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ATI CARE OF CHILDREN RN 2024 PROCTORED EXAM
NEWEST VERSION 100 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
A nurse is preparing to administer an intramuscular (IM) injection to a
child. Which of the following muscle groups is contraindicated?
A. Deltoid
B. Ventrogluteal
C. Vastus lateralis
D. Dorsal gluteal - ANSWER- ANS:D
Rationale: The dorsal gluteal site has major nerves and blood vessels and
is not a recommended site.
The deltoid muscle can be used once developed fro IM injections in
children for medication containing up to 1 mL of fluid. The
ventrogluteal muscle and vastus lateralis site can be used for IM
injections in children for medications containing up to 2 mL of fluid.
A nurse is teaching a parent of an infant about administration of oral
medications. Which of the following should the nurse include in the
teaching? (Select all that apply.)
A. Use a universal dropper for medication administration.
B. Ask the pharmacy to add flavoring to the medication.
C. Add the medication to the formula bottle before feeding.
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D. Use the nipple of the bottle to administer the medication.
E. Hold the infant in an semireclining position. - ANSWER- ANS:B, D,
E
Rationale: Medication has different viscosities, and droppers do not have
a standard opening. A universal dropper is not an accurate way to
measure medications. Because an infant may not finish an entire bottle
of formula, it is not recommended to add medication to the bottle.
A nurse is preparing to administer medication to a toddler. Which of the
following are appropriate actions for the nurse to take? (Select all that
apply.)
A. Identify the toddler by asking the parent.
B. Tell the parent to administer the medication.
C. Calculate the safe dosage.
D. Ask the toddler what toy he wants to hold during administration.
E. Offer juice after the medication - ANSWER- ANS:C, D, E
Rationale: For safe medication administration, confirm two identifiers
by looking at the ID band or having the toddler state his or her name and
date of birth. The nurse should assess the preferred level of involvement
of the parents prior to medication administration.
A nurse is caring for an infant who needs otic medications. Which of the
following is an appropriate action for the nurse to take?
A. Hold the infant in an upright position.
B. Pull the pinna downward and straight back.
C. Hyperextend the infant's neck.
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D. Ensure that the medication is cool. - ANSWER- ANS: B
Rationale: Pulling the pinna downward and straight back will straighten
the ear canal to allow medication to flow into the ear.
Position the infant supine or prone for administration of otic medication.
Hyperextending the infant's neck could occlude the airway. Allow the
otic medication to warm up to room temperature.
A nurse is completing a pain assessment of an infant. Which of the
following pain scales should the nurse use?
A. FACES
B. FLACC
C. Oucher
D. Non-communicating children's pain checklist - ANSWER- ANS: B
Rationale: The FLACC pain assessment scale is recommended for
infants and children between 2 months and 7 years of age.
The FACES pain assessment scale is recommended for children 3 years
or older. The Oucher pain assessment is recommended for children
between the ages of 3 and 13 years. The non-communicating children's
pain checklist is recommended for non-communicating children between
the ages of 3 and 18 years.
A nurse is planning care for a child following a surgical procedure.
Which of the following interventions should be included in the plan of
care?
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A. Administer NSAIDs for pain greater than 7.
B. Administer intranasal analgesics PRN.
C. Administer IM analgesics for pain.
D. Administer IV analgesics on a schedule. - ANSWER- ANS: D
Rationale: IV analgesics should be administered on a schedule to
achieve optimal pain management.
A nurse is assessing an infant. Which of the following are clinical
manifestations of pain in an infant? (Select all that apply).
A. Pursed lips
B. Loud cry
C. Lowered eyebrows
D. Rigid body
E. Pushes away stimilus - ANSWER- ANS: B, C, D
Rationale: Infants who experience pain will have their mouth open in a
squarish shape. Infants who experience pain will exhibit a local reflex to
withdraw from the stimulus.
A nurse is preparing a toddler for an intravenous catheter insertion using
atraumatic care. Which of the following are appropriate interventions?
(Select all that apply.)
A. Explain the procedure using the child's favorite toy.
B. Ask the parents to leave during the procedure.
C. Perform the procedure with the child in his bed.
D. Allow the child to make on choice regarding the procedure.
ATI CARE OF CHILDREN RN 2024 PROCTORED EXAM
NEWEST VERSION 100 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
A nurse is preparing to administer an intramuscular (IM) injection to a
child. Which of the following muscle groups is contraindicated?
A. Deltoid
B. Ventrogluteal
C. Vastus lateralis
D. Dorsal gluteal - ANSWER- ANS:D
Rationale: The dorsal gluteal site has major nerves and blood vessels and
is not a recommended site.
The deltoid muscle can be used once developed fro IM injections in
children for medication containing up to 1 mL of fluid. The
ventrogluteal muscle and vastus lateralis site can be used for IM
injections in children for medications containing up to 2 mL of fluid.
A nurse is teaching a parent of an infant about administration of oral
medications. Which of the following should the nurse include in the
teaching? (Select all that apply.)
A. Use a universal dropper for medication administration.
B. Ask the pharmacy to add flavoring to the medication.
C. Add the medication to the formula bottle before feeding.
,2|Page
D. Use the nipple of the bottle to administer the medication.
E. Hold the infant in an semireclining position. - ANSWER- ANS:B, D,
E
Rationale: Medication has different viscosities, and droppers do not have
a standard opening. A universal dropper is not an accurate way to
measure medications. Because an infant may not finish an entire bottle
of formula, it is not recommended to add medication to the bottle.
A nurse is preparing to administer medication to a toddler. Which of the
following are appropriate actions for the nurse to take? (Select all that
apply.)
A. Identify the toddler by asking the parent.
B. Tell the parent to administer the medication.
C. Calculate the safe dosage.
D. Ask the toddler what toy he wants to hold during administration.
E. Offer juice after the medication - ANSWER- ANS:C, D, E
Rationale: For safe medication administration, confirm two identifiers
by looking at the ID band or having the toddler state his or her name and
date of birth. The nurse should assess the preferred level of involvement
of the parents prior to medication administration.
A nurse is caring for an infant who needs otic medications. Which of the
following is an appropriate action for the nurse to take?
A. Hold the infant in an upright position.
B. Pull the pinna downward and straight back.
C. Hyperextend the infant's neck.
,3|Page
D. Ensure that the medication is cool. - ANSWER- ANS: B
Rationale: Pulling the pinna downward and straight back will straighten
the ear canal to allow medication to flow into the ear.
Position the infant supine or prone for administration of otic medication.
Hyperextending the infant's neck could occlude the airway. Allow the
otic medication to warm up to room temperature.
A nurse is completing a pain assessment of an infant. Which of the
following pain scales should the nurse use?
A. FACES
B. FLACC
C. Oucher
D. Non-communicating children's pain checklist - ANSWER- ANS: B
Rationale: The FLACC pain assessment scale is recommended for
infants and children between 2 months and 7 years of age.
The FACES pain assessment scale is recommended for children 3 years
or older. The Oucher pain assessment is recommended for children
between the ages of 3 and 13 years. The non-communicating children's
pain checklist is recommended for non-communicating children between
the ages of 3 and 18 years.
A nurse is planning care for a child following a surgical procedure.
Which of the following interventions should be included in the plan of
care?
, 4|Page
A. Administer NSAIDs for pain greater than 7.
B. Administer intranasal analgesics PRN.
C. Administer IM analgesics for pain.
D. Administer IV analgesics on a schedule. - ANSWER- ANS: D
Rationale: IV analgesics should be administered on a schedule to
achieve optimal pain management.
A nurse is assessing an infant. Which of the following are clinical
manifestations of pain in an infant? (Select all that apply).
A. Pursed lips
B. Loud cry
C. Lowered eyebrows
D. Rigid body
E. Pushes away stimilus - ANSWER- ANS: B, C, D
Rationale: Infants who experience pain will have their mouth open in a
squarish shape. Infants who experience pain will exhibit a local reflex to
withdraw from the stimulus.
A nurse is preparing a toddler for an intravenous catheter insertion using
atraumatic care. Which of the following are appropriate interventions?
(Select all that apply.)
A. Explain the procedure using the child's favorite toy.
B. Ask the parents to leave during the procedure.
C. Perform the procedure with the child in his bed.
D. Allow the child to make on choice regarding the procedure.
