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RN Nursing Care of Children Proctored Exam: Questions & Correct Answers (Latest Study Guide)

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This comprehensive study guide contains exam-style questions and correct answers for the RN Nursing Care of Children Proctored Exam. Content covers essential pediatric nursing topics including growth and development across age groups (infant, toddler, preschooler, school-age, adolescent), common childhood conditions (otitis media, impetigo, pertussis, epiglottitis, RSV, cystic fibrosis, celiac disease, phenylketonuria, lead poisoning, pediculosis capitis, impetigo contagiosa, meningitis, rheumatic fever, infectious mononucleosis, gastroenteritis, GERD, glomerulonephritis, hemolytic uremic syndrome, neuroblastoma, leukemia, brain tumors, Meckel diverticulum, appendicitis, sickle cell anemia, sickle cell crisis, tetralogy of Fallot, heart failure, Kawasaki disease, diabetes mellitus type 1, Cushing's syndrome), pediatric emergencies (head injury, status epilepticus, seizure disorders, epiglottitis, overdose/poisoning, asthma exacerbation, dehydration), postoperative care (tonsillectomy, appendectomy, cardiac catheterization, chest tube placement, arterial cardiac catheterization), medication administration (cephalexin, imipenem/cilastatin, gentamicin, methylphenidate, albuterol, digoxin, ferrous sulfate, pancreatic enzymes, N-acetylcysteine, phytonadione, opioids), diagnostic procedures (peritoneal dialysis, ventriculoperitoneal shunt, lumbar puncture, visual acuity testing), immunizations and vaccination schedules (inactivated poliovirus, MMR, varicella, hepatitis A), child abuse recognition and reporting, nutritional management (PKU, celiac disease, diabetes, iron-deficiency anemia, lactose intolerance, calcium and vitamin D requirements), postoperative and discharge teaching, pain management, atraumatic care, therapeutic communication, and priority setting. Includes select-all-that-apply questions, dosage calculations, hot spot identification, and priority action questions. Designed for RN nursing students preparing for the ATI Nursing Care of Children Proctored Exam and NCLEX-RN.

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RN NURSING CARE OF CHILDREN
PROCTORED EXAM| RN NURSING CARE
OF CHILDREN EXAM QUESTIONS WITH
CORRECT ANSWERS LATEST STUDY
GUIDE

A nurse is caring for a school-age child who is 1 hr postoperative following it
tonsillectomy. Which of the following actions should the nurse take? (Select all
that apply.)
A. Administer an analgesic to the child on a scheduled basis. B. Observe the
child for frequent swallowing
C. Provide cranberry juice to the child.
D. Maintained a child in supine position.
E. Discourage the child from coughing - ANSWERS-A. Administer an
analgesic to the child on a scheduled basis.
B. Observe the child for frequent swallowing
E. Discourage the child from coughing


A nurse is caring for a school-age child who has heart failure. Which of the
following findings should the nurse expect? (select all that apply.)
A. Tachycardia
B. Weight loss
C. Cyanosis
D. Dyspnea
E. Bounding peripheral pulses - ANSWERS-A. Tachycardia
D. Dyspnea
E. Bounding peripheral pulses

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,A nurse in an emergency department is assisting a toddler who has a head
injury. Which of the following findings should the nurse report to the provider?
A. Glasgow coma scale score of 15 - desired finding, GCS is 3-15
B. Respiratory rate 25/min - within normal limits (24-40)
C. Vomiting-
D. Negative Babinski reflex - positive babinski 0-12 months; expected
negative in toddlers - ANSWERS-C. Vomiting


A nurse caring for a toddler who is in the terminal stage of neuroblastoma. The
parents
ask, how can we help our child now? Which of the following responses by the
nurse is
appropriate?
A. Talk to your child about the meaning of death."
B. Encourage your child's friends to visit."
C. Stay close to your child."
D. Change your child's schedule every day." - ANSWERS-C. "Stay close to
your child."


A nurse is preparing to administer cephalexin 25 mg/kg PO to a child who has
otitis media and weighs 22 kg (48.5 Ib). Available is Cephalexin solution 250
mg/5 mL how many mL should the nurse administer? (Round to the nearest
whole number. Using a leading Zero if applies. Do not use a trailing zero.) -
ANSWERS-11 mL


During a well-baby visit, the parent of a 2- week-old newborn tells the nurse,
"My baby always keeps her head tilt to the right side. The nurse should further
assess which of the following areas?
A.Sternocleidomastoid muscle
B. Posterior fontanel

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, C. Trapezius muscle
D. Cervical vertebrae - ANSWERS-A.Sternocleidomastoid muscle


A nurse is caring for a single mother of a 6-month-old infant. During a well-
baby visit, the
mother expresses feeling "inexperience" in caring for the baby. The nurse
should
recommend which of the following community resources?
A. Respite childcare
B. Parent management training - this is a treatment center for aggressive,
'troubled'
kids/teens
C. Support group for postpartum depression
D. Parent enhancement center - ANSWERS-D. Parent enhancement center


A nurse is admitting an infant who has GERD. Which of the following is the
priority assessment finding?
A. Regurgitation
B. Wheezing
C. Excessive crying
D. Weight loss - ANSWERS-B. Wheezing


A nurse is caring for an infant who has severe dehydration. Which of the
following clinical findings should the nurse expect?
A. Capillary refill 3 seconds - >4seconds
B. Rapid respirations - respiratory alkalosis compensation
C. Bradycardia - it would be tachycardia
D. Warm extremities - cold extremities is expected. - ANSWERS-B. Rapid
respirations


Page 3 of 23

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