NURSING CARE OF CHILDREN FINAL ATI QUESTIONS AND ANSWERS

Nursing Care of Children Final

A 1) A nurse is caring for a child who is receiving treatment for diabetic ketoacidosis and has a

current blood glucose level of 250mg/dL. Which of the following actions should the nurse take?

A. Administer 5% dextrose in 0.9% sodium chloride by continuous IV infusion.

When the child’s blood glucose level falls between 250 and 300 mg/dL,

the nurse should begin IV infusion of 5% or 10% dextrose in 0.9%

sodium chloride. The goal is to maintain blood glucose levels between

120 and 240 mg/dL. If dextrose is not added, hypoglycemia might

occur.

B. Give potassium as a rapid IV bolus.

Giving potassium as a rapid IV bolus is contraindicated because it can

result in cardiac arrest.

C. Administer 3 units of ultralente insulin subcutaneously.

Ultralente is long-acting insulin that takes 6 to 14 hr to begin working.

Regular insulin will be given via IV infusion until the blood sugar

reaches 250 to 300 mg/dL. If the regular insulin infusion continues,

hypoglycemia can occur.

D. Obtain an HbA1c level stat.

An HbA1c level measures the blood glucose level over the last 2 to 3

months and will not give useful information for the client’s current

status

2) A nurse is caring for a child who has Tetralogy of Fallot. Which of the following laboratory

values should the nurse expect to find?

A. Platelet count of 20,000/mm3

A platelet count of 20,000/mm3 is below the expected range. A child

who has Tetralogy of Fallot will not have a decreased platelet count.

B. WBC 4,000/mm

A WBC count of 4,000/mm3 is below the expected reference range. A

child who has Tetralogy of Fallot will not have neutropenia.

C. Thyroid stimulating hormone 7.0 microunits/mL

This TSH level is above the expected reference range. A child who has

Tetralogy of Fallot will not have changes in the thyroid function levels.

D. RBC 6.8 million/uL

A child who has Tetralogy of Fallot causes cyanosis; therefore, the body

responds by increasing RBC production (polycythemia) in an attempt to

supply oxygen to all body parts.

3) A nurse is planning care for a preschool-age child who has autism and is being admitted to

the facility. Which of the following actions should the nurse plan to take?

A. Encourage the parents to bring in the child's stuffed animal.

Encouraging parents to bring in a child’s favorite stuffed animal helps

lessen the disruptiveness of hospitalization.

B. Give the child choices when planning daily activities.

Children who have autism have difficulty organizing behaviors;

therefore, it is best to not give choices.

C. Administer phenytoin three times per day.

Phenytoin is taken by children who have seizure disorders.

D. Provide a shared room with another child his age.

Children who have autism need decreasing stimulation and avoidance

of auditory or visual distraction. These children should have a private

room.