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VATI NURSING CARE OF CHILDREN EXAM
GRADED A 2 LATEST VERSION WITH 200
QUESTIONS AND VERIFIED ANSWERS WITH
RATIONALES 2024/2025 / RN NURSING CARE
OF CHILDREN PROCTORED EXAM GRADED A
A nurse is caring for a child who is receiving treatment for diabetic
ketoacidosis and has current blood glucose level of 250mg/dL. Which of the
following actions should the nurse take?
A. Administer 5% Dextrose in 0.9% sodium chloride by continuous IV infusion
B. Give potassium as rapid IV bolus
C. Administer 3 units of ultralente insulin subcutaneously
D. Obtain an HbA1c level stat - CORRECT ANSWER>>Administer 5% Dextrose
in 0.9% sodium chloride by continuous IV infusion
A nurse is caring for a child who has epistaxis. Which of the following actions
should the nurse take?
A. Apply a warm cloth to the bridge of the child's nose
B. Tilt the child's head back
C. Apply continuous pressure to the child's nose for at least 10 min D.
Administer aspirin for the child's pain - CORRECT ANSWER>>Apply
continuous pressure to the child's nose for at least 10 min
A nurse is teaching the parents of a 3-year-old who has persistent otitis
media about prevention. Which of the following statements by the parents
indicates and understanding of the teaching?
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A. My child should not play around others who have ear infections.
B. We should not smoke around our child.
C. My child should not swim this summer.
D. I will encourage my child to blow his nose forcefully when he has a cold. -
CORRECT ANSWER>>We should not smoke around our child
A nurse is assessing the pain level of a 3-year-old who is postoperative
following abdominal surgery. Which of the following pain scales should the
nurse use?
A. Word graphic rating scale
B. Color tool
C. FACES pain rating scale
D. Numeric scale - CORRECT ANSWER>>FACES pain rating scale
A nurse is caring for a child who has acute glomerulonephritis. Which of the
following actions should the nurse take?
A. Maintain the child on strict bed rest
B. Check the child's blood pressure every 4 hr
C. Administer albumin to the child every 8 hr
D. Provide the child with a low-carbohydrate diet - CORRECT
ANSWER>>Check the child's blood pressure every 4 hours
A nurse on the pediatric unit is caring for a group of clients. Which of the
following findings should be the nurse's priority?
A. A child who has asthma and a pulse oximetry of 94%
B. A child who has nephrotic syndrome and 1+ protein on urine dipstick
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C. A child who has sickle cell anemia and a urine specific gravity of 1.030 D. A
child who has insulin-depended diabetes mellitus and a fingerstick glucose
reading of 110 mg/dL - CORRECT ANSWER>>A child who has sickle cell
anemia and a urine specific gravity of 1.030
A nurse is caring for a preschool-age child who has mucosal ulceration after
receiving chemotherapy. Which of the following actions should the nurse
take?
A. Place viscous lidocaine on the child's oral lesions
B. Instruct the child to use a soft-sponge toothbrush when brushing her
teeth C. Encourage the child to rinse her mouth with hydrogen peroxide
every 2-4 hr
D. Give the child lemon glycerin swabs to use after each meal - CORRECT
ANSWER>>Instruct the child to use a soft sponge toothbrush when brushing
her teeth
A nurse is caring for a group of infants who have congenital heart defects.
For which of the following defects should the nurse expect to observe
cyanosis?
A. Transposition of the great arteries
B. Ventricular septal defect
C. Coarctation of the aorta
D. Patent ductus arteriosus - CORRECT ANSWER>>Transposition of great
arteries
A nurse is teaching a school-age child who has a new diagnosis of type 1
diabetes mellitus. which of the following statements should the nurse make?
A. If you take too much insulin, drink a sugar-free cola.
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B. You will need to decrease your insulin dosage when you become a
teenager.
C. You can use a vial of insulin for up to 30 days.
D. Stop taking your insulin if you are vomiting. - CORRECT ANSWER>>You
can use a vial of insulin for up to 30 days
A nurse is teaching to a group of parents of adolescents about
developmental needs. Which of the following statements by a parent should
the nurse investigate further?
A. My child has frequent mood swings. B.
My child has a very messy bedroom.
C. My child takes 1 to 2 showers per day.
D. My child spends 4 hours per day using online chat rooms. - CORRECT
ANSWER>>My child spends 4 hours per day in internet chat rooms
A nurse is reviewing the medical record of a 2-month-old infant who has
rotavirus. The nurse notes a hemoglobin level of 12g/dL and a hematocrit of
51%. Which of the following statements by the nurse indicates an
understanding of the laboratory values? - CORRECT ANSWER>>The infant
might be dehydrated
A school nurse is assessing an adolescent child who returned to school
following a case of mononucleosis. The child has a note from his provider
excusing him from gym class. Which of the following findings should the
nurse identify as the reason for this excusal? - CORRECT ANSWER>>Potential
for sustaining abdominal trauma
A nurse is teaching the parents of a 4-month-old infant who has
gastroesophageal reflux. Which of the following statements by the parent
indicates an understanding of the teaching?
VATI NURSING CARE OF CHILDREN EXAM
GRADED A 2 LATEST VERSION WITH 200
QUESTIONS AND VERIFIED ANSWERS WITH
RATIONALES 2024/2025 / RN NURSING CARE
OF CHILDREN PROCTORED EXAM GRADED A
A nurse is caring for a child who is receiving treatment for diabetic
ketoacidosis and has current blood glucose level of 250mg/dL. Which of the
following actions should the nurse take?
A. Administer 5% Dextrose in 0.9% sodium chloride by continuous IV infusion
B. Give potassium as rapid IV bolus
C. Administer 3 units of ultralente insulin subcutaneously
D. Obtain an HbA1c level stat - CORRECT ANSWER>>Administer 5% Dextrose
in 0.9% sodium chloride by continuous IV infusion
A nurse is caring for a child who has epistaxis. Which of the following actions
should the nurse take?
A. Apply a warm cloth to the bridge of the child's nose
B. Tilt the child's head back
C. Apply continuous pressure to the child's nose for at least 10 min D.
Administer aspirin for the child's pain - CORRECT ANSWER>>Apply
continuous pressure to the child's nose for at least 10 min
A nurse is teaching the parents of a 3-year-old who has persistent otitis
media about prevention. Which of the following statements by the parents
indicates and understanding of the teaching?
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A. My child should not play around others who have ear infections.
B. We should not smoke around our child.
C. My child should not swim this summer.
D. I will encourage my child to blow his nose forcefully when he has a cold. -
CORRECT ANSWER>>We should not smoke around our child
A nurse is assessing the pain level of a 3-year-old who is postoperative
following abdominal surgery. Which of the following pain scales should the
nurse use?
A. Word graphic rating scale
B. Color tool
C. FACES pain rating scale
D. Numeric scale - CORRECT ANSWER>>FACES pain rating scale
A nurse is caring for a child who has acute glomerulonephritis. Which of the
following actions should the nurse take?
A. Maintain the child on strict bed rest
B. Check the child's blood pressure every 4 hr
C. Administer albumin to the child every 8 hr
D. Provide the child with a low-carbohydrate diet - CORRECT
ANSWER>>Check the child's blood pressure every 4 hours
A nurse on the pediatric unit is caring for a group of clients. Which of the
following findings should be the nurse's priority?
A. A child who has asthma and a pulse oximetry of 94%
B. A child who has nephrotic syndrome and 1+ protein on urine dipstick
,3 | Page
C. A child who has sickle cell anemia and a urine specific gravity of 1.030 D. A
child who has insulin-depended diabetes mellitus and a fingerstick glucose
reading of 110 mg/dL - CORRECT ANSWER>>A child who has sickle cell
anemia and a urine specific gravity of 1.030
A nurse is caring for a preschool-age child who has mucosal ulceration after
receiving chemotherapy. Which of the following actions should the nurse
take?
A. Place viscous lidocaine on the child's oral lesions
B. Instruct the child to use a soft-sponge toothbrush when brushing her
teeth C. Encourage the child to rinse her mouth with hydrogen peroxide
every 2-4 hr
D. Give the child lemon glycerin swabs to use after each meal - CORRECT
ANSWER>>Instruct the child to use a soft sponge toothbrush when brushing
her teeth
A nurse is caring for a group of infants who have congenital heart defects.
For which of the following defects should the nurse expect to observe
cyanosis?
A. Transposition of the great arteries
B. Ventricular septal defect
C. Coarctation of the aorta
D. Patent ductus arteriosus - CORRECT ANSWER>>Transposition of great
arteries
A nurse is teaching a school-age child who has a new diagnosis of type 1
diabetes mellitus. which of the following statements should the nurse make?
A. If you take too much insulin, drink a sugar-free cola.
, 4 | Page
B. You will need to decrease your insulin dosage when you become a
teenager.
C. You can use a vial of insulin for up to 30 days.
D. Stop taking your insulin if you are vomiting. - CORRECT ANSWER>>You
can use a vial of insulin for up to 30 days
A nurse is teaching to a group of parents of adolescents about
developmental needs. Which of the following statements by a parent should
the nurse investigate further?
A. My child has frequent mood swings. B.
My child has a very messy bedroom.
C. My child takes 1 to 2 showers per day.
D. My child spends 4 hours per day using online chat rooms. - CORRECT
ANSWER>>My child spends 4 hours per day in internet chat rooms
A nurse is reviewing the medical record of a 2-month-old infant who has
rotavirus. The nurse notes a hemoglobin level of 12g/dL and a hematocrit of
51%. Which of the following statements by the nurse indicates an
understanding of the laboratory values? - CORRECT ANSWER>>The infant
might be dehydrated
A school nurse is assessing an adolescent child who returned to school
following a case of mononucleosis. The child has a note from his provider
excusing him from gym class. Which of the following findings should the
nurse identify as the reason for this excusal? - CORRECT ANSWER>>Potential
for sustaining abdominal trauma
A nurse is teaching the parents of a 4-month-old infant who has
gastroesophageal reflux. Which of the following statements by the parent
indicates an understanding of the teaching?
