LEARNING SYSTEM RN 3.0 NURSING CARE
OF CHILDREN ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED||
||BRANDNEW!!!||2026/2027
A nurse is caring for a child receiving treatment for diabetic
ketoacidosis who has a current blood glucose level of 250
mg/dL. Which action should the nurse take?
A. Discontinue insulin infusion
B. Administer D5NS by continuous IV infusion
C. Give rapid-acting insulin bolus
D. Restrict fluids
Correct Answer: B. Administer D5NS by continuous IV
infusion
Rationale: In diabetic ketoacidosis (DKA), once blood glucose
levels approach 200–250 mg/dL, dextrose-containing fluids such
as D5NS are initiated to prevent hypoglycemia while continuing
insulin therapy to resolve ketosis. Stopping insulin prematurely
would worsen metabolic acidosis. The nurse must understand
that glucose levels are corrected before ketone clearance is
complete, so adding dextrose allows safe continuation of insulin
infusion.
A nurse is caring for a child who has epistaxis. Which action
should the nurse take?
A. Tilt the head backward
B. Apply continuous pressure to the nose for at least 10 minutes
,C. Insert cotton swabs deeply into nostrils
D. Apply ice to the forehead only
Correct Answer: B. Apply continuous pressure to the nose for
at least 10 minutes
Rationale: The correct management of epistaxis involves
having the child sit upright and lean slightly forward while
applying firm pressure to the soft part of the nose for at least 10
minutes. Tilting the head back can cause blood aspiration or
swallowing. Continuous pressure helps compress bleeding
vessels and promotes clot formation.
A nurse is teaching parents of a 3-year-old with recurrent
otitis media. Which statement indicates understanding?
A. “We will give antibiotics whenever symptoms start.”
B. “We should avoid vaccinations.”
C. “We should not smoke around our child.”
D. “We will limit fluid intake.”
Correct Answer: C. “We should not smoke around our child.”
Rationale: Exposure to secondhand smoke increases the risk of
upper respiratory infections and otitis media. Preventive
strategies focus on reducing environmental risk factors.
Antibiotics are not used prophylactically, and immunizations
actually help prevent infections.
A nurse is assessing pain in a 3-year-old postoperative child.
Which scale should the nurse use?
A. Numeric scale
B. Visual analog scale
C. FACES pain rating scale
D. FLACC only
Correct Answer: C. FACES pain rating scale
,Rationale: The FACES scale is appropriate for young children
who can identify emotions but may not understand numbers. It
uses visual facial expressions to help children communicate pain
intensity. Numeric scales are more appropriate for older
children.
A nurse is caring for a child with acute glomerulonephritis.
Which action should the nurse take?
A. Encourage high sodium diet
B. Check blood pressure every 4 hours
C. Increase fluid intake
D. Restrict rest
Correct Answer: B. Check blood pressure every 4 hours
Rationale: Acute glomerulonephritis often causes fluid
retention and hypertension due to impaired kidney function.
Frequent blood pressure monitoring is critical to detect
complications such as hypertensive encephalopathy. Sodium and
fluids are typically restricted.
A nurse is caring for multiple pediatric clients. Which
finding is priority?
A. Child with mild fever
B. Child with sickle cell anemia and urine specific gravity 1.030
C. Child with minor rash
D. Child with mild cough
Correct Answer: B. Child with sickle cell anemia and urine
specific gravity 1.030
Rationale: A high urine specific gravity indicates dehydration,
which can precipitate a sickle cell crisis. This is a priority
because it can lead to vaso-occlusion and organ damage.
Hydration is critical in preventing complications.
, A nurse is caring for a child with mucosal ulceration from
chemotherapy. Which action should the nurse take?
A. Use alcohol-based mouthwash
B. Encourage hard toothbrush
C. Use a soft sponge toothbrush
D. Avoid oral care
Correct Answer: C. Use a soft sponge toothbrush
Rationale: Chemotherapy can cause mucositis, making oral
tissues fragile. A soft sponge toothbrush minimizes trauma and
bleeding. Alcohol-based products should be avoided because
they dry and irritate mucosa.
A nurse is caring for infants with congenital heart defects.
Which defect is cyanotic?
A. Atrial septal defect
B. Ventricular septal defect
C. Transposition of the great arteries
D. Patent ductus arteriosus
Correct Answer: C. Transposition of the great arteries
Rationale: Cyanotic heart defects result in deoxygenated blood
entering systemic circulation. Transposition of the great arteries
causes parallel circulation, leading to severe hypoxemia unless
mixing occurs.
A nurse is teaching a child newly diagnosed with type 1
diabetes mellitus. Which statement is correct?
A. “Insulin vials last forever.”
B. “You can use a vial of insulin for up to 30 days.”
C. “Store insulin in sunlight.”
D. “Skip insulin if you feel well.”
Correct Answer: B. “You can use a vial of insulin for up to 30
OF CHILDREN ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED||
||BRANDNEW!!!||2026/2027
A nurse is caring for a child receiving treatment for diabetic
ketoacidosis who has a current blood glucose level of 250
mg/dL. Which action should the nurse take?
A. Discontinue insulin infusion
B. Administer D5NS by continuous IV infusion
C. Give rapid-acting insulin bolus
D. Restrict fluids
Correct Answer: B. Administer D5NS by continuous IV
infusion
Rationale: In diabetic ketoacidosis (DKA), once blood glucose
levels approach 200–250 mg/dL, dextrose-containing fluids such
as D5NS are initiated to prevent hypoglycemia while continuing
insulin therapy to resolve ketosis. Stopping insulin prematurely
would worsen metabolic acidosis. The nurse must understand
that glucose levels are corrected before ketone clearance is
complete, so adding dextrose allows safe continuation of insulin
infusion.
A nurse is caring for a child who has epistaxis. Which action
should the nurse take?
A. Tilt the head backward
B. Apply continuous pressure to the nose for at least 10 minutes
,C. Insert cotton swabs deeply into nostrils
D. Apply ice to the forehead only
Correct Answer: B. Apply continuous pressure to the nose for
at least 10 minutes
Rationale: The correct management of epistaxis involves
having the child sit upright and lean slightly forward while
applying firm pressure to the soft part of the nose for at least 10
minutes. Tilting the head back can cause blood aspiration or
swallowing. Continuous pressure helps compress bleeding
vessels and promotes clot formation.
A nurse is teaching parents of a 3-year-old with recurrent
otitis media. Which statement indicates understanding?
A. “We will give antibiotics whenever symptoms start.”
B. “We should avoid vaccinations.”
C. “We should not smoke around our child.”
D. “We will limit fluid intake.”
Correct Answer: C. “We should not smoke around our child.”
Rationale: Exposure to secondhand smoke increases the risk of
upper respiratory infections and otitis media. Preventive
strategies focus on reducing environmental risk factors.
Antibiotics are not used prophylactically, and immunizations
actually help prevent infections.
A nurse is assessing pain in a 3-year-old postoperative child.
Which scale should the nurse use?
A. Numeric scale
B. Visual analog scale
C. FACES pain rating scale
D. FLACC only
Correct Answer: C. FACES pain rating scale
,Rationale: The FACES scale is appropriate for young children
who can identify emotions but may not understand numbers. It
uses visual facial expressions to help children communicate pain
intensity. Numeric scales are more appropriate for older
children.
A nurse is caring for a child with acute glomerulonephritis.
Which action should the nurse take?
A. Encourage high sodium diet
B. Check blood pressure every 4 hours
C. Increase fluid intake
D. Restrict rest
Correct Answer: B. Check blood pressure every 4 hours
Rationale: Acute glomerulonephritis often causes fluid
retention and hypertension due to impaired kidney function.
Frequent blood pressure monitoring is critical to detect
complications such as hypertensive encephalopathy. Sodium and
fluids are typically restricted.
A nurse is caring for multiple pediatric clients. Which
finding is priority?
A. Child with mild fever
B. Child with sickle cell anemia and urine specific gravity 1.030
C. Child with minor rash
D. Child with mild cough
Correct Answer: B. Child with sickle cell anemia and urine
specific gravity 1.030
Rationale: A high urine specific gravity indicates dehydration,
which can precipitate a sickle cell crisis. This is a priority
because it can lead to vaso-occlusion and organ damage.
Hydration is critical in preventing complications.
, A nurse is caring for a child with mucosal ulceration from
chemotherapy. Which action should the nurse take?
A. Use alcohol-based mouthwash
B. Encourage hard toothbrush
C. Use a soft sponge toothbrush
D. Avoid oral care
Correct Answer: C. Use a soft sponge toothbrush
Rationale: Chemotherapy can cause mucositis, making oral
tissues fragile. A soft sponge toothbrush minimizes trauma and
bleeding. Alcohol-based products should be avoided because
they dry and irritate mucosa.
A nurse is caring for infants with congenital heart defects.
Which defect is cyanotic?
A. Atrial septal defect
B. Ventricular septal defect
C. Transposition of the great arteries
D. Patent ductus arteriosus
Correct Answer: C. Transposition of the great arteries
Rationale: Cyanotic heart defects result in deoxygenated blood
entering systemic circulation. Transposition of the great arteries
causes parallel circulation, leading to severe hypoxemia unless
mixing occurs.
A nurse is teaching a child newly diagnosed with type 1
diabetes mellitus. Which statement is correct?
A. “Insulin vials last forever.”
B. “You can use a vial of insulin for up to 30 days.”
C. “Store insulin in sunlight.”
D. “Skip insulin if you feel well.”
Correct Answer: B. “You can use a vial of insulin for up to 30
