Nursing Care of Children VATI [ACTUAL EXAM WITH
RATIONALE] LATEST VERSION [QUESTIONS AND
ANSWERS] DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED
A (BRAND NEW!!)
A nurse is collecting data from a 10 month old infant. Which of the following
findings should the nurse report to the provider? - CORRECT ANSWER
✔✔✔✔✔ The infant does not sit steadily without support
A nurse is caring for a 3 year old child who weighs 33lb and has had
160mL of urine output during the past 8hr. Which of the following actions
should the nurse take? - CORRECT ANSWER ✔✔✔✔✔ Continue to
monitor the client
- The child's urine output should be 1mL/kg/hr.
A nurse is preparing to apply a eutectic mixture of local anesthetics (EMLA)
cream prior to inserting an intravenous catheter on a preschool-age child.
Which of the following actions should the nurse plan to take? - CORRECT
ANSWER ✔✔✔✔✔ - Cover the treated area with a transparent occlusive
dressing
- Apply the medication an hr before the procedure begins
- Use a facial pain rating scale to evaluate effectiveness of the treatment
A school-age child is brought to the ED with a 2-day history of nausea,
vomiting, and report of severe right lower quadrant pain. The child's WBC
is 17,000/mm3 so appendicitis is suspected. Which of the following
statements made by the child is most concerning to the nurse? -
CORRECT ANSWER ✔✔✔✔✔ "My belly doesn't hurt anymore"
A nurse is reinforcing teaching with the parent of a school- age child who
has a new diagnosis of asthma. Which of the following responses should
the nurse make? - CORRECT ANSWER ✔✔✔✔✔ "Repeat back to me
what to do if your child has trouble breathing"
,A nurse has accepted a position on a pediatric unit and is learning more
about psychosocial development. Place Erikson's stages of psychosocial
development in order from birth through age 18yrs. - CORRECT ANSWER
✔✔✔✔✔ - Trust vs. mistrust
- Autonomy vs. shame and doubt
- Initiative vs. guilt
- Industry vs. inferiority
- Identity vs. role confusion
A nurse is providing care to a group of adolescent clients. Which of the
following client situations should be reported to the provider immediately? -
CORRECT ANSWER ✔✔✔✔✔ A client's blood pressure changes from
112/60mm Hg to 90/54mmHg when standing
A nurse is checking a school-age child for pediculosis capitis. The nurse
understands that which of the following manifestations is a definitive
indication of this condition? - CORRECT ANSWER ✔✔✔✔✔ Firmly
attached white particles on the hair
A nurse is planning care for a child with suspected epiglottitis. Which of the
following is an appropriate action for the nurse to take? - CORRECT
ANSWER ✔✔✔✔✔ Place client in an upright position
A nurse is caring for a child following an open reduction and internal
fixation of a fractured femur and application of a cast. The cast has a
window cut in it for viewing of the incision. Which of the following actions
should the nurse take first? - CORRECT ANSWER ✔✔✔✔✔ Perform
neurovascular checks of the affected extremity
A nurse is collecting data about a 2yr old client who has AIDS. Bases on
the client's risk for opportunistic infections associated with this diagnosis,
the nurse should inspect the inside of the child's mouth for - CORRECT
ANSWER ✔✔✔✔✔ Candidiasis
A nurse is caring for a 3yr old client who has persistent otitis media. To
help identify contributing factors, the nurse should ask the parents which of
the following questions? - CORRECT ANSWER ✔✔✔✔✔ "Does anyone
smoke around or in the same house as your daughter?''
,The nurse is reinforcing discharge instructions with the parent of a child
who has cystic fibrosis (CF). Which of the following statements by the
parent indicate a correct understanding of the child's nutritional needs? "I
know it will be important for me to - CORRECT ANSWER ✔✔✔✔✔ make
sure my child washes her hands well before eating."
An assistive personnel (AP) on a pediatric unit brings to the attention of the
nurse several client measurements obtained with the morning vital signs.
Which of the following clients should the nurse plan to visit first? -
CORRECT ANSWER ✔✔✔✔✔ 7 year old client with diabetes insipidus
and a urine specific gravity of 1.002
- range 1.005-1.030
A nurse is caring for a child who has idiopathic thrombocytopenic purpura
and is experiencing a nose bleed. Which of the following is an appropriate
action by the nurse ? - CORRECT ANSWER ✔✔✔✔✔ Insert cotton into
each nostril
A nurse is caring for a toddler who has laryngotracheobronchitis and is
placed in a cool mist tent. Which of the following findings should the nurse
expect as a result of the treatment? - CORRECT ANSWER ✔✔✔✔✔
Decreased stridor
A nurse is caring for a hospitalized 14-month-old child. Which of the
following lunch choices is appropriate ? - CORRECT ANSWER ✔✔✔✔✔
Chicken nuggets and green beans
A nurse is preparing to administer an IM injection to a preschool-age child.
Which of the following actions should the nurse take? - CORRECT
ANSWER ✔✔✔✔✔ Allow the child to hold a favorite toy
A nurse is collecting data from a child. Which of the following is a clinical
manifestation of nephrotic syndrome? - CORRECT ANSWER ✔✔✔✔✔
Facial edema
, A nurse is caring for an infant after surgical repair of a cleft lip. The nurse
should comfort the infant by - CORRECT ANSWER ✔✔✔✔✔ Rocking
her with a favorite blanket
A nurse is caring for an 8 year old child diagnosed with sickle cell anemia
recovering from a vaso-occlusive crisis. Which of the following precautions
should the nurse include in the discharge teaching? - CORRECT ANSWER
✔✔✔✔✔ Drink 8 - 10 glasses of fluid daily
- Hydration will decrease the viscosity of the blood. A decreased viscosity
helps lower the risk for sicking due to venous stasis.
A nurse is caring for a toddler whose parent states while bathing the child
she noticed a mass in his abdominal area and his urine is a pink color.
Which of the following is the priority action the nurse should take? -
CORRECT ANSWER ✔✔✔✔✔ Instruct the parent to avoid pressing on
the abdominal area
A nurse is reinforcing teaching with an adolescent who has type 1 DM.
Which of the following statements by the client indicates an understanding
of how to adjust his routine for sports activities? - CORRECT ANSWER
✔✔✔✔✔ "I should skip basketball practice if my blood sugar is too high"
A nurse is assisting with the admission of a 6month old infant who has
dehydration. When she tracks the client's urinary output, which of the
following amounts should indicate to the nurse that the treatment has
corrected the fluid imbalance? - CORRECT ANSWER ✔✔✔✔✔
2mL/kg/hr
A nurse is caring for a 4yr old child who refuses to take his medication.
Which of the following strategies should the nurse use to elicit the child's
cooperation? - CORRECT ANSWER ✔✔✔✔✔ Offer the child a choice of
crushed pills or elixir
- While taking the medicine is not a choice, the child can decide what form
of medication to take. This gives the preschoolers a sense of control over a
stressful situation. The child may also choose the type of fluid to drink after
taking the medication
A nurse is caring for a 2 week old infant whose mother requests additional
information about sudden infant death syndrome (SIDS). Which of the
RATIONALE] LATEST VERSION [QUESTIONS AND
ANSWERS] DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED
A (BRAND NEW!!)
A nurse is collecting data from a 10 month old infant. Which of the following
findings should the nurse report to the provider? - CORRECT ANSWER
✔✔✔✔✔ The infant does not sit steadily without support
A nurse is caring for a 3 year old child who weighs 33lb and has had
160mL of urine output during the past 8hr. Which of the following actions
should the nurse take? - CORRECT ANSWER ✔✔✔✔✔ Continue to
monitor the client
- The child's urine output should be 1mL/kg/hr.
A nurse is preparing to apply a eutectic mixture of local anesthetics (EMLA)
cream prior to inserting an intravenous catheter on a preschool-age child.
Which of the following actions should the nurse plan to take? - CORRECT
ANSWER ✔✔✔✔✔ - Cover the treated area with a transparent occlusive
dressing
- Apply the medication an hr before the procedure begins
- Use a facial pain rating scale to evaluate effectiveness of the treatment
A school-age child is brought to the ED with a 2-day history of nausea,
vomiting, and report of severe right lower quadrant pain. The child's WBC
is 17,000/mm3 so appendicitis is suspected. Which of the following
statements made by the child is most concerning to the nurse? -
CORRECT ANSWER ✔✔✔✔✔ "My belly doesn't hurt anymore"
A nurse is reinforcing teaching with the parent of a school- age child who
has a new diagnosis of asthma. Which of the following responses should
the nurse make? - CORRECT ANSWER ✔✔✔✔✔ "Repeat back to me
what to do if your child has trouble breathing"
,A nurse has accepted a position on a pediatric unit and is learning more
about psychosocial development. Place Erikson's stages of psychosocial
development in order from birth through age 18yrs. - CORRECT ANSWER
✔✔✔✔✔ - Trust vs. mistrust
- Autonomy vs. shame and doubt
- Initiative vs. guilt
- Industry vs. inferiority
- Identity vs. role confusion
A nurse is providing care to a group of adolescent clients. Which of the
following client situations should be reported to the provider immediately? -
CORRECT ANSWER ✔✔✔✔✔ A client's blood pressure changes from
112/60mm Hg to 90/54mmHg when standing
A nurse is checking a school-age child for pediculosis capitis. The nurse
understands that which of the following manifestations is a definitive
indication of this condition? - CORRECT ANSWER ✔✔✔✔✔ Firmly
attached white particles on the hair
A nurse is planning care for a child with suspected epiglottitis. Which of the
following is an appropriate action for the nurse to take? - CORRECT
ANSWER ✔✔✔✔✔ Place client in an upright position
A nurse is caring for a child following an open reduction and internal
fixation of a fractured femur and application of a cast. The cast has a
window cut in it for viewing of the incision. Which of the following actions
should the nurse take first? - CORRECT ANSWER ✔✔✔✔✔ Perform
neurovascular checks of the affected extremity
A nurse is collecting data about a 2yr old client who has AIDS. Bases on
the client's risk for opportunistic infections associated with this diagnosis,
the nurse should inspect the inside of the child's mouth for - CORRECT
ANSWER ✔✔✔✔✔ Candidiasis
A nurse is caring for a 3yr old client who has persistent otitis media. To
help identify contributing factors, the nurse should ask the parents which of
the following questions? - CORRECT ANSWER ✔✔✔✔✔ "Does anyone
smoke around or in the same house as your daughter?''
,The nurse is reinforcing discharge instructions with the parent of a child
who has cystic fibrosis (CF). Which of the following statements by the
parent indicate a correct understanding of the child's nutritional needs? "I
know it will be important for me to - CORRECT ANSWER ✔✔✔✔✔ make
sure my child washes her hands well before eating."
An assistive personnel (AP) on a pediatric unit brings to the attention of the
nurse several client measurements obtained with the morning vital signs.
Which of the following clients should the nurse plan to visit first? -
CORRECT ANSWER ✔✔✔✔✔ 7 year old client with diabetes insipidus
and a urine specific gravity of 1.002
- range 1.005-1.030
A nurse is caring for a child who has idiopathic thrombocytopenic purpura
and is experiencing a nose bleed. Which of the following is an appropriate
action by the nurse ? - CORRECT ANSWER ✔✔✔✔✔ Insert cotton into
each nostril
A nurse is caring for a toddler who has laryngotracheobronchitis and is
placed in a cool mist tent. Which of the following findings should the nurse
expect as a result of the treatment? - CORRECT ANSWER ✔✔✔✔✔
Decreased stridor
A nurse is caring for a hospitalized 14-month-old child. Which of the
following lunch choices is appropriate ? - CORRECT ANSWER ✔✔✔✔✔
Chicken nuggets and green beans
A nurse is preparing to administer an IM injection to a preschool-age child.
Which of the following actions should the nurse take? - CORRECT
ANSWER ✔✔✔✔✔ Allow the child to hold a favorite toy
A nurse is collecting data from a child. Which of the following is a clinical
manifestation of nephrotic syndrome? - CORRECT ANSWER ✔✔✔✔✔
Facial edema
, A nurse is caring for an infant after surgical repair of a cleft lip. The nurse
should comfort the infant by - CORRECT ANSWER ✔✔✔✔✔ Rocking
her with a favorite blanket
A nurse is caring for an 8 year old child diagnosed with sickle cell anemia
recovering from a vaso-occlusive crisis. Which of the following precautions
should the nurse include in the discharge teaching? - CORRECT ANSWER
✔✔✔✔✔ Drink 8 - 10 glasses of fluid daily
- Hydration will decrease the viscosity of the blood. A decreased viscosity
helps lower the risk for sicking due to venous stasis.
A nurse is caring for a toddler whose parent states while bathing the child
she noticed a mass in his abdominal area and his urine is a pink color.
Which of the following is the priority action the nurse should take? -
CORRECT ANSWER ✔✔✔✔✔ Instruct the parent to avoid pressing on
the abdominal area
A nurse is reinforcing teaching with an adolescent who has type 1 DM.
Which of the following statements by the client indicates an understanding
of how to adjust his routine for sports activities? - CORRECT ANSWER
✔✔✔✔✔ "I should skip basketball practice if my blood sugar is too high"
A nurse is assisting with the admission of a 6month old infant who has
dehydration. When she tracks the client's urinary output, which of the
following amounts should indicate to the nurse that the treatment has
corrected the fluid imbalance? - CORRECT ANSWER ✔✔✔✔✔
2mL/kg/hr
A nurse is caring for a 4yr old child who refuses to take his medication.
Which of the following strategies should the nurse use to elicit the child's
cooperation? - CORRECT ANSWER ✔✔✔✔✔ Offer the child a choice of
crushed pills or elixir
- While taking the medicine is not a choice, the child can decide what form
of medication to take. This gives the preschoolers a sense of control over a
stressful situation. The child may also choose the type of fluid to drink after
taking the medication
A nurse is caring for a 2 week old infant whose mother requests additional
information about sudden infant death syndrome (SIDS). Which of the
