VIRTUAL (VATI) 2026 PN NURSING
CARE OF CHILDREN ASSESSMENT
ONLINE EXAM PREP
QUESTIONS,RATIONALES AND
VERIFIED DETAILED ANSWERS
a) 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?
ANSWER:
Ensure the child receives pain medication 30 to 45 min prior to therapy.
RATIONALE:
The nurse should ensure that the preschooler receives pain medication 30 to
45 min prior to physical therapy sessions. The nurse should monitor the
child's pain levels and treat them as needed. This will minimize or eliminate
pain from moving tight skin at joints, which will encourage the child to
participate in physical therapy. If the child is in pain during therapy, it will be
a challenge to get the child to participate in future sessions.
b) 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?
ANSWER:
"My heart feels like it's fluttering after taking my medication,"
RATIONALE:
,The nurse should identify that the client might be experiencing palpitations
or tachycardia, common adverse effects of albuterol.
c) 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?
ANSWER:
"Inoticed some blood in my stool this morning."
RATIONALE:
The nurse should identify that bloody stools are an adverse effect of long-
term therapy with ibuprofen. The nurse should question the adolescent
regarding a new onset of abdominal pain and should report the client's
statement to the provider.
d) 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?
ANSWER:
"My child should hold their finger under warm water before obtaining a
sample.
RATIONALE:
Holding the finger under warm water will'promote blood flow to the finger,
making the puncture less painful.
, e) 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?
ANSWER:
"I will keep my child's towels separate from those of the rest of the
family."
RATIONALE:
The nurse should identify that a child who has an upper respiratory infection
should use separate towels, utensils, and cups to prevent the infection from
spreading.
f) 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?
ANSWER:
Provide a low-sodium diet.
RATIONALE:
The nurse should recommend providing the child with a low-sodium diet to
decrease edema associated with nephrotic syndrome.
g) A nurse is collecting data from a child who recently experienced a
psychomotor seizure. Which of the following findings should the nurse
expect?
ANSWER:
Amnesia
RATIONALE
The nurse should identify that amnesia is an expected manifestation after
a seizure. Children often do not remember the seizure activity.
CARE OF CHILDREN ASSESSMENT
ONLINE EXAM PREP
QUESTIONS,RATIONALES AND
VERIFIED DETAILED ANSWERS
a) 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?
ANSWER:
Ensure the child receives pain medication 30 to 45 min prior to therapy.
RATIONALE:
The nurse should ensure that the preschooler receives pain medication 30 to
45 min prior to physical therapy sessions. The nurse should monitor the
child's pain levels and treat them as needed. This will minimize or eliminate
pain from moving tight skin at joints, which will encourage the child to
participate in physical therapy. If the child is in pain during therapy, it will be
a challenge to get the child to participate in future sessions.
b) 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?
ANSWER:
"My heart feels like it's fluttering after taking my medication,"
RATIONALE:
,The nurse should identify that the client might be experiencing palpitations
or tachycardia, common adverse effects of albuterol.
c) 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?
ANSWER:
"Inoticed some blood in my stool this morning."
RATIONALE:
The nurse should identify that bloody stools are an adverse effect of long-
term therapy with ibuprofen. The nurse should question the adolescent
regarding a new onset of abdominal pain and should report the client's
statement to the provider.
d) 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?
ANSWER:
"My child should hold their finger under warm water before obtaining a
sample.
RATIONALE:
Holding the finger under warm water will'promote blood flow to the finger,
making the puncture less painful.
, e) 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?
ANSWER:
"I will keep my child's towels separate from those of the rest of the
family."
RATIONALE:
The nurse should identify that a child who has an upper respiratory infection
should use separate towels, utensils, and cups to prevent the infection from
spreading.
f) 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?
ANSWER:
Provide a low-sodium diet.
RATIONALE:
The nurse should recommend providing the child with a low-sodium diet to
decrease edema associated with nephrotic syndrome.
g) A nurse is collecting data from a child who recently experienced a
psychomotor seizure. Which of the following findings should the nurse
expect?
ANSWER:
Amnesia
RATIONALE
The nurse should identify that amnesia is an expected manifestation after
a seizure. Children often do not remember the seizure activity.
