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Exam Review

Ati Paediatrics Proctored Exam (Cni College)

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Total Questions : 33

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Question 1:

A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?

Answer and Explanation

A
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Question 2:

A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?

Answer and Explanation

A
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Question 3:

A nurse is teaching new parents the proper way to use an infant safety seat. Which of the following should indicate to the nurse a need for further teaching?

Answer and Explanation

A
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Question 4:

A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? (Select all that apply.)

Answer and Explanation

A
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Question 5:

0630

0.9% sodium chloride at 97 mL/h

WBC count 22,000/mm (5,000 to 10,000/mm) RBC count 4.5/mm3 (4.0 to 5.5/mm3)

Hgb 14 g/dl. 9.5 to 14 g/dL)

Het 44% (30% to 40%)

Platelets 350,000/mm (150,000 to 400,000/mm)

C-Reactive Protein 1.8 mg/dl. (less than 1.0 mg/dL)

0600

Client presents to the ED with guardian, Client reports that they began having pain around their "belly button the previous evening around 2100. Reports that pain is now in right lower quadrant and became worse earlier this morning. Reports nausea. Abdomen soft with tenderness to palpation in right lower quadrant. Bowel sounds positive in all four quadrants. Verbalizes increase in pain when right hip is flexed and rotated internally. Rates pain as 6 on a 0 to 10 pain scale.

0620:

Notified provider of client's arrival and assessment data. Prescriptions received.

06:30:

IV started in right forearm x 1 stick with 22-gauge cathalon Securement device and tegaderm placed. Infusing 0.9% sodium chloride 97 mL/hr via IV pump, CBC and C-Reactive Protein drawn and sent to lab

0700:

Client reports increase in right lower quadrant pain, rating pain as 9 on a 0 to 10 pain scale. Vomits 50 ml gastric contents into basin.

0600

Temperature 37.7° C (99.9° F). Pulse rate 98/min, strong and regular.

Respiratory rate 22/min, blog pressure 124/64 mm Hg.

 Oxygen saturation 99% on room air.

Height: 163 cm (5 ft 4 in)

Weight: 56.7 kg (125 lb)

0700:

Temperature 38.4° C (101.1° F). Pulse rate 112/min, strong and regular. Respiratory rate 24/min, blood pressure 138/88 mmHg, oxygen

saturation 98% on room air.

0620

Start 0.9% sodium chloride IV

Infuse IV fluids at 97 mL/hr

Draw CBC and C-Reactive Protein

Notify provider of lab results

A nurse in the emergency department (ED) is caring for a 13-year-old client who presented with right lower quadrant abdominal pain, nausea, and fever.

Exhibits

The nurse has notified the provider of the client's 0700 assessment data and lab results. Which of the following prescriptions should the nurse anticipate? (Select all that apply)

Answer and Explanation

A
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Question 6:

A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?

Answer and Explanation

A
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Question 7:

A nurse is obtaining a health history from a child who has suspected acute rheumatic fever. Which of the following questions should the nurse ask?

Answer and Explanation

A
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Question 8:

A nurse is assessing an 11-month-old infant. Which of the following manifestations is associated with a CNS infection?

Answer and Explanation

A
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Question 9:

A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates a need for further teaching?

Answer and Explanation

A
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Question 10:

A nurse is caring for a child who was admitted with suspected rheumatic fever. The provider prescribes an antistreptolysin O (ASO) titer. The child’s parent asks the nurse about the purpose of this test. Which of the following responses should the nurse make?

Answer and Explanation

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