,ATI RN Nursing Care of Children
Teaching the parents of a school-aged child who has a new diagnosis
of osteomyelitis of the tibia. The nurse should identify that which of
the following statements by the parents indicates an understanding
of the teaching? my child will have a cast until healing is complete.
My child will receive antibiotics for several weeks.
My child can return to playing sports once
he is discharged. My child needs to be in
contact isolation.
Answer: b
The nurse should instruct the parent that the child will receive antibiotic
therapy for at least 4 weeks. Surgery might be indicated if the antibiotics
are not successful.
A - incorrect
Weight bearing must be avoided with osteomyelitis. Therefore, the child
is placed in a comfortable position with the limb supported. There is no
indication for a cast.
C- incorrect
Weight bearing should be avoided to prevent complications and minimize
pain. Therefore, it will be several weeks to months before the child can
play contact sports.
D- incorrect
Contact isolation is NOT necessary, because osteomyelitis is not a
communicable illness.
A nurse is auscultating the lungs of an adolescent who has asthma. The
nurse should identify the sound as which of the following? Click the
audio button to listen.
A- Biots respiration
B- Chaney Stokes respiration
C- tackypnea
D - Bradypnea
Page 1 of 31
,ATI RN Nursing Care of Children
Answer- c
The nurse should identify the sound heard during auscultation as
tachypnea, which is a rapid, regular breathing pattern. This breathing
pattern often occurs with anxiety, fever, metabolic acidosis, or severe
anemia.
A- Biot's respirations are periods of apnea alternating with two or
three shallow breaths. B- Cheyne-Stokes respirations are periods of
apnea alternating with periods of hyperventilation.
D- Bradypnea is a slow, regular breathing pattern.
A nurse in an emergency department is caring for a school-
anaphylactic age child who is experiencing an reaction. Which of the
following is the priority action by the nurse?
A- Elevate the head of the child's bed
B- insert a large-bore IV catheter for the child
C- determine the allergen that caused the child's reaction
D- administer IM epinephrine to the child
Answer- d
When using the urgent vs nonurgent approach to client care, the nurse
determines that the priority action is administering IM epinephrine to the
child. During an anaphylactic reaction, histamine release causes
bronchoconstriction and vasodilation. This is an emergency because
ultimately it causes decreased blood return to the heart.
A- Elevating the head of the child's bed is important to facilitate breathing and
circulation.
However, it is not the priority action the nurse should take.
B- Inserting a large bore IV catheter is important to facilitate administration of
IV fluids and medications. However, it is not the priority action the nurse
should take.
Page 2 of 31
, ATI RN Nursing Care of Children
C- Determining the allergen that caused the child's reaction is important to
prevent any additional episodes of anaphylaxis. However, it is not the
priority action the nurse should take.
The nurse is preparing to immunization to a four-administer an .
Which of the following year-old child actions should the
nurse plan to take?
A- Place the child in a prone position for the immunization
B- request that the child's caregiver leave the room during the immunization
C- administer the immunization using a 24 gauge needle
D- inject the immunization slowly after aspirating for 3 seconds
Answer - c
The nurse should administer an immunization for a 4-year-old child using a
24-gauge needle to minimize the amount of pain experienced by the toddler.
A- The nurse should place the child in an upright sitting position for
the immunization because this decreases the child's fear and anxiety.
B- The nurse should allow the caregiver to stay near the child during
the immunization to provide a sense of security and reduce the child's
anxiety level.
D- The nurse should inject the immunization rapidly and avoid
aspiration. These actions decrease the risk of needle displacement and
lower the child's fear and anxiety level by decreasing the amount of
time it takes to administer the immunization.
A nurse is reviewing the laboratory report of an infant who is receiving
treatment for severe dehydration. The nurse should identify which of the
following laboratory values indicates effectiveness of the current
treatment?
A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
Page 3 of 31
Teaching the parents of a school-aged child who has a new diagnosis
of osteomyelitis of the tibia. The nurse should identify that which of
the following statements by the parents indicates an understanding
of the teaching? my child will have a cast until healing is complete.
My child will receive antibiotics for several weeks.
My child can return to playing sports once
he is discharged. My child needs to be in
contact isolation.
Answer: b
The nurse should instruct the parent that the child will receive antibiotic
therapy for at least 4 weeks. Surgery might be indicated if the antibiotics
are not successful.
A - incorrect
Weight bearing must be avoided with osteomyelitis. Therefore, the child
is placed in a comfortable position with the limb supported. There is no
indication for a cast.
C- incorrect
Weight bearing should be avoided to prevent complications and minimize
pain. Therefore, it will be several weeks to months before the child can
play contact sports.
D- incorrect
Contact isolation is NOT necessary, because osteomyelitis is not a
communicable illness.
A nurse is auscultating the lungs of an adolescent who has asthma. The
nurse should identify the sound as which of the following? Click the
audio button to listen.
A- Biots respiration
B- Chaney Stokes respiration
C- tackypnea
D - Bradypnea
Page 1 of 31
,ATI RN Nursing Care of Children
Answer- c
The nurse should identify the sound heard during auscultation as
tachypnea, which is a rapid, regular breathing pattern. This breathing
pattern often occurs with anxiety, fever, metabolic acidosis, or severe
anemia.
A- Biot's respirations are periods of apnea alternating with two or
three shallow breaths. B- Cheyne-Stokes respirations are periods of
apnea alternating with periods of hyperventilation.
D- Bradypnea is a slow, regular breathing pattern.
A nurse in an emergency department is caring for a school-
anaphylactic age child who is experiencing an reaction. Which of the
following is the priority action by the nurse?
A- Elevate the head of the child's bed
B- insert a large-bore IV catheter for the child
C- determine the allergen that caused the child's reaction
D- administer IM epinephrine to the child
Answer- d
When using the urgent vs nonurgent approach to client care, the nurse
determines that the priority action is administering IM epinephrine to the
child. During an anaphylactic reaction, histamine release causes
bronchoconstriction and vasodilation. This is an emergency because
ultimately it causes decreased blood return to the heart.
A- Elevating the head of the child's bed is important to facilitate breathing and
circulation.
However, it is not the priority action the nurse should take.
B- Inserting a large bore IV catheter is important to facilitate administration of
IV fluids and medications. However, it is not the priority action the nurse
should take.
Page 2 of 31
, ATI RN Nursing Care of Children
C- Determining the allergen that caused the child's reaction is important to
prevent any additional episodes of anaphylaxis. However, it is not the
priority action the nurse should take.
The nurse is preparing to immunization to a four-administer an .
Which of the following year-old child actions should the
nurse plan to take?
A- Place the child in a prone position for the immunization
B- request that the child's caregiver leave the room during the immunization
C- administer the immunization using a 24 gauge needle
D- inject the immunization slowly after aspirating for 3 seconds
Answer - c
The nurse should administer an immunization for a 4-year-old child using a
24-gauge needle to minimize the amount of pain experienced by the toddler.
A- The nurse should place the child in an upright sitting position for
the immunization because this decreases the child's fear and anxiety.
B- The nurse should allow the caregiver to stay near the child during
the immunization to provide a sense of security and reduce the child's
anxiety level.
D- The nurse should inject the immunization rapidly and avoid
aspiration. These actions decrease the risk of needle displacement and
lower the child's fear and anxiety level by decreasing the amount of
time it takes to administer the immunization.
A nurse is reviewing the laboratory report of an infant who is receiving
treatment for severe dehydration. The nurse should identify which of the
following laboratory values indicates effectiveness of the current
treatment?
A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
Page 3 of 31
