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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.
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
The nurse should identify the sound heard during auscultation as tachypnea, which
Page 1 of 27
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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
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
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C- administer the immunization using a 24 gauge needle
D- inject the immunization slowly after aspirating for 3 seconds
Page 2 of 27
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.
C- A urine specific gravity of 1.035 is above the expected reference range
and indicates concentrated urine.
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D- A BUN level of 25 mg/dL is above the expected reference range and indicates
the kidneys are not excreting BUN as they should be.
The nurse is providing teaching about Social Development to the parents of a
preschooler. Which of the following play activities should the nurse recommend
for the child?
A- Play pat-a-cake
Page 3 of 27
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up
Answer - d
The nurse should instruct the parents that at the preschool age, play should
focus on social, mental, and physical development. Therefore, playing dress-up
is a recommended play activity for this child.
A- Playing pat-a-cake is a recommended play activity for an infant.
B- Using a push pull toy is a recommended play activity for a toddler.
C- Creating a scrapbook is a recommended play activity for a school-age child.
A nurse is teaching the parents of a newborn about ways to prevent
sudden infant death syndrome SIDS. Which of the following instructions
should the nurse include?
A- Place the infant in a prone position to sleep.
B- Allow the infant to sleep on a large pillow.
C- User soft mattress in the infant's crib.
D- Give the infant a pacifier at bedtime.
Answer- d
The nurse should inform the parent that protective factors against SIDS include
breastfeeding and the use of a pacifier when the infant is sleeping.
A- The nurse should instruct the parent to place the infant in a supine position
to sleep. Prone and side-lying positions are risk factors for SIDS.
NURS 212 -ATI RN Nursing Care of
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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.
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
The nurse should identify the sound heard during auscultation as tachypnea, which
Page 1 of 27
NURS 212 -ATI RN Nursing Care of
Children Online Practice With Latest
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, NURS 212 -ATI RN Nursing Care of
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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
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
NURS 212 -ATI RN Nursing Care of
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, NURS 212 -ATI RN Nursing Care of
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C- administer the immunization using a 24 gauge needle
D- inject the immunization slowly after aspirating for 3 seconds
Page 2 of 27
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.
C- A urine specific gravity of 1.035 is above the expected reference range
and indicates concentrated urine.
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D- A BUN level of 25 mg/dL is above the expected reference range and indicates
the kidneys are not excreting BUN as they should be.
The nurse is providing teaching about Social Development to the parents of a
preschooler. Which of the following play activities should the nurse recommend
for the child?
A- Play pat-a-cake
Page 3 of 27
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up
Answer - d
The nurse should instruct the parents that at the preschool age, play should
focus on social, mental, and physical development. Therefore, playing dress-up
is a recommended play activity for this child.
A- Playing pat-a-cake is a recommended play activity for an infant.
B- Using a push pull toy is a recommended play activity for a toddler.
C- Creating a scrapbook is a recommended play activity for a school-age child.
A nurse is teaching the parents of a newborn about ways to prevent
sudden infant death syndrome SIDS. Which of the following instructions
should the nurse include?
A- Place the infant in a prone position to sleep.
B- Allow the infant to sleep on a large pillow.
C- User soft mattress in the infant's crib.
D- Give the infant a pacifier at bedtime.
Answer- d
The nurse should inform the parent that protective factors against SIDS include
breastfeeding and the use of a pacifier when the infant is sleeping.
A- The nurse should instruct the parent to place the infant in a supine position
to sleep. Prone and side-lying positions are risk factors for SIDS.
NURS 212 -ATI RN Nursing Care of
Children Online Practice With Latest
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