1
ATI Nursing Care of Children
Practice A
A nurse is reinforcing home safety instructions with the parents of a
toddler. Which of the following parent statements indicates an
understanding of the teaching? - -Correct answer-"We will turn the
pot handles toward the back of the stove."
The nurse should instruct the parents to turn pot handles toward the
back of the stove to prevent the toddler from pulling a pot off the
stove, resulting in a burn.
A nurse is caring for an adolescent client who is a practicing
Jehovah's Witness and is scheduled for surgery for a ruptured
appendix. The adolescent tells the nurse that based on her religious
beliefs, she cannot receive a blood transfusion. Which of the
following responses should the nurse make? - -Correct answer-"Let's
discuss the possibility of you needing a blood transfusion with your
parents."
The nurse should offer to involve the child's parents to understand
the family's beliefs about blood transfusions.
A nurse is reviewing the laboratory report of a preschooler. Which of
the following laboratory results should the nurse report to the
provider? - -Correct answer-Lead 14 mcg/dL
1
, 2
This lead level is above the expected reference range for a
preschooler. Therefore, the nurse should report this result to the
provider.
A nurse is collecting data from a 12-month-old infant during a well-
child visit. The nurse should identify which of the following findings
as a deviation from expected growth and development? - -Correct
answer-Birth weight doubled
The nurse should identify this finding as a deviation from expected
growth and development. The infant's birth weight should triple by
12 months of age. Therefore, the nurse should report this finding to
the provider.
A nurse is reinforcing discharge teaching with the guardian of a
school-age child who has acute lymphocytic leukemia and an
absolute neutrophil count of 450/mm3. Which of the following
instructions should the nurse include? - -Correct answer-"Keep your
child away from crowded areas."
The nurse should instruct the guardian to keep the child away from
crowds and visitors who have an illness to decrease the risk for
infection.
A nurse in a clinic is collecting data from an adolescent who has
received all recommended immunizations through the age of 6
years. Which of the following immunizations should the nurse plan to
administer? - -Correct answer-Tetanus, diphtheria toxoids, and
acellular pertussis (Tdap)
2
, 3
The Tdap vaccine is recommended between the ages of 11 and 12
years. Therefore, this adolescent should receive the Tdap vaccine
now.
A nurse is reinforcing teaching with the parent of a child who has a
new prescription for ferrous sulfate. The nurse should reinforce that
the parent should administer the medication with which of the
following fluids to enhance the medication absorption? - -Correct
answer-Orange juice
The nurse should reinforce with the parent that administering
ferrous sulfate with orange juice will enhance medication absorption.
A nurse in a pediatric clinic is observing for an anaphylactic reaction
after administering an IM antibiotic to a child 5 min ago. Which of
the following manifestations should the nurse expect to observe
first? - -Correct answer-Hives
The nurse should observe for hives first because this is an early
manifestation of an anaphylactic reaction.
A nurse is reinforcing dietary teaching about a low-sodium diet with
the parents of a child who is recovering from acute
glomerulonephritis. Which of the following food choices by the
parents indicates an understanding of the teaching? - -Correct
answer-Apples
The nurse should instruct the parents that apples are low in sodium
and supply the child with energy needed for recovery.
3
ATI Nursing Care of Children
Practice A
A nurse is reinforcing home safety instructions with the parents of a
toddler. Which of the following parent statements indicates an
understanding of the teaching? - -Correct answer-"We will turn the
pot handles toward the back of the stove."
The nurse should instruct the parents to turn pot handles toward the
back of the stove to prevent the toddler from pulling a pot off the
stove, resulting in a burn.
A nurse is caring for an adolescent client who is a practicing
Jehovah's Witness and is scheduled for surgery for a ruptured
appendix. The adolescent tells the nurse that based on her religious
beliefs, she cannot receive a blood transfusion. Which of the
following responses should the nurse make? - -Correct answer-"Let's
discuss the possibility of you needing a blood transfusion with your
parents."
The nurse should offer to involve the child's parents to understand
the family's beliefs about blood transfusions.
A nurse is reviewing the laboratory report of a preschooler. Which of
the following laboratory results should the nurse report to the
provider? - -Correct answer-Lead 14 mcg/dL
1
, 2
This lead level is above the expected reference range for a
preschooler. Therefore, the nurse should report this result to the
provider.
A nurse is collecting data from a 12-month-old infant during a well-
child visit. The nurse should identify which of the following findings
as a deviation from expected growth and development? - -Correct
answer-Birth weight doubled
The nurse should identify this finding as a deviation from expected
growth and development. The infant's birth weight should triple by
12 months of age. Therefore, the nurse should report this finding to
the provider.
A nurse is reinforcing discharge teaching with the guardian of a
school-age child who has acute lymphocytic leukemia and an
absolute neutrophil count of 450/mm3. Which of the following
instructions should the nurse include? - -Correct answer-"Keep your
child away from crowded areas."
The nurse should instruct the guardian to keep the child away from
crowds and visitors who have an illness to decrease the risk for
infection.
A nurse in a clinic is collecting data from an adolescent who has
received all recommended immunizations through the age of 6
years. Which of the following immunizations should the nurse plan to
administer? - -Correct answer-Tetanus, diphtheria toxoids, and
acellular pertussis (Tdap)
2
, 3
The Tdap vaccine is recommended between the ages of 11 and 12
years. Therefore, this adolescent should receive the Tdap vaccine
now.
A nurse is reinforcing teaching with the parent of a child who has a
new prescription for ferrous sulfate. The nurse should reinforce that
the parent should administer the medication with which of the
following fluids to enhance the medication absorption? - -Correct
answer-Orange juice
The nurse should reinforce with the parent that administering
ferrous sulfate with orange juice will enhance medication absorption.
A nurse in a pediatric clinic is observing for an anaphylactic reaction
after administering an IM antibiotic to a child 5 min ago. Which of
the following manifestations should the nurse expect to observe
first? - -Correct answer-Hives
The nurse should observe for hives first because this is an early
manifestation of an anaphylactic reaction.
A nurse is reinforcing dietary teaching about a low-sodium diet with
the parents of a child who is recovering from acute
glomerulonephritis. Which of the following food choices by the
parents indicates an understanding of the teaching? - -Correct
answer-Apples
The nurse should instruct the parents that apples are low in sodium
and supply the child with energy needed for recovery.
3
