Nursing Care of Children ATI Practice Exam
with NGN Exam Questions And Answers.
Verified and Updated.
School-age child who is experiencing fatigue. Which finding should nurse recognize as an
indication of anemia?
a. Hematocrit 28%
b. Hemoglobin 13.5 g/dL
c. WBC count 8,000/mm^3
d. Platelets 250,000/mm^3 - answer✔✔a. Hematocrit 28%
- expected range: 32%-44% for a school aged child
- the child can also exhibit fatigue, lightheadedness, tachycardia, dyspnea, & pallor due to the
decreased oxygen carrying capacity
A nurse is reviewing the lumbar puncture results of a school-age child who is suspected of
having bacterial meningitis. Which of the following findings should the nurse identify as an
indication of bacterial meningitis?
a. decreased cerebrospinal fluid pressure
b. decreased WBC count
c. increased protein concentration
d. increased glucose level - answer✔✔c. increased protein concentration
A nurse is reviewing the laboratory report of a 7-year-old child who is receiving chemotherapy.
which of the following laboratory values should the nurse report to the provider?
a. Hgb 8.5 g/dL
b. WBC count 9,500/mm^3
c. Prealbumin 18 mg/dL
EXAM STUDY MATERIALS July 24, 2024 1:33:58 PM
,d. Platelets 300,000/mm^3 - answer✔✔a. Hgb 8.5 g/dL
- a child receiving chemotherapy is at risk for anemia due to the chemotherapy effects on the
blood-forming cells of the bone marrow
- the development of anemia is diagnosed through lab testing of hgb & hematocrit levels
- the nurse should recognize that a hemoglobin level of 8.5 g/dL is below the expected reference
range of 10 to 15.5 g/dL for a 7 year old child and should be reported to the provider
A nurse is caring for a preschooler whose father is going home for a few hours while another
relative stays with the child. which of the following statements should the nurse make to explain
to the child when their father will return?
a. "Your daddy will be back at 7 pm"
b. Your daddy will be back after he takes care of your brother"
c. Your daddy will be back in the morning"
d. "Your daddy will be back after you eat" - answer✔✔d. "Your daddy will be back after you
eat"
- preschoolers make sense of time best when they can associate it with an expected daily routine,
such as meals and bedtime
- therefore, the child comprehends time best when it is explained to them in relation to an event
they are familiar with, such as eating
A nurse if receiving change-of-shift report for four children. Which of the following children
should the nurse see first?
a. A school aged child who has sickle cell anemia & reports decreased vision in the left eye
b. A school aged child who has cystic fibrosis & a frequent nonproductive cough
c. A preschooler who has asthma & a peak flow meter reading in the green zone
d. An adolescent who has meningitis & reports a sensitivity to lights & noise - answer✔✔a. a
school aged child who has sickle cell anemia and reports decreased vision in the left eye
- when using urgent vs non-urgent approach to client care, the nurse should determine the
priority finding is a report of decreased vsiion in the left eye
EXAM STUDY MATERIALS July 24, 2024 1:33:58 PM
, - this finding indicates that the child is experiencing a vaso-occlusive crisis and should be
reported to the provide immediately
A nurse in a providers office is preparing to administer immunizations to a toddler during a well-
child visit. Which of the following actions should the nurse take?
Provider Prescriptions:
TB skin test (TST)
MMR vaccine
Inactivated influenza vaccine
DTaP vaccine
Graphic record:
RR 24/min
HR 115/min
Temp 36.9C (98.4F)
Hx/Physical:
Age 15 months
Height 71.1 cm (28 in)
Allergies Neomycin (anaphylactic rxn)
caregiver reports rhinitis with clear nasal drainage for 2 days
Occasional nonproductive cough for 2 days
Hx of asthma
answer options:
a. withhold MMR
b. withhold DTaP
c. withhold influenza
EXAM STUDY MATERIALS July 24, 2024 1:33:58 PM
with NGN Exam Questions And Answers.
Verified and Updated.
School-age child who is experiencing fatigue. Which finding should nurse recognize as an
indication of anemia?
a. Hematocrit 28%
b. Hemoglobin 13.5 g/dL
c. WBC count 8,000/mm^3
d. Platelets 250,000/mm^3 - answer✔✔a. Hematocrit 28%
- expected range: 32%-44% for a school aged child
- the child can also exhibit fatigue, lightheadedness, tachycardia, dyspnea, & pallor due to the
decreased oxygen carrying capacity
A nurse is reviewing the lumbar puncture results of a school-age child who is suspected of
having bacterial meningitis. Which of the following findings should the nurse identify as an
indication of bacterial meningitis?
a. decreased cerebrospinal fluid pressure
b. decreased WBC count
c. increased protein concentration
d. increased glucose level - answer✔✔c. increased protein concentration
A nurse is reviewing the laboratory report of a 7-year-old child who is receiving chemotherapy.
which of the following laboratory values should the nurse report to the provider?
a. Hgb 8.5 g/dL
b. WBC count 9,500/mm^3
c. Prealbumin 18 mg/dL
EXAM STUDY MATERIALS July 24, 2024 1:33:58 PM
,d. Platelets 300,000/mm^3 - answer✔✔a. Hgb 8.5 g/dL
- a child receiving chemotherapy is at risk for anemia due to the chemotherapy effects on the
blood-forming cells of the bone marrow
- the development of anemia is diagnosed through lab testing of hgb & hematocrit levels
- the nurse should recognize that a hemoglobin level of 8.5 g/dL is below the expected reference
range of 10 to 15.5 g/dL for a 7 year old child and should be reported to the provider
A nurse is caring for a preschooler whose father is going home for a few hours while another
relative stays with the child. which of the following statements should the nurse make to explain
to the child when their father will return?
a. "Your daddy will be back at 7 pm"
b. Your daddy will be back after he takes care of your brother"
c. Your daddy will be back in the morning"
d. "Your daddy will be back after you eat" - answer✔✔d. "Your daddy will be back after you
eat"
- preschoolers make sense of time best when they can associate it with an expected daily routine,
such as meals and bedtime
- therefore, the child comprehends time best when it is explained to them in relation to an event
they are familiar with, such as eating
A nurse if receiving change-of-shift report for four children. Which of the following children
should the nurse see first?
a. A school aged child who has sickle cell anemia & reports decreased vision in the left eye
b. A school aged child who has cystic fibrosis & a frequent nonproductive cough
c. A preschooler who has asthma & a peak flow meter reading in the green zone
d. An adolescent who has meningitis & reports a sensitivity to lights & noise - answer✔✔a. a
school aged child who has sickle cell anemia and reports decreased vision in the left eye
- when using urgent vs non-urgent approach to client care, the nurse should determine the
priority finding is a report of decreased vsiion in the left eye
EXAM STUDY MATERIALS July 24, 2024 1:33:58 PM
, - this finding indicates that the child is experiencing a vaso-occlusive crisis and should be
reported to the provide immediately
A nurse in a providers office is preparing to administer immunizations to a toddler during a well-
child visit. Which of the following actions should the nurse take?
Provider Prescriptions:
TB skin test (TST)
MMR vaccine
Inactivated influenza vaccine
DTaP vaccine
Graphic record:
RR 24/min
HR 115/min
Temp 36.9C (98.4F)
Hx/Physical:
Age 15 months
Height 71.1 cm (28 in)
Allergies Neomycin (anaphylactic rxn)
caregiver reports rhinitis with clear nasal drainage for 2 days
Occasional nonproductive cough for 2 days
Hx of asthma
answer options:
a. withhold MMR
b. withhold DTaP
c. withhold influenza
EXAM STUDY MATERIALS July 24, 2024 1:33:58 PM
