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ATI Nursing Care of Children Proctored Exam 2024 with NGN | Full Q&A
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ATI Nursing Care of Children Proctored Exam 2024 with NGN | Full Q&A
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ATI RN NURSING CARE OF CHILDREN FINAL 2023-2024EXAM
A nurse is planning care for a preschooler who has . Which of the following interventions
should the nurse include in the plan?
a.Administer pancreatic enzymes 2 hr after meals.
b.Decrease pancreatic enzymes if steatorrhea develops.
c.Limit fluid intake to 750 mL per day.
d.Increase fat content in the child's diet to 40% of total calories.
Answer - d. Increase fat content in the child's diet to 40% of total calories. A child who has cystic
fibrosis is unable to properly digest fats due to fibrosis of the pancreas and limited secretion of
pancreatic enzymes. The nurse should increase the child's fat intake to equal 40% of total caloric
intake.
A- The nurse should plan to administer pancreatic enzymes within 30 min of meals and
snacks.
B- A child who has cystic fibrosis and develops steatorrhea, or fatty stools, needs to increase
the intake of pancreatic enzymes.
C- The nurse should encourage fluid intake, rather than restrict it, to prevent dehydration
caused by the loss of sodium and chloride through perspiration.
A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of
dehydration. Which of the following findings should the nurse address first?
a.Skin breakdown
b.Hypotension
,c.Hyperpyrexia
d.Tachypnea
Answer- d. Tachypnea. When using the airway, breathing, circulation approach to client care, the
first finding the nurse should address is the toddler's tachypnea, which results when the kidneys
are unable to excrete hydrogen ions and produce bicarbonate leading to metabolic acidosis.
A- Toddlers who have gastroenteritis and are dehydrated are at increased risk for skin
breakdown because of changes in circulation and loss of skin elasticity.
However, the nurse should address another finding first.
B- Toddlers who have gastroenteritis and are dehydrated may exhibit hypotension because of
reduced blood volume. However, the nurse should address another finding first.
C- Toddlers who have gastroenteritis and are dehydrated may exhibit hyperpyrexia, or fever,
which is caused by the effect of fluid volume depletion on the hypothalamus. However, the nurse
should address another finding first.
A nurse is discussing organ donation with the parents of a school-age child who has
sustained brain death due to a bicycling accident. Which of the following actions should the
nurse take first?
a.Inform the parents that written consent is required prior to organ donation.
b.Provide written information to the parents about organ donation.
c.Ask the provider to explain misconceptions of organ donation to the parents.
d.Explore the parents' feelings and wishes regarding organ donation.
Answer- d. Explore the parents' feelings and wishes regarding organ donation. The first action the
nurse should take when using the nursing process is assessment. Exploring the parents' feelings
,and wishes regarding organ donation will assist the nurse in determining if organ donation is
appropriate for this family and should be done prior to taking other actions.
A- The nurse should inform the parents that written consent is required prior to organ
donation to document that the parents have consented to organ donation and that the provider has
addressed any questions or concerns the parents may have. However, there is another action that
the nurse should take first.
B- The nurse should provide written information to the parents to enhance their
understanding about organ donation. However, there is another action that the nurse should take
first.
C- The nurse should ask the provider to explain misconceptions of organ donation to the
parents, because it is important that they have accurate information before making a final
decision. However, there is another action that the nurse should take first.
A nurse in an emergency department is caring for a school-age child who has appendicitis
and rates his abdominal pain 7 on a 0 to 10 scale. Which of the following actions should the
nurse take?
a.Instill a 500 mL tap water enema.
b.Give morphine 0.05mg/kg IV.
c.Administer polyethylene glycol 1g/kg PO.
d.Apply a heating pad to the child's abdomen.
Answer- b. Give morphine 0.05mg/kg IV. A pain level of 7 on a 0 to 10 scale is considered severe
and the nurse should administer an analgesic medication for pain relief.
A- Administering an enema accelerates bowel motility and increases the risk for perforation of
the appendix.
, C- Administering laxatives accelerates bowel motility and increases the risk for perforation
of the appendix.
D- Applying heat to the child's abdomen increases the risk for perforation of the appendix.
A nurse is assessing a 4-year-old child at a well-child visit. Which of the following
developmental milestones should the nurse expect to observe?
a.Identifies right from left hand
b.Uses a utensil to spread butter
c.Cuts a shape using scissors
d.Draws a stick figure with seven body parts
c. Cuts a shape using scissors
A- Identifying the right from left hand is an expected developmental milestone of a 6-year-
old child.
B- Using a utensil to spread butter is an expected developmental milestone of a 6year-old
child. D- Drawing a stick figure with seven body parts is an expected developmental milestone of
a 5- year-old child.
A school nurse is preparing to administer atomoxetine 1.2 mg/kg/day PO to a school-age
child who weighs 75lb. Available is atomexetine 40 mg/capsule. How many capsules should
the nurse administer per day?
1
A nurse in the emergency department is assessing a toddler who has Kawasaki disease.
Which of the following findings should the nurse expect? (select all that apply.)
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