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ATI Care of Children Actual Exam 2025 | Pediatric
V
Nursing Guide – Verified Practice Questions &
Answers with Rationales | 100% Verified | Graded A+
Student Name:_________________________
Date:_______________
Time Limit:75 minutes
Total Questions:60
Instructions
● T his exam contains 60 questions, including multiple-choice, select-all-that-apply (SATA), and
clinical scenarios.
● Read each question carefully and select the best answer(s) as indicated.
● For SATA questions, select all correct options.
● Time limit: 75 minutes.
● No external resources are permitted during the exam.
Renal Pediatrics
1. A
6-year-old child with acute glomerulonephritis (AGN) presents with periorbital edema and
hematuria. What is the priority nursing action?
A. Encourage increased fluid intake.
B.🟨Monitor blood pressure and notify the provider.🟨
C. Administer analgesics for pain.
D. Document the edema only.
Rationale: AGN, often post-streptococcal, causes glomerular inflammation, leading to
hypertension and edema. Monitoring blood pressure detects complications like hypertensive
crisis, per AAP guidelines.
, 2
2. ( SATA)Which symptoms indicate acute glomerulonephritis in a pediatric patient? (Select all that
apply)
A.🟨Hematuria🟨
B.🟨Oliguria🟨
C. Polyuria
D.🟨Hypertension🟨
E.🟨Periorbital edema🟨
Rationale: AGN causes hematuria, oliguria, hypertension,and edema due to impaired glomerular
filtration; polyuria is not typical, per pediatric nephrology principles.
3. A
parent asks why their child with AGN has dark urine. What should the nurse explain?
A. It’s due to dehydration.
B.🟨It’s caused by blood in the urine from glomerulardamage.🟨
C. It’s a normal finding in children.
D. It’s due to high protein levels.
Rationale: Hematuria in AGN results from glomerularinflammation, causing dark, cola-colored
urine, per AAP glomerulonephritis guidelines.
4. C
linical Scenario: A 7-year-old with AGN has a bloodpressure of 150/90 mmHg. What should
the nurse do first?
A. Encourage ambulation.
B.🟨Administer antihypertensive medication as prescribed.🟨
C. Increase sodium intake.
D. Document the blood pressure.
Rationale: Hypertension in AGN risks encephalopathy;administering prescribed
antihypertensives is the priority, per pediatric emergency protocols.
5. A
child with AGN is prescribed a low-sodium diet. What should the nurse teach the family?
A. Avoid all fluids.
B.🟨Limit processed foods and salty snacks.🟨
C. Increase salt to improve taste.
D. Ignore dietary restrictions.
Rationale: Low-sodium diets reduce fluid retentionand hypertension in AGN, per pediatric
nutrition guidelines.
Neurological Pediatrics
6. A
10-year-old with a recent concussion reports headache and dizziness. What is the nurse’s
priority action?
A. Encourage physical activity.
B.🟨Assess neurological status and notify the provider.🟨
C. Administer an analgesic without orders.
D. Document the symptoms only.