2023 NGN RN VATI NURSING CARE OF CHILDREN ASSESSMENT
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
Growth and Development
Pediatric Assessment and Health Promotion
Acute and Chronic Illness Management
Medication Administration and Safety
Nutrition and Fluid Balance
Injury Prevention and Safety
Family-Centered Care and Psychosocial Support
Pediatric Emergencies and Critical Care
Ethical and Legal Considerations in Pediatric Nursing
Introduction
This comprehensive examination assesses the pediatric nursing
knowledge and clinical decision-making skills required for entry-
level RN practice. It evaluates growth and development principles,
family-centered care, medication administration, and evidence-
based interventions for children across the lifespan. The
examination employs multiple-choice and scenario-based questions
aligned with the Next Generation NCLEX (NGN) test plan. Emphasis
is placed on critical thinking, prioritization, clinical judgment, and
the application of pediatric nursing knowledge in diverse healthcare
settings. This assessment prepares candidates for the rigor of the
,VATI Nursing Care of Children Assessment and real-world pediatric
nursing practice.
SECTION ONE: QUESTIONS 1–100
1. A nurse is contributing to the plan of care for a preschooler
who has moderate partial-thickness burns on both lower
extremities. Which of the following interventions should the
nurse recommend?
A. Ensure the child receives pain medication 30 to 45 min prior to
therapy.
B. Administer pain medication only after the therapy session.
C. Apply ice packs to the burned areas before therapy.
D. Restrict the child's fluid intake to prevent edema.
🟢 A. Ensure the child receives pain medication 30 to 45 min prior
to therapy.
🔴 RATIONALE: The nurse should ensure that the preschooler
receives pain medication 30 to 45 min prior to physical therapy
sessions. This minimizes or eliminates pain from moving tight skin
at joints, which encourages participation. Administering pain
medication after therapy, applying ice before therapy, or
restricting fluids is not appropriate.
2. A nurse is assisting with care for an adolescent client who has
asthma and a new prescription for albuterol by metered-dose
inhaler. Which of the following statements by the client
indicates that they might be experiencing an adverse effect of
albuterol?
A. "My heart feels like it's fluttering after taking my medication."
,B. "I feel sleepy after taking my medication."
C. "My mouth is dry after using the inhaler."
D. "I have a headache after taking my medication."
🟢 A. "My heart feels like it's fluttering after taking my
medication."
🔴 RATIONALE: The nurse should identify that the client might be
experiencing palpitations or tachycardia, which are common
adverse effects of albuterol. Sleepiness, dry mouth, and headache
are less common or not directly associated with albuterol.
3. A nurse in a provider's office is collecting data from an
adolescent who has juvenile idiopathic arthritis and has been
taking ibuprofen daily for the last 6 months. Which of the
following client statements should the nurse report to the
provider?
A. "I noticed some blood in my stool this morning."
B. "I have been feeling more tired lately."
C. "My joints are still stiff in the morning."
D. "I have been taking the medication with food."
🟢 A. "I noticed some blood in my stool this morning."
🔴 RATIONALE: Bloody stools are an adverse effect of long-term
therapy with ibuprofen. The nurse should question the adolescent
regarding a new onset of abdominal pain and should report this
statement to the provider.
4. A nurse is reinforcing teaching with the parent of a child who
has diabetes mellitus. The parent asks the nurse how to
, minimize the child's pain when monitoring blood glucose levels.
Which of the following statements by the parent indicates an
understanding of the teaching?
A. "My child should hold their finger under warm water before
obtaining a sample."
B. "I should use the same finger every time."
C. "I should squeeze the finger firmly to get enough blood."
D. "My child should apply ice to the finger before testing."
🟢 A. "My child should hold their finger under warm water before
obtaining a sample."
🔴 RATIONALE: Holding the finger under warm water promotes
blood flow, making the puncture less painful. Using the same
finger, squeezing firmly, or applying ice is not recommended.
5. 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?
A. "I will keep my child's towels separate from those of the rest of
the family."
B. "I will allow my child to share utensils with siblings."
C. "I will stop the antibiotic when my child feels better."
D. "I will take my child to the daycare while they are still
contagious."
🟢 A. "I will keep my child's towels separate from those of the rest
of the family."
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
Growth and Development
Pediatric Assessment and Health Promotion
Acute and Chronic Illness Management
Medication Administration and Safety
Nutrition and Fluid Balance
Injury Prevention and Safety
Family-Centered Care and Psychosocial Support
Pediatric Emergencies and Critical Care
Ethical and Legal Considerations in Pediatric Nursing
Introduction
This comprehensive examination assesses the pediatric nursing
knowledge and clinical decision-making skills required for entry-
level RN practice. It evaluates growth and development principles,
family-centered care, medication administration, and evidence-
based interventions for children across the lifespan. The
examination employs multiple-choice and scenario-based questions
aligned with the Next Generation NCLEX (NGN) test plan. Emphasis
is placed on critical thinking, prioritization, clinical judgment, and
the application of pediatric nursing knowledge in diverse healthcare
settings. This assessment prepares candidates for the rigor of the
,VATI Nursing Care of Children Assessment and real-world pediatric
nursing practice.
SECTION ONE: QUESTIONS 1–100
1. A nurse is contributing to the plan of care for a preschooler
who has moderate partial-thickness burns on both lower
extremities. Which of the following interventions should the
nurse recommend?
A. Ensure the child receives pain medication 30 to 45 min prior to
therapy.
B. Administer pain medication only after the therapy session.
C. Apply ice packs to the burned areas before therapy.
D. Restrict the child's fluid intake to prevent edema.
🟢 A. Ensure the child receives pain medication 30 to 45 min prior
to therapy.
🔴 RATIONALE: The nurse should ensure that the preschooler
receives pain medication 30 to 45 min prior to physical therapy
sessions. This minimizes or eliminates pain from moving tight skin
at joints, which encourages participation. Administering pain
medication after therapy, applying ice before therapy, or
restricting fluids is not appropriate.
2. A nurse is assisting with care for an adolescent client who has
asthma and a new prescription for albuterol by metered-dose
inhaler. Which of the following statements by the client
indicates that they might be experiencing an adverse effect of
albuterol?
A. "My heart feels like it's fluttering after taking my medication."
,B. "I feel sleepy after taking my medication."
C. "My mouth is dry after using the inhaler."
D. "I have a headache after taking my medication."
🟢 A. "My heart feels like it's fluttering after taking my
medication."
🔴 RATIONALE: The nurse should identify that the client might be
experiencing palpitations or tachycardia, which are common
adverse effects of albuterol. Sleepiness, dry mouth, and headache
are less common or not directly associated with albuterol.
3. A nurse in a provider's office is collecting data from an
adolescent who has juvenile idiopathic arthritis and has been
taking ibuprofen daily for the last 6 months. Which of the
following client statements should the nurse report to the
provider?
A. "I noticed some blood in my stool this morning."
B. "I have been feeling more tired lately."
C. "My joints are still stiff in the morning."
D. "I have been taking the medication with food."
🟢 A. "I noticed some blood in my stool this morning."
🔴 RATIONALE: Bloody stools are an adverse effect of long-term
therapy with ibuprofen. The nurse should question the adolescent
regarding a new onset of abdominal pain and should report this
statement to the provider.
4. A nurse is reinforcing teaching with the parent of a child who
has diabetes mellitus. The parent asks the nurse how to
, minimize the child's pain when monitoring blood glucose levels.
Which of the following statements by the parent indicates an
understanding of the teaching?
A. "My child should hold their finger under warm water before
obtaining a sample."
B. "I should use the same finger every time."
C. "I should squeeze the finger firmly to get enough blood."
D. "My child should apply ice to the finger before testing."
🟢 A. "My child should hold their finger under warm water before
obtaining a sample."
🔴 RATIONALE: Holding the finger under warm water promotes
blood flow, making the puncture less painful. Using the same
finger, squeezing firmly, or applying ice is not recommended.
5. 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?
A. "I will keep my child's towels separate from those of the rest of
the family."
B. "I will allow my child to share utensils with siblings."
C. "I will stop the antibiotic when my child feels better."
D. "I will take my child to the daycare while they are still
contagious."
🟢 A. "I will keep my child's towels separate from those of the rest
of the family."
