ATI Nursing Care of Children Proctored
Exam 2023/2025 | Verified Questions with
Correct Answers | Updated Study Guide,
Test Bank, and Reliable Nursing Exam Prep
Resource
A nurse in the emergency department is caring for a 2-year-old child who was
found by his parents crying and holding a container of toilet bowl cleaner. The
child's lips are edematous and inflamed, and he is drooling. Which of the following
is the priority action by the nurse?
a. Remove the child's contaminated clothing.
b. Check the child's respiratory status.
c. Administer an antidote to the child.
d. Establish IV access for the child.
Rationale: The nurse should apply the ABC priority-setting framework when
answering this item. This framework emphasizes the basic core of human
functioning: having an open airway, being able to breathe in adequate amounts of
oxygen, and circulating oxygen to the body's organs via the blood. An alteration in
any of these can indicate a threat to life, and is therefore the nurse’s priority
, concern. When applying the ABC priority setting framework, airway is always the
highest priority because the airway must be clear and open for oxygen exchange to
occur. Breathing is the second highest priority in the ABC priority setting
framework because adequate ventilatory effort is essential in order for oxygen
exchange to occur.
Circulation is the third highest priority in the ABC priority setting framework
because delivery of oxygen to critical organs only occurs if the heart and blood
vessels are capable of efficiently carrying oxygen to them. The nurse observes that
the child’s lips are edematous and inflamed and that he is drooling. These findings
indicate that the child might have swelling of the oral cavity and pharynx, which
can result in a compromised airway.
2. A nurse is teaching a parent of a 12-month old child about development
during the toddleryears. Which of the following statements should the nurse
include?
a. "Your child should be referring to himself using the appropriate pronoun by
18 months of age."
b. "A toddler's interest in looking at pictures occurs at 20 months of
age."
c. "A toddler should have daytime control of his bowel and bladder by
24 months of age."
Exam 2023/2025 | Verified Questions with
Correct Answers | Updated Study Guide,
Test Bank, and Reliable Nursing Exam Prep
Resource
A nurse in the emergency department is caring for a 2-year-old child who was
found by his parents crying and holding a container of toilet bowl cleaner. The
child's lips are edematous and inflamed, and he is drooling. Which of the following
is the priority action by the nurse?
a. Remove the child's contaminated clothing.
b. Check the child's respiratory status.
c. Administer an antidote to the child.
d. Establish IV access for the child.
Rationale: The nurse should apply the ABC priority-setting framework when
answering this item. This framework emphasizes the basic core of human
functioning: having an open airway, being able to breathe in adequate amounts of
oxygen, and circulating oxygen to the body's organs via the blood. An alteration in
any of these can indicate a threat to life, and is therefore the nurse’s priority
, concern. When applying the ABC priority setting framework, airway is always the
highest priority because the airway must be clear and open for oxygen exchange to
occur. Breathing is the second highest priority in the ABC priority setting
framework because adequate ventilatory effort is essential in order for oxygen
exchange to occur.
Circulation is the third highest priority in the ABC priority setting framework
because delivery of oxygen to critical organs only occurs if the heart and blood
vessels are capable of efficiently carrying oxygen to them. The nurse observes that
the child’s lips are edematous and inflamed and that he is drooling. These findings
indicate that the child might have swelling of the oral cavity and pharynx, which
can result in a compromised airway.
2. A nurse is teaching a parent of a 12-month old child about development
during the toddleryears. Which of the following statements should the nurse
include?
a. "Your child should be referring to himself using the appropriate pronoun by
18 months of age."
b. "A toddler's interest in looking at pictures occurs at 20 months of
age."
c. "A toddler should have daytime control of his bowel and bladder by
24 months of age."
