ATI Nursing Care of Children Proctored Exam Version 3| Questions and Answers with Rationales} Latest 2022/2023

ATI Nursing Care of Children Proctored Exam Version 3| Questions and Answers with Rationales 1. A nurse is reinforcing teaching with the parent of a child who is being treated with diphenhydramine for allergic rhinitis. The nurse should tell the parent to monitor the child for which of the following? A. Polyuria B. Drowsiness (Diphenhydramine can cause drowsiness due to CNS depression. The nurse should reinforce with the parent to administer the medication at bedtime to avoid daytime sedation.) C. Drooling D. Hypogeusia 2. A nurse is caring for a toddler who has terminal cancer and is receiving hospice care. The child’s parent tells the nurse. “I’m a bad parent, and I can’t deal with this.” Which of the following responses should the nurse make? A. "Tell me more about what you are feeling." (The nurse should use open-ended statements that will allow the parent to share his feelings and emotions. During times of grief, the parent needs to express his emotions. The use of an open-ended statement relays the message that it is safe to do so with the nurse.) B. "I understand how you are feeling." C. "Let's talk about home care for your child." D. "I'm sure you're just tired right now." 3. A nurse is preparing to administer levalbuterol via nebulizer to a child with asthma. Which of the following data should the nurse collect prior to administering the medication? A. Peak flow reading B. Lung sounds (Levalbuterol is a bronchodilator used to increase air exchange. The nurse should evaluate lung sounds prior to and after the administration of the medication to determine changes in respiratory status.) C. ABGs D. Inspiratory reserve volume 4. A nurse is preparing to obtain a peak expiration flow rate from an adolescent. Which of the following actions should the nurse take? A. Document the average of the client's three attempts. B. Instruct the client to exhale slowly over 5 seconds into the meter. C. Determine the zone according to the client's age. D. Have the client stand during the procedure. (To obtain the peak expiratory flow rate, the nurse should have the client stand during the procedure, which will allow the nurse to get an accurate reading.) 5. A nurse is contributing to the pan of care for a child who is in Buck’s traction. Which of the following interventions should the nurse include in the plan? A. Remove the weights when changing the bed linens. B. Maintain the leg in an extended position. (The nurse should have the child maintain her affected leg in an extended position while in Buck's traction. This position decreases the risk for further injury to the extremity and minimizes the occurrence of muscle spasms.) C. Monitor the halo device every 4 hr. D. Provide pin care as prescribed. 6. A nurse is assisting with the care of plan of a 4-year-old child who is prescribed an IV medication preoperatively. Which of the following techniques should the nurse use to assist the child to cope with this procedure? (Select all that apply) A. Discuss benefits of the procedure. (The nurse should discuss the benefits of the procedure with the child, because this action is an age-appropriate activity that will decrease the child's anxiety about the procedure. It will also provide an opportunity for the nurse to clarify any misconceptions the child might have about the procedure.) B. Provide the child with a detailed explanation of the procedure. C. Implement interactive sessions of 30 min. D. Give the child needleless IV supplies to play with. (The nurse should allow the child to see, hold, and collect the supplies to familiarize the child with the potentially frightening aspects of the procedure, which will decrease the child's anxiety.) E. Allow the child to perform the procedure with a doll. (The nurse should allow the child to mimic the procedure with a doll to alleviate anxiety. It will also provide an opportunity for the nurse to clarify any misconceptions the child might have about the procedure.) 7. A nurse is reviewing the plan of care for a child who has cystic fibrosis. Which of the following is the priority goal for this child? A. The child will participate in age-appropriate recreational activities. B. The child will maintain an effective breathing pattern. (Manifestations of cystic fibrosis, such as chronic cough, pulmonary infection, and bronchiolar obstruction lead to severely impaired ventilation and gas exchange, which causes long-term pulmonary complications. Therefore, when utilizing the airway, breathing, circulation approach to client care, maintaining an effective breathing pattern is the priority goal for the child who has cystic fibrosis.) C. The child will maintain an adequate bowel elimination pattern. D. The child will receive immunizations as recommended 8. A nurse is collecting physical data from a 4-year-old child who has diarrhea and has been vomiting for 24 hr. which of the following sites should the nurse grasp to determine the child’s skin turgor? A. The child's sacral area. B. The top of the child's hand. C. The child's sternal area. D. The child's abdomen. (The nurse should expect the child who has diarrhea and has been vomiting to exhibit manifestations of dehydration, such as a decrease in skin turgor. To check skin turgor, the nurse should grasp the skin on the child's abdomen, pull it taut, and release it quickly. The child who is dehydrated will have a prolonged period of tenting.) 9. A nurse is caring for a 1-month-old infant who has a nasogastric tube in place for intermittent feedings. Which of the following actions should the nurse take? A. Position the head of the crib at a 30° angle between feedings. (The nurse should place the infant with the head of the crib elevated 30° to 45° to prevent aspiration.) B. Place the infant on her left side after a feeding. C. Administer feedings over 5 min. D. Flush the tube with 30 mL of tap water. 10. A nurse is reinforcing teaching with the family of an adolescent client who was recently diagnosed with celiac disease. Which of the following foods should the nurse recommend? A. Graham crackers B. Rye bread C. Whole wheat spaghetti D. Yellow corn (A client who has celiac disease is unable to process gluten, a protein found in wheat, barley, rye, and oats. The nurse should instruct the family that the client's diet is restricted to foods that are free of gluten, such as corn, rice, and millet.) 11. A nurse is reinforcing teaching with the parents of a 2-year-old toddler at a well-child visit. Which of the following should the nurse recommend as an age-appropriate activity for the toddler? A. Creating a rock collection B. Learning the alphabet with flash cards