1
RN NURSING CARE OF CHILDREN PROCTORED
EXAM LATEST RETAKE GUIDE 2026 REVISED
VERSION JUST RELEASED
A nurse is receiving change-of-shift Report on for children. Which of the
following children should the nurse assess first?
A- A toddler who has a concussion and an episode of forceful vomiting
B- an adolescent who has infective endocarditis and reports having a headache
C- an adolescent who was placed into Halo traction 1 hour ago and rates his
pain at a 6 on a 0- 10 scale
D- school-age child who has acute glomerulonephritis and brown colored urine
Answer- a
When using the urgent vs. nonurgent approach to client care, the nurse should
assess this child first. An episode of forceful vomiting is an indication of
increased intracranial pressure in a toddler who has a concussion.
B- A report of a headache is nonurgent because it is an expected finding for a
child who
,2
has infective endocarditis; therefore, the nurse should assess another child first.
C- A report of moderate pain is nonurgent because it is an expected
finding for a child who has a new halo traction device; therefore, the nurse
should assess another child first.
D- Brown-colored urine is nonurgent because it is an expected finding
for a school-age child who has acute glomerulonephritis; therefore, the
nurse should assess another child first.
,3
A nurse in the emergency department is caring for an adolescent who
has severe abdominal pain due to appendicitis. Which of the following
locations should the nurse identify as mcburney's point?
Answer: a
A is correct. The nurse should identify the lower right quadrant of the
abdomen between the umbilicus and the anterior iliac crest as the location of
McBurney's point.
B is incorrect. The nurse should not identify the left lower quadrant
as the location of McBurney's point.
C is incorrect. The nurse should not identify the right upper
quadrant as the location of McBurney's point.
A nurse is providing teaching to the family of a school-age child who has
juvenile idiopathic arthritis. Which of the following instructions should
the nurse include in the teaching?
A- Limit the movement of the child large joints.
B- Encourage the child to perform independent self care.
C- Provide the child with a soft mattress for sleeping.
D- Schedule a 2-hour daily nap for the child in the afternoon.
,4
Answer- b
The nurse should teach the family the importance of encouraging the child to
perform independent self-care. This will minimize the child's pain while
maximizing mobility. Encouraging and praising the child's efforts for
independence will also increase his self-esteem.
RN NURSING CARE OF CHILDREN PROCTORED
EXAM LATEST RETAKE GUIDE 2026 REVISED
VERSION JUST RELEASED
A nurse is receiving change-of-shift Report on for children. Which of the
following children should the nurse assess first?
A- A toddler who has a concussion and an episode of forceful vomiting
B- an adolescent who has infective endocarditis and reports having a headache
C- an adolescent who was placed into Halo traction 1 hour ago and rates his
pain at a 6 on a 0- 10 scale
D- school-age child who has acute glomerulonephritis and brown colored urine
Answer- a
When using the urgent vs. nonurgent approach to client care, the nurse should
assess this child first. An episode of forceful vomiting is an indication of
increased intracranial pressure in a toddler who has a concussion.
B- A report of a headache is nonurgent because it is an expected finding for a
child who
,2
has infective endocarditis; therefore, the nurse should assess another child first.
C- A report of moderate pain is nonurgent because it is an expected
finding for a child who has a new halo traction device; therefore, the nurse
should assess another child first.
D- Brown-colored urine is nonurgent because it is an expected finding
for a school-age child who has acute glomerulonephritis; therefore, the
nurse should assess another child first.
,3
A nurse in the emergency department is caring for an adolescent who
has severe abdominal pain due to appendicitis. Which of the following
locations should the nurse identify as mcburney's point?
Answer: a
A is correct. The nurse should identify the lower right quadrant of the
abdomen between the umbilicus and the anterior iliac crest as the location of
McBurney's point.
B is incorrect. The nurse should not identify the left lower quadrant
as the location of McBurney's point.
C is incorrect. The nurse should not identify the right upper
quadrant as the location of McBurney's point.
A nurse is providing teaching to the family of a school-age child who has
juvenile idiopathic arthritis. Which of the following instructions should
the nurse include in the teaching?
A- Limit the movement of the child large joints.
B- Encourage the child to perform independent self care.
C- Provide the child with a soft mattress for sleeping.
D- Schedule a 2-hour daily nap for the child in the afternoon.
,4
Answer- b
The nurse should teach the family the importance of encouraging the child to
perform independent self-care. This will minimize the child's pain while
maximizing mobility. Encouraging and praising the child's efforts for
independence will also increase his self-esteem.
