NCOF (VATI) EXAM QUESTIONS WITH VERIFIED
SOLUTIONS COMPLETE AND ACCURATE A+
GRADED.
A nurse is teaching a newly licensed nurse how to provide care for a child
who has just been placed in skeletal traction. Which of the following
information should the nurse include?
Administer prescribed opioid analgesics around the clock.
-Common for children who have been place in skeletal traction to experience
increased pain. Therefore, the nurse should administer prescribed opioids
analgesics and muscle relaxants around the clock.
• Skeletal traction uses a continuous pulling force that is applied directly to the
skeletal structure and/or specific bone. It is used when more pulling force is
needed than skin traction can withstand. A pin or rod is inserted through or
into the bone. Force is applied through the use of weights attached by rope.
The weights are never to be removed by the nurse.
A nurse obtains a fingerstick glucose result of 45 mg/dL from a school age
child who has diabetes mellitus. Which of the following actions should the
nurse take?
Give the child 10-15g of a simple carbohydrate.
-Identify that immediate attention is required to increase the child's glucose
level to an acceptable range. Therefore, the nurse should provide 10-15g of
a simple carbs, such as 3-6oz of OJ, following by a complex carb and protein
in order to treat mild to moderate hypoglycemia.
A nurse is reviewing the laboratory test results of a school age child.
Which of the following findings should the nurse report to the provider?
Creatinine 1.6 mg/dL.
,-Outside the expected reference range of 0.3-0.6 mg/dL for school age child
and should be reported.
Creatinine: 0.6 - 1.2 (used to test how well the kidney's filter)
A nurse is assessing a preschooler who was recently diagnosed with acute
lymphoid leukemia. Which of the following findings should the nurse
expect?
Bruising on the arms and legs.
-Low platelet count is an expected findings for a preschooler who has acute
lymphoid leukemia. A low platelet count causes petechiae, easy bleeding of
the oral mucus membranes, and bruising of the arms and legs.
A nurse is preparing to perform an orogastric feeding for an infant. Which
of the following actions should the nurse take to verify tube placement?
Test gastric secretions of pH.
-Test gastric secretions of pH to verify that the orogastric tube is in the
stomach. A pH of 5 or less indicates that the orogastric tube is in the stomach,
whereas a pH of greater than 5 does not indicate that the tube is in the
stomach. Performing orogastric feeding when the tube is not in the stomach
increases the risk for aspiration.
• Nasogastric (NG) tubes or Orogastric (OG) tubes are small tubes placed
either through the nose or the mouth and end with the tip in the stomach.
NG/OG tubes may be used for feedings, medication administration, or
removal of contents from the stomach via aspiration, suction, or gravity
drainage.
A nurse is caring for an infant who has respiratory syncytial virus (RSV)
and is experiencing respiratory distress. Which of the following actions
should the nurse take?
Provide heated, high flow nasal cannula therapy (HHFNC).
-This therapy can prevent respiratory failure. HHFNC is a form of humidified
oxygen administration which provides continuous positive pressure.
,A nurse is evaluating an adolescent who is postoperative and is receiving
fentanyl via an epidural catheter. Which of the following findings should
the nurse recognize as a complication?
Respiratory rate of 14/min
-Expected reference range for respiratory rate is 16 to 20/min.
Fentanyl - Opioid Agonist; used to reduce pain by attaching to receptor in
CNS altering perception and response to pain!
A nurse in a well child clinic is assessing a school age child who has
erythema on the face and maculopapular rash on the arms and legs. The
parent reports that the child has had an intermittent fever for 1wk. Which
of the following actions should the nurse take?
Offer the child analgesic for comfort.
-Offer analgesics and antipyretic medications because erythema on the face
and a maculopapular rash on the arms and legs indicates that the child has
erythema infectiosum (fifth disease). Erythema infectiosum is a viral infection
that cannot be treated with antibiotics.
A maculopapular rash is a type of rash characterized by a flat, red area on
the skin that is covered with small confluent bumps. It may only appear
red in lighter-skinned people
A nurse is caring for an infant immediately following surgical repair of a
cleft lip. Which of the following actions should the nurse take?
Position the infant on their right side when sleeping.
-Right side or upright in an infant seat when sleeping to allow mouth secretions
to drain forward. Do not allow infant to turn on their abdomen because this
could put pressure on the suture line.
A nurse is providing teaching to the guardian of a preschooler who has
impetigo. Which of the following instructions should the nurse include?
Keep the child's towels separate from towels used by other family
members.
, -Impetigo is a bacterial skin infection spread by contact.
A nurse is providing discharge teaching to the guardian of a preschooler
who is receiving rehydration therapy for acute diarrhea. Which of the
following dietary recommendations should the nurse make?
Steamed broccoli
-Early introduction of nutrient dense foods, such as steamed broccoli, can
decrease the severity and duration of the illness.
A nurse is assessing an infant who has a congenital heart defect. Which of
the following findings is the priority for the nurse to report to the provider?
Hyperpnea
-Hyperpnea is an increased rate and depth of breathing due to severe
hypoxemia.
A nurse is providing discharge teaching to the guardians of a school age
child following a tonsillectomy. Which of the following instructions should
the nurse include?
Eat soft, bland foods as tolerated.
-Cooked and mashed fruits, sherbet or ice-cream, soup, and mashed potatoes
are examples of soft foods the nurse should recommend.
A nurse is evaluating the effectiveness of a treatment plan for a school
age child who has ADHD. Which of the following findings should the
nurse identify as an indication that the treatment plan has been effective?
The child completes homework assignments on time.
A nurse is providing teaching to the parent of an adolescent who has
mononucleosis. Which of the following instructions should the nurse
include?
Provide your child with medications in an elixir preparation.
-Might have a severe sore throat. Therefore, Elixir medications are easier to
swallow when experiencing a sore throat.
SOLUTIONS COMPLETE AND ACCURATE A+
GRADED.
A nurse is teaching a newly licensed nurse how to provide care for a child
who has just been placed in skeletal traction. Which of the following
information should the nurse include?
Administer prescribed opioid analgesics around the clock.
-Common for children who have been place in skeletal traction to experience
increased pain. Therefore, the nurse should administer prescribed opioids
analgesics and muscle relaxants around the clock.
• Skeletal traction uses a continuous pulling force that is applied directly to the
skeletal structure and/or specific bone. It is used when more pulling force is
needed than skin traction can withstand. A pin or rod is inserted through or
into the bone. Force is applied through the use of weights attached by rope.
The weights are never to be removed by the nurse.
A nurse obtains a fingerstick glucose result of 45 mg/dL from a school age
child who has diabetes mellitus. Which of the following actions should the
nurse take?
Give the child 10-15g of a simple carbohydrate.
-Identify that immediate attention is required to increase the child's glucose
level to an acceptable range. Therefore, the nurse should provide 10-15g of
a simple carbs, such as 3-6oz of OJ, following by a complex carb and protein
in order to treat mild to moderate hypoglycemia.
A nurse is reviewing the laboratory test results of a school age child.
Which of the following findings should the nurse report to the provider?
Creatinine 1.6 mg/dL.
,-Outside the expected reference range of 0.3-0.6 mg/dL for school age child
and should be reported.
Creatinine: 0.6 - 1.2 (used to test how well the kidney's filter)
A nurse is assessing a preschooler who was recently diagnosed with acute
lymphoid leukemia. Which of the following findings should the nurse
expect?
Bruising on the arms and legs.
-Low platelet count is an expected findings for a preschooler who has acute
lymphoid leukemia. A low platelet count causes petechiae, easy bleeding of
the oral mucus membranes, and bruising of the arms and legs.
A nurse is preparing to perform an orogastric feeding for an infant. Which
of the following actions should the nurse take to verify tube placement?
Test gastric secretions of pH.
-Test gastric secretions of pH to verify that the orogastric tube is in the
stomach. A pH of 5 or less indicates that the orogastric tube is in the stomach,
whereas a pH of greater than 5 does not indicate that the tube is in the
stomach. Performing orogastric feeding when the tube is not in the stomach
increases the risk for aspiration.
• Nasogastric (NG) tubes or Orogastric (OG) tubes are small tubes placed
either through the nose or the mouth and end with the tip in the stomach.
NG/OG tubes may be used for feedings, medication administration, or
removal of contents from the stomach via aspiration, suction, or gravity
drainage.
A nurse is caring for an infant who has respiratory syncytial virus (RSV)
and is experiencing respiratory distress. Which of the following actions
should the nurse take?
Provide heated, high flow nasal cannula therapy (HHFNC).
-This therapy can prevent respiratory failure. HHFNC is a form of humidified
oxygen administration which provides continuous positive pressure.
,A nurse is evaluating an adolescent who is postoperative and is receiving
fentanyl via an epidural catheter. Which of the following findings should
the nurse recognize as a complication?
Respiratory rate of 14/min
-Expected reference range for respiratory rate is 16 to 20/min.
Fentanyl - Opioid Agonist; used to reduce pain by attaching to receptor in
CNS altering perception and response to pain!
A nurse in a well child clinic is assessing a school age child who has
erythema on the face and maculopapular rash on the arms and legs. The
parent reports that the child has had an intermittent fever for 1wk. Which
of the following actions should the nurse take?
Offer the child analgesic for comfort.
-Offer analgesics and antipyretic medications because erythema on the face
and a maculopapular rash on the arms and legs indicates that the child has
erythema infectiosum (fifth disease). Erythema infectiosum is a viral infection
that cannot be treated with antibiotics.
A maculopapular rash is a type of rash characterized by a flat, red area on
the skin that is covered with small confluent bumps. It may only appear
red in lighter-skinned people
A nurse is caring for an infant immediately following surgical repair of a
cleft lip. Which of the following actions should the nurse take?
Position the infant on their right side when sleeping.
-Right side or upright in an infant seat when sleeping to allow mouth secretions
to drain forward. Do not allow infant to turn on their abdomen because this
could put pressure on the suture line.
A nurse is providing teaching to the guardian of a preschooler who has
impetigo. Which of the following instructions should the nurse include?
Keep the child's towels separate from towels used by other family
members.
, -Impetigo is a bacterial skin infection spread by contact.
A nurse is providing discharge teaching to the guardian of a preschooler
who is receiving rehydration therapy for acute diarrhea. Which of the
following dietary recommendations should the nurse make?
Steamed broccoli
-Early introduction of nutrient dense foods, such as steamed broccoli, can
decrease the severity and duration of the illness.
A nurse is assessing an infant who has a congenital heart defect. Which of
the following findings is the priority for the nurse to report to the provider?
Hyperpnea
-Hyperpnea is an increased rate and depth of breathing due to severe
hypoxemia.
A nurse is providing discharge teaching to the guardians of a school age
child following a tonsillectomy. Which of the following instructions should
the nurse include?
Eat soft, bland foods as tolerated.
-Cooked and mashed fruits, sherbet or ice-cream, soup, and mashed potatoes
are examples of soft foods the nurse should recommend.
A nurse is evaluating the effectiveness of a treatment plan for a school
age child who has ADHD. Which of the following findings should the
nurse identify as an indication that the treatment plan has been effective?
The child completes homework assignments on time.
A nurse is providing teaching to the parent of an adolescent who has
mononucleosis. Which of the following instructions should the nurse
include?
Provide your child with medications in an elixir preparation.
-Might have a severe sore throat. Therefore, Elixir medications are easier to
swallow when experiencing a sore throat.
