ATI Nursing Care of Children Proctored Final Exam Questions
and Answers 2024-2025
A nurse is reinforcing home safety instructions with the parents of a toddler. Which of the following
parent statements indicates an understanding of the teaching?
"We will turn the pot handles toward the back of the stove."
The nurse should instruct the parents to turn pot handles toward the back of the stove to prevent the
toddler from pulling a pot off the stove, resulting in a burn.
A nurse is caring for an adolescent client who is a practicing Jehovah's Witness and is scheduled for
surgery for a ruptured appendix. The adolescent tells the nurse that based on her religious beliefs, she
cannot receive a blood transfusion. Which of the following responses should the nurse make?
"Let's discuss the possibility of you needing a blood transfusion with your parents."
The nurse should offer to involve the child's parents to understand the family's beliefs about blood
transfusions.
A nurse is reviewing the laboratory report of a preschooler. Which of the following laboratory results
should the nurse report to the provider?
Lead 14 mcg/dL
This lead level is above the expected reference range for a preschooler. Therefore, the nurse should
report this result to the provider.
A nurse is collecting data from a 12-month-old infant during a well-child visit. The nurse should
identify which of the following findings as a deviation from expected growth and development?
Birth weight doubled
,The nurse should identify this finding as a deviation from expected growth and development. The
infant's birth weight should triple by 12 months of age. Therefore, the nurse should report this finding
to the provider.
A nurse is reinforcing discharge teaching with the guardian of a school-age child who has acute
lymphocytic leukemia and an absolute neutrophil count of 450/mm3. Which of the following
instructions should the nurse include?
"Keep your child away from crowded areas."
The nurse should instruct the guardian to keep the child away from crowds and visitors who have an
illness to decrease the risk for infection.
A nurse in a clinic is collecting data from an adolescent who has received all recommended
immunizations through the age of 6 years. Which of the following immunizations should the nurse
plan to administer?
Tetanus, diphtheria toxoids, and acellular pertussis (Tdap)
The Tdap vaccine is recommended between the ages of 11 and 12 years. Therefore, this adolescent
should receive the Tdap vaccine now.
A nurse is reinforcing teaching with the parent of a child who has a new prescription for ferrous
sulfate. The nurse should reinforce that the parent should administer the medication with which of the
following fluids to enhance the medication absorption?
Orange juice
The nurse should reinforce with the parent that administering ferrous sulfate with orange juice will
enhance medication absorption.
A nurse in a pediatric clinic is observing for an anaphylactic reaction after administering an IM
antibiotic to a child 5 min ago. Which of the following manifestations should the nurse expect to
observe first?
Hives
,The nurse should observe for hives first because this is an early manifestation of an anaphylactic
reaction.
A nurse is reinforcing dietary teaching about a low-sodium diet with the parents of a child who is
recovering from acute glomerulonephritis. Which of the following food choices by the parents
indicates an understanding of the teaching?
Apples
The nurse should instruct the parents that apples are low in sodium and supply the child with energy
needed for recovery.
A nurse is collecting data from a 12-month-old infant during a well-child visit. Which of the following
findings should the nurse report to the provider?
BP 115/70 mm Hg
The nurse should identify that this blood pressure is above the expected reference range for a 12-
month-old infant and report this finding to the provider.
A nurse is reinforcing discharge teaching with the guardian of a child who has juvenile idiopathic
arthritis (JIA). Which of the following statements by the parent indicates an understanding of the
teaching?
"I will have my child sleep in knee, wrist, and hand splints."
The nurse should reinforce with the guardian that splinting the child's joints at night will decrease
pain and enhance joint function.
A nurse is collecting data about the dietary habits of an adolescent client. The nurse should identify
that which of the following findings puts the client at risk for nutritional deficits?
The client skips eating dinner for track practice three times per week.
The nurse should identify that adolescents are often at risk for developing poor eating habits. Skipping
dinner twice each week puts this client at risk for nutritional deficits.
, A nurse is reinforcing teaching with the guardians of a school-age child who has hearing loss. Which
of the following techniques should the nurse recommend to facilitate communication with the child?
Speak at the child's eye level.
The nurse should instruct the guardian to speak at the child's eye level and ensure that there is
adequate lighting on the speaker's face to facilitate lipreading and communication.
A nurse is assisting with a sterile dressing change for an adolescent who has a partial thickness burn
on the right hip. Which of the following actions should the nurse take first?
Administer pain medication to the client.
According to evidence-based practice, the nurse should first provide pain medication to the client to
reduce discomfort during the procedure.
A nurse is reviewing the laboratory report of a school-age child who is receiving prednisone. Which of
the following laboratory results should the nurse report to the provider?
Sodium 150 mEq/L
Hypernatremia is an adverse effect of prednisone. This level is above the expected reference range for
a school-age child. Therefore, the nurse should report this value to the provider.
A nurse in a community center is reinforcing teaching about poison control with a group of parents. A
parent asks what to do if a child ingests a large quantity of acetaminophen. Identify the sequence of
actions the nurse should recommend to the parent.
Determine if the child is breathing.
Empty the child's mouth of remaining pills and residue.
Identify the medication and dosage strength.
Call a poison control center.
The child's respiratory and cardiovascular status should be checked first to determine if CPR is
necessary. Then, the child's mouth should be emptied of pills and residue to prevent additional
and Answers 2024-2025
A nurse is reinforcing home safety instructions with the parents of a toddler. Which of the following
parent statements indicates an understanding of the teaching?
"We will turn the pot handles toward the back of the stove."
The nurse should instruct the parents to turn pot handles toward the back of the stove to prevent the
toddler from pulling a pot off the stove, resulting in a burn.
A nurse is caring for an adolescent client who is a practicing Jehovah's Witness and is scheduled for
surgery for a ruptured appendix. The adolescent tells the nurse that based on her religious beliefs, she
cannot receive a blood transfusion. Which of the following responses should the nurse make?
"Let's discuss the possibility of you needing a blood transfusion with your parents."
The nurse should offer to involve the child's parents to understand the family's beliefs about blood
transfusions.
A nurse is reviewing the laboratory report of a preschooler. Which of the following laboratory results
should the nurse report to the provider?
Lead 14 mcg/dL
This lead level is above the expected reference range for a preschooler. Therefore, the nurse should
report this result to the provider.
A nurse is collecting data from a 12-month-old infant during a well-child visit. The nurse should
identify which of the following findings as a deviation from expected growth and development?
Birth weight doubled
,The nurse should identify this finding as a deviation from expected growth and development. The
infant's birth weight should triple by 12 months of age. Therefore, the nurse should report this finding
to the provider.
A nurse is reinforcing discharge teaching with the guardian of a school-age child who has acute
lymphocytic leukemia and an absolute neutrophil count of 450/mm3. Which of the following
instructions should the nurse include?
"Keep your child away from crowded areas."
The nurse should instruct the guardian to keep the child away from crowds and visitors who have an
illness to decrease the risk for infection.
A nurse in a clinic is collecting data from an adolescent who has received all recommended
immunizations through the age of 6 years. Which of the following immunizations should the nurse
plan to administer?
Tetanus, diphtheria toxoids, and acellular pertussis (Tdap)
The Tdap vaccine is recommended between the ages of 11 and 12 years. Therefore, this adolescent
should receive the Tdap vaccine now.
A nurse is reinforcing teaching with the parent of a child who has a new prescription for ferrous
sulfate. The nurse should reinforce that the parent should administer the medication with which of the
following fluids to enhance the medication absorption?
Orange juice
The nurse should reinforce with the parent that administering ferrous sulfate with orange juice will
enhance medication absorption.
A nurse in a pediatric clinic is observing for an anaphylactic reaction after administering an IM
antibiotic to a child 5 min ago. Which of the following manifestations should the nurse expect to
observe first?
Hives
,The nurse should observe for hives first because this is an early manifestation of an anaphylactic
reaction.
A nurse is reinforcing dietary teaching about a low-sodium diet with the parents of a child who is
recovering from acute glomerulonephritis. Which of the following food choices by the parents
indicates an understanding of the teaching?
Apples
The nurse should instruct the parents that apples are low in sodium and supply the child with energy
needed for recovery.
A nurse is collecting data from a 12-month-old infant during a well-child visit. Which of the following
findings should the nurse report to the provider?
BP 115/70 mm Hg
The nurse should identify that this blood pressure is above the expected reference range for a 12-
month-old infant and report this finding to the provider.
A nurse is reinforcing discharge teaching with the guardian of a child who has juvenile idiopathic
arthritis (JIA). Which of the following statements by the parent indicates an understanding of the
teaching?
"I will have my child sleep in knee, wrist, and hand splints."
The nurse should reinforce with the guardian that splinting the child's joints at night will decrease
pain and enhance joint function.
A nurse is collecting data about the dietary habits of an adolescent client. The nurse should identify
that which of the following findings puts the client at risk for nutritional deficits?
The client skips eating dinner for track practice three times per week.
The nurse should identify that adolescents are often at risk for developing poor eating habits. Skipping
dinner twice each week puts this client at risk for nutritional deficits.
, A nurse is reinforcing teaching with the guardians of a school-age child who has hearing loss. Which
of the following techniques should the nurse recommend to facilitate communication with the child?
Speak at the child's eye level.
The nurse should instruct the guardian to speak at the child's eye level and ensure that there is
adequate lighting on the speaker's face to facilitate lipreading and communication.
A nurse is assisting with a sterile dressing change for an adolescent who has a partial thickness burn
on the right hip. Which of the following actions should the nurse take first?
Administer pain medication to the client.
According to evidence-based practice, the nurse should first provide pain medication to the client to
reduce discomfort during the procedure.
A nurse is reviewing the laboratory report of a school-age child who is receiving prednisone. Which of
the following laboratory results should the nurse report to the provider?
Sodium 150 mEq/L
Hypernatremia is an adverse effect of prednisone. This level is above the expected reference range for
a school-age child. Therefore, the nurse should report this value to the provider.
A nurse in a community center is reinforcing teaching about poison control with a group of parents. A
parent asks what to do if a child ingests a large quantity of acetaminophen. Identify the sequence of
actions the nurse should recommend to the parent.
Determine if the child is breathing.
Empty the child's mouth of remaining pills and residue.
Identify the medication and dosage strength.
Call a poison control center.
The child's respiratory and cardiovascular status should be checked first to determine if CPR is
necessary. Then, the child's mouth should be emptied of pills and residue to prevent additional
