ATI RN NURSING CARE OF CHILDREN PROCTORED
EXAM. NEWEST 2025/2026 UPDATE. GRADED A+.
WITH 100% VERIFIED ANSWERS
A nurse is receiving change-of-shift Report on for children. Which of the following
children should the nurse assess first?
A- A toddler who has a concussion and an episode of forceful vomiting
B- an adolescent who has infective endocarditis and reports having a headache
C- an adolescent who was placed into Halo traction 1 hour ago and rates his pain
at a 6 on a 0-10 scale
D- school-age child who has acute glomerulonephritis and brown colored urine
Answer- a
When using the urgent vs. nonurgent approach to client care, the nurse should
assess this childfirst. An episode of forceful vomiting is an indication of increased
intracranial pressure in a toddler who has a concussion.
B- A report of a headache is nonurgent because it is an expected finding for a
child who hasinfective endocarditis; therefore, the nurse should assess another
child first.
C- A report of moderate pain is nonurgent because it is an expected finding for a
child who hasa new halo traction device; therefore, the nurse should assess
another child first.
D- Brown-colored urine is nonurgent because it is an expected finding for a
school-age childwho has acute glomerulonephritis; therefore, the nurse should
assess another child first.
A nurse in the emergency department is caring for an adolescent who has severe
abdominalpain due to appendicitis. Which of the following locations should the
nurse identify as mcburney's point?
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Answer: a
A is correct. The nurse should identify the lower right quadrant of the abdomen
between theumbilicus and the anterior iliac crest as the location of McBurney's
point.
B is incorrect. The nurse should not identify the left lower quadrant as the
location of
McBurney's point.
C is incorrect. The nurse should not identify the right upper quadrant as the
location ofMcBurney's point.
A nurse is providing teaching to the family of a school-age child who has juvenile
idiopathicarthritis. Which of the following instructions should the nurse include
in the teaching?
A- Limit the movement of the child large joints.
B- Encourage the child to perform independent self care.
C- Provide the child with a soft mattress for sleeping.
D- Schedule a 2-hour daily nap for the child in the afternoon.
Answer- b
The nurse should teach the family the importance of encouraging the child to
performindependent self-care. This will minimize the child's pain while
maximizing mobility.
Encouraging and praising the child's efforts for independence will also increase
his self-esteem.
A- Large joints should be exercised regularly to maintain mobility and strengthen
muscles.
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C- Children who have juvenile idiopathic arthritis should sleep on a firm mattress
to enhance comfort and rest. A soft mattress can increase pressure to the
affected joints and increase thechild's pain.
D- Daytime naps are discouraged because stiffness can occur quickly and easily
with inactivity,and naps can interfere with nighttime sleeping.
A nurse is assessing a client who has a new diagnosis of celiac disease. Which of
the followingclinical manifestations should the nurse expect?
A- Steatorrhea
B- projectile vomiting
C- sunken abdomen
D- weight gain
Answer- a
The nurse should realize that clients who have celiac disease are unable to digest
gluten. Thiswill cause damage to the cells in the bowel, leading to malabsorption,
steatorrhea, and diarrhea.
B- Clients who have pyloric stenosis will exhibit projectile vomiting rather than
celiac disease.
C- A distended abdomen, rather than a sunken abdomen, is a manifestation of
celiac disease.
D- Weight loss, rather than weight gain, is a manifestation of celiac disease.
A nurse is providing teaching to an adolescent about how to manage tinea
pedis. Which ofthe following statements by the Adolescent indicates an
understanding of the teaching?
A- I should buy some plastic shoes to wear at the swimming pool
B- I should wear sandals as much as possible
C- I should place the permethrin cream between my toes twice-daily
D- I should I seal my non washable shoes in plastic bags for a couple of weeks
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Answer- a
The use of plastic shoes increases the occurrence of tinea pedis. The nurse
should instruct theadolescent to avoid wearing plastic shoes.
B- Sandals allow air to circulate around the feet, decreasing perspiration and
eliminating the medium for bacteria and fungus to grow. The nurse should
inform the adolescent that wearingsandals, open-toed, or well-ventilated shoes
will promote healing of his fungal infection.
C- Permethrin 5% cream is a scabicide used to place on the lesions created by
scabies. Thistreatment is not recommended for tinea pedis.
D- Sealing non-washable items in plastic bags for 14 days is a recommended
practice for clientswho have pediculosis. This practice is not recommended for
tinea pedis.
A nurse at an urgent care clinic is assessing an adolescent client who has an
upper respiratory tract infection. Which of the following findings should the
nurse recognize as a manifestationof pertussis?
A- Inflamed throat with exudate
B- purulent eye drainage
C- dry, hacking cough
D- koplik spots on buccal mucosa
Answer- c
The nurse should recognize that a dry, hacking cough is a manifestation of
pertussis. This disease usually begins with indications of an upper respiratory
tract infection, which includes adry, hacking cough that is sometimes more
severe at night.
A- An inflamed throat with exudate is a manifestation of acute streptococcal