PN NURSING CARE OF CHILDREN
CERTIFICATION PAPER 2026
ACCURATE SOLUTIONS GRADED A+
◉ A nurse is reinforcing teaching to the guardian of a toddler who is
receiving chemotherapy and has developed stomatitis. Which of the
following instructions should the nurse include in the teaching?.
Answer: Frequently rinse the mouth with chlorihexidine mouthwash
◉ NGN
A nurse is assisting with the care or a school age child.
Exhibit 1 - vitals
1230
1330
Exhibit 2- 1240time
Child is restless and crying. Swelling noted at hand joints. Capillary
reill is less than 3 seconds. Mucus membranes adw dry and sticky.
Respirations are regular and unlabeled. Abdomen is soft., flat and
nondistended
Tenderness present with light palpation. Child reports pain as an 8
on a scale of 0 to 10.
,Exhibit 3- diagnostic results
1400 Hgb, HCt, RBC, WBC, Platelet, Reticulocyte
exhibit 4- medical history
Sickle cell anemia. Answer: The nurse should plan to first address
______1. Oxygen saturation
Followed by the child's _____2.pain
◉ NGN
A nurse is assisting with the care of a school-age child following an
appendectomy.
Exhibit 1: vitals
Day 0: Temperature 37.1° C (98.8° F) Heart rate 100/min Respiratory
rate 20/min Blood pressure 94/60 mm Hg Oxygen saturation 97% on
room air
Day 1: Temperature 38.6° C (101.5° F) Heart rate 110/min Respiratory
rate 24/min Blood pressure 100/60 mm Hg Oxygen saturation 95%
on room air
Exhibit 2: nurse notes
, Day 0: Child is drowsy, but easily roused and responsive to verbal
stimuli. Child rates pain as a 4 on a scale of 0 to 10. Lungs are clear
upon auscultation. Abdomen is soft, flat, and nondistended. Bowel
sounds are hypoactive in all four quadrants. Extremities are warm
and dry to touch. Gauze pads with clear transparent dressings noted
on upper, lower, and left mid-umbilical area.
Day 1: Child is alert and responsive to verbal stimuli. Appears
irritable and restless. Child rates pain as an 8 on a scal. Answer:
Select the 3 findings that the nurse should identify as indications of a
potential complication.
Platelet count
□WBC count
□Abdominal assessment
□Temperature
◉ NGN
A nurse is assisting with the care of an 8-mo th-old-infant
Notes 0515: Infant is admitted with moderate acute
laryngotracheobronchitis (LTB) and decreased fluid intake. Parent
reports it has been more than 12 hr since infant last voided. Infant is
restless, irritable, has a hoarse cry, and is not easily consoled by
CERTIFICATION PAPER 2026
ACCURATE SOLUTIONS GRADED A+
◉ A nurse is reinforcing teaching to the guardian of a toddler who is
receiving chemotherapy and has developed stomatitis. Which of the
following instructions should the nurse include in the teaching?.
Answer: Frequently rinse the mouth with chlorihexidine mouthwash
◉ NGN
A nurse is assisting with the care or a school age child.
Exhibit 1 - vitals
1230
1330
Exhibit 2- 1240time
Child is restless and crying. Swelling noted at hand joints. Capillary
reill is less than 3 seconds. Mucus membranes adw dry and sticky.
Respirations are regular and unlabeled. Abdomen is soft., flat and
nondistended
Tenderness present with light palpation. Child reports pain as an 8
on a scale of 0 to 10.
,Exhibit 3- diagnostic results
1400 Hgb, HCt, RBC, WBC, Platelet, Reticulocyte
exhibit 4- medical history
Sickle cell anemia. Answer: The nurse should plan to first address
______1. Oxygen saturation
Followed by the child's _____2.pain
◉ NGN
A nurse is assisting with the care of a school-age child following an
appendectomy.
Exhibit 1: vitals
Day 0: Temperature 37.1° C (98.8° F) Heart rate 100/min Respiratory
rate 20/min Blood pressure 94/60 mm Hg Oxygen saturation 97% on
room air
Day 1: Temperature 38.6° C (101.5° F) Heart rate 110/min Respiratory
rate 24/min Blood pressure 100/60 mm Hg Oxygen saturation 95%
on room air
Exhibit 2: nurse notes
, Day 0: Child is drowsy, but easily roused and responsive to verbal
stimuli. Child rates pain as a 4 on a scale of 0 to 10. Lungs are clear
upon auscultation. Abdomen is soft, flat, and nondistended. Bowel
sounds are hypoactive in all four quadrants. Extremities are warm
and dry to touch. Gauze pads with clear transparent dressings noted
on upper, lower, and left mid-umbilical area.
Day 1: Child is alert and responsive to verbal stimuli. Appears
irritable and restless. Child rates pain as an 8 on a scal. Answer:
Select the 3 findings that the nurse should identify as indications of a
potential complication.
Platelet count
□WBC count
□Abdominal assessment
□Temperature
◉ NGN
A nurse is assisting with the care of an 8-mo th-old-infant
Notes 0515: Infant is admitted with moderate acute
laryngotracheobronchitis (LTB) and decreased fluid intake. Parent
reports it has been more than 12 hr since infant last voided. Infant is
restless, irritable, has a hoarse cry, and is not easily consoled by
