dehydration.
effectiveness
2023 ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM LATEST
VERSION1 – VERSION 8(V1 – V8) ACTUAL EXAM 8 LATEST VERSIONS
EACH VERSION CONTAINS 70 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM VERSION 1
The nurse is preparing to administer an immunization to a four-year-old child. Which of the
following actions should the nurse plan to take?
A- Place the child in a prone position for the immunization
B- request that the child’s caregiver leave the room during the immunization
C- administer the immunization using a 24 gauge needle
D- inject the immunization slowly after aspirating for 3 seconds
Answer – c
The nurse should administer an immunization for a 4-year-old child using a 24-gauge needle to
minimize the amount of pain experienced by the toddler.
A- The nurse should place the child in an upright sitting position for the immunization because
this decreases the child’s fear and anxiety.
B- The nurse should allow the caregiver to stay near the child during the immunization to
provide a sense of security and reduce the child’s anxiety level.
D- The nurse should inject the immunization rapidly and avoid aspiration. These actions
decrease the risk of needle displacement and lower the child’s fear and anxiety level by
decreasing the amount of time it takes to administer the immunization.
A nurse isreviewing the laboratory report of an infant who isreceiving treatment for severe
The nurse should identify which of the following laboratory values indicates
of the current treatment?
A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg
Answer- b
The nurse should identify that a sodium level of 140 mEq/L is within the expected reference
range and indicates the current treatment regimen the infant is receiving for dehydration is
effective.
A- A potassium level of 2.9 mEq/L is below the expected reference range and indicates
hypokalemia.
C- A urine specific gravity of 1.035 is above the expected reference range and indicates
concentrated urine.
D- A BUN level of 25 mg/dL is above the expected reference range and indicates the kidneys are
not excreting BUN as they should be.
The nurse is providing teaching about Social Development to the parents of a preschooler.
Which of the following play activities should the nurse recommend for the child?
A- Play pat-a-cake
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up
Answer – d
The nurse should instruct the parents that at the preschool age, play should focus on social,
mental, and physical development. Therefore, playing dress-up is a recommended play activity
for this child.
A- Playing pat-a-cake is a recommended play activity for an infant.
B- Using a push pull toy is a recommended play activity for a toddler.
C- Creating a scrapbook is a recommended play activity for a school-age child.
A nurse isteaching the parents of a newborn about ways to prevent sudden infant death
syndrome SIDS. Which of the following instructions should the nurse include?
A- Place the infant in a prone position to sleep.
B- Allow the infant to sleep on a large pillow.
C- User soft mattress in the infant’s crib.
D- Give the infant a pacifier at bedtime.
Answer- d
The nurse should inform the parentthat protective factors against SIDS include breastfeeding
and the use of a pacifier when the infant is sleeping.
A- The nurse should instruct the parent to place the infant in a supine position to sleep. Prone
and side-lying positions are risk factors for SIDS.
B- Placing the infant on a large pillow to sleep can increase the risk ofsuffocation, asphyxiation,
and SIDS.
C- The nurse should instruct the parent to use a firm mattress and avoid the use of waterbeds,
beanbags, or soft mattresses when placing the infant to bed. The use of a soft mattress in the
infant’s crib is a risk factor for SIDS and can lead to asphyxiation.
A nurse is assessing an infant who has pneumonia. Which of the following findings isthe
priority for the nurse to report to the provider?
A- Nasal flaring
B- WBC 11,300
C- diarrhea
D- abdominal distension
Answer- a
When using the airway, breathing, circulation approach to client care, the nurse should place
the priority on nasal flaring. Nasal flaring indicates that the infant is experiencing acute
respiratory distress.
B- The nurse should report a WBC of 11,300/mm3 because it is above the expected reference
range and indicates infection. However, another finding is the priority for the nurse to report.
C- The nurse should report diarrhea because it is a manifestation of pneumonia in infants and
indicatesthe current treatment is not effective. However, another finding isthe priority for the
nurse to report.
D- The nurse should report abdominal distension because it is a manifestation of pneumonia in
infants and indicates the current treatment is not effective. However, another finding is the
priority for the nurse to report.
A school nurse is assessing a school-age child blood pressure while he is seated in a chair. The
child starts to experience a tonic-clonic seizure. Which of the following actions should the
nurse take first?
A- Clear the immediate area around the child of hazardous objects
B- loosen the child restrictive clothing
C- assist the child to a side-lying position on the floor
D- apply an oxygen mask to the child
Answer- c
The greatest risk to this child is aspiration, occlusion of the airway, and bodily injury from
falling out of the chair. The nurse should ease the child down to floor in a side-lying position
immediately. This position enablesthe child’ssecretionsto drain from the mouth, preventing
aspiration, and maintaining a patent airway.
A- The nurse should clear the area around the child of hazardous objects. However, thisis not
the first action the nurse should take.
B- The nurse should loosen the child’srestrictive clothing. However, thisis not the first action
the nurse should take.
D- The nurse should apply an oxygen mask to the child to prevent hypoxia. However, thisis not
the first action the nurse should take.
A nurse is preparing to administer ibuprofen 5 mg per kg every 6 hours PRN for temperatures
above 38.0 degrees Celsius or 100.5 degrees Fahrenheit to an infant who weighs 17.6 lb. The
infant has a temperature of 38.4 degrees Celsius or 100 + 1.2 degrees Fahrenheit. Available is
ibuprofen liquid 100mg/ 5 ml. how many milliliters should the nurse administer to the infant
per dose? Round the answer to the nearest whole number. Use a leading zero if it applies.
Answer: 2 mL
A nurse isreceiving 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 assessthis child
first. 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 has
infective 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 has
a 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 child
who 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 abdominal
pain due to appendicitis. Which of the following locations should the nurse identify as
mcburney’s point?
Answer: a
A is correct. The nurse should identify the lower right quadrant of the abdomen between the
umbilicus and the anterior iliac crest as the location of McBurney’s point.
B isincorrect. The nurse should not identify the left lower quadrant asthe location of