PEDS 602 WEEK 1 ATI (Updated 2020) – Chamberlain College of Nursing | PEDS602 WEEK 1 ATI (Updated 2020)

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PEDS 602 WEEK 1 ATI (latest) – Chamberlain College of Nursing Chapter 1: 1. A nurse manager on a pediatric floor is preparing an education program on working with families for a group of new... ly hired nurses. Which of the following should the nurse include when discussing the developmental theory? A. Describes that stress is inevitable B. Emphasizes that change with one member affects the entire family C. Provides guidance to assist families adapting to stress D. Defines consistencies in how families change 2. A nurse is assisting a group of parents of adolescents to develop skills that will improve communication within the family. The nurse hears one parent state, “My son knows he better do what I say.” Which of the following parenting styles is the parent exhibiting? A. Authoritarian B. Permissive C. Authoritative D. Passive 3. A nurse is performing family assessment. Which of the following should the nurse include? (Select all that apply A. Medical history B. Parents’ education level C. Child’s physical growth D. Support systems E. Stressors Chapter 2: 1. A nurse is preparing to assess a preschool‑age child. Which of the following is an appropriate action by the nurse to prepare the child? A. Allow the child to role‑play using miniature equipment. B. Use medical terminology to describe what will happen. C. Separate the child from her parent during the examination. D. Keep medical equipment visible to the child 2. A nurse is checking the vital signs of a 3‑year‑old child during a well‑child visit. Which of the following findings should the nurse report to the provider? A. Temperature 37.2˚ C (99.0˚ F) B. Heart rate 106/min C. Respirations 30/min D. Blood pressure 88/54 mm Hg 3. A nurse is assessing a child’s ears. Which of the following is an expected finding? A. Light reflex is located at the 2 o’clock position. B. Tympanic membrane is red in color. C. Bony landmarks are not visible. D. Cerumen is present bilaterally. 4. A nurse is assessing a 6‑month‑old infant. Which of the following reflexes should the infant exhibit? A. Moro B. Plantar grasp C. Stepping D. Tonic neck 5. A nurse is performing a neurological assessment on an adolescent. Which of the following is an appropriate reaction by the adolescent when the nurse checks the trigeminal cranial nerve? (Select all that apply.)A. Clenching teeth together tightly B. Recognizing sour tastes on the back of the tongue C. Identifying smells through each nostril D. Detecting facial touches with eyes closed E. Looking down and in with the eyes Chapter 8: 1. A nurse is planning to administer the influenza vaccine to a toddler. Which of the following actions should the nurse take? A. Administer subcutaneously in the abdomen. B. Use a 20-gauge needle. C. Divide the medication into two injections. D. Place the child in the supine position. 2. A nurse is preparing to administer an intramuscular (IM) injection to a child. Which of the following muscle groups is contraindicated? A. Deltoid B. Ventrogluteal C. Vastus lateralis D. Dorsogluteal 3. A nurse is teaching a parent of an infant about administration of oral medications. Which of the following should the nurse include in the teaching? (Select all that apply.) A. Use a universal dropper for medication administration. B. Ask the pharmacy to add flavoring to the medication. C. Add the medication to a formula bottle before feeding. D. Use the nipple of a bottle to administer the medication. E. Hold the infant in an semireclining position. 4. A nurse is preparing to administer medication to a toddler. Which of the following actions should the nurse take? (Select all that apply.) A. Identify the toddler by asking the parent. B. Tell the parent to administer the medication. C. Calculate the safe dosage. D. Ask the toddler what toy he wants to hold during administration. E. Offer juice after the medication.5. A nurse is caring for an infant who needs otic medication. Which of the following is an appropriate action for the nurse to take? A. Hold the infant in an upright position. B. Pull the pinna downward and straight back. C. Hyperextend the infant’s neck. D. Ensure that the medication is cool. Chapter 9: 1. A nurse is completing a pain assessment of an infant. Which of the following pain scales should the nurse use? A. FACES B. FLACC C. Oucher D. Non‑communicating children’s pain checklist 2. A nurse is planning care for a child following a surgical procedure. Which of the following interventions should the nurse include in the plan of care? A. Administer NSAIDs for pain greater than 7 on a scale of 0 to 10. B. Administer intranasal analgesics PRN. C. Administer IM analgesics for pain. D. Administer IV analgesics on a schedule. 3. A nurse is assessing an infant. Which of the following are manifestations of pain in an infant? (Select all that apply.) A. Pursed lips B. Loud cry C. Lowered eyebrows D. Rigid body E. Pushes away stimulus 4. A nurse is planning care for an infant who is experiencing pain. Which of the following interventions should the nurse include the plan of care? (Select all that apply.) A. Offer a pacifier. B. Use guided imagery. C. Use swaddling. D. Initiate a behavioral contract. E. Encourage kangaroo care. 5. A nurse is preparing a toddler for an intravenous catheter insertion using atraumatic care. Which of the following actions should the nurse take? (Select all that apply.) A. Explain the procedure using the child’s favorite toy. B. Ask the parents to leave during the procedure. C. Perform the procedure with the child in his bed. D. Allow the child to make one choice regarding the procedure. E. Apply lidocaine and prilocaine cream to three potential insertion sitesChapter 10: 1.A nurse is caring for a preschooler. Which of the following is an expected behavior of a preschool‑age child? A. Describing manifestations of illness B. Relating fears to magical thinking C. Understanding cause of illness D. Awareness of body functioning 2. A nurse on a pediatric unit is caring for a toddler. Which of the following behaviors is an effect of hospitalization? (Select all that apply.) A. Believes the experience is a punishment B. Experiences separation anxiety C. Displays intense emotions D. Exhibits regressive behaviors E. Manifests disturbance in body image 3. A nurse is teaching a parent about parallel play in children. Which of the following statements should the nurse include in the teaching? A. “Children sit and observe others playing.” B. “Children exhibit organized play when in a group.” C. “The child plays alone.” D. “The child plays independently when in a group.” 4. A nurse is teaching a group of parents about separation anxiety. Which of the following information should the nurse include in the teaching? A. It is often observed in the school‑age child. B. Detachment is the stage exhibited in the hospital. C. It results in prolonged issues of adaptability. D. Kicking a stranger is an example. Chapter 11: 1. A nurse is caring for a child who is dying. Which of the following are findings of impending death? (Select all that apply.) A. Heightened sense of hearing B. Tachycardia C. Difficulty swallowing D. Sensation of being cold E. Cheyne‑Stokes respirations 2. A nurse is teaching a parent about complicated grief. Which of the following statements should the nurse make? A. “It is considered complicated grief if you are still grieving 6 months after your loss.” B. “Personal activities are affected when experiencing complicated grief.” C. “Parents will experience complicated grief together.” D. “Complicated grief self‑resolves in 12 months.” 3. A nurse is teaching a parent of a preschool child about factors that affect the child’s perception of death. Which of the following factors should the nurse include in the teaching? A. Preschool children have no concept of death. B. Preschool children perceive death as temporary. C. Preschool children often regress to an earlier stage of behavior. D. Preschool children experience fear related to the disease process. 4. A nurse often cares for children who are dying. Which of the following are appropriate actions for the nurse to take to maintain professional effectiveness? (Select all that apply.) A. Remain in contact with the family after their loss. B. Develop a professional support system. C. Take time off from work. D. Suggest that a hospital representative attend the funeral. E. Demonstrate feelings of sympathy toward the family. 5. A nurse is caring for a child who has a terminal illness and reviews palliative care with an assistive personnel (AP). Which of the following statements by the AP indicates understanding of this review? A. “I’m sure the family is hopeful that the new medication will stop the illness.” B. “I’ll miss working with this client now that only nurses will be caring for him.” C. “I will get all the client’s personal objects out of his room.” D. “I will listen and respond as the family talks about their child’s life.” Chapter 3: 1. A nurse is assessing a 12-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? A. Closed anterior fontanel B. Eruption of six teeth C. Birth weight doubled D. Birth length increased by 50% 2. A nurse is performing a developmental screening on a 10-month-old infant. Which of the following fine motor skills should the nurse expect the infant to perform? (Select all that apply.) A. Grasp a rattle by the handle B. Try building a two-block tower C. Use a crude pincer grasp D. Place objects into a container E. Walks with one hand held 3. A nurse is conducting a well-baby visit with a 4-month-old infant. Which of the following immunizations should the nurse plan to administer to the infant? (Select all that apply.) A. Measles, mumps, rubella (MMR) B. Polio (IPV) C. Pneumococcal vaccine (PCV) D. Varicella E. Rotavirus vaccine (RV) 4. A nurse is providing education about introducing new foods to the parents of a 4-month-old infant. The nurse should recommend that the parents introduce which of the following foods first? A. Strained yellow vegetables B. Iron-fortified cereals C. Pureed fruits D. Whole milk 5. A nurse is providing teaching about dental care and teething to the parent of a 9-month-old infant. Which of the following statements by the parent indicates an understanding of the teaching? A. “I can give my baby a warm teething ring to relieve discomfort.” B. “I should clean my baby’s teeth with a cool, wet wash cloth.” C. “I can give Advil for up to 5 days while my baby is teething.” D. “I should place diluted juice in the bottle my baby drinks while falling asleep.” Chapter 4: 1. A nurse is assessing a 2ó-year-old toddler at a well-child visit. Which of the following findings should the nurse report to the provider? A. Height increased by 7.5 cm (3 in) in the past year. B. Head circumference exceeds chest circumference. C. Anterior and posterior fontanels are closed. D. Current weight equals four times the birth weight. 2. A nurse is performing a developmental screening on an 18 month old. Which of the following skills should the toddler be able to perform? (Select all that apply.) A. Build a tower with six blocks B. Throw a ball overhand C. Walk up and down stairs D. Draw circles E. Use a spoon without rotation 3. A nurse is providing teaching about age-appropriate activities to the parent of a 2 year old. Which of the following statements by the parent indicates an understanding of the teaching? A. “I will send my child’s favorite stuffed animal when she will be napping away from home.” B. ”My child should be able to stand on one foot for a second.” C. “The soccer team my child will be playing on starts practicing next week.” D. “I should expect my child to be able to draw circles.” 4. A nurse is providing anticipatory guidance to the parents of a toddler. Which of the following should the nurse include? (Select all that apply.) A. Develop food habits that will prevent dental caries. B. Meeting caloric needs results in an increased appetite. C. Expression of bedtime fears is common. D. Expect behaviors associated with negativism and ritualism. E. Annual screenings for phenylketonuria are important. Chapter 5: 1. A nurse is providing teaching to the parent of a preschool-age child about methods to promote sleep. Which of the following statements by the parent indicates an understanding of the teaching? A. “I will sleep in the bed with my child if she wakes up during the night.” B. “I will let my child stay up an additional 2 hours on weekend nights.” C. “I will let my child watch television for 30 minutes just before bedtime each night.” D. “I will keep a dim lamp on in my child’s room during the night.” 2. A nurse is conducting a well-child visit with a 5-year-old child. Which of the following immunizations should the nurse plan to administer to the child? (Select all that apply.) A. Diphtheria, tetanus, pertussis (DTaP) B. Inactivated poliovirus (IPV) C. Measles, mumps, rubella (MMR) D. Pneumococcal (PCV) E. Haemophilus influenzae type B (Hib) 3. A nurse is preparing an education program for a group of parents of preschool-age children about promoting optimum nutrition. Which of the following information should the nurse include in the teaching? A. Saturated fats should equal 20% of total daily caloric intake. B. Average calorie intake should be 1,800 calories per day. C. Daily intake of fruits and vegetables should total 2 servings. D. Healthy diets include a total of 8 g protein each day. 4. A nurse is performing a developmental screening on a 3-year-old child. Which of the following skills should the nurse expect the child to perform? A. Ride a tricycle B. Hop on one foot C. Jump rope D. Throw a ball overhead 5. A nurse is caring for a preschoolage child who says she needs to leave the hospital because her doll is scared to be at home alone. Which of the following characteristics of preoperational thought is the child exhibiting? A. Egocentrism B. Centration C. Animism D. Magical thinking Chapter 6: 1. A nurse is discussing prepubescence and preadolescence with a group of parents of school-age children. Which of the following information should the nurse include in the discussion? A. Initial physiologic changes appear during early childhood. B. Changes in height and weight occur slowly during this period. C. Growth differences between boys and girls become evident. D. Signs of sexual maturation become highly visible in boys. 2. A nurse is conducting a well-child visit with a child who is scheduled to receive the recommended immunizations for 11- to 12-yearolds. Which of the following immunizations should the nurse administer? (Select all that apply.) A. Trivalent inactivated influenza (TIV) B. Pneumococcal (PCV) C. Meningococcal (MCV4) D. Tetanus and diphtheria toxoids and pertussis (Tdap) E. Rotavirus (RV) 3. A nurse is providing education about age-appropriate activities for the parents of a 6-year old child. Which of the following activities should the nurse include in teaching? A. Jumping rope B. Playing card games C. Solving jigsaw puzzles D. Joining competitive sports 4. A nurse is teaching a course about safety during the schoolage years to a group of parents. Which of the following information should the nurse include in the course? (Select all that apply.) A. Gating stairs at the top and bottom B. Wearing helmets when riding bicycles or skateboarding C. Riding safely in bed of pickup trucks D. Implementing firearm safety E. Wearing seat belts Chapter 7: 1. A nurse is providing teaching about expected changes during puberty to a group of parents of early adolescent girls. Which of the following statements by one of the parents indicates an understanding of the teaching? A. “Girls usually stop growing about 2 years after menarche.” B. “Girls are expected to gain about 65 pounds during puberty.” C. “Girls experience menstruation prior to breast development.” D. “Girls typically grow more than 10 inches during puberty.” 2. A nurse is providing anticipatory guidance to the parent of a 13‑year‑old adolescent. Which of the following screenings should the nurse recommend for the adolescent? (Select all that apply.) A. Body mass index B. Blood lead level C. 24‑hr dietary recall D. Weight E. Scoliosis 3. A nurse is caring for an adolescent whose mother expresses concerns about her child sleeping such long hours. Which of the following conditions should the nurse inform the mother as requiring additional sleep during adolescence? A. Sleep terrors B. Rapid growth C. Elevated zinc levels D. Slowed metabolism 4. A nurse is teaching a class about puberty in boys. Which of the following should the nurse include as the first manifestation of sexual maturation? A. Pubic hair growth B. Vocal changes C. Testicular enlargement D. Facial hair growth Chapter 35: 1. A nurse is preparing to administer immunizations to a 4-month-old infant. Which of the following is an appropriate action for the nurse to take in providing atraumatic care? A. Administer 81 mg of aspirin. B. Use the Z-track method when injecting. C. Ask the parents to leave the room during the injection. D. Provide sucrose solution on the pacifier. 2. A nurse is planning to administer recommended immunizations to a 2-month-old infant. Which of the following vaccines should the nurse plan to give? (Select all that apply.) A. Rotavirus (RV) B. Diphtheria, tetanus, and acellular pertussis (DTaP) C. Haemophilus influenzae type b (Hib) D. Hepatitis A (HepA) E. Pneumococcal conjugate (PCV13) F. Inactivated poliovirus (IPV) 3. A nurse is planning to administer recommended immunizations to a 4-year-old child. Which of the following vaccines should the nurse plan to give? (Select all that apply.) A. Inactivated poliovirus (IPV) B. Haemophilus influenzae type b (Hib) C. Measles, mumps, rubella (MMR) D. Varicella (VAR) E. Hepatitis B (HepB) F. Diphtheria, tetanus, and acellular pertussis (DTaP) 4. A nurse is preparing to administer the varicella vaccine to an adolescent. Which of the following questions should the nurse ask to determine whether there is a contraindication to administering the vaccine? A. “Do you have an allergy to eggs?” B. “Have you ever had encephalopathy following immunizations?” C. “Are you currently taking corticosteroid medication?” D. “Have you ever had an anaphylactic reaction to yeast?” 5. A nurse is caring for a toddler in a clinic. Which of the following actions should the nurse take? (See the chart for additional client information.) DEMOGRAPHICS 15 months old Female IMMUNIZATION RECORD HepB: 1 month, 2 months, 12 months Rotavirus: 2 months, 4 months, 6 months DTaP: 2 months, 4 months, 6 months Hib: 2 months, 4 months, 12 months IPV: 2 months, 4 months, 6 months MM R: 12 months Varicella: 12 months HepA: 12 months NURSES NOTES Temperature: 37.8Åã C (100.1Åã F), Sore throat Family history of seizures A. Administer DTaP vaccine. B. Administer rotavirus vaccine. C. Hold immunizations until fever subsides. D. Administer hepatitis A vaccine [Show More]

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