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VATI RN CARE OF CHILDREN
PROCTORED EXAM NEWEST 2025
ACTUAL EXAM COMPLETE QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS ALREADY GRADED A+
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. A charge nurse on a pediatric unit is reviewing informed consent guidelines with newly licensed nurse. For which of the following clients should the nurse obtain informed consent from a guardian? A 15-year-old client who requires an open reduction of a fracture.
- Sign consent prior to surgical procedures for a minor.
- 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? Administer the medication on an empty stomach. Encourage the child to brush their teeth after each meal. Crush the child's medication to mix with applesauce. Observe the child for diarrhea.
Encourage the child to brush their teeth after each meal.
- Dental hygiene, this medications can cause gingival hyperplasia, and good oral hygiene reduces the risk of this occurring. *take with meals **extended release so cant mix constipation not diarrhea A nurse is caring for a 6 month old infant who has acute vomiting and diarrhea. Which of the following manifestations should the nurse identify as an indication of moderate hypovolemia? 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
Place knee pads on the child. Perform passive range-of-motion exercises following an acute episode. Use a firm-bristled toothbrush for dental care. Place knee pads on the child.
- Take measures to make the environment safe. This can include measures such as installing carpet over ceramic tiled floors or placing knee and elbow pads on the child to protect the Childs joints form injury and bleeding. A nurse is planning care for a child who has cerebral palsy and is experiencing muscle spasms. Which of the following medications should the nurse expect to administer? Baclofen
- Centrally acting skeletal muscle relaxant that will decrease muscle spasm and sever spasticity. 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
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.
- Food intake should be adjusted to compensate for the release of insulin into the circulatory system and prevent episodes of hypoglycemia. The recommended increase of carbs is 10-15g per hr. of moderate play or activity.
- Fluids flush out ketones to prevent dehydrations. Recommend sugar free liquids, such as water, broth, and tea to the child. Continue with usual intake of mealtimes and follow their recommended meal plan as much as possible.
- If the game is prolonged they should have a snack every 45mins to an hour. If they cannot tolerate the extra food, the next intervention is to decrease the insulin dose before the game. A nurse is teaching an adolescent how to use a peak expiratory flow meter (PEFM). The nurse should identify that which of the following statements by the child indicates an understanding of the teaching? "I will breathe in through the mouthpiece, hold my breath for 5 seconds, and then exhale." "If I get a reading in the green zone, I will tell my parents right away so they can call the doctor."
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 planning a community education series for teachers of children who have attention-deficit hyperactivity disorder (ADHD). Which of the following classroom strategies should the nurse include in the teaching? Accompany verbal instructions with visual references.
- Use visual references along with verbal instructions for child who have ADHD. Using both verbal and written instruction provides clear communication of expectations for the children. A nurse is admitting a child who has pertussis. Which of the following isolation precautions should the nurse initiate for the child? Droplet
- And other infections that is transmitted through respiratory droplets larger than 5 microns in size. (diphtheria, rubella, and scarlet fever require droplet precautions. Droplet precautions requires staff who provide care to wear a mask or respirator as PPE.
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."
A nurse is teaching a female adolescent who reports frequent urinary tract infections. Which of the following instructions should the nurse include in the teaching? Void at least every 3-4hrs.
- Urinate as soon as they feel the urge and to avoid waiting to void. Urinary stasis increase the risk for infection. A nurse is caring for a child who has bacterial meningitis. Which of the following actions should the nurse take first? Administer IV antibiotics. Monitor vital signs. Encourage oral fluids. Initiate droplet precautions. Initiate droplet precautions.
- To reduce the risk of transmission of the infection to others. A nurse is preparing to administer erythromycin 50mg/kg/day in divided doses every 6hrs to an adolescent who is postoperative following surgical removal of a peritonsillar abscess and weights 40kg. Available is erythromycin oral solution 200mg/5mL. How many mL should the nurse administer with each dose? 12.5 mL
A nurse is creating a plan of care for a school age child who is postoperative following a tonsillectomy. Which of the following interventions should the nurse include? Instruct the child to gargle using salt water every 4 hr. Give the child fluids using a straw. Ask the child to take deep breaths and cough every 30 min. Apply an ice collar to the child's neck. Apply an ice collar to the child's neck.
- To promote comfort and minimize swelling. The nurse also should administer prescribed analgesics to the child around the clock to minimize pain. *no gargling - > risk for bleed **no straw can damage surgical site **avoid coughing, blowing nose, clear A nurse in an emergency department is caring for a child who has ingested kerosene. The child is lethargic, grunting, and gagging. Which of the following actions should the nurse take? Prepare for intubation with a cuffed endotracheal tube.
- Anticipate that the child will require intubation with a cuffed endotracheal tube because of the high risk of aspiration. This child is at risk for aspiration because they are lethargic, grunting, and gagging.
Monitor temporal artery temperature.
- Check temperature by scanning the temporal artery to monitor for manifestation of infection. Other manifestations of infection include redness, warmth, and drainage from the incision site. *restraints on elbows not wrists **clean with sterile water ***position infant in upright or later position to facilitate drainage A nurse is providing teaching about magnetic resonance imaging (MRI) without contrast to the parent of a child who has cancer. Which of the following statements should the nurse make? You can remain in the room with your child during the procedure.
- Provides comfort and reassurance during the procedure. A nurse is assessing a toddler. Which of the following findings should the nurse identify as an indication of potential child maltreatment? Circular burns on the soles of the toddlers feet.
- Physical manifestations of burns are often found on the soles, back, buttocks, and hands. The nurse should document the location of the burns along with a description of the pattern and the presence of eschar or blistering. The nurse should also obtain diagrams and photographs using a measurement tool.
A nurse in a emergency department is caring for a child who is experiencing an acute asthma attack. Which of the following findings is the priority for the nurse to report to the provider? Expiratory wheeze Heart rate 100/min Profuse sweating Oxygen saturation 94% Profuse sweating
- Indicates that his child is at risk for severe respiratory distress as a result of status asthmaticus and requires immediate intervention. Other manifestations that should be reported immediately include nasal flaring, distended neck veins, and tachypnea. The nurse should remain with the child to provide support and interventions if intubation becomes necessary. A nurse is planning care for an infant who has respiratory syncytial virus (RSV) and a respiratory rate of 46/min. Which of the following interventions should the nurse include in the plan of care? Initiate contact precautions.
