ATI RN Nursing Care of Children
Practice 2019 A and B GRADED A /2023-
2024
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? - CORRECT ANSWER Provide small, frequent meals for the
child.
The metabolic rate of a child who has heart failure is high because of poor cardiac
function. Therefore, the nurse should provide small, frequent meals for the child
because it helps to conserve energy.
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? - CORRECT ANSWER "I will place my infant's diapers under the harness
straps."
To prevent soiling of the harness, the parent should apply the infant's diaper
under the 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? - CORRECT ANSWER Initiate
seizure precautions for the child.
,A sodium level of 129 mEq/L indicates hyponatremia and places the child at
increased risk for neurological deficits and seizure activity. The nurse should
complete a neurologic assessment and implement seizure precautions to maintain
the child's safety.
A nurse is assessing a school-age child immediately following a perforated
appendix repair. Which of the following findings should the nurse expect? -
CORRECT ANSWER Absence of peristalsis
The nurse should expect absence of peristalsis immediately following a perforated
appendix repair, until the bowel resumes functioning.
A nurse is preparing an adolescent for a lumbar puncture. Which of the following
actions should the nurse take? - CORRECT ANSWER Apply topical analgesic cream
to the site 1 hr prior to the procedure.
The nurse should apply a topical analgesic to the lumbar site 1 hr prior to the
procedure to decrease the adolescent's pain while the lumbar needle is inserted.
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 skin and angioedema.
After discontinuing the medication infusion, which of the following medications
should the nurse administer first? - CORRECT ANSWER Epinephrine
This child is most likely experiencing an anaphylactic reaction to the cefazolin.
According to evidence-based practice, the nurse should first administer
epinephrine to treat the anaphylaxis. Epinephrine is a beta adrenergic agonist that
stimulates the heart, causes vasoconstriction of blood vessels in the skin and
mucous membranes, and triggers bronchodilation in the lungs.
,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? - CORRECT ANSWER "I should keep my child
indoors when I mow the yard."
The nurse should instruct the parent to keep the preschooler indoors during lawn
maintenance or when the pollen count is increased. Guarding against exposure to
known allergens found outdoors, such as grass, tree, and weed pollen, will
decrease the frequency of the preschooler's asthma attacks.
A nurse is proving 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? - CORRECT ANSWER White rice
The nurse should recommend that the parent offer white rice to the child because
it is a gluten-free food. The nurse should instruct the parent that the child will
remain on a lifelong gluten-free diet and the child should not consume oats, rye,
barley, or wheat, and sometimes lactose deficiency can be secondary to this
disease.
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? - CORRECT ANSWER Hematocrit 28%
The nurse should recognize that this hematocrit level is below the expected
reference range of 32% to 44% for a school-age child. The child can exhibit fatigue,
lightheadedness, tachycardia, dyspnea, and pallor due to the decreased oxygen-
carrying capacity.
, 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? - CORRECT ANSWER
Perform a finger stick.
The nurse should perform a finger stick on a toddler as a component of the sickle-
turbidity test. If the test is positive, hemoglobin electrophoresis is required to
distinguish between children who have the genetic trait and children who have
the disease.
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? - CORRECT
ANSWER Petechiae on the lower extremities
The presence of a petechial or purpuric rash on a child who is ill can indicate the
presence of meningococcemia. This type of rash indicates the greatest risk of
serious rapid complications from sepsis and should be reported immediately to
the provider.
A nurse is assessing an infant who has a ventricular septal defect. Which of the
following findings should the nurse expect? - CORRECT ANSWER Loud, harsh
murmur
The nurse should expect to hear a loud, harsh murmur with a ventricular septal
defect due to the left-to-right shunting of blood, which contributes to hypertrophy
of the infant's heart muscle.
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? - CORRECT ANSWER Implement seizure precautions for the infant.
Practice 2019 A and B GRADED A /2023-
2024
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? - CORRECT ANSWER Provide small, frequent meals for the
child.
The metabolic rate of a child who has heart failure is high because of poor cardiac
function. Therefore, the nurse should provide small, frequent meals for the child
because it helps to conserve energy.
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? - CORRECT ANSWER "I will place my infant's diapers under the harness
straps."
To prevent soiling of the harness, the parent should apply the infant's diaper
under the 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? - CORRECT ANSWER Initiate
seizure precautions for the child.
,A sodium level of 129 mEq/L indicates hyponatremia and places the child at
increased risk for neurological deficits and seizure activity. The nurse should
complete a neurologic assessment and implement seizure precautions to maintain
the child's safety.
A nurse is assessing a school-age child immediately following a perforated
appendix repair. Which of the following findings should the nurse expect? -
CORRECT ANSWER Absence of peristalsis
The nurse should expect absence of peristalsis immediately following a perforated
appendix repair, until the bowel resumes functioning.
A nurse is preparing an adolescent for a lumbar puncture. Which of the following
actions should the nurse take? - CORRECT ANSWER Apply topical analgesic cream
to the site 1 hr prior to the procedure.
The nurse should apply a topical analgesic to the lumbar site 1 hr prior to the
procedure to decrease the adolescent's pain while the lumbar needle is inserted.
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 skin and angioedema.
After discontinuing the medication infusion, which of the following medications
should the nurse administer first? - CORRECT ANSWER Epinephrine
This child is most likely experiencing an anaphylactic reaction to the cefazolin.
According to evidence-based practice, the nurse should first administer
epinephrine to treat the anaphylaxis. Epinephrine is a beta adrenergic agonist that
stimulates the heart, causes vasoconstriction of blood vessels in the skin and
mucous membranes, and triggers bronchodilation in the lungs.
,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? - CORRECT ANSWER "I should keep my child
indoors when I mow the yard."
The nurse should instruct the parent to keep the preschooler indoors during lawn
maintenance or when the pollen count is increased. Guarding against exposure to
known allergens found outdoors, such as grass, tree, and weed pollen, will
decrease the frequency of the preschooler's asthma attacks.
A nurse is proving 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? - CORRECT ANSWER White rice
The nurse should recommend that the parent offer white rice to the child because
it is a gluten-free food. The nurse should instruct the parent that the child will
remain on a lifelong gluten-free diet and the child should not consume oats, rye,
barley, or wheat, and sometimes lactose deficiency can be secondary to this
disease.
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? - CORRECT ANSWER Hematocrit 28%
The nurse should recognize that this hematocrit level is below the expected
reference range of 32% to 44% for a school-age child. The child can exhibit fatigue,
lightheadedness, tachycardia, dyspnea, and pallor due to the decreased oxygen-
carrying capacity.
, 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? - CORRECT ANSWER
Perform a finger stick.
The nurse should perform a finger stick on a toddler as a component of the sickle-
turbidity test. If the test is positive, hemoglobin electrophoresis is required to
distinguish between children who have the genetic trait and children who have
the disease.
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? - CORRECT
ANSWER Petechiae on the lower extremities
The presence of a petechial or purpuric rash on a child who is ill can indicate the
presence of meningococcemia. This type of rash indicates the greatest risk of
serious rapid complications from sepsis and should be reported immediately to
the provider.
A nurse is assessing an infant who has a ventricular septal defect. Which of the
following findings should the nurse expect? - CORRECT ANSWER Loud, harsh
murmur
The nurse should expect to hear a loud, harsh murmur with a ventricular septal
defect due to the left-to-right shunting of blood, which contributes to hypertrophy
of the infant's heart muscle.
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? - CORRECT ANSWER Implement seizure precautions for the infant.
