ATI CMS Nursing Exam 2 2026
A nurse is assessing the pain level of a 3 year old toddler. Which of the
following assessment scales should the nurse use?
a. FACES
b. Numeric
c. CRIES
d. Visual analog - A
A nurse is planning an educational program to teach parents about
protecting their children from sunburns. Which of the following instructions
should the nurse plan to include?
a. "allow your child to play outside during the hours between 10:00am and
2:00pm."
b. "choose a waterproof sunscreen with a minimum SPF of 15."
c. "dress you child in loose weave polyester fabric prior to sun exposure."
d. "reapply sunscreen every 4 hours." - B
A nurse is performing hearing screenings for children at a community
health fair. Which of the following children should the nurse refer to a
provider for a more extensive hearing evaluation?
a. an 18 month old toddler who has unintelligible speech
b. a 3 month old infant who has exaggerated startle response
c. a 4 year old preschooler who prefers playing with others rather than
alone
d. an 8 month old infant who is not yet making babbling sounds - D
A nurse in an emergency department is assessing a 3 month old infant
who has rotavirus and is experiencing acute vomiting and diarrhea.
Which of the following manifestations should the nurse identify as an
indication that the infant has moderate to severe dehydration?
a. HR 124
b. increased tear production
c. sunken anterior fontanel
d. capillary refill 2 seconds - C
A nurse is providing teaching to the family of a school-age child who has
juvenile idiopathic arthrisis. Which of the following instructions should the
nurse include in the teaching?
a. "limit movement of the child's 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." - B
,A nurse is planning care for a school age child who has a tunneled
central venous access device. Which of the following interventions
should the nurse include in the plan?
a. use sterile scissors to remove the dressing from the site
b. irrigate each lumen weekly with 10 ml of 0.9% sodium chloride
solution when not in use
c. access the site suing a noncoring angle needle
d. use a semipermeable transparent depressing to cover the site - D
A nurse is providing anticipatory guidance to the parent of a toddler.
Which of the following expected behavior characteristics of toddlers
should the nurse include?
a. controls impulsive feelings
b. understands right from wrong
c. easily separates from parents for long periods of time
d. expresses likes and dislikes - D
A nurse is providing discharge teaching to the parent of a school age child
who has moderate persistent asthma. Which of the following instructions
should the nurse include?
a. "you should give your child their salmeterol inhaler every 4 hours
when they are having an acute episode of wheezing."
b. "you should monitor your child's weight weekly while they are
receiving inhaled corticosteroids therapy."
c. "pulmonary function tests will be performed every 12-24 months to
evaluate how your child is responding to therapy."
d. "when using the peak expiratory flow meter, record your child's
average of three readings." - C
A nurse is assessing an adolescent who received a sodium polystyrene
sulfonate enema. Which of the following findings indicates effectiveness of
the medication?
a. reports an absence of nausea and vomiting
b. reports experiencing an onset of loose stools within 15 minutes of
administration
c. serum potassium level 4.1 mEq/L
d. blood pressure 86/52 mm Hg - C
A nurse is assessing an infant who has pneumonia. Which of the following
findings is the priority for the nurse to report the provider?
a. nasal flaring
b. WBC count 11,300/mm^3
, c. diarrhea
d. abdominal distension - A
A nurse is providing discharge teaching to the guardian of a school
age child who has undergone a tonsillectomy. Which of the following
statements by the guardian indicates an understanding the teaching?
A nurse is assessing the pain level of a 3 year old toddler. Which of the
following assessment scales should the nurse use?
a. FACES
b. Numeric
c. CRIES
d. Visual analog - A
A nurse is planning an educational program to teach parents about
protecting their children from sunburns. Which of the following instructions
should the nurse plan to include?
a. "allow your child to play outside during the hours between 10:00am and
2:00pm."
b. "choose a waterproof sunscreen with a minimum SPF of 15."
c. "dress you child in loose weave polyester fabric prior to sun exposure."
d. "reapply sunscreen every 4 hours." - B
A nurse is performing hearing screenings for children at a community
health fair. Which of the following children should the nurse refer to a
provider for a more extensive hearing evaluation?
a. an 18 month old toddler who has unintelligible speech
b. a 3 month old infant who has exaggerated startle response
c. a 4 year old preschooler who prefers playing with others rather than
alone
d. an 8 month old infant who is not yet making babbling sounds - D
A nurse in an emergency department is assessing a 3 month old infant
who has rotavirus and is experiencing acute vomiting and diarrhea.
Which of the following manifestations should the nurse identify as an
indication that the infant has moderate to severe dehydration?
a. HR 124
b. increased tear production
c. sunken anterior fontanel
d. capillary refill 2 seconds - C
A nurse is providing teaching to the family of a school-age child who has
juvenile idiopathic arthrisis. Which of the following instructions should the
nurse include in the teaching?
a. "limit movement of the child's 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." - B
,A nurse is planning care for a school age child who has a tunneled
central venous access device. Which of the following interventions
should the nurse include in the plan?
a. use sterile scissors to remove the dressing from the site
b. irrigate each lumen weekly with 10 ml of 0.9% sodium chloride
solution when not in use
c. access the site suing a noncoring angle needle
d. use a semipermeable transparent depressing to cover the site - D
A nurse is providing anticipatory guidance to the parent of a toddler.
Which of the following expected behavior characteristics of toddlers
should the nurse include?
a. controls impulsive feelings
b. understands right from wrong
c. easily separates from parents for long periods of time
d. expresses likes and dislikes - D
A nurse is providing discharge teaching to the parent of a school age child
who has moderate persistent asthma. Which of the following instructions
should the nurse include?
a. "you should give your child their salmeterol inhaler every 4 hours
when they are having an acute episode of wheezing."
b. "you should monitor your child's weight weekly while they are
receiving inhaled corticosteroids therapy."
c. "pulmonary function tests will be performed every 12-24 months to
evaluate how your child is responding to therapy."
d. "when using the peak expiratory flow meter, record your child's
average of three readings." - C
A nurse is assessing an adolescent who received a sodium polystyrene
sulfonate enema. Which of the following findings indicates effectiveness of
the medication?
a. reports an absence of nausea and vomiting
b. reports experiencing an onset of loose stools within 15 minutes of
administration
c. serum potassium level 4.1 mEq/L
d. blood pressure 86/52 mm Hg - C
A nurse is assessing an infant who has pneumonia. Which of the following
findings is the priority for the nurse to report the provider?
a. nasal flaring
b. WBC count 11,300/mm^3
, c. diarrhea
d. abdominal distension - A
A nurse is providing discharge teaching to the guardian of a school
age child who has undergone a tonsillectomy. Which of the following
statements by the guardian indicates an understanding the teaching?
