ATI RN Nursing Care of Children Proctored Exam ( Latest Versions) EXPERT VERIEFED Answers
30. A nurse is assessing a 12-month-old male infant's
... [Show More] vital signs during a well-child visit. The
infant is in the 90th percentile of height. Which of the following findings should the nurse
report to the provider?
a. Heart rate 175/min
b. Respiratory rate 26/min
c. Blood pressure 88/40 mm Hg)
d. Temperature 37.6° C (99.7° F
Rationale: A heart rate of 175/min is above the expected reference range for a 12-month-old
infant; therefore, the nurse should report this finding to the provider.
31. A nurse is teaching the parent of a 12-month-old infant about nutrition. Which of the
following statements by the parent indicates a need for further teaching?
a. "I can give my baby 4 ounces of juice to drink each day."
b. "I will offer my baby dry cereal and chilled banana slices as snacks."
c. "I am introducing my baby to the same foods the family eats."
d. "My infant drinks at least 2 quarts of skim milk each day."
Rationale: As the infant transitions into toddlerhood, whole milk intake should average 24 to 30
oz per day. Too much milk can affect intake of solid foods and result in iron deficiency anemia.
Skim milk is not recommended until after age 2 since it lacks essential fatty acids which are
needed for growth and development.
32. A nurse is assisting a provider during a femoral venipuncture on a toddler. The nurse should
place the child in which of the following positions?
a. Side-lying
b. Semi-recumbent
c. Flexed sitting
d. Supine
Rationale: The client is placed in the supine position, with the client's legs in a frog position.
33. A nurse is assessing a 9-month-old infant during a well-child visit. Which of the following
findings indicates that the infant has a developmental delay?
a. Creeps on hands and knees
b. Inability to vocalize vowel sounds
c. Uses crude pincer grasp
d. Stands by holding onto support
Rationale: The infant should begin vocalizing vowel sounds at the age of 7 months, and by the
age of 10 months, be able to say at least one word.
34. A nurse is preparing to administer a liquid medication to an infant. Which of the following
actions should the nurse take?
a. Administer the medication while the infant is supine.
b. Give the medication at the side of the infant's mouth.
c. Add the medication to a full bottle of the infant's formula.
d. Administer the medication slowly while holding the nares closed.
Rationale: When administering medications to an infant, a needleless oral syringe or medicine
dropper is placed in the side of the mouth (buccal cavity alongside the tongue) to prevent
gagging and aspiration.
35. A nurse on a pediatric unit is reviewing the health record of a client who is demonstrating
increasing levels of stress after admission. The nurse should identify which of the following
findings as a risk factor for a stress-related reaction to hospitalization? a. Age 10
b. First hospitalization
c. Male gender
d. Calm, quiet demeanor
Rationale: Male clients are at increased risk for hospitalization-related stress compared to
female clients.
36. A nurse in the emergency department is caring for a 12-year-old child who has ingested
bleach. Which of the following statements by the nurse indicated an understanding of this
ingestion?
a. "The absence of oral burns excludes the possibility of esophageal burns."
b. "Treatment focuses on neutralization of the chemical."
c. "Injury by a corrosive liquid is more extensive than by a corrosive solid."
d. "Immediate administration of activated charcoal is warranted."
Rationale: The coating action of liquids permits larger areas of contact with tissues and
results in more extensive injury. [Show Less]