ATI NURSING CARE OF CHILDREN PROCTORED EXAM A 2019
1. A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney
injury (AKI) and has a sodium level of 129 mEq/L. Which of the following interventions
should the nurse include in the plan?
a. Initiate seizure precautions for the child.
2. A nurse is assessing a school-age child immediately following a perforated appendix repair.
Which of the following findings should the nurse expect?
a. Absence of peristalsis
3. A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions
should the nurse take?
a. Apply topical analgesic cream to the site 1 hr prior to the procedure.
4. A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus.
The child suddenly develops diffuse flushing of the skin and angioedema. After
discontinuing the medication infusion, which of the following medications should the nurse
administer first?
a. Epinephrine
5. A nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks.
Which of the following statements by the parent indicates an understanding of the teaching?
a. "I should keep my child indoors when I mow the yard."
6. A nurse is proving dietary teaching to the parent of a school-age child who has celiac disease.
The nurse should recommend that the parent offer which of the following foods to the child?
a. White rice
, 7. A nurse is reviewing the laboratory report of a school-age child who is experiencing fatigue.
Which of the following findings should the nurse recognize as an indication of anemia?
a. Hematocrit 28%
8. A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. Which
of the following actions should the nurse plan to take?
a. Perform a finger stick.
9. A nurse is assessing a school-age child who has meningitis. Which of the following findings
is the priority for the nurse to report to the provider?
a. Petechiae on the lower extremities
10. A nurse is assessing an infant who has a ventricular septal defect. Which of the following
findings should the nurse expect?
a. Loud, harsh murmur
11. A nurse is creating a plan of care for an infant who has an epidural hematoma from a
head injury. Which of the following interventions should the nurse include in the plan?
a. Implement seizure precautions for the infant.
12. A nurse is caring for an adolescent who received a kidney transplant. Which of the following
findings should the nurse identify as an indication the adolescent is rejecting the kidney?
a. Serum creatinine 3.0 mg/dL
13. A nurse in an emergency department is performing an admission assessment on a 2-week-old
male newborn. Which of the following findings is the priority for the nurse to report to the
provider?
a. Substernal retractions
1. A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney
injury (AKI) and has a sodium level of 129 mEq/L. Which of the following interventions
should the nurse include in the plan?
a. Initiate seizure precautions for the child.
2. A nurse is assessing a school-age child immediately following a perforated appendix repair.
Which of the following findings should the nurse expect?
a. Absence of peristalsis
3. A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions
should the nurse take?
a. Apply topical analgesic cream to the site 1 hr prior to the procedure.
4. A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus.
The child suddenly develops diffuse flushing of the skin and angioedema. After
discontinuing the medication infusion, which of the following medications should the nurse
administer first?
a. Epinephrine
5. A nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks.
Which of the following statements by the parent indicates an understanding of the teaching?
a. "I should keep my child indoors when I mow the yard."
6. A nurse is proving dietary teaching to the parent of a school-age child who has celiac disease.
The nurse should recommend that the parent offer which of the following foods to the child?
a. White rice
, 7. A nurse is reviewing the laboratory report of a school-age child who is experiencing fatigue.
Which of the following findings should the nurse recognize as an indication of anemia?
a. Hematocrit 28%
8. A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. Which
of the following actions should the nurse plan to take?
a. Perform a finger stick.
9. A nurse is assessing a school-age child who has meningitis. Which of the following findings
is the priority for the nurse to report to the provider?
a. Petechiae on the lower extremities
10. A nurse is assessing an infant who has a ventricular septal defect. Which of the following
findings should the nurse expect?
a. Loud, harsh murmur
11. A nurse is creating a plan of care for an infant who has an epidural hematoma from a
head injury. Which of the following interventions should the nurse include in the plan?
a. Implement seizure precautions for the infant.
12. A nurse is caring for an adolescent who received a kidney transplant. Which of the following
findings should the nurse identify as an indication the adolescent is rejecting the kidney?
a. Serum creatinine 3.0 mg/dL
13. A nurse in an emergency department is performing an admission assessment on a 2-week-old
male newborn. Which of the following findings is the priority for the nurse to report to the
provider?
a. Substernal retractions
