ATI Nursing Care of Children CMS Practice
Exam A | Questions and Verified Answers
with Rationales | A Grade (Latest 2023/ 2024)
QUESTION
A nurse is assisting w/ scoliosis screenings for a group of school-age chil- dren. The nurse should
place the students in which of the following positions during the screening?
-Clasping hands while arms are raised above the head.
-Bending forward with back parallel to the floor.
-Standing with feet shoulder-width apart.
-Bending knees while placing hands on hips.:
Answer:
Bending forward with back parallel to the floor.
The nurse should observe for asymmetry and prominence of the rib cage by having the students
bend forward with the back parallel to the floor.
QUESTION
A nurse is assisting w/ the administration of a nasogastric enteral feeding for an infant. Which of
the following actions should the nurse take?
-Place the infant in semi-fowler's position for 1 hour after the feeding.
-Flush the tube with 30 mL of normal saline before the feeding.
-Warm the feeding in the microwave immediately prior to administration.
-Auscultate over the infant's epigastric area to ensure proper tube placement.-
:
Answer:
Place the infant in a semi-Fowler's position for 1 hour after the feeding.
The nurse should elevate the head of the infant's bed by 30-45 degrees for 30-60 minutes after
the feeding.
QUESTION
,A nurse is reinforcing discharge teaching w/ the guardian of a school-age child who has a new
prescription for home oxygen therapy. Which of the following statements by the guardian
indicates an understanding of the teach- ing?
-"I will restrict the length of the oxygen tubing to no longer than 3 feet."
-"I will place the extra oxygen tanks in a horizontal position for storage."
-"I will check the oxygen delivery equipment once every week."
-"I will make sure that electrical devices in the house are grounded.":
Answer:
"I will make sure that electrical devices in the house are grounded."
This response by the guardian indicates an understanding of the nurse's instructions. Due to the
combustible nature of oxygen, all pieces of electrical equipment in the home should be grounded
to decrease the risk of a fire caused by an electrical spark.
QUESTION
A nurse is caring for a child who has a head injury following a motor vehicle crash. Which of the
following should the nurse recognize as an early manifestation of increased intracranial pressure?
-Fixed and dilated pupils.
-Increased irritability.
-Decorticate posturing.
-Cheyne-Stokes respirations.:
Answer:
Increased irritability.
The nurse should recognize that increased irritability, fatigue, vomiting, and headache are early
signs of increased intracranial pressure.
QUESTION
A nurse is reinforcing teaching w/ an adolescent female client who has acne vulgaris and a new
prescription for isotretinoin. Which of the following information should the nurse include?
-"You should apply this medication to the affected skin twice daily."
-"You will need to have two negative pregnancy tests prior to starting this medication."
-"Your provider will monitor your kidney function while you are taking this medication."
-"Your provider will prescribe a vitamin A supplement to take with each dose of this
medication.":
Answer:
"You will need two negative pregnancy tests prior to starting this medication."
, The nurse should reinforce with the client that isotretinoin is teratogenic. Pregnancy must be
ruled out prior to administration and before each subsequent refill. The client should use two
effective forms of contraception while taking this medication.
QUESTION
A nurse is collecting data from a toddler at a well-child visit. Which of the following findings
should the nurse identify as a possible indication of child maltreatment?
-Diaper dermatitis.
-Bruise on the front of the lower leg.
-Inflamed unilateral conjunctiva.
-Laceration on the side of the torso.:
Answer:
Laceration of the side of the torso.
A laceration on the side of the torso in not an injury that occurs due to the typical clumsiness of a
toddler. This finding indicates the need to further investigate for suspected child maltreatment.
QUESTION
A nurse is reinforcing discharge teaching w/ the guardian of a child who has juvenile idiopathic
arthritis (JIA). Which of the following statements by the guardian indicates an understanding of
the teaching?
-"I will have my child sleep in knee, wrist, and hand splints."
-"I will encourage my child to take an afternoon nap."
-"I will apply topical hydrocortisone to my child's joints as needed."
-"I will administer opioids to my child for the next several months to control the pain.":
Answer:
"I will have my child sleep in knee, wrist, and hand splints."
The nurse should reinforce with the guardian that splinting the child's joints at night will
decrease the pain and enhance joint function.
QUESTION
A nurse is reinforcing dietary teaching w/ the guardian of a school-age child who has celiac
disease. Which of the following foods should the nurse recommend including in the child's diet?
-White rice.
-Whole wheat bread.
Exam A | Questions and Verified Answers
with Rationales | A Grade (Latest 2023/ 2024)
QUESTION
A nurse is assisting w/ scoliosis screenings for a group of school-age chil- dren. The nurse should
place the students in which of the following positions during the screening?
-Clasping hands while arms are raised above the head.
-Bending forward with back parallel to the floor.
-Standing with feet shoulder-width apart.
-Bending knees while placing hands on hips.:
Answer:
Bending forward with back parallel to the floor.
The nurse should observe for asymmetry and prominence of the rib cage by having the students
bend forward with the back parallel to the floor.
QUESTION
A nurse is assisting w/ the administration of a nasogastric enteral feeding for an infant. Which of
the following actions should the nurse take?
-Place the infant in semi-fowler's position for 1 hour after the feeding.
-Flush the tube with 30 mL of normal saline before the feeding.
-Warm the feeding in the microwave immediately prior to administration.
-Auscultate over the infant's epigastric area to ensure proper tube placement.-
:
Answer:
Place the infant in a semi-Fowler's position for 1 hour after the feeding.
The nurse should elevate the head of the infant's bed by 30-45 degrees for 30-60 minutes after
the feeding.
QUESTION
,A nurse is reinforcing discharge teaching w/ the guardian of a school-age child who has a new
prescription for home oxygen therapy. Which of the following statements by the guardian
indicates an understanding of the teach- ing?
-"I will restrict the length of the oxygen tubing to no longer than 3 feet."
-"I will place the extra oxygen tanks in a horizontal position for storage."
-"I will check the oxygen delivery equipment once every week."
-"I will make sure that electrical devices in the house are grounded.":
Answer:
"I will make sure that electrical devices in the house are grounded."
This response by the guardian indicates an understanding of the nurse's instructions. Due to the
combustible nature of oxygen, all pieces of electrical equipment in the home should be grounded
to decrease the risk of a fire caused by an electrical spark.
QUESTION
A nurse is caring for a child who has a head injury following a motor vehicle crash. Which of the
following should the nurse recognize as an early manifestation of increased intracranial pressure?
-Fixed and dilated pupils.
-Increased irritability.
-Decorticate posturing.
-Cheyne-Stokes respirations.:
Answer:
Increased irritability.
The nurse should recognize that increased irritability, fatigue, vomiting, and headache are early
signs of increased intracranial pressure.
QUESTION
A nurse is reinforcing teaching w/ an adolescent female client who has acne vulgaris and a new
prescription for isotretinoin. Which of the following information should the nurse include?
-"You should apply this medication to the affected skin twice daily."
-"You will need to have two negative pregnancy tests prior to starting this medication."
-"Your provider will monitor your kidney function while you are taking this medication."
-"Your provider will prescribe a vitamin A supplement to take with each dose of this
medication.":
Answer:
"You will need two negative pregnancy tests prior to starting this medication."
, The nurse should reinforce with the client that isotretinoin is teratogenic. Pregnancy must be
ruled out prior to administration and before each subsequent refill. The client should use two
effective forms of contraception while taking this medication.
QUESTION
A nurse is collecting data from a toddler at a well-child visit. Which of the following findings
should the nurse identify as a possible indication of child maltreatment?
-Diaper dermatitis.
-Bruise on the front of the lower leg.
-Inflamed unilateral conjunctiva.
-Laceration on the side of the torso.:
Answer:
Laceration of the side of the torso.
A laceration on the side of the torso in not an injury that occurs due to the typical clumsiness of a
toddler. This finding indicates the need to further investigate for suspected child maltreatment.
QUESTION
A nurse is reinforcing discharge teaching w/ the guardian of a child who has juvenile idiopathic
arthritis (JIA). Which of the following statements by the guardian indicates an understanding of
the teaching?
-"I will have my child sleep in knee, wrist, and hand splints."
-"I will encourage my child to take an afternoon nap."
-"I will apply topical hydrocortisone to my child's joints as needed."
-"I will administer opioids to my child for the next several months to control the pain.":
Answer:
"I will have my child sleep in knee, wrist, and hand splints."
The nurse should reinforce with the guardian that splinting the child's joints at night will
decrease the pain and enhance joint function.
QUESTION
A nurse is reinforcing dietary teaching w/ the guardian of a school-age child who has celiac
disease. Which of the following foods should the nurse recommend including in the child's diet?
-White rice.
-Whole wheat bread.
