ATI Nursing Care of Children Assessment

ATI Nursing Care of Children Assessment 1. 2. A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the following manifestations should alert the nurse to a possible hemolytic transfusion reaction?  Flank pain 3. A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first?  Epinephrine 4. A nurse is teaching the guardian of a 6-month—old infant about car seat use. Which of the following statements by the guardian indicates an understanding of the teaching?  “I should secure the car seat using lower anchors and tethers instead of the seat belt.” 5. A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. Which of the following actions should the nurse plan to take?  Schedule the toddler for a yearly rescreening 6. A nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy. Which of the following findings should the nurse expect? (Select all that apply.)  Ankle clonus  Exaggerated stretch reflexes  Contractures 7. A nurse is assessing a school-age child immediately following a perforated appendix repair. Which of the following findings should the nurse expect?  Absence of peristalsis 8. 9. 10. 11. A nurse is assessing a 4 year old child at well-child visit. Which of the following developmental milestones should the nurse expect to observe?  Cuts an outlined shape using scissors 13. A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart failure. Which of the following interventions should the nurse include in the plan?  Provide small, frequent meals for the child. 14. 15. 16. 17. A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. The nurse should identify that which of the following laboratory values indicates effectiveness of the current treatment?  Sodium 140 mEq/L 18. 19. 20. 21. 22. 23. 24. A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings is the nurse’s priority?  Tachypnea 25. A nurse is interviewing the parent of an 18-month-old toddler during a well-child visit. The nurse should identify which of the following findings indicates a need to assess the toddler for hearing loss?  The toddler received tobramycin during a hospitalization 2 weeks ago. 26. 27. 28. A nurse is assessing a 3-year-old toddler at a well-child visit. Which of following manifestations should the nurse report to the provider?  Respiratory rate 45/min 29. A nurse is caring for an infant who has respiratory synctivial virus (RSV). Which of the following actions should the nurse implement for infection control?  Have a designated stethoscope in the infant’s room.