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1. A nurse is caring for a child who is receiving treatment for diabetic ketoaci-
dosis and has current blood glucose level of 250mg/dL. Which of the following
actions should the nurse take?
A. Administer 5% Dextrose in 0.9% sodium chloride by continuous IV infusion
B. Give potassium as rapid IV bolus
C. Administer 3 units of ultralente insulin subcutaneously
D. Obtain an HbA1c level stat: Administer 5% Dextrose in 0.9% sodium chloride by continuous IV infusion
2. A nurse is caring for a child who has epistaxis. Which of the following actions
should the nurse take?
A. Apply a warm cloth to the bridge of the child's nose
B. Tilt the child's head back
C. Apply continuous pressure to the child's nose for at least 10 min
D. Administer aspirin for the child's pain: Apply continuous pressure to the child's nose for at least
10 min
3. A nurse is teaching the parents of a 3-year-old who has persistent otitis media
about prevention. Which of the following statements by the parents indicates
and understanding of the teaching?
A. My child should not play around others who have ear infections.
B. We should not smoke around our child.
C. My child should not swim this summer.
D. I will encourage my child to blow his nose forcefully when he has a cold.: We
should not smoke around our child
4. A nurse is assessing the pain level of a 3-year-old who is postoperative
following abdominal surgery. Which of the following pain scales should the
nurse use?
A. Word graphic rating scale
B. Color tool
, NACE Care of the Child Real Exam Questions and Correct Detailed Answer
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C. FACES pain rating scale
D. Numeric scale: FACES pain rating scale
5. A nurse is caring for a child who has acute glomerulonephritis. Which of the
following actions should the nurse take?
A. Maintain the child on strict bed rest
B. Check the child's blood pressure every 4 hr
C. Administer albumin to the child every 8 hr
D. Provide the child with a low-carbohydrate diet: Check the child's blood pressure every 4
hours
6. A nurse on the pediatric unit is caring for a group of clients. Which of the
following findings should be the nurse's priority?
A. A child who has asthma and a pulse oximetry of 94%
B. A child who has nephrotic syndrome and 1+ protein on urine dipstick
C. A child who has sickle cell anemia and a urine specific gravity of 1.030
D. A child who has insulin-depended diabetes mellitus and a fingerstick glucose
reading of 110 mg/dL: A child who has sickle cell anemia and a urine specific gravity of 1.030
7. A nurse is caring for a preschool-age child who has mucosal ulceration after
receiving chemotherapy. Which of the following actions should the nurse take?
A. Place viscous lidocaine on the child's oral lesions
B. Instruct the child to use a soft-sponge toothbrush when brushing her teeth
C. Encourage the child to rinse her mouth with hydrogen peroxide every 2-4 hr
D. Give the child lemon glycerin swabs to use after each meal: Instruct the child to use
a soft sponge toothbrush when brushing her teeth
8. A nurse is caring for a group of infants who have congenital heart defects. For
which of the following defects should the nurse expect to observe cyanosis?
A. Transposition of the great arteries
B. Ventricular septal defect