ATI Hospitalized child

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32 Terms

1
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A nurse is providing care for a group of hospitalized school-aged children. Which of the following clients should the

nurse prioritize for further assessment and interventions?

A child who is exhibiting aggressive behavior towards peers and healthcare providers

2
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A nurse is providing care to a hospitalized child. When assessing the impact of this hospitalization on the child's

siblings, which of the following emotional responses should the nurse recognize as common?

Jealousy and Guilt

3
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The nurse should recognize that AIDET is a communication tool nurses use to enhance the health care experience

for clients and families. Which of the following correctly exemplifies AIDET?

Acknowledge, introduce, duration, explanation, and thank you

4
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A nurse is caring for an adolescent who is hospitalized. Which of the following actions should the nurse take to

promote the client's engagement and general well-being?

Recommending participation in a virtual reality gaming session

5
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A nurse is preparing to transfer the care of an adolescent client to another shift. Which of the following statements

supports the preference for bedside report as the method for ensuring client safety during the transition of care?

Research has shown that bedside report reduces the likelihood of errors.

6
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A nurse is caring for a pediatric client. To promote atraumatic care, which of the following stressors should the

nurse plan to minimize?

Emotional Stressors

7
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A nurse is providing care for a minor client who needs to undergo a medical procedure. When obtaining informed

consent, which of the following pieces of information should the nurse disclose to the client's guardian?

-The risks and benefits of the

planned procedure

-Potential

alternative procedures and their risks and benefits

8
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A nurse is providing care to a hospitalized pediatric client. The nurse should recognize that which of the following

statements regarding latex allergies and sensitivities are correct?

-Latex allergic reactions can manifest as a rash with itchy and bumpy skin

-Nurses should assess clients for allergies or sensitivities to

foods that share the same proteins as latex

9
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A nurse is providing care to a toddler who has been hospitalized for a chronic illness. Which of the following

statements regarding the potential impact of hospitalization on a child's health are correct?

-It can lead to physical manifestations in children, like stomach pain, even in the absence of a

specific illness or cause

-It can negatively impact children's

mental health

10
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A nurse is teaching a student nurse about the positive results of providing family-centered care. Which of the

following statements by the student nurse shows that the teaching has been effective?

"It results in improved quality of care and client safety results."

11
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A nurse is teaching a student nurse about situations of abuse and being a mandatory reporter. Which of the

following statements by the student nurse demonstrates an understanding of the teaching?

"Mandatory reporters are required to report any suspected or known instances of child abuse or neglect."

12
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A nurse is caring for a four-year-old child in a pediatric unit. The child is crying and hiding behind their caregiver

when the nurse enters the room. Which of the following interventions should the nurse use to facilitate a caring,

therapeutic relationship with the child?

Utilize play therapy to engage the child in an enjoyable and nonthreatening activity.

13
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A nurse is caring for a 16-year-old adolescent who was accompanied to the emergency department. The nurse

suspects that the adolescent might be experiencing human trafficking. Which of the following actions should the

nurse take?

Contact the appropriate hospital and law enforcement resources and follow organizational protocols.

14
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A nurse is teaching a newly licensed nurse about the benefits of atraumatic care. Which of the following

statements by the newly licensed nurse indicates that the teaching was effective?

-"Atraumatic care reduces client and caregiver stress, fear, and anxiety,"

-"Atraumatic care

reduces anxiety while enabling faster healing,"

15
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A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in

place. Which of the following toys should the nurse recommend in order to meet the developmental needs of the

client?

Large Building Blocks

16
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A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days. After the toddler's mother

leaves the room, the nurse observes the toddler sitting quietly in the corner of the crib, sucking her thumb. When

the nurse approaches the crib, the toddler turns away from the nurse. The nurse should understand that these

behaviors indicate which of the following developmental reactions?

An anxiety reaction

17
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A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of

the following actions should the nurse include in the plan of care to meet the client's psychosocial needs according

to Erikson?

Encourage the client to complete school work.

18
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A nurse is assessing a child and notes several bruises. Which of the following actions should the nurse take?

Obtain a detailed history

19
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A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The

nurse should include which of the following statements in a discussion with the mother?

"Placing your child on her back when sleeping will decrease the risk of SIDS."

20
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A nurse is caring for a toddler who is having difficulty sleeping during hospitalization. Which of the following actions

should the nurse take to promote sleep?

Provide Bedtime rituals

21
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A nurse is caring for a toddler. Which of the following statements should the nurse use when preparing to obtain

the child's vital signs?

"I am going to listen to your heart."

22
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A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hr period. The child

weighs 33 lb. Which of the following actions should the nurse take?

Continue to monitor the client.

23
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A nurse is planning care for a 4-year-old child who requires airborne precautions. Which of the following activities

should the nurse plan for child?

Putting a large-piece puzzle together

24
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A nurse is assessing children experiencing regression. Which of the following children should the nurse be

concerned about?

A 3-year-old child who has experienced gross motor regression for six months

25
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A nurse is discussing techniques for handling stress in young children. Which of the following is an appropriate

technique the nurse should include in the discussion?

"Maintain a consistent routine in their daily schedule."

26
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A nurse is assessing the sleep patterns of a group of toddlers. Based on the toddlers' age and sleeping patterns,

which of the following children require additional sleep in a 24-hr period?

A 2-year-old child who sleeps 8 hr at night and takes one daytime nap that lasts 1 hr.

27
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A nurse is providing care to an adolescent client on the pediatric unit. The client prefers quiet and individual

activities despite the availability of a social room with various activities. Which of the following is the priority

intervention that the nurse should provide?

Respect the client's preference for quiet and individual activities and provide suitable alternatives in their

room.

28
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A 4-year-old client wets the bed overnight. The parents are embarrassed, stating, "She never wets the bed at home." What is the most appropriate response by the nurse?

"Toilet training regression is common in hospitalized children."

29
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Which of the following is a key principle of atraumatic nursing care in pediatric patients?

Provide age-appropriate explanations

30
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What is a common symptom of separation anxiety in children?

Physical aggression towards strangers

31
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A 5-year-old is being admitted for a procedure. Which action by the nurse is the most appropriate to minimize the child's anxiety?

Demonstrate the procedure using simple terms and a baby doll

32
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A nurse is caring for a toddler who is having difficulty sleeping during hospitalization. Which of the following actions should the nurse take to promote sleep?

Utilize bedtime routine from home