ATI Nursing Care of Children Review Module
Edition 12.0 by Assessment Technologies Institute
(ATI) | 2025/2026 Updated Proctored Exam
Questions & Answers for First-Time Pass Success
- **Osteomyelitis:** A school-aged child with a new
diagnosis of osteomyelitis of the tibia. The parent
understands the teaching when they state the child
will receive IV antibiotics for several weeks.
*Rationale: Treatment requires at least 4 weeks of
IV antibiotic therapy. Weight-bearing is avoided,
and there is no indication for a cast or contact
isolation .*
, - **Anaphylaxis:** The priority action for a child
experiencing anaphylaxis is administering IM
epinephrine. *Rationale: This is an emergency.
Histamine release causes bronchoconstriction and
vasodilation; epinephrine is needed to reverse these
life-threatening effects before addressing IV access
or the allergen .*
- **Growth & Development (6 months):** A 6-
month-old infant should be able to roll from back to
front. A concerning finding is legs that remain
crossed and extended when supine ("scissoring").
*Rationale: "Scissoring" can indicate increased
muscle tone and may be a sign of cerebral palsy,
requiring further evaluation .*
- **Dehydration:** For an infant receiving
treatment for severe dehydration, a serum sodium
level of 140 mEq/L indicates treatment is effective.
*Rationale: This is within the expected reference
range, demonstrating that fluid and electrolyte
balance is being restored .*
Edition 12.0 by Assessment Technologies Institute
(ATI) | 2025/2026 Updated Proctored Exam
Questions & Answers for First-Time Pass Success
- **Osteomyelitis:** A school-aged child with a new
diagnosis of osteomyelitis of the tibia. The parent
understands the teaching when they state the child
will receive IV antibiotics for several weeks.
*Rationale: Treatment requires at least 4 weeks of
IV antibiotic therapy. Weight-bearing is avoided,
and there is no indication for a cast or contact
isolation .*
, - **Anaphylaxis:** The priority action for a child
experiencing anaphylaxis is administering IM
epinephrine. *Rationale: This is an emergency.
Histamine release causes bronchoconstriction and
vasodilation; epinephrine is needed to reverse these
life-threatening effects before addressing IV access
or the allergen .*
- **Growth & Development (6 months):** A 6-
month-old infant should be able to roll from back to
front. A concerning finding is legs that remain
crossed and extended when supine ("scissoring").
*Rationale: "Scissoring" can indicate increased
muscle tone and may be a sign of cerebral palsy,
requiring further evaluation .*
- **Dehydration:** For an infant receiving
treatment for severe dehydration, a serum sodium
level of 140 mEq/L indicates treatment is effective.
*Rationale: This is within the expected reference
range, demonstrating that fluid and electrolyte
balance is being restored .*
