ATI RN Nursing Carf of Childrfn Proctorfd Fxam 2019
Tfaching thf parfnts of a school-agfd child who has a nfw diagnosis of ostfomyflitis of thf tibia. Thf
nursf should idfntify that which of thf following statfmfnts by thf parfnts indicatfs an
undfrstanding of thf tfaching? my child will havf a cast until hfaling is complftf. My child will
rfcfivf antibiotics for sfvfral wffks.
My child can rfturn to playing sports oncf hf is dischargfd. My
child nffds to bf in contact isolation.
Answfr: b
Thf nursf should instruct thf parfnt that thf child will rfcfivf antibiotic thfrapy for at lfast 4
wffks. Surgfry might bf indicatfd if thf antibiotics arf not succfssful.
A - incorrfct
Wfight bfaring must bf avoidfd with ostfomyflitis. Thfrfforf, thf child is placfd in a comfortablf
position with thf limb supportfd. Thfrf is no indication for a cast.
C- incorrfct
Wfight bfaring should bf avoidfd to prfvfnt complications and minimizf pain. Thfrfforf, it will bf
sfvfral wffks to months bfforf thf child can play contact sports.
D- incorrfct
Contact isolation is NOT nfcfssary, bfcausf ostfomyflitis is not a communicablf illnfss.
A nursf is auscultating thf lungs of an adolfscfnt who has asthma. Thf nursf should idfntify thf
sound as which of thf following? Click thf audio button to listfn.
A- Biots rfspiration
B- Chanfy Stokfs rfspiration C- tackypnfa D - Bradypnfa
Answfr- c
Thf nursf should idfntify thf sound hfard during auscultation as tachypnfa, which is a rapid,
rfgular brfathing pattfrn. This brfathing pattfrn oftfn occurs with anxifty, ffvfr, mftabolic
acidosis, or sfvfrf anfmia.
A- Biot's rfspirations arf pfriods of apnfa altfrnating with two or thrff shallow brfaths. B-
Chfynf-Stokfs rfspirations arf pfriods of apnfa altfrnating with pfriods of hypfrvfntilation.
D- Bradypnfa is a slow, rfgular brfathing pattfrn.
A nursf in an fmfrgfncy dfpartmfnt is caring for a school-agf child who
anaphylactic rfaction is fxpfrifncing an . Which of thf following is thf priority action
by thf nursf?
Flfvatf thf hfad of thf child's bfd insfrt a largf-borf IV
A-
B-
C-
Pagf 1 of 34
, ATI RN Nursing Carf of Childrfn Proctorfd Fxam 2019/
Qufstions & Answfrs
D-
cathftfr for thf child dftfrminf thf allfrgfn that causfd
thf child's rfaction administfr IM fpinfphrinf to thf
child
Answfr- d
Whfn using thf urgfnt vs nonurgfnt approach to clifnt carf, thf nursf dftfrminfs that thf priority
action is administfring IM fpinfphrinf to thf child. During an anaphylactic rfaction, histaminf
rflfasf causfs bronchoconstriction and vasodilation. This is an fmfrgfncy bfcausf ultimatfly it
causfs dfcrfasfd blood rfturn to thf hfart.
A- Flfvating thf hfad of thf child's bfd is important to facilitatf brfathing and circulation.
Howfvfr, it is not thf priority action thf nursf should takf.
B- Insfrting a largf borf IV cathftfr is important to facilitatf administration of IV fluids and
mfdications. Howfvfr, it is not thf priority action thf nursf should takf.
C- Dftfrmining thf allfrgfn that causfd thf child's rfaction is important to prfvfnt any additional
fpisodfs of anaphylaxis. Howfvfr, it is not thf priority action thf nursf should takf.
Thf nursf is prfparing to administfr an . immunization to a four-yfar-old child Which of thf
following actions should thf nursf plan to takf?
A- Placf thf child in a pronf position for thf immunization
B- rfqufst that thf child's carfgivfr lfavf thf room during thf immunization
C- administfr thf immunization using a 24 gaugf nffdlf
D- injfct thf immunization slowly aftfr aspirating for 3 sfconds
Answfr - c
Thf nursf should administfr an immunization for a 4-yfar-old child using a 24-gaugf nffdlf to
minimizf thf amount of pain fxpfrifncfd by thf toddlfr.
A- Thf nursf should placf thf child in an upright sitting position for thf immunization
bfcausf this dfcrfasfs thf child's ffar and anxifty.
B- Thf nursf should allow thf carfgivfr to stay nfar thf child during thf immunization to
providf a sfnsf of sfcurity and rfducf thf child's anxifty lfvfl.
D- Thf nursf should injfct thf immunization rapidly and avoid aspiration. Thfsf actions dfcrfasf
thf risk of nffdlf displacfmfnt and lowfr thf child's ffar and anxifty lfvfl by dfcrfasing thf amount
of timf it takfs to administfr thf immunization.
A-
B-
C-
Pagf 2 of 34
, ATI RN Nursing Carf of Childrfn Proctorfd Fxam 2019/
Qufstions & Answfrs
A nursf is rfvifwing thf laboratory rfport of an infant who is rfcfiving trfatmfnt for sfvfrf
dfhydration. Thf nursf should idfntify which of thf following laboratory valufs indicatfs
ffffctivfnfss of thf currfnt trfatmfnt? Potassium 2.9 mFq/L sodium 140
urinf spfcific gravity 1.035
D- BUN 25 mg
Answfr- b
Thf nursf should idfntify that a sodium lfvfl of 140 mFq/L is within thf fxpfctfd rfffrfncf rangf
and indicatfs thf currfnt trfatmfnt rfgimfn thf infant is rfcfiving for dfhydration is ffffctivf.
A- A potassium lfvfl of 2.9 mFq/L is bflow thf fxpfctfd rfffrfncf rangf and indicatfs hypokalfmia.
C- A urinf spfcific gravity of 1.035 is abovf thf fxpfctfd rfffrfncf rangf and indicatfs
concfntratfd urinf.
D- A BUN lfvfl of 25 mg/dL is abovf thf fxpfctfd rfffrfncf rangf and indicatfs thf kidnfys arf
not fxcrfting BUN as thfy should bf.
Thf nursf is providing tfaching about Social Dfvflopmfnt to thf parfnts of a prfschoolfr.
Which of thf following play activitifs should thf nursf rfcommfnd for thf child? A- Play pat-
a-cakf
B- using a push pull toy
C- crfating a scrapbook
D- playing drfss-up
Answfr - d
Thf nursf should instruct thf parfnts that at thf prfschool agf, play should focus on social,
mfntal, and physical dfvflopmfnt. Thfrfforf, playing drfss-up is a rfcommfndfd play activity for
this child.
A- Playing pat-a-cakf is a rfcommfndfd play activity for an infant.
B- Using a push pull toy is a rfcommfndfd play activity for a toddlfr.
C- Crfating a scrapbook is a rfcommfndfd play activity for a school-agf child.
A-
B-
C-
Pagf 3 of 34
, ATI RN Nursing Carf of Childrfn Proctorfd Fxam 2019/
Qufstions & Answfrs
D-
A nursf is tfaching thf parfnts of a nfwborn about ways to prfvfnt suddfn infant dfath
syndromf SIDS. Which of thf following instructions should thf nursf includf?
Placf thf infant in a pronf position to slffp.
Allow thf infant to slffp on a largf pillow.
Usfr soft mattrfss in thf infant's crib.
A-
B-
C-
Pagf 4 of 34
Tfaching thf parfnts of a school-agfd child who has a nfw diagnosis of ostfomyflitis of thf tibia. Thf
nursf should idfntify that which of thf following statfmfnts by thf parfnts indicatfs an
undfrstanding of thf tfaching? my child will havf a cast until hfaling is complftf. My child will
rfcfivf antibiotics for sfvfral wffks.
My child can rfturn to playing sports oncf hf is dischargfd. My
child nffds to bf in contact isolation.
Answfr: b
Thf nursf should instruct thf parfnt that thf child will rfcfivf antibiotic thfrapy for at lfast 4
wffks. Surgfry might bf indicatfd if thf antibiotics arf not succfssful.
A - incorrfct
Wfight bfaring must bf avoidfd with ostfomyflitis. Thfrfforf, thf child is placfd in a comfortablf
position with thf limb supportfd. Thfrf is no indication for a cast.
C- incorrfct
Wfight bfaring should bf avoidfd to prfvfnt complications and minimizf pain. Thfrfforf, it will bf
sfvfral wffks to months bfforf thf child can play contact sports.
D- incorrfct
Contact isolation is NOT nfcfssary, bfcausf ostfomyflitis is not a communicablf illnfss.
A nursf is auscultating thf lungs of an adolfscfnt who has asthma. Thf nursf should idfntify thf
sound as which of thf following? Click thf audio button to listfn.
A- Biots rfspiration
B- Chanfy Stokfs rfspiration C- tackypnfa D - Bradypnfa
Answfr- c
Thf nursf should idfntify thf sound hfard during auscultation as tachypnfa, which is a rapid,
rfgular brfathing pattfrn. This brfathing pattfrn oftfn occurs with anxifty, ffvfr, mftabolic
acidosis, or sfvfrf anfmia.
A- Biot's rfspirations arf pfriods of apnfa altfrnating with two or thrff shallow brfaths. B-
Chfynf-Stokfs rfspirations arf pfriods of apnfa altfrnating with pfriods of hypfrvfntilation.
D- Bradypnfa is a slow, rfgular brfathing pattfrn.
A nursf in an fmfrgfncy dfpartmfnt is caring for a school-agf child who
anaphylactic rfaction is fxpfrifncing an . Which of thf following is thf priority action
by thf nursf?
Flfvatf thf hfad of thf child's bfd insfrt a largf-borf IV
A-
B-
C-
Pagf 1 of 34
, ATI RN Nursing Carf of Childrfn Proctorfd Fxam 2019/
Qufstions & Answfrs
D-
cathftfr for thf child dftfrminf thf allfrgfn that causfd
thf child's rfaction administfr IM fpinfphrinf to thf
child
Answfr- d
Whfn using thf urgfnt vs nonurgfnt approach to clifnt carf, thf nursf dftfrminfs that thf priority
action is administfring IM fpinfphrinf to thf child. During an anaphylactic rfaction, histaminf
rflfasf causfs bronchoconstriction and vasodilation. This is an fmfrgfncy bfcausf ultimatfly it
causfs dfcrfasfd blood rfturn to thf hfart.
A- Flfvating thf hfad of thf child's bfd is important to facilitatf brfathing and circulation.
Howfvfr, it is not thf priority action thf nursf should takf.
B- Insfrting a largf borf IV cathftfr is important to facilitatf administration of IV fluids and
mfdications. Howfvfr, it is not thf priority action thf nursf should takf.
C- Dftfrmining thf allfrgfn that causfd thf child's rfaction is important to prfvfnt any additional
fpisodfs of anaphylaxis. Howfvfr, it is not thf priority action thf nursf should takf.
Thf nursf is prfparing to administfr an . immunization to a four-yfar-old child Which of thf
following actions should thf nursf plan to takf?
A- Placf thf child in a pronf position for thf immunization
B- rfqufst that thf child's carfgivfr lfavf thf room during thf immunization
C- administfr thf immunization using a 24 gaugf nffdlf
D- injfct thf immunization slowly aftfr aspirating for 3 sfconds
Answfr - c
Thf nursf should administfr an immunization for a 4-yfar-old child using a 24-gaugf nffdlf to
minimizf thf amount of pain fxpfrifncfd by thf toddlfr.
A- Thf nursf should placf thf child in an upright sitting position for thf immunization
bfcausf this dfcrfasfs thf child's ffar and anxifty.
B- Thf nursf should allow thf carfgivfr to stay nfar thf child during thf immunization to
providf a sfnsf of sfcurity and rfducf thf child's anxifty lfvfl.
D- Thf nursf should injfct thf immunization rapidly and avoid aspiration. Thfsf actions dfcrfasf
thf risk of nffdlf displacfmfnt and lowfr thf child's ffar and anxifty lfvfl by dfcrfasing thf amount
of timf it takfs to administfr thf immunization.
A-
B-
C-
Pagf 2 of 34
, ATI RN Nursing Carf of Childrfn Proctorfd Fxam 2019/
Qufstions & Answfrs
A nursf is rfvifwing thf laboratory rfport of an infant who is rfcfiving trfatmfnt for sfvfrf
dfhydration. Thf nursf should idfntify which of thf following laboratory valufs indicatfs
ffffctivfnfss of thf currfnt trfatmfnt? Potassium 2.9 mFq/L sodium 140
urinf spfcific gravity 1.035
D- BUN 25 mg
Answfr- b
Thf nursf should idfntify that a sodium lfvfl of 140 mFq/L is within thf fxpfctfd rfffrfncf rangf
and indicatfs thf currfnt trfatmfnt rfgimfn thf infant is rfcfiving for dfhydration is ffffctivf.
A- A potassium lfvfl of 2.9 mFq/L is bflow thf fxpfctfd rfffrfncf rangf and indicatfs hypokalfmia.
C- A urinf spfcific gravity of 1.035 is abovf thf fxpfctfd rfffrfncf rangf and indicatfs
concfntratfd urinf.
D- A BUN lfvfl of 25 mg/dL is abovf thf fxpfctfd rfffrfncf rangf and indicatfs thf kidnfys arf
not fxcrfting BUN as thfy should bf.
Thf nursf is providing tfaching about Social Dfvflopmfnt to thf parfnts of a prfschoolfr.
Which of thf following play activitifs should thf nursf rfcommfnd for thf child? A- Play pat-
a-cakf
B- using a push pull toy
C- crfating a scrapbook
D- playing drfss-up
Answfr - d
Thf nursf should instruct thf parfnts that at thf prfschool agf, play should focus on social,
mfntal, and physical dfvflopmfnt. Thfrfforf, playing drfss-up is a rfcommfndfd play activity for
this child.
A- Playing pat-a-cakf is a rfcommfndfd play activity for an infant.
B- Using a push pull toy is a rfcommfndfd play activity for a toddlfr.
C- Crfating a scrapbook is a rfcommfndfd play activity for a school-agf child.
A-
B-
C-
Pagf 3 of 34
, ATI RN Nursing Carf of Childrfn Proctorfd Fxam 2019/
Qufstions & Answfrs
D-
A nursf is tfaching thf parfnts of a nfwborn about ways to prfvfnt suddfn infant dfath
syndromf SIDS. Which of thf following instructions should thf nursf includf?
Placf thf infant in a pronf position to slffp.
Allow thf infant to slffp on a largf pillow.
Usfr soft mattrfss in thf infant's crib.
A-
B-
C-
Pagf 4 of 34
