RN Nursing Care of Children Proctored Exam 2019
A nurse is assisting an adolescent who has Cushing's syndrome. Which of the following findings? should the nurse expect?
- Cachectic appearance - Addison’s not Cushing’s
- Blood glucose 320 mg/dL
- Potassium 4.2 mEq/L -this is in the normal range (3.5-5.0); Cushing’s expect
- Advanced bone age
hypokalemia
CORRECT ANSWER:
- Blood glucose 320 mg/dL
A nurse is caring for a preschooler who has a brain tumor. Which of the following findings is the priority for the nurse to report to the provider?
- Nightmares
- Pruritus
- Diplopia - this is double vision
- hyperactivity
CORRECT ANSWER:
- Diplopia
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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?
- Give the infant fruit juice between feedings
- Use half-strength formula when feeding the infant. - no, increase formula 2kcal/oz
- Keep the infant in a visually stimulating environment.
- Assign consistent nursing staff to care for the infant. -?? hate this question. Pg 277 ati
CORRECT ANSWER:
- Assign consistent nursing staff to care for the infant
A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome is (SIDS). Which of the following statements by the parents indicates an understanding of the teaching?
- I will move my baby stuffed animal to the corner of her crib while she sleeps."
- I will dress my baby in lightweight clothing to sleep."
- I will have my baby sleep next to me in bed during the night."
- I will lay my baby on her side to sleep for naps."
CORRECT ANSWER:
- "I will dress my baby in lightweight clothing to sleep."
A nurse is assessing a 1-month- old infant at a well-child visit. Identify the location the nurse should stroke to elicit this rooting reflex. (You will find hot spot to select in the artwork below. Select only the hot spot that corresponds to your answer. )
CORRECT ANSWER:
Cheek
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A nurse is caring for a child who has acute glomerulonephritis. Which of the following findings should the nurse expect?
- Temperature 39 C (102.2 F)
- Periorbital edema - ON ATI quizzes all the time
- Hypotension -no it would be hypertension
- Positive urine culture
CORRECT ANSWER:
- Periorbital edema
A nurse is providing postoperative care for a child following an arterial cardiac catheterization. Which of the following actions should the nurse take?
- Keep the affected extremity straight for at least 6 hr.
- Monitor output using an indwelling urinary catheter for the first 24 hr.
- Remove the child's pressure dressing after the first 4 hr. - maintain clean dressing
- Maintain the child's NPO status for 4 to 6 hr. - no, sips as tolerated. NPO is preop
CORRECT ANSWER:
- Keep the affected extremity straight for at least 6 hr.
A nurse in a provider's office is providing teaching to the parents of a preschooler who has Down syndrome. Which of the following statements by one of the parents indicate an understanding of the instructions?
- We'll have soft music playing in the background when we teach our son in new skill
- We'll explain that it's best for our son to wait until kindergarten to start going to
- we'll be sure to demonstrate a new skill before expecting our son to perform it."
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school