RN NURSING CARE OF CHILDREN FINAL PAPER
2026 ATI PRACTICE A AND B VERIFIED
CORRECT ANSWERS
◉ A nurse is caring for TODDLER who has SPASTIC (PYRAMIDAL)
CEREBRAL PALSY. Which of the following findings should the nurse
expect? (Select all that apply.)
-Negative Babinski Reflex
-Ankle Clonus
-Exagerated Stretch Reflexes
-Uncontrollable Movements of the Face
-Contractures. Answer: ANKLE CLONUS: The nurse should expect a
child who has spastic cerebral palsy to exhibit ankle clonus, which is
a rhythmic reflex tremor when the foot is dorsiflexed.
EXAGGERATED STRETCH REFLEXES: The nurse should expect a
child who has spastic cerebral palsy to exhibit spacticity or
exaggerated stretch reflexes.
CONTRACTURES: The nurse should expect a child who has spastic
cerebral palsy to exhibit contractures d/t the tightening of the
muscles.
,◉ A nurse is providing discharge teaching to the parent of a child
who is 1 WEEK POSTOPERATIVE following a CLEFT PALATE
REPAIR. For which of the following members of the interprofessional
team should the nurse initiate a referral?
-Occupational Therapist
-Speech Therapist
-Respiratory Therapist
-Physical Therapist. Answer: SPEECH THERAPIST
The nurse should initiate a referral for a speech therapist for a child
who is postoperative following a cleft palate repair. A child who has
a cleft palate will require speech therapy immediately following the
repair to support speech development and future articulation.
◉ A nurse is creating a plan of care for and INFANT who has an
EPIDURAL HEMATOMA from a HEAD INJURY. Which of the following
interventions should the nurse include in the plan?
-Position the infant side-lying with their head at a 0 degree to 5
degree angle.
-Perform a neurological assessment every 4 hr.
-Suction the infant's nares to remove secretions.
,-Implement seizure precautions for the infant.. Answer:
IMPLEMENT SEIZURE PRECAUTIONS FOR THE INFANT
An infant who has an epidural hematoma is at great risk for seizure
activity. Therefore, the nurse should implement seizure precautions
for the child.
◉ A nurse is preparing an ADOLESCENT for a LUMBAR PUNCTURE.
Which of the following actions should the nurse take?
-Place a cardiac monitor on the adolescent prior to the procedure.
-Apply topical analgesic cream to the site 1 hr.
-Keep the adolescent in a semi-Fowler's position for 4 hrs following
the procedure.
-Restrict fluids for 2 hrs following the procedure.. Answer: APPLY
TOPICAL ANALGESIC CREAM TO THE SITE 1 HR. PRIOR TO THE
PROCEDURE
The nurse should apply a topical analgesic to the lumbar site 1 hr
prior to the procedure to decrease the adolescent's pain while the
lumbar needle is inserted.
◉ A nurse is providing teaching to the parent of a SCHOOL-AGE
CHILD who has a new prescription for ORAL NYSTATIN for the
, treatment of oral candidiasis. Which of the following instructions
should the nurse include?
-"Shake the medication prior to administration."
-"Provide the medication through a straw."
-"Rinse the child's mouth with water immediately after giving the
medication."
-"Mix the medication with applesauce if the child dislikes the taste.".
Answer: "SHAKE THE MEDICATION PRIOR TO ADMINISTRATION."
The nurse should instruct the parent to shake the medication prior
to administration to disperse the medication evenly within the
suspension.
◉ A nurse in an emergency department is performing a physical
assessment on a 2-WEEK-OLD male newborn. Which of the
following findings is the priority for the nurse to report to the
provider?
-Excoriated scrotal area
-Multiple capillary hemangiomas
-Depressed posterior fontanel
-Substernal retractions. Answer: SUBSTERNAL RETRACTIONS
2026 ATI PRACTICE A AND B VERIFIED
CORRECT ANSWERS
◉ A nurse is caring for TODDLER who has SPASTIC (PYRAMIDAL)
CEREBRAL PALSY. Which of the following findings should the nurse
expect? (Select all that apply.)
-Negative Babinski Reflex
-Ankle Clonus
-Exagerated Stretch Reflexes
-Uncontrollable Movements of the Face
-Contractures. Answer: ANKLE CLONUS: The nurse should expect a
child who has spastic cerebral palsy to exhibit ankle clonus, which is
a rhythmic reflex tremor when the foot is dorsiflexed.
EXAGGERATED STRETCH REFLEXES: The nurse should expect a
child who has spastic cerebral palsy to exhibit spacticity or
exaggerated stretch reflexes.
CONTRACTURES: The nurse should expect a child who has spastic
cerebral palsy to exhibit contractures d/t the tightening of the
muscles.
,◉ A nurse is providing discharge teaching to the parent of a child
who is 1 WEEK POSTOPERATIVE following a CLEFT PALATE
REPAIR. For which of the following members of the interprofessional
team should the nurse initiate a referral?
-Occupational Therapist
-Speech Therapist
-Respiratory Therapist
-Physical Therapist. Answer: SPEECH THERAPIST
The nurse should initiate a referral for a speech therapist for a child
who is postoperative following a cleft palate repair. A child who has
a cleft palate will require speech therapy immediately following the
repair to support speech development and future articulation.
◉ A nurse is creating a plan of care for and INFANT who has an
EPIDURAL HEMATOMA from a HEAD INJURY. Which of the following
interventions should the nurse include in the plan?
-Position the infant side-lying with their head at a 0 degree to 5
degree angle.
-Perform a neurological assessment every 4 hr.
-Suction the infant's nares to remove secretions.
,-Implement seizure precautions for the infant.. Answer:
IMPLEMENT SEIZURE PRECAUTIONS FOR THE INFANT
An infant who has an epidural hematoma is at great risk for seizure
activity. Therefore, the nurse should implement seizure precautions
for the child.
◉ A nurse is preparing an ADOLESCENT for a LUMBAR PUNCTURE.
Which of the following actions should the nurse take?
-Place a cardiac monitor on the adolescent prior to the procedure.
-Apply topical analgesic cream to the site 1 hr.
-Keep the adolescent in a semi-Fowler's position for 4 hrs following
the procedure.
-Restrict fluids for 2 hrs following the procedure.. Answer: APPLY
TOPICAL ANALGESIC CREAM TO THE SITE 1 HR. PRIOR TO THE
PROCEDURE
The nurse should apply a topical analgesic to the lumbar site 1 hr
prior to the procedure to decrease the adolescent's pain while the
lumbar needle is inserted.
◉ A nurse is providing teaching to the parent of a SCHOOL-AGE
CHILD who has a new prescription for ORAL NYSTATIN for the
, treatment of oral candidiasis. Which of the following instructions
should the nurse include?
-"Shake the medication prior to administration."
-"Provide the medication through a straw."
-"Rinse the child's mouth with water immediately after giving the
medication."
-"Mix the medication with applesauce if the child dislikes the taste.".
Answer: "SHAKE THE MEDICATION PRIOR TO ADMINISTRATION."
The nurse should instruct the parent to shake the medication prior
to administration to disperse the medication evenly within the
suspension.
◉ A nurse in an emergency department is performing a physical
assessment on a 2-WEEK-OLD male newborn. Which of the
following findings is the priority for the nurse to report to the
provider?
-Excoriated scrotal area
-Multiple capillary hemangiomas
-Depressed posterior fontanel
-Substernal retractions. Answer: SUBSTERNAL RETRACTIONS
