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RN NURSING CARE OF CHILDREN PROCTORED EXAM 2026/2027 – Complete Questions and Correct Answers | ATI Pediatrics Study Guide

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Ace your ATI Nursing Care of Children Proctored Exam with this comprehensive 2026/2027 updated study guide! This complete test bank features verified questions and correct answers covering all essential topics in pediatric nursing, including growth and development, common childhood illnesses, medications, and priority nursing interventions. Master every key concept tested on the RN Pediatrics proctored exam: Growth & Development: Anticipatory guidance (1-month immunizations, 10-month safety), developmental milestones, reflexes (rooting), and toddler negativism Respiratory Disorders: Respiratory syncytial virus (RSV), epiglottitis, asthma (albuterol, peak flow, intercostal retractions), cystic fibrosis (pancreatic enzymes, vitamin D) Cardiac Disorders: Tetralogy of Fallot (hypercyanotic episodes, knee-chest position), heart failure (tachycardia, dyspnea, bounding pulses), rheumatic fever (ASO titer), post-op cardiac surgery care Hematologic Disorders: Sickle cell crisis (warm compresses, opioid pain management), hemolytic uremic syndrome (BUN 28), iron deficiency anemia (ferrous sulfate administration) Neurologic Disorders: Seizure precautions (clear area of hard objects), head injury (vomiting), VP shunt (vomiting as sign of obstruction), brain tumor (diplopia as priority) Gastrointestinal Disorders: GERD (wheezing as priority), celiac disease (gluten-free diet), phenylketonuria (steamed carrots), Meckel diverticulum (NG tube), appendectomy (muscle rigidity post-op) Genitourinary Disorders: Glomerulonephritis (sodium restriction, periorbital edema), acute glomerulonephritis, peritoneal dialysis (obtain weight) Infectious Diseases: Impetigo (contact precautions, bactericidal ointment), pertussis (droplet precautions), pediculosis capitis (fine-tooth comb for nits), mononucleosis (cervical adenopathy) Medications & Calculations: Cephalexin dosage calculation, methylphenidate (ADHD focus), gentamicin (creatinine monitoring), digoxin teaching, acetaminophen overdose (N-acetylcysteine) Priority & Safety: Prioritizing care (sickle cell with slurred speech), atraumatic care (sucrose pacifier), mummy restraint for venipuncture, fire safety, side rail considerations End-of-Life Care: Terminal neuroblastoma ("stay close to your child"), family support Perfect for nursing students preparing for the ATI Nursing Care of Children Proctored Exam, NCLEX-RN, and pediatric nursing courses. This guide breaks down complex concepts like the difference between rheumatic fever and Kawasaki disease, when to report vital signs in a 2-year-old, and how to calculate safe medication dosages for children.

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RN NURSING CARE OF CHILDREN
PROCTORED EXAM WITH QUESTIONS
AND CORRECT ANSWER
COMPREHENSIVE PREP RSESOURCE
2026/2027


A nurse is providing anticipatory guidance to a parent of a 1- month-old infant.
The nurse

should include that it is recommended to start this series of which of the
following

immunization first?

A. Varicella

B. measles, mumps, rubella

C. Inactivated poliovirus

D. Hepatitis A tetra - ANSWERS-C. Inactivated poliovirus



A nurse is reviewing the laboratory report of a toddler who has hemolytic
uremic

syndrome. Which of the following findings should the nurse expect?

A. Creatinine 0.3 mg/dL - normal

B. Hbg 18 g/dL -this is elevated, Hbg should be decreased


pg. 1

,C. Urine casts absent - urine should be positive for casts, blood and protein

D. BUN 28 mg/dL - ANSWERS-D. BUN 28 mg/dL



A nurse is caring for a school-age child who is experiencing a sickle cell crisis.
Which of

the following actions should the nurse take? (ATI pg. 126)

A. Administer furosemide IV twice per day.

B. Apply warm compresses to the affected areas

C. Decrease the child's fluid intake

D. Initiate contact precautions. - ANSWERS-B. Apply warm compresses to the
affected

areas



A nurse is assessing a 6-month-old infant who has respiratory syncytial virus.
The nurse

should immediately report which of the following finding to the provider?

A. Rhinorrhea - Expected



B. Tachypnea

C. Pharyngitis - Expected

D. Coughing (and sneezing) - Expected - ANSWERS-B. Tachypnea




pg. 2

, A nurse is providing education about dietary modifications to the parent of a
school age child who has glomerulonephritis. Which of the following
information should the nurse include in the teaching?

A. Increase the child calcium intake

B. Decrease the Child's sodium intake

C. Increase the child's intake of carbohydrates

D. Decrease the child's fat intake - ANSWERS-B. Decrease the Child's
sodium intake

A nurse is providing teaching to the parents of a school-age child newly
diagnosed with

a seizure

disorder. The nurse should teach the parents to take which of the following
actions



during a seizure?

A. Minimize movement of the limbs

B. Insert a tongue blade between the teeth

C. Clear the area of hard object

D. Place the child in a prone position - ANSWERS-C. Clear the area of hard
object



A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of
the


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