PN PEDIATRIC NURSING VATI EXAM
WITH CORRECT ANSWERS 2025
A nurse is caring for an adolescent client who has spina bifida and is
paralyzed
waist down. from
Which
the of the following statements made by the client indicates
a need for
further teaching? ( Correct answers ) I only need to catheterize myself
twice
A client
a day
with spina bifida commonly has paralysis from the level of the spinal
cord defect
down. In most cases, this affects bladder and bowel control. Catheterization
should be every 4 to 6 hr, and as needed. Infrequent emptying of the
performed
bladder
in urinary can result
tract
infections.
A nurse is planning care for a child that has severe diarrhea. Which of the
the priority
following is nursing action? ( Correct answers ) Assess fluid
balance
The first action the nurse should take using the nursing process is to
collect data.
Therefore the first action is to assess fluid balance to determine severity of
dehydration
A nurse is planning care for a child who has juvenile rheumatoid arthritis.
Which of the
following is an appropriate action for the nurse to take? ( Correct
answers
night splints
) Maintain
to the affected
joint
A nurse is preparing to apply a eutectic mixture of local anesthetics (EMLA)
cream
to prior an intravenous catheter on a preschool-age child. Which of
inserting
the following
actions should the nurse plan to take? (Select all that apply). ( Correct
answers
the ) Cover
treated area with a transparent occlusive
Apply the medication one hour before the procedure
dressing.
begins.
Use a facial pain rating scale to evaluate effectiveness of the
treatment.
R: Covering the area with an occlusive dressing increases absorption of the
and prevents the inadvertent transfer of the cream to other areas of the
medication
body; EMLA
cream should be applied 1 hr prior to procedures; most preschoolers
are able to the degree of pain based on facial expressions
determine
depicted.
A nurse is planning care for a child who is admitting with mumps. Which of
the
is anfollowing
appropriate action for the nurse to take? ( Correct answers )
precautio
Initiate droplet
ns
Mumps is a contagious infection transmitted by a large droplet.
Therefore
droplet initiating is the appropriate action for the
precautions
nurse to take
A nurse is caring for a preschool child who has croup. Which of the
following
should thefindings
nurse report to the provider? ( Correct answers )
Drooling epiglottis
Indicate of saliva which requires immediate medical
attention
, A nurse is reinforcing instructions with the parent of a toddler about
foods thatonare
included a clear liquid diet. Which of the following foods suggested by
the parentunderstanding of the instructions? ( Correct
indicates
answers ) gelatin
A nurse is reinforcing teaching with an adolescent who has type 1
diabetes
Which of mellitus.
the following statements by the client indicates an
understanding
adjust of how
his routine to
for sports activities? ( Correct answers ) I should skip
basketball
practice if my blood sugar is too
high
A nurse is assisting with the discharge of a child who has a new prescription
for an oral
antibiotic. Which of following should the nurse include in the discharge
instructions? (
Correct answers ) Reason the child is taking the medication, written
information about
A nurse at a pediatrician's office answers a phone call from a parent
the medication, adverse effects of the
whose
ingested child
medication 15 just
vitamin tablets with added ferrous sulfate. Which of
instructions
the followingshould the nurse give to the parent? ( Correct answers )
Contact a poison
control
center
A nurse is caring for a child following an open reduction and internal
fixation offemur
fractured a and application of a cast. The cast has a window cut in it
for viewing
the incision.ofWhich of the following actions should the nurse take
first? ( Correct
answers ) Perform neurovascular checks of the affected extremity (check
for infection,
color, capillary refill,
redness)
A nurse is collecting data from a school age child who is undergoing a
assessment following a head injury. The nurse should document gross
neurological
incoordination
when walking as which of the following findings? ( Correct
answers ) ataxia
An assistive personnel (AP) on a pediatric unit brings to the attention of
the nurse
several client measurements obtained with the morning vital signs.
Which of the
following clients should the nurse plan to visit first? ( Correct answers ) 7-
year-old
with diabetes
clientinsipidus and a urine specific gravity
of 1.002
This specific gravity is lower than expected range (1.005 to 1.030) and
indicates
output that
urine
is extremely dilute. The client is losing excessive water and is
in danger of
hypovolemia. Therefore the nurse should plan to visit the
client first
A nurse is caring for a toddler scheduled to have a lumbar puncture (LP)
meningitis.
to rule out The nurse who is planning to assist with the procedure
should ( Correct
answers ) Place the toddler in a side lying knee chest
position
A nurse is providing care to a group of adolescent clients. Which of the
situations should be reported to the provider immediately? ( Correct
following client
answers
blood ) A client's
pressure changes from 112/60 mm Hg to 90/54 mm Hg when
standing
WITH CORRECT ANSWERS 2025
A nurse is caring for an adolescent client who has spina bifida and is
paralyzed
waist down. from
Which
the of the following statements made by the client indicates
a need for
further teaching? ( Correct answers ) I only need to catheterize myself
twice
A client
a day
with spina bifida commonly has paralysis from the level of the spinal
cord defect
down. In most cases, this affects bladder and bowel control. Catheterization
should be every 4 to 6 hr, and as needed. Infrequent emptying of the
performed
bladder
in urinary can result
tract
infections.
A nurse is planning care for a child that has severe diarrhea. Which of the
the priority
following is nursing action? ( Correct answers ) Assess fluid
balance
The first action the nurse should take using the nursing process is to
collect data.
Therefore the first action is to assess fluid balance to determine severity of
dehydration
A nurse is planning care for a child who has juvenile rheumatoid arthritis.
Which of the
following is an appropriate action for the nurse to take? ( Correct
answers
night splints
) Maintain
to the affected
joint
A nurse is preparing to apply a eutectic mixture of local anesthetics (EMLA)
cream
to prior an intravenous catheter on a preschool-age child. Which of
inserting
the following
actions should the nurse plan to take? (Select all that apply). ( Correct
answers
the ) Cover
treated area with a transparent occlusive
Apply the medication one hour before the procedure
dressing.
begins.
Use a facial pain rating scale to evaluate effectiveness of the
treatment.
R: Covering the area with an occlusive dressing increases absorption of the
and prevents the inadvertent transfer of the cream to other areas of the
medication
body; EMLA
cream should be applied 1 hr prior to procedures; most preschoolers
are able to the degree of pain based on facial expressions
determine
depicted.
A nurse is planning care for a child who is admitting with mumps. Which of
the
is anfollowing
appropriate action for the nurse to take? ( Correct answers )
precautio
Initiate droplet
ns
Mumps is a contagious infection transmitted by a large droplet.
Therefore
droplet initiating is the appropriate action for the
precautions
nurse to take
A nurse is caring for a preschool child who has croup. Which of the
following
should thefindings
nurse report to the provider? ( Correct answers )
Drooling epiglottis
Indicate of saliva which requires immediate medical
attention
, A nurse is reinforcing instructions with the parent of a toddler about
foods thatonare
included a clear liquid diet. Which of the following foods suggested by
the parentunderstanding of the instructions? ( Correct
indicates
answers ) gelatin
A nurse is reinforcing teaching with an adolescent who has type 1
diabetes
Which of mellitus.
the following statements by the client indicates an
understanding
adjust of how
his routine to
for sports activities? ( Correct answers ) I should skip
basketball
practice if my blood sugar is too
high
A nurse is assisting with the discharge of a child who has a new prescription
for an oral
antibiotic. Which of following should the nurse include in the discharge
instructions? (
Correct answers ) Reason the child is taking the medication, written
information about
A nurse at a pediatrician's office answers a phone call from a parent
the medication, adverse effects of the
whose
ingested child
medication 15 just
vitamin tablets with added ferrous sulfate. Which of
instructions
the followingshould the nurse give to the parent? ( Correct answers )
Contact a poison
control
center
A nurse is caring for a child following an open reduction and internal
fixation offemur
fractured a and application of a cast. The cast has a window cut in it
for viewing
the incision.ofWhich of the following actions should the nurse take
first? ( Correct
answers ) Perform neurovascular checks of the affected extremity (check
for infection,
color, capillary refill,
redness)
A nurse is collecting data from a school age child who is undergoing a
assessment following a head injury. The nurse should document gross
neurological
incoordination
when walking as which of the following findings? ( Correct
answers ) ataxia
An assistive personnel (AP) on a pediatric unit brings to the attention of
the nurse
several client measurements obtained with the morning vital signs.
Which of the
following clients should the nurse plan to visit first? ( Correct answers ) 7-
year-old
with diabetes
clientinsipidus and a urine specific gravity
of 1.002
This specific gravity is lower than expected range (1.005 to 1.030) and
indicates
output that
urine
is extremely dilute. The client is losing excessive water and is
in danger of
hypovolemia. Therefore the nurse should plan to visit the
client first
A nurse is caring for a toddler scheduled to have a lumbar puncture (LP)
meningitis.
to rule out The nurse who is planning to assist with the procedure
should ( Correct
answers ) Place the toddler in a side lying knee chest
position
A nurse is providing care to a group of adolescent clients. Which of the
situations should be reported to the provider immediately? ( Correct
following client
answers
blood ) A client's
pressure changes from 112/60 mm Hg to 90/54 mm Hg when
standing
