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ATI RN NURSING CARE OF CHILDREN PROCTORED
EXAM|| 2025 - 2026 ||QUESTIONS WITH 100% CORRECT
ANSWERS. A+GRADE
In teaching the parent of a newly diagnosed 2 - year-old child with pyelonephritis related to vesicoureteral reflux (VUR), the nurse should include which information? A Give cranberry juice twice a day B Surgery is indicated to reverse scarring C Have siblings examined for VUR D Limit fluids to reduce reflux What statement is true concerning osteogenesis imperfecta (OI)? A Later onset disease usually runs a more difficult course. B Braces and exercises are of no therapeutic value C Disease characterized by fractures and bone deformity D It is easily treated Which of the following conditions has the clinical manifestation of Exophthalmos (protruding eyeballs)? A Hyperparathyroidism B Hyperthyroidism C Hypoparathyroidism D Hypothyroid A 12 yr old child is admitted to the PICU in acute renal failure (ARF). The nurse prepares to administer which of the following medication to rapidly provoke of urine? A Propranolol (inderal)
B Desmopressin C Sodium, chloride, and potassium D Mannitol (osmitrol)/Furosemide (Lasix) or both The nurse is assisting with application of a synthetic cast on a child with a fractured humerus. What is an advantages of a synthetic cast over a plaster of Paris cast? А Cast must be kept dry B Molds readily to body part C Does not permit regular clothing to be worn D Lightweight, and less bulky/Drying time is faster/permits regular clothing to be worn/can be cleaned with small amount of soap and water An adolescent with diabetes is admitted to the ER for treatment of hyperglycemia and pneumonia. What are clinical manifestations of diabetic hyperglycemia? Answers A-D A Cold, clammy skin and lethargy B Disorientation and pallor C Hunger and hypertension D Increased appetite, fatigue, thirst/frequent urination A child with juvenile idiopathic arthritis (JIA) is started on a non-steroidal anti-inflammatory drug (NSAID). What nursing consideration should be included? A Expect inflammation to be gone in 3 or 4 days B Monitor heart rate C Check for abdominal pain and bloody stools
Children with steroid induced Cushing syndrome should receive their medication at which of the following times to lessen the Cushingoid features? Give the drug: A At night before bed B Every 2 days due to cortisol secretions C Day at noon on a full stomach D Early in the morning upon awakening Alport Syndrome is a X linked hereditary disease characterized by which of the following? (Select all that apply) A High tone sensorineural deafness B Short stature C Acute kidney disease D Chronic kidney disease E Ocular disorders What statement is an advantage of peritoneal dialysis compared with hemodialysis? А It is easy to learn and can be done at home B Dietary limitations are not necessary C It is needed less frequently than hemodialysis D Protein loss is less extensive A child, age 3 years, has cerebral palsy (CP) and is hospitalized for orthopedic surgery. His mother says he has difficulty swallowing and cannot hold a utensil to feed himself. He is slightly underweight for his height. Which of the following is the most appropriate nursing action related to feeding Jason?
A Bottle or tube-feed him a specialized formula until he gains sufficient weight B Place him in a sitting position with his neck hyperextended to make use of gravity flow C Stabilize his jaw with caregiver's hand to facilitate swallowing D Place him in well-supported, semi-reclining position A 10 yr old child is admitted with a hx of Crohn disease. The child's plan of care should include a diet that has which of the following component? A Increased calories B Reduced protein C Herbal supplements D High fiber A 6 - month-old infant with Hirschsprung disease is scheduled for a temporary colostomy. What should postoperative teaching to the parents include? A Dilating the stoma B Measures to prevent prolapse of the rectum C Skin and stoma care D Limitation of physical activities A nurse is teaching clients in an outpatient facility about the use of insulin to treat type 1 diabetes mellitus. For which of the following types of insulin should the nurse tell the clients to expect a peak effect 2 to 4 hr after administration: A intermediate acting (NPH) B Short acting Regular
Which of the following parameters would the nurse monitor to evaluate the initial effectiveness of thickened feedings for an infant with gastroesophageal reflux (GER)? A Vomiting B Stools C Intake and output D Weight At which of the following ages is recommendation made by the American Academy of Pediatrics (AAP), for pre-adolescent and adolescent males to be screened for Scoliosis? (female 10 - 12) A 11 - 12 B 10 - 11 C 13 - 14 D 14 - 16 The pediatric nurse is assessing the vital signs of a 5 - year-old with spina bifida occulta. What clinical manifestations of spina bifida occulta should the nurse expect to observe? A Child will be able to walk, but only with crutches B No motor impairment C Soft, subcutaneous lipomas D Overflow incontinence with constant dribbling of urine A 3 yr old is admitted to the peds unit with minimal change nephrotic syndrome. What clinical manifestations are usually seen with this diagnosis? A Gross hematuria, albuminuria, and fever
B Hematuria bacteriuria, and weight gain C Hypertension weight loss, and proteinuria D Massive proteinuria, hypoalbuminemia, and edema A 4 yr old is seen in the peds ER, and the nurse suspects Diabetic ketoacidosis (DKA). What are characteristics of DKA? (Select all that apply) A Dehydration B Tachypnea C Acidosis D Bradypnea E Electrolyte imbalance The pediatric version of the Glasgow Coma Scale is used on a 3 year old male after falling from a tree in his back yard. A score of 15 on his chart is associated with? A Poor outcome B Unaltered level of consciousness C Disorientation D Stupor An appropriate nursing intervention when caring for an unconscious child would be which of the following? A Change the child's position infrequently to minimize the chance of increased intracranial pressure(ICP) B Give tepid sponge baths to reduce fevers above 38.30 C (101 F) because antipyretics are contraindicated
D Absence seizure A 2 yr old female has been diagnosed with Celiac Disease. Which of the following foods should the peds nurse educate the parents to avoid giving this child? (Select all that apply) (Ans. Wheat, Barley, Rye, Oat) A Wheat B Corn C Oat D Rice E Rye A 4 week old infant has a femoral shaft fracture. The nurse recognizes that the approximate healing time for this infant’s fracture is how long? 2 - 3 weeks A 13 y.o male has a femoral shaft fracture. The nurse recognizes that the approximate healing time for this adolescent’s fracture is how long? 8 - 12 weeks The nurse is preparing to admit a 7 - year-old child with Crohn disease. What clinical manifestations should the nurse expect to observe? (Select all that apply.) Ans: (Weight loss is Severe, Pain is common, Diarrhea is moderate to severe) A Rectal bleeding is common B Pain is common C Weight loss is minimal D Anal and perineal lesions are rare
E Diarrhea moderate to severe A 10yr old child is seen in the peds clinic with watery for 2 days followed by bloody diarrhea. The Pediatric Nurse suspects the causative pathogen for this child's diarrhea is which of the following? A Salmonella B Campylobacter C E-Coli D Shigella The nurse teaches the parents of an infant with developmental dysplasia of the hip how to handle their child in a Pavlik harness. Which of the following interventions would be most appropriate? A Gently massage skin under the straps once a day to stimulate circulation B Checking the skin for redness under straps every other day C putting powder on the skin under the straps every day D Leaving the harness off while the infant sleeps Which of the following conditions is Intranasal desmopressin acetate (DDAVP) used to treat? A Diabetes insipidus (DI) B Syndrome of inappropriate antidiuretic hormone (SIADH) C Hypopituitarism D Acute adrenocortical insufficiency A 6 yr old seen in the pediatric renal clinic was observed by the nurse with the following symptoms before labs or any diagnostics were done: Periorbital edema, hypertension, decreased urinary output and tea colored urine/(smoky urine). Relative to the symptoms, the nurse knows the child needs to be
C Meningitis D Hyperactivity The nurse is assessing a 4 year old boy in the pediatric clinic. Which behaviors by the client would concern the nurse for possible Duchenne muscular dystrophy? (Select that apply) Ans: (Waddling gait, frequent falls, Gower sign, Lordosis, Enlarged muscles, especially thighs and upper arms, Profound muscular atrophy in later stages, Mental deficiency common) A Suddenly rigidly extends arms and legs B Frequent trips and falls at home C Has painful knees and elbows in the morning D Has disproportionately large calves, and a waddling gait E Demonstrates the Gower sign (Places hands on thighs to push up to stand) Surgery is performed on a child to correct cryptorchidism. The parents understand the reason for the surgery if they tell the nurse this was done to do what? A "Prevent an inguinal hernial" B “Prevent prostate cancer” C “Prevent urinary tract infections” D “Maintaining future fertility opportunity”
An infant with hydrocephalus is hospitalized for surgical placement of a ventriculoperitoneal shunt. Postoperative nursing care would include what? Monitor closely for signs of infection. What clinical manifestations of developmental dysplasia of the hip would be assessed in a newborn? Ortolani sign A 5 y.o male diagnosed with mild dehydration should be given Oral Rehydration Solution (ORS) by the nurse or parent with which of the following rehydration therapy? 50 ml/kg/ 4 hrs The nurse is planning care for a school-age child with bacterial meningitis. What intervention should be included? A Measure head circumference to assess developing complications. B Avoid giving pain medications that could dull sensorium С Assess for signs of increased intracranial pressure D Have the child move her head from side to side at least every 2 hours A child with pyloric stenosis is having excessive vomiting. Which of the following is a potential complication? A Hyperchloremia B Metabolic alkalosis C Hyperkalemia D Metabolic acidosis
A child with a fracture of the humerus has a long arm cast. Which of the following signs are assessed to determine tissue ischemia or compartment syndrome? A Proliferation B Physiologic C Pulselessness D Position The nurse is assessing an infant with intussusception. Which of the following clinical findings should the nurse expect? (Select all that apply) A Projectile vomiting without visualized blood B Palpable olive shaped mass in the epigastrium C Stool mixed with blood and mucus D Palpable sausage shaped abdominal mass E Acute abdominal pain The nurse is teaching the parents of a 1-month-old infant with developmental dysplasia of the hip about preventing skin breakdown under the Pavlik harness. What statement by the parent would indicate a correct understanding of the teaching? a. “I should gently massage the skin under the straps once a day to stimulate circulation." b. “I will apply a lotion for sensitive skin under the straps after my baby has been given a bath to prevent skin irritation." c. “I should remove the harness several times a day to prevent contractures."
d. “I will place the diaper over the harness, preferably using a super absorbent disposable diaper that is relatively thin."
