ATI Capstone Nursing Care of Children
Exam | Questions and Verified Answers
with Rationale | 100% Correct | Rated
A+ | 2025 Guide
A nurse is assessing an adolescent who has an exacerbation of Graves
disease. Which of the following findings should the nurse expect?
Weight gain
Bradycardia
Lethargy
Heat intolerance
- Correct Answer - Heat intolerance;
Rationale: An exacerbation of Graves' disease can cause heat
intolerance due to an increased metabolic rate, which leads to warm
flushed moist skin and extreme diaphoresis.
A home health nurse is teaching a child's parents about endotracheal
suctioning. Which of the following information should the nurse include in
the teaching?
Apply suction when inserting the catheter.
Apply suction for less than 10 seconds.
Set the suction pressure to 110 mm Hg.
,Allow the child to rest for 10 to 15 seconds after each suctioning attempt.
- Correct Answer - Apply suction for less than 10 seconds;
Rationale: Prolonged suctioning can cause damage to tissues and
induce hypoxia. Hypoxia can interfere with stages of respiration, cellular
absorption, and blood transport.
A nurse is caring for an adolescent who has spina bifida and is paralyzed
from the waist down. Which of the following statements by the client
should indicate to the nurse a need for further teaching?
"I only need to catheterize myself twice every day."
"I carry a water bottle with me because I drink a lot of water."
"I use a suppository every night to have a bowel movement."
"I do wheelchair exercises while watching TV."
- Correct Answer - "I only need to catheterize myself twice every day.";
Rationale: The client has paralysis from the level of the defect down. In
the majority of cases, this condition affects bladder and bowel
continence. Catheterization should be performed every 4 hr. Infrequent
emptying of the bladder can result in stasis and urinary tract infections.
A nurse is providing discharge instructions to a parent and his school
age child who has juvenile idiopathic arthritis. Which of the following
instructions should the nurse include?
Encourage the child to take a 45 min nap daily.
Allow the child to stay at home on days when her joints are painful.
,Apply cool compresses for 20 min every hour.
Administer prednisone on an alternate-day schedule.
- Correct Answer - Administer prednisone on an alternate-day schedule;
Rationale: Prednisone is an effective anti-inflammatory agent that can
have serious adverse effects. Taking prednisone on an alternate-day
schedule can help maintain joint mobility and minimize adverse effects.
A nurse is preparing to administer a vaccine to a 4 year old child. Which
of the following vaccines should the nurse administer?
Haemophilus influenza type b (Hib)
Hepatitis B (HepB)
Varicella (VAR)
Meningococcal (MCV4)
- Correct Answer - Varicella (VAR);
Rationale: The child should have received the first dose between 12 to
15 months of age. The child should then receive a second dose between
4 and 6 years of age.
A nurse is caring for a 6-week-old infant who has a ventricular septal
defect (VSD). Complete the diagram by dragging from the choices below
to specify what condition the client is most likely experiencing, 2 actions
the nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client's progress.
, - Correct Answer - The nurse should assess the apical pulse for 1 full
min and assess the rhythm strip for a prolonged P-R interval because
the infant is most likely experiencing digoxin toxicity. The manifestations
of digoxin toxicity that are seen in infants most commonly include
vomiting, poor feeding, and bradycardia. The P-R interval is also
prolonged if digoxin toxicity is occurring. It is critical the nurse quickly
identifies and reports these symptoms to the provider for treatment of
digoxin toxicity. Furosemide is a potassium wasting diuretic and can
cause hypokalemia. Hypokalemia increases the potential for digoxin
toxicity.
The nurse should continue to monitor the infant's heart rate and withhold
digoxin per the provider's prescription. It may be necessary to treat the
digoxin toxicity with the antidote digoxin immune fab fragment. It is
important to continue to monitor digoxin level as treatment is initiated.
When administering ear drops to a toddler. The nurse pulls the auricle
down and back. The mother asks "why are you pulling the ear that way?"
Which of the following is an appropriate response by the nurse?
"This technique opens the ear canal, allowing medication to reach the
inner ear region."
"When this technique is used, the toddler experiences less pain."
"This is the safest and easiest way to administer this medication."
"When this technique is used, the medication will not run out of the ear."
- Correct Answer - "This technique opens the ear canal, allowing
medication to reach the inner ear region.";
Exam | Questions and Verified Answers
with Rationale | 100% Correct | Rated
A+ | 2025 Guide
A nurse is assessing an adolescent who has an exacerbation of Graves
disease. Which of the following findings should the nurse expect?
Weight gain
Bradycardia
Lethargy
Heat intolerance
- Correct Answer - Heat intolerance;
Rationale: An exacerbation of Graves' disease can cause heat
intolerance due to an increased metabolic rate, which leads to warm
flushed moist skin and extreme diaphoresis.
A home health nurse is teaching a child's parents about endotracheal
suctioning. Which of the following information should the nurse include in
the teaching?
Apply suction when inserting the catheter.
Apply suction for less than 10 seconds.
Set the suction pressure to 110 mm Hg.
,Allow the child to rest for 10 to 15 seconds after each suctioning attempt.
- Correct Answer - Apply suction for less than 10 seconds;
Rationale: Prolonged suctioning can cause damage to tissues and
induce hypoxia. Hypoxia can interfere with stages of respiration, cellular
absorption, and blood transport.
A nurse is caring for an adolescent who has spina bifida and is paralyzed
from the waist down. Which of the following statements by the client
should indicate to the nurse a need for further teaching?
"I only need to catheterize myself twice every day."
"I carry a water bottle with me because I drink a lot of water."
"I use a suppository every night to have a bowel movement."
"I do wheelchair exercises while watching TV."
- Correct Answer - "I only need to catheterize myself twice every day.";
Rationale: The client has paralysis from the level of the defect down. In
the majority of cases, this condition affects bladder and bowel
continence. Catheterization should be performed every 4 hr. Infrequent
emptying of the bladder can result in stasis and urinary tract infections.
A nurse is providing discharge instructions to a parent and his school
age child who has juvenile idiopathic arthritis. Which of the following
instructions should the nurse include?
Encourage the child to take a 45 min nap daily.
Allow the child to stay at home on days when her joints are painful.
,Apply cool compresses for 20 min every hour.
Administer prednisone on an alternate-day schedule.
- Correct Answer - Administer prednisone on an alternate-day schedule;
Rationale: Prednisone is an effective anti-inflammatory agent that can
have serious adverse effects. Taking prednisone on an alternate-day
schedule can help maintain joint mobility and minimize adverse effects.
A nurse is preparing to administer a vaccine to a 4 year old child. Which
of the following vaccines should the nurse administer?
Haemophilus influenza type b (Hib)
Hepatitis B (HepB)
Varicella (VAR)
Meningococcal (MCV4)
- Correct Answer - Varicella (VAR);
Rationale: The child should have received the first dose between 12 to
15 months of age. The child should then receive a second dose between
4 and 6 years of age.
A nurse is caring for a 6-week-old infant who has a ventricular septal
defect (VSD). Complete the diagram by dragging from the choices below
to specify what condition the client is most likely experiencing, 2 actions
the nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client's progress.
, - Correct Answer - The nurse should assess the apical pulse for 1 full
min and assess the rhythm strip for a prolonged P-R interval because
the infant is most likely experiencing digoxin toxicity. The manifestations
of digoxin toxicity that are seen in infants most commonly include
vomiting, poor feeding, and bradycardia. The P-R interval is also
prolonged if digoxin toxicity is occurring. It is critical the nurse quickly
identifies and reports these symptoms to the provider for treatment of
digoxin toxicity. Furosemide is a potassium wasting diuretic and can
cause hypokalemia. Hypokalemia increases the potential for digoxin
toxicity.
The nurse should continue to monitor the infant's heart rate and withhold
digoxin per the provider's prescription. It may be necessary to treat the
digoxin toxicity with the antidote digoxin immune fab fragment. It is
important to continue to monitor digoxin level as treatment is initiated.
When administering ear drops to a toddler. The nurse pulls the auricle
down and back. The mother asks "why are you pulling the ear that way?"
Which of the following is an appropriate response by the nurse?
"This technique opens the ear canal, allowing medication to reach the
inner ear region."
"When this technique is used, the toddler experiences less pain."
"This is the safest and easiest way to administer this medication."
"When this technique is used, the medication will not run out of the ear."
- Correct Answer - "This technique opens the ear canal, allowing
medication to reach the inner ear region.";
