Ati Nursing Care of Children Proctored 2022 -
Study Guide
1. A nurse is caring for a 6-year-old child who is experiencing encopresis. Which of the following
actions should the nurse take?
Determine if there are any recent stressors in the child's environment
2. A nurse is caring for a child who has an exacerbation of cystic fibrosis. Which of the following
laboratory findings should the nurse report to the provider immediately?
Oxygen saturation 85%
3. A nurse is a pediatric clinic is caring for a 3-year-old child who has a blood lead level of
3 mcg/dL. When teaching the toddler's parent about the correlation of nutrition with lead
poisoning,which of the following pieces of information is appropriate for the nurse to include?
Ensure the child's dietary intake of calcium and iron is adequate
4. A nurse is caring for a child who has sickle cell anemia and is experiencing a vaso-occlusive
crisis. Which of the following actions should the nurse take?
Administer ibuprofen
5. A nurse at a pediatric clinic is assessing a 5-month-old infant during a well child visit.
Which of the following findings should the nurse report to the provider?
Head lagging when the infant is pulled from a lying to a sitting position
6. A nurse is providing teaching to the guardians of an infant who has failure to thrive (FTT).
Which of the following pieces of information should the nurse include in the teaching?
Add fortified rice cereal to the infants formula
7. A nurse is an emergency department is caring for a 4-year-old child who has burns to the neck
and face following a house fire. Which of the following actions should the nurse take first?
Determine the child's breathing pattern
8. A nurse is teaching to a group of parents of adolescents about developmental needs. Which of
the following statements by a parent should the nurse investigate further?
"My child spends 4 hours per day using online chat rooms."
9.A nurse is providing discharge teaching to paents whose infant had a ventriculoperitoneal
shunt placement for the treatment of hydrocephalus. Which of the following statements by
the parents indicates an understanding of the teaching?
"We will notify the doctor right away if he has a fever."
10. A nurse is performing a nutritional screening for a 12-year-old client who weighs 41 kg (90 lb)
and has a height of 1.5 m (60 in). Which of the following values is the client's body mass index
(BMI)
18.2 - to calculate the clients BMI, the nurse should divide the clients weight in kilograms by
the square of the clients height in meters. Therefore, 41 kg divided by the square of 1.5 m gives a

11. A nurse is teaching the parents of an infant about treatment option for profound sensorineural
hearing loss. The nurse should include which of the following pieces of information about the
function of cochlear implants?
The provide direct stimulation of auditory nerve fiber
12. A nurse is instructing a group of parents and guardians about child development. Which
of the following recommendations should the nurse make to promote the developmental task
of industry in the school-age child?
Assign the child several small chores
13. A nurse is providing teaching to the guardian of an adolescent. The guardian reports that
the adolescent sleeps about 10 hour on weekend nights. Which of the following responses
should the nurse provide?
"Adolescents need more sleep due to rapid growth."
14. A nurse is caring for a child who is in skeletal traction. Which of the following actions is the
nurse's priority?
Encourage the child to use an incentive spirometer
15. A nurse is assessing the gross motor skills of a 4-year-old preschooler. The nurse should
expect the preschooler to perform which of the following activities?
Hopping on 1 foot
16. A nurse is caring for a school-aged child who begins to have a tonic-clinic seizure when leav-
ing the bathroom. Which of the following actions should the nurse take first?
Ease the child to the floor in Sims' position
17. A nurse is assessing a 4-year-old child. The nurse should expect the child to be able to per-
form which of the following activities?
Fastening buttons on a shirt
18. A nurse is reviewing the laboratory report of a 2-year-old child who has diarrhea and has been
vomiting for 24 hr. Which of the following findings should the nurse report to the provider?
Potassium 2.5 mEq/L
19. A nurse is evaluating the outcome of surgery for an infant who had a bile duct obstruction
which of the following findings should indicate to the nurse that the surgery was successful?
The color of the infants stool is yellowish-brown
20. A nurse is teaching an adolescent client who has type 1 diabetes mellitus about managing
hypoglycemia. Which of the following statements should the nurse include in the teaching?
"You should drink 4 ox of orange juice if you experience hypoglycemia’’
21. A nurse is assessing the fine motor skills development of a 4-year-old child. The nurse should
expect the child to be able to perform which of the following activities?
Copying a square
22. A nurse is teaching the parents of a 4-month-old infant who has gastroesophageal reflex. Which
of the following statements by a parent indicates an understanding of the teaching?
"I will add 1 teaspoon of rice cereal per ounce to my baby's formula"

23. A nurse is caring for a 15-month-old client who requires droplet precautions. Which of the
following actions should the nurse take?
Wear a mask when assisting the toddler with meals
24. A nurse is providing teaching to a 12-year-old client who is recovering from an acute episode
of hemophilia A. Which of the following statements should the nurse include in the teaching?
"You will be able to participate in physical exercise"
25. A nurse is caring for a child who has episaxis.Which of the following actions should the nurse
take?
Apply continuous pressure to the lower part of the childs nose
26. A nurse is teaching a parent of an infant who has a colostomy. Which of the following statements
by the parent indicates an understanding of the teaching
" I need to apply paste to the back of the wafer on my child's appliance’’
27. A nurse is preparing to assess a 2-year-old toddler. Which of the following behaviors should the
nurse expect during the examinations
The child prefers to sit on the parent's lap during the examination
28. A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions
should the nurse take?
Check the child's blood pressure every 4 hr
29. A nurse is providing teaching about poisoning prevention top a group of parents with toddlers.
Which of the following statements should the nurse make?
"Put all cleaning supplies in a locked cabinet"
30. A nurse is assessing an infant w ho has acute gastroenteritis. Which of the following findings
should the nurse identify as the priority?
Capillary refill 5 seconds
- Above 4 seconds is s/s severe dehydration
31. An 18-month-old infant has pneumocystiscarinii pneumonia. Results of enzyme-linked
immunosorbent assay (ELISA) testing indicate that she is HIV positive. When planning care, the
nurse should consider which of the following factors?
The infant's mother is likely HIV positive
32.A nurse is providing postoperative teaching to the parent of a 3-month-old infant who is re-
covering from an umbilical hernia repair. Which of the following statements by the parent indicates
an understanding of the teaching?
" I will fold my baby's diaper away from the incision"

33. A nurse is developing a plan of care for a school-age child who underwent a surgical
procedure that resulted in a temporary loss of vision. Which of the following interventions
should the nurse include in the plan of care?
Explain the sounds the child is hearing
34. A nurse is providing teaching to the parent of an infant who has heart failure and a new prescrip-
tion for digoxin elixir. Which of the following pieces of information should the nurse include
Withhold the medication if the infant's heart rate is less than 110/min
35. A nurse is caring for an 8-year-old child who has acute glomerulonephritis. Which of the following
findings should the nurse expect?
Periorbital edema
36. A nurse is caring for a child with cystic fibrosis who has a pulmonary infection. Which of the
following findings is the nurse's priority?
Inability to clear secretions
37. A nurse is assessing a 4-year-old child's cognitive development during a well-child visit.
Which of the followings should the nurse expect the child to display?
Development of the superego
38. A nurse is facilitating a group discussion with preschool teachers about child abuse. Which of
the following examples should the nurse use to illustrate a suggestive finding?
Arm cast for a spiral fracture of the forearm
39. A nurse is caring for a group of infants with congenital heart defects. For which of the followIng
defects should the nurse expect to observe cyanosis?
Transposition of the great arteries – reversal of the anatomical position of the aorta and pulmonary
artery allows venous blood to enter the systemic circulation
40. A nurse is caring for a 4-month-old child who has acute otitis media and a fever of 38.3. Which
of the following medications should the nurse administer?
Amoxicillin
41. A nurse is caring for a preschool-age child who is dying. Which of the following findings is an
age-appropriate reaction to death by the child?
(select all that apply)
The child views death as similar to sleep
The child believes his thoughts can cause death
The child thinks death is a punishment

42. A nurse is providing Teaching to an adolescent who was recently diagnosed with type 1 diabetes
mellitus. Which of the following insulin injection sites should the nurse recommend that the client use
during basketball competitions?
Hip
43. A school nurse is assessing a child who has been stung by a bee. The child's hand is
swelling and the nurse notes that the child is allergic to insect stings. Which of the following findings
should the nurse expect if the child develops anaphylaxis? (select all that apply)
Nausea
Urticaria
Stridor
44. A nurse is discussing the cause of chronic diarrhea with a client. Which of the following
conditions is caused by malabsorption?
Celiac disease
45. A nurse is caring for an infant who is post-operative following a myelomeningocele repair.
Which of the following is the priority action the nurse should take?
Measure the infant's head circumference
46. A nurse is providing teaching about home safety to the parent of a 2-month-old infant. Which
of the following information should the nurse include?
Remove bibs before the infant goes to sleep
47. A nurse is discussing disciplinary techniques with the guardian of a preschooler. Which of the
following actions indicates to the nurse that the guardian is using an age-appropriate disciplinary
technique?
The guardian places the child in time-out after misbehaving
48. A nurse is reviewing the laboratory value for a 6-month-old infant who has acute renal failure.
Which of the following findings should the nurse expect?
Sodium 125 mEq/L - below the expected range for an infant
49. A hospice nurse is conducting a support group for parents of toddlers who have a terminal
illness. Which of the following pieces of information should the nurse include in the teaching?
Toddlers will react to the parents' anxiety and sadness
50. A nurse is caring for a 3-year-old child who has a cyanotic cardiac defect. The child cries
when her parents leave the room, worsening her cyanosis and dyspnea. Into which of the
following positions should the nurse place the child to improve these manifestations?
Knee-chest

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51. A nurse is cring for a newborn who has spina bifida. The newborn's parents are upset by the
diagnosis. Which of the following action should the nurse take?
Encourage the parents to touch and care for the newborn
52. A nurse teaching the parent of a 3-year-old toddler about promoting sleep. Which of the following
pieces of information should the nurse include?
Follow a nightly routine and established bedtime
53.A nurse is planning care for an adolescent who has sickle cell anemia and is experiencing a
vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan?
Maintain the child on bed rest
54. A nurse is providing teaching to the guardian of a child about bicycle safety. Which of the
following pieces of information should the nurse include?
Instruct the child to walk the bike through intersections
55. A nurse is caring for an 18-month-old infant who has chronic otitis media. The nurse should
recognize that chronic otitis media will affect which of the following?
Speech patterns
56. A nurse on a pediatric unit is caring for a preschooler who is prescribed an IV medication. Which
of the following actions should the nurse take to prepare the child for the procedure
Use role-play activities with the child
57. A nurse is providing teaching to the parent of a school-aged child who has pediculosis. Which
of the following instructions should the nurse include?
Dry clothing in a hot dryer for at least 20 minutes
58. A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the following
actions should the nurse take?
Minimize physical contact with the child initially
59. A nurse in the emergency department is caring for an accompanied infant following a mo-
tor-vehicle crash. During the assessment, the nurse notes that the infant's anterior fontanel is almost
closed. She has 6 teeth, is able to sit unsupported, and can drink from a cup. The child cries
whenever anyone new to her enters the room, says a few words, and is asking for
"mama" and "dada". The nurse should make which of the following age assessments for this
child?
12 months old

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60. A nurse is preparing to administer routine immunizations to a 6-year-old child. In addition to the
diphtheria, tetanus and pertussis (DTaP) vaccine; The measles, mumps, and rubella (MMR) vaccine;
and varicella vaccine,which of the following immunizations should the nurse plan to administer
Inactivated poliovirus vaccine (IPV)
61. A nurse on a pediatric mental health unit is caring for a school-age child. Which of the follow-
ing questions or statements should the nurse provide to foster a rapport and encourage
conversation?
Tell me about your favorite video game.
62. A nurse is assessing a child who sustained a head injury. During the assessment, the
nurse observes clear drainage leaking from the child's nose. Which of the following actions
should the nurse take?
Test the nasal secretions for glucose
63. A clinic nurse is providing teaching to the parent of a 1-month-old infant who has gastroe-
sophageal reflux. Which of the following statements by the parent indicates an understanding
of the teaching?
" I will add rice cereal to my baby's feedings."
64. A nurse is caring for a preschool-age child who has mucosal ulceration after receiving
chemotherapy. Which of the following actions should the nurse take?
Instruct the child to use a soft sponge toothbrush when brushing her teeth
65. A nurse is reviewing recommended immunizations with the guardian of a 2-month-old infant.
Which of the following statements should the nurse make?
"Your baby can start the pneumococcal vaccine now"
66. A nurse is preparing to administer acetaminophen 240 mg PO daily to a child who has
a temperature of 38.9. The amount available is 160/5. How many Ml should the nurse administer per
done
7.5
67. A nurse is assessing a 6-month old infant who was recently admitted with acute votmiting and
diarrhea. Which of the following findings indicates the infant has moderate dehydration?
Tachypnea
68. A nurse is providing education to the parent of a toddler who is about to receive her first dose
of he measles, mumps, and rubella (MMR) immunization. Which of the following statements
by the parent indicates an understanding of the teaching?
"I can give my child acetaminophen for discomfort associated with the immunization."

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2022 ATI Pediatrics Proctored Exam with Answers (300 Solved Questions)

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