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VATI NURSING CARE OF CHILDREN EXAM 2025 LATEST
ACTUAL QUESTIONS AND CORRECT VERIFIED ANSWERS
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The parent of a two-year-old child reports feeling frustrated with the fact that her son is saying no to everything. The nurse should teach the parent that this behavior is a normal expression of the child's desire to accomplish which of the following? - CORRECT ANSWER a. Increase their independence. CorrectCORRECT. The drive for independence is expressed by the toddler opposing the desires of those in authority (tantrums) and attempting to do everything for themselves. The Erickson developmental stage for this age is "Autonomy vs. Shame and Doubt." b. Develop their sense of trust. c. Finish a project they set out to do. d. Gratify their oral fixation. At a well-child visit, the parents report that their toddler occasionally touches and fondles her genital area. The parents ask the nurse if this behavior is something to be concerned about. Which of the following is a correct response? - CORRECT ANSWER a. Your child is probably imitating behaviors that she has observed b. Awareness of body structures and sensations is normal and expected
CorrectCORRECT. Genital self-stimulation by the toddler is normal and expected. It is a new area to explore, similar to exploring the toes at an earlier age, but it has pleasurable sensations too! It should be ignored unless the behavior becomes pervasive, and then it should still be ignored and the child should be distracted to come and do some fun and exciting activity c. This is a possible infection or irritation in the genital area d. This is an early emergence of sexual expression that should be discouraged A nurse is taking the health history of a school-age girl. Which statement by the client's mother indicates a need for further teaching regarding the client's nutritional status? - CORRECT ANSWER a. "She eats a large breakfast every morning." b. "We increase her protein intake when she's playing sports." c. "We allow her to pick out a treat at the grocery store for good behavior." CorrectCORRECT. This statement indicates a need for further teaching. This client's mother should be educated about the importance of praising the client's abilities and skills rather than using food as a reward, which may lead to an increased risk for obesity. d. "She enjoys helping to prepare her snacks in the kitchen." A nurse correctly understands which of the following characteristics is a possible developmental delay for a 3-month-old
A nurse is educating the parents of an infant about symptoms that should be reported to the provider. What finding should be immediately reported? - CORRECT ANSWER a. Mild diarrhea b. Abdominal distension c. Decreased urine output CorrectCORRECT. Decreased urine output indicates dehydration and should be reported immediately to the provider. Listlessness, sunken eyes, decreased tears, and dry mucous membranes are other symptoms of dehydration that should be immediately reported. d. Difficulty evacuating bowels A nurse is changing a dressing on a pre-school-aged child who has a healing wound on a lower extremity. Which of the following nonpharmacologic comfort measures would be most appropriate for this child? - CORRECT ANSWER a. Encouraging the child to watch a favorite cartoon on television. CorrectCORRECT. Cartoons would be a very attractive distraction, and distraction is a powerful nonpharmacologic comfort intervention which works well with this developmental age. b. Promising the child a special treat in exchange for cooperation. c. Teaching the child how to go 'to a different place' using their imagination. d. Assisting the child to take deep breaths and focus on relaxing.
A nurse is planning community education focusing on the principles of first aid. Which of the following strategies is likely to be most effective with adolescent learners? - CORRECT ANSWER a. Divide the planned program into several sessions over several weeks. b. Actively involve the participants in practice of techniques. CorrectAdolescent learners will learn best when actively involved in participation and use of psychomotor skills. c. Teach the most crucial content early in the session. d. Simple lecture format. A nurse is providing education to the mother of a ten year old child about to undergo scoliosis screening. Which of the following statements by the mother indicates a need for further teaching? - CORRECT ANSWER a. "The examiner will be looking for symmetry in alignment of shoulders or hips." b. "The examiner will be looking for asymmetry of the ribs and flanks." c. "My child should be undressed down to her under wear." d. "My child will be asked to stand upright, arms stretched above the head." CorrectThe adolescent client should be leaning forward at the waist with arms hanging down; upright with arms stretched above the head would not allow proper screening.
b. Provide heat to control bleeding episodes. c. Report to the provider a pink, nonpruritic macular rash. d. Encourage child to participate in team activity sporting A nurse is caring for a client with respiratory syncytial virus (RSV). The nurse is aware that which of the following activities would not prevent the spread of infection? - CORRECT ANSWER a. Encouraging children to participate in school activities. CorrectCorrect. Infected children should be kept away from contact with well children. b. Covering the nose and mouth. c. Performing good hand hygiene. d. Discouraging the sharing of eating utensils. A nurse is caring for a child who has leukemia. What discharge teaching would be reinforced with the parents prior to discharge? - CORRECT ANSWER a. Encourage parents not to palpate the stomach. b. How to properly use vascular access devices. CorrectCorrect. The nurse will instruct the child and the parents on how to properly use vascular access devices. Parents and children may need to administer medications and nutritional support through these devices. c. Side effects of radiation therapy. d. Report developmental delays to the provider.
A school-aged child has been recently diagnosed with attention deficit hyperactivity disorder (ADHD). What activities can the school nurse provide to the parents to help improve school performance? - CORRECT ANSWER a. Encourage the child to sit at the dining room table until all homework is done. b. Insist that the child read quietly to himself until he understands the instructions. c. Allow the child to work when they feel like it. d. Divide tasks into small projects, allowing frequent breaks. CorrectCorrect: Children with ADHD have a hard time focusing for extended periods of time. Parents and teachers should obtain the child's attention prior to giving directions, and allow tasks to be completed in small increments. Efforts should be made to time tasks to time of day when the child has the best attention span. Creating 'games' out of homework can also help obtain academic success. A client is diagnosed with rheumatic fever. Which clinical manifestation would the nurse recognize associated with the presentation of rheumatic fever? - CORRECT ANSWER a. Purulent nasal discharge b. Irritability, poor concentration and behavioral problems c. Polyarthritis CorrectCorrect - Polyarthritis is a clinical manifestation seen in clients when diagnosing rheumatic fever. d. Cough
A nurse is assisting with teaching high school students in a community health class on communicable diseases. During the discussion on infectious mononucleosis, which statement would lead the nurse to conclude that further teaching is needed? - CORRECT ANSWER a. "Mononucleosis can be confirmed by a blood test." b. "A person with mononucleosis is at risk for a ruptured spleen." c. "Mononucleosis is a bacterial infection." CorrectCorrect: Mononucleosis is a viral infection caused by the Epstein-Barr viru. d. "A person with mononucleosis would have flu like symptoms including a low grade fever, sore throat and fatigue." A distracted 7-year-old student is sent to the school nurse by his teacher. When the nurse checks his hair and scalp, the nurse notes the evidence of pediculosis capitis. What are recognizable manifestations of this form of skin infestation? - CORRECT ANSWER a. Small white spots that adhere to the hair shaft, close to the scalp. CorrectCorrect: The small white spots that adhere to the hair shafts are the eggs, or nits of lice (pediculosis capitis). b. Flaking of the scalp with pink, irritated skin expose. c. Scaly, circumscribed patches on the scalp, with mild alopecia in these areas. d. Multiple tiny pustules on the scalp with no abnormal findings on the hair shafts.
There are different parenting styles that are exhibited within a family. Which of the following parenting styles is exhibited when a parent states, "My child can play video games for one hour a day after his homework is completed." - CORRECT ANSWER a. Democratic CorrectCorrect: This parent is exhibiting a democratic/authoritative parenting style. The parent directs the child's behavior by setting rules and explaining the reason for each rule setting. b. Passive c. Permissive d. Dictatorial The nurse is assisting the parents of a school-aged child with a plan to prepare him for the impending death of a family member. What would be the potential behavior of the school-aged child when faced with this stressor? - CORRECT ANSWER a. Same emotional demonstration as his parents b. Believe that death is temporary c. Accepting behavior of this situation d. Uncooperative behavior CorrectCorrect: School-aged children will often display fear of the unknown through uncooperative behavior. A nurse is reinforcing teaching prior to discharge to a school-aged client and his parents following a radius fracture with cast application. Which of the following statements by the client's parent indicates a need for additional teaching? - CORRECT
The nurse is caring for a child with cystic fibrosis what provider order would the nurse question? - CORRECT ANSWER a. Limit physical activity CorrectCorrect: Exercise is important as it helps clear mucus from the lungs and improves physical bulk and strength. b. Administer flu vaccine c. Oxygen via nasal cannula at 2 l/m. d. High protein diet
PN VATI Nursing Care of Children EXAM QUESTIONS AND
ANSWERS GRADED A
A nurse is contributing to the plan of care for a preschooler who has moderate partial- thickness burns on both lower extremities. Which of the following interventions should the nurse recommend? - CORRECT ANSWER Ensure the child receives pain medication 30 to 45 min prior to therapy. The nurse should ensure that the preschooler receives pain medication 30 to 45 min prior to physical therapy sessions. The nurse should monitor the child's pain levels and treat them as needed. This will minimize or eliminate pain from moving tight skin at joints, which will encourage the child to participate in physical therapy. If the child is in pain during therapy, it will be a challenge to get the child to participate in future sessions. A nurse is assisting with care for an adolescent client who has asthma and a new prescription for albuterol by metered-dose inhaler. Which of the following statements
by the client indicates that they might be experiencing an adverse effect of albuterol? - CORRECT ANSWER "My heart feels like it's fluttering after taking my medication," The nurse should identify that the client might be experiencing palpitations or tachycardia, common adverse effects of albuterol. A nurse in a provider's office is collecting data from an adolescent who has juvenile idiopathic arthritis and has been taking ibuprofen daily for the last 6 months. Which of the following client statements should the nurse report to the provider? - CORRECT ANSWER "Inoticed some blood in my stool this morning." The nurse should identify that bloody stools are an adverse effect of long-term therapy with ibuprofen. The nurse should question the adolescent regarding a new onset of abdominal pain and should report the client's statement to the provider. A nurse is reinforcing teaching with the parent of a child who has diabetes mellitus. The parent asks the nurse how to minimize the child's pain when monitoring blood glucose levels. Which of the following statements by the parent indicates an understanding of the teaching? - CORRECT ANSWER "My child should hold their finger under warm water before obtaining a sample. Holding the finger under warm water will'promote blood flow to the finger, making the puncture less painful. A nurse is reinforcing teaching with the parent of a child who has a bacterial upper respiratory infection. Which of the following statements by the parent indicates an understanding of the teaching? - CORRECT ANSWER "I will keep my child's towels separate from those of the rest of the family." The nurse should identify that a child who has an upper respiratory infection should use separate towels, utensils, and cups to prevent the infection from spreading.
When using the urgent vs. nonurgent approach to client care, the nurse should identify that the priority finding is a potassium level of 3.2 mEq/L because this is below the expected reference range of 4.1 to 5.3 mEq/L for a 9-month-old infant. Hypokalemia, or a decreased potassium level, impacts the ability of smooth muscles to contract and can lead to cardiac arrythmias. Therefore, the nurse should identify this as the priority finding and notify the provider. A nurse is caring for a toddler who has a respiratory illness and a temperature of 39.3° C (102.7" F). Which of the following actions should the nurse take to reduce the toddler's temperature? - CORRECT ANSWER Remove the toddler's extra clothing. The nurse should remove the toddler's extra clothing after administering an antipyretic to reduce the toddler's temperature. A nurse is caring for a preschooler who has diabetes mellitus and is pale, diaphoretic, and irritable. The child's blood glucose level is 52 mg/dL. Which of the following actions should the nurse take first? - CORRECT ANSWER Administer 1 tbsp of sugar to the child. When following evidence-based practice, the nurse should administer 15 g of simple carbohydrates. Foods, such as 1 tbsp of table sugar, will quickly bring the glucose level up and resolve the manifestations of hypoglycemia. This should be followed up by a complex carbohydrate to prevent rebound hypoglycemia. A nurse is caring for a child who has pertussis. Which of the following precautions should the nurse initiate? - CORRECT ANSWER Droplet The nurse should initiate droplet precautions for a child who has a disease that is transmitted through droplets larger than 5 microns, such as pertussis. Individuals providing care for the child should wear a mask and the child should be placed in a private room.
A nurse is reinforcing teaching with the guardian of an adolescent who has ADHD and a prescription for methylphenidate. Which of the following statements by the guardian indicates an understanding of the teaching? - CORRECT ANSWER I will use charts to assist my child with organizing their day. The use of charts to assist with organization is a recommended modification of the environment to help the adolescent be more successful. A nurse is assisting with the care of a child following a tonsillectomy. Which of the following actions is the nurse's priority? - CORRECT ANSWER Monitor the child for frequent swallowing. The greatest risk to this child is hemorrhage following the tonsillectomy. Frequent swallowing is an early and obvious manifestation of postoperative Therefore, the nurse's priority action is to monitor the child for frequent swallowing. A nurse is assisting with the care of a child who is in status asthmaticus. Which of the following medications should the nurse administer first? - CORRECT ANSWER Albuterol via nebulizer When using the airway, breathing, circulation approach to client care, the nurse should first administer albuterol, a short-acting betaz-adrenergic agonist, to relax the child's smooth muscles and promote bronchodilation. Status asthmaticus is a medical emergency and can result in respiratory failure: therefore, the priority action is to improve ventilation and decrease airway resistance. A nurse is reinforcing teaching with the parent of a 15-monthold toddler about nutritional guidelines. Which of the following statements by the parent indicates an understanding of the teaching? - CORRECT ANSWER "My child's intake of calcium should average 500 milligrams every day."
The nurse should inform the parent that the child will undergo a bone marrow biopsy to confirm the diagnosis of ALL. A nurse is caring for a preschooler immediately following the application of a long-leg plaster cast due to a fracture. Which of the following actions is the nurse's priority? - CORRECT ANSWER Monitor capillary refill of the casted extremity. The first action the nurse should take when using the airway, breathing, circulation method of client care is to monitor the circulatory status of the casted extremity. The extremity can continue to swell following application of the cast, increasing the risk for compartment syndrome. A nurse is assisting with the care of an infant who requires emergency surgery and whose parent is an emancipated adolescent. Which of the following people can sign the informed consent form for the procedure? - CORRECT ANSWER The adolescent parent An emancipated adolescent has the legal'right to provide consent for their children. A nurse is reinforcing teaching with the guardian of a 1-monthold infant who has colic. Which of the following instructions should the nurse nclude in the teaching? - CORRECT ANSWER "Offer a pacifier when your baby is fussy. The nurse should instruct the guardian to offer a pacifier to soothe and comfort the infant. A nurse is reinforcing teaching with a school-age child who has mild persistent asthma and has a new prescription for therapy with montelukast. Which of the following information should the nurse include? - CORRECT ANSWER "This medication helps prevent bronchospasms."
The nurse should reinforce that montelukast is a leukotriene modifier that helps treat mild persistent asthma by blocking inflammation and preventing bronchospasms. A nurse is making a home visit to a 5-year-old child who has cerebral palsy and uses a wheelchair. Which of the following observations made by the nurse indicates that the family needs support and resources to cope with the child's condition? - CORRECT ANSWER The parent is withdrawn and rarely interacts with the child The parent is exhibiting avoidance behavior in response to the child's condition. This is an unexpected finding that requires intervention by the nurse. A nurse is caring for a 4-year-old child who has pneumonia due to varicella zoster. The parent asks the nurse what types of activities are available for the child. Which of the following play activities should the nurse recommend? - CORRECT ANSWER Playing an alphabet flash card game with the parent The nurse should recommend playing an alphabet flash card game with the parent in the child's room. A child who requires airborne and contact precautions must remain in the assigned isolation room to prevent the spread of the infection to other children on the unit. Also, any toys brought into the room will require disinfection before and after each use. A nurse in a pediatric unit is assisting with providing care for multiple children. Which of the following physical findings and parental reports should cause the nurse to suspect child maltreatment? - CORRECT ANSWER A toddler has a spiral fracture, and the parent reports a fall from a swing. The nurse should recognize the incompatibility between the parent's report and the presence of a spiral fracture, which is caused by the twisting of an extremity. This incompatibility should cause the nurse to suspect child maltreatment.
