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VATI NURSING CARE OF CHILDREN EXAM QUESTIONS AND
VERIFIED ANSWERS WITH
RATIONALES 2025 / RN NURSING CARE
OF CHILDREN PROCTORED EXAM GRADED A
A nurse is caring for a 4-year-old child who has superficial partial-thickness
burns over 50% of his body. When planning for the nutritional needs of the
child, which of the following actions should the nurse plan to take?
A. Administer pancrelipase to the child prior to each meal
B. Supplement the child's feedings with enteral feedings
C. Provide the child with a low-protein meal
D. Perform dressing changes 10 min prior to the child's meals - CORRECT
ANSWER>>Supplement the child's feedings with enteral feedings A nurse
is caring for a child who has been in Buck's traction for 2 days. Which of
the following actions should the nurse take to prevent complications?
A. Manually move the weights to the floor when the child is experiencing
pain
B. Check for pulses in the affected leg every 4 hr
C. Cleanse the pins every 12 hr
D. Inform parents to discourage visitors for the child - CORRECT
ANSWER>>Check for pulses in the affected leg every 4 hours
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A nurse is caring for a child who is in the emergency department after
ingestion a bottle of acetaminophen. Which of the following medications
should the nurse plan to administer?
A. Digoxin immune fab
B. Acetylcysteine
C. Naloxone
D. Vitamin - CORRECT ANSWER>> KAcetylcysteine
A nurse is preparing to administer an intramuscular injection to a 2-month old infant. In which of the
following sties should the nurse plan to administer the injection? A. Vastus lateralis
B. Dorsogluteal
C. Deltoid
D. Abdomen 5 cm form the - CORRECT ANSWER>> umbilicusVastus
lateralis
A nurse is teaching the parents of an infant who has congenital
hypothyroidism. Which of the following statements should the nurse make?
A. Your child will need to take estrogen daily when she reaches puberty.
B. Your child will need monthly blood coagulation studies.
C. Your child will need surgery to remove the diseased thyroid.
D. Your child will need to take thyroid
- CORRECT ANSWER>> hormone replacement for her entire
life.Your child will need to take thyroid hormone
replacement for her entire life
A nurse is teaching a group of parents of toddlers about growth and
development. A parent asks, "Why does my child's abdomen stick out?"
Which of the following statements should the nurse make? A. You
should give your child a stool softener daily.
B. Toddlers gain weight at a rapid pace.
,C. You should have your child assessed for a spinal deformity.
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D. Toddlers do not have well-developed abdominal muscles. - CORRECT
ANSWER>>Toddlers don't have well developed abdominal muscles
A nurse is caring for a 10-year-old child who should reduce his fat intake.
Which of the following menu choices should the nurse suggest?
A. A hot dog on a whole-wheat bun
B. 3 oz of baked chicken on a whole-wheat roll
C. 1/2 cup of diced potatoes with scrambled eggs
D. Medium blueberry - CORRECT ANSWER>> muffin3 oz of baked
chicken on
a whole wheat roll
A nurse is assessing an adolescent who has sustained a broken tibia.
Following the application of a fiberglass cast, the adolescent reports pain and
a tingling feeling in the limb. Which of the following actions should the nurse
take first?
A. Give the adolescent ibuprofen
B. Elevate the adolescent's leg on pillows
C. Place an ice pack on the cast
D. Assess for manifestations of circulatory impairment - CORRECT
ANSWER>>Assess for manifestations of circulatory impairment A nurse is
preparing to administer diphenhydramine 5mg/kg/day PO to divide equally
every 8 hours to a school-age child who weighs 50 lb. Available is
diphenhydramine oral solution 12.5mg/5ml. How
many ml should the - CORRECT ANSWER>> nurse
administer per dose?15 ml
A nurse is caring for a child who adheres to a vegetarian diet and has
sustained superficial partial-thickness burns. The nurse should recommend
which of the following food choices as having the highest protein content?
A. Medium baked potato
B. Wheat bagel with 1 tbsp of apricot jam
C. Large orange
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D. 1/2 cup of peanut butter with apple - CORRECT ANSWER>> slices½
cup of
peanut butter with apple slices
A nurse is caring for a 4-year-old child who has pneumonia. The child's
mother left 2 hours ago, and he is currently experiencing the separation
anxiety stage of despair. Which of the following findings should the nurse
expect? A. Crying and screaming
B. Inactivity and thumb sucking
C. Showing interest in nearby towns
D. Attempting to escape and find the - CORRECT ANSWER>>
parentInactive
and thumb sucking
A nurse is caring for an 8-year-old child who has sickle cell anemia. Which of
the following actions should the nurse take first?
A. Apply cool compresses to the painful area
B. Initiate contact isolation precautions
C. Give the child flavored popsicles
D. Administer - CORRECT ANSWER>> phytonadioneGive the
child flavored popsicles
, A nurse is teaching the parents of a child who has cerebral palsy. Which of
the following statements should the nurse make? A. Your child will be
unable to eat by mouth.
B. Your child will be unable to participate in recreational activities.
C. Your child will need a botulinum toxin A injection to reduce muscle
spasticity.
D. Your child will need throw rugs placed over non-carpeted areas. CORRECT
ANSWER>>Your child will need a botulinum toxin A injection to help with
muscle spasticity
A nurse is planning care for a 6-year-old child who is receiving chemotherapy.
The child has a highlight platelet count of 20,000/mm3. Based on this
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laboratory value, which of the following interventions should the nurse
include in the plan of care? A. Provide foods high in iron
B. Avoid people who have infections
C. Administer PRN oxygen
D. Encourage quiet - CORRECT ANSWER>> playEncourage quiet play
A nurse is caring for a 4- month old child who has
acute otitis media and a fever of 38.3 C (101 F). Which of the following
medications should the nurse administer? A. Diphenhydramine
B. Furosemide
C. Amoxicillin
- CORRECT ANSWER>> D. IbuprofenAmoxicillin
A school nurse is assessing a child who has been
stung by a bee. The child's hand is swelling and the nurse notes that the child
has allergies to insect stings. Which of the following findings should the nurse
expect if the child develops anaphylaxis? Select all that apply?
A. Bradycardia
B. Nausea
C. Hypertension
D. Utricaria
- CORRECT ANSWER>> E. StridorNausea, urticaria, stridor
A nurse is caring for a 2-day-old infant who has a
myelomeningocele. Which of the following actions should the nurse take?
A. Measure the infant's intake and output
B. Measure the infant's head circumference
C. Check the infant's lower-extremity function
C. Monitor the infant's blood - CORRECT ANSWER>>
pressureMeasure the
infant's head circumference
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A nurse is caring for a child who has Tetralogy of Fallot. Which of the
following laboratory values should the nurse expect to find?
A. Platelet count of 20,000/mm3
B. WBC 4,000/mm3
C. Thyroid stimulating hormone 7.0
microunits/mL - CORRECT ANSWER>>
D. RBC 6.8 million/uLRBC 6.8 million/uL
A nurse is providing postoperative teaching for the parent of a 3-month-old
infant who is recovering from an umbilical hernia repair. Which of the
following statements by the parent indicates an understanding of the
teaching?
A. I will expect the site to bulge when my baby cries.
VATI NURSING CARE OF CHILDREN EXAM QUESTIONS AND
VERIFIED ANSWERS WITH
RATIONALES 2025 / RN NURSING CARE
OF CHILDREN PROCTORED EXAM GRADED A
A nurse is caring for a 4-year-old child who has superficial partial-thickness
burns over 50% of his body. When planning for the nutritional needs of the
child, which of the following actions should the nurse plan to take?
A. Administer pancrelipase to the child prior to each meal
B. Supplement the child's feedings with enteral feedings
C. Provide the child with a low-protein meal
D. Perform dressing changes 10 min prior to the child's meals - CORRECT
ANSWER>>Supplement the child's feedings with enteral feedings A nurse
is caring for a child who has been in Buck's traction for 2 days. Which of
the following actions should the nurse take to prevent complications?
A. Manually move the weights to the floor when the child is experiencing
pain
B. Check for pulses in the affected leg every 4 hr
C. Cleanse the pins every 12 hr
D. Inform parents to discourage visitors for the child - CORRECT
ANSWER>>Check for pulses in the affected leg every 4 hours
8|Page
A nurse is caring for a child who is in the emergency department after
ingestion a bottle of acetaminophen. Which of the following medications
should the nurse plan to administer?
A. Digoxin immune fab
B. Acetylcysteine
C. Naloxone
D. Vitamin - CORRECT ANSWER>> KAcetylcysteine
A nurse is preparing to administer an intramuscular injection to a 2-month old infant. In which of the
following sties should the nurse plan to administer the injection? A. Vastus lateralis
B. Dorsogluteal
C. Deltoid
D. Abdomen 5 cm form the - CORRECT ANSWER>> umbilicusVastus
lateralis
A nurse is teaching the parents of an infant who has congenital
hypothyroidism. Which of the following statements should the nurse make?
A. Your child will need to take estrogen daily when she reaches puberty.
B. Your child will need monthly blood coagulation studies.
C. Your child will need surgery to remove the diseased thyroid.
D. Your child will need to take thyroid
- CORRECT ANSWER>> hormone replacement for her entire
life.Your child will need to take thyroid hormone
replacement for her entire life
A nurse is teaching a group of parents of toddlers about growth and
development. A parent asks, "Why does my child's abdomen stick out?"
Which of the following statements should the nurse make? A. You
should give your child a stool softener daily.
B. Toddlers gain weight at a rapid pace.
,C. You should have your child assessed for a spinal deformity.
9|Page
D. Toddlers do not have well-developed abdominal muscles. - CORRECT
ANSWER>>Toddlers don't have well developed abdominal muscles
A nurse is caring for a 10-year-old child who should reduce his fat intake.
Which of the following menu choices should the nurse suggest?
A. A hot dog on a whole-wheat bun
B. 3 oz of baked chicken on a whole-wheat roll
C. 1/2 cup of diced potatoes with scrambled eggs
D. Medium blueberry - CORRECT ANSWER>> muffin3 oz of baked
chicken on
a whole wheat roll
A nurse is assessing an adolescent who has sustained a broken tibia.
Following the application of a fiberglass cast, the adolescent reports pain and
a tingling feeling in the limb. Which of the following actions should the nurse
take first?
A. Give the adolescent ibuprofen
B. Elevate the adolescent's leg on pillows
C. Place an ice pack on the cast
D. Assess for manifestations of circulatory impairment - CORRECT
ANSWER>>Assess for manifestations of circulatory impairment A nurse is
preparing to administer diphenhydramine 5mg/kg/day PO to divide equally
every 8 hours to a school-age child who weighs 50 lb. Available is
diphenhydramine oral solution 12.5mg/5ml. How
many ml should the - CORRECT ANSWER>> nurse
administer per dose?15 ml
A nurse is caring for a child who adheres to a vegetarian diet and has
sustained superficial partial-thickness burns. The nurse should recommend
which of the following food choices as having the highest protein content?
A. Medium baked potato
B. Wheat bagel with 1 tbsp of apricot jam
C. Large orange
10 | P a g e
D. 1/2 cup of peanut butter with apple - CORRECT ANSWER>> slices½
cup of
peanut butter with apple slices
A nurse is caring for a 4-year-old child who has pneumonia. The child's
mother left 2 hours ago, and he is currently experiencing the separation
anxiety stage of despair. Which of the following findings should the nurse
expect? A. Crying and screaming
B. Inactivity and thumb sucking
C. Showing interest in nearby towns
D. Attempting to escape and find the - CORRECT ANSWER>>
parentInactive
and thumb sucking
A nurse is caring for an 8-year-old child who has sickle cell anemia. Which of
the following actions should the nurse take first?
A. Apply cool compresses to the painful area
B. Initiate contact isolation precautions
C. Give the child flavored popsicles
D. Administer - CORRECT ANSWER>> phytonadioneGive the
child flavored popsicles
, A nurse is teaching the parents of a child who has cerebral palsy. Which of
the following statements should the nurse make? A. Your child will be
unable to eat by mouth.
B. Your child will be unable to participate in recreational activities.
C. Your child will need a botulinum toxin A injection to reduce muscle
spasticity.
D. Your child will need throw rugs placed over non-carpeted areas. CORRECT
ANSWER>>Your child will need a botulinum toxin A injection to help with
muscle spasticity
A nurse is planning care for a 6-year-old child who is receiving chemotherapy.
The child has a highlight platelet count of 20,000/mm3. Based on this
11 | P a g e
laboratory value, which of the following interventions should the nurse
include in the plan of care? A. Provide foods high in iron
B. Avoid people who have infections
C. Administer PRN oxygen
D. Encourage quiet - CORRECT ANSWER>> playEncourage quiet play
A nurse is caring for a 4- month old child who has
acute otitis media and a fever of 38.3 C (101 F). Which of the following
medications should the nurse administer? A. Diphenhydramine
B. Furosemide
C. Amoxicillin
- CORRECT ANSWER>> D. IbuprofenAmoxicillin
A school nurse is assessing a child who has been
stung by a bee. The child's hand is swelling and the nurse notes that the child
has allergies to insect stings. Which of the following findings should the nurse
expect if the child develops anaphylaxis? Select all that apply?
A. Bradycardia
B. Nausea
C. Hypertension
D. Utricaria
- CORRECT ANSWER>> E. StridorNausea, urticaria, stridor
A nurse is caring for a 2-day-old infant who has a
myelomeningocele. Which of the following actions should the nurse take?
A. Measure the infant's intake and output
B. Measure the infant's head circumference
C. Check the infant's lower-extremity function
C. Monitor the infant's blood - CORRECT ANSWER>>
pressureMeasure the
infant's head circumference
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A nurse is caring for a child who has Tetralogy of Fallot. Which of the
following laboratory values should the nurse expect to find?
A. Platelet count of 20,000/mm3
B. WBC 4,000/mm3
C. Thyroid stimulating hormone 7.0
microunits/mL - CORRECT ANSWER>>
D. RBC 6.8 million/uLRBC 6.8 million/uL
A nurse is providing postoperative teaching for the parent of a 3-month-old
infant who is recovering from an umbilical hernia repair. Which of the
following statements by the parent indicates an understanding of the
teaching?
A. I will expect the site to bulge when my baby cries.
