PEASD-ATI-FORM C

A nurse is caring for a child during a tonic-clonic seizure. Which of the following actions should the nurse take? ( select all that apply) A. Clear the area of hard objects. B. Firmly hold the child’s arms to one side. C. Place a pillow under the child’s head. D. Insert a tongue blade into the child’s mouth. E. Loosen tight clothing around the child’s neck 2. A nurse is preparing to perform a venipuncture to collect a blood sample from an infant. Which of the following restraints should the nurse plan to use for this procedure? A. Elbow B. Mitten C. Jacket D. Mummy 3. A nurse is teaching a parent of a preschool-age child about management of sleep terrors. Which of the following instructions should the nurse include? A. Take the child to the parent’s bed to resume sleep. B. Allow the child to fall asleep with the television on. C. Remain uninvolved until the child awakens D. Schedule professional counseling for the child 4. A nurse is assessing a toddler who is 8 hr postoperative following a cardiac catheterization procedure. Which of the following findings should the nurse report to the provider? A. Weak pedal pulse distal to the site. B. Bilateral cool extremities C. Serum glucose 90 mg/DL D. Blood pressure 102/58 mm Hg 5. A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings in the priority? A. The child swallows frequently B. The child refuses clear liquids C. The child’s throat pain increases D. The child cries often 6. A nurse is planning care for an 8 month-old infant who has bronchitis. Which of the following actions the nurse include in the plan of care? A. Use a bulb syringe to suction the nares. B. Place the infant in a room with negative-pressure airflow. C. Administer a meningococcal vaccine upon admission D. Initiate IV antibiotic therapy. 7. **A nurse is preparing a parent's’ education class about nutrition for toddlers. The nurse should identify which of the following findings as an indication of protein deficiency? A. Dry, thinning hair B. Muscle twitching C. Dental caries D. Poor skin turgor 8. A nurse is caring for a 10 month-old child who was brought to the ED by his parents following a head injury. Which of the following actions should the nurse take first? A. Examine the scalp for lacerations. B. Inspect for fluid leaking from the ears. C. Assess respiratory status D. Check pupil reactions 9. A nurse is collecting data from a toddler who weighs 20 kg (44lb) and has a full-thickness burn to 10% of his body.Which of the following findings should the nurse report to the provider? A. Bowel sounds 20/min B. Increased restlessness C. Resp. rate 25/min D. Urinary output 35 mL/hr 10. A nurse is an ED is caring for a preschool-age child who has acute acetylsalicylic acid poisoning. Which of the following should the nurse expect. A. Jaundice B. Hyperpyrexia C. Polyuria D. Neck vein distention 11. A nurse is assessing a preschool-age child who has celiac disease. Which of the following finds should the nurse expect? A. Obesity B. Polyphagia C. Steatorrhea D. Chronic constipation 12. A school nurse is assessing a 7 y/o student. The nurse should identify which of the following findings as a potential indicator of physical abuse? A. Bruising around the wrists B. Front deciduous teeth missing C. Abrasions on the knees D. Weight in 45th percentile 13.** A nurse is planning care for a child who has osteomyelitis. Which of the following interventions should the nurse include in the plan of care? A. Provide a high-calorie, low-protein diet B. Encourage frequent physical activity to increase bone mass. C. Initiate contact precautions for the child D. Maintain a patent intravenous catheter. 14. A nurse is reviewing the laboratory results of a preschool-age who has hematuria. Which of the following results should the nurse report to the provider? A. Platelet count 170,000/mm3 B. Hgb 12 g/dL C. Hematocrit 36% D. BUN 21 mg/dL 15. A nurse is preparing to administer immunizations to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care? A. Apply eutectic mixture of local anesthetics (EMLA) cream immediately before the injections. B. Provide a pacifier coated with an oral sucrose solution prior to the injections. C. Inject the immunizations into the deltoid muscle. D. Use a 20-gauge needle for the injections. 16. A nurse is conducting a well-child visit with the parents of a 2 week-old newborn. The nurse should inform the parents that their NB should receive the measles, mumps, and rubella (MMR) immunization at what age? A. 12 months B. 9 months C. 4 months D. 6 months 17. A nurse is admitting a school-age child who has osteomyelitis, Which of the following actions should the nurse take first? A. Administer antibiotics B. Teach the child nonpharmacological pain management techniques. C. Request a referral for physical therapy D. Obtain a blood culture 18. A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first? A. Check the pH of the gastric secretions. B. Flush the tube with water C. Set the administration rate on the feeding pump D. Attach the feeding bag tubing to the end of the NG tube 19. A nurse is caring for a 3 y/o who is recovering from surgery. Which of the following methods should the nurse use to assess the child’s pain level? A. Visual analog scale B. Oucher scale C. Poker chip tool D. Word-graphic rating scale 20. A nurse is caring for a 4 y/o child who has meningitis and is receiving gentamicin. Which of the following lab values should the nurse report to the provider? A. BUN 6 mg/dL B. Creatinine 1.4 mg/dL C. Creatinine 0.3 mg/dL D. BUN 12 mg/dL 21. A nurse is providing education to a parent of toddler who is experiencing sickle cell crisis. Which of the following statements by the parent indicates an understanding of the teaching? A. I should avoid massaging affected area B. I should expect my child to have an altered mental status C. I will apply cold compresses to painful areas D. I will increase my child’s fluid intake 22.** A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? Select all that apply: A. Initiate IV access B. Obtain a throat culture C. Inspect the epiglottis D. Begin droplet precautions E. Monitor oxygen saturation