2023 Nursing Care of Children ATI Proctored Exam
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4.
A nurse is assisting with the care of a child who is postoperative and received a
transfusion during a surgical procedure. Which of the following findings indicates the
child is havig a hemolytic reaction?
a) Chills and flank pain (Chills and flank pain are findings that indicate an
incompatibility of the transfused blood product with the client's blood. The nurse
should identify this finding as an indication that the child is having a hemolytic
reaction.)
b) Pruritus and flushing
c) Rales and cyanosis
, d) Bradycardia and diarrhea
5. A guardian calls the clinic nurse after his child has developed symptoms of varicella
and asks when his child will no longer be contagious. Which of the following responses
should the nurse make?
a) “When your child no longer has a fever.”
b) “Three days after the rash started.”
c) “Six days after lesions appear if they are crusted.” (The nurse should inform the
guardian that a child will stop being contagious around 6 days after the lesions
appeared, as long as they are crusted over.)
d) “When your child’s lesions disappear.”
6. A nurse is collecting date from a child during a well-child visit. The nurse should
recognize that which of the following findings places the child at a higher risk for
abuse?
a) The child is 6 years old.
b) The child is male.
c) The child was born at 30 weeks of gestation. (The nurse should identify that
children who are born prematurely are at greater risk for abuse because of the
potential for impaired bonding during early infancy.)
d) The child was born via cesarean birth.
7. A nurse is reinforcing teaching with the guardian of a child who has a new diagnosis of
rheumatic fever. Which of the following statements by the guardian indicates an
understanding of the teaching?
a) “I should not give my child aspirin for pain or fever.”
b) “My child will take antibiotic for 6 months.”
c) “My child might have a period of irregular movement of the extremities.” (The
nurse should instruct the guardian that the child might experience chorea weeks or
months after the initial diagnosis. Chorea is a temporary lack of coordination and
the presence of sudden, irregular movements or periods of clumsiness.)
d) “I should expect there to be blood in my child’s urine.”
8. A nurse is collecting data from an infant during a well-child visit. Which of the
following sites should the nurse use when obtaining the infant’s heart rate?
a) Apical (The nurse should use the apical pulse to obtain the infant's heart rate and
count it for a full minute, because it gives a reliable rate and rhythm and provides
accurate baseline assessment data. In an infant, the apical heart rate is auscultated at
the fourth intercostal space lateral to the midclavicular line.)
b) Radial
c) Carotid
, d) Femoral
9. A nurse is preparing a toddler for suturing of a minor facial laceration. The nurse
should place the toddler in which of the following restraints?
a) Mummy restraint (The nurse should use a mummy wrap when a short-term restraint
is needed for treatment of the toddler that involves the head and neck. The nurse
should always use the least amount of restraint necessary.)
b) Jacket restraint
c) Elbow restraint
d) Wrist restraint
10. A nurse is reinforcing dietary teaching with the parent of a 2-year-old toddler. Which
of the following should the nurse include in the teaching?
a) "It is recommended that the toddler consumes no more than 12 ounces of fruit juice
each day."
b) "An appropriate serving size is 1 tablespoon of food per year of age." (The nurse
should include that an appropriate serving size for a 2-year-old toddler is 1 tbsp of
food per year of age.)
c) "Introduce healthy finger foods like carrots and celery sticks."
d) "Encourage 5 cups of low-fat milk each day."
11. During a well-child visit, the parent of a toddler expresses concern to the nurse that
the toddler takes several hours to fall asleep at night. Which of the following
recommendations should the nurse make?
a) Vary the time the toddler goes to bed each night
b) Allow the toddler to watch television before bedtime
c) Provide the toddler with a favorite toy at bedtime. (The nurse should recommend to
the parent that providing the toddler with a favorite toy at bedtime will help the
toddler to feel more secure and facilitate sleep.)
d) Increase the toddler's activity prior to bedtime
12. A nurse is assisting with the care for a 7-month-old infant who has a cleft palate.
Which of the following actions should the nurse take to decrease the infant’s risk for
aspiration?
a) Feed the infant in supine position.
b) Encourage the mother to breastfeed the infant exclusively.
c) Burp the infant frequently during feedings. (Infants with a cleft palate have
difficulty creating a seal around a bottle. Burping the infant frequently, following
every ounce of fluid consumed, dissipates swallowed air and helps to prevent
aspiration.)
d) Perform nasotracheal suctioning if coughing occurs
15 Latest versions graded A
15 Latest Versions
Verified Questions and Answers
Best Document for Exam Preparation
100 % Success Guaranteed
, ATI Nursing Care of Children
Version-1
4.
A nurse is assisting with the care of a child who is postoperative and received a
transfusion during a surgical procedure. Which of the following findings indicates the
child is havig a hemolytic reaction?
a) Chills and flank pain (Chills and flank pain are findings that indicate an
incompatibility of the transfused blood product with the client's blood. The nurse
should identify this finding as an indication that the child is having a hemolytic
reaction.)
b) Pruritus and flushing
c) Rales and cyanosis
, d) Bradycardia and diarrhea
5. A guardian calls the clinic nurse after his child has developed symptoms of varicella
and asks when his child will no longer be contagious. Which of the following responses
should the nurse make?
a) “When your child no longer has a fever.”
b) “Three days after the rash started.”
c) “Six days after lesions appear if they are crusted.” (The nurse should inform the
guardian that a child will stop being contagious around 6 days after the lesions
appeared, as long as they are crusted over.)
d) “When your child’s lesions disappear.”
6. A nurse is collecting date from a child during a well-child visit. The nurse should
recognize that which of the following findings places the child at a higher risk for
abuse?
a) The child is 6 years old.
b) The child is male.
c) The child was born at 30 weeks of gestation. (The nurse should identify that
children who are born prematurely are at greater risk for abuse because of the
potential for impaired bonding during early infancy.)
d) The child was born via cesarean birth.
7. A nurse is reinforcing teaching with the guardian of a child who has a new diagnosis of
rheumatic fever. Which of the following statements by the guardian indicates an
understanding of the teaching?
a) “I should not give my child aspirin for pain or fever.”
b) “My child will take antibiotic for 6 months.”
c) “My child might have a period of irregular movement of the extremities.” (The
nurse should instruct the guardian that the child might experience chorea weeks or
months after the initial diagnosis. Chorea is a temporary lack of coordination and
the presence of sudden, irregular movements or periods of clumsiness.)
d) “I should expect there to be blood in my child’s urine.”
8. A nurse is collecting data from an infant during a well-child visit. Which of the
following sites should the nurse use when obtaining the infant’s heart rate?
a) Apical (The nurse should use the apical pulse to obtain the infant's heart rate and
count it for a full minute, because it gives a reliable rate and rhythm and provides
accurate baseline assessment data. In an infant, the apical heart rate is auscultated at
the fourth intercostal space lateral to the midclavicular line.)
b) Radial
c) Carotid
, d) Femoral
9. A nurse is preparing a toddler for suturing of a minor facial laceration. The nurse
should place the toddler in which of the following restraints?
a) Mummy restraint (The nurse should use a mummy wrap when a short-term restraint
is needed for treatment of the toddler that involves the head and neck. The nurse
should always use the least amount of restraint necessary.)
b) Jacket restraint
c) Elbow restraint
d) Wrist restraint
10. A nurse is reinforcing dietary teaching with the parent of a 2-year-old toddler. Which
of the following should the nurse include in the teaching?
a) "It is recommended that the toddler consumes no more than 12 ounces of fruit juice
each day."
b) "An appropriate serving size is 1 tablespoon of food per year of age." (The nurse
should include that an appropriate serving size for a 2-year-old toddler is 1 tbsp of
food per year of age.)
c) "Introduce healthy finger foods like carrots and celery sticks."
d) "Encourage 5 cups of low-fat milk each day."
11. During a well-child visit, the parent of a toddler expresses concern to the nurse that
the toddler takes several hours to fall asleep at night. Which of the following
recommendations should the nurse make?
a) Vary the time the toddler goes to bed each night
b) Allow the toddler to watch television before bedtime
c) Provide the toddler with a favorite toy at bedtime. (The nurse should recommend to
the parent that providing the toddler with a favorite toy at bedtime will help the
toddler to feel more secure and facilitate sleep.)
d) Increase the toddler's activity prior to bedtime
12. A nurse is assisting with the care for a 7-month-old infant who has a cleft palate.
Which of the following actions should the nurse take to decrease the infant’s risk for
aspiration?
a) Feed the infant in supine position.
b) Encourage the mother to breastfeed the infant exclusively.
c) Burp the infant frequently during feedings. (Infants with a cleft palate have
difficulty creating a seal around a bottle. Burping the infant frequently, following
every ounce of fluid consumed, dissipates swallowed air and helps to prevent
aspiration.)
d) Perform nasotracheal suctioning if coughing occurs
