ATI CARE OF CHILDREN ONLINE PRACTICE A
2026 COMPREHENSIVE ASSESSMENT SCRIPT
SOLVED QUESTIONS ANSWERS UPDATED
REVIEW SET
◉ 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.".
Answer: "My child might have a period of irregular movement of the
extremities."
Rationale: The nurse should instruct the guardian that the child
might experience chorea weeks or months after the initial diagnosis.
Chorea is a temporary lack of coordination and the presence of
sudden, irregular movements or periods of clumsiness.
◉ A nurse is contributing to the plan of care for a child who has type
1 diabetes mellitus and is experiencing an acute illness. Which of the
following actions should the nurse include in the plan of care?
a. Encourage an increased fluid intake.
b. Withhold insulin until the illness has passed.
c. Administer glucagon every 3 hr.
d. Monitor blood glucose levels every 6 hr..
Answer: Encourage an increased fluid intake.
Rationale: The nurse should encourage an increased fluid intake to
flush out ketones and prevent dehydration. Children who have
diabetes mellitus and an acute illness are more likely to experience
ketonuria and hyperglycemia. Dehydration increases the risk of the
child developing diabetic ketoacidosis.
2026 COMPREHENSIVE ASSESSMENT SCRIPT
SOLVED QUESTIONS ANSWERS UPDATED
REVIEW SET
◉ 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.".
Answer: "My child might have a period of irregular movement of the
extremities."
Rationale: The nurse should instruct the guardian that the child
might experience chorea weeks or months after the initial diagnosis.
Chorea is a temporary lack of coordination and the presence of
sudden, irregular movements or periods of clumsiness.
◉ A nurse is contributing to the plan of care for a child who has type
1 diabetes mellitus and is experiencing an acute illness. Which of the
following actions should the nurse include in the plan of care?
a. Encourage an increased fluid intake.
b. Withhold insulin until the illness has passed.
c. Administer glucagon every 3 hr.
d. Monitor blood glucose levels every 6 hr..
Answer: Encourage an increased fluid intake.
Rationale: The nurse should encourage an increased fluid intake to
flush out ketones and prevent dehydration. Children who have
diabetes mellitus and an acute illness are more likely to experience
ketonuria and hyperglycemia. Dehydration increases the risk of the
child developing diabetic ketoacidosis.
