ATI RN NURSING CARE OF CHILDREN
PROCTORED
ATI RN NURSING CARE OF
CHILDREN PROCTORED EXAM
STUDY GUIDE. GRADED A+.
QUESTIONS AND 100% VERIFIED
ANSWERS. LATEST UPDATE
Teaching the parents of a school-aged child who has a new diagnosis of
osteomyelitis of the tibia. Thenurse 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
acomfortable 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 the 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 rapid, regular breathing pattern. This breathing pattern often occurs
with anxiety, fever, metabolic 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 priority 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
D- administer IM epinephrine to the child
,ATI RN NURSING CARE OF CHILDREN
PROCTORED
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 becauseultimately it causes decreased blood
return to the heart.
A- Elevating the head of the child's bed is important to facilitate breathing and
circulation. However, 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 medications. 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 additional 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 becausethis decreases the child's fear and anxiety.
B- The nurse should allow the caregiver to stay near the child during the
immunization to provide a sense of security and reduce the child's anxiety level.
D- The nurse should inject the immunization rapidly and avoid aspiration.
These actions decrease the risk of needle displacement and lower the
child's fear and anxiety level 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 severe dehydration. The nurse should identify which of the following laboratory
values indicates effectiveness of the current treatment?
A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg
Answer- b
PROCTORED
ATI RN NURSING CARE OF
CHILDREN PROCTORED EXAM
STUDY GUIDE. GRADED A+.
QUESTIONS AND 100% VERIFIED
ANSWERS. LATEST UPDATE
Teaching the parents of a school-aged child who has a new diagnosis of
osteomyelitis of the tibia. Thenurse 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
acomfortable 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 the 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 rapid, regular breathing pattern. This breathing pattern often occurs
with anxiety, fever, metabolic 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 priority 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
D- administer IM epinephrine to the child
,ATI RN NURSING CARE OF CHILDREN
PROCTORED
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 becauseultimately it causes decreased blood
return to the heart.
A- Elevating the head of the child's bed is important to facilitate breathing and
circulation. However, 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 medications. 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 additional 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 becausethis decreases the child's fear and anxiety.
B- The nurse should allow the caregiver to stay near the child during the
immunization to provide a sense of security and reduce the child's anxiety level.
D- The nurse should inject the immunization rapidly and avoid aspiration.
These actions decrease the risk of needle displacement and lower the
child's fear and anxiety level 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 severe dehydration. The nurse should identify which of the following laboratory
values indicates effectiveness of the current treatment?
A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg
Answer- b
