VATI CARE OF CHILDREN QUESTIONS AND ANSWERS
2023-2024 GRADED A+
A nurse is providing nutritional teaching to the patents of a child who has acute glomerulonephritis
with pitting edema. Which of the following foods should the nurse recommend be eliminated from
the child's diet?
Hot dogs
-Results in edema, HTN, hematuria and proteinuria. Dietary changes requires limit foods high in
sodium because of the edema and HTN. (Hot dogs, or other processed meats)
A nurse in an emergency department is assessing a 5-year-old child who has a concussion. Which of the
following manifestations should the nurse identify as an early indication of ICP?
Nausea
-Early findings of ICP
DO NOT COPY
A nurse is creating a plan of care for a school-age child who has moderate partial thickness burns on
both lower extremities. Which of the following interventions should the nurse include in the plan?
Maintain aseptic technique during the child dressing changes.
-To prevent infection. Delayed wound healing can occur due to infection, which can also cause partial
thickness wounds to develop into full thickness wounds.
A charge nurse on a pediatric unit is reviewing informed consent guidelines with newly licensed nurse.
For which of the following clients should the nurse obtain informed consent from a guardian?
A 15-year-old client who requires an open reduction of a fracture.
-Sign consent prior to surgical procedures for a minor.
A nurse is caring for a child who has terminal leukemia. The parents asks the nurse, "When will we
know that our child is nearing the end of their life?" Which of the following statements should the
nurse make?
P a g e 1 | 27
,Your child will lose movement in their legs.
-Lose movement in the lower extremities. This progressive loss of movement will move up the body as
death nears.
A nurse is providing home care instructions to the parents of a child who is in the edema phase of
nephrotic syndrome. Which of the following instructions should the nurse include in the teaching?
A nurse is planning to obtain a rectal temperature from a toddler. Which of the following actions
should the nurse take?
Place the child in prone position.
-The nurse should place the child in a side-lying, Sim's or prone position to obtain a rectal
temperature.
A nurse is assessing an infant who has Tetralogy of Fallot. Which of the following clinical
manifestations should the nurse expect? SATA
A heart murmur
Cyanotic spells
-Tetralogy of Fallot exhibit a systolic murmur that is moderate in intensity.
-Experience anoxic spells when the infant's oxygen requirements exceed the oxygen available in the
blood supply, such as when the infant is crying or following a feeding.
P a g e 2 | 27
, A nurse is teaching about injury prevention to the parent of a toddler. Which of the following safety
measures should the nurse include in the teaching?
Place a throw rug under the crib.
-The toddler can fall out the crib. The nurse should also instruct the parent to move the toddler to a
youth bed when they are able to climb out of the crib.
A nurse is providing teaching about food choices to the parent of a school age child who has celiac
disease. Which of the following statements by the parent indicates an understanding of the teaching?
I can offer popcorn as a snack food.
-Unable to digest gluten found in grains, such as wheat, barley, rye, and oats. Corn is an acceptable
substitute grain and is gluten-free. Therefore, popcorn is an appropriate food for the parent to offer
the child as a snack.
A nurse is assessing a child who has full-thickness burns of the legs. Which of the following
manifestations should the nurse expect?
Injured skin is cream to black in color.
-Variable colors, including cream to brown or black. The injury reaches through the epidermis to the
dermis, and possibly to the muscles, tendons, and bone. Areas with a full thickness burn are less
painful than partial thickness burned areas because of the nerve destruction involved.
A nurse is assessing a child who has heart failure. Which of the following clinical manifestations
should the nurse expect?
Distended neck veins.
-Manifestations of increased blood volume, such as distended neck veins. This occurs because of the
secretion of the hormone ADH, which holds onto sodium and water in response to decreased cardiac
output and renal perfusion.
A nurse is providing nutritional teaching to the parents of a 2-year-old child. Which of the following
statements by the parent indicates an understanding of the teaching?
I should feed my child 1 cup of vegetables per day.
P a g e 3 | 27
2023-2024 GRADED A+
A nurse is providing nutritional teaching to the patents of a child who has acute glomerulonephritis
with pitting edema. Which of the following foods should the nurse recommend be eliminated from
the child's diet?
Hot dogs
-Results in edema, HTN, hematuria and proteinuria. Dietary changes requires limit foods high in
sodium because of the edema and HTN. (Hot dogs, or other processed meats)
A nurse in an emergency department is assessing a 5-year-old child who has a concussion. Which of the
following manifestations should the nurse identify as an early indication of ICP?
Nausea
-Early findings of ICP
DO NOT COPY
A nurse is creating a plan of care for a school-age child who has moderate partial thickness burns on
both lower extremities. Which of the following interventions should the nurse include in the plan?
Maintain aseptic technique during the child dressing changes.
-To prevent infection. Delayed wound healing can occur due to infection, which can also cause partial
thickness wounds to develop into full thickness wounds.
A charge nurse on a pediatric unit is reviewing informed consent guidelines with newly licensed nurse.
For which of the following clients should the nurse obtain informed consent from a guardian?
A 15-year-old client who requires an open reduction of a fracture.
-Sign consent prior to surgical procedures for a minor.
A nurse is caring for a child who has terminal leukemia. The parents asks the nurse, "When will we
know that our child is nearing the end of their life?" Which of the following statements should the
nurse make?
P a g e 1 | 27
,Your child will lose movement in their legs.
-Lose movement in the lower extremities. This progressive loss of movement will move up the body as
death nears.
A nurse is providing home care instructions to the parents of a child who is in the edema phase of
nephrotic syndrome. Which of the following instructions should the nurse include in the teaching?
A nurse is planning to obtain a rectal temperature from a toddler. Which of the following actions
should the nurse take?
Place the child in prone position.
-The nurse should place the child in a side-lying, Sim's or prone position to obtain a rectal
temperature.
A nurse is assessing an infant who has Tetralogy of Fallot. Which of the following clinical
manifestations should the nurse expect? SATA
A heart murmur
Cyanotic spells
-Tetralogy of Fallot exhibit a systolic murmur that is moderate in intensity.
-Experience anoxic spells when the infant's oxygen requirements exceed the oxygen available in the
blood supply, such as when the infant is crying or following a feeding.
P a g e 2 | 27
, A nurse is teaching about injury prevention to the parent of a toddler. Which of the following safety
measures should the nurse include in the teaching?
Place a throw rug under the crib.
-The toddler can fall out the crib. The nurse should also instruct the parent to move the toddler to a
youth bed when they are able to climb out of the crib.
A nurse is providing teaching about food choices to the parent of a school age child who has celiac
disease. Which of the following statements by the parent indicates an understanding of the teaching?
I can offer popcorn as a snack food.
-Unable to digest gluten found in grains, such as wheat, barley, rye, and oats. Corn is an acceptable
substitute grain and is gluten-free. Therefore, popcorn is an appropriate food for the parent to offer
the child as a snack.
A nurse is assessing a child who has full-thickness burns of the legs. Which of the following
manifestations should the nurse expect?
Injured skin is cream to black in color.
-Variable colors, including cream to brown or black. The injury reaches through the epidermis to the
dermis, and possibly to the muscles, tendons, and bone. Areas with a full thickness burn are less
painful than partial thickness burned areas because of the nerve destruction involved.
A nurse is assessing a child who has heart failure. Which of the following clinical manifestations
should the nurse expect?
Distended neck veins.
-Manifestations of increased blood volume, such as distended neck veins. This occurs because of the
secretion of the hormone ADH, which holds onto sodium and water in response to decreased cardiac
output and renal perfusion.
A nurse is providing nutritional teaching to the parents of a 2-year-old child. Which of the following
statements by the parent indicates an understanding of the teaching?
I should feed my child 1 cup of vegetables per day.
P a g e 3 | 27
