2023 ATI Nursing Care
of Children Proctored
Exam 2023 , Nursing
Care of Children ATI
Proctored Exam 2023
,A nurse in the emergency department is caring for a 2-year-
old child who was found by his parents crying and holding a
container of toilet bowl cleaner. The child's lips are
edematous and inflamed, and he is drooling. Which of the
following is the priority action by the nurse?
a. Remove the child's contaminated clothing.
b. Check the child's respiratory status.
c. Administer an antidote to the child.
d. Establish IV access for the child.
Rationale: The nurse should apply the ABC priority-setting
framework when answering this item. This framework
emphasizes the basic core of human functioning: having
an open airway, being able to breathe in adequate amounts
of oxygen, and circulating oxygen to the body's organs via
the blood. An alteration in any of these can indicate a
threat to life, and is therefore the nurse’s priority concern.
When applying the ABC priority setting framework, airway
is always the highest priority because the airway must be
clear and open for oxygen exchange to occur. Breathing is
the second highest priority in the ABC priority setting
framework because adequate ventilatory effort is essential
in order for oxygen exchange to occur. Circulation is the
third highest priority in the ABC priority setting framework
because delivery of oxygen to critical organs only occurs if
the heart and blood vessels are capable of efficiently
carrying
oxygen to them. The nurse observes that the child’s lips are
,edematous and inflamed and that he is drooling. These
findings indicate that the child might have swelling of the
oral cavity and pharynx, which can result in a compromised
airway.
2. A nurse is teaching a parent of a 12-month old child
about development during the toddler years. Which of the
following statements should the nurse include?
a. "Your child should be referring to himself using the
appropriate pronoun by 18 months of age."
b. "A toddler's interest in looking at pictures occurs at 20
months of age."
c. "A toddler should have daytime control of his bowel and
bladder by 24 months of age."
d. "Your child should be able to scribble
spontaneously using a crayon at the age of 15
months."
Rationale: The nurse should teach the parent that at the
age of 15 months, the toddler should be able to scribble
spontaneously, and at the age of 18 months, the toddler
should be able to make strokes imitatively.
, 3. Anurse is caring for a toddler and is preparing to
administer 0.9% sodium chloride 100 mL IV to infuse over 4
hr. The drop factor of the manual IV tubing is 60 gtt/mL. The
nurse should set the manual IV infusion to deliver how many
gtt/min? (Round the answer to the nearest whole number.
Use a leading zero if it applies. Do not use a trailing zero.)
25 gtt
Rationale: 100ml/4 hr x 60gtt/1mlx 1 hr/60min= 6000/240= 25
gtt
Ratio and Proportion
STEP 1: What is the unit of
measurement to calculate? gtt/min
STEP 2: What is the volume needed?
100 mL
STEP 3: What is the total infusion time? 4 hr
STEP 4: Should the nurse convert the units of
measurement? Yes (min does not equal hr) 1 hr/60 min
= 4 hr/X min
of Children Proctored
Exam 2023 , Nursing
Care of Children ATI
Proctored Exam 2023
,A nurse in the emergency department is caring for a 2-year-
old child who was found by his parents crying and holding a
container of toilet bowl cleaner. The child's lips are
edematous and inflamed, and he is drooling. Which of the
following is the priority action by the nurse?
a. Remove the child's contaminated clothing.
b. Check the child's respiratory status.
c. Administer an antidote to the child.
d. Establish IV access for the child.
Rationale: The nurse should apply the ABC priority-setting
framework when answering this item. This framework
emphasizes the basic core of human functioning: having
an open airway, being able to breathe in adequate amounts
of oxygen, and circulating oxygen to the body's organs via
the blood. An alteration in any of these can indicate a
threat to life, and is therefore the nurse’s priority concern.
When applying the ABC priority setting framework, airway
is always the highest priority because the airway must be
clear and open for oxygen exchange to occur. Breathing is
the second highest priority in the ABC priority setting
framework because adequate ventilatory effort is essential
in order for oxygen exchange to occur. Circulation is the
third highest priority in the ABC priority setting framework
because delivery of oxygen to critical organs only occurs if
the heart and blood vessels are capable of efficiently
carrying
oxygen to them. The nurse observes that the child’s lips are
,edematous and inflamed and that he is drooling. These
findings indicate that the child might have swelling of the
oral cavity and pharynx, which can result in a compromised
airway.
2. A nurse is teaching a parent of a 12-month old child
about development during the toddler years. Which of the
following statements should the nurse include?
a. "Your child should be referring to himself using the
appropriate pronoun by 18 months of age."
b. "A toddler's interest in looking at pictures occurs at 20
months of age."
c. "A toddler should have daytime control of his bowel and
bladder by 24 months of age."
d. "Your child should be able to scribble
spontaneously using a crayon at the age of 15
months."
Rationale: The nurse should teach the parent that at the
age of 15 months, the toddler should be able to scribble
spontaneously, and at the age of 18 months, the toddler
should be able to make strokes imitatively.
, 3. Anurse is caring for a toddler and is preparing to
administer 0.9% sodium chloride 100 mL IV to infuse over 4
hr. The drop factor of the manual IV tubing is 60 gtt/mL. The
nurse should set the manual IV infusion to deliver how many
gtt/min? (Round the answer to the nearest whole number.
Use a leading zero if it applies. Do not use a trailing zero.)
25 gtt
Rationale: 100ml/4 hr x 60gtt/1mlx 1 hr/60min= 6000/240= 25
gtt
Ratio and Proportion
STEP 1: What is the unit of
measurement to calculate? gtt/min
STEP 2: What is the volume needed?
100 mL
STEP 3: What is the total infusion time? 4 hr
STEP 4: Should the nurse convert the units of
measurement? Yes (min does not equal hr) 1 hr/60 min
= 4 hr/X min
