VATI PN Nursing Care of Children Assessment Test
A nurse is contributing to the plan of care for a preschooler who has
moderate partial-thickness burns on both lower extremities. Which of the
following interventions should the nurse recommend?
Ensure the child receives pain medication 30 to 45 min prior to therapy.
The nurse should ensure that the preschooler receives pain medication 30 to
45 min prior to physical therapy sessions. The nurse should monitor the
child's pain levels and treat them as needed. This will minimize or
eliminate pain from moving tight skin at joints, which will encourage the
child to participate in physical therapy. If the child is in pain during
therapy, it will be a challenge to get the child to participate in future
sessions.
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?
"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 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?
"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 reinforcing teaching with the parent of a child who has diabetes
mellitus. The parent asks the nurse how to minimize the child's pain when
monitoring blood glucose levels. Which of the following statements by the
parent indicates an understanding of the teaching?
, VATI PN Nursing Care of Children Assessment Test
"My child should hold their finger under warm water before obtaining a
sample.
Holding the finger under warm water will'promote blood flow to the finger,
making the puncture less painful.
A nurse is reinforcing teaching with the parent of a child who has a
bacterial upper respiratory infection. Which of the following statements by
the parent indicates an understanding of the teaching?
"I will keep my child's towels separate from those of the rest of the
family."
The nurse should identify that a child who has an upper respiratory
infection should use separate towels, utensils, and cups to prevent the
infection from spreading.
A nurse is contributing to the plan of care for a child who has nephrotic
syndrome and a prescription for corticosteroids. Which of the following
interventions should the nurse recommend?
Provide a low-sodium diet.
The nurse should recommend providing the child with a low-sodium diet to
decrease edema associated with nephrotic syndrome.
A nurse is collecting data from a child who recently experienced a
psychomotor seizure. Which of the following findings should the nurse
expect?
Amnesia
The nurse should identify that amnesia is an expected manifestation after a
seizure. Children often do not remember the seizure activity.
A nurse is collecting data from a 5-month-old infant who is postoperative
following umbilical hernia repair. Which of the following measures should
the nurse use to evaluate the infant's pain level?
FLACC pain rating scale
, VATI PN Nursing Care of Children Assessment Test
The nurse should use the FLACC pain rating scale to evaluate this infant's
pain level following outpatient surgery to repair an umbilical hernia. The
FLACC scale is a postoperative pain rating tool used for children ranging
from 2 months old to 7 years old. The acronym stands for Face, Legs,
Activity, Cry, and Consolability. The scoring ranges from 0, indicating "no
pain behaviors" to 10, indicating "most possible pain behaviors."
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.)
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 caring for a toddler who has a respiratory illness and a
temperature of 39.3° C (102.7" F). Which of the following actions should
the nurse take to reduce the toddler's temperature?
Remove the toddler's extra clothing.
The nurse should remove the toddler's extra clothing after administering an
antipyretic to reduce the toddler's temperature.
A nurse is caring for a preschooler who has diabetes mellitus and is pale,
diaphoretic, and irritable. The child's blood glucose level is 52 mg/dL.
Which of the following actions should the nurse take first?
Administer 1 tbsp of sugar to the child.
A nurse is contributing to the plan of care for a preschooler who has
moderate partial-thickness burns on both lower extremities. Which of the
following interventions should the nurse recommend?
Ensure the child receives pain medication 30 to 45 min prior to therapy.
The nurse should ensure that the preschooler receives pain medication 30 to
45 min prior to physical therapy sessions. The nurse should monitor the
child's pain levels and treat them as needed. This will minimize or
eliminate pain from moving tight skin at joints, which will encourage the
child to participate in physical therapy. If the child is in pain during
therapy, it will be a challenge to get the child to participate in future
sessions.
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?
"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 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?
"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 reinforcing teaching with the parent of a child who has diabetes
mellitus. The parent asks the nurse how to minimize the child's pain when
monitoring blood glucose levels. Which of the following statements by the
parent indicates an understanding of the teaching?
, VATI PN Nursing Care of Children Assessment Test
"My child should hold their finger under warm water before obtaining a
sample.
Holding the finger under warm water will'promote blood flow to the finger,
making the puncture less painful.
A nurse is reinforcing teaching with the parent of a child who has a
bacterial upper respiratory infection. Which of the following statements by
the parent indicates an understanding of the teaching?
"I will keep my child's towels separate from those of the rest of the
family."
The nurse should identify that a child who has an upper respiratory
infection should use separate towels, utensils, and cups to prevent the
infection from spreading.
A nurse is contributing to the plan of care for a child who has nephrotic
syndrome and a prescription for corticosteroids. Which of the following
interventions should the nurse recommend?
Provide a low-sodium diet.
The nurse should recommend providing the child with a low-sodium diet to
decrease edema associated with nephrotic syndrome.
A nurse is collecting data from a child who recently experienced a
psychomotor seizure. Which of the following findings should the nurse
expect?
Amnesia
The nurse should identify that amnesia is an expected manifestation after a
seizure. Children often do not remember the seizure activity.
A nurse is collecting data from a 5-month-old infant who is postoperative
following umbilical hernia repair. Which of the following measures should
the nurse use to evaluate the infant's pain level?
FLACC pain rating scale
, VATI PN Nursing Care of Children Assessment Test
The nurse should use the FLACC pain rating scale to evaluate this infant's
pain level following outpatient surgery to repair an umbilical hernia. The
FLACC scale is a postoperative pain rating tool used for children ranging
from 2 months old to 7 years old. The acronym stands for Face, Legs,
Activity, Cry, and Consolability. The scoring ranges from 0, indicating "no
pain behaviors" to 10, indicating "most possible pain behaviors."
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.)
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 caring for a toddler who has a respiratory illness and a
temperature of 39.3° C (102.7" F). Which of the following actions should
the nurse take to reduce the toddler's temperature?
Remove the toddler's extra clothing.
The nurse should remove the toddler's extra clothing after administering an
antipyretic to reduce the toddler's temperature.
A nurse is caring for a preschooler who has diabetes mellitus and is pale,
diaphoretic, and irritable. The child's blood glucose level is 52 mg/dL.
Which of the following actions should the nurse take first?
Administer 1 tbsp of sugar to the child.
