VATI NURSING CARE OF CHILDREN EXAM QUESTIONS AND
VERIFIED ANSWERS
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?
A. Administer 5% Dextrose in 0.9% sodium chloride by continuous IV infusion
B. Give potassium as rapid IV bolus
C. Administer 3 units of ultralente insulin subcutaneously
D. Obtain an HbA1c level - CORRECT statAdminister 5% Dextrose
in 0.9% sodium chloride by ANSWER>> continuous IV infusion
A nurse is caring for a child who has epistaxis. Which of the following actions
should the nurse take?
A. Apply a warm cloth to the bridge of the child's nose
B. Tilt the child's head back
C. Apply continuous pressure to the child's nose for at least 10 min
D. Administer aspirin for the child's - CORRECT painApply
continuous pressure to the child's nose ANSWER>> for at least 10 min
A nurse is teaching the parents of a 3-year-old who has persistent otitis
media about prevention. Which of the following statements by the parents
indicates and understanding of the teaching?
A. My child should not play around others who have ear infections.
B. We should not smoke around our child.
C. My child should not swim this summer.
2|Page
D. 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 assessing the pain level of a 3-year-old who is postoperative
following abdominal surgery. Which of the following pain scales should the
nurse use?
A. Word graphic rating scale
B. Color tool
C. FACES pain rating scale
D. Numeric - CORRECT ANSWER>> scaleFACES pain rating scale
A nurse is caring for a child who has acute glomerulonephritis. Which of the
following actions should the nurse take? A. Maintain the child on strict bed
rest
B. Check the child's blood pressure every 4 hr
C. Administer albumin to the child every 8 hr
D. Provide the child with a low-carbohydrate diet - CORRECT
ANSWER>>Check the child's blood pressure every 4 hours
A nurse on the pediatric unit is caring for a group of clients. Which of the
following findings should be the nurse's priority?
A. A child who has asthma and a pulse oximetry of 94%
B. A child who has nephrotic syndrome and 1+ protein on urine dipstick
C. A child who has sickle cell anemia and a urine specific gravity of 1.030 D. A child who has insulin-
depended diabetes mellitus and a fingerstick
glucose reading of 110 - CORRECT ANSWER>> mg/dLA child who has sickle
cell anemia and a urine specific gravity of 1.030
,A nurse is caring for a preschool-age child who has mucosal ulceration after
receiving chemotherapy. Which of the following actions should the nurse
take?
A. Place viscous lidocaine on the child's oral lesions
3|Page
B. Instruct the child to use a soft-sponge toothbrush when brushing her teeth
C. Encourage the child to rinse her mouth with hydrogen peroxide every 2-4
hr
D. Give the child lemon glycerin swabs to use after each meal - CORRECT
ANSWER>>Instruct the child to use a soft sponge toothbrush when brushing
her teeth
A nurse is caring for a group of infants who have congenital heart defects. For
which of the following defects should the nurse expect to observe cyanosis?
A. Transposition of the great arteries
B. Ventricular septal defect
C. Coarctation of the aorta
D. Patent ductus - CORRECT ANSWER>> arteriosusTransposition of great arteries
A nurse is teaching a school-age child who has a new diagnosis of type 1
diabetes mellitus. which of the following statements should the nurse make?
A. If you take too much insulin, drink a sugar-free cola.
B. You will need to decrease your insulin dosage when you become a teenager.
C. You can use a vial of insulin for up to 30 days.
D. Stop taking your insulin if you are - CORRECT ANSWER>> vomiting.You can
use a vial of insulin for up to 30 days
A nurse is teaching to a group of parents of adolescents about developmental
needs. Which of the following statements by a parent should the nurse
investigate further?
A. My child has frequent mood swings.
B. My child has a very messy bedroom.
C. My child takes 1 to 2 showers per day.
D. My child spends 4 hours per day using online chat rooms. - CORRECT
ANSWER>>My child spends 4 hours per day in internet chat rooms
4|Page
A nurse is reviewing the medical record of a 2-month-old infant who has
rotavirus. The nurse notes a hemoglobin level of 12g/dL and a hematocrit of
51%. Which of the following statements by the nurse indicates an
understanding of the laboratory - CORRECT ANSWER>> values?The infant
might be dehydrated
A school nurse is assessing an adolescent child who returned to school
following a case of mononucleosis. The child has a note from his provider
excusing him from gym class. Which of the following findings should the
nurse identify as the reason for this - CORRECT ANSWER>> excusal?Potential
for sustaining abdominal trauma
A nurse is teaching the parents of a 4-month-old infant who has
gastroesophageal reflux. Which of the following statements by the parent
indicates an understanding of the teaching?
A. I will add 1 teaspoon of rice cereal per ounce to my baby's formula.
B. I will place my baby on her side when sleeping.
C. I will decrease the number of feedings my baby receives per day.
- CORRECT ANSWER>>
, D. I will give my baby loperamide with each feeding.I will add 1 teaspoon of rice cereal per ounce to
my baby's formula A nurse is caring for a child who has suspected nephrotic syndrome. Which of
the following laboratory values should the nurse expect?
A. Platelets 120,000/mm3
B. Serum sodium 160 mEq/L
C. Hgb 9 g/dL
D. Serum cholesterol 700 - CORRECT ANSWER>> mg/dLSerum cholesterol
700mg/dL
A nurse is preparing to administer acetaminophen 240mg PO daily to a child
who has a temperature of 38.9 C (102 F). The amount available is
acetaminophen oral solution 160mg/5ml. How many ml should the nurse
administer per - CORRECT dose?7.5 ml
5|Page ANSWER>>
A nurse is caring for a 6-month-old infant who has intussusception. Which of
the following actions should the nurse take? a. Prepare to administer High-
dose steroids
b. Give the child magnesium hydroxie PO
c. Prepare the child for a barium enema
d. Inform the patients that the child will need a colostomy - CORRECT
ANSWER>>Prepare the child for a barium enema
A nurse is caring for a school-age child who has glomerulonephritis. The child
has decreased urinary output, a blood pressure of 160/78 mmHg, and is
receiving hydralazine. Which of the following lunch choices should the nurse
recommend?
A. 1 hot dog, 22 potato chips, and 120 mL of orange juice
B. 1 sandwich with lettuce, tomato, and 4 slices of bacon; a small apple; and
240 mL of milk
C. 3 oz grilled chick, 1 cup of pear slices, and 120 mL of apple juice
D. 1 cup of cottage cheese, a small banana, and 240 mL of soda - CORRECT
ANSWER>>3 oz grilled chicken, 1 cup of pear slices, and 120 ml (4oz) of apple
juice
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?
A. My child may take aspirin for his joint pain.
B. My child will need a blood transfusion prior to discharge.
C. I will need to wear a gown when I'm in my child's room.
D. I will apply lotion to my child's peeling - CORRECT ANSWER>> hands.My
child may take aspirin for his joint pain
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?
A. Diphtheria, tetanus, and pertussis (DTaP)
6|Page
B. Pneumococcal (PCV)
C. Haemophilus influenzae type B (Hib)
D. Hepatitis B (Hep - CORRECT B)Diphtheria, tetanus, and pertussis (DTaP)
A nurse is caring for a ANSWER>> child who has cystic fibrosis and a pulmonary infection.
Which of the following finding sis the nurse's priority?
A. Blood streaking of the sputum
B. Dry mucous membranes
VERIFIED ANSWERS
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?
A. Administer 5% Dextrose in 0.9% sodium chloride by continuous IV infusion
B. Give potassium as rapid IV bolus
C. Administer 3 units of ultralente insulin subcutaneously
D. Obtain an HbA1c level - CORRECT statAdminister 5% Dextrose
in 0.9% sodium chloride by ANSWER>> continuous IV infusion
A nurse is caring for a child who has epistaxis. Which of the following actions
should the nurse take?
A. Apply a warm cloth to the bridge of the child's nose
B. Tilt the child's head back
C. Apply continuous pressure to the child's nose for at least 10 min
D. Administer aspirin for the child's - CORRECT painApply
continuous pressure to the child's nose ANSWER>> for at least 10 min
A nurse is teaching the parents of a 3-year-old who has persistent otitis
media about prevention. Which of the following statements by the parents
indicates and understanding of the teaching?
A. My child should not play around others who have ear infections.
B. We should not smoke around our child.
C. My child should not swim this summer.
2|Page
D. 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 assessing the pain level of a 3-year-old who is postoperative
following abdominal surgery. Which of the following pain scales should the
nurse use?
A. Word graphic rating scale
B. Color tool
C. FACES pain rating scale
D. Numeric - CORRECT ANSWER>> scaleFACES pain rating scale
A nurse is caring for a child who has acute glomerulonephritis. Which of the
following actions should the nurse take? A. Maintain the child on strict bed
rest
B. Check the child's blood pressure every 4 hr
C. Administer albumin to the child every 8 hr
D. Provide the child with a low-carbohydrate diet - CORRECT
ANSWER>>Check the child's blood pressure every 4 hours
A nurse on the pediatric unit is caring for a group of clients. Which of the
following findings should be the nurse's priority?
A. A child who has asthma and a pulse oximetry of 94%
B. A child who has nephrotic syndrome and 1+ protein on urine dipstick
C. A child who has sickle cell anemia and a urine specific gravity of 1.030 D. A child who has insulin-
depended diabetes mellitus and a fingerstick
glucose reading of 110 - CORRECT ANSWER>> mg/dLA child who has sickle
cell anemia and a urine specific gravity of 1.030
,A nurse is caring for a preschool-age child who has mucosal ulceration after
receiving chemotherapy. Which of the following actions should the nurse
take?
A. Place viscous lidocaine on the child's oral lesions
3|Page
B. Instruct the child to use a soft-sponge toothbrush when brushing her teeth
C. Encourage the child to rinse her mouth with hydrogen peroxide every 2-4
hr
D. Give the child lemon glycerin swabs to use after each meal - CORRECT
ANSWER>>Instruct the child to use a soft sponge toothbrush when brushing
her teeth
A nurse is caring for a group of infants who have congenital heart defects. For
which of the following defects should the nurse expect to observe cyanosis?
A. Transposition of the great arteries
B. Ventricular septal defect
C. Coarctation of the aorta
D. Patent ductus - CORRECT ANSWER>> arteriosusTransposition of great arteries
A nurse is teaching a school-age child who has a new diagnosis of type 1
diabetes mellitus. which of the following statements should the nurse make?
A. If you take too much insulin, drink a sugar-free cola.
B. You will need to decrease your insulin dosage when you become a teenager.
C. You can use a vial of insulin for up to 30 days.
D. Stop taking your insulin if you are - CORRECT ANSWER>> vomiting.You can
use a vial of insulin for up to 30 days
A nurse is teaching to a group of parents of adolescents about developmental
needs. Which of the following statements by a parent should the nurse
investigate further?
A. My child has frequent mood swings.
B. My child has a very messy bedroom.
C. My child takes 1 to 2 showers per day.
D. My child spends 4 hours per day using online chat rooms. - CORRECT
ANSWER>>My child spends 4 hours per day in internet chat rooms
4|Page
A nurse is reviewing the medical record of a 2-month-old infant who has
rotavirus. The nurse notes a hemoglobin level of 12g/dL and a hematocrit of
51%. Which of the following statements by the nurse indicates an
understanding of the laboratory - CORRECT ANSWER>> values?The infant
might be dehydrated
A school nurse is assessing an adolescent child who returned to school
following a case of mononucleosis. The child has a note from his provider
excusing him from gym class. Which of the following findings should the
nurse identify as the reason for this - CORRECT ANSWER>> excusal?Potential
for sustaining abdominal trauma
A nurse is teaching the parents of a 4-month-old infant who has
gastroesophageal reflux. Which of the following statements by the parent
indicates an understanding of the teaching?
A. I will add 1 teaspoon of rice cereal per ounce to my baby's formula.
B. I will place my baby on her side when sleeping.
C. I will decrease the number of feedings my baby receives per day.
- CORRECT ANSWER>>
, D. I will give my baby loperamide with each feeding.I will add 1 teaspoon of rice cereal per ounce to
my baby's formula A nurse is caring for a child who has suspected nephrotic syndrome. Which of
the following laboratory values should the nurse expect?
A. Platelets 120,000/mm3
B. Serum sodium 160 mEq/L
C. Hgb 9 g/dL
D. Serum cholesterol 700 - CORRECT ANSWER>> mg/dLSerum cholesterol
700mg/dL
A nurse is preparing to administer acetaminophen 240mg PO daily to a child
who has a temperature of 38.9 C (102 F). The amount available is
acetaminophen oral solution 160mg/5ml. How many ml should the nurse
administer per - CORRECT dose?7.5 ml
5|Page ANSWER>>
A nurse is caring for a 6-month-old infant who has intussusception. Which of
the following actions should the nurse take? a. Prepare to administer High-
dose steroids
b. Give the child magnesium hydroxie PO
c. Prepare the child for a barium enema
d. Inform the patients that the child will need a colostomy - CORRECT
ANSWER>>Prepare the child for a barium enema
A nurse is caring for a school-age child who has glomerulonephritis. The child
has decreased urinary output, a blood pressure of 160/78 mmHg, and is
receiving hydralazine. Which of the following lunch choices should the nurse
recommend?
A. 1 hot dog, 22 potato chips, and 120 mL of orange juice
B. 1 sandwich with lettuce, tomato, and 4 slices of bacon; a small apple; and
240 mL of milk
C. 3 oz grilled chick, 1 cup of pear slices, and 120 mL of apple juice
D. 1 cup of cottage cheese, a small banana, and 240 mL of soda - CORRECT
ANSWER>>3 oz grilled chicken, 1 cup of pear slices, and 120 ml (4oz) of apple
juice
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?
A. My child may take aspirin for his joint pain.
B. My child will need a blood transfusion prior to discharge.
C. I will need to wear a gown when I'm in my child's room.
D. I will apply lotion to my child's peeling - CORRECT ANSWER>> hands.My
child may take aspirin for his joint pain
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?
A. Diphtheria, tetanus, and pertussis (DTaP)
6|Page
B. Pneumococcal (PCV)
C. Haemophilus influenzae type B (Hib)
D. Hepatitis B (Hep - CORRECT B)Diphtheria, tetanus, and pertussis (DTaP)
A nurse is caring for a ANSWER>> child who has cystic fibrosis and a pulmonary infection.
Which of the following finding sis the nurse's priority?
A. Blood streaking of the sputum
B. Dry mucous membranes
