RN NURSING CARE OF CHILDREN PRACTICE
EXAM 2026 ATI A AND B FULL SOLUTIONS
◉ A nurse is caring for an adolescent client who is a practicing
Jehovah's Witness and is scheduled for surgery for a ruptured
appendix. The adolescent tells the nurse that based on her religious
beliefs, she cannot receive a blood transfusion. Which of the
following responses should the nurse make? Answer: "Let's discuss
the possibility of you needing a blood transfusion with your
parents."
The nurse should offer to involve the child's parents to understand
the family's beliefs about blood transfusions.
◉ A nurse is reviewing the laboratory report of a preschooler. Which
of the following laboratory results should the nurse report to the
provider? Answer: Lead 14 mcg/dL
This lead level is above the expected reference range for a
preschooler. Therefore, the nurse should report this result to the
provider.
◉ A nurse is collecting data from a 12-month-old infant during a
well-child visit. The nurse should identify which of the following
findings as a deviation from expected growth and development?
Answer: Birth weight doubled
,The nurse should identify this finding as a deviation from expected
growth and development. The infant's birth weight should triple by
12 months of age. Therefore, the nurse should report this finding to
the provider.
◉ A nurse is reinforcing discharge teaching with the guardian of a
school-age child who has acute lymphocytic leukemia and an
absolute neutrophil count of 450/mm3. Which of the following
instructions should the nurse include? Answer: "Keep your child
away from crowded areas."
The nurse should instruct the guardian to keep the child away from
crowds and visitors who have an illness to decrease the risk for
infection.
◉ A nurse in a clinic is collecting data from an adolescent who has
received all recommended immunizations through the age of 6
years. Which of the following immunizations should the nurse plan
to administer? Answer: Tetanus, diphtheria toxoids, and acellular
pertussis (Tdap)
The Tdap vaccine is recommended between the ages of 11 and 12
years. Therefore, this adolescent should receive the Tdap vaccine
now.
◉ A nurse is reinforcing teaching with the parent of a child who has
a new prescription for ferrous sulfate. The nurse should reinforce
that the parent should administer the medication with which of the
,following fluids to enhance the medication absorption? Answer:
Orange juice
The nurse should reinforce with the parent that administering
ferrous sulfate with orange juice will enhance medication
absorption.
◉ A nurse in a pediatric clinic is observing for an anaphylactic
reaction after administering an IM antibiotic to a child 5 min ago.
Which of the following manifestations should the nurse expect to
observe first? Answer: Hives
The nurse should observe for hives first because this is an early
manifestation of an anaphylactic reaction.
◉ A nurse is reinforcing dietary teaching about a low-sodium diet
with the parents of a child who is recovering from acute
glomerulonephritis. Which of the following food choices by the
parents indicates an understanding of the teaching? Answer: Apples
The nurse should instruct the parents that apples are low in sodium
and supply the child with energy needed for recovery.
◉ A nurse is collecting data from a 12-month-old infant during a
well-child visit. Which of the following findings should the nurse
report to the provider? Answer: BP 115/70 mm Hg
The nurse should identify that this blood pressure is above the
expected reference range for a 12-month-old infant and report this
finding to the provider.
, ◉ A nurse is reinforcing discharge teaching with the guardian of a
child who has juvenile idiopathic arthritis (JIA). Which of the
following statements by the parent indicates an understanding of
the teaching? Answer: "I will have my child sleep in knee, wrist, and
hand splints."
The nurse should reinforce with the guardian that splinting the
child's joints at night will decrease pain and enhance joint function.
◉ A nurse is collecting data about the dietary habits of an adolescent
client. The nurse should identify that which of the following findings
puts the client at risk for nutritional deficits? Answer: The client
skips eating dinner for track practice three times per week.
The nurse should identify that adolescents are often at risk for
developing poor eating habits. Skipping dinner twice each week puts
this client at risk for nutritional deficits.
◉ A nurse is reinforcing teaching with the guardians of a school-age
child who has hearing loss. Which of the following techniques
should the nurse recommend to facilitate communication with the
child? Answer: Speak at the child's eye level.
The nurse should instruct the guardian to speak at the child's eye
level and ensure that there is adequate lighting on the speaker's face
to facilitate lipreading and communication.
EXAM 2026 ATI A AND B FULL SOLUTIONS
◉ A nurse is caring for an adolescent client who is a practicing
Jehovah's Witness and is scheduled for surgery for a ruptured
appendix. The adolescent tells the nurse that based on her religious
beliefs, she cannot receive a blood transfusion. Which of the
following responses should the nurse make? Answer: "Let's discuss
the possibility of you needing a blood transfusion with your
parents."
The nurse should offer to involve the child's parents to understand
the family's beliefs about blood transfusions.
◉ A nurse is reviewing the laboratory report of a preschooler. Which
of the following laboratory results should the nurse report to the
provider? Answer: Lead 14 mcg/dL
This lead level is above the expected reference range for a
preschooler. Therefore, the nurse should report this result to the
provider.
◉ A nurse is collecting data from a 12-month-old infant during a
well-child visit. The nurse should identify which of the following
findings as a deviation from expected growth and development?
Answer: Birth weight doubled
,The nurse should identify this finding as a deviation from expected
growth and development. The infant's birth weight should triple by
12 months of age. Therefore, the nurse should report this finding to
the provider.
◉ A nurse is reinforcing discharge teaching with the guardian of a
school-age child who has acute lymphocytic leukemia and an
absolute neutrophil count of 450/mm3. Which of the following
instructions should the nurse include? Answer: "Keep your child
away from crowded areas."
The nurse should instruct the guardian to keep the child away from
crowds and visitors who have an illness to decrease the risk for
infection.
◉ A nurse in a clinic is collecting data from an adolescent who has
received all recommended immunizations through the age of 6
years. Which of the following immunizations should the nurse plan
to administer? Answer: Tetanus, diphtheria toxoids, and acellular
pertussis (Tdap)
The Tdap vaccine is recommended between the ages of 11 and 12
years. Therefore, this adolescent should receive the Tdap vaccine
now.
◉ A nurse is reinforcing teaching with the parent of a child who has
a new prescription for ferrous sulfate. The nurse should reinforce
that the parent should administer the medication with which of the
,following fluids to enhance the medication absorption? Answer:
Orange juice
The nurse should reinforce with the parent that administering
ferrous sulfate with orange juice will enhance medication
absorption.
◉ A nurse in a pediatric clinic is observing for an anaphylactic
reaction after administering an IM antibiotic to a child 5 min ago.
Which of the following manifestations should the nurse expect to
observe first? Answer: Hives
The nurse should observe for hives first because this is an early
manifestation of an anaphylactic reaction.
◉ A nurse is reinforcing dietary teaching about a low-sodium diet
with the parents of a child who is recovering from acute
glomerulonephritis. Which of the following food choices by the
parents indicates an understanding of the teaching? Answer: Apples
The nurse should instruct the parents that apples are low in sodium
and supply the child with energy needed for recovery.
◉ A nurse is collecting data from a 12-month-old infant during a
well-child visit. Which of the following findings should the nurse
report to the provider? Answer: BP 115/70 mm Hg
The nurse should identify that this blood pressure is above the
expected reference range for a 12-month-old infant and report this
finding to the provider.
, ◉ A nurse is reinforcing discharge teaching with the guardian of a
child who has juvenile idiopathic arthritis (JIA). Which of the
following statements by the parent indicates an understanding of
the teaching? Answer: "I will have my child sleep in knee, wrist, and
hand splints."
The nurse should reinforce with the guardian that splinting the
child's joints at night will decrease pain and enhance joint function.
◉ A nurse is collecting data about the dietary habits of an adolescent
client. The nurse should identify that which of the following findings
puts the client at risk for nutritional deficits? Answer: The client
skips eating dinner for track practice three times per week.
The nurse should identify that adolescents are often at risk for
developing poor eating habits. Skipping dinner twice each week puts
this client at risk for nutritional deficits.
◉ A nurse is reinforcing teaching with the guardians of a school-age
child who has hearing loss. Which of the following techniques
should the nurse recommend to facilitate communication with the
child? Answer: Speak at the child's eye level.
The nurse should instruct the guardian to speak at the child's eye
level and ensure that there is adequate lighting on the speaker's face
to facilitate lipreading and communication.
