ATI NURSING CARE OF CHILDREN
PROCTORED ACTUAL EXAM
STUDY GUIDE. GRADED A+. WITH
QUESTIONS AND 100% VERIFIED
ANSWERS. LATEST UPDATE
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A nurse in the emergency department is caring for a 2-year- old child who was found by
his parents crying and holding a container of toilet bowl cleaner. The child's lips are
edematous andinflamed, and he is drooling. Which of the following is the priority
action by the nurse?
a. Remove the child's contaminated clothing.
b. Check the child's respiratory status.
c. Administer an antidote to the child.
d. Establish IV access for the child.
Rationale: The nurse should apply the ABC priority-setting framework when
answering this item. This framework emphasizes the basic core of human
functioning: having an open airway,being able to breathe in adequate amounts of
oxygen, and circulating oxygen to the body's organs via the blood. An alteration in
any of these can indicate a threat to life, and is therefore the nurse’s priority concern.
When applying the ABC priority setting framework, airway is always the highest
priority because the airway must be clear and open for oxygen exchange to occur.
Breathing is the second highest priority in the ABC priority setting framework
because adequate ventilatory effort is essential in order for oxygen exchange to
occur. Circulation is the third highest priority in the ABC priority setting framework
because delivery of oxygen to critical organs only occurs if the heart and blood
vessels are capable of efficiently carrying
oxygen to them. The nurse observes that the child’s lips are
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edematous and inflamed and that heis drooling. These findings indicate that the child
might have swelling of the oral cavity and pharynx, which can result in a compromised
airway.
2. A nurse is teaching a parent of a 12-month old child about development during
the toddleryears. Which of the following statements should the nurse include?
a. "Your child should be referring to himself using the appropriate pronoun
by 18 monthsof age."
b. "A toddler's interest in looking at pictures occurs at 20 months of age."
c. "A toddler should have daytime control of his bowel and bladder by 24 months
of age."
d. "Your child should be able to scribble
spontaneously using a crayon at the age of15 months."
Rationale: The nurse should teach the parent that at the age of 15 months, the
toddler should beable to scribble spontaneously, and at the age of 18 months, the
toddler should be able to make strokes imitatively.
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3. A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride
100 mL IVto infuse over 4 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The
nurse should set the manual IV infusion to deliver how many gtt/min? (Round the
answer to the nearest whole number. Use a leading zero if it applies. Do not use a
trailing zero.)
25 gtt
Rationale: 100ml/4 hr x 60gtt/1mlx 1 hr/60min= 6000/240= 25 gtt
Ratio and Proportion
STEP 1: What is the unit of measurement to calculate?
gtt/min STEP 2: What is the volume needed? 100 mL
STEP 3: What is the total infusion time? 4 hr STEP 4: Should the nurse
convert the units of
measurement? Yes (min does not equal hr)1 hr/60 min
= 4 hr/X min