ATI CMS: Nursing Care of Children
Exam With Correct Questions and
Detailed Answers | Graded A+
Assisting with administration of nasogastric enteral feeding for an infant (x2) -
Correct Answer-Position the head of crib at 30 degree angle between feedings
Planning to administer a nasogastric enteral feeding - Correct Answer-Always
confirm placement first (with pH- you cannot just auscultate to confirm
placement) then aspirate contents
Best food options for a child who has phenylketonuria - Correct Answer-Child
with PKU cannot digest phenylalanine, which is present in most animal
products
Caring for a child in buck's traction - Correct Answer-This is a skin traction of
the lower extremity; make sure that knots are away from pulleys, that the leg
remains extended, that weights are free-hanging at all times, that blankets do
not cover ropes and that the child cannot reach or interfere with the
mechanism
Converting ounces to mL - Correct Answer-1 oz = 30 mL
Dietary recommendations for a child who has celiac disease (x2) - Correct
Answer-Child with celiac disease cannot process plant protein gluten (present
in wheat, barley, rye). Avoid oats b/c usually contaminated with gluten. Rice is
okay!
Dietary recommendations for child with lactose intolerance - Correct Answer-
Child needs supplementary calcium and vitamin D intake, as the dairy
products that they cannot consume are high in calcium. Also, take lactase
when consuming a dairy product.
Findings associated with poststreptococcal glomerulonephritis - Correct
Answer-Oliguria
Nutritional needs of the child who has acute postreptococcal
glomerulonephritis - Correct Answer-Sodium restrictions (they are puffy and
edematous and sodium follows water; limit it)
Reinforcing Dietary Teaching for a Child who is recovering from
Glomerulnephritis - Correct Answer-Pick lowest sodium option: apples
ATI CMS: Nursing Care of Children Exam
, ATI CMS: Nursing Care of Children Exam
Identifying nutritional risks in an adolescent - Correct Answer-Adolescents
tend to eat a lot of junk foods high in calories but low in other nutritional
content. At risk for inadequate micronutrient nutrition.
Priority findings to report with skeletal traction - Correct Answer-Skeletal
traction consists of force applied directly to bones through pins. Increased
crusting or purulent drainage, along with other signs of infection, should be
reported to provider.
Priority intervention during a lumbar puncture - Correct Answer-Immediately
after the procedure, maintain the child in their side lying position to prevent
injury to the spinal nerves.
Responding to a patient's refusal of medication - Correct Answer-"Provide the
parent with vaccine information sheet." (Don't ask why, don't question them,
don't tell them they HAVE to get vaccine)
Identifying risk factors for Urinary Tract Infection - Correct Answer-
Constipation (bowel movements every 4-5 days), urinary stasis,
episode/hypospadias
Assisting with scoliosis screenings for school age children - Correct Answer-
Stand with feet together and then bend down as if touching toes, back parallel
to floor
Checking skin turgor in a child - Correct Answer-Best on abdomen
Deviation from expected growth and development for a 12 month old infant -
Correct Answer-Birth weight should be tripled
Expected behavior for a 7 year old female child - Correct Answer-Spends a lot
of time by herself
Facilitating communication for a child who has hearing loss - Correct Answer-
Speak slowly, facing the patient, avoid exaggerated movements, use facial
expressions and hand gestures
Interventions to promote sleep for a toddler - Correct Answer-Provide a
consistent bedtime routine, "favorite stuffed animal"
Reportable vital signs for a 12 month old infant - Correct Answer-Blood
pressure in young children is usually low. Report 120/80 because outside of
range
Obtaining an infant's heart rate - Correct Answer-Apical pulse 60s
ATI CMS: Nursing Care of Children Exam