ATI Care of Children RN 2019 Proctored Exam
A nurse is assessing a school-age child who has heart failure and is taking
furosemide.Which of the following findings should the nurse identify as an indication that
the medication is effective?
a. An increase in venous pressure
b. a decrease in peripheral edema
c. a decrease in cardiac outputd. an increase in potassium levels - Answer- a decrease
in peripheral edema
A nurse is assessing an infant who has acute otitis media. Which of the following
findings should the nurse expect (select all that apply)
a. Increased appetite
b. enlarged subclavian lymph node
c. Crying
d. Restlessness
e. Fever - Answer- Crying, Restlessness, Fever
A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine
lontophoresis Testing for Cystic Fibrosis. Which of the following statements should the
nurse include in the teaching?
a. We will measure the amount of protein in your baby's urine over 24 hour period
b. The test will measure the amount of water in your baby's sweat
c. a nurse will insert an IV prior to the test
d. your baby will need to fast for 8 hours prior to the test - Answer- b. The test will
measure the amount of water in your baby's sweat
A nurse in an urgent care clinic is prioritizing care for children. Which of the following
children should the nurse assess first?
a. A toddler who has nephrotic syndrome and facial edema
b. a preschool-age child who has a muffled voice and no spontaneous cough
c. a preschool-age child who has diabetes mellitus and a blood glucose of 200 mg/dL
d. an adolescent who has Crohn's disease and recent weight loss of 5kg mg (11 lb) -
Answer- b. a preschool-age child who has a muffled voice and no spontaneous cough
A nurse is providing teaching to the parents of a toddler who is to undergo a sweat
chloride test. Which of the following statements should the nurse include?
a. The purpose of the test is to determine if your child has Crohn's disease
b. the technician will use a device to produce an electrical current during the test
c. during the test, your child will be in a room that is cold
d. your child sweat will be collected over 24 hours - Answer- d. your child sweat will be
collected over 24 hours
A nurse in the emergency department is caring for an adolescent who is requesting
testing for STI. Which of the following action is appropriate for the nurse to take?
, a. Request verbal consent from the social worker
b. contact the client's parents to obtain phone consent
c. postpone the testing until the client's parents are present
d. obtain written consent from the client - Answer- d. obtain written consent from the
client
A nurse in the emergency department is assessing the toddler who has hyperpyrexia
severe dyspnea and drooling which of the following actions should the nurse take first?
a. obtain a blood culture from the toddler
b. administering antibiotic to the toddler
c. insert an IV catheter for the toddler
d. prepare the toddler for nasotracheal intubation - Answer- d. prepare the toddler for
nasotracheal intubation
A nurse is providing teaching to a 10 year old child with scheduled for an arterial cardiac
catheterization. Which of the following information should the nurse include in the
teaching?
a. You will have your dressing removed 12 hours after the procedure
b. you will need to keep your legs straight for 8 hours following the procedure
c. you will be on a clear liquid diet for 24 hours following the procedure
d. you will be on bed rest for 2 days after the procedure - Answer- b. you will need to
keep your legs straight for 8 hours following the procedure
A nurse is caring for a preschooler who is post-operative following a tonsillectomy. The
childis now ready to resume oral intake which of the following dietary choices
should the nurse offer the child?
a. sugar-free Cherry gelatin
b. vanilla ice cream
c. chocolate milk
d. lime flavored ice pop - Answer- d. lime flavored ice pop
A nurse is caring for a 10 month old child was brought to the emergency department by
his parents following a head injury. Which of the following actions should the nurse take
first?
a. Inspect for fluid leaking from the ears (thinking about CSF leakage severe trauma
=urgent, after respiratory status is confirmed)
b. assess respiratory status
c. check pupil reactions
d. examine the scalp for lacerations - Answer- b. assess respiratory status
A charge nurse is planning care for an infant who has failure to thrive. Which of the
followingactions should the nurse include in the plan of care?
a. Assign consistent nursing Staff Care for the infant
b. Keep infant in a visually stimulating environment
c. use half-strength formula when feeding the infant
A nurse is assessing a school-age child who has heart failure and is taking
furosemide.Which of the following findings should the nurse identify as an indication that
the medication is effective?
a. An increase in venous pressure
b. a decrease in peripheral edema
c. a decrease in cardiac outputd. an increase in potassium levels - Answer- a decrease
in peripheral edema
A nurse is assessing an infant who has acute otitis media. Which of the following
findings should the nurse expect (select all that apply)
a. Increased appetite
b. enlarged subclavian lymph node
c. Crying
d. Restlessness
e. Fever - Answer- Crying, Restlessness, Fever
A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine
lontophoresis Testing for Cystic Fibrosis. Which of the following statements should the
nurse include in the teaching?
a. We will measure the amount of protein in your baby's urine over 24 hour period
b. The test will measure the amount of water in your baby's sweat
c. a nurse will insert an IV prior to the test
d. your baby will need to fast for 8 hours prior to the test - Answer- b. The test will
measure the amount of water in your baby's sweat
A nurse in an urgent care clinic is prioritizing care for children. Which of the following
children should the nurse assess first?
a. A toddler who has nephrotic syndrome and facial edema
b. a preschool-age child who has a muffled voice and no spontaneous cough
c. a preschool-age child who has diabetes mellitus and a blood glucose of 200 mg/dL
d. an adolescent who has Crohn's disease and recent weight loss of 5kg mg (11 lb) -
Answer- b. a preschool-age child who has a muffled voice and no spontaneous cough
A nurse is providing teaching to the parents of a toddler who is to undergo a sweat
chloride test. Which of the following statements should the nurse include?
a. The purpose of the test is to determine if your child has Crohn's disease
b. the technician will use a device to produce an electrical current during the test
c. during the test, your child will be in a room that is cold
d. your child sweat will be collected over 24 hours - Answer- d. your child sweat will be
collected over 24 hours
A nurse in the emergency department is caring for an adolescent who is requesting
testing for STI. Which of the following action is appropriate for the nurse to take?
, a. Request verbal consent from the social worker
b. contact the client's parents to obtain phone consent
c. postpone the testing until the client's parents are present
d. obtain written consent from the client - Answer- d. obtain written consent from the
client
A nurse in the emergency department is assessing the toddler who has hyperpyrexia
severe dyspnea and drooling which of the following actions should the nurse take first?
a. obtain a blood culture from the toddler
b. administering antibiotic to the toddler
c. insert an IV catheter for the toddler
d. prepare the toddler for nasotracheal intubation - Answer- d. prepare the toddler for
nasotracheal intubation
A nurse is providing teaching to a 10 year old child with scheduled for an arterial cardiac
catheterization. Which of the following information should the nurse include in the
teaching?
a. You will have your dressing removed 12 hours after the procedure
b. you will need to keep your legs straight for 8 hours following the procedure
c. you will be on a clear liquid diet for 24 hours following the procedure
d. you will be on bed rest for 2 days after the procedure - Answer- b. you will need to
keep your legs straight for 8 hours following the procedure
A nurse is caring for a preschooler who is post-operative following a tonsillectomy. The
childis now ready to resume oral intake which of the following dietary choices
should the nurse offer the child?
a. sugar-free Cherry gelatin
b. vanilla ice cream
c. chocolate milk
d. lime flavored ice pop - Answer- d. lime flavored ice pop
A nurse is caring for a 10 month old child was brought to the emergency department by
his parents following a head injury. Which of the following actions should the nurse take
first?
a. Inspect for fluid leaking from the ears (thinking about CSF leakage severe trauma
=urgent, after respiratory status is confirmed)
b. assess respiratory status
c. check pupil reactions
d. examine the scalp for lacerations - Answer- b. assess respiratory status
A charge nurse is planning care for an infant who has failure to thrive. Which of the
followingactions should the nurse include in the plan of care?
a. Assign consistent nursing Staff Care for the infant
b. Keep infant in a visually stimulating environment
c. use half-strength formula when feeding the infant
