RN ATI NURSING CARE OF CHILDREN
PRACTICE A | RN NURSING CARE OF
CHILDREN | 100+ QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALE | LATEST 2025
GUIDE
A nurse is assessing a 4-year-old child at a well-child visit. Which of the
following developmental milestones should the nurse expect to observe?
- Correct Answer - Cuts an outlined shape using scissors.
Rationale: The nurse should recognize that an expected developmental
milestone of a 4-year-old child is using scissors to cut out a shape.
A nurse is caring for an infant who has respiratory syncytial virus (RSV).
Which of the following actions should the nurse implement for infection
control?
- Correct Answer - Have a designated stethoscope in the infant's room.
Rationale: The nurse should initiate droplet precautions for an infant who
has RSV because the virus is spread by direct contact with respiratory
secretions. Therefore, designated equipment, such as a blood pressure
cuff and a stethoscope, should be placed in the infant's room.
A nurse in an emergency department is caring for a school-age child
who has appendicitis and rates their abdominal pain as 7 on a scale of 0
to 10. Which of the following actions should the nurse take? - Correct
Answer - Give morphine 0.05mg/kg IV
,Rationale: A pain level of 7 on a scale of 0 to 10 is considered severe.
The nurse should administer an analgesic medication for pain relief.
A nurse is assessing the vital signs of a 10-year-old child following a
burn injury. The nurse should identify that which of the following findings
in an indication of early septic shock?
- Correct Answer - Temperature 39.1° C (102.4° F)
Rationale: The nurse should identify that a temperature of 39.1° C
(102.4° F) is above the expected reference range of 37° to 37.5° C
(98.6° to 99.5° F) for a 10-year-old child. The nurse should expect a
child who has early septic shock to have a fever and chills.
A school nurse is assessing an adolescent who has multiple burns in
various stages of healing. Which of the following behaviors should the
nurse identify as a possible indication of physical abuse?
- Correct Answer - Denies discomfort during assessment of injuries.
Rationale: The nurse should suspect child maltreatment in the form of
physical abuse if the adolescent has a blunted response to painful
stimuli or injury.
A nurse is caring for a 15 year-old client following a head injury. Which of
the following findings should the nurse identify as an indication that the
child is developing syndrome of inappropriate antidiuretic hormone
secretion (SIADH)?
- Correct Answer - Mental confusion
,Rationale: A child who has a head injury can develop SIADH as a result
of altered pituitary function, leading to an oversecretion of antidiuretic
hormone. Oversecretion of antidiuretic hormone leads to a decrease in
urine output, hyponatremia, and hypoosmolality due to overhydration. As
the hyponatremia becomes more severe, mental confusion and other
neurologic manifestations such as seizures can occur.
A nurse is caring for a toddler who has spastic (pyramidal) cerebral
palsy. Which of the following findings should the nurse expect? (Select
all that apply.)
- Correct Answer - -Ankle clonus
-Exaggerated stretch reflexes
-Contractures
A nurse in a provider's office if preparing to administer immunizations to
a toddler during a well-child visit. Which of the following actions should
the nurse plan to take?
- Correct Answer - Withhold the measles, mumps, and rubella (MMR)
vaccine.
Rationale: The nurse should recognize that an allergy to neomycin with
an anaphylactic reaction is a contraindication for receiving the MMR
vaccine. Clients who have a severe allergy to eggs or gelatin should not
receive this vaccine.
, A school nurse is assessing an adolescent who has scoliosis. Which of
the following findings should the nurse expect?
- Correct Answer - A unilateral rib hump
Rationale: When assessing an adolescent for scoliosis, the school nurse
should expect to see a unilateral rib hump with hip flexion. This results
from a lateral S- or C-shaped curvature to the thoracic spine resulting in
asymmetry of the ribs, shoulders, hips, or pelvis. Scoliosis can be the
result of a neuromuscular or connective tissue disorder, or it can be
congenital in nature.
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?
- Correct Answer - "Your daddy will be back after you eat."
Rationale: 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.
The nurse is caring for a preschooler who has been receiving IV fluids
via a peripheral IV catheter. When preparing to discontinue the IV fluids
and catheter, which of the following actions should the nurse plan to
take?
- Correct Answer - First, the nurse should turn off the IV pump. Next, the
nurse should occlude the IV tubing, and then remove the tape securing
PRACTICE A | RN NURSING CARE OF
CHILDREN | 100+ QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALE | LATEST 2025
GUIDE
A nurse is assessing a 4-year-old child at a well-child visit. Which of the
following developmental milestones should the nurse expect to observe?
- Correct Answer - Cuts an outlined shape using scissors.
Rationale: The nurse should recognize that an expected developmental
milestone of a 4-year-old child is using scissors to cut out a shape.
A nurse is caring for an infant who has respiratory syncytial virus (RSV).
Which of the following actions should the nurse implement for infection
control?
- Correct Answer - Have a designated stethoscope in the infant's room.
Rationale: The nurse should initiate droplet precautions for an infant who
has RSV because the virus is spread by direct contact with respiratory
secretions. Therefore, designated equipment, such as a blood pressure
cuff and a stethoscope, should be placed in the infant's room.
A nurse in an emergency department is caring for a school-age child
who has appendicitis and rates their abdominal pain as 7 on a scale of 0
to 10. Which of the following actions should the nurse take? - Correct
Answer - Give morphine 0.05mg/kg IV
,Rationale: A pain level of 7 on a scale of 0 to 10 is considered severe.
The nurse should administer an analgesic medication for pain relief.
A nurse is assessing the vital signs of a 10-year-old child following a
burn injury. The nurse should identify that which of the following findings
in an indication of early septic shock?
- Correct Answer - Temperature 39.1° C (102.4° F)
Rationale: The nurse should identify that a temperature of 39.1° C
(102.4° F) is above the expected reference range of 37° to 37.5° C
(98.6° to 99.5° F) for a 10-year-old child. The nurse should expect a
child who has early septic shock to have a fever and chills.
A school nurse is assessing an adolescent who has multiple burns in
various stages of healing. Which of the following behaviors should the
nurse identify as a possible indication of physical abuse?
- Correct Answer - Denies discomfort during assessment of injuries.
Rationale: The nurse should suspect child maltreatment in the form of
physical abuse if the adolescent has a blunted response to painful
stimuli or injury.
A nurse is caring for a 15 year-old client following a head injury. Which of
the following findings should the nurse identify as an indication that the
child is developing syndrome of inappropriate antidiuretic hormone
secretion (SIADH)?
- Correct Answer - Mental confusion
,Rationale: A child who has a head injury can develop SIADH as a result
of altered pituitary function, leading to an oversecretion of antidiuretic
hormone. Oversecretion of antidiuretic hormone leads to a decrease in
urine output, hyponatremia, and hypoosmolality due to overhydration. As
the hyponatremia becomes more severe, mental confusion and other
neurologic manifestations such as seizures can occur.
A nurse is caring for a toddler who has spastic (pyramidal) cerebral
palsy. Which of the following findings should the nurse expect? (Select
all that apply.)
- Correct Answer - -Ankle clonus
-Exaggerated stretch reflexes
-Contractures
A nurse in a provider's office if preparing to administer immunizations to
a toddler during a well-child visit. Which of the following actions should
the nurse plan to take?
- Correct Answer - Withhold the measles, mumps, and rubella (MMR)
vaccine.
Rationale: The nurse should recognize that an allergy to neomycin with
an anaphylactic reaction is a contraindication for receiving the MMR
vaccine. Clients who have a severe allergy to eggs or gelatin should not
receive this vaccine.
, A school nurse is assessing an adolescent who has scoliosis. Which of
the following findings should the nurse expect?
- Correct Answer - A unilateral rib hump
Rationale: When assessing an adolescent for scoliosis, the school nurse
should expect to see a unilateral rib hump with hip flexion. This results
from a lateral S- or C-shaped curvature to the thoracic spine resulting in
asymmetry of the ribs, shoulders, hips, or pelvis. Scoliosis can be the
result of a neuromuscular or connective tissue disorder, or it can be
congenital in nature.
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?
- Correct Answer - "Your daddy will be back after you eat."
Rationale: 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.
The nurse is caring for a preschooler who has been receiving IV fluids
via a peripheral IV catheter. When preparing to discontinue the IV fluids
and catheter, which of the following actions should the nurse plan to
take?
- Correct Answer - First, the nurse should turn off the IV pump. Next, the
nurse should occlude the IV tubing, and then remove the tape securing
