ESTUDYR
CAPSTONE NURSING CARE OF CHILDREN UPDATED EXAM WITH MOST TESTED
QUESTIONS AND ANSWERS | GRADED A+ | ASSURED SUCCESS WITH DETAILED
RATIONALES
1. A home health nurse is teaching parents about post-seizure management for their school-age child
with epilepsy. What should be included?
A. Place a spoon between the teeth to prevent tongue biting
B. Record the length and character of the postictal period following a seizure ✅
C. Offer clear liquids immediately after the seizure
D. Massage the child’s limbs to restore circulation
Rationale: Documenting duration and characteristics of the postictal phase guides further management.
Spoons can injure the child, oral intake is delayed until fully alert, and limb massage is unnecessary.
2. Which sign warrants calling EMS after a seizure?
A. The child cries inconsolably
B. The child’s pupils remain unequal after the seizure ✅
C. The child is drowsy but arousable
D. The child vomits once
Rationale: Persistent unequal pupils may indicate increased intracranial pressure or acute injury and
requires emergency evaluation.
3. At a 3-year-old well-child visit, which developmental task is expected?
A. Uses complete sentences of five words
B. Primarily uses two-word phrases ✅
C. Copies a triangle on paper
D. Rides a two-wheeled bicycle
Rationale: Three-year-olds typically combine two to three words; more complex language and fine
motor skills develop later.
4. Teaching parents of a toddler about temper tantrum management, what should the nurse include?
A. Offer a reward each time the child tantrums
B. React immediately to calm the child
,ESTUDYR
C. Establish a structured daily routine for the child ✅
D. Use time-out for at least 30 minutes
Rationale: Consistent schedules reduce frustration and prevent tantrums. Rewards reinforce bad
behavior, immediate reaction can escalate, and time-out for toddlers is 1–3 minutes only.
5. A newly licensed nurse says, “Reye’s syndrome causes fatty changes in the liver.” Is this correct?
A. No, it causes bacterial invasion of the liver
B. Yes, it results in fatty degeneration of hepatocytes ✅
C. No, it is a kidney disorder
D. Yes, but only in adults
Rationale: Reye’s syndrome leads to mitochondrial damage and fat infiltration in the liver and brain,
often after aspirin use in viral illness.
6. After 50 mL of a blood transfusion in a child, which finding suggests an air embolism?
A. Mild itching at the IV site
B. Sharp chest pain in the middle of the chest ✅
C. Low-grade fever
D. Hypertension
Rationale: Sudden chest pain, dyspnea, or cough may indicate air in the circulation; fever and
hypertension are more typical of other transfusion reactions.
7. In screening visual acuity, what cover-test finding in a school-age child suggests strabismus?
A. Both eyes remain steady
B. The covered eye moves when uncovered
C. The uncovered eye moves during the cover test ✅
D. Child blinks rapidly
Rationale: Movement of the uncovered eye as it takes up fixation indicates ocular misalignment (tropia).
8. A 6-month-old infant does not roll from abdomen to back. What should the nurse do?
A. Document as normal
B. Report to the provider for developmental evaluation ✅
, ESTUDYR
C. Encourage tummy time at home
D. Schedule next visit in 3 months
Rationale: Rolling from prone to supine typically appears by 5–6 months; absence warrants further
assessment.
9. When instilling otic drops in a toddler’s ear, you should:
A. Pull the pinna up and back
B. Pull the pinna down and back ✅
C. Have the child lie prone, ear up
D. Instill drops while child is standing
Rationale: In children under 3, pulling the pinna down and back straightens the canal for proper
medication delivery.
10. A parent states, “I should place the car seat rear-facing until my child is 2.” Does this demonstrate
understanding?
A. Yes, rear-facing protects the spine in a crash ✅
B. No, forward-facing is safe after 1 year
C. No, children should face forward at 9 kg
D. Yes, but only until age 1
Rationale: Current guidelines recommend rear-facing until at least age 2 for maximal head, neck, and
spinal protection.
11. A parent of a school-age child on methylphenidate ER says, “I will inform my child’s teacher that
he is taking this medication.” Is this correct?
A. Yes, collaboration helps monitor efficacy and side effects ✅
B. No, teachers don’t need to know
C. Yes, but only if behavior worsens
D. No, it violates privacy
Rationale: Informing school personnel allows observation of academic and behavioral response and
early identification of adverse effects.
12. A 15 kg toddler on prednisone for nephrotic syndrome is due for MMR. Should it be withheld?
CAPSTONE NURSING CARE OF CHILDREN UPDATED EXAM WITH MOST TESTED
QUESTIONS AND ANSWERS | GRADED A+ | ASSURED SUCCESS WITH DETAILED
RATIONALES
1. A home health nurse is teaching parents about post-seizure management for their school-age child
with epilepsy. What should be included?
A. Place a spoon between the teeth to prevent tongue biting
B. Record the length and character of the postictal period following a seizure ✅
C. Offer clear liquids immediately after the seizure
D. Massage the child’s limbs to restore circulation
Rationale: Documenting duration and characteristics of the postictal phase guides further management.
Spoons can injure the child, oral intake is delayed until fully alert, and limb massage is unnecessary.
2. Which sign warrants calling EMS after a seizure?
A. The child cries inconsolably
B. The child’s pupils remain unequal after the seizure ✅
C. The child is drowsy but arousable
D. The child vomits once
Rationale: Persistent unequal pupils may indicate increased intracranial pressure or acute injury and
requires emergency evaluation.
3. At a 3-year-old well-child visit, which developmental task is expected?
A. Uses complete sentences of five words
B. Primarily uses two-word phrases ✅
C. Copies a triangle on paper
D. Rides a two-wheeled bicycle
Rationale: Three-year-olds typically combine two to three words; more complex language and fine
motor skills develop later.
4. Teaching parents of a toddler about temper tantrum management, what should the nurse include?
A. Offer a reward each time the child tantrums
B. React immediately to calm the child
,ESTUDYR
C. Establish a structured daily routine for the child ✅
D. Use time-out for at least 30 minutes
Rationale: Consistent schedules reduce frustration and prevent tantrums. Rewards reinforce bad
behavior, immediate reaction can escalate, and time-out for toddlers is 1–3 minutes only.
5. A newly licensed nurse says, “Reye’s syndrome causes fatty changes in the liver.” Is this correct?
A. No, it causes bacterial invasion of the liver
B. Yes, it results in fatty degeneration of hepatocytes ✅
C. No, it is a kidney disorder
D. Yes, but only in adults
Rationale: Reye’s syndrome leads to mitochondrial damage and fat infiltration in the liver and brain,
often after aspirin use in viral illness.
6. After 50 mL of a blood transfusion in a child, which finding suggests an air embolism?
A. Mild itching at the IV site
B. Sharp chest pain in the middle of the chest ✅
C. Low-grade fever
D. Hypertension
Rationale: Sudden chest pain, dyspnea, or cough may indicate air in the circulation; fever and
hypertension are more typical of other transfusion reactions.
7. In screening visual acuity, what cover-test finding in a school-age child suggests strabismus?
A. Both eyes remain steady
B. The covered eye moves when uncovered
C. The uncovered eye moves during the cover test ✅
D. Child blinks rapidly
Rationale: Movement of the uncovered eye as it takes up fixation indicates ocular misalignment (tropia).
8. A 6-month-old infant does not roll from abdomen to back. What should the nurse do?
A. Document as normal
B. Report to the provider for developmental evaluation ✅
, ESTUDYR
C. Encourage tummy time at home
D. Schedule next visit in 3 months
Rationale: Rolling from prone to supine typically appears by 5–6 months; absence warrants further
assessment.
9. When instilling otic drops in a toddler’s ear, you should:
A. Pull the pinna up and back
B. Pull the pinna down and back ✅
C. Have the child lie prone, ear up
D. Instill drops while child is standing
Rationale: In children under 3, pulling the pinna down and back straightens the canal for proper
medication delivery.
10. A parent states, “I should place the car seat rear-facing until my child is 2.” Does this demonstrate
understanding?
A. Yes, rear-facing protects the spine in a crash ✅
B. No, forward-facing is safe after 1 year
C. No, children should face forward at 9 kg
D. Yes, but only until age 1
Rationale: Current guidelines recommend rear-facing until at least age 2 for maximal head, neck, and
spinal protection.
11. A parent of a school-age child on methylphenidate ER says, “I will inform my child’s teacher that
he is taking this medication.” Is this correct?
A. Yes, collaboration helps monitor efficacy and side effects ✅
B. No, teachers don’t need to know
C. Yes, but only if behavior worsens
D. No, it violates privacy
Rationale: Informing school personnel allows observation of academic and behavioral response and
early identification of adverse effects.
12. A 15 kg toddler on prednisone for nephrotic syndrome is due for MMR. Should it be withheld?
