RN VATI NURSING CARE OF CHILDREN 2 2026
COMPREHENSIVE ASSESSMENT SCRIPT
SOLVED QUESTIONS ANSWERS UPDATED
REVIEW SET
◉ A nurse is reinforcing teaching with the parent of a child who has
a bacterial upper respiratory infection. Which of the following
statements by the parent indicates an understanding of the
teaching?
Answer: "I will keep my child's towels separate from those of the
rest of the family."
The nurse should identify that a child who has an upper respiratory
infection should use separate towels, utensils, and cups to prevent
the infection from spreading.
◉ A nurse is contributing to the plan of care for a child who has
nephrotic syndrome and a prescription for corticosteroids. Which of
the following interventions should the nurse recommend?
Answer: Provide a low-sodium diet.
The nurse should recommend providing the child with a low-sodium
diet to decrease edema associated with nephrotic syndrome.
,◉ A nurse is collecting data from a child who recently experienced a
psychomotor seizure. Which of the following findings should the
nurse expect?
Answer: Amnesia
The nurse should identify that amnesia is an expected manifestation
after a seizure. Children often do not remember the seizure activity.
◉ A nurse is collecting data from a 5-month-old infant who is
postoperative following umbilical hernia repair. Which of the
following measures should the nurse use to evaluate the infant's
pain level?
Answer: FLACC pain rating scale
The nurse should use the FLACC pain rating scale to evaluate this
infant's pain level following outpatient surgery to repair an
umbilical hernia. The FLACC scale is a postoperative pain rating tool
used for children ranging from 2 months old to 7 years old. The
acronym stands for Face, Legs, Activity, Cry, and Consolability. The
scoring ranges from 0, indicating "no pain behaviors" to 10,
indicating "most possible pain behaviors."
◉ A nurse is assisting in the admission of a 9-month-old infant who
has gastroenteritis with vomiting and diarrhea. Which of the
, following findings is the nurse's priority? (Click on the exhibit tabs
for additional information about the client. There are three tabs that
contain separate categories of data.)
Answer: Potassium level
When using the urgent vs. nonurgent approach to client care, the
nurse should identify that the priority finding is a potassium level of
3.2 mEq/L because this is below the expected reference range of 4.1
to 5.3 mEq/L for a 9-month-old infant. Hypokalemia, or a decreased
potassium level, impacts the ability of smooth muscles to contract
and can lead to cardiac arrythmias. Therefore, the nurse should
identify this as the priority finding and notify the provider.
◉ A nurse is caring for a toddler who has a respiratory illness and a
temperature of 39.3° C (102.7" F). Which of the following actions
should the nurse take to reduce the toddler's temperature?
Answer: Remove the toddler's extra clothing.
The nurse should remove the toddler's extra clothing after
administering an antipyretic to reduce the toddler's temperature.
◉ A nurse is caring for a preschooler who has diabetes mellitus and
is pale, diaphoretic, and irritable. The child's blood glucose level is
52 mg/dL. Which of the following actions should the nurse take
first?
COMPREHENSIVE ASSESSMENT SCRIPT
SOLVED QUESTIONS ANSWERS UPDATED
REVIEW SET
◉ A nurse is reinforcing teaching with the parent of a child who has
a bacterial upper respiratory infection. Which of the following
statements by the parent indicates an understanding of the
teaching?
Answer: "I will keep my child's towels separate from those of the
rest of the family."
The nurse should identify that a child who has an upper respiratory
infection should use separate towels, utensils, and cups to prevent
the infection from spreading.
◉ A nurse is contributing to the plan of care for a child who has
nephrotic syndrome and a prescription for corticosteroids. Which of
the following interventions should the nurse recommend?
Answer: Provide a low-sodium diet.
The nurse should recommend providing the child with a low-sodium
diet to decrease edema associated with nephrotic syndrome.
,◉ A nurse is collecting data from a child who recently experienced a
psychomotor seizure. Which of the following findings should the
nurse expect?
Answer: Amnesia
The nurse should identify that amnesia is an expected manifestation
after a seizure. Children often do not remember the seizure activity.
◉ A nurse is collecting data from a 5-month-old infant who is
postoperative following umbilical hernia repair. Which of the
following measures should the nurse use to evaluate the infant's
pain level?
Answer: FLACC pain rating scale
The nurse should use the FLACC pain rating scale to evaluate this
infant's pain level following outpatient surgery to repair an
umbilical hernia. The FLACC scale is a postoperative pain rating tool
used for children ranging from 2 months old to 7 years old. The
acronym stands for Face, Legs, Activity, Cry, and Consolability. The
scoring ranges from 0, indicating "no pain behaviors" to 10,
indicating "most possible pain behaviors."
◉ A nurse is assisting in the admission of a 9-month-old infant who
has gastroenteritis with vomiting and diarrhea. Which of the
, following findings is the nurse's priority? (Click on the exhibit tabs
for additional information about the client. There are three tabs that
contain separate categories of data.)
Answer: Potassium level
When using the urgent vs. nonurgent approach to client care, the
nurse should identify that the priority finding is a potassium level of
3.2 mEq/L because this is below the expected reference range of 4.1
to 5.3 mEq/L for a 9-month-old infant. Hypokalemia, or a decreased
potassium level, impacts the ability of smooth muscles to contract
and can lead to cardiac arrythmias. Therefore, the nurse should
identify this as the priority finding and notify the provider.
◉ A nurse is caring for a toddler who has a respiratory illness and a
temperature of 39.3° C (102.7" F). Which of the following actions
should the nurse take to reduce the toddler's temperature?
Answer: Remove the toddler's extra clothing.
The nurse should remove the toddler's extra clothing after
administering an antipyretic to reduce the toddler's temperature.
◉ A nurse is caring for a preschooler who has diabetes mellitus and
is pale, diaphoretic, and irritable. The child's blood glucose level is
52 mg/dL. Which of the following actions should the nurse take
first?
