VATI Care of children 2019 questions and answers
1. 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)
2. 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
3. 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.
4. 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.
5. 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?: 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.
6. 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?: Provide quite activities
for the child.
-Provide quite activities, such as reading and coloring, during edema phase of
nephritis to minimize oxygen consumption and preserve energy.
, VATI Care of children 2019 questions and answers
7. A nurse is assessing a 2-year-old child following a surgical procedure.
Which of the following pain tools should the nurse use?: Face, Legs, Activity,
Cry Consolability (FLACC) scale.
-The FLACC scale is used for infants and children from 2 months to 7 years.
8. A nurse is providing discharge teaching to the parents of a school age
child who has epilepsy and a new prescription for phenytoin extended release
capsules. Which of the following instructions should the nurse include in the
teaching?: Encourage the child to brush their teeth after each meal.
- Dental hygiene, this medications can cause gingival hyperplasia, and good oral
hygiene reduces the risk of this occurring.
9. A nurse is caring for a 6 month old infant who has acute vomiting and
diarrhea. Which of the following manifestations should the nurse identify as
an indication of moderate hypovolemia?: Tachypnea
-A hypovolemia worsens, breathing becomes hyperpneic.
10. A nurse is caring for a toddler who is experiencing hyperglycemia. Which
of the following manifestations should the nurse expect?: Lethargic mood.
-Will be irritable and have a labile mood.
11. A nurse is providing discharge teaching to the parent of a 5-year-old child
who has leukemia and is receiving chemotherapy. Which of the following
statements by the parent indicates an understanding of the teaching?: I will
make sure to inspect my son's mouth every day for sores.
-Increase risk for mucositis, therefore, the parent should inspect the mouth daily for
lesions or ulcerations and report these to the provider. Open lesions can become
infected in the child who is immunocompromised.
12. A home health nurse is developing a plan of care for the parents of a toddler
who has hemophilia A. Which of the following instructions should the nurse
include?: Place knee pads on the child.
-Take measures to make the environment safe. This can include measures such as
installing carpet over ceramic tiled floors or placing knee and elbow pads on the
child to protect the Childs joints form injury and bleeding.
13. A nurse is planning care for a child who has cerebral palsy and is experi-
encing muscle spasms. Which of the following medications should the nurse
expect to administer?: Baclofen
1. 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)
2. 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
3. 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.
4. 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.
5. 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?: 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.
6. 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?: Provide quite activities
for the child.
-Provide quite activities, such as reading and coloring, during edema phase of
nephritis to minimize oxygen consumption and preserve energy.
, VATI Care of children 2019 questions and answers
7. A nurse is assessing a 2-year-old child following a surgical procedure.
Which of the following pain tools should the nurse use?: Face, Legs, Activity,
Cry Consolability (FLACC) scale.
-The FLACC scale is used for infants and children from 2 months to 7 years.
8. A nurse is providing discharge teaching to the parents of a school age
child who has epilepsy and a new prescription for phenytoin extended release
capsules. Which of the following instructions should the nurse include in the
teaching?: Encourage the child to brush their teeth after each meal.
- Dental hygiene, this medications can cause gingival hyperplasia, and good oral
hygiene reduces the risk of this occurring.
9. A nurse is caring for a 6 month old infant who has acute vomiting and
diarrhea. Which of the following manifestations should the nurse identify as
an indication of moderate hypovolemia?: Tachypnea
-A hypovolemia worsens, breathing becomes hyperpneic.
10. A nurse is caring for a toddler who is experiencing hyperglycemia. Which
of the following manifestations should the nurse expect?: Lethargic mood.
-Will be irritable and have a labile mood.
11. A nurse is providing discharge teaching to the parent of a 5-year-old child
who has leukemia and is receiving chemotherapy. Which of the following
statements by the parent indicates an understanding of the teaching?: I will
make sure to inspect my son's mouth every day for sores.
-Increase risk for mucositis, therefore, the parent should inspect the mouth daily for
lesions or ulcerations and report these to the provider. Open lesions can become
infected in the child who is immunocompromised.
12. A home health nurse is developing a plan of care for the parents of a toddler
who has hemophilia A. Which of the following instructions should the nurse
include?: Place knee pads on the child.
-Take measures to make the environment safe. This can include measures such as
installing carpet over ceramic tiled floors or placing knee and elbow pads on the
child to protect the Childs joints form injury and bleeding.
13. A nurse is planning care for a child who has cerebral palsy and is experi-
encing muscle spasms. Which of the following medications should the nurse
expect to administer?: Baclofen
