ATI NURSING CARE OF CHILDREN
PROCTORED EXAM 2026, NURSING CARE OF
CHILDREN ATI PROCTORED EXAM
A nurse in the emergency department is caring for a 2-year-old child whowas found
by his parents crying and holding a container of toilet bowl cleaner. The child's lips
are edematous and inflamed, and he is drooling. Which of the following is the priority
action by the nurse?
a. Remove the child's contaminated clothing.
b. Check the child's respiratory status.
c. Administer an antidote to the child.
d. Establish IV access for the child.
Rationale: The nurse should apply the ABC priority-setting framework when
answering this item. This framework emphasizes the basic core of human functioning:
having an open airway, being able to breathe in adequate amounts of oxygen, and
circulating oxygen to the body's organs via the blood. An alteration in any of these can
indicate a threat to life, and is therefore the nurse’s priority concern. When applying the
ABC priority settingframework, airway is always the highest priority because the
airway must be clear and open for oxygen exchange to occur. Breathing is the second
highest priority in the ABC priority setting framework because adequate ventilatory
effort is essential in order for oxygen exchange to occur.
Circulation is the third highest priority in the ABC priority setting frameworkbecause
delivery of oxygen to critical organs only occurs if the heart andblood vessels are
capable of efficiently carrying oxygen to them. The nurse observes that the child’s
lips are edematous and inflamed and that he is drooling. These findings indicate that
the child might have swelling of the oral cavity and pharynx, which can result in a
compromised airway.
2. A nurse is teaching a parent of a 12-month old child about development during the
toddleryears. Which of the following statements should the nurseinclude?
a. "Your child should be referring to himself using the appropriate
pronoun by 18 months of age."
b. "A toddler's interest in looking at pictures occurs at 20 months of
age."
c. "A toddler should have daytime control of his bowel and bladder by
24 months of age."
1
, d. "Your child should be able to scribble spontaneously using a
crayon at the age of 15
months."
Rationale: The nurse should teach the parent that at the age of 15 months,the toddler
should be able to scribble spontaneously, and at the age of 18months, the toddler
should be able to make strokes imitatively.
3. A nurse is caring for a toddler and is preparing to administer 0.9% sodiumchloride
100 mL IV to infuse over 4 hr. The drop factor of the manual IV tubing is 60 gtt/mL.
The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the
answer to the nearest whole number. Use a leading zero if it applies. Do not use a
trailing zero.)
25 gtt
Rationale: 100ml/4 hr x 60gtt/1mlx 1 hr/60min= 6000/240= 25 gtt
Ratio and Proportion
STEP 1: What is the unit of measurement to calculate? gtt/minSTEP 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 (mindoes not
equal hr)
1 hr/60 min = 4 hr/X minX
= 240 min
STEP 5: Set up an equation and solve for X.
Volume (mL)/Time (min) = drop factor (gtt/mL) = X100
mL/240 min x 60 gtt/mL = X gtt/min
X = 25
2
PROCTORED EXAM 2026, NURSING CARE OF
CHILDREN ATI PROCTORED EXAM
A nurse in the emergency department is caring for a 2-year-old child whowas found
by his parents crying and holding a container of toilet bowl cleaner. The child's lips
are edematous and inflamed, and he is drooling. Which of the following is the priority
action by the nurse?
a. Remove the child's contaminated clothing.
b. Check the child's respiratory status.
c. Administer an antidote to the child.
d. Establish IV access for the child.
Rationale: The nurse should apply the ABC priority-setting framework when
answering this item. This framework emphasizes the basic core of human functioning:
having an open airway, being able to breathe in adequate amounts of oxygen, and
circulating oxygen to the body's organs via the blood. An alteration in any of these can
indicate a threat to life, and is therefore the nurse’s priority concern. When applying the
ABC priority settingframework, airway is always the highest priority because the
airway must be clear and open for oxygen exchange to occur. Breathing is the second
highest priority in the ABC priority setting framework because adequate ventilatory
effort is essential in order for oxygen exchange to occur.
Circulation is the third highest priority in the ABC priority setting frameworkbecause
delivery of oxygen to critical organs only occurs if the heart andblood vessels are
capable of efficiently carrying oxygen to them. The nurse observes that the child’s
lips are edematous and inflamed and that he is drooling. These findings indicate that
the child might have swelling of the oral cavity and pharynx, which can result in a
compromised airway.
2. A nurse is teaching a parent of a 12-month old child about development during the
toddleryears. Which of the following statements should the nurseinclude?
a. "Your child should be referring to himself using the appropriate
pronoun by 18 months of age."
b. "A toddler's interest in looking at pictures occurs at 20 months of
age."
c. "A toddler should have daytime control of his bowel and bladder by
24 months of age."
1
, d. "Your child should be able to scribble spontaneously using a
crayon at the age of 15
months."
Rationale: The nurse should teach the parent that at the age of 15 months,the toddler
should be able to scribble spontaneously, and at the age of 18months, the toddler
should be able to make strokes imitatively.
3. A nurse is caring for a toddler and is preparing to administer 0.9% sodiumchloride
100 mL IV to infuse over 4 hr. The drop factor of the manual IV tubing is 60 gtt/mL.
The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the
answer to the nearest whole number. Use a leading zero if it applies. Do not use a
trailing zero.)
25 gtt
Rationale: 100ml/4 hr x 60gtt/1mlx 1 hr/60min= 6000/240= 25 gtt
Ratio and Proportion
STEP 1: What is the unit of measurement to calculate? gtt/minSTEP 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 (mindoes not
equal hr)
1 hr/60 min = 4 hr/X minX
= 240 min
STEP 5: Set up an equation and solve for X.
Volume (mL)/Time (min) = drop factor (gtt/mL) = X100
mL/240 min x 60 gtt/mL = X gtt/min
X = 25
2
