VATI PN Nursing Care of Children Assessment Exam
Questions With Correct Answers
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? |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |
ANSWER✔✔-"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? |- |CORRECT |ANSWER✔✔-"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?
|- |CORRECT |ANSWER✔✔-"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? |- |CORRECT |ANSWER✔✔-"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? |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-FLACC |pain |rating |scale |
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.) |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-Administer |1 |tbsp |of |sugar |to |the |child. |
Questions With Correct Answers
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? |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |
ANSWER✔✔-"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? |- |CORRECT |ANSWER✔✔-"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?
|- |CORRECT |ANSWER✔✔-"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? |- |CORRECT |ANSWER✔✔-"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? |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-FLACC |pain |rating |scale |
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.) |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-Administer |1 |tbsp |of |sugar |to |the |child. |
