ATI NURSING CARE OF CHILDREN CMS
PRACTICE EXAM B (Latest 2023/ 2024) |
Questions and Verified Answers with
Rationales | 100% Correct
Q: A nurse is reinforcing teaching w/ parents of preschoolers regarding the use of booster seats
in a motor vehicle. Which of the following instructions should the nurse include in the teaching?
-Ensure the shoulder-lap portion of the seat belt fits across the child’s ab- domen when sitting in
the booster seat.
-Use a no-back, belt-positioning booster seat if the motor vehicle does not have head rests.
-Discontinue using a booster seat when the child is 135 cm (4 feet 5 inches)
in height.
-Secure the child in the booster seat using the motor vehicle’s shoulder-lap seat belt.:
Answer:
Secure the child in the booster seat using the motor vehicle’s shoulder-lap seat belt.
The nurse should instruct the parents to secure both the child and the booster seat with the
shoulder-lap seat belt inside the motor vehicle, because booster seats do not have built-in straps.
Q: A nurse is reinforcing teaching about interventions for mild hypoglycemia w/ the parent of a
child who has diabetes mellitus. Which of the following statements by the parent indicates that
the teaching has been effective?
-“I should administer a glucagon injection to my child.”
-“I should give my child 5 grams of a simple carbohydrate.”
-“I should give my child 4 ounces of orange juice followed by cheese and crackers.”
-“I should give my child a snack that is 10 percent of his daily caloric intake.”-
:
Answer:
“I should give my child 4 ounces of orange juice followed by cheese and crackers.”
The parent should treat mild hypoglycemia with 10-15 g of a simple carbohydrate, such as 4 oz
of orange juice, and follow it with a starch-protein snack.
Q: A nurse in a provider’s office is caring for a preschooler who has findings of croup. Which
of the following statements by the parent requires immediate intervention by the nurse?
-“My child has refused to drink any fluids for the past 8 hours.”
-“My child has been coughing throughout the night.”
-“My child is very hoarse and has a fever of 100.4 F.”
-“My child recently had the flu.”:
Answer:
“My child has refused to drink any fluids for the past 8 hours.”
An inadequate fluid intake indicates the child is at greatest risk for dehydration and electrolyte
imbalance. Therefore, this statement by the parent requires immediate intervention by the nurse.
Q: A nurse is collecting data from a school-age child. The nurse should identify that which of
the following findings is a manifestation of physical abuse?
-Multiple dental caries
-Malnutrition
-Recurrent urinary tract infections
-Bruises at various stages of healing:
Answer:
Bruises at various stages of healing.
The nurse should recognize that bruises at various stages of healing are a clinical manifestation
of physical abuse.
Q: A nurse is caring for a school-aged child who has hemophilia A. Which of the following
should the nurse recognize as a manifestation of this disorder?
-Joint pain and stiffness
-Concave fingernails
-Prominent frontal bossing
-Increased risk of infection:
Answer:
Joint pain and stiffness.
The nurse should recognize that joint pain and stiffness can occur as a result of bleeding into the
joint, which is a manifestation of hemophilia A.
Q: A nurse is reinforcing teaching to the guardian of a toddler who is receiving chemotherapy
and has developed stomatitis. Which of the following instruc- tions should the nurse include in
the teaching?
-Administer viscous lidocaine before feedings.
-Brush teeth using a firm toothbrush.
-Frequently rinse the mouth with chlorhexidine mouthwash
-Increase vitamin C intake by offering orange slices.:
Answer:
Frequently rinse the mouth with chlorhexidine mouthwash.
The nurse should encourage the guardian to rinse the toddler’s mouth frequently with
chlorhexidine mouthwash.
Q: A nurse is preparing a toddler for suturing of a minor facial laceration. The nurse should
place the toddler in which of the following restraints?
-Mummy restraint
-Jacket restraint
-Elbow restraints
-Wrist restraints:
Answer:
Mummy restraint
The nurse should use a mummy wrap when a short-term restraint is needed for treatment of the
toddler that involves the head and neck. The nurse should always use the least amount of
restraint necessary.
Q: A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) w/ the parent of
a 1-month-old infant. Which of the following statements by the parent indicates an understanding
of the teaching?
-“I will let my baby sleep with me in the bed at night.”
-“I will allow my baby to have a pacifier while sleeping.”
-“I will place my baby on a soft mattress to sleep.”
-“I will cover my baby with a quilt while he is sleeping.”:
Answer:
“I will allow my baby to have a pacifier while sleeping.”
The nurse should reinforce with the parent that allowing the infant to fall asleep with a pacifier in
his mouth decreases the risk for SIDS.