ATI PN Nursing Care of Children 2025 Practice B With Full Solution Best Reviewed 2025

ATI PN Nursing Care of Children 2020
Practice B With Full Solution Best
Reviewed 2025

A nurse is collecting data for an adolescent who has asthma and has received an albuterol nebulizer
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treatment. Which of the following findings indicates an improvement in the adolescent's condition?
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a. Temperature 38.1° C (100.5° F)
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b. SaO2 91%
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c. Respiratory rate 20/min
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d. Bilateral wheezing - Respiratory rate 20/min
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Rationale: The nurse should recognize that a respiratory rate of 20/min is within the expected reference
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range and indicates an improvement in the adolescent's condition.
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A nurse is caring for a 1-month-old infant who has a nasogastric tube in place for intermittent feedings.
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Which of the following actions should the nurse take?
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a. Position the head of the crib at a 30° angle between feedings.
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b. Administer feedings over 5 min.
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c. Flush the tube with 30 mL of tap water.
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d. Place the infant on the left side after a feeding. - Position the head of the crib at a 30° angle between
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feedings.
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Rationale: The nurse should place the infant with the head of the crib elevated 30° to 45° to prevent
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aspiration.
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A nurse in a provider's office is caring for a preschooler who has findings of croup. Which of the following
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statements by the parent requires immediate intervention by the nurse?
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,a. "My child has been coughing throughout the night."
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b. "My child is very hoarse and has a fever of 100.4 degrees Fahrenheit."
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c. "My child has refused to drink any fluids for the past 8 hours."
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d. "My child recently had the flu." - "My child has refused to drink any fluids for the past 8 hours."
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Rationale: An inadequate fluid intake indicates the child is at greatest risk for dehydration and electrolyte
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imbalance. Therefore, this statement by the parent requires immediate intervention by the nurse.
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A nurse is reinforcing discharge teaching with the guardians of a 6-month-old infant following a surgical
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procedure to repair a hypospadias. Which of the following instructions should the nurse include?
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a. Avoid giving the infant fruit juice.
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b. Apply anti-fungal ointment to the infant's penis.
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c. Wait 1 week before giving the infant a tub bath.
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d. Apply dry gauze dressing to the infant's penis twice daily. - Wait 1 week before giving the infant a tub
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bath.
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Rationale: The nurse should instruct the guardians to keep the infant's penis as dry as possible until the
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stent or catheter is removed. The parent should provide sponge-baths to the child until the stent or
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catheter is removed.
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A nurse is collecting data from an 18-month-old toddler who has just presented to the urgent care clinic.
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Which of the following data should the nurse investigate further?
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a. Heart rate 110/min
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b. Rectal temperature 37.4° C (99.3° F)
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c. Blood pressure 120/80 mm Hg
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d. Respiratory rate 25/min - Blood pressure 120/80 mm Hg
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, Rationale: A blood pressure of 120/80 mm Hg is outside the expected reference range for an 18-month-
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old toddler and requires further investigation by the nurse.
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A nurse is reinforcing teaching about home care with the guardian of a 14-month-old toddler who has
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spastic cerebral palsy. Which of the following statements by the guardian indicates an understanding of
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the teaching?
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a. "I will perform daily stretching exercises to my toddler's affected muscles."
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b. "I will ensure my toddler avoids activities that involve repetitive joint movements."
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c. "I will place my toddler on his stomach to nap after meals."
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d. "I will give my toddler pain medication just after he performs strenuous activities." - "I will perform
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daily stretching exercises to my toddler's affected muscles."
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Rationale: The nurse should reinforce that performing stretching exercises of the toddler's affected
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muscles will prevent muscle contractures.
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A nurse is reinforcing teaching with the guardian of a child who has a new diagnosis of rheumatic fever.
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Which of the following statements by the guardian indicates an understanding of the teaching?
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a. "My child might have a period of irregular movement of the extremities."
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b. "My child will take antibiotics for 6 months."
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c. "I should expect there to be blood in my child's urine."
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d. "I should not give my child aspirin for pain or fever." - "My child might have a period of irregular
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movement of the extremities."
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Rationale: The nurse should instruct the guardian that the child might experience chorea weeks or
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months after the initial diagnosis. Chorea is a temporary lack of coordination and the presence of
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sudden, irregular movements or periods of clumsiness.
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A nurse is contributing to the plan of care for a child who has type 1 diabetes mellitus and is experiencing
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an acute illness. Which of the following actions should the nurse include in the plan of care?
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