ATI NURSING CARE OF CHILDREN ACTUAL EXAM
(1) 2025 COMPLETE DOCUMENT QUESTIONS AND
CORRECT ANSWERS ALREADY GRADED A+
ASSURED PASS NEWEST
Cystic Fibrosis:
Respiratory disorder that results from inheriting a gene
- characterized by mucus glands that secrete an increased amount of
thick, tenacious mucus
- wheezing, non-productive cough, dyspnea, cyanosis, barrel shaped
chest, clubbing of fingers and toes
- large loose fatty stool,
- distended abdomen
- thin arms and legs
- deficiency in fat solvable vitamins
Nursing care for pts with cystic fibrosis:
- assess lung sounds
- obtain sputum culture
- contact isolation
- perform CPT (chest physiotherapy), perform airway clearance therapy,
encourage physical exercise
- well balanced diet high in protein and calories, increase fat intake to
40% of daily calories, encourage fluid intake, 3 meals with snacks,
admin fat solvable vitamins (ADEK)
,What does nurse need to administer to pts. With cystic fibrosis when
they eat?
- Pancreatic enzyme 30 min within eating
Medication used to decrease the viscosity of mucus:
Dornase Alfa
Medications used for cystic fibrosis:
- trobomycin (antibiotic for respiratory infections)
- dornase Alfa (to decrease mucus viscosity)
- fat solvable vitamins (due to difficulty absorbing fats)
- albuterol (helps increase airway)
Kawasaki Disease:
Condition that causes inflammation of some of the blood vessels
- Fever >102 for 5 days - 2 weeks and is unresponsive to antipyretic
- strawberry tongue
- irritability
- enlarged lymph nodes
A nurse is caring for a child who is receiving treatment for diabetic
ketoacidosis and has current blood glucose level of 250mg/dL. Which of
the following actions should the nurse take?
ANSWERS: Administer 5% Dextrose in 0.9% sodium chloride by
continuous IV infusion
A nurse is caring for a child who has epistaxis. Which of the following
actions should the nurse take?
, ANSWERS: Apply continuous pressure to the child's nose for at least 10
min
A nurse is teaching the parents of a 3-year-old who has persistent otitis
media about prevention. Which of the following statements by the
parents indicates and understanding of the teaching?
ANSWERS: We should not smoke around our child
A nurse is assessing the pain level of a 3-year-old who is postoperative
following abdominal surgery. Which of the following pain scales should
the nurse use?
ANSWERS: FACES pain rating scale
A nurse is caring for a child who has acute glomerulonephritis. Which of
the following actions should the nurse take?
ANSWERS: Check the child's blood pressure every 4 hours
What should child eat if they have hypoglycemia:
Infants <40-45
Adults: <60
- eat a 15g carbohydrate snack
When should children administer regular insulin?
30 min. Prior to eating
(1) 2025 COMPLETE DOCUMENT QUESTIONS AND
CORRECT ANSWERS ALREADY GRADED A+
ASSURED PASS NEWEST
Cystic Fibrosis:
Respiratory disorder that results from inheriting a gene
- characterized by mucus glands that secrete an increased amount of
thick, tenacious mucus
- wheezing, non-productive cough, dyspnea, cyanosis, barrel shaped
chest, clubbing of fingers and toes
- large loose fatty stool,
- distended abdomen
- thin arms and legs
- deficiency in fat solvable vitamins
Nursing care for pts with cystic fibrosis:
- assess lung sounds
- obtain sputum culture
- contact isolation
- perform CPT (chest physiotherapy), perform airway clearance therapy,
encourage physical exercise
- well balanced diet high in protein and calories, increase fat intake to
40% of daily calories, encourage fluid intake, 3 meals with snacks,
admin fat solvable vitamins (ADEK)
,What does nurse need to administer to pts. With cystic fibrosis when
they eat?
- Pancreatic enzyme 30 min within eating
Medication used to decrease the viscosity of mucus:
Dornase Alfa
Medications used for cystic fibrosis:
- trobomycin (antibiotic for respiratory infections)
- dornase Alfa (to decrease mucus viscosity)
- fat solvable vitamins (due to difficulty absorbing fats)
- albuterol (helps increase airway)
Kawasaki Disease:
Condition that causes inflammation of some of the blood vessels
- Fever >102 for 5 days - 2 weeks and is unresponsive to antipyretic
- strawberry tongue
- irritability
- enlarged lymph nodes
A nurse is caring for a child who is receiving treatment for diabetic
ketoacidosis and has current blood glucose level of 250mg/dL. Which of
the following actions should the nurse take?
ANSWERS: Administer 5% Dextrose in 0.9% sodium chloride by
continuous IV infusion
A nurse is caring for a child who has epistaxis. Which of the following
actions should the nurse take?
, ANSWERS: Apply continuous pressure to the child's nose for at least 10
min
A nurse is teaching the parents of a 3-year-old who has persistent otitis
media about prevention. Which of the following statements by the
parents indicates and understanding of the teaching?
ANSWERS: We should not smoke around our child
A nurse is assessing the pain level of a 3-year-old who is postoperative
following abdominal surgery. Which of the following pain scales should
the nurse use?
ANSWERS: FACES pain rating scale
A nurse is caring for a child who has acute glomerulonephritis. Which of
the following actions should the nurse take?
ANSWERS: Check the child's blood pressure every 4 hours
What should child eat if they have hypoglycemia:
Infants <40-45
Adults: <60
- eat a 15g carbohydrate snack
When should children administer regular insulin?
30 min. Prior to eating
