2
N212 ATI RN Nursing Care of Children
Online Practice
Teaching the parents of a school-aged child who has a new diagnosis of osteomyelitis of the tibia. The
nurse should identify that which of the following statements by the parents indicates an
understanding of the teaching?
my child will have a cast until healing is complete.
My child will receive antibiotics for several weeks.
My child can return to playing sports once he is discharged.
My child needs to be in contact isolation.
Answer: b
The nurse should instruct the parent that the child will receive antibiotic therapy for at least 4
weeks. Surgery might be indicated if the antibiotics are not successful.
A - incorrect
Weight bearing must be avoided with osteomyelitis. Therefore, the child is placed in a
comfortable position with the limb supported. There is no indication for a cast.
C- incorrect
Weight bearing should be avoided to prevent complications and minimize pain. Therefore, it
will be several weeks to months before the child can play contact sports.
D- incorrect
Contact isolation is NOT necessary, because osteomyelitis is not a communicable illness.
The nurse should identify the sound heard during auscultation as tachypnea, which is a rapid,
regular breathing pattern. This breathing pattern often occurs with anxiety, fever, metabolic
acidosis, or severe anemia.
A- Biot's respirations are periods of apnea alternating with two or three shallow breaths.
B- Cheyne-Stokes respirations are periods of apnea alternating with periods of
hyperventilation.
D- Bradypnea is a slow, regular breathing pattern.
A nurse in an emergency department is caring for a school-age child who is experiencing an
anaphylactic reaction. Which of the following is the priority action by the nurse?
A- Elevate the head of the child's bed
B- insert a large-bore IV catheter for the child
C- determine the allergen that caused the child's reaction
D- administer IM epinephrine to the child
Answer- d
Page 1 of 27
, 2
When using the urgent vs nonurgent approach to client care, the nurse determines that the
priority action is administering IM epinephrine to the child. During an anaphylactic reaction,
histamine release causes bronchoconstriction and vasodilation. This is an emergency because
ultimately it causes decreased blood return to the heart.
A- Elevating the head of the child's bed is important to facilitate breathing and circulation.
However, it is not the priority action the nurse should take.
B- Inserting a large bore IV catheter is important to facilitate administration of IV fluids and
medications. However, it is not the priority action the nurse should take.
C- Determining the allergen that caused the child's reaction is important to prevent any
additional episodes of anaphylaxis. However, it is not the priority action the nurse should take.
The nurse is preparing to administer an immunization to a four-year-old child. Which of the
following actions should the nurse plan to take?
A- Place the child in a prone position for the immunization
B- request that the child's caregiver leave the room during the immunization
C- administer the immunization using a 24 gauge needle
D- inject the immunization slowly after aspirating for 3 seconds
Answer - c
The nurse should administer an immunization for a 4-year-old child using a 24-gauge needle to
minimize the amount of pain experienced by the toddler.
A- The nurse should place the child in an upright sitting position for the immunization because
this decreases the child's fear and anxiety.
B- The nurse should allow the caregiver to stay near the child during the immunization to
provide a sense of security and reduce the child's anxiety level.
D- The nurse should inject the immunization rapidly and avoid aspiration. These
actions decrease the risk of needle displacement and lower the child's fear and anxiety
level by decreasing the amount of time it takes to administer the immunization.
A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe
dehydration. The nurse should identify which of the following laboratory values indicates
effectiveness of the current treatment?
A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg
Answer- b
The nurse should identify that a sodium level of 140 mEq/L is within the expected
reference range and indicates the current treatment regimen the infant is receiving for
dehydration is effective.
A- A potassium level of 2.9 mEq/L is below the expected reference range and
indicates hypokalemia.
Page 2 of 27
, 2
A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the
sound as which of the following? Click the audio button to listen.
A- Biots respiration
B- Chaney Stokes respiration
C- tackypnea
D - Bradypnea
Answer- c
A nurse is creating an educational plan to teach parents about protecting their children from
sun burns. Which of the following instructions should the nurse plan to include?
A- Choose a waterproof sunscreen with an SPF of at least 15
B- apply sunscreen liberally to infants over three months of age
C- dress children in a loose weave polyester fabric prior to sun exposure
D- reapply sunscreen every 4 hours
Answer- a
The nurse should instruct parents to apply a waterproof sunscreen with an SPF of at least 15 for
children. The parents should apply the sunscreen prior to sun exposure to reduce the risk of
sunburn.
B- The nurse should instruct parents to avoid the liberal application of sunscreen on infants
under the age of 6 months. Parents should only apply sunscreen on infants under 6 months to
small areas of exposed skin and should take other measures to reduce or prevent sun
exposure. C- The nurse should instruct parents to dress their children in a tight weave cotton
fabric prior to sun exposure to protect the skin.
D- The nurse should instruct parents to reapply sunscreen every 2 to 3 hr.
Page 3 of 27
N212 ATI RN Nursing Care of Children
Online Practice
Teaching the parents of a school-aged child who has a new diagnosis of osteomyelitis of the tibia. The
nurse should identify that which of the following statements by the parents indicates an
understanding of the teaching?
my child will have a cast until healing is complete.
My child will receive antibiotics for several weeks.
My child can return to playing sports once he is discharged.
My child needs to be in contact isolation.
Answer: b
The nurse should instruct the parent that the child will receive antibiotic therapy for at least 4
weeks. Surgery might be indicated if the antibiotics are not successful.
A - incorrect
Weight bearing must be avoided with osteomyelitis. Therefore, the child is placed in a
comfortable position with the limb supported. There is no indication for a cast.
C- incorrect
Weight bearing should be avoided to prevent complications and minimize pain. Therefore, it
will be several weeks to months before the child can play contact sports.
D- incorrect
Contact isolation is NOT necessary, because osteomyelitis is not a communicable illness.
The nurse should identify the sound heard during auscultation as tachypnea, which is a rapid,
regular breathing pattern. This breathing pattern often occurs with anxiety, fever, metabolic
acidosis, or severe anemia.
A- Biot's respirations are periods of apnea alternating with two or three shallow breaths.
B- Cheyne-Stokes respirations are periods of apnea alternating with periods of
hyperventilation.
D- Bradypnea is a slow, regular breathing pattern.
A nurse in an emergency department is caring for a school-age child who is experiencing an
anaphylactic reaction. Which of the following is the priority action by the nurse?
A- Elevate the head of the child's bed
B- insert a large-bore IV catheter for the child
C- determine the allergen that caused the child's reaction
D- administer IM epinephrine to the child
Answer- d
Page 1 of 27
, 2
When using the urgent vs nonurgent approach to client care, the nurse determines that the
priority action is administering IM epinephrine to the child. During an anaphylactic reaction,
histamine release causes bronchoconstriction and vasodilation. This is an emergency because
ultimately it causes decreased blood return to the heart.
A- Elevating the head of the child's bed is important to facilitate breathing and circulation.
However, it is not the priority action the nurse should take.
B- Inserting a large bore IV catheter is important to facilitate administration of IV fluids and
medications. However, it is not the priority action the nurse should take.
C- Determining the allergen that caused the child's reaction is important to prevent any
additional episodes of anaphylaxis. However, it is not the priority action the nurse should take.
The nurse is preparing to administer an immunization to a four-year-old child. Which of the
following actions should the nurse plan to take?
A- Place the child in a prone position for the immunization
B- request that the child's caregiver leave the room during the immunization
C- administer the immunization using a 24 gauge needle
D- inject the immunization slowly after aspirating for 3 seconds
Answer - c
The nurse should administer an immunization for a 4-year-old child using a 24-gauge needle to
minimize the amount of pain experienced by the toddler.
A- The nurse should place the child in an upright sitting position for the immunization because
this decreases the child's fear and anxiety.
B- The nurse should allow the caregiver to stay near the child during the immunization to
provide a sense of security and reduce the child's anxiety level.
D- The nurse should inject the immunization rapidly and avoid aspiration. These
actions decrease the risk of needle displacement and lower the child's fear and anxiety
level by decreasing the amount of time it takes to administer the immunization.
A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe
dehydration. The nurse should identify which of the following laboratory values indicates
effectiveness of the current treatment?
A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg
Answer- b
The nurse should identify that a sodium level of 140 mEq/L is within the expected
reference range and indicates the current treatment regimen the infant is receiving for
dehydration is effective.
A- A potassium level of 2.9 mEq/L is below the expected reference range and
indicates hypokalemia.
Page 2 of 27
, 2
A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the
sound as which of the following? Click the audio button to listen.
A- Biots respiration
B- Chaney Stokes respiration
C- tackypnea
D - Bradypnea
Answer- c
A nurse is creating an educational plan to teach parents about protecting their children from
sun burns. Which of the following instructions should the nurse plan to include?
A- Choose a waterproof sunscreen with an SPF of at least 15
B- apply sunscreen liberally to infants over three months of age
C- dress children in a loose weave polyester fabric prior to sun exposure
D- reapply sunscreen every 4 hours
Answer- a
The nurse should instruct parents to apply a waterproof sunscreen with an SPF of at least 15 for
children. The parents should apply the sunscreen prior to sun exposure to reduce the risk of
sunburn.
B- The nurse should instruct parents to avoid the liberal application of sunscreen on infants
under the age of 6 months. Parents should only apply sunscreen on infants under 6 months to
small areas of exposed skin and should take other measures to reduce or prevent sun
exposure. C- The nurse should instruct parents to dress their children in a tight weave cotton
fabric prior to sun exposure to protect the skin.
D- The nurse should instruct parents to reapply sunscreen every 2 to 3 hr.
Page 3 of 27
