NGN PN NURSING CARE OF CHILDREN ONLINE
PRACTICE 2024 LATEST UPDATE GRADED A.
A nurse is assisting with the admission of a toddler who has bacterial meningitis
caused by Haemophilus influenzae type B. Which of the following isolation guidelines
should thenurse plan to initiate? - answer-Droplet precautions
The nurse should plan to initiate droplet precautions for this child, because
bacterial meningitis caused by Haemophilus influenzae type B is transmitted
through the air vialarge-particle droplets.
A nurse is reinforcing teaching to the guardian of a toddler who is receiving
chemotherapy and has developed stomatitis. Which of the following instructions
shouldthe nurse include in the teaching? - answer-Frequently rinse the mouth with
chlorihexidine mouthwash
The nurse should encourage the guardian to rinse the toddler's mouth frequently with
chlorhexidine mouthwash.
A nurse is reinforcing discharge teaching with the guardians of a 6month old infant
following a surgical procedure to repair a hypospadias. Which of the following
instructions should the nurse include? - answer-Wait 1 week before giving the
infant atub bath
Keep the infants penis as dry as possible until the stent or cather is removed.
The nurse should instruct the guardians to keep the infant's penis as dry as
possible until the stent or catheter is removed. The parent should provide sponge-
baths to the child until the stent or catheter is removed.
A nurse is reviewing the laboratory findings of a school-age child who reports feeling
tired and being easily bruised. Which of the following laboratory values should the
nursereport to the provider? - answer-Platelets 85,000/mm3
This value is below the expected reference range for a school-age child and should
bereported to the provider.
A nurse is contributing to the plan of care for a child who has type 1 diabetes
mellitusand is experiencing an acute illness. Which of the following actions should
the nurse include in the plan of care? - answer-- Encourage an increased fluid
intake
,to flush out ketones and prevent dehydration; this can lead to DKA
The nurse should encourage an increased fluid intake to flush out ketones and
prevent dehydration. Children who have diabetes mellitus and an acute illness are
more likely to
experience ketonuria and hyperglycemia. Dehydration increases the risk of the child
developing diabetic ketoacidosis.
A nurse is contributing to the plan of care for a child who is in Buck's traction.
Which of the following interventions should the nurse include in the plan? - answer-
Maintain theleg in an extended position
-decreases the risk for further injury to the extremity and minimizes the occurrence of
muscle spasms
A nurse in a pediatric clinic is caring for an infant who has heart failure and a
prescription for digoxin. Which of the following statements by the parent indicates
desired therapeutic effect of the medication? - answer-My baby is breathing easier
thanshe used to
-Digoxin(increases cardiac output and decrease venous pressure and pulmonary
edema, which will reduce respiratory demands
A nurse is caring for a group of children in an acute care setting. The nurse should
identify that which of the following children is at risk for impaired elimation? -
answer-Achild who has hyperglycemia
-A client who has hyperglycemia exhibits manifestations of polyuria, lethargy,
confusion,thirst, nausea, vomiting, abdominal pain, signs of dehydration, rapid
respiration, and fruity breath. A child who has hyperglycemia is at risk for dehydration
A nurse is caring for a toddler who has terminal cancer and is receiving hospice
care. The child's parent tells the nurse, "I'm a bad parent, and I cant deal with this."
Which of the following responses should the nurse make? - answer-I'm not sure I
follow you. Canyou explain?
The nurse should use open-ended statements that will allow the parent to share their
feelings and emotions. During times of grief, the parent needs to express emotions.
Theuse of an open-ended statement relays the message that it is safe to do so with
the nurse.
A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) with the
parent of a 1month old infant. Which of the following statement by the parent
,indicates an understanding of the teaching? - answer-I will allow my baby to have a
pacifier whilesleeping
-decreases the risk for SIDS
A nurse is reinforcing teaching with the guardian of a school-age child who has acute
bacterial conjunctivitis and a new prescription for sulfacetamide. Which of the
following
instructions should the nurse include? - answer-Instill medication immediately
after cleansing the eye
A nurse is assisting with the development of a health promotion program for the
guardians of adolescents. Which of the following information about adolescents
should the nurse recommend to include in the program - answer-The leading cause
of death in adolescents is physical injury
-MVC (motor vehicle crashes) are the leading cause of death in adolescent population.
A nurse is reinforcing teaching with the parent of an infant who has a new diagnosis
ofhuman immunodefiency virus (HIV). Which of the following statements made by the
parent indicates an understanding of the teaching? - answer-"I should bring my child
infor immunizations on schedule."
Immunizations provide protection from communicable diseases
A nurse is reinforcing teaching about home care with the guardian of a 14month old
toddler who has spatic cerebral palsy. Which of the following statements by the
guardianindicates an understanding of the teaching? - answer-"I will perform daily
stretching exercises to my toddler's affected muscles
Stretching prevents muscle contractures.
A nurse is collecting physical data from a 4-year-old child who has diarrhea and has
been vomiting for 24 hr. Which of the following sites should the nurse grasp to
determine the child's skin turgor? - answer-The child's abdomen.
The nurse should expect the child who has diarrhea and has been vomiting to exhibit
adecrease in skin turgor. To check skin turgor, the nurse should grasp the skin on the
child's abdomen, pull it taut, and release it quickly. A child who has been vomiting and
had diarrhea for 24 hr will have a prolonged period of tenting.
, A nurse is screening a group of school age children for abuse. The nurse should
identify that which of the following conditions places a child at risk for physical abuse?
- answer-A child who has ADHD
due to the increased emotional and physical demands the conditon can place of
thechild's parents
A nurse is providing care to parents immediately following their child;s unexpected
death. Which of the following actions should the nurse take? - answer-Offer the
parentsthe opportunity to bathe and dress the child's body
-this can facilitate the grieing process and allow them to provide care for their child
onelast time
During a well-child visit, the parent of a toddler expresses concern to the nurse that
thetoddler takes several hours to fall asleep at night. Which of the following
recommendations should the nurse make? - answer-Provide the toddler with a
favoritetoy at bedtime.
providing the toddler with a favorite toy at bedtime will help the toddler to feel more
secure and facilitate sleep.
A nurse is collecting data from a 10-month-old infant. Which of the following findings
should the nurse report to the provider? - answer-Sits with support by leaning on
hands
bc an infant should be able to sit unsupported by 8months of age
A nurse is caring for a school aged child who has hemophilia A. Which of the
following should the nurse recognize as a manifestation of this disorder? - answer-
Join pain andstiffness
oint pain and stiffness can occur as a result of bleeding into the joint, which is a
manifestation of hemophilia A.
A nurse is caring for a 1month old infant who has a nasogasatric tube in place for
intermittent feedings. Which of the following actions should the nurse take? -
answer-position the head of the crib at 30 angle between feedings
place the infant with the head of the crib elevated 30° to 45° to prevent aspiration.
A nurse is collecting for an adolescent who has asthma and has received an albuterol
nebulizer treatment. Which of the following findings indicates an improvement in the
adolescent's condition - answer-RR 20/min expected reference
PRACTICE 2024 LATEST UPDATE GRADED A.
A nurse is assisting with the admission of a toddler who has bacterial meningitis
caused by Haemophilus influenzae type B. Which of the following isolation guidelines
should thenurse plan to initiate? - answer-Droplet precautions
The nurse should plan to initiate droplet precautions for this child, because
bacterial meningitis caused by Haemophilus influenzae type B is transmitted
through the air vialarge-particle droplets.
A nurse is reinforcing teaching to the guardian of a toddler who is receiving
chemotherapy and has developed stomatitis. Which of the following instructions
shouldthe nurse include in the teaching? - answer-Frequently rinse the mouth with
chlorihexidine mouthwash
The nurse should encourage the guardian to rinse the toddler's mouth frequently with
chlorhexidine mouthwash.
A nurse is reinforcing discharge teaching with the guardians of a 6month old infant
following a surgical procedure to repair a hypospadias. Which of the following
instructions should the nurse include? - answer-Wait 1 week before giving the
infant atub bath
Keep the infants penis as dry as possible until the stent or cather is removed.
The nurse should instruct the guardians to keep the infant's penis as dry as
possible until the stent or catheter is removed. The parent should provide sponge-
baths to the child until the stent or catheter is removed.
A nurse is reviewing the laboratory findings of a school-age child who reports feeling
tired and being easily bruised. Which of the following laboratory values should the
nursereport to the provider? - answer-Platelets 85,000/mm3
This value is below the expected reference range for a school-age child and should
bereported to the provider.
A nurse is contributing to the plan of care for a child who has type 1 diabetes
mellitusand is experiencing an acute illness. Which of the following actions should
the nurse include in the plan of care? - answer-- Encourage an increased fluid
intake
,to flush out ketones and prevent dehydration; this can lead to DKA
The nurse should encourage an increased fluid intake to flush out ketones and
prevent dehydration. Children who have diabetes mellitus and an acute illness are
more likely to
experience ketonuria and hyperglycemia. Dehydration increases the risk of the child
developing diabetic ketoacidosis.
A nurse is contributing to the plan of care for a child who is in Buck's traction.
Which of the following interventions should the nurse include in the plan? - answer-
Maintain theleg in an extended position
-decreases the risk for further injury to the extremity and minimizes the occurrence of
muscle spasms
A nurse in a pediatric clinic is caring for an infant who has heart failure and a
prescription for digoxin. Which of the following statements by the parent indicates
desired therapeutic effect of the medication? - answer-My baby is breathing easier
thanshe used to
-Digoxin(increases cardiac output and decrease venous pressure and pulmonary
edema, which will reduce respiratory demands
A nurse is caring for a group of children in an acute care setting. The nurse should
identify that which of the following children is at risk for impaired elimation? -
answer-Achild who has hyperglycemia
-A client who has hyperglycemia exhibits manifestations of polyuria, lethargy,
confusion,thirst, nausea, vomiting, abdominal pain, signs of dehydration, rapid
respiration, and fruity breath. A child who has hyperglycemia is at risk for dehydration
A nurse is caring for a toddler who has terminal cancer and is receiving hospice
care. The child's parent tells the nurse, "I'm a bad parent, and I cant deal with this."
Which of the following responses should the nurse make? - answer-I'm not sure I
follow you. Canyou explain?
The nurse should use open-ended statements that will allow the parent to share their
feelings and emotions. During times of grief, the parent needs to express emotions.
Theuse of an open-ended statement relays the message that it is safe to do so with
the nurse.
A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) with the
parent of a 1month old infant. Which of the following statement by the parent
,indicates an understanding of the teaching? - answer-I will allow my baby to have a
pacifier whilesleeping
-decreases the risk for SIDS
A nurse is reinforcing teaching with the guardian of a school-age child who has acute
bacterial conjunctivitis and a new prescription for sulfacetamide. Which of the
following
instructions should the nurse include? - answer-Instill medication immediately
after cleansing the eye
A nurse is assisting with the development of a health promotion program for the
guardians of adolescents. Which of the following information about adolescents
should the nurse recommend to include in the program - answer-The leading cause
of death in adolescents is physical injury
-MVC (motor vehicle crashes) are the leading cause of death in adolescent population.
A nurse is reinforcing teaching with the parent of an infant who has a new diagnosis
ofhuman immunodefiency virus (HIV). Which of the following statements made by the
parent indicates an understanding of the teaching? - answer-"I should bring my child
infor immunizations on schedule."
Immunizations provide protection from communicable diseases
A nurse is reinforcing teaching about home care with the guardian of a 14month old
toddler who has spatic cerebral palsy. Which of the following statements by the
guardianindicates an understanding of the teaching? - answer-"I will perform daily
stretching exercises to my toddler's affected muscles
Stretching prevents muscle contractures.
A nurse is collecting physical data from a 4-year-old child who has diarrhea and has
been vomiting for 24 hr. Which of the following sites should the nurse grasp to
determine the child's skin turgor? - answer-The child's abdomen.
The nurse should expect the child who has diarrhea and has been vomiting to exhibit
adecrease in skin turgor. To check skin turgor, the nurse should grasp the skin on the
child's abdomen, pull it taut, and release it quickly. A child who has been vomiting and
had diarrhea for 24 hr will have a prolonged period of tenting.
, A nurse is screening a group of school age children for abuse. The nurse should
identify that which of the following conditions places a child at risk for physical abuse?
- answer-A child who has ADHD
due to the increased emotional and physical demands the conditon can place of
thechild's parents
A nurse is providing care to parents immediately following their child;s unexpected
death. Which of the following actions should the nurse take? - answer-Offer the
parentsthe opportunity to bathe and dress the child's body
-this can facilitate the grieing process and allow them to provide care for their child
onelast time
During a well-child visit, the parent of a toddler expresses concern to the nurse that
thetoddler takes several hours to fall asleep at night. Which of the following
recommendations should the nurse make? - answer-Provide the toddler with a
favoritetoy at bedtime.
providing the toddler with a favorite toy at bedtime will help the toddler to feel more
secure and facilitate sleep.
A nurse is collecting data from a 10-month-old infant. Which of the following findings
should the nurse report to the provider? - answer-Sits with support by leaning on
hands
bc an infant should be able to sit unsupported by 8months of age
A nurse is caring for a school aged child who has hemophilia A. Which of the
following should the nurse recognize as a manifestation of this disorder? - answer-
Join pain andstiffness
oint pain and stiffness can occur as a result of bleeding into the joint, which is a
manifestation of hemophilia A.
A nurse is caring for a 1month old infant who has a nasogasatric tube in place for
intermittent feedings. Which of the following actions should the nurse take? -
answer-position the head of the crib at 30 angle between feedings
place the infant with the head of the crib elevated 30° to 45° to prevent aspiration.
A nurse is collecting for an adolescent who has asthma and has received an albuterol
nebulizer treatment. Which of the following findings indicates an improvement in the
adolescent's condition - answer-RR 20/min expected reference
