VATI PN
Nursing Care for Children
(3 Version Exams Prep)
(NGN- STYLE QUESTIONS & CASE “SCENARIO S ”)
Answers with detailed Rationale
What You’ll Get:
➢ Each Exam has 60 PEDS nursing questions
• PN/LPN focused content
• Practice-style questions
• Answer explanations (rationales)
• Clear, organized format for easy studying
• Printable & digital-friendly
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,Table of Contents
VATI PN PEDIATRIC (V1) .................................................................... 2
VATI PN PEDIATRIC (V2) .................................................................. 25
VATI PN PEDIATRIC (V3) .................................................................. 57
VATI PN PEDIATRIC (V1)
1.0 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?
A. Maintain the child on strict bed rest for 48 hr.
B. Ensure the child receives pain medication 30 to 45 min prior to therapy.
C. Limit fluid intake to reduce edema in the extremities.
D. Keep the lower extremities immobilized during all waking hours.
Answer: B. Ensure the child receives pain medication 30 to 45 min prior to
therapy.
Rationale: Giving analgesia before wound care or therapy improves participation,
decreases physiologic stress, and supports mobility.
VATI pediatric burn care emphasizes premedication before painful procedures rather
than delaying pain control or immobilizing the child.
2.0 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?
A. "I feel sleepy after using my inhaler."
B. "My throat feels sore after taking my medication."
C. "My heart feels like it's fluttering after taking my medication."
D. "I am having constipation after each dose."
Answer: C. "My heart feels like it's fluttering after taking my medication."
,Rationale: Albuterol is a short-acting beta2-agonist that can cause tachycardia,
palpitations, and tremors. A report of fluttering or racing heart should be recognized as
an expected adverse effect that warrants follow-up if severe or persistent.
3.0 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?
A. "I noticed some blood in my stool this morning."
B. "My joints feel stiff when I wake up."
C. "I get tired after gym class."
D. "I need help opening jars sometimes."
Answer: A. "I noticed some blood in my stool this morning."
Rationale: Long-term NSAID therapy increases the risk for gastrointestinal irritation and
bleeding.
Blood in the stool suggests possible GI bleeding and should be reported promptly
because it is not an expected harmless effect.
4.0 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?
A. "My child should hold their finger under warm water before obtaining a sample."
B. "My child should use the center of the fingertip for the puncture."
C. "My child should lance the same finger each time to avoid confusion."
D. "My child should wipe the drop away and not retest if the sample is small."
Answer: A. "My child should hold their finger under warm water before obtaining
a sample."
Rationale: Warming the finger improves local circulation and can help obtain a blood
sample with less squeezing and discomfort. The lateral side of the fingertip, not the
center, is preferred for less pain and better tissue protection.
, 5.0 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?
A. "I will stop the antibiotic once my child feels better."
B. "I will keep my child's towels separate from those of the rest of the family."
C. "I will send my child back to school as soon as the fever drops."
D. "I will use aspirin if my child has throat discomfort."
Answer: B. "I will keep my child's towels separate from those of the rest of the
family."
Rationale: Separating personal items helps reduce transmission of infectious
organisms within the household. Teaching should also reinforce hand hygiene and
completing prescribed therapy, while aspirin should be avoided in children because of
Reye syndrome risk.
6.0 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?
A. Provide a high-sodium diet.
B. Restrict all daily activity.
C. Provide a low-sodium diet.
D. Increase potassium restriction regardless of laboratory results.
Answer: C. Provide a low-sodium diet.
Rationale: Children with nephrotic syndrome commonly have edema from fluid
retention, so sodium restriction helps reduce worsening edema. Corticosteroids are
used to treat the disorder, but diet management remains an important supportive
intervention.
7.0 A nurse is collecting data from a child who recently experienced a
psychomotor seizure. Which of the following findings should the nurse expect?
A. Hyperactivity immediately after the event.
B. Amnesia
C. Generalized tonic-clonic movements lasting 10 minutes.
D. Loss of bowel control with cyanosis
Answer: B. Amnesia
Nursing Care for Children
(3 Version Exams Prep)
(NGN- STYLE QUESTIONS & CASE “SCENARIO S ”)
Answers with detailed Rationale
What You’ll Get:
➢ Each Exam has 60 PEDS nursing questions
• PN/LPN focused content
• Practice-style questions
• Answer explanations (rationales)
• Clear, organized format for easy studying
• Printable & digital-friendly
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,Table of Contents
VATI PN PEDIATRIC (V1) .................................................................... 2
VATI PN PEDIATRIC (V2) .................................................................. 25
VATI PN PEDIATRIC (V3) .................................................................. 57
VATI PN PEDIATRIC (V1)
1.0 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?
A. Maintain the child on strict bed rest for 48 hr.
B. Ensure the child receives pain medication 30 to 45 min prior to therapy.
C. Limit fluid intake to reduce edema in the extremities.
D. Keep the lower extremities immobilized during all waking hours.
Answer: B. Ensure the child receives pain medication 30 to 45 min prior to
therapy.
Rationale: Giving analgesia before wound care or therapy improves participation,
decreases physiologic stress, and supports mobility.
VATI pediatric burn care emphasizes premedication before painful procedures rather
than delaying pain control or immobilizing the child.
2.0 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?
A. "I feel sleepy after using my inhaler."
B. "My throat feels sore after taking my medication."
C. "My heart feels like it's fluttering after taking my medication."
D. "I am having constipation after each dose."
Answer: C. "My heart feels like it's fluttering after taking my medication."
,Rationale: Albuterol is a short-acting beta2-agonist that can cause tachycardia,
palpitations, and tremors. A report of fluttering or racing heart should be recognized as
an expected adverse effect that warrants follow-up if severe or persistent.
3.0 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?
A. "I noticed some blood in my stool this morning."
B. "My joints feel stiff when I wake up."
C. "I get tired after gym class."
D. "I need help opening jars sometimes."
Answer: A. "I noticed some blood in my stool this morning."
Rationale: Long-term NSAID therapy increases the risk for gastrointestinal irritation and
bleeding.
Blood in the stool suggests possible GI bleeding and should be reported promptly
because it is not an expected harmless effect.
4.0 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?
A. "My child should hold their finger under warm water before obtaining a sample."
B. "My child should use the center of the fingertip for the puncture."
C. "My child should lance the same finger each time to avoid confusion."
D. "My child should wipe the drop away and not retest if the sample is small."
Answer: A. "My child should hold their finger under warm water before obtaining
a sample."
Rationale: Warming the finger improves local circulation and can help obtain a blood
sample with less squeezing and discomfort. The lateral side of the fingertip, not the
center, is preferred for less pain and better tissue protection.
, 5.0 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?
A. "I will stop the antibiotic once my child feels better."
B. "I will keep my child's towels separate from those of the rest of the family."
C. "I will send my child back to school as soon as the fever drops."
D. "I will use aspirin if my child has throat discomfort."
Answer: B. "I will keep my child's towels separate from those of the rest of the
family."
Rationale: Separating personal items helps reduce transmission of infectious
organisms within the household. Teaching should also reinforce hand hygiene and
completing prescribed therapy, while aspirin should be avoided in children because of
Reye syndrome risk.
6.0 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?
A. Provide a high-sodium diet.
B. Restrict all daily activity.
C. Provide a low-sodium diet.
D. Increase potassium restriction regardless of laboratory results.
Answer: C. Provide a low-sodium diet.
Rationale: Children with nephrotic syndrome commonly have edema from fluid
retention, so sodium restriction helps reduce worsening edema. Corticosteroids are
used to treat the disorder, but diet management remains an important supportive
intervention.
7.0 A nurse is collecting data from a child who recently experienced a
psychomotor seizure. Which of the following findings should the nurse expect?
A. Hyperactivity immediately after the event.
B. Amnesia
C. Generalized tonic-clonic movements lasting 10 minutes.
D. Loss of bowel control with cyanosis
Answer: B. Amnesia
