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c. Apply continuous pressure to the child’s nose for at least 10 min
ATI PEDS FINAL EXAM|| 2025 - 202 6||PEDS ATI FINAL EXAM
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ATI Nursing Care of Children Final
A nurse is caring for a child who has epistaxis. Which of the following actions should the nurse take? a. Apply a warm cloth to the bridge of the child’s nose b. Tilt the child’s head back d. Administer aspirin for the child’s pain A nurse is caring for a 7 year child who has a sickle cell anemia. Which of the following actions should the nurse take? a. Apply cool compresses to the painful area b. Initiate contact isolation precautions d. Administer phytonadione A nurse is caring for a preschool-age child who has mucosal ulceration after receiving chemotherapy. Which of the following actions should the nurse take? a. Place viscous lidocaine on the child’s lesions c. Encourage the child to mouth rinse with hydrogen peroxide every 2 to 4hr d. Give the child lemon glycerin swabs to use after each meal A nurse is planning care for a 6 - year-old child who is receiving chemotherapy. The child has a highlight platelet count of 20,000/mm3. Based on this laboratory value, which intervention should the nurse include in the plan of care? a. Provide foods high in iron b. Avoid people who have infections c. Administer PRN oxygen A nurse on the pediatric unit is caring for a group of clients. Which of the following findings should the nurse’s priority? a. A child who has asthma and pulse oximetry of 94% b. A child who has nephrotic syndrome and 1+ protein in the urine dipstick c. A child who has sickle cell anemia and a urine specific gravity of 1. d. A child who has insulin-dependent diabetes mellitus and fingerstick glucose reading of 110mg/dl A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements should the nurse make? d. Encourage play quiet b. Instruct the child to use a soft sponge tooth brush when brushing her teeth c. Give the child flavored popsicles
a. If you take too much insulin, drink a sugar-free cola b. You will need to decrease your insulin dosage when you become a teenager c. You can use a viral of insulin for up to 30 days d. Stop taking your insulin if you are vomiting A nurse is teaching parents of a 10 - year-old child who has iron-deficiency anemia. Which of the following statements by a parent indicates an understanding of the teaching? a. I will give my child an iron tablet once each day at bedtime c. I will encourage my child to take an antacid with the iron tablet d. I will crush the iron tablet prior to giving it to my child 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? b. Give potassium as a rapid IV bonus c. Administer 3 units of ultralene insulin subcutaneously d. Obtain an HbA1c level stat ATI Nursing Care of Children 2 A nurse is creating a plan of care for a child who has leukopenia secondary to chemotherapy. Which of the following interventions should the nurse include in the plan? b. Maintain the child on bed rest c. Administer oxygen to the child d. Monitor the child for bleeding A home health nurse is developing a plan of care for the parents of a toddler who has hemophilia. Which of the following instructions should the nurse include in the plan? b. Administer low-dose aspirin for pain c. Perform passive range of motion to the affected jointed during a bleeding episode. d. Avoid contact with people who have respiratory infections A nurse is providing teaching to the parents of a school-age child how has type 1 diabetes mellitus about management of hypoglycemia. Which of the following responses by the parents indicates an understanding of the teaching? b. I will give my child 2 units of regular insulin a. I will make sure my child drinks 240 mL (8 oz) of milk as soon as possible a. Inspect the toddler's toys for sharp edges a. Monitor the child for increased temperature a. Administer 5% dextrose in 0.9% sodium chloride by continuous IV infusion b. I will administer the iron tablets with orange juice
a. Demonstrate the injection technique on an orange a. Put a “no abdominal palpation” sign over the child’s bed d. I will check my child’s urin2 for glucose twice daily A nurse is teaching a school-age child and his parents how to self-administer insulin. Which actions should RN take first? b. Allow a parent to administer an injection to the nurse c. Have the child teach the injection technique to the parents d. Have a parent administer the insulin injection to the child A nurse is admitting a child who has Wilms’ tumor. Which of the following actions should the nurse take? b. Initiate contact precautions for the child c. Prepare the child for a spinal tap d. Explain to the parents that chemotherapy will start 3 months following surgery A nurse is planning care for an adolescent who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan? b. Apply cold compresses to the child’s extremities c. Administer meperidine every 4 he until the crisis has resolved d. Decrease the child’s fluid intake for 8 hr A nurse is providing discharge teaching to the parent of a school-age child who has leukemia and is receiving chemotherapy. Which of the following statements by the parent indicates an understanding of the teaching? b. I will take sure my child gets his MMR vaccine this week c. I will allow my child to ride his bicycle tomorrow d. I will take my child’s rectal temperature daily A nurse is reviewing the laboratory report of a toddler who is receiving chemotherapy for leukemia. Which of the following laboratory values should the nurse report to the provider? b. WBC 6, c. Platelets 150, d. Potassium 4.
ATI Nursing Care of Children Practice B 2016
A nurse is reviewing the laboratory report of a 6 - year-old child who is receiving chemotherapy. Which of the following laboratory values should the nurse report to the provider? Hgb 8.5 g/dL - child getting chemo is at risk for anemia due to chemo effects on the blood forming cells of the bone marrow. a. Hgb g/dL
a. I will inspect my child's mouth every day for sores a. Maintain the child on bed rest
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 - flank pain is caused by the breakdown of RBC's and an indication of a hemolytic reaction to the transfusion. 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 - likely experiencing an anaphylactic reaction A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes mellitus. The nurse should identify which of the following statements by the child as understanding the teaching? I will give myself a shot of regular insulin 30 minutes before I eat breakfast - this will coincide with food intake. A nurse is assessing a toddler who has leukemia and is receiving his first round of chemotherapy. Which of the following findings is the priority for the nurse to report to the provider? Urticaria - greatest risk is anaphylactic reaction A nurse is caring for a school-age child who is receiving chemotherapy and is severely immunocompromised. Which of the following actions should the nurse take? Screen the child's visitors for indications of infection - potential for an overwhelming infection
ATI Nursing Care of Children Practice A 2016
A nurse is planning developmental activities for a newly admitted 10 year old child who has neutropenia. Which of the following actions should the nurse plan to take? a. Provide the child with a book about adventure. b. Arrange frequent visits from family members and peers. c. Give the child a large-piece puzzle. d. Use puppets to entertain the child. A nurse in an ED is caring for a school-age child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse? a. Elevate the head of child's bed. b. Insert a large bore IV catheter for the child. c. Determine the allergen that caused the child's reaction. d. Administer IM epinephrine to the child. A nurse is reviewing the lab report of a school-age child who is experiencing fatigue. Which of the following findings should the nurse recognize as an indication of anemia? a. Hematocrit 28% b. Hemoglobin 13.5 g/dL
a. Swimming. b. Golf. c. Hiking. d. Fishing. e. Soccer. Nausea and vomiting are common adverse effects of radiation and chemotherapy. Which of the following measures should the nurse implement to help with the nausea and vomiting? (SATA) a. Give an antiemetic 30 minutes prior to the start of therapy. b. Continue the antiemetic as ordered until 24 hours after the chemotherapy is complete. c. Remove food that has a lot of odor. d. Keep the child on a nothing-by-mouth status. e. Wait until the nausea begins to start the antiemetic. The nurse is caring for a child with sickle cell anemia who has a vaso-occlusive crisis. Which of the following interventions should improve tissue perfusion? a. Limiting oral fluids. b. Administering oxygen. c. Administering antibiotics. d. Administrating analgesics. The nurse is caring for a child with sickle cell disease who is scheduled to have a splenectomy. What information should the nurse explain to the parents regarding the reason for a splenectomy? a. To decrease potential for infection. b. To prevent splenic sequestration. c. To prevent sickling of red blood cells. d. To prevent sickle cell crisis. Which of the following analgesics is most effective for a child with sickle cell pain crisis? a Demerol. b Aspirin. c Morphine. d Excedrin. The nurse is caring for a child with sickle cell anemia who is scheduled to have an exchange transfusion. What information should the nurse teach the family? a. The procedure is done to prevent further sickling during a vaso-occlusive crisis. b. The procedure reduces side effects from blood transfusions. c. The procedure is a routine treatment for sickle cell crisis. d. Once the child’s spleen is removed, it is necessary to do exchange transfusions. A nurse instructs the parent of a child with sickle cell anemia about factors that might precipitate a pain crisis in the child. Which of the following factors identified by the parent as being able to cause a pain crisis indicates a need for further instruction? a. Infection. b. Overhydration. c. Stress at school. d. Cold environment.
A 10 - year-old with severe factor VIII deficiency falls, injures an elbow, and is brought to the ER. The nurse should prepare which of the following? a. An injection of factor VIII. b. An intravenous infusion of factor VIII. c. An injection of desmopressin. d. An intravenous infusion of platelets. Which of the following will be abnormal in a child with the diagnosis of hemophilia? a. The platelet count. b. The hemoglobin level. c. The white blood cell count. d. The partial thromboplastin time. A nurse is reviewing home care instruction with the parent of a child diagnosed with hemophilia. Which of the following activities should the nurse suggest to the parent as a safe activity for the child? a. Baseball. b. Swimming. c. Soccer. d. Football. Which of the following measures should the nurse teach the parent of a child with hemophilia to do first if the child sustains an injury to a joint causing bleeding? a. Give the child a dose of Tylenol. b. Immobilize the joint, and elevate the extremity. c. Apply heat to the area. d. Administer factor per the home care protocol. The nurse is caring for a child with a diagnosis of ALL who is receiving chemotherapy. The nurse notes that the child’s platelet count is 20,000/mcL. Based on this laboratory finding, what information should the nurse provide to the child and parents? a. A soft toothbrush should be used for mouth care. b. Isolation precautions should be started immediately. c. The child’s vital signs, including blood pressure, should be monitored every 4 hours. d. All visitors should be discouraged from coming to see the family. The nurse is caring for a 10-year-old with leukemia who is receiving chemotherapy. The child is on neutropenic precautions. Friends of the child come to the desk and ask for a vase for flowers they have picked from their garden. Which of the following is the best response? a. “I will get you a special vase that we use on this unit.” b. “The flowers from your garden are beautiful but should not be placed in the room at this time.” c. “As soon as I can wash a vase, I will put the flowers in it and bring it to the room.” d. “Get rid of the flowers immediately. You could harm the child.” Children who become immunosuppressed from chemotherapy need to be protected from infection. Which of the following is the best method to prevent the spread of infection? a. Administer antibiotics prophylactically to the children.
b. Impaired urinary elimination (enuresis). c. Risk for injury related to medical treatment. d. Anticipatory grieving. The nurse caring for a patient with type I DM is teaching how to self-administer insulin. The proper injection technique is which of the following? a. Position the needle with the bevel facing downward before injection. b. Spread the skin prior to intramuscular injection. c. Aspirate for blood return prior to injection. d. Elevate the subcutaneous tissue before injection. A student has an insulin-to-carbohydrate ratio of 1:10. The school nurse understands which of the following? a. The student administers 10 U of regular insulin for every carbohydrate consumed. b. The student is trying to limit carbohydrate intake to 10 g per 24 hours. c. The student administers 1 U of regular insulin for every 10 carbo hydrates consumed. d. The student plans to eat 10 g of carbohydrate for every gram of fat or protein. The nurse is caring for a child who complains of constant hunger, constant thirst, frequent urination, and recent weight loss without dieting. The nurse can expect that care for this child will include which of the following? a. Limiting daily fluid intake. b. Weight management consulting. c. Strict intake and output monitoring. d. Frequent blood glucose testing. A 13 - year-old with type II DM asks the nurse, “Why do I need to have this hemoglobin A1c test?” The nurse’s response is based on which of the following? a. To determine how balanced the child’s diet has been. b. To make sure the child is not anemic. c. To determine how controlled the child’s blood sugar has been. d. To make sure the child’s blood ketone level is normal. The nurse caring for a 14 - year-old girl with DI understands which of the following about this disorder? a. DI is treated on a short-term basis with hormone replacement therapy. b. DI may cause anorexia if proper meal planning is not addressed. c. DI is treated with vasopressin on a lifelong basis. d. DI requires strict fluid limitation until it resolves. A 7-year-old is tested for DI. Twenty-four hours after his fluid restriction has begun, the nurse notes that his urine continues to be clear and pale, with a low specific gravity. The most likely reason for this is which of the following? a. Twenty-four hours is too early to evaluate effects of fluid restriction. b. The urine should be concentrated, and it is unlikely the child has DI. c. The child may have been sneaking fluids and needs closer observation.
d. In DI, fluid restriction does not cause urine concentration. The nurse has completed discharge teaching of the family of a 10 - year-old diagnosed with DI. Which of the following statements best demonstrates the family’s correct understanding of DI? a. “My child’s disease was probably brought on by a bad diet and little exercise.” b. “My father is a diabetic, and that may be why my child has it.” c. “My child will need to check blood sugar several times a day.” d. “My child will have to use the bathroom more often than other children.” A 12 - year-old with type II DM presents with a fever and a 2 - day history of vomiting. The nurse obtaining the history observes that the child’s breath has a fruity odor & breathing that is deep & rapid. The nurse should do which? a. Offer the child 8 oz of clear non-caloric fluid. b. Test the child’s urine for ketones. c. Prepare the child for an IV infusion. d. Offer the child 25 g of carbohydrates. A student takes metformin (Glucophage) three times a day. The nurse expects this student has which of the following? a. Type I DM. b. Gastrointestinal reflux. c. Inflammatory bowel disease. d. Type II DM. Adolescents with diabetes have problems with low self-esteem. The nurse knows the most likely reason for this is which of the following? a. Managing diabetes decreases independence. b. Managing diabetes complicates perceived ability to “fit in.” c. Obesity complicates perceived ability to “fit in.” d. Hormonal changes are exacerbated by fluctuations in insulin levels. The school nurse is talking to a 14 - year-old about managing type I DM. Which of the following statements indicates the student’s understanding of the disease? a. “It really does not matter what type of carbohydrate I eat as long as I take the right amount of insulin.” b. “I should probably have a snack right after gym class.” c. “I need to cut back on my carbohydrate intake and increase my lean protein intake.” d. “Losing weight will probably help me decrease my need for insulin.” An 11 - month-old girl has a diagnosis of iron-deficiency anemia. The child’s mother tells the nurse that her daughter is currently taking iron and a multivitamin. Which statement made by the mother should be of concern to the nurse?
- “I give my daughter her iron and multivitamin at the same time each morning.”
a. “I worry about my daughter maintaining control since children with diabetes have more complications than adults do.” b. “My daughter should drink vanilla milkshakes to maintain a high caloric intake.” c. “Complications from diabetes could include cataracts and kidney stones.” d. “My child won’t need a mid-afternoon snack since she takes a gym class in the afternoon.” Considering a child’s developmental level in diabetic care is essential. The nurse should include which information in teaching the parents of a recently diagnosed toddler with diabetes? (SATA) a. Allow the toddler to assist with the daily insulin injections. b. Prepare meat, vegetables, & potatoes each dinner. Toddler cannot be allowed many choices in food selection. c. Test the toddler’s blood glucose every time he goes outside to play. d. Allow the toddler to assist with cleaning off his fingers before blood glucose monitoring.5. Allow the toddler to choose food selections from options offered. A 10-year-old girl comes to the office of the school nurse after recess. This is the child’s first day back in school after hospitalization, where she was diagnosed with diabetes. The child reports she took the dose of insulin as instructed and that it was the same as she took while hospitalized. The nurse notices that she is nervous with hand tremors present. She is pale, sweaty, and complaining of sleepiness. The school nurse would suspect: a. Exercise-induced hypoglycemia. b. Hyperglycemia caused by increased intake at lunch. c. Ketoacidosis caused by an infection. d. The child is avoiding returning to class. A child has been treated with chemotherapy for cancer. The nurse anticipates that neutropenia is an expected consequence and teaches the parents to: a. Avoid contact sports. b. Avoid crowded spaces. c. Avoid spicy foods. d. Avoid all immunizations. Following diagnosis of Wilms’ tumor, the child undergoes removal of the affected kidney. In the postoperative period, priority nursing assessments should focus on: a. The incision. b. Lung sounds. c. Temperature. d. Kidney function. A child diagnosed with Ewing’s sarcoma is being treated with chemotherapy. The results of a complete blood count (CBC) indicate severe thrombocytopenia. Nursing interventions related to this finding would include: (SATA) a. Encouraging foods high in iron. b. Limiting physical contact with the child. c. Removing fresh flowers from the child’s room. d. Clearing the floor of the child’s room to prevent falls and bruises. e. Minimizing needle sticks and intrusive procedures. The parents of a child with neutropenia secondary to chemotherapy have been taught protective isolation behaviors. Nursing observations that indicate a need for further education is when the parents: a. Bring the child toys from home.
b. Encourage friends to visit by phone rather than in person. c. Pull the child in a wagon around the nursing unit for entertainment. d. Wash their hands before entering the child’s room but not upon exiting the room. A child will be undergoing chemotherapy. The nurse discusses the issue of hair loss with the child and family before chemotherapy begins. Later the family asks the nurse why this information was given to the child at this time. The nurse’s response will include the information that: a. Hair loss is a symptom of toxic blood levels of chemotherapy - child should be watching for this phenomenon. b. The presence or absence of hair is r/t body image. Strategies for handling hair loss should precede the event. c. It is the nurse’s legal responsibility to discuss this issue with the child. d. Hair loss can be prevented with appropriate nursing interventions. A child is receiving chemotherapy to induce remission in acute leukemia. When considering common side effects of chemotherapy, the nurse would write which of the following as appropriate nursing diagnoses early in the course of therapy? (SATA) a. Disturbed sleep pattern b. Impaired oral mucous membranes c. Risk for infection d. Risk for impaired tissue perfusion: peripheral e. Imbalanced nutrition: less than body requirements related to nausea and vomiting A client is to begin radiation therapy after the removal of Wilms’ tumor. The parent statement that indicates to the nurse a lack of understanding of related skin care would be “We will: a. Use loose-fitting clothes on our child. b. Protect our child from sun exposure. c. Keep the area moist with petrolatum jelly. d. Prevent our child from scratching the site. A pediatric client who is known to have cancer is being admitted for mild neutropenia and a severe oral monilial infection. The nurse should assign the child to which room? a. A semi-private room with a medical patient b. A semi-private room with a surgical patient c. A private room without further precautions d. A private room with protective isolation The nursing diagnosis for a child undergoing chemotherapy for leukemia is “Imbalanced nutrition: less than body requirements related to nausea and anorexia.” The nurse would formulate which of the following as an appropriate goal for this client? a. Administer antiemetics PRN b. The child’s caloric intake will be within normal range c. The child does not complain of nausea d. Intake and output are approximately equal A child is to receive chemotherapy with a vesicant drug by the intravenous (IV) route. The nurse can ensure safe administration of this drug by doing which of the following?
b. Cow’s milk is an excellent source of iron, and infant should be changed from formula to milk as soon as possible after 6 months of age. c. Milk is a poor source of iron, and infants should be given solid foods high in iron such as cereals, vegetables, and meats. d. Anemia can easily occur during infancy, and all infants should receive iron supplements. A 2 - year-old with hemophilia is being discharged, and the nurse is completing discharge teaching with his parents. Which of the following statements by the parents indicates they require further teaching regarding hemophilia? a. It is good to know that his sister will not get hemophilia also. b. If our son has a temperature, we will not give aspirin or ibuprofen, only acetaminophen. c. We will get a Medic-Alert™ bracelet for our son as soon as we get home. d. We will be sure to watch our son very closely to make sure he does not have another episode of bleeding. The parents of a child with sickle cell anemia are asking for information about future pregnancies. Neither parent has sickle cell anemia. The nurse would provide them with the information that any future pregnancies will have a: a. 1 in 4 chance of producing a child with sickle cell trait. b. 1 in 4 chance of producing a child with sickle cell anemia. c. 1 in 2 chance of producing a child with neither sickle cell disease or trait. d. 1 in 2 chance of producing a child with sickle cell anemia. The nurse is working with the family of an 8 - monthold infant who has severe nutritional anemia. In providing dietary recommendations, the nurse should instruct the family to: a. Switch the baby to cow’s milk. b. Delay the introduction of table food in the diet. c. Restrict the amount of milk or formula in the baby’s diet to 1 quart per day. d. Provide dietary iron sources such as peanuts and unsweetened chocolates. The nurse is working with the family of a toddler who is being treated for iron-deficiency anemia. In teaching dietary considerations, the nurse will instruct the family to add sources of iron and: a. Vitamin D and thiamine. b. Calcium and riboflavin. c. Carbohydrates and vitamins. d. Folic acid and proteins The elementary school nurse is assessing and giving initial care to a client with hemophilia who has significant pain in his knee. The nurse suspects hemarthrosis. As the nurse waits for his caregiver to arrive, the nurse would take which of the following actions? a. Maintain joint mobility with passive range-of-motion exercises. b. Elevate the leg above child’s heart c. Administer children’s aspirin or ibuprofen for pain. d. Apply warm soaks to reduce the swelling. The nurse has admitted a 2 - year-old in vaso-occlusive crisis. As the nurse starts the initial assessment, the child insists upon lying in bed, on her side with her knees flexed to the abdomen. The nurse decides to further assess the child for the presence of which of the following?
a. Stomach pain b. Nausea c. Constipation d. Fear secondary to the impact of hospitalization The 10-year-old client in the Emergency Department has complete blood count (CBC) results that include hemoglobin (Hgb) of 8 grams/dL and hematocrit (Hct) of 24%. The nurse determines that, based on laboratory results, which nursing action has the highest priority? a. Assessing and promoting skin integrity b. Promoting hydration c. Promoting nutrition d. Conserving energy Pearson’s Test Prep (Peds Exam 4: Oncology, Hematology & Endocrine - Practice Questions) A 10 - year-old diabetic client tells the school nurse that he has some early signs of hypoglycemia. What recommendation should the nurse give to the child? a. Skip the next dose of insulin. b. Drink a glass of orange juice. c. Take an extra injection of regular insulin. d. Start exercising. An adolescent with diabetes has had several episodes demonstrating lack of diabetic control. The nurse who is reviewing techniques for checking the control of diabetes states to the adolescent, “The best way to maintain control of your disease is to: a. Check your urine glucose three times a week. b. Check the glycosylated hemoglobin every 3 months and then every 6 months when stable. c. Check the blood glucose twice a day and the glycosylated hemoglobin every 3 months. d. Not check anything as long as you feel well. The nurse concludes that a client newly diagnosed with type 1 diabetes mellitus requires further teaching when the client makes which statement? a. I will check my glucose level 30 minutes before I eat and at bedtime. b. I will notify my healthcare provider if my glucose levels run higher or lower than the target range. c. I will not take my insulin if I am sick and cannot eat. d. I will take my insulin as prescribed, and I will not miss a dose. The client who has a long history of type 1 diabetes mellitus is being treated for bronchitis and sinusitis. The nurse observes deep, rapid, unlabored respirations, fruity odor on the client’s clothes, and dry skin. Which action should the nurse take next? a. Assess blood glucose level for hyperglycemia and check urine for ketones. b. Assess breath sounds to determine client’s response to treatment of the infection. c. Encourage the client to rest and to drink 8 to 10 glasses of fluids daily. d. Assess the client for additional signs of hypoglycemia.
b. "I will eat less for breakfast since I'm going to a big party tonight with lots of food." b. High glucose levels cause the body to use proteins for energy, causing lactic acidosis. c. Carbohydrates are constantly being converted to glucose and transported in the blood by insulin. d. Early identification of hypoglycemia before the onset of symptoms is easier to treat. The mother of an adolescent with diabetes mellitus tells the nurse that her son likes to eat cheeseburgers and French fries when he goes out with his friends. The son is aware he is exceeding the allowable carbohydrate exchanges on the diabetic diet. How could the nurse best explain why adolescents sometimes make choices that place their health at risk? a. They want to be like their peers. b. They eat foods with friends that they can’t eat at home. c. They want to show risk-taking behavior. d. They have a self-destructive wish. A client with Type 1 diabetes mellitus requires further teaching by the nurse when which statement is made? a. "I will monitor my glucose levels as instructed." A mother attends the pediatric clinic with her 10 - year-old daughter who has diabetes mellitus (DM). After completing the diabetic teaching, the nurse evaluates the mother’s knowledge. Which statement by the mother indicates a satisfactory understanding of diabetes? a. I worry about my daughter maintaining control since children with diabetes have more complications than adults do. b. My child won’t need a mid-afternoon snack since she takes a gym class in the afternoon. A 12 - year-old boy was just diagnosed with Type 1 diabetes mellitus. As the nurse teaches him about insulin injections, he asks why he can’t take the diabetic pills that his aunt takes. What is the best response by the nurse? a. We have to test you to see if you can take the diabetic pills. b. You have a different type of diabetes where the pill won’t work. The client is admitted with all of the following orders to treat diabetic ketoacidosis (DKA) with severe metabolic acidosis. Which order would the nurse determine to be the first priority in managing the care of this client? a. Initiate continuous pulse oximetry. b. Give oral glucophage (Metformin). c. Start IV fluid infusion for rehydration d. Insert an indwelling urinary catheter. The nurse is caring for a client with type 1 diabetes mellitus. In developing a teaching plan, which of the following signs and symptoms of hypoglycemia should the nurse include? a. Shakiness b. Fever c. Fruity breath d. Increased thirst The nurse is preparing to discharge a client newly diagnosed with diabetes mellitus. The client states, "I should eat a candy bar or cup of ice cream every time I feel shaky, hungry, or nauseated." What is the best response by the nurse? a. "No, these have too much sugar and fat, 5 Lifesavers candy or skim milk are better."
b. Explore the client's general dietary pattern for the past 4 months. b. "If I feel shaky, cold, and sweaty, I will take my fast-acting carbohydrate immediately." a. I should stop taking the medicine if my stools turn black." b. "Yes, a candy bar or cup of ice cream is needed to treat the hypoglycemia." c. "No, you should quickly eat a meal; the candy will cause hyperglycemia." d. "Yes, you should eat the snack, then have a meal as soon as possible." A diabetic client with the flu asks why he should drink juices, check his finger stick glucose every 4 hours, and take insulin when he is not eating and is vomiting. What would be the best explanation by the nurse? a If he could substitute water for the juices to prevent dehydration, then he would not need to check his blood glucose levels so often. b He needs to check his blood glucose because vomiting could cause hypoglycemia and drinking fluids will prevent dehydration. c His body uses protein for energy when he is sick, causing increased ketones and hypoglycemia. d He needs to prevent dehydration, excessive breakdown of fats for glucose, and monitor for hyperglycemia. A nurse is discussing the role of hypoxia in red blood cell (RBC) production. Which of the following statements is accurate? During a scheduled exam the client's glycosylated hemoglobin was found to be 9%. The client has had type 2 diabetes mellitus for 3 years. The nurse should do which of the following? a. Assess for signs of infection and client's intake for the past 24 hours. c. Review the client's understanding of diabetic foot care. d. Immediately give sliding scale insulin medication. When implementing a teaching plan for a client newly diagnosed with Type 1 diabetes mellitus the nurse knows that the client has understood the instructions when the client makes which statement? a. "I will check my glucose only if I feel like it is low." c. "If I feel shaky, cold, and sweaty, I will take extra insulin immediately." d. "I will not take my insulin if my glucose is less than 100." A client has a platelet count of 18,000/mm3. What intervention must the nurse include in the plan of care? a. Institute neutropenic precautions b. Obtain temperatures rectally c. Institute bleeding precautions d. Schedule medications by intramuscular route when able Which of the following statements made by a client with iron-deficiency anemia indicates the need for further teaching? b. "I can prevent the constipation by increasing the intake of fluids and fiber." c. "I should return to the clinic if my stomach upset worsens with this medication." d. "I should dilute the liquid iron preparation and use a straw when taking it." a. Hypoxia stimulates the release of erythropoietin in the kidneys.
