PN NURSING CARE OF CHILDREN
ACTUAL TEST PAPER 2026
QUESTIONS WITH SOLUTIONS
GRADED A+
◉ A nurse is reviewing the laboratory report of a preschooler. Which
of the following laboratory results should the nurse report to the
provider?
a. Potassium 4.2 mEq/L
b. Lead 14 mcg/dL
c. Fasting blood glucose 75 mg/dL
d. Hematocrit 40% Answer: Lead 14 mcg/dL
Rationale: This lead level is above the expected reference range for a
preschooler. Therefore, the nurse should report this result to the
provider.
◉ A nurse is reinforcing teaching with an adolescent female client
who has acne vulgaris and a new prescription for isotretinoin. Which
of the following information should the nurse include?
a."You should apply this medication to the affected skin twice daily."
,b. "You will need to have two negative pregnancy tests prior to
starting this medication."
c. "Your provider will prescribe a vitamin A supplement to take with
each dose of this medication."
d. "Your provider will monitor your kidney function while you are
taking this medication." Answer: "You will need to have two negative
pregnancy tests prior to starting this medication."
Rationale: The nurse should reinforce with the client that isotretinoin
is teratogenic. Pregnancy must be ruled out prior to administration
and before each subsequent refill. The client should use two effective
forms of contraception while taking this medication.
◉ A nurse in a pediatric clinic is collecting data from an infant who
was recently exposed to pertussis. The nurse should recognize which
of the following as a manifestation of pertussis?
a. dry cough
b. abdominal pain
c. muscle stiffness
d. swollen eyelids Answer: dry cough
Rationale: The nurse should identify that a dry cough is an early
manifestation of pertussis.
, ◉ A nurse in a clinic is collecting data from an adolescent who has
received all recommended immunizations through the age of 6 years.
Which of the following immunizations should the nurse plan to
administer?
a. Haemophilus influenza type b (Hib)
b. Rotavirus (RV)
c. Polio (IPV)
d. Tetanus, diphtheria toxoids, and acellular pertussis (Tdap) Answer:
Tetanus, diphtheria toxoids, and acellular pertussis (Tdap)
Rationale: The Tdap vaccine is recommended between the ages of 11
and 12 years. Therefore, this adolescent should receive the Tdap
vaccine now.
◉ A nurse is assisting with the care of a child who has tonic-clonic
seizures. Which of the following actions should the nurse take?
a. Place a padded tongue blade at the bedside.
b. Have a suction canister and tubing available in the room.
c. Ensure the availability of soft extremity restraints.
d. Keep the child's bed in the highest position. Answer: Have a
suction canister and tubing available in the room.
ACTUAL TEST PAPER 2026
QUESTIONS WITH SOLUTIONS
GRADED A+
◉ A nurse is reviewing the laboratory report of a preschooler. Which
of the following laboratory results should the nurse report to the
provider?
a. Potassium 4.2 mEq/L
b. Lead 14 mcg/dL
c. Fasting blood glucose 75 mg/dL
d. Hematocrit 40% Answer: Lead 14 mcg/dL
Rationale: This lead level is above the expected reference range for a
preschooler. Therefore, the nurse should report this result to the
provider.
◉ A nurse is reinforcing teaching with an adolescent female client
who has acne vulgaris and a new prescription for isotretinoin. Which
of the following information should the nurse include?
a."You should apply this medication to the affected skin twice daily."
,b. "You will need to have two negative pregnancy tests prior to
starting this medication."
c. "Your provider will prescribe a vitamin A supplement to take with
each dose of this medication."
d. "Your provider will monitor your kidney function while you are
taking this medication." Answer: "You will need to have two negative
pregnancy tests prior to starting this medication."
Rationale: The nurse should reinforce with the client that isotretinoin
is teratogenic. Pregnancy must be ruled out prior to administration
and before each subsequent refill. The client should use two effective
forms of contraception while taking this medication.
◉ A nurse in a pediatric clinic is collecting data from an infant who
was recently exposed to pertussis. The nurse should recognize which
of the following as a manifestation of pertussis?
a. dry cough
b. abdominal pain
c. muscle stiffness
d. swollen eyelids Answer: dry cough
Rationale: The nurse should identify that a dry cough is an early
manifestation of pertussis.
, ◉ A nurse in a clinic is collecting data from an adolescent who has
received all recommended immunizations through the age of 6 years.
Which of the following immunizations should the nurse plan to
administer?
a. Haemophilus influenza type b (Hib)
b. Rotavirus (RV)
c. Polio (IPV)
d. Tetanus, diphtheria toxoids, and acellular pertussis (Tdap) Answer:
Tetanus, diphtheria toxoids, and acellular pertussis (Tdap)
Rationale: The Tdap vaccine is recommended between the ages of 11
and 12 years. Therefore, this adolescent should receive the Tdap
vaccine now.
◉ A nurse is assisting with the care of a child who has tonic-clonic
seizures. Which of the following actions should the nurse take?
a. Place a padded tongue blade at the bedside.
b. Have a suction canister and tubing available in the room.
c. Ensure the availability of soft extremity restraints.
d. Keep the child's bed in the highest position. Answer: Have a
suction canister and tubing available in the room.
