ATI RN CAPSTONE NURSING CARE OF CHILDREN
ASSESSMENT |ACTUAL COMPLETE EXAM QUESTIONS
AND CORRECT ANSWERS DETAILED WITH RATIONALES
(VERIFIED ANSWERS) ALREADY GRADED A+ 2025
Question: A nurse is educating new parents about risk factors for sudden infant death syndrome(SIDS).
Which of the following statements should indicate to the nurse the need for additional teaching?
"Our baby will sleep in our bed because I am breastfeeding."
"We will give my baby a pacifier during naps and at bedtime."
"We will place my baby on her back when sleeping."
"We will remove blankets and toys from the crib." - Ans- "Our baby will sleep in our bed because I am
breastfeeding.";
Rationale: Allowing an infant to sleep in the same bed as an adult can lead to suffocation and falls. Th e parent
should place the infant back in her crib or bassinet after breastfeeding.
Question: A nurse is providing health promotion teaching to an adolescent. Which of the following
information should the nurse include in the teaching?
"Share piercing needles only with close friends you trust."
"Limit your caloric intake to avoid becoming overweight."
"Your need for sleep will increase during periods of growth."
"Tanning beds are much safer then lying in the sun." - Ans- "Your need for sleep will increase during periods of
growth.";
Rationale: The nurse should inform the adolescent that sleep needs increase during growth spurts. Adequate
sleep and rest during the adolescent period is important for optimal health.
1|Page
,Question: A nurse is teaching new parents the proper way to use an infant safety seat. Which of the
following should indicate to the nurse a need for further teaching?
"I will dress my baby in a one piece outfit so I can use the harness to secure her in the car seat."
"My baby will be able to watch me drive while sitting in the back seat."
"I will place the infant safety seat in the middle of the back seat, away from the windows."
"We will need to go by the weight and height of the child when deciding to change to a booster seat." - Ans-
"My baby will be able to watch me drive while sitting in the back seat.";
Rationale: The safest area for a car seat is in the back seat. Infants should travel in a rear-facing position for the
best protection from airbags and neck and head injury. While in a rear-facing position, the back of the car seat
supports the infant's weak neck muscles, soft fontanels, and spine in the event of a frontal motor vehicle crash.
Question: A nurse is caring for a child on the oncology unit. The child's parents are asking the nurse about
the cancer diagnosis. Which of the following information should the nurse provide the parents about the
most common malignant renal and intra-abdominal tumor of childhood?
Ewing sarcoma
Osteosarcoma
Neuroblastoma
Wilms' tumor - Ans- Wilms' tumor;
Rationale: Wilms' tumor, or nephroblastoma, is the most common malignant renal and intra-abdominal tumor
of childhood.
Question: A nurse int he emergency department is caring for a child who is experiencing an acute asthma
attack, which of the following medications should the nurse expect to administer first?
Fluticasone
2|Page
,Budesonide
Montelukast
Albuterol - Ans- Albuterol;
Rationale: Albuterol is considered a "rescue" medication due to its rapid onset of action. Asthma is a chronic
inflammatory disorder of the airways. Asthmatic episodes are associated with airflow limitation or reversible
obstruction. Albuterol is a beta2 adrenergic agonist used for the treatment of acute exacerbations of asthma by
promoting bronchodilation and suppressing histamine release in the lungs. This medication can be given by
inhalation, orally, or as a parenteral preparation. The inhaled medication has a more rapid onset of action than
the oral form and also reduces the risk for the adverse effects of irritability, tremor, nervousness, and insomnia.
Question: A nurse is assessing a preschooler. Which of the following findings should indicate to the nurse a
need for speech therapy? (Select all that apply)
The preschooler stutters when speaking.
The preschooler mispronounces words.
The preschooler speaks in three word sentences.
The preschooler talks to himself when reading.
The preschooler speaks in a nasally tone. - Ans- The preschooler mispronounces words.
The preschooler speaks in a nasally tone;
Rationale: The preschooler stutters when speaking is incorrect. Stuttering is expected in the preschooler.
Stuttering or stammering is common for a preschool-age child who is learning to form new words into
sentences.The preschooler mispronounces words is correct. Language begins to increase with toddlers as
development progresses towards two to three word phrases. Mispronounced vowels and consonants occur
between ages 24 and 36 months. The nurse should expect a toddler to mispronounce words.The preschooler
speaks in three word sentences is incorrect. Three to four word sentences (telegraphic speech) is expected for
preschoolers. Preschoolers ask many questions and often continue talking when no-one is listening. The
preschooler talks to himself when reading is incorrect. During preschool development, the child experiences a
vivid imagination that is expressed through imitative and dramatic play. In discovering books, the child
becomes engaged in the story and might talk to himself. Speaking in a nasally tone is correct. A child who
3|Page
, speaks with a nasally tone might have a neurogenic speech disorder that is caused by weakened muscles of the
tongue, soft palate, and face. A speech therapist can evaluate the child and determine exercises to improve the
articulation, voice, pitch quality, and volume.
Question: A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for
pancreatic enzymes three times per day. Which of the following statements indicates that the mother
understands the teaching?
"My child will take the enzymes to improve her metabolism."
"My child will take the enzymes following meals."
"My child will take the enzymes to help digest the fat in foods."
"My child will take the enzymes 2 hours before meals." - Ans- "My child will take the enzymes to help digest
the fat in foods.";
Rationale: Pancreatic enzymes help the body to digest fat in foods.
Question: A nurse is caring for a 3-year-old client whose parents report that she has an intense fear of
painful procedures, such as injections. Which of the following strategies should the nurse add to the child's
plan of care? (Select all that apply)
Have a parent stay with the child during procedures.
Cluster invasive procedures whenever possible.
Perform the procedure as quickly as possible.
Allow the child to keep a toy from home with her.
Use mummy restraints during painful procedures. - Ans- Have a parent stay with the child during procedures.
Perform the procedure as quickly as possible.
Allow the child to keep a toy from home with her;
4|Page
ASSESSMENT |ACTUAL COMPLETE EXAM QUESTIONS
AND CORRECT ANSWERS DETAILED WITH RATIONALES
(VERIFIED ANSWERS) ALREADY GRADED A+ 2025
Question: A nurse is educating new parents about risk factors for sudden infant death syndrome(SIDS).
Which of the following statements should indicate to the nurse the need for additional teaching?
"Our baby will sleep in our bed because I am breastfeeding."
"We will give my baby a pacifier during naps and at bedtime."
"We will place my baby on her back when sleeping."
"We will remove blankets and toys from the crib." - Ans- "Our baby will sleep in our bed because I am
breastfeeding.";
Rationale: Allowing an infant to sleep in the same bed as an adult can lead to suffocation and falls. Th e parent
should place the infant back in her crib or bassinet after breastfeeding.
Question: A nurse is providing health promotion teaching to an adolescent. Which of the following
information should the nurse include in the teaching?
"Share piercing needles only with close friends you trust."
"Limit your caloric intake to avoid becoming overweight."
"Your need for sleep will increase during periods of growth."
"Tanning beds are much safer then lying in the sun." - Ans- "Your need for sleep will increase during periods of
growth.";
Rationale: The nurse should inform the adolescent that sleep needs increase during growth spurts. Adequate
sleep and rest during the adolescent period is important for optimal health.
1|Page
,Question: A nurse is teaching new parents the proper way to use an infant safety seat. Which of the
following should indicate to the nurse a need for further teaching?
"I will dress my baby in a one piece outfit so I can use the harness to secure her in the car seat."
"My baby will be able to watch me drive while sitting in the back seat."
"I will place the infant safety seat in the middle of the back seat, away from the windows."
"We will need to go by the weight and height of the child when deciding to change to a booster seat." - Ans-
"My baby will be able to watch me drive while sitting in the back seat.";
Rationale: The safest area for a car seat is in the back seat. Infants should travel in a rear-facing position for the
best protection from airbags and neck and head injury. While in a rear-facing position, the back of the car seat
supports the infant's weak neck muscles, soft fontanels, and spine in the event of a frontal motor vehicle crash.
Question: A nurse is caring for a child on the oncology unit. The child's parents are asking the nurse about
the cancer diagnosis. Which of the following information should the nurse provide the parents about the
most common malignant renal and intra-abdominal tumor of childhood?
Ewing sarcoma
Osteosarcoma
Neuroblastoma
Wilms' tumor - Ans- Wilms' tumor;
Rationale: Wilms' tumor, or nephroblastoma, is the most common malignant renal and intra-abdominal tumor
of childhood.
Question: A nurse int he emergency department is caring for a child who is experiencing an acute asthma
attack, which of the following medications should the nurse expect to administer first?
Fluticasone
2|Page
,Budesonide
Montelukast
Albuterol - Ans- Albuterol;
Rationale: Albuterol is considered a "rescue" medication due to its rapid onset of action. Asthma is a chronic
inflammatory disorder of the airways. Asthmatic episodes are associated with airflow limitation or reversible
obstruction. Albuterol is a beta2 adrenergic agonist used for the treatment of acute exacerbations of asthma by
promoting bronchodilation and suppressing histamine release in the lungs. This medication can be given by
inhalation, orally, or as a parenteral preparation. The inhaled medication has a more rapid onset of action than
the oral form and also reduces the risk for the adverse effects of irritability, tremor, nervousness, and insomnia.
Question: A nurse is assessing a preschooler. Which of the following findings should indicate to the nurse a
need for speech therapy? (Select all that apply)
The preschooler stutters when speaking.
The preschooler mispronounces words.
The preschooler speaks in three word sentences.
The preschooler talks to himself when reading.
The preschooler speaks in a nasally tone. - Ans- The preschooler mispronounces words.
The preschooler speaks in a nasally tone;
Rationale: The preschooler stutters when speaking is incorrect. Stuttering is expected in the preschooler.
Stuttering or stammering is common for a preschool-age child who is learning to form new words into
sentences.The preschooler mispronounces words is correct. Language begins to increase with toddlers as
development progresses towards two to three word phrases. Mispronounced vowels and consonants occur
between ages 24 and 36 months. The nurse should expect a toddler to mispronounce words.The preschooler
speaks in three word sentences is incorrect. Three to four word sentences (telegraphic speech) is expected for
preschoolers. Preschoolers ask many questions and often continue talking when no-one is listening. The
preschooler talks to himself when reading is incorrect. During preschool development, the child experiences a
vivid imagination that is expressed through imitative and dramatic play. In discovering books, the child
becomes engaged in the story and might talk to himself. Speaking in a nasally tone is correct. A child who
3|Page
, speaks with a nasally tone might have a neurogenic speech disorder that is caused by weakened muscles of the
tongue, soft palate, and face. A speech therapist can evaluate the child and determine exercises to improve the
articulation, voice, pitch quality, and volume.
Question: A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for
pancreatic enzymes three times per day. Which of the following statements indicates that the mother
understands the teaching?
"My child will take the enzymes to improve her metabolism."
"My child will take the enzymes following meals."
"My child will take the enzymes to help digest the fat in foods."
"My child will take the enzymes 2 hours before meals." - Ans- "My child will take the enzymes to help digest
the fat in foods.";
Rationale: Pancreatic enzymes help the body to digest fat in foods.
Question: A nurse is caring for a 3-year-old client whose parents report that she has an intense fear of
painful procedures, such as injections. Which of the following strategies should the nurse add to the child's
plan of care? (Select all that apply)
Have a parent stay with the child during procedures.
Cluster invasive procedures whenever possible.
Perform the procedure as quickly as possible.
Allow the child to keep a toy from home with her.
Use mummy restraints during painful procedures. - Ans- Have a parent stay with the child during procedures.
Perform the procedure as quickly as possible.
Allow the child to keep a toy from home with her;
4|Page
