2025-2026 ATI RN NURSING CARE OF CHILDREN
PROCTORED EXAM verified
Teaching,.the,.parents,.of,.a,.school-
aged,.child,.who,.has,.a,.new,.diagnosis,.of,.osteomyelitis,.of,.the,.tibia.,.The,.nurse,.should,.identify,.that,.
which,.of,.the,.following,.statements,.by,.the,.parents,.indicates,.an,.understanding,.of,.the,.teaching?
my,.child,.will,.have,.a,.cast,.until,.healing,.is,.complete.
My,.child,.will,.receive,.antibiotics,.for,.several,.weeks.
My,.child,.can,.return,.to,.playing,.sports,.once,.he,.is,.discharged.
,.My,.child,.needs,.to,.be,.in,.contact,.isolation.
Answer:,.b
The,.nurse,.should,.instruct,.the,.parent,.that,.the,.child,.will,.receive,.antibiotic,.therapy,.for,.at,.least,.
4,.weeks.,.Surgery,.might,.be,.indicated,.if,.the,.antibiotics,.are,.not,.successful.
A,.-,.incorrect
Weight,.bearing,.must,.be,.avoided,.with,.osteomyelitis.,.Therefore,,.the,.child,.is,.placed,.in,.a,.comf
ortable,.position,.with,.the,.limb,.supported.,.There,.is,.no,.indication,.for,.a,.cast.
C-,.incorrect
Weight,.bearing,.should,.be,.avoided,.to,.prevent,.complications,.and,.minimize,.pain.,.Therefore,,
.it,.will,.be,.several,.weeks,.to,.months,.before,.the,.child,.can,.play,.contact,.sports.
D-,.incorrect
Contact,.isolation,.is,.NOT,.necessary,,.because,.osteomyelitis,.is,.not,.a,.communicable,.illness.
A,.nurse,.is,.auscultating,.the,.lungs,.of,.an,.adolescent,.who,.has,.asthma.,.The,.nurse,.should,.identify,.th
e,.sound,.as,.which,.of,.the,.following?,.Click,.the,.audio,.button,.to,.listen.
A-, . Biots,.respiration
B-, . Chaney,.Stokes,.respiration
C-, . tackypnea
D,.-, . Bradypnea
Answer-,.c
The,.nurse,.should,.identify,.the,.sound,.heard,.during,.auscultation,.as,.tachypnea,,.which,.is,.a,.rapi
d,,.regular,.breathing,.pattern.,.This,.breathing,.pattern,.often,.occurs,.with,.anxiety,,.fever,,.metab
olic,.acidosis,,.or,.severe,.anemia.
A-,.Biot's,.respirations,.are,.periods,.of,.apnea,.alternating,.with,.two,.or,.three,.shallow,.breaths.
B-,.Cheyne-
Stokes,.respirations,.are,.periods,.of,.apnea,.alternating,.with,.periods,.of,.hyperventilation.
D-,.Bradypnea,.is,.a,.slow,,.regular,.breathing,.pattern.
A,.nurse,.in,.an,.emergency,.department,.is,.caring,.for,.a,.school-
age,.child,.who,.is,.experiencing,.an,.anaphylactic,.reaction.,.Which,.of,.the,.following,.is,.the,.prior
ity,.action,.by,.the,.nurse?
A-, . Elevate,.the,.head,.of,.the,.child's,.bed
B-, . insert,.a,.large-bore,.IV,.catheter,.for,.the,.child
C-, . determine,.the,.allergen,.that,.caused,.the,.child's,.reaction
Page,.1,.of,.3
1
,D-
, . administer,.IM,.epinephrine,.to,.the,.child,
.Answer-,.d
When,.using,.the,.urgent,.vs,.nonurgent,.approach,.to,.client,.care,,.the,.nurse,.determines,.that,.the,
.priority,.action,.is,.administering,.IM,.epinephrine,.to,.the,.child.,.During,.an,.anaphylactic,.reaction,,
.histamine,.release,.causes,.bronchoconstriction,.and,.vasodilation.,.This,.is,.an,.emergency,.because,
.ultimately,.it,.causes,.decreased,.blood,.return,.to,.the,.heart.
A-
,.Elevating,.the,.head,.of,.the,.child's,.bed,.is,.important,.to,.facilitate,.breathing,.and,.circulation.,.Ho
wever,,.it,.is,.not,.the,.priority,.action,.the,.nurse,.should,.take.
B-
,.Inserting,.a,.large,.bore,.IV,.catheter,.is,.important,.to,.facilitate,.administration,.of,.IV,.fluids,.and,.medic
ations.,.However,,.it,.is,.not,.the,.priority,.action,.the,.nurse,.should,.take.
C-
,.Determining,.the,.allergen,.that,.caused,.the,.child's,.reaction,.is,.important,.to,.prevent,.any,.addit
ional,.episodes,.of,.anaphylaxis.,.However,,.it,.is,.not,.the,.priority,.action,.the,.nurse,.should,.take.
The,.nurse,.is,.preparing,.to,.administer,.an,.immunization,.to,.a,.four-year-
old,.child.,.Which,.of,.the,.following,.actions,.should,.the,.nurse,.plan,.to,.take?
A-, . Place,.the,.child,.in,.a,.prone,.position,.for,.the,.immunization
B-, . request,.that,.the,.child's,.caregiver,.leave,.the,.room,.during,.the,.immunization
C-, . administer,.the,.immunization,.using,.a,.24,.gauge,.needle
D-, . inject,.the,.immunization,.slowly,.after,.aspirating,.for,.3,.seconds
Answer,.-,.c
The,.nurse,.should,.administer,.an,.immunization,.for,.a,.4-year-old,.child,.using,.a,.24-
gauge,.needle,.to,.minimize,.the,.amount,.of,.pain,.experienced,.by,.the,.toddler.
A-
,.The,.nurse,.should,.place,.the,.child,.in,.an,.upright,.sitting,.position,.for,.the,.immunization,.because,.
this,.decreases,.the,.child's,.fear,.and,.anxiety.
B-
,.The,.nurse,.should,.allow,.the,.caregiver,.to,.stay,.near,.the,.child,.during,.the,.immunization,.to,.pro
vide,.a,.sense,.of,.security,.and,.reduce,.the,.child's,.anxiety,.level.
D-
,.The,.nurse,.should,.inject,.the,.immunization,.rapidly,.and,.avoid,.aspiration.,.These, . actio
ns,.decrease,.the,.risk,.of,.needle,.displacement,.and,.lower,.the,.child's,.fear,.and,.anxiety,.l
evel,.by,.decreasing,.the,.amount,.of,.time,.it,.takes,.to,.administer,.the,.immunization.
A,.nurse,.is,.reviewing,.the,.laboratory,.report,.of,.an,.infant,.who,.is,.receiving,.treatment,.for,.sev
dehydration., ere,.The,.nurse,.should,.identify,.which,.of,.the,.following,.laboratory,.values,.indic
.effectivenes ates
s of,.the,.current,.treatment?
Page,.2,.of,.3
1
,A-, . Potassium,.2.9,.mEq/L
B-, . sodium,.140
C-, . urine,.specific,.gravity,.1.035
D-,.BUN,.25,.mg
Answer-,.b
The,.nurse,.should,.identify,.that,.a,.sodium,.level,.of,.140,.mEq/L,.is,.within,.the,.expected, . refe
rence,.range,.and,.indicates,.the,.current,.treatment,.regimen,.the,.infant,.is,.receiving,.for,.deh
ydration,.is,.effective.
Page,.3,.of,.3
1
, A-
, . A, . potassium, . level, . of, . 2.9, . mEq/L, . is, . below, . the, . expected, . reference, . range, . an
d,.indicates,.hypokalemia.
C-
,.A,.urine,.specific,.gravity,.of,.1.035,.is,.above,.the,.expected,.reference,.range,.and,.indicates,.conce
ntrated,.urine.
D-
,.A,.BUN,.level,.of,.25,.mg/dL,.is,.above,.the,.expected,.reference,.range,.and,.indicates,.the,.kidneys,.ar
e,.not,.excreting,.BUN,.as,.they,.should,.be.
The,.nurse,.is,.providing,.teaching,.about,.Social,.Development,.to,.the,.parents,.of,.a,.preschooler
.,.Which,.of,.the,.following,.play,.activities,.should,.the,.nurse,.recommend,.for,.the,.child?
A-, . Play,.pat-a-cake
B-, . using,.a,.push,.pull,.toy
C-, . creating,.a,.scrapbook
D-, . playing,.dress-up
Answer,.-,.d
The,.nurse,.should,.instruct,.the,.parents,.that,.at,.the,.preschool,.age,,.play,.should,.focus,.on,.socia
l,,.mental,,.and,.physical,.development.,.Therefore,,.playing,.dress-
up,.is,.a,.recommended,.play,.activity,.for,.this,.child.
A-,.Playing,.pat-a-cake,.is,.a,.recommended,.play,.activity,.for,.an,.infant.
B-,.Using,.a,.push,.pull,.toy,.is,.a,.recommended,.play,.activity,.for,.a, . toddler.
C-,.Creating,.a,.scrapbook,.is,.a,.recommended,.play,.activity,.for,.a,.school-age,.child.
A,.nurse,.is,.teaching,.the,.parents,.of,.a,.newborn,.about,.ways,.to,.prevent,.sudden,.infant,.death,.syn
drome,.SIDS., . Which,.of,.the,.following,.instructions,.should,.the,.nurse,.include?
A-, . Place,.the,.infant,.in,.a,.prone,.position,.to,.sleep.
B-, . Allow,.the,.infant,.to,.sleep,.on,.a,.large,.pillow.
C-, . User,.soft,.mattress,.in,.the,.infant's,.crib.
D-, . Give,.the,.infant,.a,.pacifier,.at,.bedtime.
Answer-,.d
The,.nurse,.should,.inform,.the,.parent,.that,.protective,.factors,.against,.SIDS,.include,.breastfeeding,
.and,.the,.use,.of,.a,.pacifier,.when,.the,.infant,.is,.sleeping.
A-
,.The,.nurse,.should,.instruct,.the,.parent,.to,.place,.the,.infant,.in,.a,.supine,.position,.to,.sleep.,.Pron
e,.and,.side-lying,.positions,.are,.risk,.factors,.for,.SIDS.
B-
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1
PROCTORED EXAM verified
Teaching,.the,.parents,.of,.a,.school-
aged,.child,.who,.has,.a,.new,.diagnosis,.of,.osteomyelitis,.of,.the,.tibia.,.The,.nurse,.should,.identify,.that,.
which,.of,.the,.following,.statements,.by,.the,.parents,.indicates,.an,.understanding,.of,.the,.teaching?
my,.child,.will,.have,.a,.cast,.until,.healing,.is,.complete.
My,.child,.will,.receive,.antibiotics,.for,.several,.weeks.
My,.child,.can,.return,.to,.playing,.sports,.once,.he,.is,.discharged.
,.My,.child,.needs,.to,.be,.in,.contact,.isolation.
Answer:,.b
The,.nurse,.should,.instruct,.the,.parent,.that,.the,.child,.will,.receive,.antibiotic,.therapy,.for,.at,.least,.
4,.weeks.,.Surgery,.might,.be,.indicated,.if,.the,.antibiotics,.are,.not,.successful.
A,.-,.incorrect
Weight,.bearing,.must,.be,.avoided,.with,.osteomyelitis.,.Therefore,,.the,.child,.is,.placed,.in,.a,.comf
ortable,.position,.with,.the,.limb,.supported.,.There,.is,.no,.indication,.for,.a,.cast.
C-,.incorrect
Weight,.bearing,.should,.be,.avoided,.to,.prevent,.complications,.and,.minimize,.pain.,.Therefore,,
.it,.will,.be,.several,.weeks,.to,.months,.before,.the,.child,.can,.play,.contact,.sports.
D-,.incorrect
Contact,.isolation,.is,.NOT,.necessary,,.because,.osteomyelitis,.is,.not,.a,.communicable,.illness.
A,.nurse,.is,.auscultating,.the,.lungs,.of,.an,.adolescent,.who,.has,.asthma.,.The,.nurse,.should,.identify,.th
e,.sound,.as,.which,.of,.the,.following?,.Click,.the,.audio,.button,.to,.listen.
A-, . Biots,.respiration
B-, . Chaney,.Stokes,.respiration
C-, . tackypnea
D,.-, . Bradypnea
Answer-,.c
The,.nurse,.should,.identify,.the,.sound,.heard,.during,.auscultation,.as,.tachypnea,,.which,.is,.a,.rapi
d,,.regular,.breathing,.pattern.,.This,.breathing,.pattern,.often,.occurs,.with,.anxiety,,.fever,,.metab
olic,.acidosis,,.or,.severe,.anemia.
A-,.Biot's,.respirations,.are,.periods,.of,.apnea,.alternating,.with,.two,.or,.three,.shallow,.breaths.
B-,.Cheyne-
Stokes,.respirations,.are,.periods,.of,.apnea,.alternating,.with,.periods,.of,.hyperventilation.
D-,.Bradypnea,.is,.a,.slow,,.regular,.breathing,.pattern.
A,.nurse,.in,.an,.emergency,.department,.is,.caring,.for,.a,.school-
age,.child,.who,.is,.experiencing,.an,.anaphylactic,.reaction.,.Which,.of,.the,.following,.is,.the,.prior
ity,.action,.by,.the,.nurse?
A-, . Elevate,.the,.head,.of,.the,.child's,.bed
B-, . insert,.a,.large-bore,.IV,.catheter,.for,.the,.child
C-, . determine,.the,.allergen,.that,.caused,.the,.child's,.reaction
Page,.1,.of,.3
1
,D-
, . administer,.IM,.epinephrine,.to,.the,.child,
.Answer-,.d
When,.using,.the,.urgent,.vs,.nonurgent,.approach,.to,.client,.care,,.the,.nurse,.determines,.that,.the,
.priority,.action,.is,.administering,.IM,.epinephrine,.to,.the,.child.,.During,.an,.anaphylactic,.reaction,,
.histamine,.release,.causes,.bronchoconstriction,.and,.vasodilation.,.This,.is,.an,.emergency,.because,
.ultimately,.it,.causes,.decreased,.blood,.return,.to,.the,.heart.
A-
,.Elevating,.the,.head,.of,.the,.child's,.bed,.is,.important,.to,.facilitate,.breathing,.and,.circulation.,.Ho
wever,,.it,.is,.not,.the,.priority,.action,.the,.nurse,.should,.take.
B-
,.Inserting,.a,.large,.bore,.IV,.catheter,.is,.important,.to,.facilitate,.administration,.of,.IV,.fluids,.and,.medic
ations.,.However,,.it,.is,.not,.the,.priority,.action,.the,.nurse,.should,.take.
C-
,.Determining,.the,.allergen,.that,.caused,.the,.child's,.reaction,.is,.important,.to,.prevent,.any,.addit
ional,.episodes,.of,.anaphylaxis.,.However,,.it,.is,.not,.the,.priority,.action,.the,.nurse,.should,.take.
The,.nurse,.is,.preparing,.to,.administer,.an,.immunization,.to,.a,.four-year-
old,.child.,.Which,.of,.the,.following,.actions,.should,.the,.nurse,.plan,.to,.take?
A-, . Place,.the,.child,.in,.a,.prone,.position,.for,.the,.immunization
B-, . request,.that,.the,.child's,.caregiver,.leave,.the,.room,.during,.the,.immunization
C-, . administer,.the,.immunization,.using,.a,.24,.gauge,.needle
D-, . inject,.the,.immunization,.slowly,.after,.aspirating,.for,.3,.seconds
Answer,.-,.c
The,.nurse,.should,.administer,.an,.immunization,.for,.a,.4-year-old,.child,.using,.a,.24-
gauge,.needle,.to,.minimize,.the,.amount,.of,.pain,.experienced,.by,.the,.toddler.
A-
,.The,.nurse,.should,.place,.the,.child,.in,.an,.upright,.sitting,.position,.for,.the,.immunization,.because,.
this,.decreases,.the,.child's,.fear,.and,.anxiety.
B-
,.The,.nurse,.should,.allow,.the,.caregiver,.to,.stay,.near,.the,.child,.during,.the,.immunization,.to,.pro
vide,.a,.sense,.of,.security,.and,.reduce,.the,.child's,.anxiety,.level.
D-
,.The,.nurse,.should,.inject,.the,.immunization,.rapidly,.and,.avoid,.aspiration.,.These, . actio
ns,.decrease,.the,.risk,.of,.needle,.displacement,.and,.lower,.the,.child's,.fear,.and,.anxiety,.l
evel,.by,.decreasing,.the,.amount,.of,.time,.it,.takes,.to,.administer,.the,.immunization.
A,.nurse,.is,.reviewing,.the,.laboratory,.report,.of,.an,.infant,.who,.is,.receiving,.treatment,.for,.sev
dehydration., ere,.The,.nurse,.should,.identify,.which,.of,.the,.following,.laboratory,.values,.indic
.effectivenes ates
s of,.the,.current,.treatment?
Page,.2,.of,.3
1
,A-, . Potassium,.2.9,.mEq/L
B-, . sodium,.140
C-, . urine,.specific,.gravity,.1.035
D-,.BUN,.25,.mg
Answer-,.b
The,.nurse,.should,.identify,.that,.a,.sodium,.level,.of,.140,.mEq/L,.is,.within,.the,.expected, . refe
rence,.range,.and,.indicates,.the,.current,.treatment,.regimen,.the,.infant,.is,.receiving,.for,.deh
ydration,.is,.effective.
Page,.3,.of,.3
1
, A-
, . A, . potassium, . level, . of, . 2.9, . mEq/L, . is, . below, . the, . expected, . reference, . range, . an
d,.indicates,.hypokalemia.
C-
,.A,.urine,.specific,.gravity,.of,.1.035,.is,.above,.the,.expected,.reference,.range,.and,.indicates,.conce
ntrated,.urine.
D-
,.A,.BUN,.level,.of,.25,.mg/dL,.is,.above,.the,.expected,.reference,.range,.and,.indicates,.the,.kidneys,.ar
e,.not,.excreting,.BUN,.as,.they,.should,.be.
The,.nurse,.is,.providing,.teaching,.about,.Social,.Development,.to,.the,.parents,.of,.a,.preschooler
.,.Which,.of,.the,.following,.play,.activities,.should,.the,.nurse,.recommend,.for,.the,.child?
A-, . Play,.pat-a-cake
B-, . using,.a,.push,.pull,.toy
C-, . creating,.a,.scrapbook
D-, . playing,.dress-up
Answer,.-,.d
The,.nurse,.should,.instruct,.the,.parents,.that,.at,.the,.preschool,.age,,.play,.should,.focus,.on,.socia
l,,.mental,,.and,.physical,.development.,.Therefore,,.playing,.dress-
up,.is,.a,.recommended,.play,.activity,.for,.this,.child.
A-,.Playing,.pat-a-cake,.is,.a,.recommended,.play,.activity,.for,.an,.infant.
B-,.Using,.a,.push,.pull,.toy,.is,.a,.recommended,.play,.activity,.for,.a, . toddler.
C-,.Creating,.a,.scrapbook,.is,.a,.recommended,.play,.activity,.for,.a,.school-age,.child.
A,.nurse,.is,.teaching,.the,.parents,.of,.a,.newborn,.about,.ways,.to,.prevent,.sudden,.infant,.death,.syn
drome,.SIDS., . Which,.of,.the,.following,.instructions,.should,.the,.nurse,.include?
A-, . Place,.the,.infant,.in,.a,.prone,.position,.to,.sleep.
B-, . Allow,.the,.infant,.to,.sleep,.on,.a,.large,.pillow.
C-, . User,.soft,.mattress,.in,.the,.infant's,.crib.
D-, . Give,.the,.infant,.a,.pacifier,.at,.bedtime.
Answer-,.d
The,.nurse,.should,.inform,.the,.parent,.that,.protective,.factors,.against,.SIDS,.include,.breastfeeding,
.and,.the,.use,.of,.a,.pacifier,.when,.the,.infant,.is,.sleeping.
A-
,.The,.nurse,.should,.instruct,.the,.parent,.to,.place,.the,.infant,.in,.a,.supine,.position,.to,.sleep.,.Pron
e,.and,.side-lying,.positions,.are,.risk,.factors,.for,.SIDS.
B-
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1
