RN NURSING CARE OF CHILDREN 2019
PRACTICE A & B (4 VERSIONS) ATI RN
NURSING CARE OF CHILDREN 2019 (4 ONLINE
PRACTICE EXAM VERSIONS) EACH CONTAIN
60 REAL EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS (NEW!)
ATI RN NURSING CARE OF CHILDREN 2019 A NGN
A nurse is caring for a preschooler who has been receiving IV fluids via a
peripheral IV catheter. When preparing to discontinue the IV fluids and catheter,
which of the following actions should the nurse plan to take? (Move the steps into
the box on the right, placing them in order of performance. Use all steps.)
- Remove tape securing the catheter
- Occlude the IV tubing
- Turn off the IV pump
- Apply pressure over the catheter insertion site - ANSWER-- Turn off the IV
pump
- Occlude the IV tubing
- Remove tape securing the catheter
- Apply pressure over the catheter insertion site
RATIONALE: First, the nurse should turn off the IV pump. Next, the nurse should
occlude the IV tubing, and then remove the tape securing the catheter. Last, the
nurse should apply pressure over the catheter insertion site.
pg. 1
,A nurse is teaching the guardian of a 6-month-old infant about care seat use.
Which of the following statements by the guardian indicates an understanding of
the teaching?
- "I should secure the car seat using lower anchors and tethers instead of the seat
belt."
- "I should position the car seat harness 1 inch above my baby's shoulders."
- "I will make sure that the car seat is placed at a 90-degree angle."
- "I will pad my baby's car seat with a blanket for traveling long distances." -
ANSWER-- "I should secure the car seat using lower anchors and tethers instead of
the seat belt."
RATIONALE: Low anchors and tethers, or the LATCH child safety seat system,
should be used to secure an infant's care seat in the vehicle. This system provides
anchors between the front cushion and the back rest for the car seat. Therefore, if
this system is available, the seat belt does not have to be used.
A school nurse is preparing to administer atomoxetine 1.2 mg/kg/day PO to a
school-age child who weighs 75 lbs. Available is atomoxetine 40 mg/capsule. How
many capsules should the nurse administer per day? - ANSWER-- 1 capsule
RATIONALE:
75 lb x 1 kg/2.2 lb x 1.2mg/1 kg x 1 capsule/40 mg
=
1 capsule
A nurse is planning care for a school-age child who is in the oliguric phase of acute
kidney injury (AKI) and has a sodium level of 129 mEq/L. Which of the following
interventions should the nurse include in the plan?
- Administer ibuprofen to the child for a temperature greater than 38 C (100.4 F)
- Assess the child's blood pressure every 8 hr
pg. 2
,- Weigh the child weekly at various times of the day
- Initiate seizure precautions for the child - ANSWER-- Initiate seizure precautions
for the child
RATIONALE: A sodium level of 129 mEq/L indicates hyponatremia and places
the child at increased risk for neurological deficits and seizure activity. The nurse
should complete a neurologic assessment and implement seizure precautions to
maintain the child's safety.
A nurse is caring for a school-age child who is in Buck's traction following a leg
fracture 24 hr ago. Which of the following actions should the nurse take?
- Change the child's position every 2 hr
- Clean the peripheral pin sites with chlorhexidine solution every 4 days
- Assess peripheral pulses once every 4 hours
- Ensure that the HOB is elevated to a 90 degree angle - ANSWER-- Assess
peripheral pulses once every 4 hours
RATIONALE: Buck's traction is a type of skin traction that can be used to
immobilize extremities prior to surgery. The nurse should provide frequent
neurovascular checks at least every 4 hr after the first 24 hr of placement in Buck's
traction. The nurse should monitor and report signs of neurovascular impairment in
the extremities such as cyanosis, edema, pain, absent pulses, and tingling.
A nurse in an emergency department is performing a physical assessment on a 2-
week-old male newborn. Which of the following findings is the priority for the
nurse to report to the provider?
- Excoriated scrotal area
- Multiple capillary hemangiomas
- Depressed posterior fontanel
pg. 3
, - Substernal retractions - ANSWER-- Substernal retractions
RATIONALE: When using the airway, breathing, & circulation approach to client
care, the nurse should determine that the priority finding to report to the provider is
substernal retractions. This finding indicates the newborn is experiencing increased
respiratory effort, which could quickly progress to respiratory failure.
A nurse in an emergency department is caring for a 4-year-old child who was
rescued from a home fire by emergency medical services.
The nurse should identify that which of the following findings require immediate
follow-up? Select the 3 findings that require immediate follow-up.
- Child is awake and crying
- Partial- and full-thickness burns to the left upper anterior chest and neck
- Non-productive cough
- SaO2 89% on room air
- Heart rate 150/min
- Temperature 37.7 C (99.9 F)
- Blood pressure 100/52 mmHg - ANSWER-- Partial- and full-thickness burns to
the left upper anterior chest and neck
RATIONALE: Airway, breathing, and circulation are the immediate concerns.
Burns to the chest and neck require immediate follow-up due to a concern for
inhalation injury, In addition, the edema of the tissue in the neck can compromise
the airway and severe burns to the chest can impede the child's ability to expand
their chest during inspiration, causing respiratory distress.
- SaO2 89% on room air
pg. 4
PRACTICE A & B (4 VERSIONS) ATI RN
NURSING CARE OF CHILDREN 2019 (4 ONLINE
PRACTICE EXAM VERSIONS) EACH CONTAIN
60 REAL EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS (NEW!)
ATI RN NURSING CARE OF CHILDREN 2019 A NGN
A nurse is caring for a preschooler who has been receiving IV fluids via a
peripheral IV catheter. When preparing to discontinue the IV fluids and catheter,
which of the following actions should the nurse plan to take? (Move the steps into
the box on the right, placing them in order of performance. Use all steps.)
- Remove tape securing the catheter
- Occlude the IV tubing
- Turn off the IV pump
- Apply pressure over the catheter insertion site - ANSWER-- Turn off the IV
pump
- Occlude the IV tubing
- Remove tape securing the catheter
- Apply pressure over the catheter insertion site
RATIONALE: First, the nurse should turn off the IV pump. Next, the nurse should
occlude the IV tubing, and then remove the tape securing the catheter. Last, the
nurse should apply pressure over the catheter insertion site.
pg. 1
,A nurse is teaching the guardian of a 6-month-old infant about care seat use.
Which of the following statements by the guardian indicates an understanding of
the teaching?
- "I should secure the car seat using lower anchors and tethers instead of the seat
belt."
- "I should position the car seat harness 1 inch above my baby's shoulders."
- "I will make sure that the car seat is placed at a 90-degree angle."
- "I will pad my baby's car seat with a blanket for traveling long distances." -
ANSWER-- "I should secure the car seat using lower anchors and tethers instead of
the seat belt."
RATIONALE: Low anchors and tethers, or the LATCH child safety seat system,
should be used to secure an infant's care seat in the vehicle. This system provides
anchors between the front cushion and the back rest for the car seat. Therefore, if
this system is available, the seat belt does not have to be used.
A school nurse is preparing to administer atomoxetine 1.2 mg/kg/day PO to a
school-age child who weighs 75 lbs. Available is atomoxetine 40 mg/capsule. How
many capsules should the nurse administer per day? - ANSWER-- 1 capsule
RATIONALE:
75 lb x 1 kg/2.2 lb x 1.2mg/1 kg x 1 capsule/40 mg
=
1 capsule
A nurse is planning care for a school-age child who is in the oliguric phase of acute
kidney injury (AKI) and has a sodium level of 129 mEq/L. Which of the following
interventions should the nurse include in the plan?
- Administer ibuprofen to the child for a temperature greater than 38 C (100.4 F)
- Assess the child's blood pressure every 8 hr
pg. 2
,- Weigh the child weekly at various times of the day
- Initiate seizure precautions for the child - ANSWER-- Initiate seizure precautions
for the child
RATIONALE: A sodium level of 129 mEq/L indicates hyponatremia and places
the child at increased risk for neurological deficits and seizure activity. The nurse
should complete a neurologic assessment and implement seizure precautions to
maintain the child's safety.
A nurse is caring for a school-age child who is in Buck's traction following a leg
fracture 24 hr ago. Which of the following actions should the nurse take?
- Change the child's position every 2 hr
- Clean the peripheral pin sites with chlorhexidine solution every 4 days
- Assess peripheral pulses once every 4 hours
- Ensure that the HOB is elevated to a 90 degree angle - ANSWER-- Assess
peripheral pulses once every 4 hours
RATIONALE: Buck's traction is a type of skin traction that can be used to
immobilize extremities prior to surgery. The nurse should provide frequent
neurovascular checks at least every 4 hr after the first 24 hr of placement in Buck's
traction. The nurse should monitor and report signs of neurovascular impairment in
the extremities such as cyanosis, edema, pain, absent pulses, and tingling.
A nurse in an emergency department is performing a physical assessment on a 2-
week-old male newborn. Which of the following findings is the priority for the
nurse to report to the provider?
- Excoriated scrotal area
- Multiple capillary hemangiomas
- Depressed posterior fontanel
pg. 3
, - Substernal retractions - ANSWER-- Substernal retractions
RATIONALE: When using the airway, breathing, & circulation approach to client
care, the nurse should determine that the priority finding to report to the provider is
substernal retractions. This finding indicates the newborn is experiencing increased
respiratory effort, which could quickly progress to respiratory failure.
A nurse in an emergency department is caring for a 4-year-old child who was
rescued from a home fire by emergency medical services.
The nurse should identify that which of the following findings require immediate
follow-up? Select the 3 findings that require immediate follow-up.
- Child is awake and crying
- Partial- and full-thickness burns to the left upper anterior chest and neck
- Non-productive cough
- SaO2 89% on room air
- Heart rate 150/min
- Temperature 37.7 C (99.9 F)
- Blood pressure 100/52 mmHg - ANSWER-- Partial- and full-thickness burns to
the left upper anterior chest and neck
RATIONALE: Airway, breathing, and circulation are the immediate concerns.
Burns to the chest and neck require immediate follow-up due to a concern for
inhalation injury, In addition, the edema of the tissue in the neck can compromise
the airway and severe burns to the chest can impede the child's ability to expand
their chest during inspiration, causing respiratory distress.
- SaO2 89% on room air
pg. 4
