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ATI RN Nursing Care of Children Proctored Exam (7
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... [Show More] Versions, 2023) / ATI Nursing Care of Children
Proctored Exam / Nursing Care of Children ATI
Proctored Exam (Complete Guide for Exam Preparation,
100% Correct Answers)
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ATI NURSING CARE OF CHILDREN PROCTORED EXAM
• Latest 7 Versions / 7 Sets Exam
• Verified Questions and Answers
• Complete and Best Document for Exam Preparation
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ATI Nursing Care of Children
Version-1
5) A nurse is receiving change-of-shift report for four children. Which of the following
children should the nurse assess first?
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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
6) 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."
7) 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
8) 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
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d. Rhonchi
9) 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
a. Monitor the child’s oxygen saturation
43. 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?
a. Allow the stent to drain directly into your infant’s diaper
44. 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?
a. Great toe
45. 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
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46. 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. Apply an antimicrobial ointment to the affected area.
47. A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hr. PRN for a temperature
above 100.5*F to an infant who weighs 17.6lb. Available is ibuprofen oral suspension 100
mg/5mL. How many mL should the nurse administer to the infant per dose?
a. 2 mL
48. A nurse in an emergency department is assessing a toddler who has Kawasaki disease. Which
of the following findings should the nurse expect?
a. 1. Increased temperature 2.Xerophthalmia3.Cervical lymphadenopathy
49. 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
50. A nurse is planning developmental activities for a newly admitted 10-year-old child who has
neutropenia. Which of the following actions should the nurse plan to take?
a. Provide the child with a book about adventure.
51. 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?
a. The child should be able to stand on the balls of their feet when sitting on the
bike.
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52. A nurse is assessing a school-age child who has an infratentorial brain tumor. Which of the
following findings should the nurse identify as a manifestation of increased intracranial
pressure?
a. Difficulty concentrating
53. A nurse is teaching a group of parents about infectious mononucleosis. Which of the
following statements by a parent indicates an understanding the teaching?
a. Mononucleosis is caused by an infection with the Epstein-Barr virus.
54. 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 the oxygen source is functioning in the child's room.
55. A nurse is caring for an infant who is receiving IV fluids for the treatment of Tetralogy of
Fallot and begins to have hyper cyanotic spell. Which of the following actions should the
nurse take?
a. Place the infant in a knee-chest position.
56. A nurse is creating a plan for a child who has varicella. Which of the following interventions
should the nurse include?
a. Initiate airborne precautions for the child
57. A nurse is teaching the parents of a toddler who has a cognitive impairment about toilet
training. Which of the following instructions should the nurse include in the teaching?
a. Award your child with a sticker when they sit on the potty chair
58. A nurse is assessing a school-age child who has an acute spinal cord injury following a sports
injury 1 week ago. Identify the area the nurse should tap to elicit the bicep reflex.
a. A
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ATI Nursing Care of Children
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6. 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.
7. 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
8. 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
9. 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.
10. 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
11. A nurse is an emergency department is caring for a school-age child who has epiglottitis. Which
of the following actions should the nurse take?
Monitor the childs oxygen saturation
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12. 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?
Apply an antimicrobial ointment to the affected area.
13. 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?
“When your childs lesions are crusted, usually 6 days after they appear.”
14. 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?
“Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child
is responding to therapy.”
15. A nurse is admitting an infant who has intussusception. Which of the following findings should
the nurse expect? (Select all that apply.)
-Vomiting
-Lethargy
16. 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?
Erythrocyte sedimentation rate 18 mm/hr
17. 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?
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“Apply a thin layer of antibiotic ointment on the your babys suture line daily for the next 3
days.”
18. 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?
Explore the parents feelings and wishes regarding organ donation.
19. 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?
Allow the mother to breastfeed while the sample is being obtained.
20. A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which
of the following findings indicates effectiveness of the medication?
Serum potassium level 4.1 mEq/L
21. A charge nurse is preparing to make a room assignment for a newly admitted school-age child.
Which of the following considerations is the nurses priority?
Disease process
22. A nurse is assessing the pain level of a 3-year-old toddler. Which of the following pain
assessment scales should the nurse use?
FACES
23. A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hr PRN for a temperatures above
38.0 C (100.5 F) to an infant who weighs 17.6 lb. Available is ibuprofen oral suspension
100mg/5mL. How many mL should the nurse administer to the infant per dose?
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2 mL
24. A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following
findings should the nurse report to the provider?
Presence of strabismus
25. A school nurse is caring for a child following tonic-clonic seizure. Which of the following actions
should the nurse take first?
Check the childs respiratory rate.
26. A nurse is planning developmental activities for a newly admitted 10-year-old child who has
neutropenia. Which of the following actions should the nurse plan to take?
Provide the child with a book about adventure.
27. A nurse in a health department is caring for an emancipated adolescent who has an STI and is
unaccompanied by a guardian. Which of the following actions should the nurse take?
Have the adolescent sign a consent form for treatment.
28. A nurse is assessing an 8-year-old child who has early indications of shock. After establishing an
airway and stabilizing the childs respirations, which of the following actions should the nurse
take next?
Initiate IV access.
29. A nurse is performing hearing screenings for children at a community health fair. Which of the
following children should the nurse refer to a provider for a more extensive hearing evaluation?
An 8-month-old who is not yet making babbling sounds.
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30. A nurse is providing discharge teaching to the guardian of a school-age child who has undergone
a tonsillectomy. Which of the following statements by the guardian indicates an understanding
the teaching?
“I will notify the doctor if I notice that my child is swallowing frequently.”
31. A community health nurse is assessing an 18-month-old toddler in a community day care. Which
of the following findings should the nurse identify as a potential indication of physical neglect?
Poor personal hygiene
32. A nurse assessing a school-age child who has an infratentorial brain tumor. Which of the
following findings should the nurse identify as a manifestation of increased intracranial
pressure?
Difficulty concentrating
33. A nurse is providing teaching to an adolescent about how to manage tineapedis. Which of the
following statements by the adolescent indicates an understanding of the teaching?
“I should wear sandals as much as possible.”
34. A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a
diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the
following findings should the nurse expect?
Deep respirations of 32/min
35. A nurse is planning n educational program to teach parents about protecting their children from
sunburns. Which of the following instructions should the nurse plan to include?
“Choose a waterproof sunscreen with a minimum SPF of 15.”
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36. A nurse is providing teaching to the parents of a preschooler who has heart failure and a new
prescription for digoxin twice daily. Which of the following instructions should the nurse include
in the teaching?
“Brush the childs teeth after giving the medication.”
37. A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic
arthritis. Which if the following instructions should the nurse include in the teaching?
“Encourage the child to perform independent self-care.”
38. A nurse is creating a plan of care for a child who has varicella. Which of the following
interventions should the nurse include?
Initiate airborne precautions for the child.
39. A nurse is assessing a school-age child who has an acute spinal cord injury following a sports
injury 1 week ago. Identify the area the nurse should tap to elicit the bicep reflect.
Correct answer is A
40. A school nurse is providing an in-service for faculty about improving education for students who
have ADHD. Which of the following statements by a faculty member indicates an understanding
of the teaching?
“I will teach challenging academic subjects to students who have ADHD in the morning.”
41. A nurse is caring for a school-age child who has peripheral edema. The nurse should identify that
which of the following assessments should be performed to confirm peripheral edema?
Palpate the dorsum of the childs feet
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42. A nurse is caring for an infant who is receiving IV fluids for the treatment of Tetralogy of Fallot
and begins to have hypercryanotic spell. Which of the following actions should the nurse take?
Place the infant in a knee-chest position
43. A nurse is reviewing the dietary choices of an adolescent who has iron deficiency anemia. The
nurse should identify that which of the following menu items has the highest amount of
nonheme iron?
½ cup raisins
44. A nurse in an emergency department is assessing a 3-month-old infant who has rotavirus and is
experiencing acute vomiting and diarrhea. Which of the following manifestations should the
nurse identify as an indication that the infant has moderate to severe dehydration?
Sunken anterior fontanel
45. A nurse is planning care for a school-age child who has tunneled central venous access device.
Which of the following interventions should the nurse include in the plan?
Use a semipermeable transparent dressing to cover the site.
46. A nurse is teaching a group of parents about infectious mononucleosis. Which of the following
statements by parent indicates an understanding the teaching?
“Mononucleosis is caused by an infection with the Epstein-Barr virus.”
47. A nurse is caring for a newly admitted school-age child who has hypopituitarism. Which of the
following medications should the nurse expect the provider to prescribe?
Recombinant growth hormone
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48. A nurse is creating a plan of care for a preschooler who has Wilms’ tumor and is scheduled for
surgery. Which of the following interventions should the nurse include?
Avoid palpating the abdomen when bathing the child before surgery.
49. A nurse is providing discharge teaching to the parent of an 18-month-old toddler who has
dehydration due to acute diarrhea. Which of the following statements by the parent indicates
an understanding of the teaching?
“I will monitor my childs number of wet diapers.”
50. A nurse is teaching the guardian of a 6-month-old infant about teething. Which of the following
statements should the nurse make?
“Your baby might pull at their ears when they are teething.”
51.A nurse is creating a plan of care for a newly admitted adolescent who has bacterial meningitis.
How long should the nurse plan to maintain the adolescent in droplet precautions?
For 24 hr following initiation of antimicrobial therapy
52. A nurse is providing anticipatory guidance to the parent of a toddler. Which of the following
expected behavior characteristics of toddlers should the nurse include?
Expressed likes and dislikes
53. A nurse is admitting a 4-month-old infant who has heart failure. Which of the following findings
is the nurses priority?
Episodes of vomiting
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54. A nurse in an emergency department is assessing a toddler who has Kawasaki disease. Which of
the following findings should the nurse expect? (Select all that apply.)
-Increased temperature
-Xerophthalmia
-Cervical lymphadenopathy
55. A nurse is caring for a 10-year-old child following a head injury. Which of the following findings
should the nurse identify as an indication that the child is developing diabetes insipidus?
Sodium 155 mEq/L
56. A nurse is planning care to address nutritional needs for a preschooler who has cystic fibrosis.
Which of the following interventions should the nurse include in the plan?
Increase fat content in the childs diet to 40% of total calories.
57. A nurse is caring for a toddler who has acute otitis media and a temperature of 40 C (104 F).
After administering acetaminophen, which of the following actions should the nurse plan to take
to reduce the toddler’s temperature?
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