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VATI CARE OF CHILDREN EXAM 2025 LATEST
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A nurse is providing nutritional teaching to the patents of a child who has acute glomerulonephritis with pitting edema. Which of the following foods should the nurse recommend be eliminated from the child's diet? Hot dogs
- Results in edema, HTN, hematuria and proteinuria. Dietary changes requires limit foods high in sodium because of the edema and HTN. (Hot dogs, or other processed meats) A nurse in an emergency department is assessing a 5-year-old child who has a concussion. Which of the following manifestations should the nurse identify as an early indication of ICP? Nausea
- Early findings of ICP A nurse is creating a plan of care for a school-age child who has moderate partial thickness burns on both lower extremities. Which of the following interventions should the nurse include in the plan? Maintain aseptic technique during the child's dressing changes Provide low-calorie snacks for the child several times each day Apply continuous passive motion devices to the child's lower extremities during periods of rest admin pain medication 30 following physical therapy Maintain aseptic technique during the child dressing changes.
- To prevent infection. Delayed wound healing can occur due to infection, which can also cause partial thickness wounds to develop into full thickness wounds.
of the following instructions should the nurse include in the teaching? Provide quite activities for the child.
- Provide quite activities, such as reading and coloring, during edema phase of nephritis to minimize oxygen consumption and preserve energy. A nurse is assessing a 2-year-old child following a surgical procedure. Which of the following pain tools should the nurse use? Face, Legs, Activity, Cry, Consolability (FLACC) scale Oucher scale FACES scale Visual Analog Scale (VAS) Face, Legs, Activity, Cry Consolability (FLACC) scale.
- The FLACC scale is used for infants and children from 2 months to 7 years.
Oucher scaleThe nurse should not use the Oucher scale to assess pain in a toddler. The Oucher scale is used for children aged 3-13 years. and requires the child to point to each section on the scale to describe variations in pain intensity or to point to a picture and describe variations in pain. FACES scaleMY ANSWERThe nurse should not use the FACES pain rating scale to assess pain in a toddler. The FACES scale is used for children aged 3 years and older and requires the child to identify pain by pointing to a face that represents the level of pain the child is experiencing. Visual Analog Scale (VAS)The nurse should not use the VAS pain scale to assess pain in a toddler. The VAS scale is used for children older than 4.5 years old and requires the child to understand the concept of less pain to more pain and the ability to make a written mark on a pain scale that represents the level of pain the child is experiencing. A nurse is providing discharge teaching to the parents of a school age child who has epilepsy and a new prescription for phenytoin extended release capsules. Which of the following instructions should the nurse include in the teaching?
Capillary refill greater than 4 seconds Bradycardia Tachypnea Lethargy Tachypnea
- A hypovolemia worsens, breathing becomes hyperpneic. *lethargy = severe **bradycardia no a manifestation **more than 4 sec = severe A nurse is caring for a toddler who is experiencing hyperglycemia. Which of the following manifestations should the nurse expect? Lethargic mood.
- Will be irritable and have a labile mood.
A nurse is providing discharge teaching to the parent of a 5- year-old child who has leukemia and is receiving chemotherapy. Which of the following statements by the parent indicates an understanding of the teaching? "I will take my son's rectal temperature daily." "I will make sure to inspect my son's mouth every day for sores." "I will make sure my son gets his MMR vaccine this week." "I will ensure my son exercises a little each day by riding his bicycle." I will make sure to inspect my son's mouth every day for sores.
- Increase risk for mucositis, therefore, the parent should inspect the mouth daily for lesions or ulcerations and report these to the provider. Open lesions can become infected in the child who is immunocompromised. A home health nurse is developing a plan of care for the parents of a toddler who has hemophilia A. Which of the following instructions should the nurse include?
A nurse is providing discharge teaching to a group of guardians of infants about home safety. Which of the following statements should the nurse make? "Place your baby in a side-lying position when sleeping." "Use a drop-side crib until your baby is at least 6 months old." "Apply a plastic mattress cover to your baby's bed to protect it." "Keep your infant restrained when they are in a highchair." Keep your infant restrained when they are in a highchair.
- Restrain infant while sitting in a highchair using the included straps with a closure. This will prevent the infant from falling out of the chair and decrease the risk of injury. Avoid leaving their infant in a highchair unattended because of the risk of slipping down in the chair and strangling on the safety straps.
A nurse is assessing a 4-year-old child who is 2 days postoperative following insertion of a ventriculoperitoneal shunt. Which of the following findings is the nurse's priority? Urine output of 50 mL in 2 hr Lethargy Respiratory rate 24/min Absent Babinski reflex Lethargy
- This can indicate a decrease level of consciousness or increased intracranial pressure, both of which requires immediate intervention. UO of 25 expected resp 24/min expected negative babinski expected
Decreased protein in the cerebrospinal fluid Nuchal rigidity Decreased glucose in the cerebrospinal fluid Nuchal rigidity
- Which is caused by meningeal irritation. The child also might have fever and photophobia. *k spots = measles **increase or norm protein in CSF **bacterial meningitis can decrease glucose in the CSF A school nurse is providing dietary teaching for an 11-year-old child who has type 1 diabetes mellitus. The nurse should identify which of the following responses by the child indicates an understanding of the teaching? SATA "I should eat extra food on busy days when I am more active" is correct.
"I should wait 2 hours after eating before playing with my friends" is incorrect. ."I should increase my intake of sugar-free fluids when I am sick" is correct. "I should eat a snack 30 minutes before my baseball game starts" is correct. "I should have a 16 ounce glass of milk if I start feeling weak or shaky." is incorrect. The child should consume 8 oz of milk if they feel hypoglycemic, rather than 16 oz. Clinical manifestations of hypoglycemia include dizziness, headache, irritability, weakness, shakiness, and confusion. An 8-oz glass of milk contains 15 g of carbohydrate. If the child consumes 16 oz, it would contain a minimum of 30 g of carbohydrate and most likely cause the child to become hyperglycemic and require a dose of insulin. I should eat extra food on busy days when I am more active. I should increase my intake of sugar free fluids when I am sick. I should eat a snack 30mins before my baseball game states.
"I will slowly exhale through the mouthpiece over a 10-second interval." "I will record the highest reading of the three attempts." I will record the highest reading of the three attempts.
- The child should forcefully exhale for 1sec as quickly as possible to measure the amount of air exhaled and repeat this process 3 times. The child should wait 30secs between attempts and record the highest of the the three readings. A nurse is providing a presentation for parents of a toddler about preventing childhood burns. Which of the following statements by a parent indicates and understanding of the teaching? I will plug protective guards into my electrical outlets.
- Plug protective guards into electrical outlets or place furniture in front of the outlets to protect the toddler from electrical shock or burns.
A nurse in a pediatric clinic is providing teaching to the parent of an infant who has gastroesophageal reflux (GER). The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching? I will add rice cereal to my baby's feedings.
- Add rice cereal to formula or expressed breast milk to thicken the feeding. Thickened feeding can decrease the number of vomiting episodes the infant experiences. A nurse is planning care for a school age child who is experiencing a vaso-occlusive crisis. Which of the following actions should the nurse take first? Encourage the child to increase their fluid intake.
- The first action the nurse should take is to promote hydration through the use of oral and IV fluids. Hydration is important because it prevents further sickling of the cells and delays the hypoxia-ischemia cycle.
A nurse is teaching a group of new parents about expected language development. The nurse should include that a child should begin to speak 10 or more words about which of the following ages? 6 months 10 months 18 months 24 months 18 months
- The toddler should also form simple word combinations. A nurse is providing teaching about home safety to the parents of an infant. Which of the following statements should the nurse make? Use a hot-mist vaporizer to manage congestion."
"Place your infant on a firm mattress for sleeping." "Set your water heater temperature to 130 degrees Fahrenheit." "Begin using a wheeled walker when your infant is 9 months old." Place your infant on a firm mattress for sleeping.
- Place infant in a supine position on a firm mattress for sleeping. This decease the risk for suffocation. A nurse is planning care for an adolescent client who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions is the nurse's priority? Applying heat to the affected areas Administering prophylactic antibiotics
