2026 ATI RN NURSING CARE OF
CHILDREN PROCTORED EXAM||
ATI RN NURSING CARE OF
CHILDREN {GUARANTEED
SUCCESS} BEST FOR PRACTICE!!
A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic
arthritis. Which of the following instructions should the nurse include in the teaching?
A- Limit the movement of the child large joints.
B- Encourage the child to perform independent self care.
C- Provide the child with a soft mattress for sleeping.
D- Schedule a 2-hour daily nap for the child in the afternoon.
Answer- b
The nurse should teach the family the importance of encouraging the child to performindependent
self-care. This will minimize the child's pain while maximizing mobility.
Encouraging and praising the child's efforts for independence will also increase his self-esteem.
A- Large joints should be exercised regularly to maintain mobility and strengthen muscles.
C- Children who have juvenile idiopathic arthritis should sleep on a firm mattress to enhance
comfort and rest. A soft mattress can increase pressure to the affected joints and increase thechild's
pain.
D- Daytime naps are discouraged because stiffness can occur quickly and easily with inactivity,
and naps can interfere with nighttime sleeping.
A nurse is assessing a client who has a new diagnosis of celiac disease. Which of the
followingclinical manifestations should the nurse expect?
A- Steatorrhea
B- projectile vomiting
C- sunken abdomen
D- weight gain
Answer- a
The nurse should realize that clients who have celiac disease are unable to digest gluten. Thiswill
cause damage to the cells in the bowel, leading to malabsorption, steatorrhea, and diarrhea.
B- Clients who have pyloric stenosis will exhibit projectile vomiting rather than celiac disease.
C- A distended abdomen, rather than a sunken abdomen, is a manifestation of celiac disease.
D- Weight loss, rather than weight gain, is a manifestation of celiac disease.
A nurse is providing teaching to an adolescent about how to manage tinea pedis. Which of
the following statements by the Adolescent indicates an understanding of the teaching?
A- I should buy some plastic shoes to wear at the swimming pool
B- I should wear sandals as much as possible
,C- I should place the permethrin cream between my toes twice-daily
D- I should I seal my non washable shoes in plastic bags for a couple of weeks
Answer- a
The use of plastic shoes increases the occurrence of tinea pedis. The nurse should instruct the
adolescent to avoid wearing plastic shoes.
B- Sandals allow air to circulate around the feet, decreasing perspiration and eliminating the
medium for bacteria and fungus to grow. The nurse should inform the adolescent that wearing
sandals, open-toed, or well-ventilated shoes will promote healing of his fungal infection.
C- Permethrin 5% cream is a scabicide used to place on the lesions created by scabies. This
treatment is not recommended for tinea pedis.
D- Sealing non-washable items in plastic bags for 14 days is a recommended practice for clients
who have pediculosis. This practice is not recommended for tinea pedis.
A nurse at an urgent care clinic is assessing an adolescent client who has an upper
respiratory tract infection. Which of the following findings should the nurse recognize as a
manifestationof pertussis?
A- Inflamed throat with exudate
B- purulent eye drainage
C- dry, hacking cough
D- koplik spots on buccal mucosa
Answer- c
The nurse should recognize that a dry, hacking cough is a manifestation of pertussis. This
disease usually begins with indications of an upper respiratory tract infection, which includes a
dry, hacking cough that is sometimes more severe at night.
A- An inflamed throat with exudate is a manifestation of acute streptococcal pharyngitis.
B- Purulent eye drainage is a manifestation of bacterial conjunctivitis.
D- Koplik spots on buccal mucosa are a manifestation of rubeola (measles).
Teaching the parents of a school-aged child who has a new diagnosis of osteomyelitis of the tibia.
Thenurse should identify that which of the following statements by the parents indicates an
understanding of the teaching?
my child will have a cast until healing is complete.
My child will receive antibiotics for several weeks.
My child can return to playing sports once he is discharged.
My child needs to be in contact isolation.
Answer: b
The nurse should instruct the parent that the child will receive antibiotic therapy for at least 4
weeks. Surgery might be indicated if the antibiotics are not successful.
A - incorrect
Weight bearing must be avoided with osteomyelitis. Therefore, the child is placed in acomfortable
position with the limb supported. There is no indication for a cast.
C- incorrect
Weight bearing should be avoided to prevent complications and minimize pain. Therefore, it will
be several weeks to months before the child can play contact sports.
D- incorrect
Contact isolation is NOT necessary, because osteomyelitis is not a communicable illness.
,A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the
sound as which of the following? Click the audio button to listen.
A- Biots respiration
B- Chaney Stokes respiration
C- tackypnea
D - Bradypnea
Answer- c
The nurse should identify the sound heard during auscultation as tachypnea, which is a rapid,
regular breathing pattern. This breathing pattern often occurs with anxiety, fever, metabolic
acidosis, or severe anemia.
A- Biot's respirations are periods of apnea alternating with two or three shallow breaths.
B- Cheyne-Stokes respirations are periods of apnea alternating with periods of
hyperventilation.
D- Bradypnea is a slow, regular breathing pattern.
A nurse in an emergency department is caring for a school-age child who is experiencing an
anaphylactic reaction. Which of the following is the priority action by the nurse?
A- Elevate the head of the child's bed
B- insert a large-bore IV catheter for the child
C- determine the allergen that caused the child's reaction
D- administer IM epinephrine to the child
, Answer- d
CHILDREN PROCTORED EXAM||
ATI RN NURSING CARE OF
CHILDREN {GUARANTEED
SUCCESS} BEST FOR PRACTICE!!
A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic
arthritis. Which of the following instructions should the nurse include in the teaching?
A- Limit the movement of the child large joints.
B- Encourage the child to perform independent self care.
C- Provide the child with a soft mattress for sleeping.
D- Schedule a 2-hour daily nap for the child in the afternoon.
Answer- b
The nurse should teach the family the importance of encouraging the child to performindependent
self-care. This will minimize the child's pain while maximizing mobility.
Encouraging and praising the child's efforts for independence will also increase his self-esteem.
A- Large joints should be exercised regularly to maintain mobility and strengthen muscles.
C- Children who have juvenile idiopathic arthritis should sleep on a firm mattress to enhance
comfort and rest. A soft mattress can increase pressure to the affected joints and increase thechild's
pain.
D- Daytime naps are discouraged because stiffness can occur quickly and easily with inactivity,
and naps can interfere with nighttime sleeping.
A nurse is assessing a client who has a new diagnosis of celiac disease. Which of the
followingclinical manifestations should the nurse expect?
A- Steatorrhea
B- projectile vomiting
C- sunken abdomen
D- weight gain
Answer- a
The nurse should realize that clients who have celiac disease are unable to digest gluten. Thiswill
cause damage to the cells in the bowel, leading to malabsorption, steatorrhea, and diarrhea.
B- Clients who have pyloric stenosis will exhibit projectile vomiting rather than celiac disease.
C- A distended abdomen, rather than a sunken abdomen, is a manifestation of celiac disease.
D- Weight loss, rather than weight gain, is a manifestation of celiac disease.
A nurse is providing teaching to an adolescent about how to manage tinea pedis. Which of
the following statements by the Adolescent indicates an understanding of the teaching?
A- I should buy some plastic shoes to wear at the swimming pool
B- I should wear sandals as much as possible
,C- I should place the permethrin cream between my toes twice-daily
D- I should I seal my non washable shoes in plastic bags for a couple of weeks
Answer- a
The use of plastic shoes increases the occurrence of tinea pedis. The nurse should instruct the
adolescent to avoid wearing plastic shoes.
B- Sandals allow air to circulate around the feet, decreasing perspiration and eliminating the
medium for bacteria and fungus to grow. The nurse should inform the adolescent that wearing
sandals, open-toed, or well-ventilated shoes will promote healing of his fungal infection.
C- Permethrin 5% cream is a scabicide used to place on the lesions created by scabies. This
treatment is not recommended for tinea pedis.
D- Sealing non-washable items in plastic bags for 14 days is a recommended practice for clients
who have pediculosis. This practice is not recommended for tinea pedis.
A nurse at an urgent care clinic is assessing an adolescent client who has an upper
respiratory tract infection. Which of the following findings should the nurse recognize as a
manifestationof pertussis?
A- Inflamed throat with exudate
B- purulent eye drainage
C- dry, hacking cough
D- koplik spots on buccal mucosa
Answer- c
The nurse should recognize that a dry, hacking cough is a manifestation of pertussis. This
disease usually begins with indications of an upper respiratory tract infection, which includes a
dry, hacking cough that is sometimes more severe at night.
A- An inflamed throat with exudate is a manifestation of acute streptococcal pharyngitis.
B- Purulent eye drainage is a manifestation of bacterial conjunctivitis.
D- Koplik spots on buccal mucosa are a manifestation of rubeola (measles).
Teaching the parents of a school-aged child who has a new diagnosis of osteomyelitis of the tibia.
Thenurse should identify that which of the following statements by the parents indicates an
understanding of the teaching?
my child will have a cast until healing is complete.
My child will receive antibiotics for several weeks.
My child can return to playing sports once he is discharged.
My child needs to be in contact isolation.
Answer: b
The nurse should instruct the parent that the child will receive antibiotic therapy for at least 4
weeks. Surgery might be indicated if the antibiotics are not successful.
A - incorrect
Weight bearing must be avoided with osteomyelitis. Therefore, the child is placed in acomfortable
position with the limb supported. There is no indication for a cast.
C- incorrect
Weight bearing should be avoided to prevent complications and minimize pain. Therefore, it will
be several weeks to months before the child can play contact sports.
D- incorrect
Contact isolation is NOT necessary, because osteomyelitis is not a communicable illness.
,A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the
sound as which of the following? Click the audio button to listen.
A- Biots respiration
B- Chaney Stokes respiration
C- tackypnea
D - Bradypnea
Answer- c
The nurse should identify the sound heard during auscultation as tachypnea, which is a rapid,
regular breathing pattern. This breathing pattern often occurs with anxiety, fever, metabolic
acidosis, or severe anemia.
A- Biot's respirations are periods of apnea alternating with two or three shallow breaths.
B- Cheyne-Stokes respirations are periods of apnea alternating with periods of
hyperventilation.
D- Bradypnea is a slow, regular breathing pattern.
A nurse in an emergency department is caring for a school-age child who is experiencing an
anaphylactic reaction. Which of the following is the priority action by the nurse?
A- Elevate the head of the child's bed
B- insert a large-bore IV catheter for the child
C- determine the allergen that caused the child's reaction
D- administer IM epinephrine to the child
, Answer- d
