ATI CMS: Nursing Care of Children Exam Questions With
Accurate Answers.
Assisting with administration of nasogastric enteral feeding for an infant (x2)
- accurate answers-Position the head of crib at 30 degree angle between
feedings
Planning to administer a nasogastric enteral feeding - accurate answers-
Always confirm placement first (with pH- you cannot just auscultate to
confirm placement) then aspirate contents
Best food options for a child who has phenylketonuria - accurate answers-
Child with PKU cannot digest phenylalanine, which is present in most animal
products
Caring for a child in buck's traction - accurate answers-This is a skin traction
of the lower extremity; make sure that knots are away from pulleys, that the
leg remains extended, that weights are free-hanging at all times, that blankets
do not cover ropes and that the child cannot reach or interfere with the
mechanism
Converting ounces to mL - accurate answers-1 oz = 30 mL
Dietary recommendations for a child who has celiac disease (x2) - accurate
answers-Child with celiac disease cannot process plant protein gluten
(present in wheat, barley, rye). Avoid oats b/c usually contaminated with
gluten. Rice is okay!
Dietary recommendations for child with lactose intolerance - accurate
answers-Child needs supplementary calcium and vitamin D intake, as the
dairy products that they cannot consume are high in calcium. Also, take
lactase when consuming a dairy product.
Findings associated with poststreptococcal glomerulonephritis - accurate
answers-Oliguria
Nutritional needs of the child who has acute postreptococcal
glomerulonephritis - accurate answers-Sodium restrictions (they are puffy
and edematous and sodium follows water; limit it)
, Reinforcing Dietary Teaching for a Child who is recovering from
Glomerulnephritis - accurate answers-Pick lowest sodium option: apples
Identifying nutritional risks in an adolescent - accurate answers-Adolescents
tend to eat a lot of junk foods high in calories but low in other nutritional
content. At risk for inadequate micronutrient nutrition.
Priority findings to report with skeletal traction - accurate answers-Skeletal
traction consists of force applied directly to bones through pins. Increased
crusting or purulent drainage, along with other signs of infection, should be
reported to provider.
Priority intervention during a lumbar puncture - accurate answers-
Immediately after the procedure, maintain the child in their side lying position
to prevent injury to the spinal nerves.
Responding to a patient's refusal of medication - accurate answers-"Provide
the parent with vaccine information sheet." (Don't ask why, don't question
them, don't tell them they HAVE to get vaccine)
Identifying risk factors for Urinary Tract Infection - accurate answers-
Constipation (bowel movements every 4-5 days), urinary stasis,
episode/hypospadias
Assisting with scoliosis screenings for school age children - accurate answers-
Stand with feet together and then bend down as if touching toes, back parallel
to floor
Checking skin turgor in a child - accurate answers-Best on abdomen
Deviation from expected growth and development for a 12 month old infant -
accurate answers-Birth weight should be tripled
Expected behavior for a 7 year old female child - accurate answers-Spends a
lot of time by herself
Accurate Answers.
Assisting with administration of nasogastric enteral feeding for an infant (x2)
- accurate answers-Position the head of crib at 30 degree angle between
feedings
Planning to administer a nasogastric enteral feeding - accurate answers-
Always confirm placement first (with pH- you cannot just auscultate to
confirm placement) then aspirate contents
Best food options for a child who has phenylketonuria - accurate answers-
Child with PKU cannot digest phenylalanine, which is present in most animal
products
Caring for a child in buck's traction - accurate answers-This is a skin traction
of the lower extremity; make sure that knots are away from pulleys, that the
leg remains extended, that weights are free-hanging at all times, that blankets
do not cover ropes and that the child cannot reach or interfere with the
mechanism
Converting ounces to mL - accurate answers-1 oz = 30 mL
Dietary recommendations for a child who has celiac disease (x2) - accurate
answers-Child with celiac disease cannot process plant protein gluten
(present in wheat, barley, rye). Avoid oats b/c usually contaminated with
gluten. Rice is okay!
Dietary recommendations for child with lactose intolerance - accurate
answers-Child needs supplementary calcium and vitamin D intake, as the
dairy products that they cannot consume are high in calcium. Also, take
lactase when consuming a dairy product.
Findings associated with poststreptococcal glomerulonephritis - accurate
answers-Oliguria
Nutritional needs of the child who has acute postreptococcal
glomerulonephritis - accurate answers-Sodium restrictions (they are puffy
and edematous and sodium follows water; limit it)
, Reinforcing Dietary Teaching for a Child who is recovering from
Glomerulnephritis - accurate answers-Pick lowest sodium option: apples
Identifying nutritional risks in an adolescent - accurate answers-Adolescents
tend to eat a lot of junk foods high in calories but low in other nutritional
content. At risk for inadequate micronutrient nutrition.
Priority findings to report with skeletal traction - accurate answers-Skeletal
traction consists of force applied directly to bones through pins. Increased
crusting or purulent drainage, along with other signs of infection, should be
reported to provider.
Priority intervention during a lumbar puncture - accurate answers-
Immediately after the procedure, maintain the child in their side lying position
to prevent injury to the spinal nerves.
Responding to a patient's refusal of medication - accurate answers-"Provide
the parent with vaccine information sheet." (Don't ask why, don't question
them, don't tell them they HAVE to get vaccine)
Identifying risk factors for Urinary Tract Infection - accurate answers-
Constipation (bowel movements every 4-5 days), urinary stasis,
episode/hypospadias
Assisting with scoliosis screenings for school age children - accurate answers-
Stand with feet together and then bend down as if touching toes, back parallel
to floor
Checking skin turgor in a child - accurate answers-Best on abdomen
Deviation from expected growth and development for a 12 month old infant -
accurate answers-Birth weight should be tripled
Expected behavior for a 7 year old female child - accurate answers-Spends a
lot of time by herself
