ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM 2019
UPDATED WITH 100% CORRECT ANSWERS/GRADED A+ Nursing care
of Children ATI 2019
1) A nurse is providing teaching to the guardians of a school age child who has a seizure
disorder. Which of the following factors should the nurse include as a common trigger that
increases the risk of seizures?
A. Prolonged headache
B. Lack of sleep
C. Decreased temperature
D. Exposure to second hand smoke
2) A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines.
Which of the following instructions should the nurse include in the teaching?
A. You can replace milk with nondairy sources of calcium
B. You can drink milk on an empty stomach
C. You should consume flavored yogurt instead of plain yogurt
D. You might tolerate plain milk better than chocolate milk
3) A nurse is caring for an infant who has rotavirus. Which of the following findings indicates
that the infant is moderately dehydrated?
A. Respiratory rate 28/min
B. Weight loss 7%
C. Capillary refill 1 second
D. Bradycardia
4) A nurse is caring for an adolescent who is 1hr postoperative following an appendectomy.
Which of the following findings should the nurse report to the provider?
A. Muscle rigidity
B. Heart rate 63/min
C. Temperature 36.4 c (97.5F)
D. Abdominal pain
5) A nurse is planning care for an 8-month-old infant who has heart failure. Which of the
following actions should the nurse include in the plan of care?
A. Place the infant in a prone position
B. Provide less frequent higher volume feedings
C. Repeat a digoxin dosage if the infant vomits within 1hr of administration
D. Administer cool humidified oxygen via nasal cannula
6) A nurse is caring for a preschooler who is postoperative following a tonsillectomy. The child is
now ready to resume oral intake. Which of the following dietary choices should the nurse offer
the child?
A. Chocolate milk
B. Sugar free cherry gelatine
C. Vanilla ice cream
D. Lime flavored ice pop
7) A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following
immunizations should the nurse include in the plan?
A. Measles mumps and rubella (MMR)
B. Pneumococcal conjugate (PCV13)
C. Rotavirus
D. Respiratory syncytial virus (RSV)
8) A nurse is reviewing the medical record of school age child who has cystic fibrosis. Which of
the following findings should the nurse report to the provider? (Click on the Exhibit) button for
additional information about the client. There are three tabs that contain separate categories of
data.
A. Heart rate
B. WBC count
C. Oxygen saturation
D. HbA1c
9) A charge nurse is planning care for an infant who has failure to thrive. Which of the following
actions should the nurse include in the plan of care?
A. Use half strength formula when feeding the infant
B. Give the infant fruit juice between feedings
C. Assign consistent nursing staff to care for the infant
D. Keep the infant in a visually stimulating environment
10) A nurse is teaching the parent of school age child about bicycle safety. Which of the
following instructions should the nurse include in the teaching?
A. Your child should keep the bicycle at least 3 feet from the curb while riding in the street
B. Your child should walk the bicycle through intersections
C. Your child’s feet should be 3 to 6 inches off the group when seated on the bicycle
D. Your child should ride the bicycle against the flow of traffic
11) A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden
infant death syndrome (SIDS). Which of the following statements by the parents indicates an
understanding of the teaching?
A. I will move my baby’s stuffed animal to the corner of her crib while she sleeps
B. I will have my baby sleep next to me in bed during the night
C. I will dress my baby in lightweight clothing to sleep
D. I will lay my baby on her side to sleep for naps
12) A nurse in a PACU is caring for a school age child immediately following a tonsillectomy.
Which of the following actions should the nurse take?
A. Place the child in a side lying position
B. Instruct the child to drink fluids through a straw
C. Offer the child ice cream when alert
D. Encourage the child to deep breath and cough
13) A nurse in the emergency department is caring for an adolescent who is requesting testing for
STIs. Which of the following actions is appropriate for the nurse to take?
A. Contact the clients’ parents to obtain phone consent
B. Obtain written consent from the client
C. Request verbal consent from the social worker
D. Postpone the testing until the clients’ parents are present
14) A nurse is prioritizing care for four clients. Which of the following clients should the nurse
assess first?
A. A toddler who has a partial thickness burn on his right hand and requires a dressing change
B. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin
C. An adolescent who has sickle cell anemia and slurred speech
D. An adolescent who is in skin traction and reports a pain level of 7 on a scale from 0 to 10
15) A nurse is assessing a 5-month-old infant. Which of the following findings should the nurse
report to the provider?
A. Unable to hold a bottle
B. Absent grasp reflex
C. Exhibits head lag when pulled to a sitting position
D. Unable to roll from back to abdomen
16) A nurse is caring for a 10-month-old child was brought to the emergency department by his
parents following a head injury. Which of the following actions should the nurse take first?
A. Inspecting for fluid leaking from the ears
B. Assess respiratory status
C. Check pupil reactions
D. Examine the scalp for lacerations
17) A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine
iontophoresis testing for cystic fibrosis. Which of the following statements should the nurse
include in the teaching?
A. A nurse will insert an IV prior to the test
B. Your baby will need to fast for 8hours prior to the test
C. The test will measure the amount of chloride in your baby’s sweat
D. We will measure the amount of protein in your baby’s urine over a 24-hour period
18) A nurse is planning care for a 6-month-old infant who has bacterial meningitis. Which of the
following interventions should the nurse include in the plan of care?
A. Pad the side rails of the crib
B. Provide frequent range of motion to the neck and shoulders
C. Keep the television on in the room to provide background noise
D. Place the infant in a semiprivate room
19) A nurse is caring for a school age child following the application of a cast to fractured right
tibia. Which of the following actions should the nurse take first?
A. Elevate the child leg
B. Administer pain medication
C. Petal the edge of the cast
D. Teach the child about cast care
20) A nurse is preparing to administer immunizations to a 3month old infant. Which of the
following is an appropriate action for the nurse to take to deliver atraumatic care?
A. Provide a pacifier coated with an oral sucrose solution prior to the injections
B. Use a 20-gauge needle for the injections
C. Apply eutectic mixture of local anesthetics (EMLA) cream immediately before the injections
D. Inject the immunizations into the deltoid muscle
21) A nurse is caring for an infant who has a patent ductus arteriosus. The nurse should identify
that the defect is at which of the following locations of the heart? (You will find hot spots to
select in the artwork below. Select only the hot that corresponds to your answer)
A. Heart picture B
A patent ductus arteriosus (PDA) is a condition where the ductus arteriosus, a blood vessel that
connects the pulmonary artery to the aorta, remains open (patent) after birth. Therefore, the
defect is located at the junction between the aorta and the pulmonary artery.
If you're looking at a diagram, you should select the area that represents the ductus arteriosus,
typically found near the aorta and pulmonary artery in the heart's anatomy. If there are hot spots
marked, select the one corresponding to that area.
In this case, it would generally be found between the aorta and the pulmonary artery in a heart
diagram.
22) A nurse is providing teaching to the parents of a 2-month-old infant who has developmental
dysplasia of the hip and has a prescription for a Pavlik harness. Which of the following
statements by the parents indicates an understanding of the teaching?
A. We will apply lotion to the skin under the straps
B. We should adjust the straps daily
C. We will place the diaper under the straps
D. We should expect our baby to wear this harness for a weeks
23) A nurse is reviewing the medical record of a 15-month-old child who is schedule to receive
the measles, mumps, and rubella (MMR) vaccine which of the following findings should the
nurse identify as a contraindication for receiving this vaccine?
A. Allergy to neomycin
B. Family history of seizures
C. Temperature of 37.2 C (99 F)
D. Upper respiratory infection 2 days ago
24) A nurse is discussing coping mechanism with a parent of a 3-month-old infant. Which of the
following therapeutic questions should the nurse ask the parent?
A. What do you do when your infant is fussy?
B. Does parenting cause you stress
C. Is it overwhelming when your infant is having a bad day?
D. Are you willing to take new parenting classes?
25) A nurse is performing a cranial nerve assessment on a school age child. Which of the
following findings indicates proper functioning of the child’s trigeminal nerve?
A. The child exhibits a gag reflex when stimulated with a tongue blade
B. The child maintains balance when standing with eyes closed
C. The child has symmetrical jaw strength when biting down
D. The child correctly identifies specific scenes
26) A nurse is caring for a 3-month-old infant who has a cleft of the soft palate. Which of the
following actions should the nurse take?
A. Feed the infant 177.4ml(6oz) of formula three times each day
B. Discontinue a feeding if the infants eyes become watery
C. Elevate the infants head to 10 angles during feeding
D. Postpone burping the infant until after completing each feeding
27) A nurse in an emergency department is caring for a preschool -age child who has acute
acetylsalicylic acid poisoning. Which of the following should the nurse expect?
A. Polyuria
B. Jaundice
C. Hyperpyrexia
D. Neck vein distention
28) A nurse is preparing a school age child for an invasive procedure. Which of the following
actions should the nurse plan to take?
A. Plan for 30min teaching session about the procedure
B. Demonstrate deep breathing and counting exercises
C. Explain the procedure to the child when they are in the playroom
D. Use vague language to describe the procedure
29) A nurse is providing teaching to a 10-year-old child who is scheduled for an arterial cardiac
catheterization. Which of the following information should the nurse include in the teaching?
A. You will need to keep your leg straight for 8hours following the procedure
B. You will be on bed rest for 2 days after the procedure
C. You will have your dressing removed 12 hours after the procedure
D. You will be on a clear liquid diet for 24hours following the procedure
30) A nurse in a provider’s office is assessing the vital signs of a 2 year old child at a well child
visit. Which of the following findings should the nurse report to the provider?
A. Pulse rate 98/min
B. Respiratory rate 26/min
C. Blood pressure 118/74mm Hg
D. Temperature 37.2 C (99 F)
31) A nurse is reviewing the laboratory results of a child who was recently admitted for
suspected rheumatic fever. The nurse should identify that which of the following laboratory tests
can contribute to confirming this diagnosis (select all that apply)
A. Partial thromboplastin time (PTT)
B. C-reactive protein (CRP)
C. Antistrepcolysin O (ASO) titer
D. Erythrocyte sedimentation rate (ESR)
E. Blood urea nitrogen (BUN)
32) A nurse is assessing an infant who has acute otitis media. Which of the following findings
should the nurse expect? (select all that apply)
A. Increased appetite
B. Enlarged sub clavicular lymph node
C. Crying
D. Fever
E. Restlessness
33) A nurse is planning care for a child who has osteomyelitis. Which of the following
interventions should the nurse include in the plan of care?
A. Initiate contact precaution for the child
B. Maintain a patient intravenous catheter
C. Encourage frequent physical activity to increase bone mass
D. Provide a high calorie low protein diet
34) A nurse is admitting a child who has acute epiglottis. Which of the following actions should
the nurse take?
A. Initiate droplet isolation precautions
B. Check oxygen saturation every 4 hr
C. Assist the child into supine position
D. Obtain a throat culture
35) A nurse is providing teaching about home care to the parent of a child who has scabies.
Which of the following instructions should the nurse include in the teaching?
A. Wash the child’s hair with shampoo containing ketoconazole
B. Treat everyone who came into close contact with the child
C. Soak combs and brushes in boiling water for 10 min
D. Apply petroleum jelly to the affected areas
36) A nurse is providing teaching to the parents of a child who has impetigo. Which of the
following instructions should the nurse include in the teaching?
A. Apply bactericidal ointment to lesions
B. Administer acyclovir PO two times per day
C. Soak hairbrushes in boiling water for 10min
D. Seal soft toys in a plastic bag for 14 days
37) A nurse in an emergency department is assessing an adolescent who reports inhalation of
gasoline. Which of the following findings should the nurse expect?
A. Hypothermia
B. Ataxia
C. Hyperactive reflexes
D. Pinpoint pupils
38) A nurse is planning care for a school age child who was admitted from the emergency
department 2hr ago. Which of the following interventions should the nurse include to promote
adequate sleep for the child?
A. Follow the child’s home sleep routine to reduce anxiety
B. Allow the child to adjust their bedtime to promote autonomy
C. Leave the child to adjust their bedtime to promote autonomy
D. Leave the lights on in the child’s room to promote safety
E. Provide the child with video games prior to bedtime to reduce stress
39) A nurse is assessing an infant who has severe dehydration due to gastroenteritis. Which of
the following findings should the nurse expect?
A. Capillary refill of 2 seconds
B. Increased urine output
C. Increased respiratory rate
D. Hypertension
40) A nurse is preparing to administer a prescribed medication to a toddler whose parent is
nearby. Which of the following actions should the nurse take to identify the toddler?
A. Check the toddlers ID band against the medical record
B. Check the toddlers room number against their ID band
C. Ask the parent to confirm the toddler’s identity
D. Ask another nurse to confirm the toddlers identify
41) A nurse is planning care for a toddler who has developed oral ulcers in response to
chemotherapy. Which of the following actions should the nurse include in the plan of care?
A. Administer oral viscous lidocaine
B. Schedule routine oral care every 8hr
C. Moisten the mucosa with lemon glycerin swabs
D. Cleanse the gums with saline soaked gauze
42) A nurse is preparing to collect a urine specimen from a female infant using a urine collection
bag. Which of the following actions should the nurse take?
A. Place a snug fitting diaper over the drainage bag
B. Stretch perineum tant when applying the bag
C. Apply lidocaine gel to the perineum before attaching the bag
D. Position the opening of the bag over the urethra and the anus
43) A nurse in a pediatric clinic is providing teaching to the guardian of an infant who has a new
prescription for digoxin. Which of the following manifestations should the nurse include as an
indication of digoxin toxicity?
A. Polyuria
B. Bradycardia
C. Jaundice
D. Diaphoresis
44) A nurse in the emergency department is assessing a toddler who has hyperpyrexia, severe
dyspnea, and is drooling, which of the following actions should the nurse take first?
A. Administer an antibiotic to the toddler
B. Prepare the toddler for nasotracheal intubation
C. Obtain a blood culture from the toddler
D. Insert an IV catheter for the toddler
45) A nurse is planning care for a child who has varicella. Which of the following interventions
should the nurse plan to include?
A. Administer aspirin for fever
B. Assess the oral cavity for kolpik spots
C. Provide the child with a warm blanket
D. Initiate airborne precautions
46) A nurse is teaching home care to the parents of a preschool age child who has heart failure.
Which of the following information should the nurse include in the teaching?
A. Provide for periods of rest
B. Weigh the child once each month
C. Withhold digoxin if the child’s is greater than 100/min
D. Increase the child’s oxygen flow rate until the child no longer has cyanosis
47) A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube.
Which of the following actions should the nurse take first?
A. Set the administration race on the feeding pump
B. Attach the feeding bag tubing to the end of the NG tube
C. Check the pH of the gastric secretions
D. Flush the tube with water
48) A nurse is providing teaching to the parents of a school age newly diagnosed with a seizure
disorder. The nurse should teach the parents to take which of the following actions during a
seizure?
A. Minimize movement of the limbs
B. Place the child in a prone position
C. Insert a tongue blade between the teeth
D. Clear the area of hard objects
49) A nurse in a provider’s office is preparing to administer immunizations to a 12-year-old
client during a well child visit. Which of the following immunizations should the nurse plan to
administer?
A. Varicella
B. Human papillomavirus (HPV)
C. Hepatitis A
D. Diphtheria tetanus and pertussis (DTaP)
50) A nurse is assessing a school age child who has heart failure and is taking furosemide. Which
of the following findings should the nurse identify as an indication that the medication is
effective?
A. An increase in potassium levels
B. A decrease in cardiac output
C. An increase in venous pressure
D. A decrease in peripheral edema
51) A nurse is teaching a group of female adolescents about healthy eating. Which of the
following instructions should the nurse include in the teaching?
A. Consume 1.500 to 1,700 calories per day
B. Limit your sodium intake to 3000 milligrams per day
C. Decrease your vitamin D intake once you start to menstruate
D. Increase the amount of your dietary iron intake
52) A nurse in the emergency department is caring for a child who has a temperature of
39.1C(102.4 F) and a suspected diagnosis of bacterial meningitis. Which of the following actions
should the nurse take first?
A. Prepare the child for a lumbar puncture
B. Administer an antipyretic to the child
C. Implement droplet precautions for the child
D. Dim the lights in the child’s room
53) A nurse is providing teaching to the guardians of a school age who has sickle cell disease
about management of the illness. Which of the following instructions should the nurse include?
A. Apply cold compresses to painful areas
B. Have the child wear a surgical mask to school
C. Limit fluids at bedtime
D. Encourage physical activity as tolerated
54) A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy. Which
of the following findings should the nurse identify as an indication of hemorrhage?
A. Blood pressure 95/56 mm Hg
B. Heart rate 54/min
C. Continuous swallowing
D. Flushing of the face
55) A nurse is assessing a school age child’s cranial nerve function. Which of the following
actions should the nurse ask the child to take when assessing the accessory nerve?
A. Show their teeth while smiling
B. Shrug their shoulders against mild pressure
C. Follow a light in the six cardinal positions
D. Move their tongue in all directions
56) A nurse in an urgent care clinic is prioritizing care for four children. Which of the following
children should the nurse assess first?
A. A preschool age child who has a muffled voice and no spontaneous cough
B. A toddler who has nephrotic syndrome and facial edema
C. A school age child who has diabetes mellitus and a blood glucose of 200mg/dl
D. An adolescent who has Crohn’s disease and a recent weighs loss of 5kg (11Ib)
57) A school nurse is assessing a 7-year-old student. The nurse should identify which of the
following findings as a potential indicator of physical abuse?
A. Bruising around the wrists
B. Front deciduous teeth missing
C. Weight in 45th percentile
D. Abrasions on the knees
58) A nurse is caring for an infant who receives intermittent enteral feedings through a
gastrostomy tube. Which of the following actions should the nurse take when administering a
feeding? (select all that apply)?
A. Place the infant in supine position
B. Check for residual volumes by aspirating stomach contents
C. Heat the formula to 39C (102 F) prior to administration
D. Instill the formula over a period of 30 to 45 min
E. Offer the infant a pacifier during feedings
59) A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin.
Which of the following laboratory values should the nurse report to the provider?
A. Creatinine 1.4 mg/dl
B. Creatinine 0.3 mg/dl
C. BUN 12 mg/dl
D. BUN 6 mg/dl
60) A nurse is assessing a toddler who has cystic fibrosis. Which of the following findings should
the nurse expect?
A. Weight gain
B. Visible peristalsis
C. Rhinorrhea
D. Steatorrhea
61) A nurse is preparing to initiate IV antibiotic therapy for a newly 12-month-old infant. Which
of the following actions should the nurse plan to take?
A. Start the IV in the infant’s foot
B. Cover the insertion site with an opaque dressing
C. Use a 24-gauge catheter to start the IV
D. Change the IV site every 3 days
62) A nurse is providing teaching about the effects of sun exposure to a parent of a toddler.
Which of the following responses by the parent indicates an understanding of the teaching?
A. I should dress my child in loose weave clothing
B. My child should remain under a beach umbrella during morning hours
C. I should apply a 10 SPF sunscreen to my child’s entire body
D. My child should wear a wide – brimmed hat
63) A nurse is reviewing the laboratory result of a preschooler who has gastroenteritis and notes
the client’s potassium level is 3.2 mEq/L. which of the following assessment findings should the
nurse expect?
A. Hyporeflexia
B. Oliguria
C. Hypertension
D. Hyperactive bowel sounds
64) A nurse is providing support to a family whose infant died from sudden infant death
syndrome (SIDS). Which of the following actions should the nurse take?
A. Avoid discussing details of the attempt to revive the infant
B. Provide a follow up phone call 1 week following the infant’s death
C. Discourage the parents from allowing siblings to view the body
D. Acknowledge the family members feelings of guilt
65) A nurse is monitoring an infant who is receiving opioids for pain. Which of the following
findings should indicate to the nurse that the medication is having a therapeutic effect?
A. Limb withdrawal
B. Increased blood pressure
C. Bradycardia
D. Relaxed facial expression
66) A nurse is preparing to administer amoxicillin 80mg/kg/day divided into two doses daily to a
2- year-old client who weighs 10kg (22 lb). Available is amoxicillin suspension 400mg/5ml.
How many ml of amoxicillin should the nurse administer per dose? (round the answer to the
nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)
5ml
67) A nurse is caring for a preschooler who refuses to take a stat dose of oral diphenhydramine.
Which of the following statements should the nurse make?
A. The medication is not bad. It tastes like candy
B. The medication will treat you want to take the medication
C. Sometimes, when a child has to take medication, they feel sad
68) A nurse is evaluating a 4-year-old child who has cystic fibrosis and has been receiving chest
physiotherapy treatments. The nurse should identify which of the following findings as an
indication that the therapy has been effective?
A. Increased expectoration
B. Increased urine output
C. Increased heart rate
D. Reduce pain
69) A nurse is assessing an infant who has intussusception. Which of the following findings
should the nurse expect?
A. Board like abdomen
B. Sausage shaped abdominal mass
C. Increased urinary output
D. Constipation
70) A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse
should immediately report which of the following findings to the provider?
A. Tachypnea
B. Rhinorrhea
C. Coughing
D. pharyngitis
