ATI Capstone- Nursing Care of Children Exam Prep Questions And
Answers 2026
Question:
A nurse is educating new parents about risk factors for sudden infant death syndrome(SIDS).
Which of the following statements should indicate to the nurse the need for additional teaching?
"Our baby will sleep in our bed because I am breastfeeding." "We will give my baby a pacifier
during naps and at bedtime." "We will place my baby on her back when sleeping." "We will
remove blankets and toys from the crib."
Answer:
"Our baby will sleep in our bed because I am breastfeeding.";
Allowing an infant to sleep in the same bed as an adult can lead to suffocation and falls. The parent
should place the infant back in her crib or bassinet after breastfeeding.
Question:
A nurse is providing health promotion teaching to an adolescent. Which of the following
information should the nurse include in the teaching? "Share piercing needles only with close
friends you trust." "Limit your caloric intake to avoid becoming overweight." "Your need for sleep
will increase during periods of growth." "Tanning beds are much safer then lying in the sun."
Answer:
"Your need for sleep will increase during periods of growth.";
Question:
The nurse should inform the adolescent that sleep needs increase during growth spurts. Adequate
sleep and rest during the adolescent period is important for optimal health. A nurse is teaching new
parents the proper way to use an infant safety seat. Which of the following should indicate to the
nurse a need for further teaching? "I will dress my baby in a one piece outfit so I can use the
harness to secure her in the car seat." "My baby will be able to watch me drive while sitting in the
back seat." "I will place the infant safety seat in the middle of the back seat, away from the
windows." "We will need to go by the weight and height of the child when deciding to change to a
booster seat."
Answer:
"My baby will be able to watch me drive while sitting in the back seat.";
Question:
,The safest area for a car seat is in the back seat. Infants should travel in a rear- facing position for
the best protection from airbags and neck and head injury. While in a rear-facing position, the back
of the car seat supports the infant's weak neck muscles, soft fontanels, and spine in the event of a
frontal motor vehicle crash. A nurse is caring for a child on the oncology unit. The child's parents
are asking the nurse about the cancer diagnosis. Which of the following information should the
nurse provide the parents about the most common malignant renal and intra- abdominal tumor of
childhood? Ewing sarcoma Osteosarcoma Neuroblastoma Wilms' tumor
Answer:
Wilms' tumor;
Wilms' tumor, or nephroblastoma, is the most common malignant renal and intra- abdominal tumor
of childhood.
Question:
A nurse int he emergency department is caring for a child who is experiencing an acute asthma
attack, which of the following medications should the nurse expect to administer first? Fluticasone
Budesonide Montelukast Albuterol
Answer:
Albuterol;
Albuterol is considered a "rescue" medication due to its rapid onset of action. Asthma is a chronic
inflammatory disorder of the airways. Asthmatic episodes are associated with airflow limitation or
reversible obstruction. Albuterol is a beta2 adrenergic agonist used for the treatment of acute
exacerbations of asthma by promoting bronchodilation and suppressing histamine release in the
lungs. This medication can be given by inhalation, orally, or as a parenteral preparation. The
inhaled medication has a more rapid onset of action than the oral form and also reduces the risk for
the adverse effects of irritability, tremor, nervousness, and insomnia.
Question:
A nurse is assessing a preschooler. Which of the following findings should indicate to the nurse a
need for speech therapy? (Select all that apply) The preschooler stutters when speaking. The
preschooler mispronounces words. The preschooler speaks in three word sentences. The
preschooler talks to himself when reading. The preschooler speaks in a nasally tone.
Answer:
The preschooler mispronounces words.
Question:
The preschooler speaks in a nasally tone; The preschooler stutters when speaking is incorrect.
Stuttering is expected in the preschooler. Stuttering or stammering is common for a preschool-age
, child who is learning to form new words into sentences.The preschooler mispronounces words is
correct. Language begins to increase with toddlers as development progresses towards two to three
word phrases. Mispronounced vowels and consonants occur between ages 24 and 36 months. The
nurse should expect a toddler to mispronounce words.The preschooler speaks in three word
sentences is incorrect. Three to four word sentences (telegraphic speech) is expected for
preschoolers. Preschoolers ask many questions and often continue talking when no-one is listening.
The preschooler talks to himself when reading is incorrect. During preschool development, the
child experiences a vivid imagination that is expressed through imitative and dramatic play. In
discovering books, the child becomes engaged in the story and might talk to himself. Speaking in a
nasally tone is correct. A child who speaks with a nasally tone might have a neurogenic speech
disorder that is caused by weakened muscles of the tongue, soft palate, and face. A speech therapist
can evaluate the child and determine exercises to improve the articulation, voice, pitch quality, and
volume. A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for
pancreatic enzymes three times per day. Which of the following statements indicates that the
mother understands the teaching? "My child will take the enzymes to improve her metabolism."
"My child will take the enzymes following meals." "My child will take the enzymes to help digest
the fat in foods." "My child will take the enzymes 2 hours before meals."
Answer:
"My child will take the enzymes to help digest the fat in foods.";
Pancreatic enzymes help the body to digest fat in foods.
Question:
A nurse is caring for a 3-year-old client whose parents report that she has an intense fear of painful
procedures, such as injections.Which of the following strategies should the nurse add to the child's
plan of care? (Select all that apply) Have a parent stay with the child during procedures. Cluster
invasive procedures whenever possible. Perform the procedure as quickly as possible. Allow the
child to keep a toy from home with her. Use mummy restraints during painful procedures.
Answer:
Have a parent stay with the child during procedures.
Perform the procedure as quickly as possible.
Allow the child to keep a toy from home with her;
Have a parent stay with the child during procedures is correct. Maintaining parent- child contact is
one of the most supportive interventions for toddlers and preschoolers undergoing painful
procedures.Cluster invasive procedures when possible is incorrect. Clustering creates an
unnecessarily lengthy and painful period for the client, which is likely to increase her fear.Perform
procedures as quickly as possible is correct. Moving quickly through the steps of a painful
procedure is a supportive intervention for children undergoing painful procedures.Allow the child
Answers 2026
Question:
A nurse is educating new parents about risk factors for sudden infant death syndrome(SIDS).
Which of the following statements should indicate to the nurse the need for additional teaching?
"Our baby will sleep in our bed because I am breastfeeding." "We will give my baby a pacifier
during naps and at bedtime." "We will place my baby on her back when sleeping." "We will
remove blankets and toys from the crib."
Answer:
"Our baby will sleep in our bed because I am breastfeeding.";
Allowing an infant to sleep in the same bed as an adult can lead to suffocation and falls. The parent
should place the infant back in her crib or bassinet after breastfeeding.
Question:
A nurse is providing health promotion teaching to an adolescent. Which of the following
information should the nurse include in the teaching? "Share piercing needles only with close
friends you trust." "Limit your caloric intake to avoid becoming overweight." "Your need for sleep
will increase during periods of growth." "Tanning beds are much safer then lying in the sun."
Answer:
"Your need for sleep will increase during periods of growth.";
Question:
The nurse should inform the adolescent that sleep needs increase during growth spurts. Adequate
sleep and rest during the adolescent period is important for optimal health. A nurse is teaching new
parents the proper way to use an infant safety seat. Which of the following should indicate to the
nurse a need for further teaching? "I will dress my baby in a one piece outfit so I can use the
harness to secure her in the car seat." "My baby will be able to watch me drive while sitting in the
back seat." "I will place the infant safety seat in the middle of the back seat, away from the
windows." "We will need to go by the weight and height of the child when deciding to change to a
booster seat."
Answer:
"My baby will be able to watch me drive while sitting in the back seat.";
Question:
,The safest area for a car seat is in the back seat. Infants should travel in a rear- facing position for
the best protection from airbags and neck and head injury. While in a rear-facing position, the back
of the car seat supports the infant's weak neck muscles, soft fontanels, and spine in the event of a
frontal motor vehicle crash. A nurse is caring for a child on the oncology unit. The child's parents
are asking the nurse about the cancer diagnosis. Which of the following information should the
nurse provide the parents about the most common malignant renal and intra- abdominal tumor of
childhood? Ewing sarcoma Osteosarcoma Neuroblastoma Wilms' tumor
Answer:
Wilms' tumor;
Wilms' tumor, or nephroblastoma, is the most common malignant renal and intra- abdominal tumor
of childhood.
Question:
A nurse int he emergency department is caring for a child who is experiencing an acute asthma
attack, which of the following medications should the nurse expect to administer first? Fluticasone
Budesonide Montelukast Albuterol
Answer:
Albuterol;
Albuterol is considered a "rescue" medication due to its rapid onset of action. Asthma is a chronic
inflammatory disorder of the airways. Asthmatic episodes are associated with airflow limitation or
reversible obstruction. Albuterol is a beta2 adrenergic agonist used for the treatment of acute
exacerbations of asthma by promoting bronchodilation and suppressing histamine release in the
lungs. This medication can be given by inhalation, orally, or as a parenteral preparation. The
inhaled medication has a more rapid onset of action than the oral form and also reduces the risk for
the adverse effects of irritability, tremor, nervousness, and insomnia.
Question:
A nurse is assessing a preschooler. Which of the following findings should indicate to the nurse a
need for speech therapy? (Select all that apply) The preschooler stutters when speaking. The
preschooler mispronounces words. The preschooler speaks in three word sentences. The
preschooler talks to himself when reading. The preschooler speaks in a nasally tone.
Answer:
The preschooler mispronounces words.
Question:
The preschooler speaks in a nasally tone; The preschooler stutters when speaking is incorrect.
Stuttering is expected in the preschooler. Stuttering or stammering is common for a preschool-age
, child who is learning to form new words into sentences.The preschooler mispronounces words is
correct. Language begins to increase with toddlers as development progresses towards two to three
word phrases. Mispronounced vowels and consonants occur between ages 24 and 36 months. The
nurse should expect a toddler to mispronounce words.The preschooler speaks in three word
sentences is incorrect. Three to four word sentences (telegraphic speech) is expected for
preschoolers. Preschoolers ask many questions and often continue talking when no-one is listening.
The preschooler talks to himself when reading is incorrect. During preschool development, the
child experiences a vivid imagination that is expressed through imitative and dramatic play. In
discovering books, the child becomes engaged in the story and might talk to himself. Speaking in a
nasally tone is correct. A child who speaks with a nasally tone might have a neurogenic speech
disorder that is caused by weakened muscles of the tongue, soft palate, and face. A speech therapist
can evaluate the child and determine exercises to improve the articulation, voice, pitch quality, and
volume. A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for
pancreatic enzymes three times per day. Which of the following statements indicates that the
mother understands the teaching? "My child will take the enzymes to improve her metabolism."
"My child will take the enzymes following meals." "My child will take the enzymes to help digest
the fat in foods." "My child will take the enzymes 2 hours before meals."
Answer:
"My child will take the enzymes to help digest the fat in foods.";
Pancreatic enzymes help the body to digest fat in foods.
Question:
A nurse is caring for a 3-year-old client whose parents report that she has an intense fear of painful
procedures, such as injections.Which of the following strategies should the nurse add to the child's
plan of care? (Select all that apply) Have a parent stay with the child during procedures. Cluster
invasive procedures whenever possible. Perform the procedure as quickly as possible. Allow the
child to keep a toy from home with her. Use mummy restraints during painful procedures.
Answer:
Have a parent stay with the child during procedures.
Perform the procedure as quickly as possible.
Allow the child to keep a toy from home with her;
Have a parent stay with the child during procedures is correct. Maintaining parent- child contact is
one of the most supportive interventions for toddlers and preschoolers undergoing painful
procedures.Cluster invasive procedures when possible is incorrect. Clustering creates an
unnecessarily lengthy and painful period for the client, which is likely to increase her fear.Perform
procedures as quickly as possible is correct. Moving quickly through the steps of a painful
procedure is a supportive intervention for children undergoing painful procedures.Allow the child
