ATI Nursing Care Of Children Final
Practice Test Questions And Answers
/.A nurse is caring for a child who has acute glomerulonephritis. Which of the following
actions should the nurse take?
A. Maintain the child on strict bed rest.
B. Check the child's blood pressure every 4 hr.
C. Administer albumin to the child every 8 hr.
D. Provide the child with a low-carbohydrate diet. - Answer-✅B. Check the child's blood
pressure every 4 hr.
The nurse should check the child's blood pressure every 4 to 6 hr to monitor for
hypertension.
/.A nurse is caring for a child who is receiving treatment for diabetic ketoacidosis and
has current blood glucose level of 250mg/dL. Which of the following actions should the
nurse take?
A. Administer 5% dextrose in 0.9% sodium chloride by continuous IV infusion.
B. Give potassium as a rapid IV bolus.
C. Administer 3 units of ultralente insulin subcutaneously.
D. Obtain an HbA1c level stat. - Answer-✅A. Administer 5% dextrose in 0.9% sodium
chloride by continuous IV infusion.
When the child's blood glucose level falls between 250 and 300 mg/dL, the nurse
should begin IV infusion of 5% or 10% dextrose in 0.9% sodium chloride. The goal is to
maintain blood glucose levels between 120 and 240 mg/dL. If dextrose is not added,
hypoglycemia might occur.
/.A nurse is caring for a child who has epistaxis. Which of the following actions should
the nurse take?
A. Apply a warm cloth to the bridge of the child's nose.
B. Tilt the child's head back.
C. Apply continuous pressure to the child's nose for at least 10 min.
D. Administer aspirin for the child's pain. - Answer-✅C. Apply continuous pressure to
the child's nose for at least 10 min.
The nurse needs to apply continuous pressure for at least 10 minutes to help stop
bleeding.
, /.A nurse is teaching the parents of a 3-year-old who has persistent otitis media about
prevention. Which of the following statements by the parents indicates and
understanding of the teaching?
A. My child should not play around others who have ear infections."
B. "We should not smoke around our child."
C. "My child should not swim this summer."
D. "I will encourage my child to blow his nose forcefully when he has a cold." - Answer-
✅B. "We should not smoke around our child."
Preventing exposure to tobacco smoke at home can prevent further episodes of ear
infections because tobacco smoke can cause inflammation of the respiratory tract.
/.A nurse is assessing the pain level of a 3-year-old who is postoperative following
abdominal surgery. Which of the following pain scales should the nurse use?
A. Word graphic rating scale
B. Color tool
C. FACES pain rating scale
D. Numeric scale - Answer-✅C. FACES pain rating scale
The FACES scale is a scale that looks at various faces, which represent various levels
of pain. A 3-year-old child is able to identify faces that represent different pain levels.
/.A nurse on the pediatric unit is caring for a group of clients. Which of the following
findings should be the nurse's priority?
A. A child who has asthma and a pulse oximetry of 94%
B. A child who has nephrotic syndrome and 1+ protein on the urine dipstick
C. A child who has sickle cell anemia and a urine specific gravity of 1.030
D. A child who has insulin-dependent diabetes mellitus and a fingerstick glucose
reading of 110 mg/dL - Answer-✅C. A child who has sickle cell anemia and a urine
specific gravity of 1.030
The nurse should apply the ABC priority-setting framework. Airway is always the highest
priority because the airway must be clear and open for oxygen exchange to occur. A
child who has sickle cell anemia must maintain adequate hydration because
dehydration might cause sickle cell crisis that can occlude the child's circulation.
/.A nurse is caring for a preschool-age child who has mucosal ulceration after receiving
chemotherapy. Which of the following actions should the nurse take?
A. Place viscous lidocaine on the child's oral lesions.
B. Instruct the child to use a soft sponge toothbrush when brushing her teeth.
C. Encourage the child to mouth rinse with hydrogen peroxide every 2 to 4 hr.
Practice Test Questions And Answers
/.A nurse is caring for a child who has acute glomerulonephritis. Which of the following
actions should the nurse take?
A. Maintain the child on strict bed rest.
B. Check the child's blood pressure every 4 hr.
C. Administer albumin to the child every 8 hr.
D. Provide the child with a low-carbohydrate diet. - Answer-✅B. Check the child's blood
pressure every 4 hr.
The nurse should check the child's blood pressure every 4 to 6 hr to monitor for
hypertension.
/.A nurse is caring for a child who is receiving treatment for diabetic ketoacidosis and
has current blood glucose level of 250mg/dL. Which of the following actions should the
nurse take?
A. Administer 5% dextrose in 0.9% sodium chloride by continuous IV infusion.
B. Give potassium as a rapid IV bolus.
C. Administer 3 units of ultralente insulin subcutaneously.
D. Obtain an HbA1c level stat. - Answer-✅A. Administer 5% dextrose in 0.9% sodium
chloride by continuous IV infusion.
When the child's blood glucose level falls between 250 and 300 mg/dL, the nurse
should begin IV infusion of 5% or 10% dextrose in 0.9% sodium chloride. The goal is to
maintain blood glucose levels between 120 and 240 mg/dL. If dextrose is not added,
hypoglycemia might occur.
/.A nurse is caring for a child who has epistaxis. Which of the following actions should
the nurse take?
A. Apply a warm cloth to the bridge of the child's nose.
B. Tilt the child's head back.
C. Apply continuous pressure to the child's nose for at least 10 min.
D. Administer aspirin for the child's pain. - Answer-✅C. Apply continuous pressure to
the child's nose for at least 10 min.
The nurse needs to apply continuous pressure for at least 10 minutes to help stop
bleeding.
, /.A nurse is teaching the parents of a 3-year-old who has persistent otitis media about
prevention. Which of the following statements by the parents indicates and
understanding of the teaching?
A. My child should not play around others who have ear infections."
B. "We should not smoke around our child."
C. "My child should not swim this summer."
D. "I will encourage my child to blow his nose forcefully when he has a cold." - Answer-
✅B. "We should not smoke around our child."
Preventing exposure to tobacco smoke at home can prevent further episodes of ear
infections because tobacco smoke can cause inflammation of the respiratory tract.
/.A nurse is assessing the pain level of a 3-year-old who is postoperative following
abdominal surgery. Which of the following pain scales should the nurse use?
A. Word graphic rating scale
B. Color tool
C. FACES pain rating scale
D. Numeric scale - Answer-✅C. FACES pain rating scale
The FACES scale is a scale that looks at various faces, which represent various levels
of pain. A 3-year-old child is able to identify faces that represent different pain levels.
/.A nurse on the pediatric unit is caring for a group of clients. Which of the following
findings should be the nurse's priority?
A. A child who has asthma and a pulse oximetry of 94%
B. A child who has nephrotic syndrome and 1+ protein on the urine dipstick
C. A child who has sickle cell anemia and a urine specific gravity of 1.030
D. A child who has insulin-dependent diabetes mellitus and a fingerstick glucose
reading of 110 mg/dL - Answer-✅C. A child who has sickle cell anemia and a urine
specific gravity of 1.030
The nurse should apply the ABC priority-setting framework. Airway is always the highest
priority because the airway must be clear and open for oxygen exchange to occur. A
child who has sickle cell anemia must maintain adequate hydration because
dehydration might cause sickle cell crisis that can occlude the child's circulation.
/.A nurse is caring for a preschool-age child who has mucosal ulceration after receiving
chemotherapy. Which of the following actions should the nurse take?
A. Place viscous lidocaine on the child's oral lesions.
B. Instruct the child to use a soft sponge toothbrush when brushing her teeth.
C. Encourage the child to mouth rinse with hydrogen peroxide every 2 to 4 hr.
