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CHILDREN ATI

1. A nurse is caring for a child who has a femur fracture and is in 90-degree
skeletal traction. The nurse recognizes that which of the following is the most
important intervention: on when for this child?
a) Facilitating active range of motion to uninvolved joints
b) Maintain correct body alignment
c) Observing pin site for infection
d) Monitoring for numbness in affected limb
2. A nurse is performing visual acuity screening for school age children using the
Snelien letter chart. Which of the following actions is appropriate? (select all
that apply)
a) Have the child stand 15 ft from chart
b) Instruct the child who wears glasses to keep them on
c) Tell the child to begin with 20/30 line
d) Allow the child to cover his eye with his hand
e) Watch the child for squinting
3. When assessing motor development in a 6- month- old infant; which of the
following findings should the nurse recognize as abnormal?
a) The child exhibits a Moro reflex
b) The child had no head lag
c) The child requires support when sitting
d) The child puts object into his mouth
4. A nurse is instructing the parents of an infant about car seat safety. Which of
the following responses by the nurse is appropriate?
a) The passengers car airbag should be turned off when the
car seat is in the front seat
b) A three-point harness car seat is recommended by most
manufactures
c) A booster seat is acceptable when your child weights 30 pounds
and is 2 years old
d) The car seat should remain in the backward position until
the child weighs 20 pounds and is 1 years old
5. A nurse is caring for a preschooler who requires an IM injection. In this
situation which of the following plays interventions initiated by the nurse is
appropriate?
a) Use an orange to demonstrate needle insertion
b) Show a video of another child receiving an injection
c) Let the child pretend to give an injection to a doll
d) Explain an injection to the child in detail
6. A nurse is planning care for school-age child who is 2 days postoperative
fallowing abdominal surgery. Which of the following is an example of guided
imagery that the nurse should include in the childs plan of care?
a) Have the child look through a kaleidoscope
b) Allow the child to play a video game
c) Encourage the child to recount a pleasurable experience
d) Reinforce positive thinking with the child
7. A nurse is reinforcing teaching for an adolescent client who has been
prescribed isotretinoin (Accutane). For which of the following side effects
should the nurse instruct the client to monitor?
a) Headache
b) Constipation
c) Dysuria
d) Vomiting
8. A toddler is diagnosed with conjunctivitis. The nurse recognizes that further
teaching is needed when the toddlers parents states
a) I will apply antibiotic ointment in the morning and drops at
bedtime
b) I will use warm, moist compresses in the morning to help remove the
crust
c) I will install medication into the affected eye after I clean it
d) I will use a separate washcloth to clean the affected eye
9. A nurse observes that an infant is choking with circumoral cyanosis which of
the following actions should the nurse take?
a) Move the infant into an upright position and suction airway with bulb
syringe
b) Deliver back blows with the infant face down over the rescuers
arm
c) Perform a heat tilt and a chin lift, and than give two rescue breaths
d) Place the infant in an oxygen tent with oxygen maintained at 50%
concentration
10.A nurse is caring for toddler who has epiglottis. Which of the following actions
should the nurse plan to implement?
a) Obtain a throat culture
b) Suction as needed
c) Give humidified oxygen
d) Offer cool fluids
11.A nurse is interviewing an adolescent female who reports drinking multiple
carbonated soft drinks per day. The nurse should instruct the client that this
practice place her at risk for:
a) Acne
b) Anorexia
c) Infertility
d) Osteoporosis
12.A nurse is reinforcing teaching about home safety measures with the parent of
toddler. Which of the following statements by parents indicates an
understanding of the teaching?
a) I will put household cleaners in garage cabinets
b) I will use bumpers pads on my child bed
c) I will remove drawstrings from window blinds
d) I will induce vomiting if my child ingests poison
13.A nurse assisting with the admission of child diagnosed with bacterial
meningitis. Which of the following intervention should be the nurses highest
priority
a) Management of fever
b) Maintenance of isolation precaution
c) Observation of increased intracranial pressure
d) Prevention of seizure
14.A nurse I preparing to administer the hepatitis B, inactivated polio, and
influenza vaccines to a 6-month-old infant. The nurse should recognize that
which of the following is the recommended injection site for these vaccines? -
RYSUNEK
15.When collecting data about a group of 2 years olds, the nurse should
recognize which of the following as expected finding of normal grow and
development?
a) Walks heel-to-toe
b) Holds crayon with fingers
c) Build tower of six blocks
d) Ties shoelaces
16.A nurse is caring for an infant who has heart failure and has been prescribed
digoxin (lanoxin). Which of the following findings should the nurse report to
the primary care provider?
a) Heart rate of 130/min
b) Weight decreased of 0.25 kg (0.55lb)
c) Respiratory rate of 30/min
d) Vomiting twice in 4 hr
17.A nurse is reviewing the dietary log of an adolescent client with celiac disease
who is experiencing weight loss. The nurse should reinforce the need to avoid
which of the following foods?
a) Rice cake
b) Corn tortilla
c) Baked potato
d) Rye bread
18.A nurse is caring for a new mother prior to discharge home with her infant.
Which of the following statements by the new mother suggests an
understanding of childhood immunization?
a) My child needs to be given DTaP and polio vaccines before leaving
hospital
b) The immunization schedule outlines when my child body is
ready for the vaccine
c) One of the first immunizations my child will receive is the hepatitis A
vaccine
d) My child should not get more than one immunization at a time
19.A nurse at a clinic is planning to administer the influenza vaccination to a
child. Which of the following foods allergies should the nurse recognize as a
contraindication with this vaccine?
a) Eggs
b) Milk
c) Wheat
d) Peanuts
20.A nurse is caring for school-age child who has rubella and has been placed on
infection control precaution. Which of the following nursing intervention is
appropriate?
a) Use an N95 respirator when in the child room
b) Wear a mask when within 3 feet of the child
c) Place the child in a negative-pressure room
d) Don clean gloves when offering the child a meal tray
21.A nurse should plan to implement which of the following types of isolation
precautions for a preschooler who has rotavirus
a) Airborne
b) Droplet
c) Reverse
d) Contact
22.A nurse is caring for a client for a child who is experiencing an acute asthma
attack which of the fallowing nursing interventions is a priority?
a) Monitor electrolyte status
b) Administer a corticosteroids
c) Monitor heart rate and rhythm
d) Administer a bronchodilator
23.A nurse is reinforcing teaching about the use of glucocorticoid medication to a
parent of school-age child with asthma. Which of the following statements by
the parent indicate an understanding of a teaching?
a) I expect my child will have tremors while using the inhaler
b) I should have my child rinse her mouth after using the inhaler
c) I understand that I will need to check my child blood glucose daily
d) I will have my child use this inhaler if she has difficulty breathing
24.An adolescent client is admitted to the emergency department with newly
diagnosed diabetes mellitus. which of the following findings should indicate to
the nurse that the client is experiencing hypoglycemia
a) Fruity, acetone breath
b) Thirst
c) Tremors
d) Deep, rapid respirations
25.A nurse is reinforcing teaching regarding immunization with a group of parents
who have preschoolers with leukemia. Which of the following instruction
should the nurse plan to include?
a) Your child will need to take antibiotic when receiving immunization
b) Your child will receive the inactive vaccine for polio
c) Family members should not received varicella vaccine
d) Your child should receive the hepatitis A vaccine
26.A nurse providing a discharge teaching to an adolescent client about low
cholesterol diet. Which of the following statements by the adolescent indicate
an understanding of a teaching?
a) My cholesterol intake should be less than 400milligrans a day
b) I can use olive or canola oil in moderation
c) I should eat healthy foods like avocados and peanut butter
d) My trans-fat intake wont affect my cholesterol level
27.A nurse in an outpatient clinic finds a child in cardio respiratory arrest which of
the following actions should the nurse take firs?
a) Start intravenous line
b) Obtain an automated external defibrillator
c) Activate the emergency medical system
d) Initiate 1 min of basic life support
28.A nurse is collecting data about an infant who was admitted for
gastroenteritis. Which of the following findings indicates dehydration
a) Apical pulse 138/min
b) Bulging anterior fontanel
c) Brisk capillary refill
d) Urine specific gravity 1.030
29.A nurse is planning to collect a stool specimen from an adolescent client who
has cystic fibrosis. The nurse should expect the adolescent stool to be
a) Watery
b) Frothy
c) Bloody
d) Seedy
30.An adolescent client is admitted for sickle cells crises. Which of the following is
the priority nursing intervention
a) Maintaining hydration
b) Replace electrolytes
c) Provide analgesics
d) Administer antibiotics
31.A nurse is caring for an adolescent client who has a closed head injury. A
decrease in which of the following is most significant for the nurse to report?
a) Temperature
b) Blood pressure
c) Respiratory rate
d) Heart rate
32.A nurse is planning to reinforce teaching to the parents of a child who has
cystic fibrosis. Which of the following instructions should the nurse include in
the plan of care to promote normal growth for this client?
o Decrease sodium in the diet
o Take potassium supplement before meals
o Take pancreatic enzymes with meals
o Limit complex carbohydrates in the diet
33.An infant who has hypertrophic pyloric stenosis is being monitored by the
nurse after surgery. The nurse should anticipate that the infant will
a) Not need an NG tube
b) Require prone positioning
c) Have no further vomiting
d) Receive oral electrolyte solution
34.A school-age female is treated in the clinic for urinary tract infection (UTI). The
nurse should reinforce to the client which of the following UTI preventive
measures?
a) Wear nylon underwear
b) Wipe the perineal area from back to front
c) Increase daily intake of water
d) Perform Kegel exercises
35.A nurse is reinforcing teaching to the parents of an infant with developmental
dysplasia of the hip who requires a pavlik harness. Which of the following
statements made by the parent demonstrate an understanding of the correct
use of the harness?
a) I can unblock the harness when changing my baby diapers
b) I will have the harness straps checked weekly
c) I can adjust the harness straps when needed
d) I will remove the harness at night when my baby sleeping
36.A nurse is planning to collect a stool specimen from an infant. Which of the
following techniques is appropriate?
a) Use a urine bag to collect the specimen
b) Wipe stool off with towelettes
c) Obtain a rectal swab
d) Place specimen in a container with a preservative
37.A nurse is caring for an infant diagnosed with nonorganic failure to thrive.
Which of the following infant feeding behaviors should the role model for the
mother
a) Hold the infant in a face to-face position during feedings
b) Continue feeding the infant until the bottle is empty
c) Maintain silent demeanor during feedings
d) juggle The bottle to keep the infant focused on eating
38.A nurse is caring for an adolescent client who has diabetes mellitus. Which of
the following indicates that the client is experiencing hyperglycemia?
a) Pallor
b) Reports of thirst
c) Reports of shakiness
d) Diaphoresis
39.A nurse is performing a blood pressure check on a toddler. Which of the
following practices is appropriate for accurate blood pressure measurement?
a) Use the stethoscope diaphragm for auscultating the child blood
pressure
b) Take the blood pressure on a lower extremity if the child is agitated
c) Have the child lie on a bed with the head elevated 30 degree
d) Choose a cuff based on the child upper arm circumference at
the midpoint
40.A nurse is monitoring the findings of a school-age child who experiencing
failure to thrive. The child is in the 25th percentile for height and the 5th
percentile weight. Which of the following findings should the nurse report to
the primary care provider?
a) Calcium of 10 mg/dL
b) Sodium of 140mEq/L
c) Hemoglobin of 10g/dL
d) Iron of 79 mcg/dL
41.A 10 years old child is being treated with albuterol (Provantil) to evaluate the
therapeutic effectiveness of this medication the nurse should
a) Monitor intake and output
b) Count pulse and respiration
c) Auscultate breath sounds
d) Weight the client daily
42.A nurse working in the office of a primary care provider is assisting in a
examination of a school- age child who reports vomiting and diarrhea for the
last 48hr. the nurse recognizes that the provider will proceed the examination
of the abdomen in what order?

Observation for pulsation 1


Deep palpation for tenderness 4
Superficial palpation for muscle tone 3
Auscultation for bowel sound 2

43.The mother of a 3-month-old infant ask if her infant is receiving adequate


nutrition. She tells the nurse that he is consuming about 24 oz. of formula per
day. Which of the following responses by the nurse is appropriate?
a) How much solid foods is the infant eating each day
b) Have his length and weight been evaluated on a growth chart?
c) How many bowel movements is he having daily?
d) Are you giving him 2 to 3 oz of water between feedings
44.A nurse is reinforcing teaching with the parents of a child with asthma. Which
of the following statements by the parents indicates to the nurse that the
parent require further teaching
a) I will keep the door to my child clothes closet shut
b) I will take the curtains off my child windows
c) I will place a dehumidifier in my child room
d) I will give my child a down pillow to sleep with
45.A parents presents to a a clinic with 6-month-old infant for well-infant
checkup. Which of the following statements by the parents indicates a need
for further investigation by the nurse?
a) I have removed my babys mobile from the crib
b) I will begin using toothpaste when the babys teeth erupt
c) I will expect that my baby will sleep 15 hr a day
d) I will introduce a new food to my baby every week
46.A nurse is assisting a family after the death of their child. Which of the
following action should the nurse take?
a) Follow the family members lead when communicating
b) Offer stories of previous situation to show empathy
c) Direct question regarding after care to the provider
d) Encourage the family to limit visitors
47.A nurse is providing care for adolescent client who is postoperative following a
posteriorspinal fusion. The adolescent tells the nurse that she does not want
any visitors. Which of the following nursing intervention should the nurse
implement to meet the adolescents developmental needs?
a) Tell the adolescent that it is important for her to socialize
b) Have the adolescent spent time with her parents
c) Encourage the adolescent to visit with other adolescent on the
unit
d) Ask the parents to convince the adolescent to allow her friends to visit
48.A nurse is reinforcing teaching witch the mother of an infant who has a cleft
palate. Which of the following statements by the mother indicates that the
teaching was effectives?
a) My baby is at risk for poor weight gain
b) This condition means that I shout not breastfeed
c) I will have to delay the introduction of solid foods
d) I can bottle-feed my baby using a standard nipple
49.A nurse is collecting data about a 15-month-old child. Which of the following
indicates to the nurse that this child has a developmental delay?
a) Scribbles spontaneously
b) Walks holding onto a support
c) Creeps up stairs
d) Builds a towers of two cubes
50.A nurse is observing a postoperative 3-years-old child who is exhibiting
restlessness, poor attention spam, and frequent tearful outbursts. Which of
the following should the nurse use to determine this childs pain?
a) Modified behavioral pain scale
b) Color tool
c) FACES pain rating scale
d) Visual analog scale
51.A nurse is performing a checkup on a 6-year-old child. The nurse measures the
childs height and weight which of the following body mass index percentiles
should alert the nurse that the child is at risk for becoming overweight?
a)
70th
b)
57th
c)
80th
d)
85th
52.A nurse is collecting data from a child who has spina bifida and has a
ventriculoperitoneal (VP) shunt. Which of the following findings should the
nurse report to the primary care provider?
a) Headache upon awakening
b) Urinary incontinence
c) WBC 9,000/mm
d) Hgb 14g/dL
53.A school age child is admitted to a pediatric unit following a bicycle accident.
Which of the following findings should the nurse report to the primary care
provider?
a) Heart rate 110/min
b) Dilated pupils
c) Respiratory rate of 20/min
d) Brisk capillary refill
54.A nurse is observing the reflexes of a 6-month-old infant. Which of the
following is an expected reflex
a) Moro
b) Babinski
c) Step
d) Tonic neck
55.An adolescent client tells the nurse that her mother and grandmother have
been diagnosed with osteoporosis. Which of following should the nurse
reinforce with the client regarding osteoporosis prevention
a) Increase exercise in the form of walking
b) Increase consumption of high fiber foods
c) Increase exercise in the form of swimming
d) Increase consumption of citrus fruits
56.In addition to standard precautions, the nurse should plan to use contact
precaution for which of the following illnesses?
a) Haemophilus influenza
b) Clostridium difficile
c) Myoplasma pneumonia
d) Streptococcal pharyngitis
57.A nurse is caring for a toddler who just returned from the PACU following a
hernia repair. Which of the following findings should indicate to the nurse that
the child is in pain?
a) The child is clinging to his parent
b) The child does not want the nurse to look at his incision
c) The child is lying with his legs flexed to his abdomen
d) The child tells the nurse to go away
58.A nurse is caring for the child who has increased intracranial pressure and is
unconscious. Which of the following interventions by the nurse is appropriate?
a) Limit oral suctioning
b) Encourage visitation by peers
c) Place the child in high-fowlers position
d) Urge parents to speak to their child
59.A nurse is caring for a 12-year-old child who was diagnosed with brain tumor
24hr ago. Which of the following symptoms would indicate increase
intracranial pressure?
a) Negative babinski sign
b) Vomiting
c) Petechial rash
d) Positive Kernigs sign
60.A nurse is monitoring a 6-month-old infant who has been diagnosed with
intussusceptions. While awaiting transport to surgery, the child has a normal
bowel movement. Which of the following actions should nurse take?
a) Check preoperative vital signs
b) Send the stool to the laboratory for occult blood testing
c) Notify the primary care provider of the findings
d) Reinforce postoperative teaching with the parents
61.A nurse is reinforcing teaching with school-age child who has diabetes mellitus
and is using diabetes at home. Which of the following object is an appropriate
receptacle for syringe disposal?
a) White bleach bottle
b) Red plastic bag
c) Clear soda bottle
d) Glass milk bottle
62.A nurse is reinforcing home care instruction with the parent of child who just
underwent a tonsillectomy. Which of the following statements by the parent
indicates an understanding of the teaching?
a) I will encourage quiet play activity for my child
b) I will apply warm moist cloths to my child throat
c) I will have my child cleanse his throat by gargling twice a day
d) I can give my child ice cream to reduce pain
63.A nurse is reinforcing teaching for adolescent client who has neurotoxic effect
related to chemotherapy the nurse recognizes that the adolescent
understands the teaching when she states that she will continue the use of
which of the following therapies at home
a) Liquid diet
b) Lemon glycerin swab
c) Oxygen mask
d) Antibiotics
64.A nurse is caring for child with type 1 diabetes mellitus. The nurse should
recognize which of the following as a manifestation of hyperglycemia?
a) Polyuria
b) Diaphoresis
c) Tremors
d) Diplopia
65.A nurse is caring for a child who is immediately postictal which of the following
action should the nurse take?
a) Insert oral airway
b) Offer the child sips of fluid
c) Position the child on the side
d) Keep child awake