ATI NURSING CARE OF CHILDREN EXAM GUIDE
2025
|MOST COMMON QUESTIONS WITH CORRECTLY
VERIFIED ANSWERS|ALREADY A+
GRADED|GUARANTEED PASS
Nephrotic syndrome - Expected lab values:
- Increased platelet count (150k-400k)
- Decreased sodium levels (135-145)
- w/in or elevated hgb (11.5-15.5)
- Increased cholesterol (>170)
Immunizations: DTaP - Booster at 4-6
Immunizations: PCV and Hib - 2 months, 4 months, 6 months, 12-18 months
Immunizations: Hep B - Birth, 1-2 months, 6-18 months
Cerebral Palsy - Have spastic muscles. May require botulinum toxin A.
Infant injx site - Vastus lateralis (thigh)
Cystic fibrosis priority - Ability to clear secretions
Requires pancrelipase that helps w/ digestions
Iron deficiency anema - Give tab w/ oj for increased absorption
Can cause gastric upset, spread out dose
Pre-op: school age child - Show child facility, explain what will happen
,Pre op: Preschooler/toddler - Read a cartoon book
Varicella rash - Vesicular rash that ruptures and crusts over
Fifth disease rash - Red cheeks -> red body -> fades centrally
Tetanus - NO RASH
Symptoms include lockjaw and muscle rigidity
Measles rash - Koplik spots
Acute glomerulonephritis - Check BP q 4-6 hrs
Limit sodium intake
Meal ex: grilled chicken, sliced pears, apple juice
When to administer albumin - When child has extreme edema
Bone marrow aspiration - NO antibiotics
Prone position
Apply pressure dressing over area
Lumbar puncture - May cause headache
Epistaxis - Nosebleed
How to treat epistaxis - sit upright and apply pressure for 10 minutes
NO aspirin/warm cloth/tilting head
Phytonadione - Vitamin K
Helps blood clot
Treats excessive bleeding (ex: warfarin overdose)
How to cause vasoconstriction - Use cool compress
How to cause vasodilation - Use warm compress
Contact isolation precautions: Illnesses - C. Diff
Sickle cell anemia - Give popsicles for hydration to prevent sickling
,Anaphylaxis allergic reaction symptoms - Nausea
Urticaria (hives)
Stridor/dyspnea (difficulty breathing)
Hypotension
Tachy
Umbilical hernia post op teaching - Fold diaper AWAY from incision
Sponge bath until dressing is removed
NO tubs/belly bands
Congenital hypothyroidism treatment - Replacement thyroid hormone for rest of life
Pain scales: FLACC - For children under 1 or post op kids
Pain scales: FACES - For children between 2-6
Pain scale: numbers - 5 and up
Pain scale: color tool - 4 and up
Infant with myelomeningocele is at risk for - meningitis
hydrocephalus
Position in prone
Monitor head circumference
Put wet gauze over lesion
DO NOT put under warmer
Highest protein snack for vegetarians - PB and apples
DKA - High blood sugar
If glucose drops, give D5/D10
Ideal blood glucose levels - 120-240
Stages of separation anxiety - 1) Protest: child appears sad, agitated, angry, inconsolable,
watches desperately for parents to return
, 2) Despair: child appears sad, hopeless, withdrawn; acts ambivalent when parents return
3) Detachment: child appears happy, interested in environment, becomes attached to staff
members; may ignore parents
gastroesophageal reflux disease (GERD) - Give milk w/ rice cereal
Helpful meds: H2 receptor antagonist or ppi
Tetralogy of Fallot (TOF) - set of four congenital heart defects occurring together
Can cause cyanosis
Expected lab value: increased RBC
Normal RBC range - 4.2-6.2 million
Amoxicillin - Antibiotic
Dipenhydramine (Benadryl) - antihistamine
Furosemide (Lasix) - Diuretic
Ibuprofen - DO NOT GIVE UNDER 6 MONTHS OF AGE
Prevention of ear infx (otitis media) - No exposure to tobacco
Do not forcefully blow nose during cold
Earplugs while swimming
Intusseption - Mechanical obstruction of bowels
- Red current jelly looking stools
- Sausage shape abdominal mass
Therapy: Barium (air) enema
2025
|MOST COMMON QUESTIONS WITH CORRECTLY
VERIFIED ANSWERS|ALREADY A+
GRADED|GUARANTEED PASS
Nephrotic syndrome - Expected lab values:
- Increased platelet count (150k-400k)
- Decreased sodium levels (135-145)
- w/in or elevated hgb (11.5-15.5)
- Increased cholesterol (>170)
Immunizations: DTaP - Booster at 4-6
Immunizations: PCV and Hib - 2 months, 4 months, 6 months, 12-18 months
Immunizations: Hep B - Birth, 1-2 months, 6-18 months
Cerebral Palsy - Have spastic muscles. May require botulinum toxin A.
Infant injx site - Vastus lateralis (thigh)
Cystic fibrosis priority - Ability to clear secretions
Requires pancrelipase that helps w/ digestions
Iron deficiency anema - Give tab w/ oj for increased absorption
Can cause gastric upset, spread out dose
Pre-op: school age child - Show child facility, explain what will happen
,Pre op: Preschooler/toddler - Read a cartoon book
Varicella rash - Vesicular rash that ruptures and crusts over
Fifth disease rash - Red cheeks -> red body -> fades centrally
Tetanus - NO RASH
Symptoms include lockjaw and muscle rigidity
Measles rash - Koplik spots
Acute glomerulonephritis - Check BP q 4-6 hrs
Limit sodium intake
Meal ex: grilled chicken, sliced pears, apple juice
When to administer albumin - When child has extreme edema
Bone marrow aspiration - NO antibiotics
Prone position
Apply pressure dressing over area
Lumbar puncture - May cause headache
Epistaxis - Nosebleed
How to treat epistaxis - sit upright and apply pressure for 10 minutes
NO aspirin/warm cloth/tilting head
Phytonadione - Vitamin K
Helps blood clot
Treats excessive bleeding (ex: warfarin overdose)
How to cause vasoconstriction - Use cool compress
How to cause vasodilation - Use warm compress
Contact isolation precautions: Illnesses - C. Diff
Sickle cell anemia - Give popsicles for hydration to prevent sickling
,Anaphylaxis allergic reaction symptoms - Nausea
Urticaria (hives)
Stridor/dyspnea (difficulty breathing)
Hypotension
Tachy
Umbilical hernia post op teaching - Fold diaper AWAY from incision
Sponge bath until dressing is removed
NO tubs/belly bands
Congenital hypothyroidism treatment - Replacement thyroid hormone for rest of life
Pain scales: FLACC - For children under 1 or post op kids
Pain scales: FACES - For children between 2-6
Pain scale: numbers - 5 and up
Pain scale: color tool - 4 and up
Infant with myelomeningocele is at risk for - meningitis
hydrocephalus
Position in prone
Monitor head circumference
Put wet gauze over lesion
DO NOT put under warmer
Highest protein snack for vegetarians - PB and apples
DKA - High blood sugar
If glucose drops, give D5/D10
Ideal blood glucose levels - 120-240
Stages of separation anxiety - 1) Protest: child appears sad, agitated, angry, inconsolable,
watches desperately for parents to return
, 2) Despair: child appears sad, hopeless, withdrawn; acts ambivalent when parents return
3) Detachment: child appears happy, interested in environment, becomes attached to staff
members; may ignore parents
gastroesophageal reflux disease (GERD) - Give milk w/ rice cereal
Helpful meds: H2 receptor antagonist or ppi
Tetralogy of Fallot (TOF) - set of four congenital heart defects occurring together
Can cause cyanosis
Expected lab value: increased RBC
Normal RBC range - 4.2-6.2 million
Amoxicillin - Antibiotic
Dipenhydramine (Benadryl) - antihistamine
Furosemide (Lasix) - Diuretic
Ibuprofen - DO NOT GIVE UNDER 6 MONTHS OF AGE
Prevention of ear infx (otitis media) - No exposure to tobacco
Do not forcefully blow nose during cold
Earplugs while swimming
Intusseption - Mechanical obstruction of bowels
- Red current jelly looking stools
- Sausage shape abdominal mass
Therapy: Barium (air) enema
