Care of Children assessmen
EXAM PREP
(NGN - STYLE QUESTIONS & CASE “SCENARIOS ”)
Answers with detailed Rationale
What You’ll Get:
➢ Exam has 60 assessment nursing questions
• PN / LPN-focused content
• Practice-style questions
• Answer explanations (rationales)
• Clear, organized format for easy studying
• Printable & digital-friendly
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,1.1 A nurse is caring for a child who has been in the hospital for an extended
period. Which of the following actions by the nurse demonstrate family-
centered care? (Select all that apply.)
A. Offer ongoing communication with the child and caregivers.
B. Exclude the caregivers from participating in the child's care.
C. Include the caregivers in development of the child's plan of care.
D. Make medical decisions for the family without input.
Answer: A and C. Offer ongoing communication with the child and caregivers;
Include the caregivers in development of the child's plan of care.
Rationale: Family-centered care emphasizes collaboration, respect, and
partnership with caregivers.
Ongoing communication and including caregivers in the plan of care support trust,
shared decision-making, and the child's emotional well-being.
2.2 A nurse is caring for a client and family newly admitted to the inpatient
pediatrics unit. Which of the following is the best way for the nurse to support
the family's religious beliefs and practices?
A. Ask the client and family open-ended questions about their religious
preferences.
B. Delay care until the family volunteers all spiritual information.
C. Assume the family follows the same practices as others from a similar
background.
D. Discourage discussion of religion because it is private.
Answer: A. Ask the client and family open-ended questions about their religious
preferences.
Rationale: Open-ended questioning is culturally sensitive and helps the nurse
individualize care.
,VATI pediatric care supports respectful assessment of family beliefs rather than
making assumptions or avoiding the topic.
3.3 A nurse is reinforcing discharge teaching to the caregivers of a toddler. Which
of the following statements by a caregiver indicates an understanding of the
teaching?
A. "As our child grows, there are new safety measures we need to understand."
B. "The same safety rules will apply until our child starts school."
C. "Toddlers no longer need close supervision once the home is childproofed."
D. "We can relax most precautions after age 2."
Answer: A. "As our child grows, there are new safety measures we need to
understand."
Rationale: Safety teaching changes with developmental stage.
Toddlers gain mobility and curiosity quickly, so caregivers must adapt precautions
as new risks emerge.
4.4 A nurse is caring for a 10-year-old child during a routine well-child visit and
notes the child's BMI is in the 95th percentile for their age and gender. Which of
the following actions should the nurse take? (Select all that apply.)
A. Offer education regarding nutrition and exercise to both the client and family.
B. Refer the client and family to dietitian support.
C. Wait 1 year to readdress the issue if the child remains asymptomatic.
D. Facilitate a conversation to address the family's food availability and resources.
Answer: A, B, and D. Offer education regarding nutrition and exercise to both
the client and family; Refer the client and family to dietitian support; Facilitate a
conversation to address the family's food availability and resources.
, Rationale: A BMI at the 95th percentile indicates obesity risk and warrants early
intervention. VATI emphasizes family-based teaching, interdisciplinary support,
and screening for social factors that influence nutrition and health.
5.5 A nurse is caring for a 4-year-old admitted to the inpatient pediatrics unit.
Which of the following actions by the nurse demonstrates advocacy for the
client?
A. Communicating the child's needs to the interdisciplinary team.
B. Waiting for another discipline to raise concerns first.
C. Discussing the child's needs only with the caregivers.
D. Making decisions for the child without consultation.
Answer: A. Communicating the child's needs to the interdisciplinary team.
Rationale: Advocacy means speaking up to ensure the child's needs are
recognized and addressed.
Coordinating with the interdisciplinary team helps protect safety and promote
holistic pediatric care.
6.6 A nurse is reinforcing teaching to caregivers of an 11-year-old client
regarding the importance of peers and social activities. Which of the following
statements by the caregiver indicate an understanding of the teaching? (Select
all that apply.)
A. "During the school-age years, children are motivated to build friendships and fit
in with groups."
B. "Peers can help children build strong bonds, develop social skills, and support
each other."
C. "Social influences on clients should be monitored because they may include
risky behaviors that can poorly impact mental health."
D. "At this age, peer relationships are much less important than family
relationships."