NGN NEXT GENERATION NCLEX ATI PROCTORED NURSING
CARE OF CHILDREN 2023/2024 ACTUAL EXAM
If a child has an allergy to neomycin with a anapylactic reaction what vaccine should you withhold? or an
allergy to eggs or gelatin (correct answers)measles, mumps, rubella (MMR)
what is an indication of bacterial meningitis? (correct answers)increased protein concentration,
increased WBC, decreased glucose level, increased cerebrospinal fluid pressure
normal Hematocrit for a child (correct answers)32 - 44%
what can a child experience with a low Hematocrit? (correct answers)tachycardia, lightheadedness,
fatigue, dyspnea, pallor
normal wbc for child (correct answers)5,000 - 10,000 mm3
normal platelet for child (correct answers)150,000-400,000
normal Hgb Hemoglobin for child (correct answers)9.5-14 g/dL
normal prealbumin for child (correct answers)15-33 mg/dL
pavlik harness (correct answers)used for hip dysplasia in infants
Remove only to take baths, place diapers under the harness straps, do not use products becuase can
cause skin irritation, and do not adjust straps
peritonitis (correct answers)inflammation of the peritoneum (membrane lining the abdominal cavity
and surrounding the organs within it)
abdominal distension, chills, irritability, restlessness
scoliosis (correct answers)should expect to see a unilateral rib hump with hip flexion
, peristalis (correct answers)involuntary waves of muscle involves contractions of the smooth muscles
that push the food toward the stomach
what should you expect with a child following a perforated appendix repair? (correct answers)absence
of peristalsis
what to do following a lumbar puncture? (correct answers)apply topical analgesic 1 hr before, place
client in prone or flat position for up to 12 hours after, encourage to drink extra fluids
nursing interventions for a child with an epidural hematoma? (correct answers)neuro checks q15mins,
avoid suctioning nares, implement seizure activity, position infant midline slightly elevated
nursing interventions for a child scheudled for a wound debridement? (correct answers)apply topical
ointment following hydrotherapy, apply gauze after therapy, administer an analgesic beforehand, and
AVOID prophylactic antibiotic therapy
who can sign consent? (correct answers)over 18 y/o, parent of a minor, or if under 18 and married can
sign themselves
nursing interventions for a child in a tonic clonic seizure. (correct answers)turn to side, no food or drink,
nothing by mouth (meds)
epinephrine (correct answers)treats anaphylaxis
Prednisone (correct answers)treats severe inflammation
Anti-inflammatory
Diphenhydramine (correct answers)Benadryl, decreases allergic reaction
Albuterol (correct answers)Bronchodilator, improves childs breathing
CARE OF CHILDREN 2023/2024 ACTUAL EXAM
If a child has an allergy to neomycin with a anapylactic reaction what vaccine should you withhold? or an
allergy to eggs or gelatin (correct answers)measles, mumps, rubella (MMR)
what is an indication of bacterial meningitis? (correct answers)increased protein concentration,
increased WBC, decreased glucose level, increased cerebrospinal fluid pressure
normal Hematocrit for a child (correct answers)32 - 44%
what can a child experience with a low Hematocrit? (correct answers)tachycardia, lightheadedness,
fatigue, dyspnea, pallor
normal wbc for child (correct answers)5,000 - 10,000 mm3
normal platelet for child (correct answers)150,000-400,000
normal Hgb Hemoglobin for child (correct answers)9.5-14 g/dL
normal prealbumin for child (correct answers)15-33 mg/dL
pavlik harness (correct answers)used for hip dysplasia in infants
Remove only to take baths, place diapers under the harness straps, do not use products becuase can
cause skin irritation, and do not adjust straps
peritonitis (correct answers)inflammation of the peritoneum (membrane lining the abdominal cavity
and surrounding the organs within it)
abdominal distension, chills, irritability, restlessness
scoliosis (correct answers)should expect to see a unilateral rib hump with hip flexion
, peristalis (correct answers)involuntary waves of muscle involves contractions of the smooth muscles
that push the food toward the stomach
what should you expect with a child following a perforated appendix repair? (correct answers)absence
of peristalsis
what to do following a lumbar puncture? (correct answers)apply topical analgesic 1 hr before, place
client in prone or flat position for up to 12 hours after, encourage to drink extra fluids
nursing interventions for a child with an epidural hematoma? (correct answers)neuro checks q15mins,
avoid suctioning nares, implement seizure activity, position infant midline slightly elevated
nursing interventions for a child scheudled for a wound debridement? (correct answers)apply topical
ointment following hydrotherapy, apply gauze after therapy, administer an analgesic beforehand, and
AVOID prophylactic antibiotic therapy
who can sign consent? (correct answers)over 18 y/o, parent of a minor, or if under 18 and married can
sign themselves
nursing interventions for a child in a tonic clonic seizure. (correct answers)turn to side, no food or drink,
nothing by mouth (meds)
epinephrine (correct answers)treats anaphylaxis
Prednisone (correct answers)treats severe inflammation
Anti-inflammatory
Diphenhydramine (correct answers)Benadryl, decreases allergic reaction
Albuterol (correct answers)Bronchodilator, improves childs breathing
