ATI PN Nursing Care of Children Online Practice
2020 A with NGN Exam
A nurse in a clinic is collecting data from an adolescent who has received all recommended
immunizations through the age of 6 years. Which of the following immunizations should the nurse
plan to administer? - VERIFIED ANSWER Tetanus, diphtheria toxoids, and acellular pertussis (Tdap)
The Tdap vaccine is recommended between the ages of 11 and 12 years. Therefore, this adolescent
should receive the Tdap vaccine now
A nurse is caring for a child who has a fractured tibia and is in Buck's traction. Which of the following
actions should the nurse take? - VERIFIED ANSWER Ensure the weights are hanging freely.
A nurse has just received change-of-shift report for four children in a pediatric unit. Which of the
following children should the nurse collect data from first? - VERIFIED ANSWER A child who has a
fever and nuchal rigidity
A child who has a fever and nuchal rigidity is unstable. This finding indicates bacterial meningitis,
which requires urgent data collection and intervention to reduce complications for the child and
prevent further spread of the infection. Therefore, the nurse should collect data from this child first.
A nurse is monitoring a preschooler following an abdominal CT scan with contrast dye. The nurse
should identify which of the following as an indication of the preschool experience an allergic
reaction to the contrast dye? - VERIFIED ANSWER Urticaria
The nurse should monitor the child for an allergic reaction to the contrast dye. Manifestations of the
allergic reaction include urticaria, itching, flushing of the skin, and possible anaphylaxis.
A nurse is reviewing the medical record of a female adolescent client who has primary amenorrhea.
Which of the following findings should the nurse identify as a risk factor for this disorder? (Select all
that apply.) - VERIFIED ANSWER Hypothyroidism is correct. The nurse should identify that
hypothyroidism and other endocrine disorders are risk factors for primary amenorrhea.
Obesity is incorrect. The nurse should identify that anorexia nervosa and strenuous exercise are risk
factors for primary amenorrhea. Clients who have low BMIs can experience an increase in prolactin
secretions, which can result in amenorrhea.
Cannabis use is correct. The nurse should identify that cannabis use is a risk factor for primary
amenorrhea.
Oral contraceptive use is correct. The nurse should identify that oral contraceptive use affects the
estrogen and progesterone cycle and is a risk factor for primary amenorrhea.
, Emotional stress is correct. The nurse should identify that emotional stress causes hypothalamic
suppression and is a risk factor for primary amenorrhea.
A nurse is assisting a provider with a developmental assessment of a toddler. Which of the following
behaviors should the nurse recognize as an expected finding? - VERIFIED ANSWER Stands on one
foot for several seconds
A nurse is reinforcing dietary teaching with the guardian of a school-age child who has celiac disease.
Which of the following foods should the nurse recommend including in the child's diet? - VERIFIED
ANSWER White Rice
The nurse should reinforce to the guardian that celiac disease is a genetic autoimmune disorder in
which eating gluten, even in very small amounts, can damage the child's small intestine. Currently,
the only treatment for the disease is a lifelong, strict adherence to a gluten-free diet. The nurse
should stress the importance of avoiding foods containing wheat, rye, barley, and oats. The child
should consume foods that are gluten-free, such as milk, cheese, rice, corn, eggs, potatoes, fruits,
vegetables, fresh poultry, meats, fish, and dried beans.
A nurse is caring for an adolescent client who is a practicing Jehovah's Witness and is scheduled for
surgery for a ruptured appendix. The adolescent tells the nurse that based on her religious beliefs,
she cannot receive a blood transfusion. Which of the following responses should the nurse make? -
VERIFIED ANSWER "Let's discuss the possibility of you needing a blood transfusion with your
parents."
The nurse should offer to involve the child's parents to understand the family's beliefs about blood
transfusions.
A nurse is reviewing the laboratory report of a school-age child who is receiving prednisone. Which
of the following lab results should the nurse report to the provider? - VERIFIED ANSWER Sodium
150 mEq/L
Hypernatremia is an adverse effect of prednisone. This level is above the expected reference range
for a school-age child. Therefore, the nurse should report this value to the provider.
A nurse is reviewing the laboratory report of a preschooler. Which of the following laboratory results
should the nurse report to the provider? - VERIFIED ANSWER Lead 14 mcg/dL
This lead level is above the expected reference range for a preschooler. Therefore, the nurse should
report this result to the provider.
2020 A with NGN Exam
A nurse in a clinic is collecting data from an adolescent who has received all recommended
immunizations through the age of 6 years. Which of the following immunizations should the nurse
plan to administer? - VERIFIED ANSWER Tetanus, diphtheria toxoids, and acellular pertussis (Tdap)
The Tdap vaccine is recommended between the ages of 11 and 12 years. Therefore, this adolescent
should receive the Tdap vaccine now
A nurse is caring for a child who has a fractured tibia and is in Buck's traction. Which of the following
actions should the nurse take? - VERIFIED ANSWER Ensure the weights are hanging freely.
A nurse has just received change-of-shift report for four children in a pediatric unit. Which of the
following children should the nurse collect data from first? - VERIFIED ANSWER A child who has a
fever and nuchal rigidity
A child who has a fever and nuchal rigidity is unstable. This finding indicates bacterial meningitis,
which requires urgent data collection and intervention to reduce complications for the child and
prevent further spread of the infection. Therefore, the nurse should collect data from this child first.
A nurse is monitoring a preschooler following an abdominal CT scan with contrast dye. The nurse
should identify which of the following as an indication of the preschool experience an allergic
reaction to the contrast dye? - VERIFIED ANSWER Urticaria
The nurse should monitor the child for an allergic reaction to the contrast dye. Manifestations of the
allergic reaction include urticaria, itching, flushing of the skin, and possible anaphylaxis.
A nurse is reviewing the medical record of a female adolescent client who has primary amenorrhea.
Which of the following findings should the nurse identify as a risk factor for this disorder? (Select all
that apply.) - VERIFIED ANSWER Hypothyroidism is correct. The nurse should identify that
hypothyroidism and other endocrine disorders are risk factors for primary amenorrhea.
Obesity is incorrect. The nurse should identify that anorexia nervosa and strenuous exercise are risk
factors for primary amenorrhea. Clients who have low BMIs can experience an increase in prolactin
secretions, which can result in amenorrhea.
Cannabis use is correct. The nurse should identify that cannabis use is a risk factor for primary
amenorrhea.
Oral contraceptive use is correct. The nurse should identify that oral contraceptive use affects the
estrogen and progesterone cycle and is a risk factor for primary amenorrhea.
, Emotional stress is correct. The nurse should identify that emotional stress causes hypothalamic
suppression and is a risk factor for primary amenorrhea.
A nurse is assisting a provider with a developmental assessment of a toddler. Which of the following
behaviors should the nurse recognize as an expected finding? - VERIFIED ANSWER Stands on one
foot for several seconds
A nurse is reinforcing dietary teaching with the guardian of a school-age child who has celiac disease.
Which of the following foods should the nurse recommend including in the child's diet? - VERIFIED
ANSWER White Rice
The nurse should reinforce to the guardian that celiac disease is a genetic autoimmune disorder in
which eating gluten, even in very small amounts, can damage the child's small intestine. Currently,
the only treatment for the disease is a lifelong, strict adherence to a gluten-free diet. The nurse
should stress the importance of avoiding foods containing wheat, rye, barley, and oats. The child
should consume foods that are gluten-free, such as milk, cheese, rice, corn, eggs, potatoes, fruits,
vegetables, fresh poultry, meats, fish, and dried beans.
A nurse is caring for an adolescent client who is a practicing Jehovah's Witness and is scheduled for
surgery for a ruptured appendix. The adolescent tells the nurse that based on her religious beliefs,
she cannot receive a blood transfusion. Which of the following responses should the nurse make? -
VERIFIED ANSWER "Let's discuss the possibility of you needing a blood transfusion with your
parents."
The nurse should offer to involve the child's parents to understand the family's beliefs about blood
transfusions.
A nurse is reviewing the laboratory report of a school-age child who is receiving prednisone. Which
of the following lab results should the nurse report to the provider? - VERIFIED ANSWER Sodium
150 mEq/L
Hypernatremia is an adverse effect of prednisone. This level is above the expected reference range
for a school-age child. Therefore, the nurse should report this value to the provider.
A nurse is reviewing the laboratory report of a preschooler. Which of the following laboratory results
should the nurse report to the provider? - VERIFIED ANSWER Lead 14 mcg/dL
This lead level is above the expected reference range for a preschooler. Therefore, the nurse should
report this result to the provider.
