ATI CARE OF CHILDREN ONLINE PRACTICE A
2026 CERTIFICATION EVALUATION TEST PAPER
QUESTIONS SOLUTIONS GRADED A PLUS
◉ A nurse is caring for a 1-month-old infant who has a nasogastric
tube in place for intermittent feedings. Which of the following
actions should the nurse take?
a. Position the head of the crib at a 30° angle between feedings.
b. Administer feedings over 5 min.
c. Flush the tube with 30 mL of tap water.
d. Place the infant on the left side after a feeding.
Answer: Position the head of the crib at a 30° angle between
feedings.
Rationale: The nurse should place the infant with the head of the
crib elevated 30° to 45° to prevent aspiration.
◉ A nurse in a provider's office is caring for a preschooler who has
findings of croup. Which of the following statements by the parent
requires immediate intervention by the nurse?
a. "My child has been coughing throughout the night."
,b. "My child is very hoarse and has a fever of 100.4 degrees
Fahrenheit."
c. "My child has refused to drink any fluids for the past 8 hours."
d. "My child recently had the flu.".
Answer: "My child has refused to drink any fluids for the past 8
hours."
Rationale: An inadequate fluid intake indicates the child is at
greatest risk for dehydration and electrolyte imbalance. Therefore,
this statement by the parent requires immediate intervention by the
nurse.
◉ A nurse is reinforcing discharge teaching with the guardians of a
6-month-old infant following a surgical procedure to repair a
hypospadias. Which of the following instructions should the nurse
include?
a. Avoid giving the infant fruit juice.
b. Apply anti-fungal ointment to the infant's penis.
c. Wait 1 week before giving the infant a tub bath.
d. Apply dry gauze dressing to the infant's penis twice daily..
Answer: Wait 1 week before giving the infant a tub bath.
,Rationale: The nurse should instruct the guardians to keep the
infant's penis as dry as possible until the stent or catheter is
removed. The parent should provide sponge-baths to the child until
the stent or catheter is removed.
◉ A nurse is collecting data from an 18-month-old toddler who has
just presented to the urgent care clinic. Which of the following data
should the nurse investigate further?
a. Heart rate 110/min
b. Rectal temperature 37.4° C (99.3° F)
c. Blood pressure 120/80 mm Hg
d. Respiratory rate 25/min.
Answer: Blood pressure 120/80 mm Hg
Rationale: A blood pressure of 120/80 mm Hg is outside the
expected reference range for an 18-month-old toddler and requires
further investigation by the nurse.
◉ A nurse is reinforcing teaching about home care with the guardian
of a 14-month-old toddler who has spastic cerebral palsy. Which of
the following statements by the guardian indicates an understanding
of the teaching?
, a. "I will perform daily stretching exercises to my toddler's affected
muscles."
b. "I will ensure my toddler avoids activities that involve repetitive
joint movements."
c. "I will place my toddler on his stomach to nap after meals."
d. "I will give my toddler pain medication just after he performs
strenuous activities.".
Answer: "I will perform daily stretching exercises to my toddler's
affected muscles."
Rationale: The nurse should reinforce that performing stretching
exercises of the toddler's affected muscles will prevent muscle
contractures.
◉ A nurse is reinforcing teaching with the guardian of a child who
has a new diagnosis of rheumatic fever. Which of the following
statements by the guardian indicates an understanding of the
teaching?
a. "My child might have a period of irregular movement of the
extremities."
b. "My child will take antibiotics for 6 months."
c. "I should expect there to be blood in my child's urine."
d. "I should not give my child aspirin for pain or fever.".
2026 CERTIFICATION EVALUATION TEST PAPER
QUESTIONS SOLUTIONS GRADED A PLUS
◉ A nurse is caring for a 1-month-old infant who has a nasogastric
tube in place for intermittent feedings. Which of the following
actions should the nurse take?
a. Position the head of the crib at a 30° angle between feedings.
b. Administer feedings over 5 min.
c. Flush the tube with 30 mL of tap water.
d. Place the infant on the left side after a feeding.
Answer: Position the head of the crib at a 30° angle between
feedings.
Rationale: The nurse should place the infant with the head of the
crib elevated 30° to 45° to prevent aspiration.
◉ A nurse in a provider's office is caring for a preschooler who has
findings of croup. Which of the following statements by the parent
requires immediate intervention by the nurse?
a. "My child has been coughing throughout the night."
,b. "My child is very hoarse and has a fever of 100.4 degrees
Fahrenheit."
c. "My child has refused to drink any fluids for the past 8 hours."
d. "My child recently had the flu.".
Answer: "My child has refused to drink any fluids for the past 8
hours."
Rationale: An inadequate fluid intake indicates the child is at
greatest risk for dehydration and electrolyte imbalance. Therefore,
this statement by the parent requires immediate intervention by the
nurse.
◉ A nurse is reinforcing discharge teaching with the guardians of a
6-month-old infant following a surgical procedure to repair a
hypospadias. Which of the following instructions should the nurse
include?
a. Avoid giving the infant fruit juice.
b. Apply anti-fungal ointment to the infant's penis.
c. Wait 1 week before giving the infant a tub bath.
d. Apply dry gauze dressing to the infant's penis twice daily..
Answer: Wait 1 week before giving the infant a tub bath.
,Rationale: The nurse should instruct the guardians to keep the
infant's penis as dry as possible until the stent or catheter is
removed. The parent should provide sponge-baths to the child until
the stent or catheter is removed.
◉ A nurse is collecting data from an 18-month-old toddler who has
just presented to the urgent care clinic. Which of the following data
should the nurse investigate further?
a. Heart rate 110/min
b. Rectal temperature 37.4° C (99.3° F)
c. Blood pressure 120/80 mm Hg
d. Respiratory rate 25/min.
Answer: Blood pressure 120/80 mm Hg
Rationale: A blood pressure of 120/80 mm Hg is outside the
expected reference range for an 18-month-old toddler and requires
further investigation by the nurse.
◉ A nurse is reinforcing teaching about home care with the guardian
of a 14-month-old toddler who has spastic cerebral palsy. Which of
the following statements by the guardian indicates an understanding
of the teaching?
, a. "I will perform daily stretching exercises to my toddler's affected
muscles."
b. "I will ensure my toddler avoids activities that involve repetitive
joint movements."
c. "I will place my toddler on his stomach to nap after meals."
d. "I will give my toddler pain medication just after he performs
strenuous activities.".
Answer: "I will perform daily stretching exercises to my toddler's
affected muscles."
Rationale: The nurse should reinforce that performing stretching
exercises of the toddler's affected muscles will prevent muscle
contractures.
◉ A nurse is reinforcing teaching with the guardian of a child who
has a new diagnosis of rheumatic fever. Which of the following
statements by the guardian indicates an understanding of the
teaching?
a. "My child might have a period of irregular movement of the
extremities."
b. "My child will take antibiotics for 6 months."
c. "I should expect there to be blood in my child's urine."
d. "I should not give my child aspirin for pain or fever.".
