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NGN ATI RN
NURSING CARE OF
CHILDREN
PROCTORED
EXAM 2025 QUESTIONS WITH
100% VERIFIED
SOLUTIONS
A nurse is providing education about dietary modifications to the parent of a school age child who has glomerulonephritis. Which of the following information should the nurse include in the teaching? A. Increase the child calcium intake B. Decrease the Child's sodium intake C. Increase the child's intake of carbohydrates D. Decrease the child's fat intake B. Decrease the Child's sodium intake A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure? A. Minimize movement of the limbs B. Insert a tongue blade between the teeth C. Clear the area of hard object D. Place the child in a prone position C. Clear the area of hard object A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the following findings is the nurse's priority? A. HbA1C 11.5% B. cholesterol 189 mg/dL C. Preprandial blood glucose 124 mg/dL
D. Glycosuria A. HbA1C 11.5% A nurse is providing anticipatory guidance to a parent of a 1- month-old infant. The nurse should include that it is recommended to start this series of which of the following immunization first? A. Varicella B. measles, mumps, rubella C. Inactivated poliovirus D. Hepatitis A tetra C. Inactivated poliovirus A nurse is reviewing the laboratory report of a toddler who has hemolytic uremic syndrome. Which of the following findings should the nurse expect? A. Creatinine 0.3 mg/dL B. Hbg 18 g/dL C. Urine casts absent D. BUN 28 mg/dL D. BUN 28 mg/dL A nurse is caring for a school-age child who is experiencing a sickle cell crisis. Which of the following actions should the nurse take? A. Administer furosemide IV twice per day. B. Apply warm compresses to the affected areas C. Decrease the child's fluid intake D. Initiate contact precautions. B. Apply warm compresses to the affected areas A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following finding to the provider? A. Rhinorrhea B. Tachypnea C. Pharyngitis D. Coughing B. Tachypnea A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching? A. You can drink milk on an empty stomach. B. You should consume flavored yogurt instead of plain yogurt. C. You can tolerate plain milk better than chocolate milk. D. You can replace milk with nondairy source of calcium
A. Administer an analgesic to the child on a scheduled basis. B. Observe the child for frequent swallowing C. Provide cranberry juice to the child. D. Maintained a child in supine position. E. Discourage the child from coughing - A. Administer an analgesic to the child on a scheduled basis. B. Observe the child for frequent swallowing E. Discourage the child from coughing A nurse is caring for a school-age child who has heart failure. Which of the following findings should the nurse expect? (select all that apply.) A. Tachycardia B. Weight loss C. Cyanosis D. Dyspnea E. Bounding peripheral pulses A. Tachycardia D. Dyspnea E. Bounding peripheral pulses A nurse in an emergency department is assisting a toddler who has a head injury. Which of the following findings should the nurse report to the provider? A. Glasgow coma scale score of 15 B. Respiratory rate 25/min C. Vomiting D. Negative Babinski reflex C. Vomiting A nurse caring for a toddler who is in the terminal stage of neuroblastoma. The parents ask, how can we help our child now? Which of the following responses by the nurse is appropriate? A. Talk to your child about the meaning of death." B. Encourage your child's friends to visit." C. Stay close to your child." D. Change your child's schedule every day." C. "Stay close to your child." A nurse is preparing to administer cephalexin 25 mg/kg PO to a child who has otitis media and weighs 22 kg (48.5 Ib). Available is Cephalexin solution 250 mg/5 mL how many mL should the nurse administer? (Round to the nearest whole number. Using a leading Zero if applies. Do not use a trailing zero.) 11 mL
During a well-baby visit, the parent of a 2- week-old newborn tells the nurse, "My baby always keeps her head tilt to the right side. The nurse should further assess which of the following areas? A.Sternocleidomastoid muscle B. Posterior fontanel C. Trapezius muscle D. Cervical vertebrae A. Sternocleidomastoid muscle A nurse is caring for a single mother of a 6-month-old infant. During a well-baby visit, the mother expresses feeling "inexperience" in caring for the baby. The nurse should recommend which of the following community resources? A. Respite childcare B. Parent management training C. Support group for postpartum depression D. Parent enhancement center D. Parent enhancement center A nurse is admitting an infant who has GERD. Which of the following is the priority assessment finding? A. Regurgitation B. Wheezing C. Excessive crying D. Weight loss B. Wheezing A nurse is caring for an infant who has severe dehydration. Which of the following clinical findings should the nurse expect? A. Capillary refill 3 seconds B. Rapid respirations C. Bradycardia D. Warm extremities B. Rapid respirations A nurse is teaching a group of female adolescents about healthy eating. Which of the following instructions should the nurse include in the teaching? A. Consume 1,500 to 1,700 calories per day." B. Decrease your vitamin D intake once you start to menstruate." C. Increase the amount of your dietary iron intake." D. Limit your sodium intake to 3,000 grams per day." C. 'Increase the amount of your dietary iron intake."
D. Increasing focus A nurse in a provider's office is caring for a preschool-age child who might have acute epiglottitis. Which of the following actions should the nurse take? A. Examine the oral mucosa using a tongue depressor. B. Obtain a sterile throat culture. C. Provide humidified oxygen via nasal cannula. D. Allow the child to sit in a comfortable position. C. Provide humidified oxygen via nasal cannula. A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching? A. Administer as acyclovir PO two times per day. B. Soak hairbrushes in boiling water for 10 minutes C. Apply bactericidal ointment to lesions. D. Seals soft toys in a plastic bag for 14 days. C. Apply bactericidal ointment to lesions. A nurse is preparing to perform a venipuncture to collect a blood sample from an infant. Which of the following restraints should the nurse plan to use for this procedure? A. Mummy B. Mitten C. Jacket D. Elbow A. Mummy A nurse is reviewing the laboratory report of a school age child who has rheumatic fever. Which of the following laboratory findings should the nurse expect? A. Decreased BUN B. Increased antistreptolysin O titer (ASO) C. Increased immunoglobulin G (IgG) D. Decreased erythrocyte sedimentation rate (ESR) B. Increased antistreptolysin O titer (ASO) A nurses administering an opioid to an adolescent who is in sickle cell crisis. Which statement is true regarding opioid pain management? A. Oral opioid doses should be larger than parenteral doses B. Oral opioids should not be combined with other types of pain relievers. C. Opioid doses should be titrated until sedation occurs D. Opioid doses should be used for mild pain A. Oral
opioid doses should be larger than parenteral doses - A nurse is planning care for an adolescent following repair of Meckel diverticulum. Which of the following actions should the nurse include in the plan of care? A. Administer total parenteral nutrition. B. Teach the client about ostomy care. C. Initiate long-term antibiotic therapy. D. Maintain an NG tube for decompression. D. Maintain an NG tube for decompression. A nurse is preparing to perform peritoneal dialysis for a child who has an elevated serum creatinine level. After explaining the procedure, which of the following action should the nurse plan to take? A. Initiate IV access B. Keep the dialysate refrigerated until time of infusion C. Check the fistula site for a bruit. D. Obtain the child's weight D. Obtain the child's weight A nurse is caring for an adolescent who is one hour postoperative following an appendectomy. Which of the following findings should the nurse report to the provider? A. Muscle rigidity B. heart rate 63/min C. temperature 36.4 C (97.5 F) D. abdominal pain A. Muscle rigidity A nurse is caring for a preschool-age child who is postoperative following a tonsillectomy and is clearing her throat frequently. Which of the following actions should the nurse take first? A. Give the child small sips of water. B. Observe the child's throat with a flashlight. C. Administer an Analgesic. D. Offer the child an ice collar B. Observe the child's throat with a flashlight. A nurse is planning care for a Toddler who has developed oral ulcers in response to chemotherapy. Which of the following actions should the nurse include in the plan of care? A. Clean the gums with Saline soaked gauze. B. Administer oral viscous lidocaine. C. Schedule routine oral care every 8 hr.
A. Give the infant fruit juice between feedings B. Use half-strength formula when feeding the infant. C. Keep the infant in a visually stimulating environment. D. Assign consistent nursing staff to care for the infant. D. Assign consistent nursing staff to care for the infant A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome is (SIDS). Which of the following statements by the parents indicates an understanding of the teaching? A. I will move my baby stuffed animal to the corner of her crib while she sleeps." B. I will dress my baby in lightweight clothing to sleep." C. I will have my baby sleep next to me in bed during the night." D. I will lay my baby on her side to sleep for naps B. "I will dress my baby in lightweight clothing to sleep." A nurse is caring for a child who has acute glomerulonephritis. Which of the following findings should the nurse expect? A. Temperature 39 C (102.2 F) B. Periorbital edema C. Hypotension D. Positive urine culture B. Periorbital edema A nurse is assessing a 1-month- old infant at a well-child visit. Identify the location the nurse should stroke to elicit this rooting reflex. (You will find hot spot to select in the artwork below. Select only the hot spot that corresponds to your answer. ) A nurse is providing postoperative care for a child following an arterial cardiac catheterization. Which of the following actions should the nurse take? A. Keep the affected extremity straight for at least 6 hr. B. Monitor output using an indwelling urinary catheter for the first 24 hr. C. Remove the child's pressure dressing after the first 4 hr. D. Maintain the child's NPO status for 4 to 6 hr. A. Keep the affected extremity straight for at least 6 hr. A nurse in a provider's office is providing teaching to the parents of a preschooler who has Down syndrome. Which of the following statements by one of the parents indicate an understanding of the instructions? A. We'll have soft music playing in the background when we teach our son in new skill
B. We'll explain that it's best for our son to wait until kindergarten to start going to school C. we'll be sure to demonstrate a new skill before expecting our son to perform it ." D. We'll focus on our son understanding the principles of a skill rather than mastering it." C. "we'll be sure to demonstrate a new skill before expecting our son to perform it ." A nurse is teaching a parent of a 10-month-old infant about home safety. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) A. Remove labels from containers that contain toxic substances B. Select a toy chest that has a heavy, hanged lid C. Place gates at the top and bottom of the stairs. D. Keep toilet lids in the upright position. E. Ensure the crib mattress is in the lowest position C. Place gates at the top and bottom of the stairs. E. Ensure the crib mattress is in the lowest position. A nurse is providing discharge teaching to a parent of a toddler who has a ventriculoperitoneal shunt. which of the following statements by the parents indicates an understanding of the teaching? A. My child will need to take prophylactic antibiotics daily until they shunt is removed." B. I should call my doctor if my child begins vomiting." C. I should pump the shunt at the same time each day." D. I should check my child's heart rate before administering medications B. "I should call my doctor if my child begins vomiting." A nurse in a provider's office is assessing the vital signs of a 2-year-old child at a wellchild visit. Which of the following findings should the nurse report to the provider? A. Temperature 37.2C (99 F) B. Respiratory rate 26/min C. Blood pressure 118/74 mm Hg D. Pulse rate 98/min C. Blood pressure 118/ mm Hg A nurse is assessing a 3-month-old infant who has diarrhea. Which of the following findings should the nurse expect? A. Bulging fontanel B. Decreased heart rate
C. Place the child in knee-chest position. D. Initiate bleeding precautions. D. Initiate bleeding precautions. A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse? A. Weight in 45th percentile B. Front deciduous teeth missing C. Bruising around the wrists D. Abrasions on the knees C. Bruising around the wrists A nurse is providing teaching to the parent of a school-age child who has diabetes mellitus about managing diabetes during illness. Which of the following statements by the parent indicate an understanding of the teaching? A. I will monitor my child's blood glucose levels every 8 hours. B. I will offer my child 20 grams of carbohydrate every 2 hours. C. I will withhold my child's dose of insulin when his appetite is poor D. I will increase the amount of fluids I offer my child. D. I will increase the amount of fluids I offer my child. A nurse is providing discharge teaching to the parents of a toddler who has iron deficiency anemia and new prescription for ferrous sulfate elixir. Which of the following instructions should the nurse include? A. Don't allow your child to have orange juice while taking this medication. B. Administer this medication to your child with a dropper. C. Give your child this medication with a glass of milk. D. Stop this medication if you child's stools are a tarry green color. B. Administer this medication to your child with a dropper A nurse is caring for an infant who has tetralogy of Fallot and is having a hypercyanotic episode after crying. Which of the following interventions should the nurse implement? A. Initiate continuous positive airway pressure. B. Provide firm stimulation to the infant's trunk. C. Place the infant in the knee-chest position. D. Perform postural drainage. C. Place the infant in the knee-chest position A nurse is providing teaching to an adolescent who has Vulvovaginitis. Which of the following statements should the nurse include in the teaching?
A. Wear a feminine deodorant pad for vaginal drainage." B. Wear nylon underwear at night." C. Apply scented baby powder to absorb residual moisture." D. Apply a warm, moist compress three times per day." D. Apply a warm, moist compress three times per day." A nurse is providing discharge instructions to the parents of a toddler who has heart failure and a new prescription for digoxin. Which of the following statements indicate an understanding of the instructions? A. We will wait to give the medication at the next scheduled time if a dose is missed B. we will mix the medication with 1 cup of fruit juice for administration C. We will avoid giving our child water for 1 hour after administrating the medication D. We will repeat the dose if our child vomits shortly after administration." A. We will wait to give the medication at the next scheduled time if a dose is missed A nurse is planning on in-service for parents of school- age children about the treatment of pediculosis capitis. Which of the following instructions should the nurse plan to include in the teaching? A. Soak the child's hair brushes in vinegar between uses. B. Applied medication to the child's scalp twice daily until the symptoms subside C. Remove nits from the child's hair using a fine-tooth comb D. Discard the child's nonwashable items C. Remove nits from the child's hair using a fine tooth comb A nurse is assessing an adolescent who has infectious mononucleosis. Which of the following findings should the nurse expect? A. Cervical adenopathy B. Strawberry tongue C. Koplik spots D. Uncontrolled drooling A. Cervical adenopathy A nurse in an emergency department is assisting an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect? A. Ataxia B. Hypothermia C. Pinpoint pupils D. Hyperactive reflexes
