1
ATI Nursing Care of Children
Assessment 2019 A
1.
2. A nurse is caring for a school-age child who is receiving a blood
transfusion. Which of the following manifestations should alert
the nurse to a possible hemolytic transfusion reaction?
• Flank pain
3. A nurse is caring for a school-age child who is receiving cefazolin
via intermittent IV bolus. The child suddenly develops diffuse
flushing of the skin and angioedema. After discontinuing the
medication infusion, which of the following medications should
the nurse administer first?
• Epinephrine
4. A nurse is teaching the guardian of a 6-month—old infant about
car seat use. Which of the following statements by the guardian
indicates an understanding of the teaching?
• “I should secure the car seat using lower anchors and
tethers instead of the seat belt.”
5. A nurse is planning care for a toddler who has a serum lead level
of 4 mcg/dL. Which of the following actions should the nurse plan
to take?
• Schedule the toddler for a yearly rescreening
6. A nurse is caring for a toddler who has spastic (pyramidal)
cerebral palsy. Which of the following findings should the nurse
expect? (Select all that apply.)
• Ankle clonus
• Exaggerated stretch reflexes
• Contractures
7. A nurse is assessing a school-age child immediately following a
perforated appendix repair. Which of the following findings
should the nurse expect?
• Absence of peristalsis
8.
9.
10.
11. A nurse is assessing a 4 year old child at well-child visit.Which
of the following developmental milestones should the nurse
expect to observe?
Page 1 of 9
, 2
• Cuts an outlined shape using scissors
Page 2 of 9
ATI Nursing Care of Children
Assessment 2019 A
1.
2. A nurse is caring for a school-age child who is receiving a blood
transfusion. Which of the following manifestations should alert
the nurse to a possible hemolytic transfusion reaction?
• Flank pain
3. A nurse is caring for a school-age child who is receiving cefazolin
via intermittent IV bolus. The child suddenly develops diffuse
flushing of the skin and angioedema. After discontinuing the
medication infusion, which of the following medications should
the nurse administer first?
• Epinephrine
4. A nurse is teaching the guardian of a 6-month—old infant about
car seat use. Which of the following statements by the guardian
indicates an understanding of the teaching?
• “I should secure the car seat using lower anchors and
tethers instead of the seat belt.”
5. A nurse is planning care for a toddler who has a serum lead level
of 4 mcg/dL. Which of the following actions should the nurse plan
to take?
• Schedule the toddler for a yearly rescreening
6. A nurse is caring for a toddler who has spastic (pyramidal)
cerebral palsy. Which of the following findings should the nurse
expect? (Select all that apply.)
• Ankle clonus
• Exaggerated stretch reflexes
• Contractures
7. A nurse is assessing a school-age child immediately following a
perforated appendix repair. Which of the following findings
should the nurse expect?
• Absence of peristalsis
8.
9.
10.
11. A nurse is assessing a 4 year old child at well-child visit.Which
of the following developmental milestones should the nurse
expect to observe?
Page 1 of 9
, 2
• Cuts an outlined shape using scissors
Page 2 of 9
