ATI PEDS NURSING CARE OF CHILDREN
DYNAMICS FINAL PAPER 2026 FULL
QUESTIONS AND CORRECT ANSWERS
◉A nurse is assessing an infant who develops respiratory distress,
absence of breath sounds on one side, and deviation of the trachea
away from the affected side. Based on these manifestations, which of
the following conditions is the infant experiencing? Answer:
Tension pneumothorax
◉A nurse is planning care for an infant with an unrepaired
myelomeningocele. Which of the following actions should the nurse
take? Answer: Palpate the abdomen for bladder distension
◉A nurse is caring for a child who has a tracheostomy. Which of the
following techniques should the nurse use to suction the child's
tracheostomy? Answer: Remove the catheter while applying
intermittent suction
◉A nurse is performing a physical assessment on a 6-month-old
infant. Which of the following reflexes should the nurse expect to
find? Answer: Babinski
,◉A nurse is providing teaching to an adolescent who has a fiberglass
arm cast. Which of the following instructions should the nurse
include in the teaching? Answer: Place a plastic bag over the cast
when showering
◉A nurse is teaching a group of parents and guardians about otitis
media. Which of the following should the nurse identify as a risk
factor for this illness? Answer: Passive smoking
◉A nurse is providing teaching about immunizations to the parents
of a severely immunocompromised child who has human
immunodeficiency virus (HIV). Which of the following statements
should the nurse include in the teaching? Answer: "The
pneumococcal and influenza vaccines are recommended for your
child."
◉A nurse in an emergency department is assessing an infant who
has laryngotracheobronchitis. Which of the following findings
should the nurse report as an indication of impending airway
obstruction? Answer: Nasal flaring
◉A nurse is assessing a 6-year-old child who is immediately
postoperative following a tonsillectomy. Which of the following
findings should the nurse report to the provider? Answer: The child
is swallowing frequently
,◉A nurse is caring for a school-aged child who has sickle cell anemia
and was admitted for a vaso-occlusive crisis. Which of the following
findings should the nurse report to the provider immediately?
Answer: Slurred speech
◉A nurse is teaching the parents of an infant who has congenital
hypothyroidism. Which of the following directions should the nurse
provide? Answer: "Your child will need to take thyroid hormone
replacement for her entire life."
◉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 the varicella vaccine, which of the following immunizations
should the nurse plan to administer? Answer: Inactivated poliovirus
vaccine (IPV)
◉A nurse is preparing to assess a 3-month-old infant during a well-
child visit. Which of the following observations should the nurse
expect? Answer: The infant looks at his hands
◉A nurse is planning preoperative teaching for a school-age child
who is scheduled for cardiac surgery. Which of the following actions
should the nurse plan to take when teaching the child? Answer: Use
photographs to help explain the procedure
, ◉A nurse is teaching a school-age child and his parents how to self-
administer insulin. Which of the following actions should the nurse
take first? Answer: Demonstrate the injection technique on an
orange
◉A nurse is assessing a preschooler who has influenza and reports
the new onset of a sore throat and difficulty swallowing. Which of
the following findings is the priority for the nurse to report to the
provider? Answer: The child is drooling
◉A nurse is providing teaching to the parent of a child who has
cystic fibrosis and a prolapsed rectum. The nurse should identify
that which of the following is a cause of this complication? Answer:
Bulky stools
◉A nurse is caring for a child who is receiving treatment for diabetic
ketoacidosis and has a current blood glucose level of 250mg/dL.
Which of the following actions should the nurse take? Answer:
Administer 5% dextrose in 0.9% sodium chloride by continuous IV
infusion
◉A nurse in an emergency department is assisting with the care of a
4-year-old child who ingested toilet bowl cleaner. The child has
hemoptysis, is crying, and states, "It burns." Which of the following
DYNAMICS FINAL PAPER 2026 FULL
QUESTIONS AND CORRECT ANSWERS
◉A nurse is assessing an infant who develops respiratory distress,
absence of breath sounds on one side, and deviation of the trachea
away from the affected side. Based on these manifestations, which of
the following conditions is the infant experiencing? Answer:
Tension pneumothorax
◉A nurse is planning care for an infant with an unrepaired
myelomeningocele. Which of the following actions should the nurse
take? Answer: Palpate the abdomen for bladder distension
◉A nurse is caring for a child who has a tracheostomy. Which of the
following techniques should the nurse use to suction the child's
tracheostomy? Answer: Remove the catheter while applying
intermittent suction
◉A nurse is performing a physical assessment on a 6-month-old
infant. Which of the following reflexes should the nurse expect to
find? Answer: Babinski
,◉A nurse is providing teaching to an adolescent who has a fiberglass
arm cast. Which of the following instructions should the nurse
include in the teaching? Answer: Place a plastic bag over the cast
when showering
◉A nurse is teaching a group of parents and guardians about otitis
media. Which of the following should the nurse identify as a risk
factor for this illness? Answer: Passive smoking
◉A nurse is providing teaching about immunizations to the parents
of a severely immunocompromised child who has human
immunodeficiency virus (HIV). Which of the following statements
should the nurse include in the teaching? Answer: "The
pneumococcal and influenza vaccines are recommended for your
child."
◉A nurse in an emergency department is assessing an infant who
has laryngotracheobronchitis. Which of the following findings
should the nurse report as an indication of impending airway
obstruction? Answer: Nasal flaring
◉A nurse is assessing a 6-year-old child who is immediately
postoperative following a tonsillectomy. Which of the following
findings should the nurse report to the provider? Answer: The child
is swallowing frequently
,◉A nurse is caring for a school-aged child who has sickle cell anemia
and was admitted for a vaso-occlusive crisis. Which of the following
findings should the nurse report to the provider immediately?
Answer: Slurred speech
◉A nurse is teaching the parents of an infant who has congenital
hypothyroidism. Which of the following directions should the nurse
provide? Answer: "Your child will need to take thyroid hormone
replacement for her entire life."
◉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 the varicella vaccine, which of the following immunizations
should the nurse plan to administer? Answer: Inactivated poliovirus
vaccine (IPV)
◉A nurse is preparing to assess a 3-month-old infant during a well-
child visit. Which of the following observations should the nurse
expect? Answer: The infant looks at his hands
◉A nurse is planning preoperative teaching for a school-age child
who is scheduled for cardiac surgery. Which of the following actions
should the nurse plan to take when teaching the child? Answer: Use
photographs to help explain the procedure
, ◉A nurse is teaching a school-age child and his parents how to self-
administer insulin. Which of the following actions should the nurse
take first? Answer: Demonstrate the injection technique on an
orange
◉A nurse is assessing a preschooler who has influenza and reports
the new onset of a sore throat and difficulty swallowing. Which of
the following findings is the priority for the nurse to report to the
provider? Answer: The child is drooling
◉A nurse is providing teaching to the parent of a child who has
cystic fibrosis and a prolapsed rectum. The nurse should identify
that which of the following is a cause of this complication? Answer:
Bulky stools
◉A nurse is caring for a child who is receiving treatment for diabetic
ketoacidosis and has a current blood glucose level of 250mg/dL.
Which of the following actions should the nurse take? Answer:
Administer 5% dextrose in 0.9% sodium chloride by continuous IV
infusion
◉A nurse in an emergency department is assisting with the care of a
4-year-old child who ingested toilet bowl cleaner. The child has
hemoptysis, is crying, and states, "It burns." Which of the following
