VATI NURSING CARE CHILDREN SOLUTION
COMPREHENSIVE REVIEW GUIDE 2026
◉ A nurse is caring for a preschooler who has diabetes mellitus and
is pale, diaphoretic, and irritable. The child's blood glucose level is
52 mg/dL. Which of the following actions should the nurse take
first? Answer: Administer 1 tbsp of sugar to the child.
When following evidence-based practice, the nurse should
administer 15 g of simple carbohydrates. Foods, such as 1 tbsp of
table sugar, will quickly bring the glucose level up and resolve the
manifestations of hypoglycemia. This should be followed up by a
complex carbohydrate to prevent rebound hypoglycemia.
◉ A nurse is caring for a child who has pertussis. Which of the
following precautions should the nurse initiate? Answer: Droplet
The nurse should initiate droplet precautions for a child who has a
disease that is transmitted through droplets larger than 5 microns,
such as pertussis. Individuals providing care for the child should
wear a mask and the child should be placed in a private room.
◉ A nurse is reinforcing teaching with the guardian of an adolescent
who has ADHD and a prescription for methylphenidate. Which of the
following statements by the guardian indicates an understanding of
,the teaching? Answer: I will use charts to assist my child with
organizing their day.
The use of charts to assist with organization is a recommended
modification of the environment to help the adolescent be more
successful.
◉ A nurse is assisting with the care of a child following a
tonsillectomy. Which of the following actions is the nurse's priority?
Answer: Monitor the child for frequent swallowing.
The greatest risk to this child is hemorrhage following the
tonsillectomy. Frequent swallowing is an early and obvious
manifestation of postoperative Therefore, the nurse's priority action
is to monitor the child for frequent swallowing.
◉ A nurse is assisting with the care of a child who is in status
asthmaticus. Which of the following medications should the nurse
administer first? Answer: Albuterol via nebulizer
When using the airway, breathing, circulation approach to client
care, the nurse should first administer albuterol, a short-acting
betaz-adrenergic agonist, to relax the child's smooth muscles and
promote bronchodilation. Status asthmaticus is a medical
emergency and can result in respiratory failure: therefore, the
, priority action is to improve ventilation and decrease airway
resistance.
◉ A nurse is reinforcing teaching with the parent of a 15-month-old
toddler about nutritional guidelines. Which of the following
statements by the parent indicates an understanding of the
teaching? Answer: "My child's intake of calcium should average 500
milligrams every day."
The nurse should advise the parent that the toddler should receive
approximately 500 mg of calcium daily to support adequate bone
development. Milk, yogurt, cheese, and green, leafy vegetables are all
foods high in calcium, and the nurse should recommend increasing
these in the toddler's diet.
◉ A nurse is planning to reinforce teaching about head injuries with
a group of parents of school-age children. The nurse should instruct
the parents to monitor for and report which of the following
manifestations? Answer: Irritability
The nurse should instruct the parents to monitor for irritability,
which can indicate increased intracranial pressure following a head
injury.
COMPREHENSIVE REVIEW GUIDE 2026
◉ A nurse is caring for a preschooler who has diabetes mellitus and
is pale, diaphoretic, and irritable. The child's blood glucose level is
52 mg/dL. Which of the following actions should the nurse take
first? Answer: Administer 1 tbsp of sugar to the child.
When following evidence-based practice, the nurse should
administer 15 g of simple carbohydrates. Foods, such as 1 tbsp of
table sugar, will quickly bring the glucose level up and resolve the
manifestations of hypoglycemia. This should be followed up by a
complex carbohydrate to prevent rebound hypoglycemia.
◉ A nurse is caring for a child who has pertussis. Which of the
following precautions should the nurse initiate? Answer: Droplet
The nurse should initiate droplet precautions for a child who has a
disease that is transmitted through droplets larger than 5 microns,
such as pertussis. Individuals providing care for the child should
wear a mask and the child should be placed in a private room.
◉ A nurse is reinforcing teaching with the guardian of an adolescent
who has ADHD and a prescription for methylphenidate. Which of the
following statements by the guardian indicates an understanding of
,the teaching? Answer: I will use charts to assist my child with
organizing their day.
The use of charts to assist with organization is a recommended
modification of the environment to help the adolescent be more
successful.
◉ A nurse is assisting with the care of a child following a
tonsillectomy. Which of the following actions is the nurse's priority?
Answer: Monitor the child for frequent swallowing.
The greatest risk to this child is hemorrhage following the
tonsillectomy. Frequent swallowing is an early and obvious
manifestation of postoperative Therefore, the nurse's priority action
is to monitor the child for frequent swallowing.
◉ A nurse is assisting with the care of a child who is in status
asthmaticus. Which of the following medications should the nurse
administer first? Answer: Albuterol via nebulizer
When using the airway, breathing, circulation approach to client
care, the nurse should first administer albuterol, a short-acting
betaz-adrenergic agonist, to relax the child's smooth muscles and
promote bronchodilation. Status asthmaticus is a medical
emergency and can result in respiratory failure: therefore, the
, priority action is to improve ventilation and decrease airway
resistance.
◉ A nurse is reinforcing teaching with the parent of a 15-month-old
toddler about nutritional guidelines. Which of the following
statements by the parent indicates an understanding of the
teaching? Answer: "My child's intake of calcium should average 500
milligrams every day."
The nurse should advise the parent that the toddler should receive
approximately 500 mg of calcium daily to support adequate bone
development. Milk, yogurt, cheese, and green, leafy vegetables are all
foods high in calcium, and the nurse should recommend increasing
these in the toddler's diet.
◉ A nurse is planning to reinforce teaching about head injuries with
a group of parents of school-age children. The nurse should instruct
the parents to monitor for and report which of the following
manifestations? Answer: Irritability
The nurse should instruct the parents to monitor for irritability,
which can indicate increased intracranial pressure following a head
injury.
