ATI
ATI NURSING CARE OF CHILDREN PROCTORED EXAM
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4000+ QUESTIONS AND ANSWERS
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ATI NURSING CARE OF CHILDREN PROCTORED EXAM
2023
,A nurse is creating a plan of care for a newly admitted adolescent who has bacterial meningitis. How lo
nurse plan to maintain the Adolescent in droplet precautions?
A- Until the Adolescent is afebrile
B- for 7 days following an admission to the facility
C- until the Adolescent has a negative blood culture
D- for 24 hours following initiation of antimicrobial therapy
Answer- d
The nurse should plan to maintain the adolescent on droplet precautions for at least 24 hr followin
antimicrobial therapy. This practice will ensure that the adolescent is no longer contagious, which protects fa
and the personnel caring for the client. Prophylactic antibiotics might be prescribed to individuals who were i
with the adolescent.
A- A temperature within the expected reference range for an adolescent can be achieved with a
Therefore, this is not a determinant factor for removing a client from droplet precautions.
B- The adolescent is not contagious for 7 days. Therefore, it is not necessary for the nurse to m
precautions for that length of time.
C- Blood cultures should be drawn before the first dose of antibiotics. It usually takes 48 to 72 hr for t
grow enough for identification. The test should be repeated after the entire antibiotic regimen is complete
if the infection is still present. Therefore, blood cultures are not a determinant factor for removing a clien
precautions.
A school nurse is assessing an adolescent who presents with multiple Burns in various stages of healing.
following behaviors should the nurse identify as suggestive of possible physical abuse? A- Expresses a reluc
home
B- provides a detailed description of how the burns occurred
C- denies discomfort during assessment of injuries
D- describes strong relationships with peers
Answer- c
The nurse should suspect child maltreatment in the form of physical abuse if the adolescent has a blunt
painful stimuli or injury.
A- The nurse should suspect child maltreatment in the form of physical abuse if the adolescent expresses
return home, or demonstrates a fear of parents. B- The nurse should suspect child maltreatment in the fo
abuse if the adolescent's description of the injury is vague and incompatible with the actual wounds. D- Th
suspect child maltreatment in the form of physical abuse if the adolescent has withdrawn behavior and poo
with peers.
A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the foll
indicates effectiveness of the medication?
A- The Adolescents reports in absence of nausea and vomiting
,B- the client experiences onset of loose stools within 15 minutes of administration
C- The Adolescents serum potassium level is 4.1
D- the Adolescent has a blood pressure of 86/ 52
Answer- c
The nurse should monitor the adolescent's serum potassium level following the administration of sodiu
sulfonate. This medication is used to treat hyperkalemia by exchanging sodium ions for potassium ions in
Therefore, a potassium level within the expected reference range indicates the effectiveness of the medicat
A- Absence of nausea and vomiting indicates effectiveness of an antiemetic medication. Sodium polysty
is an antidote which exchanges sodium ions in the intestine. Therefore, absence of nausea and vomiting is n
of medication effectiveness.
B- The nurse should monitor the adolescent for diarrhea because it is an adverse effect of sodiu
sulfonate.
D- A blood pressure of 86/52 mm Hg is below the expected reference range for an adolescent and does n
effectiveness of the medication. The nurse should continue to monitor blood pressure as an indicator of fluid
imbalance.
A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. which of the following acti
nurse plan to take?
A- Instruct the parents to decrease the calcium in their toddler's diet
B- prepare the toddler for chelation therapy
C- referat the family to Child Protective Services
D- schedule the toddler for a yearly rescreening
Answer- d
The nurse should schedule the toddler for a lead level rescreening in 1 year and educate the family on w
exposure.
A- The nurse should instruct the toddler's parents to provide a diet rich in calcium because calcium, vita
decrease lead absorption.
B- Chelation therapy is required for a lead level of 45 mcg/dL or greater and, depending on the situation,
for lead levels over 10 mcg/dL.
C- A serum lead level of 4 mcg/dL does not require a report to Child Protective Services because it is not
child endangerment.
A nurse is assessing a school-age child immediately post-operative following a perforated appendix repai
following findings should the nurse expect?
A- Purulent nasogastric drainage
B- absence of peristalsis
C- passage of dark red stool with mucus
D- WBC of 6000
Answer- b
The nurse should expect absence of peristalsis in the immediate postoperative period, until the bowel resum
A- Purulent drainage is not an expected finding postoperatively. Clear to green-tinged is the expected color
from the NG tube.
C- Passage of dark red stool with mucus is not an expected finding immediately postoperative. This find
manifestation of Meckel diverticulum.
, D- This level is below the expected reference range. A WBC greater than 10,000/mm 3 is an expected fin
who has had a ruptured appendix.
A nurse is teaching the parents of a toddler who has cognitive impairment about toilet training. which o
instructions should the nurse include in the teaching?
A- Scold the child when he has a toileting accident
B- award the child with a sticker when he sits on the potty chair
C- play the child favorite song while teaching him to use the potty chair
D- teach multiple steps of the skill at the same time
Answer- b
The child with a cognitive impairment learns through shaping behaviors. The parents should reward the chi
the potty chair as a reinforcement of the desired behavior of continence. As the child repeats this action, t
gradually decrease this reward and then give rewards for the next step in the task, such as voiding while sitti
chair.
A- The parents should use positive reinforcement when teaching their child a new task. Reinforcing positive b
as remaining dry through the night, will have a greater impact on the child than the negative reinforcement
C- A child who has a cognitive impairment has difficulty discriminating between two or more cues or stim
should instruct the parents to eliminate all other stimuli when teaching the child the task of toilet training
D- The nurse should instruct the parents to teach one step at a time to the child.
Children who have a cognitive impairment are less able to remember multiple steps. The child should ma
before the parents introduce the next step.
A nurse in a provider's office is caring for a school-age child who has varicella. The
parent ask the nurse when her child will no longer be contagious. Which of the
following responses should the nurse make?
A- When your child no longer has an increased temperature
B- three days after you first noticed the rash appear on your child
C- when your child lesions are crusted, 6 days after they appear
D- 2 - 3 weeks, when your child's lesions completely disappear
Answer- c
The nurse should inform the parent that the child is contagious 1 day prior to lesion eruption and until the
crusted over, which usually takes about 6 days. A- The nurse should inform the parent that an absence of a fe
indicate the child is no longer contagious.
B- The nurse should inform the parents that the child will remain contagious longer than three days after the
D- The incubation period of varicella is two to three weeks. However, this is not related to the appearance and
of the lesions.
A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone.
week of treatment, which of the following clinical manifestations indicate to the nurse that the medicatio
A- Decrease edema
B- increased abdominal girth
C- decreased appetite
D- increased protein in the urine
Answer- a
ATI NURSING CARE OF CHILDREN PROCTORED EXAM
41 LATEST VERSIONS
4000+ QUESTIONS AND ANSWERS
100% CORRECT
RATED: A+
BEST DOCUMENT FOR EXAM PREPARATION
5 STAR
Complete and Latest Guide
For
ATI NURSING CARE OF CHILDREN PROCTORED EXAM
2023
,A nurse is creating a plan of care for a newly admitted adolescent who has bacterial meningitis. How lo
nurse plan to maintain the Adolescent in droplet precautions?
A- Until the Adolescent is afebrile
B- for 7 days following an admission to the facility
C- until the Adolescent has a negative blood culture
D- for 24 hours following initiation of antimicrobial therapy
Answer- d
The nurse should plan to maintain the adolescent on droplet precautions for at least 24 hr followin
antimicrobial therapy. This practice will ensure that the adolescent is no longer contagious, which protects fa
and the personnel caring for the client. Prophylactic antibiotics might be prescribed to individuals who were i
with the adolescent.
A- A temperature within the expected reference range for an adolescent can be achieved with a
Therefore, this is not a determinant factor for removing a client from droplet precautions.
B- The adolescent is not contagious for 7 days. Therefore, it is not necessary for the nurse to m
precautions for that length of time.
C- Blood cultures should be drawn before the first dose of antibiotics. It usually takes 48 to 72 hr for t
grow enough for identification. The test should be repeated after the entire antibiotic regimen is complete
if the infection is still present. Therefore, blood cultures are not a determinant factor for removing a clien
precautions.
A school nurse is assessing an adolescent who presents with multiple Burns in various stages of healing.
following behaviors should the nurse identify as suggestive of possible physical abuse? A- Expresses a reluc
home
B- provides a detailed description of how the burns occurred
C- denies discomfort during assessment of injuries
D- describes strong relationships with peers
Answer- c
The nurse should suspect child maltreatment in the form of physical abuse if the adolescent has a blunt
painful stimuli or injury.
A- The nurse should suspect child maltreatment in the form of physical abuse if the adolescent expresses
return home, or demonstrates a fear of parents. B- The nurse should suspect child maltreatment in the fo
abuse if the adolescent's description of the injury is vague and incompatible with the actual wounds. D- Th
suspect child maltreatment in the form of physical abuse if the adolescent has withdrawn behavior and poo
with peers.
A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the foll
indicates effectiveness of the medication?
A- The Adolescents reports in absence of nausea and vomiting
,B- the client experiences onset of loose stools within 15 minutes of administration
C- The Adolescents serum potassium level is 4.1
D- the Adolescent has a blood pressure of 86/ 52
Answer- c
The nurse should monitor the adolescent's serum potassium level following the administration of sodiu
sulfonate. This medication is used to treat hyperkalemia by exchanging sodium ions for potassium ions in
Therefore, a potassium level within the expected reference range indicates the effectiveness of the medicat
A- Absence of nausea and vomiting indicates effectiveness of an antiemetic medication. Sodium polysty
is an antidote which exchanges sodium ions in the intestine. Therefore, absence of nausea and vomiting is n
of medication effectiveness.
B- The nurse should monitor the adolescent for diarrhea because it is an adverse effect of sodiu
sulfonate.
D- A blood pressure of 86/52 mm Hg is below the expected reference range for an adolescent and does n
effectiveness of the medication. The nurse should continue to monitor blood pressure as an indicator of fluid
imbalance.
A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. which of the following acti
nurse plan to take?
A- Instruct the parents to decrease the calcium in their toddler's diet
B- prepare the toddler for chelation therapy
C- referat the family to Child Protective Services
D- schedule the toddler for a yearly rescreening
Answer- d
The nurse should schedule the toddler for a lead level rescreening in 1 year and educate the family on w
exposure.
A- The nurse should instruct the toddler's parents to provide a diet rich in calcium because calcium, vita
decrease lead absorption.
B- Chelation therapy is required for a lead level of 45 mcg/dL or greater and, depending on the situation,
for lead levels over 10 mcg/dL.
C- A serum lead level of 4 mcg/dL does not require a report to Child Protective Services because it is not
child endangerment.
A nurse is assessing a school-age child immediately post-operative following a perforated appendix repai
following findings should the nurse expect?
A- Purulent nasogastric drainage
B- absence of peristalsis
C- passage of dark red stool with mucus
D- WBC of 6000
Answer- b
The nurse should expect absence of peristalsis in the immediate postoperative period, until the bowel resum
A- Purulent drainage is not an expected finding postoperatively. Clear to green-tinged is the expected color
from the NG tube.
C- Passage of dark red stool with mucus is not an expected finding immediately postoperative. This find
manifestation of Meckel diverticulum.
, D- This level is below the expected reference range. A WBC greater than 10,000/mm 3 is an expected fin
who has had a ruptured appendix.
A nurse is teaching the parents of a toddler who has cognitive impairment about toilet training. which o
instructions should the nurse include in the teaching?
A- Scold the child when he has a toileting accident
B- award the child with a sticker when he sits on the potty chair
C- play the child favorite song while teaching him to use the potty chair
D- teach multiple steps of the skill at the same time
Answer- b
The child with a cognitive impairment learns through shaping behaviors. The parents should reward the chi
the potty chair as a reinforcement of the desired behavior of continence. As the child repeats this action, t
gradually decrease this reward and then give rewards for the next step in the task, such as voiding while sitti
chair.
A- The parents should use positive reinforcement when teaching their child a new task. Reinforcing positive b
as remaining dry through the night, will have a greater impact on the child than the negative reinforcement
C- A child who has a cognitive impairment has difficulty discriminating between two or more cues or stim
should instruct the parents to eliminate all other stimuli when teaching the child the task of toilet training
D- The nurse should instruct the parents to teach one step at a time to the child.
Children who have a cognitive impairment are less able to remember multiple steps. The child should ma
before the parents introduce the next step.
A nurse in a provider's office is caring for a school-age child who has varicella. The
parent ask the nurse when her child will no longer be contagious. Which of the
following responses should the nurse make?
A- When your child no longer has an increased temperature
B- three days after you first noticed the rash appear on your child
C- when your child lesions are crusted, 6 days after they appear
D- 2 - 3 weeks, when your child's lesions completely disappear
Answer- c
The nurse should inform the parent that the child is contagious 1 day prior to lesion eruption and until the
crusted over, which usually takes about 6 days. A- The nurse should inform the parent that an absence of a fe
indicate the child is no longer contagious.
B- The nurse should inform the parents that the child will remain contagious longer than three days after the
D- The incubation period of varicella is two to three weeks. However, this is not related to the appearance and
of the lesions.
A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone.
week of treatment, which of the following clinical manifestations indicate to the nurse that the medicatio
A- Decrease edema
B- increased abdominal girth
C- decreased appetite
D- increased protein in the urine
Answer- a
