Pediatric Kaplan NGN A, B, C
1. The nurse observes a child client walk up and down steps. The nurse notes the child
has a steady gait and can use short sentences. The nurse estimates the child's age to
be how many months?
8 months
12 months
16 months
24 months: 24 months
2. A parent brings a newborn to the health care provider's office. The newborn is
vomiting, has abdominal distention, and is diagnosed with pyloric stenosis. Which
characteristic of the newborn's emesis does the nurse expect?
Black in appearance
Diminished after feedings
Projectile and forceful
Thick and full of mucus: Projectile and forceful
3. A preschooler diagnosed with severe autism is admitted to the pediatric unit with
a tracheostomy after swallowing a small toy. The unlicensed assistive personnel (UAP)
reports to the nurse that the child does not respond to question. Which response by
the nurse is best?
"The child is probably frightened due to the hospital environment."
"Ok, I will perform a detailed neurological assessment on the client."
"Thank you for reporting, I will investigate the observation further."
"The inability to respond to questions is a characteristic of autism.": "The inability to
respond to questions is a characteristic of autism."
4. The nurse knows DTaP vaccine protects against which diseases?
Diphtheria, typhoid fever, polio
Diphtheria, typhoid fever, pertussis
,Pediatric Kaplan NGN A, B, C
Diphtheria, tetanus, pertussis
Diphtheria, tetanus, polio: Diphtheria, tetanus, pertussis
5. A toddler client is newly diagnosed with a seizure disorder. The nurse intervenes
if which finding is observed during a visit in the family's home?
The clients temperature is taken using an oral electronic thermometer
The client is encouraged to play with soft toys during daily bath time
The parents have the client wear a helmet with padding when riding a tricylce The parent
prepare the client small bites of a peanut butter cookie: The clients temperature is taken
using an oral electronic thermometer
6. An infant is diagnosed with a cyanotic congenital heart defect. The nurse knows a
cyanotic congenital heart defect is associated with which symptoms as reported by
the parent?
Clubbing of the fingers and swelling of the feet
Poor feeding with no or very poor weight gain
Increased crying with increased physical activity
Warm, pink, dry skin: Poor feeding with no or very poor weight gain
7. The nurse in the emergency department provides car for a toddler client with a
fever. The parents report the toddler has received regular adult acetaminophen 325
mg every 4 hours for the past 4 days. Which medication does the nurse have available
for the treatment of the acetaminophen overdose?
Vitamin K
Acetylcysteine
Aspirin
Naloxone: Acetylcysteine
,Pediatric Kaplan NGN A, B, C
8. A client delivers a health 8-lb, 2-oz (3640 g) newborn. The client mentions to the
nurse that the newborn's "soft spot" bulges out when the newborn cries. Which
statement made by the nurse is the most appropriate?
"The anterior fontanel should close within 1 month"
'The newborn could be brain damaged if the soft spot is injured"
"The newborn's posterior fontanel should close after 1 year"
"The anterior fontanel will normally bulge out when the newborn coughs or
cries": "The anterior fontanel will normally bulge out when the newborn coughs or cries"
9. The nurse performs assessments on infants at the health department. The nurse
identifies which finding as an early indication of cerebral palsy (CP)?
The 4 month-old infant lacks head control
The 7-month old infant sits with support
The 8-month-old infant is unable to crawl
The 3-month-old infant smiles at the parent: The 4 month-old infant lacks head control
10. A school-age client is admitted to the hospital with a diagnosis of idiopathic
hypopituitarism. Which clinical manifestation is the nurse most likely to observe?
Hyperglycemia
Early sexual maturation
Short stature
Decreased urination: Short stature
11. The nurse is instructing nursing students on care for a newborn client diagnosed
with hemophilia A. Which statement about hemophilia trait should be included?
"It is an X-linked recessive trait found primarily in females"
"It is an X-linked dominant trait found in primarily in females"
1. The nurse observes a child client walk up and down steps. The nurse notes the child
has a steady gait and can use short sentences. The nurse estimates the child's age to
be how many months?
8 months
12 months
16 months
24 months: 24 months
2. A parent brings a newborn to the health care provider's office. The newborn is
vomiting, has abdominal distention, and is diagnosed with pyloric stenosis. Which
characteristic of the newborn's emesis does the nurse expect?
Black in appearance
Diminished after feedings
Projectile and forceful
Thick and full of mucus: Projectile and forceful
3. A preschooler diagnosed with severe autism is admitted to the pediatric unit with
a tracheostomy after swallowing a small toy. The unlicensed assistive personnel (UAP)
reports to the nurse that the child does not respond to question. Which response by
the nurse is best?
"The child is probably frightened due to the hospital environment."
"Ok, I will perform a detailed neurological assessment on the client."
"Thank you for reporting, I will investigate the observation further."
"The inability to respond to questions is a characteristic of autism.": "The inability to
respond to questions is a characteristic of autism."
4. The nurse knows DTaP vaccine protects against which diseases?
Diphtheria, typhoid fever, polio
Diphtheria, typhoid fever, pertussis
,Pediatric Kaplan NGN A, B, C
Diphtheria, tetanus, pertussis
Diphtheria, tetanus, polio: Diphtheria, tetanus, pertussis
5. A toddler client is newly diagnosed with a seizure disorder. The nurse intervenes
if which finding is observed during a visit in the family's home?
The clients temperature is taken using an oral electronic thermometer
The client is encouraged to play with soft toys during daily bath time
The parents have the client wear a helmet with padding when riding a tricylce The parent
prepare the client small bites of a peanut butter cookie: The clients temperature is taken
using an oral electronic thermometer
6. An infant is diagnosed with a cyanotic congenital heart defect. The nurse knows a
cyanotic congenital heart defect is associated with which symptoms as reported by
the parent?
Clubbing of the fingers and swelling of the feet
Poor feeding with no or very poor weight gain
Increased crying with increased physical activity
Warm, pink, dry skin: Poor feeding with no or very poor weight gain
7. The nurse in the emergency department provides car for a toddler client with a
fever. The parents report the toddler has received regular adult acetaminophen 325
mg every 4 hours for the past 4 days. Which medication does the nurse have available
for the treatment of the acetaminophen overdose?
Vitamin K
Acetylcysteine
Aspirin
Naloxone: Acetylcysteine
,Pediatric Kaplan NGN A, B, C
8. A client delivers a health 8-lb, 2-oz (3640 g) newborn. The client mentions to the
nurse that the newborn's "soft spot" bulges out when the newborn cries. Which
statement made by the nurse is the most appropriate?
"The anterior fontanel should close within 1 month"
'The newborn could be brain damaged if the soft spot is injured"
"The newborn's posterior fontanel should close after 1 year"
"The anterior fontanel will normally bulge out when the newborn coughs or
cries": "The anterior fontanel will normally bulge out when the newborn coughs or cries"
9. The nurse performs assessments on infants at the health department. The nurse
identifies which finding as an early indication of cerebral palsy (CP)?
The 4 month-old infant lacks head control
The 7-month old infant sits with support
The 8-month-old infant is unable to crawl
The 3-month-old infant smiles at the parent: The 4 month-old infant lacks head control
10. A school-age client is admitted to the hospital with a diagnosis of idiopathic
hypopituitarism. Which clinical manifestation is the nurse most likely to observe?
Hyperglycemia
Early sexual maturation
Short stature
Decreased urination: Short stature
11. The nurse is instructing nursing students on care for a newborn client diagnosed
with hemophilia A. Which statement about hemophilia trait should be included?
"It is an X-linked recessive trait found primarily in females"
"It is an X-linked dominant trait found in primarily in females"
