ATI NURSING CARE OF CHILDREN PROCTORED EXAM REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS WITH
RATIONALES (FULL REVISED EXAM) A NEW UPDATED
VERSION|ALREADY GRADED A+ (BRAND NEW!!)
If a child has an allergy to neomycin with a anapylactic reaction what vaccine should
you withhold? or an allergy to eggs or gelatin - ANSWER: measles, mumps, rubella
(MMR)
what is an indication of bacterial meningitis? - ANSWER: increased protein
concentration, increased WBC, decreased glucose level, increased cerebrospinal fluid
pressure
normal HCT for a child - ANSWER: 32 - 44%
what can a child experience with a low HCT? - ANSWER: tachycardia,
lightheadedness, fatigue, dyspnea, pallor
normal wbc for child - ANSWER: 5,000 - 10,000 mm3
normal platelet for child - ANSWER: 150,000-400,000
normal Hgb for child - ANSWER: 9.5-14 g/dL
normal prealbumin for child - ANSWER: 15-33 mg/dL
pavlik harness - ANSWER: used for hip dysplasia in infants
Remove only to take baths, place diapers under the harness straps, do not use
products becuase can cause skin irritation, and do not adjust straps
peritonitis - ANSWER: inflammation of the peritoneum (membrane lining the
abdominal cavity and surrounding the organs within it)
abdominal distension, chills, irritability, restlessness
scoliosis - ANSWER: should expect to see a unilateral rib hump with hip flexion
peristalis - ANSWER: involuntary waves of muscle involves contractions of the
smooth muscles that push the food toward the stomach
what should you expect with a child following a perforated appendix repair? -
ANSWER: absence of peristalsis
what to do following a lumbar puncture? - ANSWER: apply topical analgesic 1 hr
before, place client in prone or flat position for up to 12 hours after, encourage to
drink extra fluids
, nursing interventions for a child with an epidural hematoma? - ANSWER: neuro
checks q15mins, avoid suctioning nares, implement seizure activity, position infant
midline slightly elevated
nursing interventions for a child scheudled for a wound debridement? - ANSWER:
apply topical ointment following hydrotherapy, apply gauze after therapy,
administer an analgesic beforehand, and AVOID prophylactic antibiotic therapy
who can sign consent? - ANSWER: over 18 y/o, parent of a minor, or if under 18 and
married can sign themselves
nursing interventions for a child in a tonic clonic seizure. - ANSWER: turn to side, no
food or drink, nothing by mouth (meds)
epinephrine - ANSWER: treats anaphylaxis
Prednisone - ANSWER: treats severe inflammation
Anti-inflammatory
Diphenhydramine - ANSWER: Benadryl, decreases allergic reaction
Albuterol - ANSWER: Bronchodilator, improves childs breathing
ventricular septal defect - ANSWER: nurse should expect to hear a loud harsh
murmur due to the left to right shunting of blood
coarction of the aorta (CoA) - ANSWER: narrowing of the aorta, should expect to
have high blood pressure and weak femoral pulses
indication of early septic shock - ANSWER: increased heart rate, normal BP, fever and
chills, normal urinary output
how to test for a sickle turbidity test - ANSWER: perform a finger stick, if test is
positive hemoglobin electrophoresis is required to distinguish b/w children who have
the genetic trait and children who have the disease
McBurney's point - ANSWER: A point on the right side of the abdomen, about two-
thirds of the distance between the umbilicus and the anterior bony prominence of
the hip
normal urine output for an adolescent - ANSWER: 33 to 62.5 mL/hr
Osteomyelitis Nursing Interventions - ANSWER: avoided bearing weight, antibiotics
for several weeks
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS WITH
RATIONALES (FULL REVISED EXAM) A NEW UPDATED
VERSION|ALREADY GRADED A+ (BRAND NEW!!)
If a child has an allergy to neomycin with a anapylactic reaction what vaccine should
you withhold? or an allergy to eggs or gelatin - ANSWER: measles, mumps, rubella
(MMR)
what is an indication of bacterial meningitis? - ANSWER: increased protein
concentration, increased WBC, decreased glucose level, increased cerebrospinal fluid
pressure
normal HCT for a child - ANSWER: 32 - 44%
what can a child experience with a low HCT? - ANSWER: tachycardia,
lightheadedness, fatigue, dyspnea, pallor
normal wbc for child - ANSWER: 5,000 - 10,000 mm3
normal platelet for child - ANSWER: 150,000-400,000
normal Hgb for child - ANSWER: 9.5-14 g/dL
normal prealbumin for child - ANSWER: 15-33 mg/dL
pavlik harness - ANSWER: used for hip dysplasia in infants
Remove only to take baths, place diapers under the harness straps, do not use
products becuase can cause skin irritation, and do not adjust straps
peritonitis - ANSWER: inflammation of the peritoneum (membrane lining the
abdominal cavity and surrounding the organs within it)
abdominal distension, chills, irritability, restlessness
scoliosis - ANSWER: should expect to see a unilateral rib hump with hip flexion
peristalis - ANSWER: involuntary waves of muscle involves contractions of the
smooth muscles that push the food toward the stomach
what should you expect with a child following a perforated appendix repair? -
ANSWER: absence of peristalsis
what to do following a lumbar puncture? - ANSWER: apply topical analgesic 1 hr
before, place client in prone or flat position for up to 12 hours after, encourage to
drink extra fluids
, nursing interventions for a child with an epidural hematoma? - ANSWER: neuro
checks q15mins, avoid suctioning nares, implement seizure activity, position infant
midline slightly elevated
nursing interventions for a child scheudled for a wound debridement? - ANSWER:
apply topical ointment following hydrotherapy, apply gauze after therapy,
administer an analgesic beforehand, and AVOID prophylactic antibiotic therapy
who can sign consent? - ANSWER: over 18 y/o, parent of a minor, or if under 18 and
married can sign themselves
nursing interventions for a child in a tonic clonic seizure. - ANSWER: turn to side, no
food or drink, nothing by mouth (meds)
epinephrine - ANSWER: treats anaphylaxis
Prednisone - ANSWER: treats severe inflammation
Anti-inflammatory
Diphenhydramine - ANSWER: Benadryl, decreases allergic reaction
Albuterol - ANSWER: Bronchodilator, improves childs breathing
ventricular septal defect - ANSWER: nurse should expect to hear a loud harsh
murmur due to the left to right shunting of blood
coarction of the aorta (CoA) - ANSWER: narrowing of the aorta, should expect to
have high blood pressure and weak femoral pulses
indication of early septic shock - ANSWER: increased heart rate, normal BP, fever and
chills, normal urinary output
how to test for a sickle turbidity test - ANSWER: perform a finger stick, if test is
positive hemoglobin electrophoresis is required to distinguish b/w children who have
the genetic trait and children who have the disease
McBurney's point - ANSWER: A point on the right side of the abdomen, about two-
thirds of the distance between the umbilicus and the anterior bony prominence of
the hip
normal urine output for an adolescent - ANSWER: 33 to 62.5 mL/hr
Osteomyelitis Nursing Interventions - ANSWER: avoided bearing weight, antibiotics
for several weeks
