Nursing Care of Children ATI Practice Exam with
NGN LATEST EXAM QUESTIONS AND CORRECT
ANSWERS GRADED A+/
School-age child who is experiencing fatigue. Which finding should nurse
recognize as an indication of anemia?
a. Hematocrit 28%
b. Hemoglobin 13.5 g/dL
c. WBC count 8,000/mm^3
d. Platelets 250,000/mm^3
Ans: a. Hematocrit 28%
- expected range: 32%-44% for a school aged child
- the child can also exhibit fatigue, lightheadedness, tachycardia, dyspnea, &
pallor due to the decreased oxygen carrying capacity
,Quiz A nurse is reviewing the lumbar puncture results of a school-age child who is
suspected of having bacterial meningitis. Which of the following findings should
the nurse identify as an indication of bacterial meningitis?
a. decreased cerebrospinal fluid pressure
b. decreased WBC count
c. increased protein concentration
d. increased glucose level
Ans: c. increased protein concentration
Quiz A nurse is reviewing the laboratory report of a 7-year-old child who is
receiving chemotherapy. which of the following laboratory values should the
nurse report to the provider?
a. Hgb 8.5 g/dL
b. WBC count 9,500/mm^3
c. Prealbumin 18 mg/dL
d. Platelets 300,000/mm^3
Ans: a. Hgb 8.5 g/dL
- a child receiving chemotherapy is at risk for anemia due to the chemotherapy
effects on the blood-forming cells of the bone marrow
- the development of anemia is diagnosed through lab testing of hgb &
hematocrit levels
,- the nurse should recognize that a hemoglobin level of 8.5 g/dL is below the
expected reference range of 10 to 15.5 g/dL for a 7 year old child and should be
reported to the provider
Quiz A nurse is caring for a preschooler whose father is going home for a few
hours while another relative stays with the child. which of the following
statements should the nurse make to explain to the child when their father will
return?
a. "Your daddy will be back at 7 pm"
b. Your daddy will be back after he takes care of your brother"
c. Your daddy will be back in the morning"
d. "Your daddy will be back after you eat"
Ans: d. "Your daddy will be back after you eat"
- preschoolers make sense of time best when they can associate it with an
expected daily routine, such as meals and bedtime
- therefore, the child comprehends time best when it is explained to them in
relation to an event they are familiar with, such as eating
Quiz A nurse if receiving change-of-shift report for four children. Which of the
following children should the nurse see first?
a. A school aged child who has sickle cell anemia & reports decreased vision in the
left eye
b. A school aged child who has cystic fibrosis & a frequent nonproductive cough
, c. A preschooler who has asthma & a peak flow meter reading in the green zone
d. An adolescent who has meningitis & reports a sensitivity to lights & noise
Ans: a. a school aged child who has sickle cell anemia and reports decreased vision
in the left eye
- when using urgent vs non-urgent approach to client care, the nurse should
determine the priority finding is a report of decreased vsiion in the left eye
- this finding indicates that the child is experiencing a vaso-occlusive crisis and
should be reported to the provide immediately
Quiz A nurse in a providers office is preparing to administer immunizations to a
toddler during a well-child visit. Which of the following actions should the nurse
take?
Provider Prescriptions:
TB skin test (TST)
MMR vaccine
Inactivated influenza vaccine
DTaP vaccine
Graphic record:
RR 24/min
NGN LATEST EXAM QUESTIONS AND CORRECT
ANSWERS GRADED A+/
School-age child who is experiencing fatigue. Which finding should nurse
recognize as an indication of anemia?
a. Hematocrit 28%
b. Hemoglobin 13.5 g/dL
c. WBC count 8,000/mm^3
d. Platelets 250,000/mm^3
Ans: a. Hematocrit 28%
- expected range: 32%-44% for a school aged child
- the child can also exhibit fatigue, lightheadedness, tachycardia, dyspnea, &
pallor due to the decreased oxygen carrying capacity
,Quiz A nurse is reviewing the lumbar puncture results of a school-age child who is
suspected of having bacterial meningitis. Which of the following findings should
the nurse identify as an indication of bacterial meningitis?
a. decreased cerebrospinal fluid pressure
b. decreased WBC count
c. increased protein concentration
d. increased glucose level
Ans: c. increased protein concentration
Quiz A nurse is reviewing the laboratory report of a 7-year-old child who is
receiving chemotherapy. which of the following laboratory values should the
nurse report to the provider?
a. Hgb 8.5 g/dL
b. WBC count 9,500/mm^3
c. Prealbumin 18 mg/dL
d. Platelets 300,000/mm^3
Ans: a. Hgb 8.5 g/dL
- a child receiving chemotherapy is at risk for anemia due to the chemotherapy
effects on the blood-forming cells of the bone marrow
- the development of anemia is diagnosed through lab testing of hgb &
hematocrit levels
,- the nurse should recognize that a hemoglobin level of 8.5 g/dL is below the
expected reference range of 10 to 15.5 g/dL for a 7 year old child and should be
reported to the provider
Quiz A nurse is caring for a preschooler whose father is going home for a few
hours while another relative stays with the child. which of the following
statements should the nurse make to explain to the child when their father will
return?
a. "Your daddy will be back at 7 pm"
b. Your daddy will be back after he takes care of your brother"
c. Your daddy will be back in the morning"
d. "Your daddy will be back after you eat"
Ans: d. "Your daddy will be back after you eat"
- preschoolers make sense of time best when they can associate it with an
expected daily routine, such as meals and bedtime
- therefore, the child comprehends time best when it is explained to them in
relation to an event they are familiar with, such as eating
Quiz A nurse if receiving change-of-shift report for four children. Which of the
following children should the nurse see first?
a. A school aged child who has sickle cell anemia & reports decreased vision in the
left eye
b. A school aged child who has cystic fibrosis & a frequent nonproductive cough
, c. A preschooler who has asthma & a peak flow meter reading in the green zone
d. An adolescent who has meningitis & reports a sensitivity to lights & noise
Ans: a. a school aged child who has sickle cell anemia and reports decreased vision
in the left eye
- when using urgent vs non-urgent approach to client care, the nurse should
determine the priority finding is a report of decreased vsiion in the left eye
- this finding indicates that the child is experiencing a vaso-occlusive crisis and
should be reported to the provide immediately
Quiz A nurse in a providers office is preparing to administer immunizations to a
toddler during a well-child visit. Which of the following actions should the nurse
take?
Provider Prescriptions:
TB skin test (TST)
MMR vaccine
Inactivated influenza vaccine
DTaP vaccine
Graphic record:
RR 24/min
