ATI RN NURSING CARE OF CHILDREN
PROCTORED EXAM 2025 | FULL
QUESTIONS AND CORRECT ANSWERS.
Teaching the guardians of a school-aged child who has a new diagnosis of
osteomyelitis of the tibia. The healthcare provider should identify that which of
the following statements by the guardians indicates an understanding of the
teaching? my child will have a cast until healing is complete.
My child will receive antibiotics for several weeks.
My child can return to playing sports once he is
discharged. My child needs to be in contact
isolation.
CORR ANS: b
The healthcare provider should instruct the guardian that the child will receive
antibiotic therapy for at least 4 weeks. Surgery might be indicated if the antibiotics are
not successful.
A - incorrect
Weight bearing must be avoided with osteomyelitis. Therefore, the child is placed in
a comfortable position with the limb supported. There is no indication for a cast.
C- incorrect
Weight bearing should be avoided to prevent complications and minimize pain.
Therefore, it will be several weeks to months before the child can play contact
sports.
D- incorrect
Contact isolation is NOT necessary, because osteomyelitis is not a communicable illness.
A healthcare provider is auscultating the lungs of an adolescent who has asthma.
The healthcare provider should identify the sound as which of the following?
Click the audio button to listen.
,A- Biots respiration
B- Chaney Stokes respiration
C- tackypnea
D - Bradypnea
CORR ANS- c
The healthcare provider should identify the sound heard during auscultation as
tachypnea, which is a rapid, regular breathing pattern. This breathing pattern often
occurs with anxiety, fever, metabolic acidosis, or severe anemia.
A- Biot's respirations are periods of apnea alternating with two or three
shallow breaths. B- Cheyne-Stokes respirations are periods of apnea
alternating with periods of hyperventilation.
D- Bradypnea is a slow, regular breathing pattern.
A healthcare provider in an emergency department is caring for a
anaphylactic school-age child who is experiencing an reaction. Which of the
following is the priority action by the healthcare provider?
A- Elevate the head of the child's bed
B- insert a large-bore IV catheter for the child
C- determine the allergen that caused the child's reaction
D- administer IM epinephrine to the child
CORR ANS- d
When using the urgent vs non urgent approach to patient care, the healthcare
provider determines that the priority action is administering IM epinephrine to the
child. During an anaphylactic reaction, histamine release causes bronchoconstriction
and vasodilation. This is an emergency because ultimately it causes decreased blood
return to the heart.
A- Elevating the head of the child's bed is important to facilitate breathing and
circulation.
However, it is not the priority action the healthcare provider should take.
B- Inserting a large bore IV catheter is important to facilitate administration of IV fluids
and medications. However, it is not the priority action the healthcare provider should
take.
C- Determining the allergen that caused the child's reaction is important to prevent any
additional episodes of anaphylaxis. However, it is not the priority action the
healthcare provider should take.
,The healthcare provider is immunization to a four-year-oldpreparing to
administer an . Which of the child following actions
should the healthcare provider plan to take?
A- Place the child in a prone position for the immunization
B- request that the child's caregiver leave the room during the immunization
C- administer the immunization using a 24 gauge needle
D- inject the immunization slowly after aspirating for 3 seconds
CORR ANS - c
The healthcare provider should administer an immunization for a 4-year-old child using a
24-gauge needle to minimize the amount of pain experienced by the toddler.
A- The healthcare provider should place the child in an upright sitting position
for the immunization because this decreases the child's fear and anxiety.
B- The healthcare provider should allow the caregiver to stay near the child
during the immunization to provide a sense of security and reduce the child's
anxiety level.
D- The healthcare provider should inject the immunization rapidly and avoid
aspiration. These actions decrease the risk of needle displacement and lower the
child's fear and anxiety level by decreasing the amount of time it takes to
administer the immunization.
A healthcare provider is reviewing the laboratory report of an infant who is receiving
treatment for severe dehydration. The healthcare provider should identify which of
the following laboratory values indicates effectiveness of the current treatment?
A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg
CORR ANS- b
The healthcare provider should identify that a sodium level of 140 mEq/L is within
the expected reference range and indicates the current treatment regimen the
infant is receiving for dehydration is effective.
A- A potassium level of 2.9 mEq/L is below the expected reference range and
indicates hypokalemia.
, C- A urine specific gravity of 1.035 is above the expected reference range and
indicates concentrated urine.
D- A BUN level of 25 mg/dL is above the expected reference range and indicates
the kidneys are not excreting BUN as they should be.
The healthcare provider is providing teaching about Social Development to
the guardians of a preschooler. Which of the following play activities should
the healthcare provider recommend for the child? A- Play pat-a-cake
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up
CORR ANS - d
The healthcare provider should instruct the guardians that at the preschool age,
play should focus on social, mental, and physical development. Therefore, playing
dress-up is a recommended play activity for this child.
A- Playing pat-a-cake is a recommended play activity for an infant.
B- Using a push pull toy is a recommended play activity for a toddler.
C- Creating a scrapbook is a recommended play activity for a school-age child.
A healthcare provider is teaching the guardians of a newborn about ways to prevent
sudden infant death syndrome SIDS. Which of the following instructions should the
healthcare provider include?
A- Place the infant in a prone position to sleep.
B- Allow the infant to sleep on a large pillow.
C- User soft mattress in the infant's crib.
D- Give the infant a pacifier at bedtime.
CORR ANS- d
The healthcare provider should inform the guardian that protective factors against
SIDS include breastfeeding and the use of a pacifier when the infant is sleeping.
PROCTORED EXAM 2025 | FULL
QUESTIONS AND CORRECT ANSWERS.
Teaching the guardians of a school-aged child who has a new diagnosis of
osteomyelitis of the tibia. The healthcare provider should identify that which of
the following statements by the guardians indicates an understanding of the
teaching? my child will have a cast until healing is complete.
My child will receive antibiotics for several weeks.
My child can return to playing sports once he is
discharged. My child needs to be in contact
isolation.
CORR ANS: b
The healthcare provider should instruct the guardian that the child will receive
antibiotic therapy for at least 4 weeks. Surgery might be indicated if the antibiotics are
not successful.
A - incorrect
Weight bearing must be avoided with osteomyelitis. Therefore, the child is placed in
a comfortable position with the limb supported. There is no indication for a cast.
C- incorrect
Weight bearing should be avoided to prevent complications and minimize pain.
Therefore, it will be several weeks to months before the child can play contact
sports.
D- incorrect
Contact isolation is NOT necessary, because osteomyelitis is not a communicable illness.
A healthcare provider is auscultating the lungs of an adolescent who has asthma.
The healthcare provider should identify the sound as which of the following?
Click the audio button to listen.
,A- Biots respiration
B- Chaney Stokes respiration
C- tackypnea
D - Bradypnea
CORR ANS- c
The healthcare provider should identify the sound heard during auscultation as
tachypnea, which is a rapid, regular breathing pattern. This breathing pattern often
occurs with anxiety, fever, metabolic acidosis, or severe anemia.
A- Biot's respirations are periods of apnea alternating with two or three
shallow breaths. B- Cheyne-Stokes respirations are periods of apnea
alternating with periods of hyperventilation.
D- Bradypnea is a slow, regular breathing pattern.
A healthcare provider in an emergency department is caring for a
anaphylactic school-age child who is experiencing an reaction. Which of the
following is the priority action by the healthcare provider?
A- Elevate the head of the child's bed
B- insert a large-bore IV catheter for the child
C- determine the allergen that caused the child's reaction
D- administer IM epinephrine to the child
CORR ANS- d
When using the urgent vs non urgent approach to patient care, the healthcare
provider determines that the priority action is administering IM epinephrine to the
child. During an anaphylactic reaction, histamine release causes bronchoconstriction
and vasodilation. This is an emergency because ultimately it causes decreased blood
return to the heart.
A- Elevating the head of the child's bed is important to facilitate breathing and
circulation.
However, it is not the priority action the healthcare provider should take.
B- Inserting a large bore IV catheter is important to facilitate administration of IV fluids
and medications. However, it is not the priority action the healthcare provider should
take.
C- Determining the allergen that caused the child's reaction is important to prevent any
additional episodes of anaphylaxis. However, it is not the priority action the
healthcare provider should take.
,The healthcare provider is immunization to a four-year-oldpreparing to
administer an . Which of the child following actions
should the healthcare provider plan to take?
A- Place the child in a prone position for the immunization
B- request that the child's caregiver leave the room during the immunization
C- administer the immunization using a 24 gauge needle
D- inject the immunization slowly after aspirating for 3 seconds
CORR ANS - c
The healthcare provider should administer an immunization for a 4-year-old child using a
24-gauge needle to minimize the amount of pain experienced by the toddler.
A- The healthcare provider should place the child in an upright sitting position
for the immunization because this decreases the child's fear and anxiety.
B- The healthcare provider should allow the caregiver to stay near the child
during the immunization to provide a sense of security and reduce the child's
anxiety level.
D- The healthcare provider should inject the immunization rapidly and avoid
aspiration. These actions decrease the risk of needle displacement and lower the
child's fear and anxiety level by decreasing the amount of time it takes to
administer the immunization.
A healthcare provider is reviewing the laboratory report of an infant who is receiving
treatment for severe dehydration. The healthcare provider should identify which of
the following laboratory values indicates effectiveness of the current treatment?
A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg
CORR ANS- b
The healthcare provider should identify that a sodium level of 140 mEq/L is within
the expected reference range and indicates the current treatment regimen the
infant is receiving for dehydration is effective.
A- A potassium level of 2.9 mEq/L is below the expected reference range and
indicates hypokalemia.
, C- A urine specific gravity of 1.035 is above the expected reference range and
indicates concentrated urine.
D- A BUN level of 25 mg/dL is above the expected reference range and indicates
the kidneys are not excreting BUN as they should be.
The healthcare provider is providing teaching about Social Development to
the guardians of a preschooler. Which of the following play activities should
the healthcare provider recommend for the child? A- Play pat-a-cake
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up
CORR ANS - d
The healthcare provider should instruct the guardians that at the preschool age,
play should focus on social, mental, and physical development. Therefore, playing
dress-up is a recommended play activity for this child.
A- Playing pat-a-cake is a recommended play activity for an infant.
B- Using a push pull toy is a recommended play activity for a toddler.
C- Creating a scrapbook is a recommended play activity for a school-age child.
A healthcare provider is teaching the guardians of a newborn about ways to prevent
sudden infant death syndrome SIDS. Which of the following instructions should the
healthcare provider include?
A- Place the infant in a prone position to sleep.
B- Allow the infant to sleep on a large pillow.
C- User soft mattress in the infant's crib.
D- Give the infant a pacifier at bedtime.
CORR ANS- d
The healthcare provider should inform the guardian that protective factors against
SIDS include breastfeeding and the use of a pacifier when the infant is sleeping.
