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VATI RN Nursing Care of Children Proctored Exam – Newest 2025 Actual Exam with Complete Q, Exams of Nursing

This document presents the most recent and verified real questions with correct answers from the 2025 VATI RN Nursing Care of Children Proctored Exam. It covers essential pediatric nursing content, including growth and development stages, common pediatric conditions, medication administration, family-centered care, and safety interventions. Graded A+, this resource is ideal for RN students preparing for VATI evaluations and the pediatric section of the NCLEX-RN. Keywords: VATI RN pediatric exam 2025 nursing care of children growth and development pediatric nursing interventions child medication safety family-centered pediatric care NCLEX-RN pediatric prep real proctored exam questions verified A+ answers pediatric disease management

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Available from 06/29/2025

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VATI RN NURSING CARE OF CHILDREN
PROCTORED 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
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Download VATI RN Nursing Care of Children Proctored Exam – Newest 2025 Actual Exam with Complete Q and more Exams Nursing in PDF only on Docsity!

VATI RN NURSING CARE OF CHILDREN

PROCTORED 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. A nurse has administered the first DTaP (diphtheria toxoid, tetanus and pertussis) immunization to a two-month-old infant. For which of the following symptoms

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 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.

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 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

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

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

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.

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 advise the parent that the toddler should

receive approximately 500 mg of calcium daily to support

adequate bone development. Milk, yogurt, cheese, and green,

leafy vegetables are all foods high in calcium, and the nurse

should recommend increasing these in the toddler's diet.

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.

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