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2019 NURS Nursing Care of Children Proctored Exam With Answers (69 Solved Questions)

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    NURS: NURSING CARE OF CHILDREN ATI 2019 PROCTORED EXAM COMPLETE A+ GUIDE Nursing care of Children ATI 2019 • A nurse is providing teaching to the guardians of a school age child who has a seizure disorder. Which of the following factors should the nurse include as a common trigger that increases the risk of seizures? Prolonged headache Lack of sleep Decreased temperature Exposure to secondhand smoke • A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching? You can replace milk with nondairy sources of calcium You can drink milk on an empty stomach You should consume flavored yogurt instead of plain yogurt You might tolerate plain milk better than chocolate milk • A nurse is caring for an infant who has rotavirus. Which of the following findings indicates that the infant is moderately dehydrated?

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    Respiratory rate 28/min Weight loss 7% Capillary refill 1 second Bradycardia • A nurse is caring for an adolescent who is 1hr postoperative following an appendectomy. Which of the following findings should the nurse report to the provider? Muscle rigidity Heart rate 63/min Temperature 36.4 c (97.5F) Abdominal pain • A nurse is planning care for an 8 - month - old infant who has heart failure. Which of the following actions should the nurse include in the plan of care? Place the infant in a prone position Provide less frequent higher volume feedings Repeat a digoxin dosage if the infant vomits within 1hr of administration Administer cool humidified oxygen via nasal cannula • A nurse is caring for a preschooler who is postoperative following a tonsillectomy. The child is now ready to resume oral intake. Which of the following dietary choices should the nurse offer the child?

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    Chocolate milk Sugar free cherry gelatin Vanilla ice cream Lime flavored ice pop • A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following immunizations should the nurse include in the plan? Measles mumps and rubella (MMR) Pneumococcal conjugate (PCV13) Rotavirus Respiratory syncytial virus (RSV) • A nurse is reviewing the medical record of school age child who has cystic fibrosis. Which of the following findings should the nurse report to the provider? (Click on the Exhibit) button for additional information about the client. There are three tabs that contain separate categories of data} Heart rate WBC count Oxygen saturation HbA1c • A charge nurse is planning care for an infant who has failure to thrive. Which of the following actions should the nurse include in the plan of care?

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    Use half strength formula when feeding the infant Give the infant fruit juice between feedings Assign consistent nursing staff to care for the infant Keep the infant in a visually stimulating environment • A nurse is teaching the parent of school age child about bicycle safety. Which of the following instructions should the nurse include in the teaching? Your child should keep the bicycle at least 3 feet from the curb while riding in the street Your child should walk the bicycle through intersections Your child’s feet should be 3 to 6 inches off the group when seated on the bicycle Your child should ride the bicycle against the flow of traffic • A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome (SIDS). Which of the following statements by the parents indicates an understanding of the teaching? I will move my baby’s stuffed animal to the corner of her crib while she sleeps I will have my baby sleep next to me in bed during the night

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    I will dress my baby in lightweight clothing to sleep I will lay my baby on her side to sleep for naps • A nurse in a PACU is caring for a school age child immediately following a tonsillectomy. Which of the following actions should the nurse take? Place the child in a side lying position Instruct the child to drink fluids through a straw Offer the child ice cream when alert Encourage the child to deep breath and cough • A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs. Which of the following actions is appropriate for the nurse to take? Contact the clients’ parents to obtain phone consent Obtain written consent from the client Request verbal consent from the social worker Postpone the testing until the clients’ parents are present • A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?

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    A toddler who has a partial thickness burn on his right hand and requires a dressing change A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin An adolescent who has sickle cell anemia and slurred speech An adolescent who is in skin traction and reports a pain level of 7 on a scale from 0 to 10 • A nurse is assessing a 5 - month - old infant. Which of the following findings should the nurse report to the provider? Unable to hold a bottle Absent grasp reflex Exhibits head lag when pulled to a sitting position Unable to roll from back to abdomen • A nurse is caring for a 10 - month - old child was brought to the emergency department by his parents following a head injury. Which of the following actions should the nurse take first? Inspecting for fluid leaking from the ears Assess respiratory status Check pupil reactions Examine the scalp for lacerations

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    • A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis testing for cystic fibrosis. Which of the following statements should the nurse include in the teaching? A nurse will insert an IV prior to the test Your baby will need to fast for 8hours prior to the test The test will measure the amount of chloride in your baby’s sweat We will measure the amount of protein in your baby’s urine over a 24 - hour period • A nurse is planning care for a 6 - month - old infant who has bacterial meningitis. Which of the following interventions should the nurse include in the plan of care? Pad the side rails of the crib Provide frequent range of motion to the neck and shoulders Keep the television on in the room to provide background noise Place the infant in a semiprivate room • A nurse is caring for a school age child following the application of a cast to fractured right tibia. Which of the following actions should the nurse take first? Elevate the child leg Administer pain medication Petal the edge of the cast Teach the child about cast care

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