ATI PROCTORED NURSING CARE OF
CHILDREN EXAM QUESTIONS AND
ANSWERS GRADED A+ 2025/2026
Death and dying: therapeutic communication chapter 11 - ANS allow an opportunity for
anticipatory grieving. consistency among nursing personnel. encourage parents to remain with
client. communicate with the client honestly and respectfully. encourage independence. provide
and clarify information and explainations. encourage physical contact: address feelings, and
show concern empathy and support.
health promotion of adolescents (12-20 years): informed consent chapter 7 - ANS Parents do
not need to give consent for adolescents to get tested for STD
infection control: teaching about methicillin-resistant staphylococcus aureus chapter 11
fundamental - ANS Treat with vancomycin and linezolid. Obtain specimen for culture and
sensitivity for antimicrobial therapy. Monitor to make sure therapeutic levels are maintained.
Complete full course of antibioitics. Avoid overuse
immunizations: recommended schedule for preschool-age child chapter 35 - ANS 4-6 years:
DTaP, MMR, IPV
3-6 years: Flue vaccine
immunizations: schedule for infant immunizations chapter 35 - ANS Birth: Hep B
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,2 months: DTaP, RV, IPV, Hib, PCV, and Hep B
4 months: DTaP, RV, IPV, Hib, PCV
6 months: DTaP, IVP, PCV, Hep B, RV, Hib
6-12 months: seasonal influenza vaccine
death and dying: age-appropriate response to death chapter 11 - ANS INFANTS/TODDLERS
BIRTH TO 3 YEARS
o Have little to no concept of death
o Egocentric thinking prevents their understanding of death (toddler)
o Mirror parental emotions (sadness, anger, depression, anxiety).
o Can regress to an earlier stage of behavior.
PRESCHOOL CHILDREN (3 TO 6 YEARS)
o Egocentric Thinking
o Magical thinking allows for the belief that thoughts can cause an event such as death (as a
result, child can feel guilt and shame).
o View dying as temporary because of the lack of a concept of time and because the dead
person can still have attributes of living (sleeping, eating, breathing).
SCHOOL- AGE CHILDREN (6 TO 12 YEARS)
o Begin to have an adult concept of death (inevitable, irreversible, universal), which generally
applies to older school-age children (9 to 12 years).
o Experience death process, the unknown, and loss of control.
o Fear often displayed through uncooperative behavior.
o Can be curios about funeral services and what happens to the body after death.
ADOLESCENTS (12 TO 20 YEARS)
o Can have an adult-like concept of death
o Can have difficulty accepting death because they are discovering who they are, establishing an
identity, and dealing with issues of puberty.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,o Can become increasingly stressed by the prospect of death.
dermatitis and acne: evaluating parent understanding of diaper rash chapter 31 - ANS Advise
parents that their child should avoid bubble baths and harsh soaps
Encourage children to wear long sleeves and pants when there is risk of possible exposure to
irritants
Educate parents to remove an offending agent as soon as exposure takes place
Promptly remove the soiled diaper.
Clean urine the perineal area with a nonirritating cleanser.
Expose the affected area to air.
Use superabsorbent disposable diapers to reduce skin exposure.
Apply a skin barrier, such as zinc oxide. Do not wash it off with each diaper change
fractures: caring for a client who is in 90/90 skeletal traction 27 - ANS o Maintain body
alignment
o Provide pharmacological and nonpharmacological interventions for the management of pain
and muscle spasms.
o Notify provider if the client experiences severe pain from muscle spasms that is unrelieved by
medications or repositioning.
o Assess and monitor neurovascular status.
o Routinely monitor skin integrity and document findings.
o Assess pin sites for pain, redness, swelling, drainage, or odor. Provide pin care per protocol.
o Assess for changes in elimination and maintain usual patterns of elimination.
o Ensure that all hardware is tight and that the bed is in the correct position.
o Assess and maintain weights so that they hang freely, and the knots do not touch the pulley.
Do not lift or remove weights unless prescribed and supervised by the provider.
o Consult with the provider for an overbed trapeze to assist the client to move in bed.
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, o Provide range of motion and encourage activity of nonimmobilized extremities to maintain
mobility and prevent contractures.
o Encourage deep breathing and use if the incentive spirometry.
o Promote frequent position changes within restriction of traction.
o Remove sheets from the head of the bed to the foot of the bed and remake the bed in the
same manner.
pain management: rating a child's postoperative pain level chapter 9 - ANS -FLACC (2 months
to 7 years): assess behaviors of the child
-FACES (3 years and older): using diagram of six faces
-Oucher (3-13 years): pain on a scale of 0 to 5 using six photographs
-Numeric scale (5 years and older): rate pain on scale of 1-10
-Non-communicating children's pain (3-18 years): behaviors observed for 10 min & categories
scored from 0 to 3
gastrointestinal disorders: menu items for celiac disease chapter 13 Nutrition - ANS Gluton
intolerance. eliminate gluten, wheat, rye, and barley.
Encourage milk, cheese, rice, corn, eggs, potatoes, fruits, veggies, fresh meats, fish, dried beans.
antibiotics affecting protein synthesis: administration of aminoglycosides chapter 45 -
ANS SELECT PROTOTYPE MEDICATION: Gentamicin
OTHER MEDICATIONS
• Tobramycin
• Neomycin
• Streptomycin
• Paromomycin
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
CHILDREN EXAM QUESTIONS AND
ANSWERS GRADED A+ 2025/2026
Death and dying: therapeutic communication chapter 11 - ANS allow an opportunity for
anticipatory grieving. consistency among nursing personnel. encourage parents to remain with
client. communicate with the client honestly and respectfully. encourage independence. provide
and clarify information and explainations. encourage physical contact: address feelings, and
show concern empathy and support.
health promotion of adolescents (12-20 years): informed consent chapter 7 - ANS Parents do
not need to give consent for adolescents to get tested for STD
infection control: teaching about methicillin-resistant staphylococcus aureus chapter 11
fundamental - ANS Treat with vancomycin and linezolid. Obtain specimen for culture and
sensitivity for antimicrobial therapy. Monitor to make sure therapeutic levels are maintained.
Complete full course of antibioitics. Avoid overuse
immunizations: recommended schedule for preschool-age child chapter 35 - ANS 4-6 years:
DTaP, MMR, IPV
3-6 years: Flue vaccine
immunizations: schedule for infant immunizations chapter 35 - ANS Birth: Hep B
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,2 months: DTaP, RV, IPV, Hib, PCV, and Hep B
4 months: DTaP, RV, IPV, Hib, PCV
6 months: DTaP, IVP, PCV, Hep B, RV, Hib
6-12 months: seasonal influenza vaccine
death and dying: age-appropriate response to death chapter 11 - ANS INFANTS/TODDLERS
BIRTH TO 3 YEARS
o Have little to no concept of death
o Egocentric thinking prevents their understanding of death (toddler)
o Mirror parental emotions (sadness, anger, depression, anxiety).
o Can regress to an earlier stage of behavior.
PRESCHOOL CHILDREN (3 TO 6 YEARS)
o Egocentric Thinking
o Magical thinking allows for the belief that thoughts can cause an event such as death (as a
result, child can feel guilt and shame).
o View dying as temporary because of the lack of a concept of time and because the dead
person can still have attributes of living (sleeping, eating, breathing).
SCHOOL- AGE CHILDREN (6 TO 12 YEARS)
o Begin to have an adult concept of death (inevitable, irreversible, universal), which generally
applies to older school-age children (9 to 12 years).
o Experience death process, the unknown, and loss of control.
o Fear often displayed through uncooperative behavior.
o Can be curios about funeral services and what happens to the body after death.
ADOLESCENTS (12 TO 20 YEARS)
o Can have an adult-like concept of death
o Can have difficulty accepting death because they are discovering who they are, establishing an
identity, and dealing with issues of puberty.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,o Can become increasingly stressed by the prospect of death.
dermatitis and acne: evaluating parent understanding of diaper rash chapter 31 - ANS Advise
parents that their child should avoid bubble baths and harsh soaps
Encourage children to wear long sleeves and pants when there is risk of possible exposure to
irritants
Educate parents to remove an offending agent as soon as exposure takes place
Promptly remove the soiled diaper.
Clean urine the perineal area with a nonirritating cleanser.
Expose the affected area to air.
Use superabsorbent disposable diapers to reduce skin exposure.
Apply a skin barrier, such as zinc oxide. Do not wash it off with each diaper change
fractures: caring for a client who is in 90/90 skeletal traction 27 - ANS o Maintain body
alignment
o Provide pharmacological and nonpharmacological interventions for the management of pain
and muscle spasms.
o Notify provider if the client experiences severe pain from muscle spasms that is unrelieved by
medications or repositioning.
o Assess and monitor neurovascular status.
o Routinely monitor skin integrity and document findings.
o Assess pin sites for pain, redness, swelling, drainage, or odor. Provide pin care per protocol.
o Assess for changes in elimination and maintain usual patterns of elimination.
o Ensure that all hardware is tight and that the bed is in the correct position.
o Assess and maintain weights so that they hang freely, and the knots do not touch the pulley.
Do not lift or remove weights unless prescribed and supervised by the provider.
o Consult with the provider for an overbed trapeze to assist the client to move in bed.
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, o Provide range of motion and encourage activity of nonimmobilized extremities to maintain
mobility and prevent contractures.
o Encourage deep breathing and use if the incentive spirometry.
o Promote frequent position changes within restriction of traction.
o Remove sheets from the head of the bed to the foot of the bed and remake the bed in the
same manner.
pain management: rating a child's postoperative pain level chapter 9 - ANS -FLACC (2 months
to 7 years): assess behaviors of the child
-FACES (3 years and older): using diagram of six faces
-Oucher (3-13 years): pain on a scale of 0 to 5 using six photographs
-Numeric scale (5 years and older): rate pain on scale of 1-10
-Non-communicating children's pain (3-18 years): behaviors observed for 10 min & categories
scored from 0 to 3
gastrointestinal disorders: menu items for celiac disease chapter 13 Nutrition - ANS Gluton
intolerance. eliminate gluten, wheat, rye, and barley.
Encourage milk, cheese, rice, corn, eggs, potatoes, fruits, veggies, fresh meats, fish, dried beans.
antibiotics affecting protein synthesis: administration of aminoglycosides chapter 45 -
ANS SELECT PROTOTYPE MEDICATION: Gentamicin
OTHER MEDICATIONS
• Tobramycin
• Neomycin
• Streptomycin
• Paromomycin
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
