ATI NURSING CARE OF THE CHILD BEST EXAM SOLUTION PROCTORED EXAM
STUDY GUIDE EXAM 100 % CORRECT
1. A phone triage nurse is talking to the parents of a toddler who states, “My
child has placed a bead in his nose and I don’t know what to do”. Which of
the following is an appropriate response by the nurse:
a. Try removing the bead using a pair of tweezers
b. Take your child to the pediatrician in the morning
c. Take your child to the emergency department now
d. Have your child blow his nose to dislodge the bead
2. A nurse is teaching an adolescent who has a prescription for nystatin
(Troche) orally. Which of the following should the nurse include in the
teaching:
a. “Rinse immediately following the troche.”
b. “You should avoid taking the troche with milk.”
c. “Avoid taking anything by mouth 30 mins after taking the troche.”
d. “You should chew the troche completely.”
3. A nurse is caring for a child who has a tracheostomy, which of the
following techniques should the nurse to suction the child?
a. Insert the catheter 2cm beyond the end of the tracheostomy tube
b. Remove the catheter while applying intermittent suction
c. Instill saline to loosen secretions while suctioning
d. Continue suctioning until the secretions are removed
4. A toddler is admitted to the hospital with gastroenteritis and positive for a
rotavirus. For which of the following should the nurse wear a gown and
don gloves?
a. Delivering the food tray
, b. Administering medication
c. Assessing the IV site
d. Changing the bed linens
5. A nurse is providing education to the parent of a child who has cystic
fibrosis and has a prolapsed rectum. The nurse should teach that which of
the following is a cause of this complication:
a. Bulky stools
b. Weakened rectal sphincter
c. Elevated pancreatic enzymes
d. Decreased intra abdominal pressure
6. A pre-schooler is admitted to the emergency department with full thickness
third degree burn over 45% of his body. Which of the following actions
should the nurse take first:
a. Administer IV morphine
b. Administer IV antibiotics
c. Administer IV solutions
d. Administer total parenteral nutrition
7. A nurse is providing teaching to a parent of a pre-schooler who has
Tinea Capitis. Which of the following should the nurse include in the
teaching:
a. Apply 1 to 20 burrow’s solution compressed to the lesions
b. Apply hydrocortisone cream to the lesions twice daily
c. Seal and wash toys in plastic bag for two weeks
d. Leave the shampoo on the scalp for 5 to 10 minutes
8. A nurse is educating the parents of an infant who has mild
gastroesophageal reflux. Which dietary adjustment should the nurse
recommend?
, a. Provide a little sprout formula
b. Administer nasogastric feedings
c. Thicken feedings with rice cereal
d. Place infant in a lateral position for one hour after feedings
9. A nurse is caring for a child who has sickle cell anemia. Which of the
following signs of acute chest syndrome should the nurse report to the
primary care provide immediately:
a. Congestive cough
b. Dilute hearing
c. Hct of 10g/dl
d. Systolic murmur
A nurse is instructing the parent of an infant who has clubfeet and
has cast applied. Which of the following statements by the parent
indicates a need for further teaching:
e. My baby will need to return to have his cast changed weekly
f. I need to check my baby’s toes for any discolorations daily
g. My baby will need to have surgery at 18 months if his toes
aren’t fixed
h. I will check the skin around my baby’s cast at every diaper change.
10. A nurse is assessing a 3month old infant for suspected intussusception. Which
of the following findings should the nurse expect:
a. Jelly-like stool
b. Board-like abdomen
c. Projectile vomiting
d. Oliguria
STUDY GUIDE EXAM 100 % CORRECT
1. A phone triage nurse is talking to the parents of a toddler who states, “My
child has placed a bead in his nose and I don’t know what to do”. Which of
the following is an appropriate response by the nurse:
a. Try removing the bead using a pair of tweezers
b. Take your child to the pediatrician in the morning
c. Take your child to the emergency department now
d. Have your child blow his nose to dislodge the bead
2. A nurse is teaching an adolescent who has a prescription for nystatin
(Troche) orally. Which of the following should the nurse include in the
teaching:
a. “Rinse immediately following the troche.”
b. “You should avoid taking the troche with milk.”
c. “Avoid taking anything by mouth 30 mins after taking the troche.”
d. “You should chew the troche completely.”
3. A nurse is caring for a child who has a tracheostomy, which of the
following techniques should the nurse to suction the child?
a. Insert the catheter 2cm beyond the end of the tracheostomy tube
b. Remove the catheter while applying intermittent suction
c. Instill saline to loosen secretions while suctioning
d. Continue suctioning until the secretions are removed
4. A toddler is admitted to the hospital with gastroenteritis and positive for a
rotavirus. For which of the following should the nurse wear a gown and
don gloves?
a. Delivering the food tray
, b. Administering medication
c. Assessing the IV site
d. Changing the bed linens
5. A nurse is providing education to the parent of a child who has cystic
fibrosis and has a prolapsed rectum. The nurse should teach that which of
the following is a cause of this complication:
a. Bulky stools
b. Weakened rectal sphincter
c. Elevated pancreatic enzymes
d. Decreased intra abdominal pressure
6. A pre-schooler is admitted to the emergency department with full thickness
third degree burn over 45% of his body. Which of the following actions
should the nurse take first:
a. Administer IV morphine
b. Administer IV antibiotics
c. Administer IV solutions
d. Administer total parenteral nutrition
7. A nurse is providing teaching to a parent of a pre-schooler who has
Tinea Capitis. Which of the following should the nurse include in the
teaching:
a. Apply 1 to 20 burrow’s solution compressed to the lesions
b. Apply hydrocortisone cream to the lesions twice daily
c. Seal and wash toys in plastic bag for two weeks
d. Leave the shampoo on the scalp for 5 to 10 minutes
8. A nurse is educating the parents of an infant who has mild
gastroesophageal reflux. Which dietary adjustment should the nurse
recommend?
, a. Provide a little sprout formula
b. Administer nasogastric feedings
c. Thicken feedings with rice cereal
d. Place infant in a lateral position for one hour after feedings
9. A nurse is caring for a child who has sickle cell anemia. Which of the
following signs of acute chest syndrome should the nurse report to the
primary care provide immediately:
a. Congestive cough
b. Dilute hearing
c. Hct of 10g/dl
d. Systolic murmur
A nurse is instructing the parent of an infant who has clubfeet and
has cast applied. Which of the following statements by the parent
indicates a need for further teaching:
e. My baby will need to return to have his cast changed weekly
f. I need to check my baby’s toes for any discolorations daily
g. My baby will need to have surgery at 18 months if his toes
aren’t fixed
h. I will check the skin around my baby’s cast at every diaper change.
10. A nurse is assessing a 3month old infant for suspected intussusception. Which
of the following findings should the nurse expect:
a. Jelly-like stool
b. Board-like abdomen
c. Projectile vomiting
d. Oliguria
