ATI RN Nursing Care of Children 2021/2022
1. A nurse is providing teaching to the guardians of a school-age child who has a seizure
disorder. Which of
... [Show More] the following factors should the nurse include as a common trigger
that increases the risk of seizures?
a. Prolonged headache
b. Lack of sleep
c. Decreased temperature
d. Exposure to secondhand smoke
2. A nurse is planning to teach an adolescent who is lactose intolerant about dietary
guidelines. Which of the following instructions should the nurse include in the teaching?
a. “You can replace milk with nondairy sources of calcium”
b. “You can drink milk on an empty stomach”
c. “You should consume flavored yogurt instead of plain yogurt”
d. “You might tolerate plain milk better than chocolate milk”
3. A nurse is caring for an infant who has rotavirus. Which of the following findings
indicates that the infant is moderately dehydrated?
a. Respiratory rate 28/min
b. Weight loss 7%
c. Capillary refill 1 second
d. Bradycardia
4. A nurse is caring for an adolescent who is 1 hr. postoperative following an
appendectomy. Which of the following findings should the nurse report to the provider?
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a. Muscle rigidity
b. Heart rate 63/min
c. Temperature 36.4oC (97.5o
F)
d. Abdominal pain
5. A nurse is planning care for an 8-month old infant who has heart failure. Which of the
following actions should the nurse include in the plan of care?
a. Place the infant in a prone position
b. Provide less frequent, higher volume feedings
c. Repeat a digoxin dosage if the infant vomits within I hour of administration
d. Administer cool, humidified oxygen via nasal cannula
6. A nurse is caring for a preschooler who is postoperative following a tonsillectomy. The
child is now ready to resume oral intake. Which of the following dietary choices should
the nurse offer the child?
a. Chocolate milk
b. Sugar-free cherry gelatin
c. Vanilla ice cream
d. Lime-flavored ice pop
7. A nurse is planning care for an adolescent who has sickle cell anemia. Which of the
following immunizations should the nurse include in the plan?
a. Measles, mumps, and rubella (MMR)
b. Pneumococcal conjugate (PCV13)
c. Rotavirus
d. Respiratory syncytial virus (RSV)
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8. A nurse is reviewing the medical record of a school-age child who has cystic fibrosis.
Which of the following findings should the nurse report to the provider? (Click on the
“Exhibit” button for additional information about the client. There are three tabs that
contain separate categories of data)
a. Heart rate
b. WBC count
c. Oxygen saturation
d. HbA1c
9. A charge nurse is planning care for an infant who has failure to thrive. Which of the
following actions should the nurse include in the plan of care?
a. Use half-strength formula when feeding the infant
b. Give the infant fruit juice between feedings
c. Assign consistent nursing staff to care for the infant
d. Keep the infant in a visually stimulating environment
10. A nurse is teaching the parent of a school-age child about bicycle safety. Which of th
following instructions should the nurse include in the teaching?
a. “Your child should keep the bicycle at least 3 feet from the curb while riding in the
street”
b. “Your child should walk the bicycle through intersections”
c. “Your child feet should be 3 to 6 inches off the ground when seated on the bicycle”
d. “Your child should ride the bicycle against the flow of traffic”
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11. A nurse is providing discharge teaching to the parents of an infant who is at risk for
sudden infant death syndrome (SIDS). Which of the following statements by the parents
indicates an understanding of the teaching?
a. “I will move my baby’s stuffed animal to the corner of her crib while she sleeps”
b. “I will have my baby sleep next to me in bed during the night”
c. “I will dress my baby in lightweight clothing to sleep”
d. “I will lay my baby on her side to sleep for naps”
12. A nurse in a PACU is caring for a school-age child immediately following a
tonsillectomy. Which of the following actions should the nurse take?
a. Place the child in aside-lying position
b. Instruct the child to drink fluids through a straw
c. Offer the child ice cream when alert
d. Encourage the child to deep breathe and cough
13. A nurse in the emergency department is caring for an adolescent who is requesting
testing for STIs. Which of the following actions is appropriate for the nurse to take?
a. Contact the client’s parents to obtain phone consent
b. Obtain written consent from the client
c. Request verbal consent from the social worker
d. Postpone the testing until the client’s parents are present
14. A nurse is prioritizing care for four clients. Which of the following clients should the
nurse assess first?
a. A toddler who has a partial-thickness burn on his right hand and requires a dressing
change
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b. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of
nafcillin
c. An adolescent who has sickle anemia and slurred speech
d. An adolescent who is in skin traction and reports a pain level of 7 on a scale from 0 to 10
15. A nurse is assessing a 5-month-old infant. Which of the following findings should the
nurse report to the provider?
a. Unable to hold a bottle
b. Absent grasp reflex
c. Exhibits head lag when pulled to a sitting position
d. Unable to roll from back to abdomen
16. A nurse is caring for a 10-month-old child who was brought to the emergency
department by his parents following a head injury. Which of the following actions
should the nurse take first?
a. Inspect for fluid leaking from the ears
b. Assess respiratory status
c. Check pupil reactions
d. Examine the scalp for lacerations
17. A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine
iontophoresis testing for cystic fibrosis. Which of the following statements should the
nurse include in the teaching?
a. “A nurse will insert an IV prior to the test”
b. “Your baby will need to fast for 8 hours prior to the test”
c. “The test will measure the amount of chloride in your baby’s sweat”
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d. “We will measure the amount of protein in your baby’s urine over a 24 hour period”
18. A nurse is planning care for a 6-month old infant who has bacterial meningitis. Which
of the following interventions should the nurse include in the plan of care?
a. Pad to side rails of the crib
b. Provide frequent range of motion to the neck and shoulders
c. Keep the television on in the room to provide background noise
d. Place the infant in a semiprivate room
19. A nurse is preparing to administer immunizations to a 3-month old infant. Which of the
following is an appropriate action for the nurse to take to deliver atraumatic care?
a. Provide a pacifier coated with an oral sucrose solution prior to the injections
b. Use a 20-gauge needle for the injections
c. Apply eutectic mixture of local anesthetics (EMLA) cream immediately before the
injections
d. Inject the immunization into the deltoid muscle
20. A nurse is caring for an infant who has a patent ductus arteriosus. The nurse should
identify that the defect is at which of the following locations of the heart? (You will find
hot spots to select in the artwork below. Select only the hot spot that corresponds to
your answer.) [Show Less]