ATI NURSING CARE OF CHILDREN CMS
PRACTICE EXAM (Latest 2023/ 2024) |
Questions and Verified Answers with
Rationales | 100% Correct
Q: A nurse is making a home visit to a 5-year-old child who has cerebral palsy and uses the
wheelchair. Which of the following observations made by the nurse indicates that the family
needs support and resources to cope with the child’s condition?
A. A grandparent is assisting the child in performing ADLs. B. The child is playing a game with
their siblings.
C. The parent is withdrawn and rarely interacts with the child.
D. The step-parent is helping the child prepare to transition into school.:
Answer:
C. The parent is withdrawn and rarely interacts with the child.
Rationale: The parent is exhibiting avoidance behavior in response to the child’s condition. This
is an unexpected finding that requires intervention by the nurse.
Q: A nurse is reviewing the medical record of a school-age child who is cur- rent on
recommended immunizations. Which of the following immunizations should the nurse plan to
administer at the 11-year-old well-child visit?
A. Tetanus, diphtheria, acellular pertussis (Tdap) B. Haemophilus influenzae type b (Hib)
C. Inactivated poliovirus (IPV)
D. Rotavirus (RV):
Answer:
A. Tetanus, diphtheria, acellular pertussis (Tdap).
Rationale: The nurse should plan to administer the Tdap booster. The booster is administered to a
school-aged child between 11 and 12 years of age when the child has previously received
recommended immunizations.
Q: A nurse in a clinic is caring for group of infants. Which of the following findings should the
nurse report as a possible indication of physical maltreat- ment?
A. A hemangioma on the infant’s torso
B. A burn with splash marks on the lower right leg
C. A large, irregular, brownish-blue area on the infant’s buttocks
D. An abrasion on the back of the infant’s arm:
Answer:
D. An abrasion on the back of the infant’s arm.
Rationale: The nurse should identify that an abrasion on the back of an infant’s arm is a possible
finding of maltreatment and should be reported to the provider.
Q: A nurse is preparing to percuss an adolescent’s chest and abdomen. Which of the following
areas should the nurse expect to hear a dull sound? (Select only the Hot Spot that corresponds to
your answer.):
Answer:
B is correct!
=) When percussing over dense tissue, such as the liver, the nurse should hear dullness, which is
a thud-like sound.
A is incorrect because- The nurse will hear resonance, which is a hollow sound when percussing
over tissue filled with air, such as the lungs.
C. is incorrect because- The nurse will hear tympany, which is a loud, musical sound when
percussing over an air-filled organ, such as the stomach.
Q: A nurse is collecting data from an 8-month-old infant. Which of the follow- ing findings
indicates expected growth and development?
A. Inability to hold a bottle
B. Uses palmar grasp
C. Sits unsupported
D. Forces tongue outward when it is touched:
Answer:
C. Sits unsupported.
Rationale: The nurse should identify that by 8 months of age, the infant is expected to sit
unsupported on the floor for up to 10 min.
Q: A nurse is caring for an infant who has a cleft palate and is having trouble bottle feeding.
Which of the following actions should the nurse take?
A. Select a bottle with a one-way valve B. Choose a bottle with a narrow nipple C. Burp the
infant every 90 mL (3 oz.)
D. Use the football hold when feeding the child:
Answer:
A. Select a bottle with a one-way valve.
Rationale: The nurse should use a bottle with a one-way valve to prevent reflux of liquid back
into the infant’s mouth.
Q: A nurse is reinforcing teaching with the parent of a child who is newly diagnosed with
diabetes mellitus. Which of the following guidelines should the nurse include?
A. “Your child should increase carbohydrate intake when sick.” B. “You should omit your child’s
bedtime snack.”
C. “Your child’s meal plan should consist mainly of proteins.”
D. “Your child’s meal plan should include a snack before physical activity.”: –
Answer:
D. “Your child’s meal plan should include a snack before physical activity.”
Rationale: The nurse should instruct the parent that a child who has diabetes should consume a
snack before an increase in physical activity to prevent hypoglycemia.
Q: A nurse is preparing to obtain a blood pressure reading from a school-age child. Which of
the following actions should the nurse take?
A. Record the diastolic value as the first Korotkoff sound (K1).
B. Release the cuff pressure at a rate of about 5 min Hg/second. C. Position the child’s arm at the
level of the heart.
D. Select a cuff with a bladder size that is approximately 20% of the child’s upper arm
circumference.:
Answer:
C. Position the child’s arm at the level of the heart.
Rationale: The nurse should position the child’s arm at the level of the heart because this will
help ensure an accurate blood pressure reading. Lowering the arm below heart level will cause a
false high reading. Elevating the arm above heart level will cause a false low reading.