VATI Care of children 2025
A charge nurse on a pediatric unit is reviewing informed consent guidelines with newly licensed
nurse. For which of the following clients should the nurse obtain informed consent from a
guardian? - ANS -A 15-year-old client who requires an open reduction of a fracture.
-Sign consent prior to surgical procedures for a minor.
\A home health nurse is developing a plan of care for the parents of a toddler who has
hemophilia A. Which of the following instructions should the nurse include? - ANS -Place knee
pads on the child.
-Take measures to make the environment safe. This can include measures such as installing
carpet over ceramic tiled floors or placing knee and elbow pads on the child to protect the Childs
joints form injury and bleeding.
\A nurse in a emergency department is caring for a child who is experiencing an acute asthma
attack. Which of the following findings is the priority for the nurse to report to the provider? -
ANS -Profuse sweating
-Indicates that his child is at risk for severe respiratory distress as a result of status asthmaticus
and requires immediate intervention. Other manifestations that should be reported immediately
include nasal flaring, distended neck veins, and tachypnea. The nurse should remain with the
child to provide support and interventions if intubation becomes necessary.
\A nurse in a pediatric clinic is providing teaching to the parent of an infant who has
gastroesophageal reflux (GER). The nurse should identify that which of the following statements
by the parent indicates an understanding of the teaching? - ANS -I will add rice cereal to my
baby's feedings.
-Add rice cereal to formula or expressed breast milk to thicken the feeding. Thickened feeding
can decrease the number of vomiting episodes the infant experiences.
\A nurse in a well child clinic is assessing a school age child who has erythema on the face and
maculopapular rash on the arms and legs. The parent reports that the child has had an
intermittent fever for 1wk. Which of the following actions should the nurse take? - ANS -Offer the
child analgesic for comfort.
-Offer analgesics and antipyretic medications because erythema on the face and a
maculopapular rash on the arms and legs indicates that the child has erythema infectiosum (fifth
disease). Erythema infectiosum is a viral infection that cannot be treated with antibiotics.
\A nurse in an emergency department is assessing a 5-year-old child who has a concussion.
Which of the following manifestations should the nurse identify as an early indication of ICP? -
ANS -Nausea
-Early findings of ICP
, \A nurse in an emergency department is caring for a child who has ingested kerosene. The child
is lethargic, grunting, and gagging. Which of the following actions should the nurse take? - ANS
-Prepare for intubation with a cuffed endotracheal tube.
-Anticipate that the child will require intubation with a cuffed endotracheal tube because of the
high risk of aspiration. This child is at risk for aspiration because they are lethargic, grunting,
and gagging.
\A nurse in an emergency department is providing pre-procedure teaching to the parents of a
child who is to undergo a bronchoscopy die to aspiration of a foreign body. Which of the
following parents statements indicate understanding of the teaching? - ANS -The provider will
remove the object during this procedure.
-The provider is able to make a definitive diagnosis of objects in the larynx and trachea during a
bronchoscopy and can subsequently remove the foreign body.
\A nurse in the emergency department is caring for a preschool age child who has hemophilia A
and sustained an abdominal trauma following a motor vehicle crash. Which of the following
actions should the nurse take? SATA - ANS -Administer factor VIII.
Assess for changes in LOC.
-Bleeding disorder caused by a factor VIII deficiency; therefore, the nurse to administer factor
VIII prophylactical to prevent or minimize bleeding.
-Hemophilia A can cause cerebral bleeding; therefore, the nurse should assess the child for HA
and decreased LOC.
\A nurse is admitting a child who has a vesicular rash of unknown etiology. Which of the
following actions should the nurse take first? - ANS -Implement transmission precautions.
-Greatest risk when admitting a child who has vesicular rash of unknown etiology is the spread
of infection. Therefore, the first action the nurse should take is to implement transmission
precautions. After the child has been diagnosed, the precautions can be modified accordingly.
\A nurse is admitting a child who has pertussis. Which of the following isolation precautions
should the nurse initiate for the child? - ANS -Droplet
-And other infections that is transmitted through respiratory droplets larger than 5 microns in
size. (diphtheria, rubella, and scarlet fever require droplet precautions. Droplet precautions
requires staff who provide care to wear a mask or respirator as PPE.
\A nurse is admitting a school age child who has rubeola measles. Which of the following
precautions should the nurse plan to initiate? - ANS -Airborne precautions.
-Transmitted by direct contact with small droplets from the infected person and that airborne
precautions are used for prevention of transmission of microorganisms smaller than 5 microns.
Therefore, the nurse should plan to initiate airborne precautions when admitting a child who has
rubeola measles.
\A nurse is assessing a 2-year-old child following a surgical procedure. Which of the following
pain tools should the nurse use? - ANS -Face, Legs, Activity, Cry Consolability (FLACC) scale.
A charge nurse on a pediatric unit is reviewing informed consent guidelines with newly licensed
nurse. For which of the following clients should the nurse obtain informed consent from a
guardian? - ANS -A 15-year-old client who requires an open reduction of a fracture.
-Sign consent prior to surgical procedures for a minor.
\A home health nurse is developing a plan of care for the parents of a toddler who has
hemophilia A. Which of the following instructions should the nurse include? - ANS -Place knee
pads on the child.
-Take measures to make the environment safe. This can include measures such as installing
carpet over ceramic tiled floors or placing knee and elbow pads on the child to protect the Childs
joints form injury and bleeding.
\A nurse in a emergency department is caring for a child who is experiencing an acute asthma
attack. Which of the following findings is the priority for the nurse to report to the provider? -
ANS -Profuse sweating
-Indicates that his child is at risk for severe respiratory distress as a result of status asthmaticus
and requires immediate intervention. Other manifestations that should be reported immediately
include nasal flaring, distended neck veins, and tachypnea. The nurse should remain with the
child to provide support and interventions if intubation becomes necessary.
\A nurse in a pediatric clinic is providing teaching to the parent of an infant who has
gastroesophageal reflux (GER). The nurse should identify that which of the following statements
by the parent indicates an understanding of the teaching? - ANS -I will add rice cereal to my
baby's feedings.
-Add rice cereal to formula or expressed breast milk to thicken the feeding. Thickened feeding
can decrease the number of vomiting episodes the infant experiences.
\A nurse in a well child clinic is assessing a school age child who has erythema on the face and
maculopapular rash on the arms and legs. The parent reports that the child has had an
intermittent fever for 1wk. Which of the following actions should the nurse take? - ANS -Offer the
child analgesic for comfort.
-Offer analgesics and antipyretic medications because erythema on the face and a
maculopapular rash on the arms and legs indicates that the child has erythema infectiosum (fifth
disease). Erythema infectiosum is a viral infection that cannot be treated with antibiotics.
\A nurse in an emergency department is assessing a 5-year-old child who has a concussion.
Which of the following manifestations should the nurse identify as an early indication of ICP? -
ANS -Nausea
-Early findings of ICP
, \A nurse in an emergency department is caring for a child who has ingested kerosene. The child
is lethargic, grunting, and gagging. Which of the following actions should the nurse take? - ANS
-Prepare for intubation with a cuffed endotracheal tube.
-Anticipate that the child will require intubation with a cuffed endotracheal tube because of the
high risk of aspiration. This child is at risk for aspiration because they are lethargic, grunting,
and gagging.
\A nurse in an emergency department is providing pre-procedure teaching to the parents of a
child who is to undergo a bronchoscopy die to aspiration of a foreign body. Which of the
following parents statements indicate understanding of the teaching? - ANS -The provider will
remove the object during this procedure.
-The provider is able to make a definitive diagnosis of objects in the larynx and trachea during a
bronchoscopy and can subsequently remove the foreign body.
\A nurse in the emergency department is caring for a preschool age child who has hemophilia A
and sustained an abdominal trauma following a motor vehicle crash. Which of the following
actions should the nurse take? SATA - ANS -Administer factor VIII.
Assess for changes in LOC.
-Bleeding disorder caused by a factor VIII deficiency; therefore, the nurse to administer factor
VIII prophylactical to prevent or minimize bleeding.
-Hemophilia A can cause cerebral bleeding; therefore, the nurse should assess the child for HA
and decreased LOC.
\A nurse is admitting a child who has a vesicular rash of unknown etiology. Which of the
following actions should the nurse take first? - ANS -Implement transmission precautions.
-Greatest risk when admitting a child who has vesicular rash of unknown etiology is the spread
of infection. Therefore, the first action the nurse should take is to implement transmission
precautions. After the child has been diagnosed, the precautions can be modified accordingly.
\A nurse is admitting a child who has pertussis. Which of the following isolation precautions
should the nurse initiate for the child? - ANS -Droplet
-And other infections that is transmitted through respiratory droplets larger than 5 microns in
size. (diphtheria, rubella, and scarlet fever require droplet precautions. Droplet precautions
requires staff who provide care to wear a mask or respirator as PPE.
\A nurse is admitting a school age child who has rubeola measles. Which of the following
precautions should the nurse plan to initiate? - ANS -Airborne precautions.
-Transmitted by direct contact with small droplets from the infected person and that airborne
precautions are used for prevention of transmission of microorganisms smaller than 5 microns.
Therefore, the nurse should plan to initiate airborne precautions when admitting a child who has
rubeola measles.
\A nurse is assessing a 2-year-old child following a surgical procedure. Which of the following
pain tools should the nurse use? - ANS -Face, Legs, Activity, Cry Consolability (FLACC) scale.
