ATI RN Nursing Care of Children
Proctored Exam 2021
1) A nurse is an emergency department is caring for a school-age child who
has epiglottitis. Which
... [Show More] of the following actions should the nurse take?
a) Obtain a throat culture from the child.
b) Monitor the child's oxygen saturation.
c) Put a warm mist humidifier in the child's room.
d) Place the child in the supine position
2) A nurse in an emergency department is caring for a school-age child who has
sustained a minor superficial burn from fireworks on their forearm. Which of
the following actions should the nurse take?
a) Administer the tetanus toxoid vaccine if more than 1 year since the prior dose.
b) Apply an antimicrobial ointment to the affected area.
c) Leave the burn area open to air.
d) Place an ice pack on the affected area.
3) A nurse in a providers office is caring for a school-age child who has varicella. The
parents asks the nurse when their child will no longer be contagious. Which of the
following responses should the nurse make?
a) "When your child no longer has an increased temperature."
b) "Three days after you first noticed the rash appear on your child."
c) "When your child's lesions are crusted, usually 6
days after they appear."
d) "Two to three weeks, when your child's lesions completely disappear."
4) A nurse is providing discharge teaching to the parent of a school-age child who
has moderate persistant asthma. Which of the following instructions should the
nurse include?
5) A nurse is admitting an infant who has intussusception. Which of the following
findings should the nurse expect? (Select all that apply.)
a) Steatorrhea
b) Vomiting
c) Lethargy
d) Constipation
e) Weight gain
6) A nurse is reviewing the laboratory results of a school-age child who is 1 week
postoperative following an open fracture repair. Which of the following findings
should the nurse identify as an indication of a potential complication?
a) Erythrocyte sedimentation rate 18 mm/hr
b) WBC count 6,200/mm3
c) C-reactive protein 1.4 mg/L
d) RBC count 4.7 million/mm3
7) A nurse is providing discharge teaching to the parents of a 3-month old
infant following a cheiloplasty. Which of the following instructions should the
nurse include?
a) "Clean your baby's sutures daily with a mixture of chlorhexidine and water."
b) "Expect your baby to swallow more than usual over the next few days."
c) "Inspect your baby's tongue for white patches using a tongue depressor every 8
hours."
d) "Apply a thin layer of antibiotic ointment on your
baby's suture line daily for the next 3 days."
8) A nurse is discussion organ donation with the parents of a school-age child who has
sustained brain death due to a bicycle crash. Which of the following actions should the
nurse take first?
a) Inform the parents that written consent is required prior to organ donation.
b) Provide written information to the parents about organ donation.
c) Ask the provider to explain misconceptions of organ donation to the parents.
d) Explore the parents' feelings and wishes regarding
organ donation.
9) A nurse is caring for a 1-month-old infant who is breastfeeding and requires a heel
stick. Which of the following actions should the nurse take to minimize the infants
pain?
a) Use a manual lancet to obtain the heel blood sample.
b) Apply an ice pack to the infant's heel prior to obtaining the sample.
c) Allow the mother to breastfeed while the sample is
being obtained.
d) Apply a topical lidocaine cream prior to obtaining the sample.
10)
11) A nurse is planning care for a newly admitted school-age child who has generalized
seizure disorder. Which of the following interventions should the nurse plan to include?
a) Ensure that a padded tongue blade is at the child's bedside.
b) Allow the child to play video games on a tablet computer.
c) Allow the child to take a tub bath independently.
d) Ensure the oxygen source is functioning in the child's
room.
12) A nurse is receiving change-of-shift report for four children. Which of the following
children should the nurse assess first?
a) A toddler who has a concussion and an episode of
forceful vomiting
b) An adolescent who has infective endocarditis and reports having a headache
c) An adolescent who was placed into halo traction 1 hr ago and reports pain as 6 on a
scale of 0 to 10
d) A school-age child who has acute glomerulonephritis and brown-colored urine
13) 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?
a) "You should offer your child high-protein meals and
snacks throughout the day."
b) "You should decrease your child's dietary fat intake to less than 10% of their
caloric intake."
c) "You should restrict your child's calorie intake to 1,200 per day."
d) "You should give your child a multivitamin once weekly."
14) 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?
a) Capillary refill time less than 2 seconds
b) Restricted ability to move the toes
c) Swelling of the casted foot when the leg is dependent
d) Pedal pulse +3 bilateral
15) 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?
a) Wheezes
b) Crackles
c) Pleural friction rub
d) Rhonchi
16) 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?
a) Furosemide
b) Captopril
c) Regular insulin
d) Potassium chloride [Show Less]