ATI RN Nursing Care of Children A and B
Questions and Correct Answers
A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV
bolus. The child suddenly develops diffuse flushing of the skin and angioedema.
After discontinuing the medication infusion, which of the following medications
should the nurse administer first?
prednisone
epinephrine
diphenhydramine
albuterol
✓ ~~~ epinephrine
A nurse is teaching the parent of an infant about ways to prevent sudden infant
death syndrome (SIDS). Which of the following instructions should the nurse
include?
"Place the infant in a prone position to sleep."
"Allow the infant to sleep on a large pillow."
"Use a soft mattress in the infant's crib."
"Give the infant a pacifier at bedtime."
, ✓ ~~~ "Give the infant a pacifier at bedtime."
A nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy. Which of
the following findings should the nurse expect? (Select all the apply)
Negative Babinski reflex
Ankle clonus
Exaggerated stretch reflexes
Uncontrollable movements of the face
Contractures
✓ ~~~ Ankle clonus
Exaggerated stretch reflexes
Contractures
A nurse is providing discharge teaching to the parent of a child who is 1 week
postoperative following a cleft palate repair. For which of the following members of
the inter professional team should the nurse initiate a referral?
occupational therapist
speech therapist
respiratory therapist
,physical therapist
✓ ~~~ speech therapist
A nurse is creating a plan of care for an infant who has an epidural hematoma from a
head injury. Which of the following interventions should the nurse include in the
plan?
Position the infant side-lying with their head at a 0° to 5° angle.
Perform a neurological assessment every 4 hr.
Suction the infant's naers to remove secretions.
Implement seizure precautions for the infant.
✓ ~~~ Implement seizure precautions for the infant.
A nurse is preparing an adolescent for a lumbar puncture. Which of the following
actions should the nurse take?
Place a cardiac monitor on the adolescent prior to the procedure.
Apply topical analgesic cream to the site 1hr prior to the procedure.
Keep the adolescent in a semi-fowler's position for 4hrs following the procedure.
, Restrict fluids for 2hrs following procedure.
✓ ~~~ Apply topical analgesic cream to the site 1hr prior to the procedure.
A nurse is providing teaching to the parent of a school-age child who has a new
prescription for oral nystatin for the treatment of oral candidiasis. Which of the
following instructions should the nurse include?
"Shake the medication prior to administration.".
"Provide the medication through a straw."
"Rinse the child's mouth with water immediately after giving the medication."
"Mix the medication with applesauce if the child dislikes the taste."
✓ ~~~ "Shake the medication prior to administration."
A nurse in an emergency department is performing a physical assessment on a 2
week old male newborn. Which of the following findings is priority for the nurse to
report to the provider?
excoriated scrotal area
multiple capillary hemangiomas
depressed posterior fontanel
substernal retractions
Questions and Correct Answers
A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV
bolus. The child suddenly develops diffuse flushing of the skin and angioedema.
After discontinuing the medication infusion, which of the following medications
should the nurse administer first?
prednisone
epinephrine
diphenhydramine
albuterol
✓ ~~~ epinephrine
A nurse is teaching the parent of an infant about ways to prevent sudden infant
death syndrome (SIDS). Which of the following instructions should the nurse
include?
"Place the infant in a prone position to sleep."
"Allow the infant to sleep on a large pillow."
"Use a soft mattress in the infant's crib."
"Give the infant a pacifier at bedtime."
, ✓ ~~~ "Give the infant a pacifier at bedtime."
A nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy. Which of
the following findings should the nurse expect? (Select all the apply)
Negative Babinski reflex
Ankle clonus
Exaggerated stretch reflexes
Uncontrollable movements of the face
Contractures
✓ ~~~ Ankle clonus
Exaggerated stretch reflexes
Contractures
A nurse is providing discharge teaching to the parent of a child who is 1 week
postoperative following a cleft palate repair. For which of the following members of
the inter professional team should the nurse initiate a referral?
occupational therapist
speech therapist
respiratory therapist
,physical therapist
✓ ~~~ speech therapist
A nurse is creating a plan of care for an infant who has an epidural hematoma from a
head injury. Which of the following interventions should the nurse include in the
plan?
Position the infant side-lying with their head at a 0° to 5° angle.
Perform a neurological assessment every 4 hr.
Suction the infant's naers to remove secretions.
Implement seizure precautions for the infant.
✓ ~~~ Implement seizure precautions for the infant.
A nurse is preparing an adolescent for a lumbar puncture. Which of the following
actions should the nurse take?
Place a cardiac monitor on the adolescent prior to the procedure.
Apply topical analgesic cream to the site 1hr prior to the procedure.
Keep the adolescent in a semi-fowler's position for 4hrs following the procedure.
, Restrict fluids for 2hrs following procedure.
✓ ~~~ Apply topical analgesic cream to the site 1hr prior to the procedure.
A nurse is providing teaching to the parent of a school-age child who has a new
prescription for oral nystatin for the treatment of oral candidiasis. Which of the
following instructions should the nurse include?
"Shake the medication prior to administration.".
"Provide the medication through a straw."
"Rinse the child's mouth with water immediately after giving the medication."
"Mix the medication with applesauce if the child dislikes the taste."
✓ ~~~ "Shake the medication prior to administration."
A nurse in an emergency department is performing a physical assessment on a 2
week old male newborn. Which of the following findings is priority for the nurse to
report to the provider?
excoriated scrotal area
multiple capillary hemangiomas
depressed posterior fontanel
substernal retractions
