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Ati Peds Proctored Exam Questions And Answers With Verified Solutions A nurse is completing an admission assessment on an adolescent child who is a vegetarian. He eats milk products but does not like beans. Which of the following items should the nurse suggest the client order for lunch to provide nutrients most likely to be lacking in his diet? - ANSWER Peanut Butter and Jelly Sandwich A nurse is caring for a 1-month old infant who weighs 3540 g and is prescribed a dose of cefazolin 50mg/kg IV bolus TID. How many mg should the nurse administer per dose? - ANSWER A nurse is preforming a pre-college assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering? - ANSWER Meningococcal polysaccharide vaccine A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect? - ANSWER __Nocturia at night A nurse is caring for a client who has active TB and is to be started on IV rifampin therapy. The nurse should instruct the client that this medication can cause which of the following adverse effects? -ANSWER Body sections turning a red orange color A nurse is caring for a 6-week-old infant who as a pyloric stenosis. Which of the following manifestations should the nurse expect? - ANSWER __ Projectile vomiting A nurse receives a call from a parent of a child who has von Willebrand disease and has having a nosebleed. Which of the following instructions should the nurse give to the parents? - ANSWER "Have your child sit with her head tilted forward and hold pressure on her nose for 10 minutes." A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect? - ANSWER Pain A nurse is providing preoperative teaching by demonstrating diaphragmatic breathing to a client who is scheduled for surgery in the morning. Which of the following actions should the nurse include in the demonstration? - ANSWER __ Place her hands on the sides of her rib cage A nurse is assessing a 3-year-old child who has aortic stenosis. Which of the following findings should the nurse expect? (select all that apply).- ANSWER -Hypotension -Weak pulses -Murmur A nurse is planning care for a client who has idiopathic thrombocytopenic purpur (ITP). Which of the following manifestations is the most appropriate for the nurse to monitor? - ANSWER _ Bleeding A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled for initial surgery. Which of the following statements indicates an understanding of the teaching? - ANSWER I'm glad that my child's ostomy is only temporary A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicated an understanding of the teaching? - ANSWER All recently used clothing, bedding, and towels must be washed in hot water. A nurse is providing dietary teaching to the parents of a newborn who is being breastfed. The nurse should instruct that the transition to whole milk can occur at which of the following ages? - ANSWER 12 months A nurse is assessing a 6-month old patient at a well-child visit. Which of the following findings should the nurse expect? - ANSWER __ Closed posterior fontanel A nurse is caring for a 2-year old child who has seizures and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose? - ANSWER Shake the container vigorously. A nurse is planning care for a female client who has a T4 spinal cord injury and is at risk for acquiring urinary tract infections. Which of the following actions should the nurse include in the client's plan of care? - ANSWER Obtain a order for an in and out catheter A nurse is planning care for a child who has suspected epiglottis. Which of the following actions should the nurse take? - ANSWER _ Place the child on droplet precautions A nurse is instructing a group of clients regarding calcium rich food. Which of the following should the nurse include in the teaching as the best source of calcium? - ANSWER 1 cup of milk A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The parent begins to cry and says "| don't understand why my child is so upset. I've never seen my child act this way around others before." Which of the following statements should the nurse make? - ANSWER This is a normal, expected reaction for a child of this age A nurse is caring for a pre-school child who has epiglottitis with a barking cough. Which of the following actions should the nurse take? - ANSWER _ Monitor O2 sat A nurse is caring for a child who 2 hr postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time? - ANSWER Crushed Ice A nurse is assessing a client who has a fracture of the femur. The nurse obtains vital signs on admission and again in 2 hours. Which of the following assessment should indicate to the nurse that the client could be developing a serious complication? - ANSWER _ Dyspnea A nurse is providing discharge teaching to a client who has SLE. Which of the following instructions should the nurse include? - ANSWER | should wear gloves when it is cold outside A nurse is caring for an infant who has congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow? - ANSWER _ Patent ductus arteriosus A community health nurse in a pediatric clinic is reviewing a history of a 12-year-old client. Which of the following immunizations should the nurse expect to administer? - ANSWER _ Meningococcal conjugate A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant? - ANSWER __Trendelenburg A nurse is caring for a client who has a prescription for digoxin 0.25mg PO daily. The amount available is 0.125mg tab. The client's current vital signs are: BP 144/96, hear rate 54/min, respirations 18/min, and temperature 98.6 F. Which of the following actions should the nurse take? - ANSWER Withhold the digoxin dose for decreased pulse rate A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse? - ANSWER __ The teacher says my child has to squint to see the board A nurse is reinforcing teaching about food choices with the mother of an 8-month-old infant. Which of the following statements by the mother indicates a need for further teaching? - ANSWER ___ I will give my child peanut butter and mashed egg whites A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face, and both forearms. Which of the following is the priority action the nurse should take? - ANSWER Inspect the mouth for sings of inhalation injuries A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client? - ANSWER _ A private room A nurse is reviewing the lab findings for a client who has ITP. Which of the following findings should the nurse expect to be decreased? - ANSWER ___ Platelets A nurse is assessing a client who has SLE. Which of the following findings should the nurse expect? - ANSWER __ Decreased urine output. Butterfly rash. Joint inflammation. A nurse is caring for a group of clients in an infectious disease unit. The nurse should wear OSHA-approved N95 respirator mask when caring for a client with which of the following infectious diseases? - ANSWER TB A nurse is teaching a client about taking diphenhydramine. The nurse should explain to the client that which of the following is an adverse effect of this medication? - ANSWER Sedation A nurse is admitting a child who has leukemia. Which of the following clients should the nurse place in the same room with this child? - ANSWER A child who has nephrotic syndrome A nurse is instructing the parents of a client who has a new prescription for methylphenidate. Which of the following instructions should the nurse include? - ANSWER __ Take the medication orally once daily in the morning. A nurse is caring for a client who is experiencing anaphylactic shock in response to the administration of PCN. Which of the following meds should the nurse administer first? - ANSWER Epinephrine A nurse is providing teaching to a parent of a toddler about appropriate snacks. Which of the following foods should the nurse include? - ANSWER A: Graham crackers are appropriate snack foods for toddlers B:Apple slices are appropriate snack foods for toddlers E: Cheese cubes are appropriate snack foods for toddlers A nurse is creating a teaching plan for a client who has thrombocytopenia. Which of the following instructions should the nurse include? (select all that apply). - ANSWER Avoid ventipucture A nurse is assessing a client who has infective endocarditis. Which of the following findings should be the priority for the nurse to report to the provider? - ANSWER Dyspnea A nurse is caring for a client who is well-hydrated and who demonstrates no evidence of anemia. Which of the following lab values gives the nurse an assessment of the adequacy of the client's protein uptake and synthesis? - ANSWER Albumin A child is admitted with suspected diagnosis of Wilms' tumor. The nurse should place a sign with which of the following warnings over the child's bed? - ANSWER Do not palpate abdomen. A nurse in the ER is caring for a client who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention? - ANSWER _ Airway obstruction A client tells the nurse that he is concerned because his provider told him he has a heart murmur. The nurse should explain to the client that a murmur? - ANSWER Indicates turbulent blood flow through a valve. A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take? - ANSWER __ Tell the client to blow her nose gently before the instillation. A nurse is caring for an 8-year-old who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission? - ANSWER Auscultating the rate and characteristics of the child's heart sounds. 
