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VATI NURSING CARE OF CHILDREN
EXAM NEWEST 2025 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS
ALREADY GRADED A+
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 client? - CORRECT ANSWER a. The infant is unable to point to objects b. The infant is unable to sit with support c. The infant demonstrates stranger anxiety d. The infant does not raise his head when placed on his abdomen CorrectCORRECT. When placed on the abdomen the 3 month old should attempt to raise his head. Some sources refer to this as "tummy time" which provides the infant with the stimulation to strengthen upper body and neck muscles in preparation for good head control when sitting upright and the some of the muscles required for crawling.
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. A nurse is collecting data on newborn. Which of the following is an expected finding? - CORRECT ANSWER a. Respirations 21 to 24/min
b. Babinski reflex present CorrectThe Babinski reflex is present for the first year of life. The reflex is elicited by stroking the outer edge of the sole of an infant's foot up toward the toes. The infant's toes fan upward and out. c. Pulse rate 70 to 80/min d. Decorticate reflex A nurse is helping parent's select appropriate independent activities for their 8 year old child. Which of the following would be an appropriate activity? - CORRECT ANSWER a. Encouraging the child to assume care of the family pet b. Allowing the child to play video games c. Playing touch football d. Providing frequent trips to the library CorrectProviding frequent trips to the library allows the child to select reading material that is stimulating and reading is an independent activity. A nurse is caring for a client being discharge home who has hemophilia. Which of the following teaching points would be reinforced to the parents prior to discharge? - CORRECT ANSWER a. Dress toddlers in extra layers of clothing. CorrectCorrect. Toddlers should be dressed in extra layers of clothing to provide additional padding 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
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 The nurse is collecting data for a 2-month-old with suspected pyloric stenosis. Which finding indicates pyloric stenosis? - CORRECT ANSWER a. Hard, moveable "olive-like mass" in the upper right quadrant CorrectCorrect: A hard, moveable "olive-like mass" in the right upper quadrant is the hypertrophied pylorus. The client will experience vomiting often after feedings, demonstrates constant hunger and shows signs of dehydration and failure to gain weight. b. Perianal fissures and skin tags c. Sausage-shaped mass in the upper mid abdomen d. Abdominal pain and irritability A 3-month-old client has just undergone the procedure, cheiloplasty. The nurse is collecting data following the procedure. Which of the following pain collection tools should be used to collect information on pain level? - CORRECT ANSWER a. FACES b. Oucher c. Numeric scale d. FLACC CorrectCorrect: This pain collection tool is recommended for infants and children 2 months to 7 years of age. Pain is rated on a scale of 0 to 10. Face (F), Legs (L), Activity (A), Cry (C), and Consolability(C)are assessed.
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
Rule is needed when the mother of the child states which of the following? - CORRECT ANSWER a. "I will encourage my child to sugar-free, non-caffeinated liquids." b. "I will continue to give my child the oral antidiabetic agent." c. "I will take my child blood sugar every 6 hours." CorrectCorrect: The blood glucose level should be taken at minimum every 3 hours. Additional teaching will be required. d. "I will notify my health care provider if vomiting occurs more than once." 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
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.
A nurse is contributing to the plan of care for a child who has
nephrotic syndrome and a prescription for corticosteroids.
Which of the following interventions should the nurse
recommend? - CORRECT ANSWER Provide a low-sodium diet.
The nurse should recommend providing the child with a
lowsodium diet to decrease edema associated with nephrotic
syndrome.
A nurse is collecting data from a child who recently experienced
a psychomotor seizure. Which of the following findings should
the nurse expect? - CORRECT ANSWER Amnesia
The nurse should identify that amnesia is an expected
manifestation after a seizure. Children often do not remember
the seizure activity.
A nurse is collecting data from a 5-month-old infant who is
postoperative following umbilical hernia repair. Which of the
following measures should the nurse use to evaluate the
infant's pain level? - CORRECT ANSWER FLACC pain rating
scale
The nurse should use the FLACC pain rating scale to evaluate
this infant's pain level following outpatient surgery to repair an
umbilical hernia. The FLACC scale is a postoperative pain rating
tool used for children ranging from 2 months old to 7 years old.
The acronym stands for Face, Legs, Activity, Cry, and
Consolability. The scoring ranges from 0, indicating "no pain
behaviors" to 10, indicating "most possible pain behaviors."
A nurse is assisting in the admission of a 9-month-old infant
who has gastroenteritis with vomiting and diarrhea. Which of
the following findings is the nurse's priority? (Click on the
exhibit tabs for additional information about the client. There
are three tabs that contain separate categories of data.) -
CORRECT ANSWER Potassium level
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
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.
The nurse should have the child cough deeply to produce
sputum that is from the lower respiratory tract.
A nurse is reinforcing teaching with the parent of a preschooler
who has amblyopia. Which of the following instructions should
the nurse include in the teaching? - CORRECT ANSWER Patch
the unaffected eye during the day.
The nurse should instruct the parent to patch the unaffected
eye during the day to strengthen the affected eye.
A nurse is reinforcing teaching with the parent of a school-age
child who is undergoing testing for acute lymphoid leukemia
(ALL). The nurse should inform the parent that the child will
undergo which of the following tests to confirm the diagnosis? -
CORRECT ANSWER Bone marrow biopsy
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.
