NURSING CARE OF CHILDREN A
A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart
failure. Which of the following interventions should the nurse include in the plan?
Provide small, frequent meals for the child.
A nurse is teaching the parent of an infant who has a Pavlik harness for the treatment of developmental
dysplasia of the hip. The nurse should identify that which of the following statements by the parent
indicates an understanding of the teaching?
“I will place my infant’s diapers under the harness straps.”
A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury (AKI)
and has a sodium level of 129 mEq\/L. Which of the following interventions should the nurse include in
the plan?
Initiate seizure precautions for the child.
A nurse is assessing a school-age child immediately following a perforated appendix repair. Which of the
following findings should the nurse expect?
Absence of peristalsis
A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the
nurse take?
Apply topical analgesic cream to the site 1 hr prior to the procedure.
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
A nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks. Which of
the following statements by the parent indicates an understanding of the teaching?
“I should keep my child indoors when I mow the yard.”
ATI MED SURG PROCTORED STUDY GUIDE
NURSING CARE OF CHILDREN
DOWNLOAD FOR AN A<\/p>\n\n\n\n
A nurse is proving dietary teaching to the parent of a school-age child who has celiac disease. The nurse
should recommend that the parent offer which of the following foods to the child?
White rice
A nurse is reviewing the laboratory report of a school-age child who is experiencing fatigue. Which of
the following findings should the nurse recognize as an indication of anemia?
Hematocrit 28%
A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. Which of the following
actions should the nurse plan to take?
Perform a finger stick.
A nurse is assessing a school-age child who has meningitis. Which of the following findings is the priority
for the nurse to report to the provider?
Petechiae on the lower extremities
A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should
the nurse expect?
Loud, harsh murmur
A nurse is creating a plan of care for an infant who has an epidural hematoma from a head injury. Which
of the following interventions should the nurse include in the plan?
Implement seizure precautions for the infant.
A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings
should the nurse identify as an indication the adolescent is rejecting the kidney?
Serum creatinine 3.0 mg\/dL
A nurse in an emergency department is performing an admission assessment on a 2 week-old male
newborn. Which of the following findings is the priority for the nurse to report to the provider?
Substernal retractions<\/p>\n\n\n\n
A hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse that he
cannot cope anymore and has decided to move out of the house. Which of the following statements
should the nurse make?
“Let’s talk about some of the ways you have handled previous stressors in your life.”
A nurse in an emergency department is caring for an adolescent who has severe abdominal pain due to
appendicitis. Which of the following locations should the nurse identify as McBurney’s point?
A. The nurse should identify this area of the client’s abdomen as McBurney’s point. This area of the
right lower quadrant located about two-thirds of the way between the umbilicus and the client’s
anterosuperior iliac spine is the area where a client who has appendicitis is most likely to report pain
and tenderness.
A nurse is reviewing the laboratory report of a 7 year-old child who is receiving chemotherapy. Which of
the following lab values should the nurse report to the provider?
Hgb 8.5 g\/dL
A nurse is caring for a 15 year-old client who is married and is scheduled for a surgical procedure. The
client asks, “who should sign my surgical consent?” Which of the following responses should the nurse
make?
“You can sign the consent form because you are married.”
A nurse is assessing a 4-year-old child at a well-child visit. Which of the following developmental
milestones should the nurse expect to observe?
Cuts an outlined shape using scissors.
A nurse is caring for an infant who has respiratory syncytial virus (RSV). Which of the following actions
should the nurse implement for infection control?
Have a designated stethoscope in the infant’s room.
A nurse in an emergency department is caring for a school-age child who has appendicitis and rates their
abdominal pain as 7 on a scale of 0 to 10. Which of the following actions should the nurse take?
Give morphine 0.05mg\/kg IV<\/p>\n\n\n\n
VATI Nursing Care of Children 2019<\/p>\n\n\n\n
ATI PROCTORED NURSING CARE OF CHILDREN 2019 EXAM ( A)
A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart
failure. Which of the following interventions should the nurse include in the plan?
Provide small, frequent meals for the child.
A nurse is teaching the parent of an infant who has a Pavlik harness for the treatment of developmental
dysplasia of the hip. The nurse should identify that which of the following statements by the parent
indicates an understanding of the teaching?
“I will place my infant’s diapers under the harness straps.”
A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury (AKI)
and has a sodium level of 129 mEq\/L. Which of the following interventions should the nurse include in
the plan?
Initiate seizure precautions for the child.
A nurse is assessing a school-age child immediately following a perforated appendix repair. Which of the
following findings should the nurse expect?
Absence of peristalsis
A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the
nurse take?
Apply topical analgesic cream to the site 1 hr prior to the procedure.
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
A nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks. Which of
the following statements by the parent indicates an understanding of the teaching?
“I should keep my child indoors when I mow the yard.”<\/p>\n\n\n\n
A nurse is proving dietary teaching to the parent of a school-age child who has celiac disease. The nurse
should recommend that the parent offer which of the following foods to the child?
White rice
A nurse is reviewing the laboratory report of a school-age child who is experiencing fatigue. Which of
the following findings should the nurse recognize as an indication of anemia?
Hematocrit 28%
A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. Which of the following
actions should the nurse plan to take?
Perform a finger stick.
A nurse is assessing a school-age child who has meningitis. Which of the following findings is the priority
for the nurse to report to the provider?
Petechiae on the lower extremities
A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should
the nurse expect?
Loud, harsh murmur
A nurse is creating a plan of care for an infant who has an epidural hematoma from a head injury. Which
of the following interventions should the nurse include in the plan?
Implement seizure precautions for the infant.
A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings
should the nurse identify as an indication the adolescent is rejecting the kidney?
Serum creatinine 3.0 mg\/dL
A nurse in an emergency department is performing an admission assessment on a 2 week-old male
newborn. Which of the following findings is the priority for the nurse to report to the provider?
Substernal retractions<\/p>\n\n\n\n
A hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse that he
cannot cope anymore and has decided to move out of the house. Which of the following statements
should the nurse make?
“Let’s talk about some of the ways you have handled previous stressors in your life.”
A nurse in an emergency department is caring for an adolescent who has severe abdominal pain due to
appendicitis. Which of the following locations should the nurse identify as McBurney’s point?
A. The nurse should identify this area of the client’s abdomen as McBurney’s point. This area of the
right lower quadrant located about two-thirds of the way between the umbilicus and the client’s
anterosuperior iliac spine is the area where a client who has appendicitis is most likely to report pain
and tenderness.
A nurse is reviewing the laboratory report of a 7 year-old child who is receiving chemotherapy. Which of
the following lab values should the nurse report to the provider?
Hgb 8.5 g\/dL
A nurse is caring for a 15 year-old client who is married and is scheduled for a surgical procedure. The
client asks, “who should sign my surgical consent?” Which of the following responses should the nurse
make?
“You can sign the consent form because you are married.”
A nurse is assessing a 4-year-old child at a well-child visit. Which of the following developmental
milestones should the nurse expect to observe?
Cuts an outlined shape using scissors.
A nurse is caring for an infant who has respiratory syncytial virus (RSV). Which of the following actions
should the nurse implement for infection control?
Have a designated stethoscope in the infant’s room.
A nurse in an emergency department is caring for a school-age child who has appendicitis and rates their
abdominal pain as 7 on a scale of 0 to 10. Which of the following actions should the nurse take?
Give morphine 0.05mg\/kg IV<\/p>\n\n\n\n
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ATI PN Nursing Care of Children Practice B 2019
A nurse is reinforcing teaching with the 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?<\/p>\n\n\n\n
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was
shared via
CourseHero.com
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A nurse is reinforcing teaching with the guardians of a school-age child who has frequent
nosebleeds. Which of the following instructions should the nurse include?<\/p>\n\n\n\n
lOMoARcPSD|3920845
ATI RN Proctored Nursing Care of Children 2019 B \u2013 Study Guide
A nurse is assessing a 4-year-old child at a well-child visit. Which of the following
developmental milestones should the nurse expect to observe?
a. Identifies right from left hand
b. Uses a utensil to spread butter
c. Cuts a shape using scissors
d. Draws a stick figure with seven body parts
c. Cuts a shape using scissors
A- Identifying the right from left hand is an expected developmental milestone of a 6-year-old
child.
B- Using a utensil to spread butter is an expected developmental milestone of a 6-year-old
child. D- Drawing a stick figure with seven body parts is an expected developmental milestone
of a 5- year-old child.
A school nurse is preparing to administer atomoxetine 1.2 mg\/kg\/day PO to a school-age
child who weighs 75lb. Available is atomexetine 40 mg\/capsule. How many capsules should
the nurse administer per day?
1
A nurse in the emergency department is assessing a toddler who has Kawasaki disease. Which
of the following findings should the nurse expect? (select all that apply.)
a. Increased temperature
b. Gingival hyperplasia
c. Xerophthalmia
d. Bradycardia
e. Cervical lymphadenopathy
Answer- a,c,e
Increased temperature is correct. Kawasaki disease is an acute illness associated with a fever
lasting more than 4 days that is unresponsive to antipyretics or antibiotics.
Gingival hyperplasia is incorrect. Children who have Kawasaki disease develop a strawberry
tongue, cracked lips, and edema of the oral mucosa and pharynx. A child who is receiving
phenytoin therapy can develop gingival hyperplasia.
Xerophthalmia is correct. Ophthalmic manifestations of Kawasaki disease include reddening of
the conjunctiva and dryness of the eyes, or xerophthalmia.
Bradycardia is incorrect. Kawasaki disease is an infection that affects the vascular system,
including the heart. The nurse should expect the child to be tachycardic with a gallop rhythm.
Long term effects of Kawasaki disease include the development of coronary artery aneurysms or
myocardial infarction.
Cervical lymphadenopathy is correct. The child who has Kawasaki disease may develop
enlarged cervical nodes on one side of the neck that are nontender and greater than 1.5 cm in
size.<\/p>\n\n\n\n
lOMoARcPSD|3920845
A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes
MELITIS. The nurse should identify which of the following statements by the child as
understanding the teaching?
a. I will puncture the pad of my finger when I am testing my blood glucose.”
b. “I will give myself a shot of regular insulin 30 minutes before I eat breakfast.”
c. “I will eat a snack of 5 grams of carbohydrates if my blood glucose is low.”
d. “I will decrease the amount of fluids I drink when I am sick.”
Answer- b. “I will give myself a shot of regular insulin 30 minutes before I eat breakfast.”
The child should administer regular insulin 30 min before meals so that the onset coincides
with food intake.
A- The child should avoid puncturing the pads of the fingers because they have fewer blood
vessels and more nerve fibers. Instead, the child should puncture the skin to either side of the
finger pad to promote blood flow and decrease pain.
C- The child should eat a snack of 15 g of carbohydrates, such as 120 mL (4 oz) of fruit juice or
66 g (1\/2 cup) of ice cream, to rapidly increase a mild hypoglycemic reaction.
D- During acute illness the child is prone to hyperglycemia and ketonuria and is at risk for
dehydration. Therefore, the child’s fluid intake should increase rather than decrease.
A school nurse is assessing an adolescent who has scoliosis. Which of the following findings
should the nurse expect?
a. Increase in anterior convexity of the lumbar spine
b. Increased curvature of the thoracic spine
c. Lateral flexion of the neck
d. A unilateral rib hump
Answer- d. A unilateral rib hump
When assessing an adolescent for scoliosis, the school nurse should expect to see a unilateral
rib hump with hip flexion. This results from a lateral S- or C-shaped curvature to the thoracic
spine resulting in asymmetry of the ribs, shoulders, hips, or pelvis. Scoliosis can be the result
of a neuromuscular or connective tissue disorder, or it can be congenital in nature.
A- An increased anterior convexity of the lumbar spine is a manifestation of lordosis. An
expected finding in toddlers, lordosis can indicate a complication of a disease process, such as
flexion contractures, congenital dislocation of the hip, or obesity, when seen in older
children. B- An increased curvature of the thoracic spine is a manifestation of kyphosis.
Kyphosis can be a manifestation of a congenital condition or disease process such as rickets,
or it can be posture- related. In posture-related kyphosis, the adolescent presents with
rounded shoulders and a slouching posture.
C- Lateral flexion of the neck is an indication of torticollis as a result of contracture of the
sternocleidomastoid muscle. Torticollis can be congenital, the result of intrauterine fetal<\/p>\n\n\n\n
lOMoARcPSD|3920845
posturing or abnormality of the cervical spine, or it can be acquired, due to such factors as a
traumatic lesion to the sternocleidomastoid muscle.
A nurse is reviewing the lumbar puncture results of a school-age child suspected of having
bacterial meningitis. Which of the following results should the nurse identify as a finding
associated with bacterial meningitis?
a. Decreased cerebrospinal fluid pressure
b. Decreased WBC count
c. Increased protein concentration
d. Increased glucose level
Answer- c. Increased protein concentration. The nurse should recognize that an
increased protein concentration in the spinal fluid is a finding associated with bacterial
meningitis. A- Increased cerebrospinal fluid pressure is a finding associated with bacterial
meningitis.
B- An increased WBC count in the spinal fluid is a finding associated with bacterial meningitis.
D- A decreased glucose level in the spinal fluid is a finding associated with bacterial
meningitis.
A nurse is planning care for a preschooler who has cystic fibrosis. Which of the following
interventions should the nurse include in the plan?
a. Administer pancreatic enzymes 2 hr after meals.
b. Decrease pancreatic enzymes if steatorrhea develops.
c. Limit fluid intake to 750 mL per day.
d. Increase fat content in the child’s diet to 40% of total calories.
Answer – d. Increase fat content in the child’s diet to 40% of total calories. A child who has cystic
fibrosis is unable to properly digest fats due to fibrosis of the pancreas and limited secretion of
pancreatic enzymes. The nurse should increase the child’s fat intake to equal 40% of total caloric
intake.
A- The nurse should plan to administer pancreatic enzymes within 30 min of meals and snacks.
B- A child who has cystic fibrosis and develops steatorrhea, or fatty stools, needs to increase the
intake of pancreatic enzymes.
C- The nurse should encourage fluid intake, rather than restrict it, to prevent dehydration
caused by the loss of sodium and chloride through perspiration.
A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of
dehydration. Which of the following findings should the nurse address first?
a. Skin breakdown
b. Hypotension
c. Hyperpyrexia
d. Tachypnea
Answer- d. Tachypnea. When using the airway, breathing, circulation approach to client care,
the first finding the nurse should address is the toddler’s tachypnea, which results when the<\/p>\n\n\n\n
ATI Care of Children Proctored Exam 2 Revision Guide<\/p>\n\n\n\n
Vastus lateralis<\/p>\n\n\n\n
Page 1 of 27
ATI RN Nursing Care of Children Online Practice 2019 A
Teaching the parents of a school-aged child who has a new diagnosis of osteomyelitis of the tibia. The
nurse should identify that which of the following statements by the parents indicates an
understanding of the teaching?
my child will have a cast until healing is complete.
My child will receive antibiotics for several weeks.
My child can return to playing sports once he is discharged.
My child needs to be in contact isolation.
Answer: b
The nurse should instruct the parent that the child will receive antibiotic therapy for at least 4
weeks. Surgery might be indicated if the antibiotics are not successful.
A – incorrect
Weight bearing must be avoided with osteomyelitis. Therefore, the child is placed in a
comfortable position with the limb supported. There is no indication for a cast.
C- incorrect
Weight bearing should be avoided to prevent complications and minimize pain. Therefore, it
will be several weeks to months before the child can play contact sports.
D- incorrect
Contact isolation is NOT necessary, because osteomyelitis is not a communicable illness.
A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the
sound as which of the following? Click the audio button to listen.
A- Biots respiration
B- Chaney Stokes respiration
C- tackypnea
D – Bradypnea
Answer- c
The nurse should identify the sound heard during auscultation as tachypnea, which is a rapid,
regular breathing pattern. This breathing pattern often occurs with anxiety, fever, metabolic
acidosis, or severe anemia.
A- Biot’s respirations are periods of apnea alternating with two or three shallow breaths.
B- Cheyne-Stokes respirations are periods of apnea alternating with periods of
hyperventilation.
D- Bradypnea is a slow, regular breathing pattern.
A nurse in an emergency department 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 the 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
Answer- d<\/p>\n\n\n\n
Page 2 of 27
When using the urgent vs nonurgent approach to client care, the nurse determines that the
priority action is administering IM epinephrine to the child. During an anaphylactic reaction,
histamine release causes bronchoconstriction and vasodilation. This is an emergency because
ultimately it causes decreased blood return to the heart.
A- Elevating the head of the child’s bed is important to facilitate breathing and circulation.
However, it is not the priority action the nurse should take.
B- Inserting a large bore IV catheter is important to facilitate administration of IV fluids and
medications. However, it is not the priority action the nurse should take.
C- Determining the allergen that caused the child’s reaction is important to prevent any
additional episodes of anaphylaxis. However, it is not the priority action the nurse should take.
The nurse is preparing to administer an immunization to a four-year-old child. Which of the
following actions should the nurse plan to take?
A- Place the child in a prone position for the immunization
B- request that the child’s caregiver leave the room during the immunization
C- administer the immunization using a 24 gauge needle
D- inject the immunization slowly after aspirating for 3 seconds
Answer – c
The nurse should administer an immunization for a 4-year-old child using a 24-gauge needle to
minimize the amount of pain experienced by the toddler.
A- The nurse should place the child in an upright sitting position for the immunization because
this decreases the child’s fear and anxiety.
B- The nurse should allow the caregiver to stay near the child during the immunization to
provide a sense of security and reduce the child’s anxiety level.
D- The nurse should inject the immunization rapidly and avoid aspiration. These
actions decrease the risk of needle displacement and lower the child’s fear and anxiety
level by decreasing the amount of time it takes to administer the immunization.
A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe
dehydration. The nurse should identify which of the following laboratory values indicates
effectiveness of the current treatment?
A- Potassium 2.9 mEq\/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg
Answer- b
The nurse should identify that a sodium level of 140 mEq\/L is within the expected
reference range and indicates the current treatment regimen the infant is receiving for
dehydration is effective.
A- A potassium level of 2.9 mEq\/L is below the expected reference range and
indicates hypokalemia.<\/p>\n\n\n\n
Page 3 of 27
C- A urine specific gravity of 1.035 is above the expected reference range and indicates
concentrated urine.
D- A BUN level of 25 mg\/dL is above the expected reference range and indicates the kidneys are
not excreting BUN as they should be.
The nurse is providing teaching about Social Development to the parents of a preschooler.
Which of the following play activities should the nurse recommend for the child?
A- Play pat-a-cake
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up
Answer – d
The nurse should instruct the parents that at the preschool age, play should focus on social,
mental, and physical development. Therefore, playing dress-up is a recommended play
activity for this child.
A- Playing pat-a-cake is a recommended play activity for an infant.
B- Using a push pull toy is a recommended play activity for a toddler.
C- Creating a scrapbook is a recommended play activity for a school-age child.
A nurse is teaching the parents of a newborn about ways to prevent sudden infant death
syndrome SIDS. Which of the following instructions should the nurse include?
A- Place the infant in a prone position to sleep.
B- Allow the infant to sleep on a large pillow.
C- User soft mattress in the infant’s crib.
D- Give the infant a pacifier at bedtime.
Answer- d
The nurse should inform the parent that protective factors against SIDS include breastfeeding
and the use of a pacifier when the infant is sleeping.
A- The nurse should instruct the parent to place the infant in a supine position to sleep. Prone
and side-lying positions are risk factors for SIDS.
B- Placing the infant on a large pillow to sleep can increase the risk of suffocation, asphyxiation,
and SIDS.
C- The nurse should instruct the parent to use a firm mattress and avoid the use of waterbeds,
beanbags, or soft mattresses when placing the infant to bed. The use of a soft mattress in the
infant’s crib is a risk factor for SIDS and can lead to asphyxiation.<\/p>\n\n\n\n
RN Nursing Care of Children Online Practice 2019 B<\/p>\n\n\n\n
ATI Nursing Care of Children
Remediation
The nurse is developing a teaching plan for the upcoming discharge of a child who has a
resolving sickle cell crisis. While developing the plan the nurse knows it is imperative to
include what information?
o Increasing fluid intake and being well hydrated will help prevent cell stasis in the small
vessels. Restricting fluids causes stasis of red blood cells and promotes obstruction and
increases the chance of sickling with hypoxia and pain to the part that is involved. Clients
with sickle cell disease should stay away from others who have infections. When the
spleen of a client who has sickle cell disease has become fibrotic and nonfunctional, the
client is more susceptible to infections. Clients with sickle cell disease should not avoid
physical activity as long as the client stays well hydrated.
What does FLACC stand for?
o It stands for face, legs, activity, crying and consolability. The FLACC pain scale was
developed to help medical observers to assess the level of pain in children who are too
young to cooperate verbally.
How old does a child need to be to use the FLACC Scale for pain?
o This scale is used for children between the ages of 2 months and 7 years of age.
What is the form of evaluation when using the FLACC Scale?
o When looking at their face- assessing for smiling, grimacing, frowning, withdrawn,
quivering chin, clenched jaw etc. When assessing legs- the positioning of their legs, if
they\u2019re relaxed, uneasy, restless, tense etc. Their activity is rated by assessing if they\u2019re
lying quietly, moving easily, squirming, tense, shifting back and forth, or rigid. Crying is
determined by the types of cries such as moans or whimpers, occasional complaints,
screaming or sobbing. Consolability is determined by if they\u2019re content and relaxed or
reassured by occasional touching hugging or being talked to or if they\u2019re difficult to
console or comfort.
A nurse is caring for a client newly prescribed cefazolin who has hereditary glomerulopathy.
What are three (3) adverse effects of this class of medication? Is the administration of
cefazolin safe for this client?
o Loss of appetite
o Increased blood glucose level\/hyperglycemia, decreased blood glucose level\/hypoglycemia
o Anorexia
o No the administration of cefazolin would not be safe for this client<\/p>\n\n\n\n
Ati Nursing
Care of
Children EXAM
1 REVIEW
1.-A nurse is caring for a 4-year-old child who refuses to take his medications
because of the bad taste. Which of the following strategies should the nurse
use to elicit the child’s cooperation? Hide the medication in apple slices. Hide
the medication in ice cream or juice.
2.-A nurse is caring for a 4-year-old child who refuses to take his medications
because of the bad taste. Which of the following strategies should the nurse
use to elicit the child’s cooperation? Offer the child an ice pop prior to
administering the medication.
3.-A nurse is planning care for a four-year-old child who has been admitted to
the hospital. Which of the following toys should the nurse plan to provide the
child? Modeling clay. A Plastic stethoscope.
4-The mother of a 4-year-old child tells a nurse that her child is reluctant to
go to bed at night. Which of the following responses should the nurse make?
Keep a night light on in your child’s room. Allow your child an additional 30
minutes of play time before bed.
5 -A parent expresses concern to a nurse about his 5-year-old child
stuttering. Which of the following statements should the nurse make? Look
directly at your son when he is speaking
6 -A nurse is caring for a 4-year-old child who had an incident of bedwetting
during hospitalization. The child’s parents express concern about the
incident. Which of the following responses should the nurse make? \u201cChildren
who are hospitalized often regress. The toileting skills will return when your
child is feeling better.” It\u2019s very
7 -A nurse is caring for an 8-month-old child who starts to cry when his
parents leave. The nurse should make which of the following statements to
the parents? \u201cYou should expect your child to be upset when you leave.\u201d
8 -A father of a toddler asks a nurse at a well-child clinic what to do when
the child kicks and screams during temper tantrums. Which of the following
responses should the nurse make? \u201cYou should ignore your toddler’s temper<\/p>\n\n\n\n
tantrums.” (The parent should ignore the toddler’s attention-seeking
behavior, so the child realizes that expressing himself in this method is not
effective way to communicate)<\/p>\n\n\n\n
ATI NURSING CARE OF CHILDREN PROCTORED EXAM A 2019<\/p>\n\n\n\n
lOMoARcPSD|3920845
Care of the Child ATI 2019
Chapter 1
Parenting styles:
\uf0a7 Dictatorial or authoritarian
o Super strict parents, it\u2019s their way or the highway
o Parents try to control their child\u2019s behaviors through unquestioned rules
or expectations
o Ex. the child is never allowed to watch tv on a school night
\uf0a7 Permissive
o Very laid back, allow children to set their rules
o Parents exert very little control over their child\u2019s behaviors; consult the
child when making decisions
o Ex. the child assists in deciding whether or not they can watch tv on a
school night
\uf0a7 Democratic or authoritative
o Right in the middle, not too strict but also not too permissive
o Parents direct the child\u2019s behaviors by setting rules and explain the
reason behind them
o Parents negatively reinforce deviations from the rules and may do so by
taking privileges away
o Ex. the child can watch tv for 1 hour on school nights as long as their
homework is done
\uf0a7 Passive parents
o Do not care what is going on, don\u2019t even consult with the children.
Uninvolved, indifferent or emotionally removed
Chapter 2
Physical Assessment Findings
\uf0a7 Pediatric vital signs differ from an adult\u2019s, except for blood pressure.
\uf0a7 Temperature of a one year old is 99.9 degrees
\uf0a7 Not until 5 years old when they begin to have a normal temperature of 98.6
\uf0a7 Pulse rate for an infant is 80-180 with respirations of 30-35
\uf0a7 Infant bp systolic is between 65-80 and their diastolic is between 40 & 50
\uf0a7 The fontanels*
o Should be flat and soft
o Posterior: closes between 6 & 8 weeks
o Anterior closes between 12 & 18 months
\uf0a7 Infant can have 6-8 teeth by one year of age
\uf0a7 There will be 20 deciduous teeth and 32 permeant teeth<\/p>\n\n\n\n
lOMoARcPSD|3920845
\uf0a7 Reflexes*
o Moro reflex: present from birth to four months. Allowing the head
and trunk of the infant to fall backwards. The arms and legs
symmetrically extend and abduct, and fingers form a C shape.
o Rooting: stroking the infant\u2019s cheek or edge of mouth causes the infant
to turn their head to that side and suck. Birth to 4 months.
o Palmar grasp: placing an object in the infant\u2019s palm and the infant grasps
the object. Birth to 3 months.
o Plantar: by touching the sole of the infant\u2019s foot the toes curl downward.
Birth to 8 months.
o Startle: by making a loud noise the infant abducts arms and hands remained
clenched. Birth to 4 months.
o Tonic neck: by turning the infants head to one side the infant will extend
the arm and leg on that side and flex the opposite side. Birth to 3-4
months.
o Babinski: by stroking the outer edge of the sole up toward the toes the
infant will fan its toes upward and out. Birth to 1 year.
o Stepping: by holding the infant upright with its feet touching the surface
the infant will make stepping movements. Birth to 4 weeks.
\uf0a7 Cranial nerves
o 1 is olfactory
o 2 is optic
o 3 oculomotor
o 4 trochlear: ability of eye to look down and in
o 5 trigeminal: have child close eye and they will detect you touching their
face
o 6 abducens: the ability to look laterally with the eyes
o 7 facial: symmetry facial movements
o 8 vestibulocochlear\/acoustic: checking hearing
o 9 glossopharyngeal: checking for intact gag reflex
o 10 vagus: checking for swallowing
o 11 spinal accessory: can move shoulders symmetrically
o 12 hypoglossal: tongue is midline and can move in all directions
Ooh ooh ooh to touch and feel very good velvet such heaven
Some say marry money but my brother says big brains matter
most
Chapter 3
Physical Development:
\uf0a7 Doubles by 6 months; triples by 1 year*<\/p>\n\n\n\n
lOMoARcPSD|3920845
\uf0a7 2.5 cm (1 in) per month for the first 6 months
\uf0a7 Length increases by 50% by 12 months of age
\uf0a7 First teeth erupt between 6-10 months
Age Gross motor Fine motor
1 month Demonstrates head lag Strong grasp
2 months Lifts head up when prone Holds hands in an open
position, grasp reflex
fading
3 months Raises head and shoulders
when prone, slight head
lag
No longer has a grasp
reflex, keeps hands open
loosely.
4 months Rolls from back to side Grasps with both hands
5 months Rolls from front to back Uses palmar grasp
6 months Rolls from back to front Holds bottle
7 months Bears full weight on feet.
Sits leaning forward on
both hands
Moves objects from
hand to hand
8 months Sits unsupported Begins using pincer grip
9 months Pulls to standing position.
Creeps on hands and
knees
Has crude pincer grip.
Dominant hand preference
evident
10 months Changes from prone to
sitting position
Grasps rattle by its hand
11 months Cruises or walks while
holding on to something.
Walks with one hand held.
Places objects into a
container. Neat pincer
grasp.
12 months Sits down from a standing
position without assistance
Tries to build a twoblock tower w\/o success.
Can
turn pages in a book.
Cognitive Development: Piaget
\uf0a7 From birth to 24 months they are in the sensorimotor stage
\uf0a7 Object permanence occurs around 9 months of age.
Language Development:
\uf0a7 Should be able to say 3-5 words by age 1 and they know the concept of no.
Erickson:
\uf0a7 From birth to 1 year is trust vs. mistrust.
\uf0a7 Is the caretaker meeting the needs of the infant?
\uf0a7 Separations anxiety occurs around 4-8 months of age
\uf0a7 Stranger fear occurs around 6-8 months of age<\/p>\n\n\n\n
lOMoARcPSD|3920845
Toys:
\uf0a9 Rattles, blocks, brightly colored toys, playing patty cake, reading books, mirrors,
and playing with balls.
Immunizations:
\uf0a9 Birth: hep B
\uf0a9 2 months: 2
nd hep B, IPV (inactivated polio), RV (rotavirus), PCV (pneumococcal),
DTaP, Hib (haemophilus influenza type B)
\uf0a9 4 months: all of the above minus the hep B
\uf0a9 6 months: all including hep B
\uf0a9 Should also get flu between 6 months and 1 year
Nutrition:
\uf0a7 Breastmilk for the first 6 months
\uf0a7 No solids until 4 to 6 months, iron fortified rice cereal
\uf0a7 Do not need juice or water during first year of life**
\uf0a7 Introduce new foods one at a time over a 4 to 7 day period to observe for allergies
\uf0a9 Never leave unattended in bathtub
\uf0a9 Stay in rear facing cars seat until two years of age
\uf0a9 Crib slats should be no more than 6 cm apart, keep pillows out of crib
\uf0a9 On back to sleep*
Chapter 4:
\uf0a9 Quadruple weight by 30 months of age
\uf0a9 Grow 3 inches per year
\uf0a9 Head and chest circumference should be equal around 2 years of age
Age Gross Motor Fine Motor
15 months Walks without help. Creeps
up stairs
Uses a cup. Builds a tower
of 2 blocks
18 months Runs clumsily, falls
often, throws ball
overhead, jumps in
place with both
feet. Pushes and pulls toys
Manages a spoon.
Turns pages in a book
two or three at a time,
build a
tower of 3-4 blocks<\/p>\n\n\n\n
ATI NURSING CARE OF CHILDREN 1 PROCTORED EXAM
2019 (STUDY GUIDE)<\/p>\n\n\n\n
STEP 6: Round if necessary.
STEP 7: Reassess to determine whether the amount to administer makes sense. If the prescriptionreads
100 ml of 0.9% sodium chloride IV to infuse over 4 hr, it makes sense to administer 25 gtt\/min. The
nurse should set the manual IV infusion to deliver0.9% sodium chloride IV at 25 gtt\/min.
Dimensional Analysis
STEP 1: What is the unit of measurement to calculate? gtt\/min
STEP 2: What is the volume needed? 100 mL
STEP 3: What is the total infusion time? 4 hr
STEP 4: Should the nurse convert the units of measurement? Yes (min does not equal hr)STEP
5: Set up an equation and solve for X.
X = Quantity \/ 1 mL x Conversion (hr) \/ Conversion (min) x Volume (mL) \/ Time (hr)
X gtt\/min = 60 gtt\/1 mL x 1 hr\/ 60 min x 100 mL\/4 hrX =
25
STEP 6: Round if necessary.
STEP 7: Reassess to determine whether the amount to administer makes sense. If the prescriptionreads
100 ml of 0.9% sodium chloride IV to infuse over 4 hr, it makes sense to administer 25 gtt\/min. The
nurse should set the manual IV infusion to deliver 0.9%sodium chloride IV at 25 gtt\/min<\/p>\n\n\n\n
RN VATI Nursing Care of Children 2019 Assessment<\/p>\n\n\n\n
exercise and another a few hours after the activity.
“I should increase my intake of sugar-free fluids when I am sick” is correct. The nurse should
instruct the child to increase her intake of sugar-free fluids when she is sick. Fluids flush out
ketones to prevent dehydration. The nurse should recommend sugar-free liquids, such as water,
broth, and tea to the child. The child should continue with her usual intake at mealtimes and
follow her recommended meal plan as much as possible.
“I should eat a snack 30 minutes before my baseball game starts” is correct. The nurse should
instruct the child to eat a recommended snack 30 min prior to a planned activity, such as a
baseball game. If the game is prolonged, she should have a snack every 45 min to an hour. If for
some reason the child cannot tolerate the extra food, the next intervention is to decrease the
child’s insulin dose before baseball games.
“I should have a 16 ounce sports drink if I start feeling weak or shaky” is incorrect. The child
should consume 8 oz of a sports drink if she feels hypoglycemic, rather than 16 oz. Clinical
manifestations of hypoglycemia include dizziness, headache, irritability, weakness, shakiness,
and confusion. An 8-oz sports drink contains 15 g of carbohydrate. If the child consumes 16 oz, it
would contain a minimum of 30 g of carbohydrate and most likely cause the child to become
hyperglycemic and require a dose of insulin.<\/p>\n\n\n\n
lOMoARcPSD|3920845
ATI RN Proctored Nursing Care of Children 2019 B \u2013 Study Guide
A nurse is assessing a 4-year-old child at a well-child visit. Which of the following
developmental milestones should the nurse expect to observe?
a. Identifies right from left hand
b. Uses a utensil to spread butter
c. Cuts a shape using scissors
d. Draws a stick figure with seven body parts
c. Cuts a shape using scissors
A- Identifying the right from left hand is an expected developmental milestone of a 6-year-old
child.
B- Using a utensil to spread butter is an expected developmental milestone of a 6-year-old
child. D- Drawing a stick figure with seven body parts is an expected developmental milestone
of a 5- year-old child.
A school nurse is preparing to administer atomoxetine 1.2 mg\/kg\/day PO to a school-age
child who weighs 75lb. Available is atomexetine 40 mg\/capsule. How many capsules should
the nurse administer per day?
1
A nurse in the emergency department is assessing a toddler who has Kawasaki disease. Which
of the following findings should the nurse expect? (select all that apply.)
a. Increased temperature
b. Gingival hyperplasia
c. Xerophthalmia
d. Bradycardia
e. Cervical lymphadenopathy
Answer- a,c,e
Increased temperature is correct. Kawasaki disease is an acute illness associated with a fever
lasting more than 4 days that is unresponsive to antipyretics or antibiotics.
Gingival hyperplasia is incorrect. Children who have Kawasaki disease develop a strawberry
tongue, cracked lips, and edema of the oral mucosa and pharynx. A child who is receiving
phenytoin therapy can develop gingival hyperplasia.
Xerophthalmia is correct. Ophthalmic manifestations of Kawasaki disease include reddening of
the conjunctiva and dryness of the eyes, or xerophthalmia.
Bradycardia is incorrect. Kawasaki disease is an infection that affects the vascular system,
including the heart. The nurse should expect the child to be tachycardic with a gallop rhythm.
Long term effects of Kawasaki disease include the development of coronary artery aneurysms or
myocardial infarction.
Cervical lymphadenopathy is correct. The child who has Kawasaki disease may develop
enlarged cervical nodes on one side of the neck that are nontender and greater than 1.5 cm in
size.<\/p>\n\n\n\n
lOMoARcPSD|3920845
A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes
MELITIS. The nurse should identify which of the following statements by the child as
understanding the teaching?
a. I will puncture the pad of my finger when I am testing my blood glucose.”
b. “I will give myself a shot of regular insulin 30 minutes before I eat breakfast.”
c. “I will eat a snack of 5 grams of carbohydrates if my blood glucose is low.”
d. “I will decrease the amount of fluids I drink when I am sick.”
Answer- b. “I will give myself a shot of regular insulin 30 minutes before I eat breakfast.”
The child should administer regular insulin 30 min before meals so that the onset coincides
with food intake.
A- The child should avoid puncturing the pads of the fingers because they have fewer blood
vessels and more nerve fibers. Instead, the child should puncture the skin to either side of the
finger pad to promote blood flow and decrease pain.
C- The child should eat a snack of 15 g of carbohydrates, such as 120 mL (4 oz) of fruit juice or
66 g (1\/2 cup) of ice cream, to rapidly increase a mild hypoglycemic reaction.
D- During acute illness the child is prone to hyperglycemia and ketonuria and is at risk for
dehydration. Therefore, the child’s fluid intake should increase rather than decrease.
A school nurse is assessing an adolescent who has scoliosis. Which of the following findings
should the nurse expect?
a. Increase in anterior convexity of the lumbar spine
b. Increased curvature of the thoracic spine
c. Lateral flexion of the neck
d. A unilateral rib hump
Answer- d. A unilateral rib hump
When assessing an adolescent for scoliosis, the school nurse should expect to see a unilateral
rib hump with hip flexion. This results from a lateral S- or C-shaped curvature to the thoracic
spine resulting in asymmetry of the ribs, shoulders, hips, or pelvis. Scoliosis can be the result
of a neuromuscular or connective tissue disorder, or it can be congenital in nature.
A- An increased anterior convexity of the lumbar spine is a manifestation of lordosis. An
expected finding in toddlers, lordosis can indicate a complication of a disease process, such as
flexion contractures, congenital dislocation of the hip, or obesity, when seen in older
children. B- An increased curvature of the thoracic spine is a manifestation of kyphosis.
Kyphosis can be a manifestation of a congenital condition or disease process such as rickets,
or it can be posture- related. In posture-related kyphosis, the adolescent presents with
rounded shoulders and a slouching posture.
C- Lateral flexion of the neck is an indication of torticollis as a result of contracture of the
sternocleidomastoid muscle. Torticollis can be congenital, the result of intrauterine fetal<\/p>\n\n\n\n
lOMoARcPSD|3920845
posturing or abnormality of the cervical spine, or it can be acquired, due to such factors as a
traumatic lesion to the sternocleidomastoid muscle.
A nurse is reviewing the lumbar puncture results of a school-age child suspected of having
bacterial meningitis. Which of the following results should the nurse identify as a finding
associated with bacterial meningitis?
a. Decreased cerebrospinal fluid pressure
b. Decreased WBC count
c. Increased protein concentration
d. Increased glucose level
Answer- c. Increased protein concentration. The nurse should recognize that an
increased protein concentration in the spinal fluid is a finding associated with bacterial
meningitis. A- Increased cerebrospinal fluid pressure is a finding associated with bacterial
meningitis.
B- An increased WBC count in the spinal fluid is a finding associated with bacterial meningitis.
D- A decreased glucose level in the spinal fluid is a finding associated with bacterial
meningitis.
A nurse is planning care for a preschooler who has cystic fibrosis. Which of the following
interventions should the nurse include in the plan?
a. Administer pancreatic enzymes 2 hr after meals.
b. Decrease pancreatic enzymes if steatorrhea develops.
c. Limit fluid intake to 750 mL per day.
d. Increase fat content in the child’s diet to 40% of total calories.
Answer – d. Increase fat content in the child’s diet to 40% of total calories. A child who has cystic
fibrosis is unable to properly digest fats due to fibrosis of the pancreas and limited secretion of
pancreatic enzymes. The nurse should increase the child’s fat intake to equal 40% of total caloric
intake.
A- The nurse should plan to administer pancreatic enzymes within 30 min of meals and snacks.
B- A child who has cystic fibrosis and develops steatorrhea, or fatty stools, needs to increase the
intake of pancreatic enzymes.
C- The nurse should encourage fluid intake, rather than restrict it, to prevent dehydration
caused by the loss of sodium and chloride through perspiration.
A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of
dehydration. Which of the following findings should the nurse address first?
a. Skin breakdown
b. Hypotension
c. Hyperpyrexia
d. Tachypnea
Answer- d. Tachypnea. When using the airway, breathing, circulation approach to client care,
the first finding the nurse should address is the toddler’s tachypnea, which results when the<\/p>\n\n\n\n
ATI RN Proctored Nursing Care of Children
Form B Exam 2019<\/p>\n\n\n\n
lOMoARcPSD|3920845
ATI RN PROCTORED: Nursing Care of Children 2 2019 Exam \u2013 STUDY GUIDE<\/p>\n\n\n\n
lOMoARcPSD|3920845
“The test shows us if your child had a recent strep infection.”<\/p>\n\n\n\n
ATI RN Nursing Care of the Child with an Alteration
in Urinary Elimination \/ GU Disorder<\/p>\n\n\n\n
pain or discomfort on voiding, recent change in feeding pattern, presence of vomiting or diarrhea,
irritability, lethargy, abdominal pain, unusual odor to urine, chronic diaper rash, and signs of febrile
convulsions. Toilet training and bathing habits would be of importance, but they are not the most
important to ask. Temperatures in other children in the family would not be related to this child’s
current situation.<\/p>\n\n\n\n
Ati Nursing Care of Children Proctored 2022 –
Study Guide<\/p>\n\n\n\n
expect the child to be able to perform which of the following activities?
Copying a square<\/p>\n\n\n\n
ATI RN Care of Children Proctored 2019 Exam – Study Guide<\/p>\n\n\n\n
200 mg\/dL
d. an adolescent who has Crohn’s disease and recent weight loss of 5kg
mg (11 lb)
5 .A nurse is providing teaching to the parents of a toddler who is to undergo
a sweat chloride test. Which of the following statements should the nurse
include?
a. The purpose of the test is to determine if your child has Crohn’s disease
b. the technician will use a device to produce an electrical current during
the test
c. during the test, your child will be in a room that is
cold d. your child sweat will be collected over 24 hours<\/p>\n\n\n\n
is now ready to resume oral intake which of the following dietary choices
should the nurse offer
the child?
a. sugar-free Cherry gelatin
b. vanilla ice cream
c. chocolate milk
d. lime flavored ice pop<\/p>\n\n\n\n
1.A nurse is reinforcing teaching about home safety with the parent of a toddler. Which of
the following parent statements indicates an understanding of the teaching?<\/p>\n\n\n\n
number.)<\/p>\n\n\n\n
ATI Nursing Care of Children Final Exam Guide Latest 2022
1.Providing education to a parent whose child has had a colostomy, which is an appropriate method to
determine understanding:
observe the parents while they perform the procedure
2.Educating the parent of a 9 month old infant recently diagnosed with cerebral palsy. Which statement by
the parent indicates teaching effective:
I am hopeful that the early schooling will increase my child\u2019s ability for self-care
3.Caring for a child who Isin Buck\u2019s traction. Which is appropriate intervention to prevent complications:
Provide small meals with high fiber
4.Providing diabetic teaching to a 12 year old who appears apprehensive during teaching, which actions
should the nurse recognize as appropriate in this situation:
Teach the child to do her own fingersticks
5.Pediatric unit caring for four client who all have assessments ordered in the morning, which values
should the nurse report immediately:
Sickle cell anemia and a urine specific gravity of 1.030
6.Caring for a 3 year old who is scheduled for a nephrectomy, when preparing preoperatively, which
action is appropriate:
Explain the procedure to the child in simple sentences just before administereingthe preoperative
sedation
7.Caring for a child receiving chemotherapy with anorexia and nausea. Which intervention is most
appropriate for the child experiencing these symptoms:
allow the client to eat whatever the client wants,at any time
8.Parent of a toddler asks the nurse why the toddler\u2019s abdomen protrudes, which statement is an
appropriate response:
The muscles of the abdomen are weak, and therefore, the abdomen protrudes
9.Caring for a child who will be receiving PE tubesin the morning, nurse isteaching parents how to care
for tubes upon discharge, which statement indicatesteaching was understand:
I will keep water out ofmy child\u2019s ears
10.Caring for a child who has cellulitis and a rectal temperature of 102.2 F (39 C). The child has an order
foracetaminophen (Tylenol 280 mg by mouth) label reads 160mg\/5ml. what is the correct dose:
8.8 mL
11.Caring for a child who is a vegetarian and has sustained superficial partial-thickness burns on her
legs,which diet choices would be appropriate:
Peanut butter and jelly sandwich<\/p>\n\n\n\n
12.Performing a yearly physical on an adolescent. Adolescent\u2019s parents ask about developmental needs,
which statement by the parents should the nurse investigate further:
He spends several hours a day onthe internet
13.Caring for a child who has a superficial partial-thickness burns over 50% of his body. Planning for
nutritional needs, which should the nurse recognize as an appropriate intervention:
Perform dressingchanges at least 1 hr before or after meals
14.Caring for a child who has cystic fibrosis, which assessments should the nurse recognize as a priority
toreport to the primary care provider:
inability to clear secretions
15.Preparing a 7 year old for a tonsillectomy, which nursing actions would be appropriate in this
preparation:
Schedule the child for a preoperative visit to the hospital
16.Caring for a child who hastetralogy of Fallot preoperatively, which laboratory value should the nurse
expect to find:
Hematocrit of 58%
17.School nurse is assisting a child who has been stung by a bee. Childs hand is swelling and the nurse
notesthat the child has allergies to insect stings. Which manifestations should the nurse recognize with
anaphylaxis: Select all:
Nausea, urticaria (hives), stridor
18.Caring for a child who is undergoing a bone marrow aspiration, which response by the child
shouldindicate the nurse that teaching has been effective:
Ill have to lie on my belly while its done
19.Preparing to administer an injection to a 2 month old. Which is appropriate site:
Vastus lateralis
20.Caring for a toddler who has asthma, parents concerned about the toddlers reaction to the
hospitalization, which nursing action should the nurse perform to decrease the stress experienced by the
toddler:
encourage rooming-in
21.School nurse assessing a child who returned to school following a cases of mononucleosis. Child has a
note from primary care provider excusing him from gym class.
Most appropriate reason for this excuse:sustaining abdominal trauma
22.Caring for a 10 year old who is obese, Which menu choices are most appropriate:
a glass ofskim milk,baked fish sandwhich on whole wheat roll with lettuce, and a medium apple<\/p>\n\n\n\n
ATI RN Nursing Care of Children (B) 2019 Exam -Retake Guide<\/p>\n\n\n\n
ATI RN Nursing Care of Children (A) 2019 Exam 2019 \u2013 Revision Guide
1.A nurse is creating a plan of care for an infant who has an epidural hematoma with askull fracture.
Which of the following actions should the nurse include in the plan?
Implement seizure precautions for the infant.
The nurse should implement seizure precautions for an infant who has an epidural hematoma as a safety
measure.
2.A nurse is providing teaching about car seat use to the mother of a 6-month-old infant.
Which of the following statements by the mother indicates an understanding of the
teaching?
“I should secure the car seat using lower anchors and tethers instead of the seat belt.”
Lower anchors and tethers, or the LATCH child safety seat system, should be used to secure an infant’s
car seat in the vehicle. This system provides anchors between the front cushion and the back-rest for the
car seat. Therefore, if this system is available, the seatbelt does not have to be used.
3.Planning care for a toddler who has a serum lead leverl of 4 mcg\/dL. Appropriate action to
take?
Schedule the toddler for a yearly rescreening.
The nurse should schedule the toddler for a lead level rescreening in 1 year and educate the family on
ways to prevent exposure.
Chelation therpay is required for lead level of 45, or can be intiated with lead levels above 10
4.Assessing a school-age child immediately postop following a perforated appendix
repair. Expected findings?
Absence of peristalsis
The nurse should expect absence of peristalsis in the immediate postoperative period, until the bowel
resumes functioning.
5.Preparing an adolescent for lumbar puncture. Appropriate action?
Apply topical analgesic cream to the site 1 hr prior to the procedure.
The nurse should apply a topical analgesic to the lumbar site 60 min prior to the procedure to decrease
the adolescent’s pain while the lumbar needle is inserted.
6.Providing anticipatory guidance to the mother of a toddler. Expected behavior
characteristics of the toddler to be included in the teaching?
Expresses likes and dislikes
The nurse should teach the mother that her toddler will begin to express her likes and dislikes. This is the
time in life when a toddler is developing autonomy and self-concept. She will try to assert herself and
frequently refuse to comply. The parent should allow the child to have some control but also set limits in
order for her to learn from her behavior and learn to control her actions.
7.Providing teaching to the parents of a preschooler who has heart failure and who isbeginning
to take digoxin twice daily. Appropriate instructions to include?
“Brush the child’s teeth after giving the medication.”
The nurse should instruct the parents to brush the child’s teeth after administering digoxin to prevent
tooth decay caused by the medication, which comes as a sweetened liquid to enhance the taste.<\/p>\n\n\n\n
8.A nurse in a provider’s office is preparing to administer immunizations to a toddler
during a well-child visit. Which of the following actions should the nurse plan to take?
Withhold the influenza vaccine
Exhibit 1: Tuberculin skin test, Measles, mumps, rubella vaccine, live attenuated influenza vaccine, varicela
vaccine
Exhibit 2: rr 24\/min, HR 115\/min, temp 37.4\/99.3F,
Exhibit 3: age 12 months 9 days, 71.1 cm. Iodine allergy, Hx of asthma
The live attenuated influenza vaccine is contraindicated in a child who has asthma.
9.A school nurse is assessing a school-age child’s BP while he is seated in a chair. Thechild
starts to experience a tonic-clonic seizure. Appropriate action to take first?
Assist the child to a side-lying position on the floor
The greatest risk to this child is aspiration, occlusion of the airway, and bodily injury from falling out of the
chair. The nurse should ease the child down to floor in a side-lying position immediately. This position
enables the child’s secretions to drain from the mouth, preventing aspiration, and maintaining a patent
airway.
10.A nurse in an ED is performing a physical assessment on a 2-wk-old male infant.
Manifestation that is the priority to report to the provider?
Substernal retractions
When using the airway, breathing, circulation approach to client care, the nurse should determine that
the priority finding to report to the provider is substernal retractions. This finding indicates the infant is
experiencing acute respiratory distress and increased respiratory effort, which could quickly progress to
respiratory failure.
11.A nurse is providing teaching to the family of a school-age child who has juvenile
idiopathic arthritis. Instructions to be included in the teaching?
“Encourage the child to perform independent self-care”
The nurse should teach the family the importance of encouraging the child to perform independent
self-care. This will minimize the child’s pain while maximizing mobility. Encouraging and praising the
child’s efforts for independence will also increase his self-esteem
12.A nurse is caring for a hospitalized preschooler. The child’s mother is going home for a
few hrs while another relative stays with the child. Statement that the nurse should make
to explain to the child when her mother will return?
“Your mommy will be back after you eat.”
Preschoolers make sense of time best when they can associate it with an expected daily routine, such as
meals and bedtime. Therefore, the child comprehends time best when it is explained to them in relation
to an event they are familiar with, such as eating.
13.A nurse is assessing the pain lvl of a 3-yr-old toddler. Appropriate pain assessment
scale to use?
FACES pain rating scale.
The nurse should use the FACES pain rating scale for pediatric clients who are 3 years old and older. This
scale allows the toddler to point to the face that depicts the current level of pain. The nurse can then
determine the need for pain management.<\/p>\n\n\n\n
lOMoARcPSD|392 084 5
ATI RN Proctored Nursing Care of Children Exam A 2019
A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart
failure. Which of the following interventions should the nurse include in the plan?
Provide small, frequent mealsfor the child.
A nurse is teaching the parent of an infant who has a Pavlik harness for the treatment of developmental
dysplasia of the hip. The nurse should identify that which of the following statements by the parent
indicates an understanding of the teaching?
“I will place my infant’s diapers under the harnessstraps.”
A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury (AKI)
and has a sodium level of 129 mEq\/L. Which of the following interventions should the nurse include in
the plan?
Initiate seizure precautionsfor the child.
A nurse is assessing a school-age child immediately following a perforated appendix repair. Which of the
following findings should the nurse expect?
Absence of peristalsis
A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the
nurse take?
Apply topical analgesic cream to the site 1 hr prior to the procedure.
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
A nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks. Which of
the following statements by the parent indicates an understanding of the teaching?
“I should keep my child indoors when I mow the yard.”<\/p>\n\n\n\n
lOMoARcPSD|392 084 5
A nurse is proving dietary teaching to the parent of a school-age child who has celiac disease. The nurse
should recommend that the parent offer which of the following foods to the child?
White rice
A nurse is reviewing the laboratory report of a school-age child who is experiencing fatigue. Which of
the following findings should the nurse recognize as an indication of anemia?
Hematocrit 28%
A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. Which of the following
actions should the nurse plan to take?
Perform a fingerstick.
A nurse is assessing a school-age child who has meningitis. Which of the following findings is the priority
for the nurse to report to the provider?
Petechiae on the lower extremities
A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should
the nurse expect?
Loud, harsh murmur
A nurse is creating a plan of care for an infant who has an epidural hematoma from a head injury. Which
of the following interventions should the nurse include in the plan?
Implementseizure precautionsfor the infant.
A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings
should the nurse identify as an indication the adolescent is rejecting the kidney?
Serum creatinine 3.0 mg\/dL
A nurse in an emergency department is performing an admission assessment on a 2 week-old male
newborn. Which of the following findings is the priority for the nurse to report to the provider?
Substernalretractions<\/p>\n\n\n\n
ATI RN Proctored Nursing Care of Children B 2019
A nurse is planning care for a newly admitted schole-age child who has generalized seizure disorder.
Which of the following interventions should the nurse plan to include?
Ensure the oxygen source is functioning in the childs room: The nurse should recognize that
maintaining the child’s airway is important during a seizure. The nurse should ensure that the oxygen
source is functioning because the child might require supplemental oxygen following a seizure.
A nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. Which
of the following statements should the nurse make?
“You should offer your child high-protein meals and snacks throughout the day.” The nurse should
instruct the guardian to provide a diet that is well-balanced and high in protein and calories. Children
who have cystic fibrosis require a higher percentage of the recommended dietary allowances of all
nutrients to meet their energy requirements. Children who have good nutritional intake have improved
lung function and decreased risk of infection.
A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative
following hypospadias repair with a stent placement. Which of the following instructions should the
nurse include in the teaching?
“Allow the stent to drain into your infants diaper.” The nurse should instruct the parents to ensure that
the stent drains directly into the infant’s diaper to prevent kinking or twisting that can interfere with
urine flow.
A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone.
Following 1 week of treatment, which of the following manifestations indicates to the nurse that the
medication is effective?
Decreased edema: A child who has nephrotic syndrome can experience edema due to the increased
glomerular permeability, which increases protein loss. Prednisone decreases glomerular permeability,
which causes fluid to shift from the extracellular spaces, resulting in decreased edema.
A nurse is receiving change-of-shift report for four children. Which of the following children should the
nurse assess first?<\/p>\n\n\n\n
A toddler who has a concussion and an episode of forceful vomiting.: When using the urgent vs.
nonurgent approach to client care, the nurse should assess this child first. An episode of forceful
vomiting is an indication of increased intracranial pressure in a toddler who has a concussion.
A nurse is providing discharge teaching to the guardians of a toddler who had lower leg cast applied 24
hr ago. The nurse should instruct the guardians to report which of the following finding to the provider?
Restricted ability to move the toes.: The nurse should inform the guardians that a restricted ability of
the toddler to move their toes is an indication of neurovascular compromise and requires immediate
notification of the provider. Permanent muscle and tissue damage can occur in just a few hours.
A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing
dyspnea. The nurse should identify the sound as which of the following?
Wheezes: The nurse should identify the sound during auscultation as wheezes, which are high-pitched,
musical or whistling-like sounds heard primarily on expiration as air passes through and vibrates
narrowed airways.
A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS
complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the
nurse clarify with the provider?
Potassium Chloride: The nurse should identify that a child who has congestive heart failure can develop
electrolyte imbalances, such as hyperkalemia or hypokalemia. The nurse should identify that the child is
exhibiting manifestations of hyperkalemia and contact the provider about the administration of
potassium chloride, which can increase the severity of hyperkalemia.
A nurse is planning an educational program for school-age children and their parents about bicycle
safety. Which of the following information should the nurse plan to include?
The child should be able to stand on the balls of their feet when sitting on the bike.: To decrease the
risk for injury, parents should ensure that the bike is the correct size for the child. When seated on the
bike, the child should be able to stand with the ball of each foot touching the ground and should be able
to stand with each foot flat on the ground when straddling the bike’s center bar.
A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should
secure the sensor to which of the following areas on the infant?
Great Toe. The nurse should secure the sensor to the great toe of the infant and then place a snugfitting sock on the foot to hold the sensor in place. The nurse should also check the skin under the
sensor site frequently for temperature, color, and the presence of a pulse.<\/p>\n\n\n\n
ATI RN NURSING CARE OF CHILDREN
PROCTORED EXAM
STUDY GUIDE 2022-2023<\/p>\n\n\n\n
ATI RN Nursing Care of Children
Page 1 of 31
Teaching the parents of a school-aged child who has a new diagnosis of osteomyelitis of the tibia. The
nurse should identify that which of the following statements by the parents indicates an
understanding of the teaching?
my child will have a cast until healing is complete.
My child will receive antibiotics for several weeks.
My child can return to playing sports once he is discharged.
My child needs to be in contact isolation.
Answer: b
The nurse should instruct the parent that the child will receive antibiotic therapy for at least 4
weeks. Surgery might be indicated if the antibiotics are not successful.
A – incorrect
Weight bearing must be avoided with osteomyelitis. Therefore, the child is placed in a
comfortable position with the limb supported. There is no indication for a cast.
C- incorrect
Weight bearing should be avoided to prevent complications and minimize pain. Therefore, it
will be several weeks to months before the child can play contact sports.
D- incorrect
Contact isolation is NOT necessary, because osteomyelitis is not a communicable illness.
A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the
sound as which of the following? Click the audio button to listen.
A- Biots respiration
B- Chaney Stokes respiration
C- tackypnea
D – Bradypnea
Answer- c
The nurse should identify the sound heard during auscultation as tachypnea, which is a rapid,
regular breathing pattern. This breathing pattern often occurs with anxiety, fever, metabolic
acidosis, or severe anemia.
A- Biot’s respirations are periods of apnea alternating with two or three shallow breaths.
B- Cheyne-Stokes respirations are periods of apnea alternating with periods of
hyperventilation.
D- Bradypnea is a slow, regular breathing pattern.
A nurse in an emergency department 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 the 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
Answer- d<\/p>\n\n\n\n
ATI RN Nursing Care of Children
Page 2 of 31
When using the urgent vs nonurgent approach to client care, the nurse determines that the
priority action is administering IM epinephrine to the child. During an anaphylactic reaction,
histamine release causes bronchoconstriction and vasodilation. This is an emergency because
ultimately it causes decreased blood return to the heart.
A- Elevating the head of the child’s bed is important to facilitate breathing and circulation.
However, it is not the priority action the nurse should take.
B- Inserting a large bore IV catheter is important to facilitate administration of IV fluids and
medications. However, it is not the priority action the nurse should take.
C- Determining the allergen that caused the child’s reaction is important to prevent any
additional episodes of anaphylaxis. However, it is not the priority action the nurse should take.
The nurse is preparing to administer an immunization to a four-year-old child. Which of the
following actions should the nurse plan to take?
A- Place the child in a prone position for the immunization
B- request that the child’s caregiver leave the room during the immunization
C- administer the immunization using a 24 gauge needle
D- inject the immunization slowly after aspirating for 3 seconds
Answer – c
The nurse should administer an immunization for a 4-year-old child using a 24-gauge needle to
minimize the amount of pain experienced by the toddler.
A- The nurse should place the child in an upright sitting position for the immunization because
this decreases the child’s fear and anxiety.
B- The nurse should allow the caregiver to stay near the child during the immunization to
provide a sense of security and reduce the child’s anxiety level.
D- The nurse should inject the immunization rapidly and avoid aspiration. These actions
decrease the risk of needle displacement and lower the child’s fear and anxiety level by
decreasing the amount of time it takes to administer the immunization.
A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe
dehydration. The nurse should identify which of the following laboratory values indicates
effectiveness of the current treatment?
A- Potassium 2.9 mEq\/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg
Answer- b
The nurse should identify that a sodium level of 140 mEq\/L is within the expected
reference range and indicates the current treatment regimen the infant is receiving for
dehydration is effective.
A- A potassium level of 2.9 mEq\/L is below the expected reference range and indicates
hypokalemia.<\/p>\n\n\n\n
ATI RN Nursing Care of Children
Page 3 of 31
C- A urine specific gravity of 1.035 is above the expected reference range and indicates
concentrated urine.
D- A BUN level of 25 mg\/dL is above the expected reference range and indicates the kidneys are
not excreting BUN as they should be.
The nurse is providing teaching about Social Development to the parents of a preschooler.
Which of the following play activities should the nurse recommend for the child?
A- Play pat-a-cake
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up
Answer – d
The nurse should instruct the parents that at the preschool age, play should focus on social,
mental, and physical development. Therefore, playing dress-up is a recommended play activity
for this child.
A- Playing pat-a-cake is a recommended play activity for an infant.
B- Using a push pull toy is a recommended play activity for a toddler.
C- Creating a scrapbook is a recommended play activity for a school-age child.
A nurse is teaching the parents of a newborn about ways to prevent sudden infant death
syndrome SIDS. Which of the following instructions should the nurse include?
A- Place the infant in a prone position to sleep.
B- Allow the infant to sleep on a large pillow.
C- User soft mattress in the infant’s crib.
D- Give the infant a pacifier at bedtime.
Answer- d
The nurse should inform the parent that protective factors against SIDS include breastfeeding
and the use of a pacifier when the infant is sleeping.
A- The nurse should instruct the parent to place the infant in a supine position to sleep. Prone
and side-lying positions are risk factors for SIDS.
B- Placing the infant on a large pillow to sleep can increase the risk of suffocation, asphyxiation,
and SIDS.
C- The nurse should instruct the parent to use a firm mattress and avoid the use of waterbeds,
beanbags, or soft mattresses when placing the infant to bed. The use of a soft mattress in the
infant’s crib is a risk factor for SIDS and can lead to asphyxiation.<\/p>\n\n\n\n
lOMoARcPSD|3920845
ATI RN Nursing Care of Children Proctored Exam 2019
Retake Guide \u2013 70 Q\u2019s & A\u2019s<\/p>\n\n\n\n
lOMoARcPSD|3920845<\/p>\n\n\n\n
NURSING CARE OF CHILDREN AA nurse is creating a plan of care for a school-age child who has heart disease and has developed heartfailure. Which of the following interventions should the nurse include in the plan?Provide small, frequent meals for the child.A nurse is teaching the parent of an infant who has a Pavlik harness […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-117531","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117531","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=117531"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117531\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=117531"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=117531"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=117531"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}