NACE CARE OF THE CHILD EXAM 2026 |
VERIFIED REAL QUESTIONS & DETAILED
ANSWERS WITH RATIONALES | LATEST
UPDATED VERSION | GUARANTEED PASS
STUDY PACK
NACE CARE OF THE CHILD EXAM 2026
VERIFIED REAL QUESTIONS & DETAILED ANSWERS WITH RATIONALES
LATEST UPDATED VERSION | GUARANTEED PASS STUDY PACK
QUESTION 1
A nurse is caring for a 2-year-old child with suspected epiglottitis. Which of the following
actions should the nurse take FIRST?
A. Obtain a throat culture
B. Place the child in a supine position
C. Avoid examining the throat and notify the physician immediately
D. Administer antipyretics
E. Insert a nasogastric tube
CORRECT ANSWER: C RATIONALE: Epiglottitis is a life-threatening
emergency. Examining the throat or agitating the child can cause complete airway
obstruction. The priority is to keep the child calm, avoid any oral instrumentation, and
immediately notify the physician for airway management.
QUESTION 2
A 4-year-old is admitted with croup. The nurse expects to hear which of the following
characteristic signs?
A. High-pitched expiratory wheeze
B. Grunting respirations
C. Barking cough
D. Stridor on expiration only
,E. Productive cough with yellow sputum
CORRECT ANSWER: C RATIONALE: Croup (laryngotracheobronchitis) is
characterized by a seal-like barking cough due to subglottic edema and inflammation of
the larynx, trachea, and bronchi.
QUESTION 3
A nurse is teaching parents about the prevention of sudden infant death syndrome
(SIDS). Which sleeping position should the nurse recommend?
A. Prone position
B. Side-lying position
C. Semi-Fowler's position
D. Trendelenburg position
E. Supine position
CORRECT ANSWER: E RATIONALE: The American Academy of Pediatrics
recommends placing infants on their back (supine) to sleep to reduce the risk of SIDS.
Prone and side-lying positions increase the risk.
QUESTION 4
A child with sickle cell disease is experiencing a vaso-occlusive crisis. Which nursing
intervention is the PRIORITY?
A. Restrict fluid intake
B. Administer IV fluids and analgesics
C. Apply ice packs to the affected area
D. Encourage bed rest without analgesia
E. Prepare for immediate blood transfusion
CORRECT ANSWER: B RATIONALE: During a vaso-occlusive crisis,
hydration and pain management are the priorities. IV fluids help reduce sickling by
diluting the blood, and analgesics address the severe pain from ischemia.
,QUESTION 5
A nurse is assessing a newborn and notes a bulging fontanelle. This finding is MOST
associated with which condition?
A. Dehydration
B. Malnutrition
C. Increased intracranial pressure
D. Normal finding in a crying infant
E. Hypoglycemia
CORRECT ANSWER: C RATIONALE: A bulging fontanelle in a non-crying
infant indicates increased intracranial pressure, which can be caused by meningitis,
hydrocephalus, or intracranial hemorrhage. A sunken fontanelle is associated with
dehydration.
QUESTION 6
Which of the following vaccines is given at birth?
A. MMR
B. Varicella
C. Hepatitis B
D. IPV
E. DTaP
CORRECT ANSWER: C RATIONALE: The Hepatitis B vaccine is the only
vaccine routinely administered at birth, within 24 hours of delivery, to prevent perinatal
transmission of hepatitis B virus.
QUESTION 7
A nurse is caring for a child with meningitis. Which of the following assessment findings
is MOST consistent with this diagnosis?
A. Negative Kernig's sign
B. Hypotension and bradycardia
, C. Positive Brudzinski's sign
D. Decreased deep tendon reflexes
E. Pinpoint pupils
CORRECT ANSWER: C RATIONALE: Brudzinski's sign (involuntary flexion
of the knees when the neck is flexed) is a classic sign of meningeal irritation seen in
meningitis. Kernig's sign is also positive in meningitis.
QUESTION 8
A 6-month-old infant is brought to the clinic. The nurse expects which of the following
developmental milestones?
A. Walking with support
B. Sitting with support
C. Speaking two-word sentences
D. Pincer grasp
E. Building a tower of blocks
CORRECT ANSWER: B RATIONALE: At 6 months, infants typically sit with
support, roll over, and reach for objects. Walking begins around 12 months, pincer grasp
at 9–10 months, and two-word sentences around 2 years.
QUESTION 9
A nurse is caring for a child who has been diagnosed with Kawasaki disease. Which of
the following findings would the nurse MOST likely assess?
A. Strawberry tongue and conjunctival injection
B. Generalized petechiae
C. Kussmaul breathing
D. Grunting and nasal flaring
E. Rigid abdomen
CORRECT ANSWER: A RATIONALE: Kawasaki disease presents with
fever lasting more than 5 days, strawberry tongue, conjunctival injection, rash, cervical
VERIFIED REAL QUESTIONS & DETAILED
ANSWERS WITH RATIONALES | LATEST
UPDATED VERSION | GUARANTEED PASS
STUDY PACK
NACE CARE OF THE CHILD EXAM 2026
VERIFIED REAL QUESTIONS & DETAILED ANSWERS WITH RATIONALES
LATEST UPDATED VERSION | GUARANTEED PASS STUDY PACK
QUESTION 1
A nurse is caring for a 2-year-old child with suspected epiglottitis. Which of the following
actions should the nurse take FIRST?
A. Obtain a throat culture
B. Place the child in a supine position
C. Avoid examining the throat and notify the physician immediately
D. Administer antipyretics
E. Insert a nasogastric tube
CORRECT ANSWER: C RATIONALE: Epiglottitis is a life-threatening
emergency. Examining the throat or agitating the child can cause complete airway
obstruction. The priority is to keep the child calm, avoid any oral instrumentation, and
immediately notify the physician for airway management.
QUESTION 2
A 4-year-old is admitted with croup. The nurse expects to hear which of the following
characteristic signs?
A. High-pitched expiratory wheeze
B. Grunting respirations
C. Barking cough
D. Stridor on expiration only
,E. Productive cough with yellow sputum
CORRECT ANSWER: C RATIONALE: Croup (laryngotracheobronchitis) is
characterized by a seal-like barking cough due to subglottic edema and inflammation of
the larynx, trachea, and bronchi.
QUESTION 3
A nurse is teaching parents about the prevention of sudden infant death syndrome
(SIDS). Which sleeping position should the nurse recommend?
A. Prone position
B. Side-lying position
C. Semi-Fowler's position
D. Trendelenburg position
E. Supine position
CORRECT ANSWER: E RATIONALE: The American Academy of Pediatrics
recommends placing infants on their back (supine) to sleep to reduce the risk of SIDS.
Prone and side-lying positions increase the risk.
QUESTION 4
A child with sickle cell disease is experiencing a vaso-occlusive crisis. Which nursing
intervention is the PRIORITY?
A. Restrict fluid intake
B. Administer IV fluids and analgesics
C. Apply ice packs to the affected area
D. Encourage bed rest without analgesia
E. Prepare for immediate blood transfusion
CORRECT ANSWER: B RATIONALE: During a vaso-occlusive crisis,
hydration and pain management are the priorities. IV fluids help reduce sickling by
diluting the blood, and analgesics address the severe pain from ischemia.
,QUESTION 5
A nurse is assessing a newborn and notes a bulging fontanelle. This finding is MOST
associated with which condition?
A. Dehydration
B. Malnutrition
C. Increased intracranial pressure
D. Normal finding in a crying infant
E. Hypoglycemia
CORRECT ANSWER: C RATIONALE: A bulging fontanelle in a non-crying
infant indicates increased intracranial pressure, which can be caused by meningitis,
hydrocephalus, or intracranial hemorrhage. A sunken fontanelle is associated with
dehydration.
QUESTION 6
Which of the following vaccines is given at birth?
A. MMR
B. Varicella
C. Hepatitis B
D. IPV
E. DTaP
CORRECT ANSWER: C RATIONALE: The Hepatitis B vaccine is the only
vaccine routinely administered at birth, within 24 hours of delivery, to prevent perinatal
transmission of hepatitis B virus.
QUESTION 7
A nurse is caring for a child with meningitis. Which of the following assessment findings
is MOST consistent with this diagnosis?
A. Negative Kernig's sign
B. Hypotension and bradycardia
, C. Positive Brudzinski's sign
D. Decreased deep tendon reflexes
E. Pinpoint pupils
CORRECT ANSWER: C RATIONALE: Brudzinski's sign (involuntary flexion
of the knees when the neck is flexed) is a classic sign of meningeal irritation seen in
meningitis. Kernig's sign is also positive in meningitis.
QUESTION 8
A 6-month-old infant is brought to the clinic. The nurse expects which of the following
developmental milestones?
A. Walking with support
B. Sitting with support
C. Speaking two-word sentences
D. Pincer grasp
E. Building a tower of blocks
CORRECT ANSWER: B RATIONALE: At 6 months, infants typically sit with
support, roll over, and reach for objects. Walking begins around 12 months, pincer grasp
at 9–10 months, and two-word sentences around 2 years.
QUESTION 9
A nurse is caring for a child who has been diagnosed with Kawasaki disease. Which of
the following findings would the nurse MOST likely assess?
A. Strawberry tongue and conjunctival injection
B. Generalized petechiae
C. Kussmaul breathing
D. Grunting and nasal flaring
E. Rigid abdomen
CORRECT ANSWER: A RATIONALE: Kawasaki disease presents with
fever lasting more than 5 days, strawberry tongue, conjunctival injection, rash, cervical
