ATI PN Nursing Care of Children Proctored Exam 2020/2021
| Questions & Correct Detailed Answers
A nurse is caring for a school-age child who is receiving a blood
transfusion. Which of the following manifestations should alert the nurse to
possible hemolytic transfusion reaction? - ANSWER--Flank pain
A nurse is creating a plan of care for a school-age child who has heart
disease and has developed heart failure. Which of the following
interventions should the nurse include in the plan? - ANSWER--Provide
small, frequent meals for the child
A nurse is teaching the parent of an infant who has a Pavlik harness for the
treatment of developmental dysplasia of the hip. The nurse should identify
that which of the following statements by the parent indicates an
understanding of the teaching? - ANSWER--I will place my infant's diapers
under the harness straps
A nurse is planning care for a school-age child who is in the oliguric phase
of acute kidney injury (AKI) and has a sodium level of 129 mEq/L. Which of
the following interventions should the nurse include in the plan? -
ANSWER--Initiate seizure precautions for the child (hyponatremia)
A nurse is assessing a school-age child immediately following a perforated
appendix repair. Which of the following findings should the nurse expect? -
ANSWER--Absence of peristalsis
A nurse is preparing an adolescent for a lumbar puncture. Which of the
following actions should the nurse take? - ANSWER--Apply topical
analgesic cream to the site 1hr prior to the procedure
A nurse is caring for a school-age child who is receiving cefazolin via
intermittent IV bolus. The child suddenly develops diffuse flushing of the
,ATI PN Nursing Care of Children Proctored Exam 2020/2021
| Questions & Correct Detailed Answers
skin and angioedema. After discontinuing the medication fusion, which of
the following medications should the nurse administer first? - ANSWER--
Epinephrine (anaphylactic reaction)
A nurse is teaching the parent of a preschooler about ways to prevent
acute asthma attacks. Which of the following statements by the parent
indicates an understanding of the teaching? - ANSWER--I should keep my
child indoors when I mow the yard
A nurse is providing a dietary teaching to the parent of a school-age child
who has celiac disease. The nurse should recommend that the parent offer
which of the following foods to the child? - ANSWER--White rice
A nurse is reviewing the laboratory report of a school-age child who is
experiencing fatigue. Which of the following findings should the nurse
recognize as an indication of anemia? - ANSWER--Hematocrit 28%
(normal range for a school-age child 32%-44%)
A nurse is preparing to collect a sample from a toddler for a sickle-turbidity
test. Which of the following actions should the nurse plan to take? -
ANSWER--Perform a finger stick
A nurse is assessing a school-age child who has meningitis. Which of the
following findings is the priority for the nurse to report to the provider? -
ANSWER--Petechiae on the lower extremities (could be sepsis!)
A nurse is assessing an infant who has a ventricular septal defect. Which of
the following findings should the nurse expect? - ANSWER--Loud, harsh
murmur
,ATI PN Nursing Care of Children Proctored Exam 2020/2021
| Questions & Correct Detailed Answers
A nurse is creating a plan of care for an infant who has an epidural
hematoma from a head injury. Which of the following interventions should
the nurse include in the plan? - ANSWER--Implement seizure precautions
for the infant
A nurse is caring for an adolescent who received a kidney transplant.
Which of the following findings should the nurse identify as an indication
the adolescent is rejecting the kidney? - ANSWER--Serum creatinine 3.0
mg/dL (adolescent range 0.4 to 1.0 mg/dL)
A nurse in an emergency department is performing a physical assessment
on a 2-week-old male newborn. Which of the following findings is the
priority for the nurse to report to the provider? - ANSWER--Substernal
retractions (AIRWAY DUH)
A hospice nurse is caring for a preschooler who has a terminal illness. One
the preschooler's parents tells the nurse that they cannot cope anymore
and are thinking about moving out of the house. Which of the following
statements should the nurse make? - ANSWER--Let's talk about some of
the ways you have handled previous stressors in your life
Where is McBurney's point? - ANSWER--RLQ
A nurse is reviewing the laboratory report of a 7-year-old child who is
receiving chemotherapy. Which of the following laboratory values should
the nurse report to the provider? - ANSWER--Hgb 8.5g/dL (expected range
10-15.5 g/dL for a 7 yo)
, ATI PN Nursing Care of Children Proctored Exam 2020/2021
| Questions & Correct Detailed Answers
A nurse is caring for a 15-year-old client who is married and is scheduled
for a surgical procedure. The client asks, "Who should sign my surgical
consent?" Which of the following responses should the nurse make? -
ANSWER--You can sign the consent form because you are married
A nurse is assessing a 4-year-old at a well-child visit. Which of the following
developmental milestones should the nurse expect to observe? -
ANSWER--Cuts an outlined shape using scissors
A nurse is caring for an infant who has respiratory syncytial virus (RSV).
Which of the following actions should the nurse implement for infection
control? - ANSWER--Have a designated stethoscope in the infant's room
(droplet precautions)
A nurse in an emergency department is caring for a school-age child who
has appendicitis and rates their abdominal pain as 7 on a scale of 0 to 10.
Which of the following actions should the nurse take? - ANSWER--Give
morphine 0.05 mg/kg IV
A nurse is assessing the vital signs of a 10-year-old child following a burn
injury. The nurse should identify that which of the following findings is an
indication of early septic shock? - ANSWER--Temperature of 39.1 C which
is 102.4F
A school nurse is assessing an adolescent who has multiple burns in
various stages of healing. Which of the following behaviors should the
nurse identify as a possible indication of physical abuse? - ANSWER--
Denies discomfort during assessment of injuries
| Questions & Correct Detailed Answers
A nurse is caring for a school-age child who is receiving a blood
transfusion. Which of the following manifestations should alert the nurse to
possible hemolytic transfusion reaction? - ANSWER--Flank pain
A nurse is creating a plan of care for a school-age child who has heart
disease and has developed heart failure. Which of the following
interventions should the nurse include in the plan? - ANSWER--Provide
small, frequent meals for the child
A nurse is teaching the parent of an infant who has a Pavlik harness for the
treatment of developmental dysplasia of the hip. The nurse should identify
that which of the following statements by the parent indicates an
understanding of the teaching? - ANSWER--I will place my infant's diapers
under the harness straps
A nurse is planning care for a school-age child who is in the oliguric phase
of acute kidney injury (AKI) and has a sodium level of 129 mEq/L. Which of
the following interventions should the nurse include in the plan? -
ANSWER--Initiate seizure precautions for the child (hyponatremia)
A nurse is assessing a school-age child immediately following a perforated
appendix repair. Which of the following findings should the nurse expect? -
ANSWER--Absence of peristalsis
A nurse is preparing an adolescent for a lumbar puncture. Which of the
following actions should the nurse take? - ANSWER--Apply topical
analgesic cream to the site 1hr prior to the procedure
A nurse is caring for a school-age child who is receiving cefazolin via
intermittent IV bolus. The child suddenly develops diffuse flushing of the
,ATI PN Nursing Care of Children Proctored Exam 2020/2021
| Questions & Correct Detailed Answers
skin and angioedema. After discontinuing the medication fusion, which of
the following medications should the nurse administer first? - ANSWER--
Epinephrine (anaphylactic reaction)
A nurse is teaching the parent of a preschooler about ways to prevent
acute asthma attacks. Which of the following statements by the parent
indicates an understanding of the teaching? - ANSWER--I should keep my
child indoors when I mow the yard
A nurse is providing a dietary teaching to the parent of a school-age child
who has celiac disease. The nurse should recommend that the parent offer
which of the following foods to the child? - ANSWER--White rice
A nurse is reviewing the laboratory report of a school-age child who is
experiencing fatigue. Which of the following findings should the nurse
recognize as an indication of anemia? - ANSWER--Hematocrit 28%
(normal range for a school-age child 32%-44%)
A nurse is preparing to collect a sample from a toddler for a sickle-turbidity
test. Which of the following actions should the nurse plan to take? -
ANSWER--Perform a finger stick
A nurse is assessing a school-age child who has meningitis. Which of the
following findings is the priority for the nurse to report to the provider? -
ANSWER--Petechiae on the lower extremities (could be sepsis!)
A nurse is assessing an infant who has a ventricular septal defect. Which of
the following findings should the nurse expect? - ANSWER--Loud, harsh
murmur
,ATI PN Nursing Care of Children Proctored Exam 2020/2021
| Questions & Correct Detailed Answers
A nurse is creating a plan of care for an infant who has an epidural
hematoma from a head injury. Which of the following interventions should
the nurse include in the plan? - ANSWER--Implement seizure precautions
for the infant
A nurse is caring for an adolescent who received a kidney transplant.
Which of the following findings should the nurse identify as an indication
the adolescent is rejecting the kidney? - ANSWER--Serum creatinine 3.0
mg/dL (adolescent range 0.4 to 1.0 mg/dL)
A nurse in an emergency department is performing a physical assessment
on a 2-week-old male newborn. Which of the following findings is the
priority for the nurse to report to the provider? - ANSWER--Substernal
retractions (AIRWAY DUH)
A hospice nurse is caring for a preschooler who has a terminal illness. One
the preschooler's parents tells the nurse that they cannot cope anymore
and are thinking about moving out of the house. Which of the following
statements should the nurse make? - ANSWER--Let's talk about some of
the ways you have handled previous stressors in your life
Where is McBurney's point? - ANSWER--RLQ
A nurse is reviewing the laboratory report of a 7-year-old child who is
receiving chemotherapy. Which of the following laboratory values should
the nurse report to the provider? - ANSWER--Hgb 8.5g/dL (expected range
10-15.5 g/dL for a 7 yo)
, ATI PN Nursing Care of Children Proctored Exam 2020/2021
| Questions & Correct Detailed Answers
A nurse is caring for a 15-year-old client who is married and is scheduled
for a surgical procedure. The client asks, "Who should sign my surgical
consent?" Which of the following responses should the nurse make? -
ANSWER--You can sign the consent form because you are married
A nurse is assessing a 4-year-old at a well-child visit. Which of the following
developmental milestones should the nurse expect to observe? -
ANSWER--Cuts an outlined shape using scissors
A nurse is caring for an infant who has respiratory syncytial virus (RSV).
Which of the following actions should the nurse implement for infection
control? - ANSWER--Have a designated stethoscope in the infant's room
(droplet precautions)
A nurse in an emergency department is caring for a school-age child who
has appendicitis and rates their abdominal pain as 7 on a scale of 0 to 10.
Which of the following actions should the nurse take? - ANSWER--Give
morphine 0.05 mg/kg IV
A nurse is assessing the vital signs of a 10-year-old child following a burn
injury. The nurse should identify that which of the following findings is an
indication of early septic shock? - ANSWER--Temperature of 39.1 C which
is 102.4F
A school nurse is assessing an adolescent who has multiple burns in
various stages of healing. Which of the following behaviors should the
nurse identify as a possible indication of physical abuse? - ANSWER--
Denies discomfort during assessment of injuries
