VATI PN Nursing Care of Children
Assessment Questions with Verified
Answers Accurate
A nurse in a clinic is caring for a group of infants. Which of the following findings should the nurse report
as a possible indication of physical maltreatment? - Answer An abrasion on the back of the
infant's arm
The nurse should identify that an abrasion on the back of an infant's arm is a possible finding of
maltreatment and should be reported to the provider.
A nurse in a pediatric unit is assisting with providing care for multiple children. Which of the following
physical findings and parental reports should cause the nurse to suspect child maltreatment? -
Answer A toddler has a spiral fracture, and the parent reports a fall from a swing.
The nurse should recognize the incompatibility between the parent's report and the presence of a spiral
fracture, which is caused by the twisting of an extremity. This incompatibility should cause the nurse to
suspect child maltreatment.
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? - Answer "Inoticed some blood in my stool this
morning."
The nurse should identify that 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
the client's statement to the provider.
A nurse is assisting in preparing a preschooler for a diagnostic procedure. Which of the following
strategies should the nurse use? (Select all that apply.) - Answer Review the child's present
understanding is correct. The nurse should review the child's present understanding of the procedure.
This is a general guideline for preparing a child for a diagnostic procedure.
Prepare the child shortly before the procedure is correct. The nurse should prepare the child shortly
before the procedure because a preschooler has a limited concept of time.
, Describe any expected sensations experienced during the procedure is correct. The nurse should
emphasize sensory aspects of the procedure because it will minimize the child's anxiety
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 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? - Answer "My heart feels like it's fluttering
after taking my medication,"
The nurse should identify that the client might be experiencing palpitations or tachycardia, common
adverse effects of albuterol.
A nurse is assisting with providing care for an adolescent client who has neuropathic pain. Which of the
following medications should the nurse anticipate administering? - Answer Gabapentin
The nurse should identify that neuropathic pain results from injury to peripheral nerves and does not
respond to opiojds. However, gabapentin, an anticonvulsant medication, is effective for treatment of
neuropathic pain.
A nurse is assisting with the care of a child following a tonsillectomy. Which of the following actions is
the nurse's priority? - Answer Monitor the child for frequent swallowing.
The greatest risk to this child is hemorrhage following the tonsillectomy. Frequent swallowing is an early
and obvious manifestation of postoperative Therefore, the nurse's priority action is to monitor the child
for frequent swallowing.
A nurse is assisting with the care of a child who is in status asthmaticus. Which of the following
medications should the nurse administer first? - Answer Albuterol via nebulizer
Assessment Questions with Verified
Answers Accurate
A nurse in a clinic is caring for a group of infants. Which of the following findings should the nurse report
as a possible indication of physical maltreatment? - Answer An abrasion on the back of the
infant's arm
The nurse should identify that an abrasion on the back of an infant's arm is a possible finding of
maltreatment and should be reported to the provider.
A nurse in a pediatric unit is assisting with providing care for multiple children. Which of the following
physical findings and parental reports should cause the nurse to suspect child maltreatment? -
Answer A toddler has a spiral fracture, and the parent reports a fall from a swing.
The nurse should recognize the incompatibility between the parent's report and the presence of a spiral
fracture, which is caused by the twisting of an extremity. This incompatibility should cause the nurse to
suspect child maltreatment.
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? - Answer "Inoticed some blood in my stool this
morning."
The nurse should identify that 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
the client's statement to the provider.
A nurse is assisting in preparing a preschooler for a diagnostic procedure. Which of the following
strategies should the nurse use? (Select all that apply.) - Answer Review the child's present
understanding is correct. The nurse should review the child's present understanding of the procedure.
This is a general guideline for preparing a child for a diagnostic procedure.
Prepare the child shortly before the procedure is correct. The nurse should prepare the child shortly
before the procedure because a preschooler has a limited concept of time.
, Describe any expected sensations experienced during the procedure is correct. The nurse should
emphasize sensory aspects of the procedure because it will minimize the child's anxiety
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 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? - Answer "My heart feels like it's fluttering
after taking my medication,"
The nurse should identify that the client might be experiencing palpitations or tachycardia, common
adverse effects of albuterol.
A nurse is assisting with providing care for an adolescent client who has neuropathic pain. Which of the
following medications should the nurse anticipate administering? - Answer Gabapentin
The nurse should identify that neuropathic pain results from injury to peripheral nerves and does not
respond to opiojds. However, gabapentin, an anticonvulsant medication, is effective for treatment of
neuropathic pain.
A nurse is assisting with the care of a child following a tonsillectomy. Which of the following actions is
the nurse's priority? - Answer Monitor the child for frequent swallowing.
The greatest risk to this child is hemorrhage following the tonsillectomy. Frequent swallowing is an early
and obvious manifestation of postoperative Therefore, the nurse's priority action is to monitor the child
for frequent swallowing.
A nurse is assisting with the care of a child who is in status asthmaticus. Which of the following
medications should the nurse administer first? - Answer Albuterol via nebulizer
