococcal glomerulonephritis (APSGN). which fo the following manifestations should the nurse expect? (select all that apply) A. pale urine B. periorbital edema C. ill appearance D. decreased creatinine E. hypertensionB. periorbital edema C. ill appearance E. hypertensiona nurse is caring for a child who is in a plaster spica cast. which of the following actions should the nurse take? A. use a heat lamp to facilitate drying B. avoid turning the child until the cast is try C. assist the client with crutch walking after the cast is dry D. apply moleskin to the edges of the castD. apply moleskin to the edges of the casta nurse is teaching a group of caregivers about fractures. which of the following information should the nurse include in the teaching? A. children need a longer time to heal from a fracture than an adult B. epiphyseal plate injuries can result in altered bone growth C. a greenstick fracture is a complete break in the bone D. bones are unable to bend, so they breakB. epiphyseal plate injuries can result in altered bone growtha nurse is caring for a child who sustained a fracture. which of the following actions should the nurse take? (select all that apply) A. place a head pack on the site of injury B. elevate the affected limb C. assess neurovascular status frequently D. encourage ROMB. elevate the affected limb C. assess neurovascular status frequently E. stabilize the injurya nurse is caring for a child who has a fracture. which of the following are manifestations of a fracture? (select all that apply) A. crepitus B. edema C. pain D. fever E. ecchymosisA. crepitus B. edema C. pain E. ecchymosisa nurse is caring for a child who is in skeletal traction. which of the following actions should the nurse take? (select all that apply) A. remove the weights to reposition the client B. assess the child's position frequently C. assess pin sites every 4 hours D. ensure the weights are hanging freely E. ensure the rope's knot is in contact with the pulleyB. assess the child's position frequently C. assess pin sites every 4 hours D. ensure the weights are hanging freelya nurse is caring for a toddler who has hip dysplasia and has been placed in a hip spica cast. the child's guardian asks the nurse why a Pavlik harness is not being used. Which of the following responses should the nurse make? A. the Pavlik harness is used for children with scoliosis, not hip dysplasia B. the Pavlik harness is used for school age children C. the Pavlik harness cannot be used for your child because her condition is too severe D. the Pavlik harness is used for infants less than 6 months of ageD. the Pavlik harness is used for infants less than 6 months of agea nurse is completing preoperative teaching with an adolescent client who is scheduled to receive spinal instrumentation for scoliosis. which of the following information should the nurse include in the teaching? A. you will go home the same day of surgery B. you will have minimal pain C. you will need to receive blood D. you will not be able to eat until the day after surgeryC. you will need to receive blooda nurse is caring for a child who is suspected of having Legg-Calve-Perthes disease. the nurse should prepare the child for which of the following diagnostic procedures? A. bone biopsy B. genetic testing C. CT scan D. radiographsD. radiographsa nurse is assessing a child who has Legg-Calve-Perthes disease. Which of the following findings should the nurse expect? (select all that apply) A. longer affected leg B. hip stiffness C. back pain D. limited ROM E. limp while walkingB. hip stiffness C. back pain D. limited ROM E. limp with walkinga nurse is caring for an infant and notices an audible click in their left hip. which of the following diagnostic test should the nurse expect the provider to perform? (select all that apply) A. Barlow test B. Babinski sign C. manipulation of foot and ankle D. Ortolani test E. Ponseti methodA. Barlow test D. Ortolani testa nurse is caring for a child who has cerebral palsy. which of the following medications should the nurse expect to administer to treat painful muscle spasms? (select all that apply) A. baclofen B. diazepam C. oxybutynin D. methotrexate E. prednisoneA. baclofen B. diazepama nurse is developing a plan of care for a toddler who has cerebral palsy. which of the following actions should the nurse include? A. structure interventions according to the toddler's chronological age B. evaluate the toddler's need for an evaluation of hearing ability C. monitor the toddler's pain level routinely using a numeric rating scale D. provide total care for daily hygiene activitiesB. evaluate the toddler's need for an evaluation of hearing abilitya nurse is caring for a school age child who has juvenile idiopathic arthritis. which of the following home care instructions should the nurse include in the teaching? (select all that apply) A. provide extra time for completion of ADLs B. use cold compresses for joint pain C. take ibuprofen on an empty stomach D. remain home during periods of exacerbation E. perform ROM exercisesA. provide extra time for completion of ADLs E. perform ROM exercisesa nurse is caring for a child who has muscular dystrophy. for which of the following findings should the nurse assess? (select all that apply) A. purposeless, involuntary, abnormal movements B. spinal defect and saclike protrusion C. muscular weakness in lower extremities D. unsteady, wide-based or waddling gait E. upward slant to the eyesC. muscular weakness in lower extremities D. unsteady, wide-based or waddling gaita nurse is caring for an infant who has a myelomeningocele. which of the following actions should the nurse include in the preoperative plan of care? A. assist the caregiver with cuddling the infant B. assess the infant's temperature rectally C. place the infant in a supine position D. apply a sterile, moist dressing on the sacD. apply a sterile, moist dressing on the saca nurse is teaching a group of family members about complications of communicable diseases. which of the following communicable disease can lead to pneumonia? (select all that apply) A. rubella (German measles) B. Rubeola (measles) C. pertussis (whooping cough) D. varicella (chickenpox) E. mumpsB. rubeola C. pertussis D. varicellaa nurse is caring for a client who has rubeola. the nurse should monitor for which of the following complications? (select all that apply) A. otitis media B. constipation C. laryngitis D. arthralgia E. syncopeA. otitis media C. laryngitisa nurse is assessing a client who has pertussis. which of the following findings should the nurse expect? (select all that apply) A. runny nose B. mild fever C. cough with whooping sound D. swollen salivary glands E. red rashA. runny nose B. mild fever C. cough with whooping sounda nurse is teaching a group of family members about communicable diseases. the nurse should include that which of the following is the best method to prevent a communicable disease? A. hand washing B. avoiding persons who have active disease C. covering your cough D. obtaining immunizationsD. obtaining immunizationsa nurse is caring for a toddler who has acute otitis media. which of the following is the priority action for the nurse to take? A. provide emotional support to the family B. educate the family on care of the child C. provide diversional activity D. administer analgesicsD. administer analgesicsa nurse is caring for an infant who has manifestations of acute otitis media. which of the following factors places the infant at risk for otitis media? (select all that apply) A. breastfeeds without formula supplementation B. attends day care 4 days per week C. immunizations are up to date D. history of a cleft palate repair E. parents smoke cigarettes outsideB. attends day care 4 das per week D. history of cleft palate repair E parents smoke cigarettes outsidea nurse is caring for a toddler who has rhinitis cough, and diarrhea for 2 days. upon assessment it is noted that the tympanic membrane has an orange discoloration and decreased movement. which of the following statements should the nurse make? A. your child has an ear infection that requires antibiotics B. your child could experience transient hearing loss C. your child will need to be on a decongestant until this clears D. your child will need to have a myringotomyB. your child could experience transient hearing lossa nurse is caring for a toddler who has had 3 ear infections in the past 5 months. which of the following long term complications is the child at risk for developing? A. balance difficulties B. rash C. speech delays D. mastoiditisC. speech delaysa nurse is assessing an infant. which of the following findings are clinical manifestations of acute otitis media? (select all that apply) A. decreased pain in the supine position B. rolling head side to side C. loss of appetite D. increased sensitivity to sound E. cryingB. rolling head side to side C. loss of appetite E. cryinga nurse is teaching a parent of a child who has HIV. which of the following information should the nurse include? (select all that apply) A. obtain yearly influenza vaccination B. monitor a fever for 24 hours before seeking medical care C. avoid individuals who have colds D. provide nutritional supplements E. administer aspirin for painA. obtain yearly influenza vaccination C. avoid individuals who have colds D. provide nutritional supplementsa nurse is caring for a child who has AIDS. which of the following isolation precautions should the nurse implement? A. contact B. airborne C. droplet D. standardD. standarda nurse is admitting a child who has HIV. the nurse should identify which of the following findings as an indication that the child is in the mildly symptomatic category of HIV? (select all that apply) A. herpes zoster B. anemia C. oral candidiasis D. hepatomegaly E. lymphadenopathyC. oral candidiasis D. hepatomegaly E. lymphadenopathya nurse is teaching a group of adolescents about HIV/AIDS. which of the following statements should the nurse include in the teaching? A. you can contract HIV through casual kissing B. HIV is transmitted through IV substance use C. HIV is now curable if caught in the early stages D. medications inhibit transmission of the HIV virusB. HIV is transmitted through IV substance usea nurse is admitting a child who has severely symptomatic HIV. which of the following findings should the nurse expect? (select all that apply) A. kaposi's sarcoma B. hepatitis C. wasting syndrome D. pulmonary candidasis E. cardiomyopathyA. kaposi's sarcoma C. wasting syndrome D. pulmonary candidiasisa nurse is providing teaching to the parent of a child who has a neuroblastoma. which of the following statements should the nurse include in the teaching? (select all that apply) A. chemo and radiation may be necessary for treatment B. your child will need a bone marrow biopsy C. your child will be paralyzed because of this tumor D. more children are diagnosed around age 12 E. your child will need surgery for resection of the tumorA. chemo and radiation may be necessary for treatment B. your child will need a bone marrow biopsy E. your child will need surgery for resection of the tumora nurse is caring for a toddler who has a Wilms tumor. which of the following actions should the nurse take? A. palpate the child's abdomen to identify the size of the tumor B. prepare the child for surgery C. teach the parents about dialysis D. obtain a 24 hour urine specimen from the childB. prepare the child for surgerya nurse is teaching the parent of a child who has a Wilms tumor. which of the following statements should the nurse include in the teaching? (select all that apply) A. your child will need to have chemo for 12 months B. Wilms tumors are typically genetic in nature C. surgery is done usually within 48 hours of diagnosis D. palpating the tumor could cause spread of the cancer E. further treatments will start immediately after surgeryC. surgery is done usually within 48 hours of diagnosis D. palpating the tumor could cause spread of the cancer E. further treatments will start immediately after surgerya nurse is caring for a child who is postoperative following surgical removal of a Wilms tumor. which of the following assessments is an indication to continue NPO status? A. abdominal girth 1 cm larger than yesterday B. report of pain at the operative site C. absent bowel sounds D. passing of flatus every 30 minutesC. absent bowel soundsa nurse is assessing a child who has neuroblastoma of the adrenal gland. which of the following are manifestations of metastasis from the primary site? (select all that apply) A. weight gain B. bone pain C. periorbital ecchymoses D. proptosis E. weight lossB. bone pain C. periorbital ecchymoses D. proptosis E. weight lossa nurse is assessing a child who has leukemia. which of the following are early manifestations of leukemia? (select all that apply) A. hematuria B. anorexia C. petechiae D. ulcerations in the mouth E. unsteady gaitB. anorexia C. petechiae E. unsteady gaita nurse is caring for a child who has thrombocytopenia. which of the following actions should the nurse take? (select all that apply) A. monitor for manifestations of bleeding B. administer routine immunizations C. obtain rectal temperatures D. avoid peripheral venipuncture E. limit visitorsA. monitor for manifestations of bleeding D. avoid peripheral venipuncturea nurse is caring for a child who is experiencing neuropathy due to chemo. which of the following are manifestations of neuropathy? (select all that apply) A. constipation B. skin breakdown C. foot drop D. jaw pain E. hemorrhage cystitisA. constipation C. foot drop D. jaw paina nurse is caring for a child who has oral mucositis. which of the following actions should the nurse take? (select all that apply) A. swab the mucosa with lemon glycerin swabs B. apply viscous lidocaine C. offer soft foods D. use a soft, disposable toothbrush for oral care E. encourage gargling with a warm saline mouthwashC. offer soft foods D. use a soft, disposable toothbrush for oral care E. encourage gargling with a warm saline mouthwasha nurse is planning care for an infant who is scheduled to have a lumbar puncture. which of the following actions should the nurse include in the plan of care? A. cleanse the thoracic area of the infant's back with an antiseptic solution B. apply a eutectic mixture of local anesthetic cream just before the procedure begins C. restrain the infant during the procedure to prevent movement D. position the infant with his head extended and chin raisedC. restrain the infant during the procedure to prevent movementa nurse is caring for a child following an above the knee amputation. which of the following actions should the nurse take? A. avoid discussing the amputation B. administer aspirin for phantom pain C. prepare the child for prosthesis fitting D. maintain the affected limb in the dependent positionC. prepare the child for prosthesis fittinga nurse is caring for an adolescent who has a new diagnosis of osteosarcoma. which of the following actions should the nurse take first? A. ensure that the adolescent has a referral for a psychiatrist visit B. prepare a teaching plan to educate the adolescent in detail about the diagnosis and treatment C. spend time with adolescent to answer any questions D. perform a mental status exam to assess the adolescents thought patternC. spend time with adolescent to answer any questionsa nurse is providing home care instructions to a parent of a child who is receiving chemo. which of the following instructions should the nurse include in the teaching? (select all that apply) A. manifestations of infection B. bleeding precautions C. hand hygiene D. homeschooling E. airborne precautionsA. manifestations of infection B. bleeding precautions C. hand hygienea nurse is assessing a child who has rhabdomyosarcoma of the nasopharynx. which of the following are manifestations of rhabdomyosarcoma? (select all that apply) A. enlarged neck lymph nodes B. pain C. vomiting D. epistaxis E. diplopiaA. enlarged neck lymph nodes B. pain D. epistaxisa nurse is assessing a child who has rhabdomyosarcoma of the upper arm. which of the following findings should the nurse expect? (select all that apply) A. pain B. discoloration of the skin C. lymph node enlargement D. easy bruising E. palpable massA. pain C. lymph node enlargement E. palpable mass