ATI RN Nursing Care of Children Final
Exam/ Updated 2025 / Graded A+
A school nurse is assessing a child who has been stung by a bee. The child's hand is
swelling and the nurse notes that the child has allergies to insect stings. Which of the
following findings should the nurse expect if the child develops anaphylaxis? (Select all
that apply.)
Bradycardia
Nausea
Hypertension
Urticaria
Stridor - CORRECT ANSWER-Nausea
Urticaria
Stridor
A nurse is caring for a child who has suspected nephrotic syndrome. Which of the
following laboratory values should the nurse expect?
Platelet count 120,000/mm3
Serum sodium 160 me/L
Hgb 9 g/dL
Serum cholesterol 700 mg/dL - CORRECT ANSWER-Serum cholesterol 700 mg/dL
A nurse is caring for a child who has cystic fibrosis and a pulmonary infection, Which of
the following findings is the nurse's priority?
Blood streaking of the sputum
Dry mucous membranes
Constipation
Inability to clear secretions - CORRECT ANSWER-Inability to clear secretions
A nurse at a clinic is preparing to administer immunizations to a 5-year-old child. Which
of the following immunizations should the nurse plan to give?
Diphtheria, tetanus, and pertussis (DTaP)
Pneumococcal (PCV)
Hemophilus influenza type B (Hib)
Hepatitis B (Hep B) - CORRECT ANSWER-Diphtheria, tetanus, and pertussis (DTaP)
A nurse is caring for a child who has epistaxis. Which of the following actions should the
nurse take?
Apply a warm cloth to the bridge of the child's nose.
, Tilt the child's head back.
Apply continuous pressure to the child's nose for at least 10 min.
Administer aspirin for the child's pain. - CORRECT ANSWER-Apply continuous
pressure to the child's nose for at least 10 min.
A nurse is caring for a child who has acute glomerulonephritis. Which of the following
actions should the nurse take?
Maintain the child on strict bed rest.
Check the child's blood pressure every 4 hr.
Administer albumin to the child every 8 hr.
Provide the child with a low-carbohydrate diet. - CORRECT ANSWER-Check the child's
blood pressure every 4 hr.
A nurse is teaching the parent of a 3-year-old child who has persistent otitis media
about prevention. Which of the following statements by the parents indicates an
understanding of the teaching?
"My child should not play around others who have ear infections."
"We should not smoke around our child."
"My child should not swim this summer."
"I will encourage my child to blow his nose forcefully when he has a cold." - CORRECT
ANSWER-"We should not smoke around our child."
A nurse is caring for a 4-month-old child who has acute otitis media and a fever of
38.3C (101F). Which of the following medications should the nurse administer?
Diphenhydramine
Furosemide
Amoxicillin
Ibuprofen - CORRECT ANSWER-Amoxicillin
A nurse is caring for a child who is receiving treatment for diabetic ketoacidosis and has
current blood glucose level of 250mg/dL. Which of the following actions should the
nurse take?
Administer 5% dextrose in 0.9% sodium chloride by continuous IV infusion.
Give potassium as a rapid IV bolus.
Administer 3 units of ultra Lente insulin subcutaneously.
Obtain an HbA1c level stat. - CORRECT ANSWER-Administer 5% dextrose in 0.9%
sodium chloride by continuous IV infusion.
A nurse is teaching the parents of a child who has rheumatic fever. Which of the
following statements by a parent indicates an understanding of the teaching?
"My child may take aspirin for his joint pain."
Exam/ Updated 2025 / Graded A+
A school nurse is assessing a child who has been stung by a bee. The child's hand is
swelling and the nurse notes that the child has allergies to insect stings. Which of the
following findings should the nurse expect if the child develops anaphylaxis? (Select all
that apply.)
Bradycardia
Nausea
Hypertension
Urticaria
Stridor - CORRECT ANSWER-Nausea
Urticaria
Stridor
A nurse is caring for a child who has suspected nephrotic syndrome. Which of the
following laboratory values should the nurse expect?
Platelet count 120,000/mm3
Serum sodium 160 me/L
Hgb 9 g/dL
Serum cholesterol 700 mg/dL - CORRECT ANSWER-Serum cholesterol 700 mg/dL
A nurse is caring for a child who has cystic fibrosis and a pulmonary infection, Which of
the following findings is the nurse's priority?
Blood streaking of the sputum
Dry mucous membranes
Constipation
Inability to clear secretions - CORRECT ANSWER-Inability to clear secretions
A nurse at a clinic is preparing to administer immunizations to a 5-year-old child. Which
of the following immunizations should the nurse plan to give?
Diphtheria, tetanus, and pertussis (DTaP)
Pneumococcal (PCV)
Hemophilus influenza type B (Hib)
Hepatitis B (Hep B) - CORRECT ANSWER-Diphtheria, tetanus, and pertussis (DTaP)
A nurse is caring for a child who has epistaxis. Which of the following actions should the
nurse take?
Apply a warm cloth to the bridge of the child's nose.
, Tilt the child's head back.
Apply continuous pressure to the child's nose for at least 10 min.
Administer aspirin for the child's pain. - CORRECT ANSWER-Apply continuous
pressure to the child's nose for at least 10 min.
A nurse is caring for a child who has acute glomerulonephritis. Which of the following
actions should the nurse take?
Maintain the child on strict bed rest.
Check the child's blood pressure every 4 hr.
Administer albumin to the child every 8 hr.
Provide the child with a low-carbohydrate diet. - CORRECT ANSWER-Check the child's
blood pressure every 4 hr.
A nurse is teaching the parent of a 3-year-old child who has persistent otitis media
about prevention. Which of the following statements by the parents indicates an
understanding of the teaching?
"My child should not play around others who have ear infections."
"We should not smoke around our child."
"My child should not swim this summer."
"I will encourage my child to blow his nose forcefully when he has a cold." - CORRECT
ANSWER-"We should not smoke around our child."
A nurse is caring for a 4-month-old child who has acute otitis media and a fever of
38.3C (101F). Which of the following medications should the nurse administer?
Diphenhydramine
Furosemide
Amoxicillin
Ibuprofen - CORRECT ANSWER-Amoxicillin
A nurse is caring for a child who is receiving treatment for diabetic ketoacidosis and has
current blood glucose level of 250mg/dL. Which of the following actions should the
nurse take?
Administer 5% dextrose in 0.9% sodium chloride by continuous IV infusion.
Give potassium as a rapid IV bolus.
Administer 3 units of ultra Lente insulin subcutaneously.
Obtain an HbA1c level stat. - CORRECT ANSWER-Administer 5% dextrose in 0.9%
sodium chloride by continuous IV infusion.
A nurse is teaching the parents of a child who has rheumatic fever. Which of the
following statements by a parent indicates an understanding of the teaching?
"My child may take aspirin for his joint pain."
