2026 ATI RN NURSING CARE OF
CHILDREN PROCTORED EXAM LATEST
ATI RN NURSING CARE OF CHILDREN
UPDATED{ SUCCESS ASSURED}
A nurse is creating a plan of care for a preschooler who has Wilms tumor and is scheduled
forsurgery. Which of the following interventions should the nurse include?
A- Avoid palpating the abdomen when bathing the child before surgery
B- refrain from auscultating the child bowel sounds during the post-operative assessment
C- encourage the child to play with other children on the unit prior to surgery
D- explain it to the child that his pain will be managed after the surgery
ANSWER- a
The nurse should avoid palpating the abdomen when bathing the child before surgery because
movement of the tumor can cause cancer cells to disseminate to other sites, adjacent and
distant to the tumor site.
B- Auscultation of the child's bowel sounds to monitor for an obstruction is an important part ofthe
postoperative assessment. Therefore, the nurse should auscultate bowel sounds following the
surgery.
C- The child's risk for injury increases with physical activity. Therefore, the nurse should not
encourage the child to play with other children on the unit.
D- Telling the child about pain prior to surgery will likely increase his fear and anxiety level.
Therefore, the nurse should not explain to the child that pain will be managed after surgery.
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
CHILDREN PROCTORED EXAM LATEST
ATI RN NURSING CARE OF CHILDREN
UPDATED{ SUCCESS ASSURED}
A nurse is creating a plan of care for a preschooler who has Wilms tumor and is scheduled
forsurgery. Which of the following interventions should the nurse include?
A- Avoid palpating the abdomen when bathing the child before surgery
B- refrain from auscultating the child bowel sounds during the post-operative assessment
C- encourage the child to play with other children on the unit prior to surgery
D- explain it to the child that his pain will be managed after the surgery
ANSWER- a
The nurse should avoid palpating the abdomen when bathing the child before surgery because
movement of the tumor can cause cancer cells to disseminate to other sites, adjacent and
distant to the tumor site.
B- Auscultation of the child's bowel sounds to monitor for an obstruction is an important part ofthe
postoperative assessment. Therefore, the nurse should auscultate bowel sounds following the
surgery.
C- The child's risk for injury increases with physical activity. Therefore, the nurse should not
encourage the child to play with other children on the unit.
D- Telling the child about pain prior to surgery will likely increase his fear and anxiety level.
Therefore, the nurse should not explain to the child that pain will be managed after surgery.
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
