Nursing Care of Children ATI Exam with 100% Verified Answers
FACES - - The nurse should use the FACES pain rating scale for pediatric clients who
are 3 years old and older. This scale allows the toddler to point to the face that depicts their
Page | 1 current level of pain. The nurse can then determine the need for pain management.
Numeric - - The nurse should use the numeric pain rating scale when assessing the
need for pain management in pediatric clients who are 8 years old and older. The nurse
should identify that a 3-year-old toddler does not yet possess a concept of numbers and
numerical value to eectively use this pain rating scale.
CRIES - - The nurse should use the CRIES pain assessment scale when assessing the
need for pain management in infants who are less than 40 weeks of age.
A nurse is providing teaching to the parents of a preschooler who has heart failure and a
new prescription for digoxin twice daily. Which of the following instructions should the
nurse include in the teaching? - - "Brush the child's teeth after giving the medication."
The nurse should instruct the parents to brush the child's teeth after administering digoxin
to prevent tooth decay caused by the medication, which comes as a sweetened liquid to
enhance the taste.
A nurse is teaching a school-age child and their parent about postoperative care following
cardiac catheterization. Which of the following instructions should the nurse include? -
- Wait 3 days before taking a tub bath." The child should keep the site clean and dry
for at least 3 days to reduce the risk of infection. Tub baths should be avoided for 3 days to
avoid immersion of the incision in water.
Hemophilia A
, Guardian reports that the toddler fell at home while playing with toys. Since the fall, the
toddler has been very irritable, crying uncontrollably, and grabbing at their left knee. The
toddler can walk but insists on being picked up
1115: Toddler is alert during the exam. Extremities are warm and dry to touch. Decreased
Page | 2
movement of the left leg observed. Tenderness noted with palpation of the left knee joint.
Pain level assessed as 6 on a scale of 0 to 10 using the FLACC scale. 1145: Toddler is fussy
and crying. Pain assessed as 8 on scale of 0 to 10 using the FLACC scale. Left knee
observed to be ecchymotic and edematous.
1115: Temperature 36.9° C (98.4° F) Heart rate 110/min Respiratory rate 28/min Oxygen
saturation 98% on room air
Potential Prescriptions
Administer factor VIII.
Apply ice packs to the affected joints.
Administer morphine PRN pain.
Perform passive range-of-motion (ROM) exercises duri - - Administer factor VIII is
anticipated. The child is experiencing an acute episode of hemophilia due to a recent fall.
During this acute episode, there is potential for internal bleeding into the joint spaces.
Therefore, administering factor VIII is anticipated to control bleeding. Apply ice packs to the
affected joints is anticipated. The child is experiencing an acute episode of hemarthrosis
due RN Nursing Care of Children Online Practice 2019 B with NGN CLOSE Exhibit 1 Exhibit
2 Exhibit 3 Exhibit 4 Medical History Hemophilia A to a recent fall, as evidenced by the
bruising and swelling of the knee joint. Therefore, applying ice packs to the aected joints is
anticipated to manage discomfort and decrease bleeding into the joint. Administer
morphine PRN pain is anticipated. The child is experiencing severe pain. Opioids can be
administered in the inpatient setting to relieve pain. Otherwise, acetaminophen can be
given at home for pain. Aspirin and NSAIDs should be avoided because they inhibit platelet
function and might increase bleeding. Perform passive range-of-motion (ROM) exercises
during the first 12 hr following injury is contraindicated. The child is experiencing an acute
episode of hemarthrosis Passive ROM exercises canincrease bleeding into the joint for the
rst 48 hr following injury. The toddler should be encouraged to exercise the joint as
tolerated. Elevate the aected joints is anticipated. The child is experiencing an acute
episode of hemarthrosis due to a recent fall, as evidenced by the bruising and swelling of
FACES - - The nurse should use the FACES pain rating scale for pediatric clients who
are 3 years old and older. This scale allows the toddler to point to the face that depicts their
Page | 1 current level of pain. The nurse can then determine the need for pain management.
Numeric - - The nurse should use the numeric pain rating scale when assessing the
need for pain management in pediatric clients who are 8 years old and older. The nurse
should identify that a 3-year-old toddler does not yet possess a concept of numbers and
numerical value to eectively use this pain rating scale.
CRIES - - The nurse should use the CRIES pain assessment scale when assessing the
need for pain management in infants who are less than 40 weeks of age.
A nurse is providing teaching to the parents of a preschooler who has heart failure and a
new prescription for digoxin twice daily. Which of the following instructions should the
nurse include in the teaching? - - "Brush the child's teeth after giving the medication."
The nurse should instruct the parents to brush the child's teeth after administering digoxin
to prevent tooth decay caused by the medication, which comes as a sweetened liquid to
enhance the taste.
A nurse is teaching a school-age child and their parent about postoperative care following
cardiac catheterization. Which of the following instructions should the nurse include? -
- Wait 3 days before taking a tub bath." The child should keep the site clean and dry
for at least 3 days to reduce the risk of infection. Tub baths should be avoided for 3 days to
avoid immersion of the incision in water.
Hemophilia A
, Guardian reports that the toddler fell at home while playing with toys. Since the fall, the
toddler has been very irritable, crying uncontrollably, and grabbing at their left knee. The
toddler can walk but insists on being picked up
1115: Toddler is alert during the exam. Extremities are warm and dry to touch. Decreased
Page | 2
movement of the left leg observed. Tenderness noted with palpation of the left knee joint.
Pain level assessed as 6 on a scale of 0 to 10 using the FLACC scale. 1145: Toddler is fussy
and crying. Pain assessed as 8 on scale of 0 to 10 using the FLACC scale. Left knee
observed to be ecchymotic and edematous.
1115: Temperature 36.9° C (98.4° F) Heart rate 110/min Respiratory rate 28/min Oxygen
saturation 98% on room air
Potential Prescriptions
Administer factor VIII.
Apply ice packs to the affected joints.
Administer morphine PRN pain.
Perform passive range-of-motion (ROM) exercises duri - - Administer factor VIII is
anticipated. The child is experiencing an acute episode of hemophilia due to a recent fall.
During this acute episode, there is potential for internal bleeding into the joint spaces.
Therefore, administering factor VIII is anticipated to control bleeding. Apply ice packs to the
affected joints is anticipated. The child is experiencing an acute episode of hemarthrosis
due RN Nursing Care of Children Online Practice 2019 B with NGN CLOSE Exhibit 1 Exhibit
2 Exhibit 3 Exhibit 4 Medical History Hemophilia A to a recent fall, as evidenced by the
bruising and swelling of the knee joint. Therefore, applying ice packs to the aected joints is
anticipated to manage discomfort and decrease bleeding into the joint. Administer
morphine PRN pain is anticipated. The child is experiencing severe pain. Opioids can be
administered in the inpatient setting to relieve pain. Otherwise, acetaminophen can be
given at home for pain. Aspirin and NSAIDs should be avoided because they inhibit platelet
function and might increase bleeding. Perform passive range-of-motion (ROM) exercises
during the first 12 hr following injury is contraindicated. The child is experiencing an acute
episode of hemarthrosis Passive ROM exercises canincrease bleeding into the joint for the
rst 48 hr following injury. The toddler should be encouraged to exercise the joint as
tolerated. Elevate the aected joints is anticipated. The child is experiencing an acute
episode of hemarthrosis due to a recent fall, as evidenced by the bruising and swelling of
