Children Care NLN Study Guide Exam
Questions and Actual Detailed
Answers 2025-2026 Updated.
The mother of a 1-year-old child who has phenylketonuria (PKU) makes these comments about
the child's food intake. Which one indicates that the mother needs FURTHER instruction
because she is feeding the child a food high in phenylalanine?
I give my child a couple of gumdrops every day.
I put a little pepper on my child's scrambled eggs.
My child has a glass of apple juice every afternoon.
I give my child flavored water-ice as a special treat. - Answer I put a little pepper on my child's
scrambled eggs.
A 12-year-old girl who has Type 1 diabetes mellitus receives 5 units of regular insulin (Humulin-
R) and 20 units of isophane insulin (NPH) subcutaneously at 7:00 A.M. She eats her breakfast at
7:30 A.M. and goes to school. At 10:30 A.M., she reports feeling shaky and sweaty. A school
nurse should make which of these interpretations of this information?
The Humulin-R insulin is peaking at this time.
The girl needs additional Humulin-R insulin.
The NPH insulin is peaking at this time.
The girl needs additional NPH insulin. - Answer The Humulin-R insulin is peaking at this time.
Which of these findings should a nurse expect when evaluating the serum laboratory values of a
4-year-old child who is in the induction phase of chemotherapy for acute lymphocytic leukemia?
Polycythemia.
Neutrophilia.
Thrombocytopenia.
Hypergammaglobulinemia. - Answer Thrombocytopenia.
Which of these symptoms should a nurse expect to assess in a child who has scoliosis?
Inability to touch the floor with his/her hands when bending from the waist with knees
straight.
A rib hump on the right side, when bending from the waist with the back parallel to the floor
and hands dangling.
, Which of these statements, if made by the mother of a girl who has cystic fibrosis, indicates that
the mother needs FURTHER instruction about the child's care?
My child takes swimming lessons twice a week.
My child loves walking on her hands while her father or I hold her feet.
I've started giving my child chewable vitamin tablets instead of the liquid vitamin preparation.
I give my child some cough medicine to stop her from coughing during the night. - Answer I
give my child some cough medicine to stop her from coughing during the night.
While a nurse is preparing a 5-year-old for a tonsillectomy, the child makes the following
comments. The nurse should obtain FURTHER data about which comment?
My front tooth is wiggly.
A lion slept under my bed last night.
My throat is not sore today.
I didn't have a BM this morning. - Answer My front tooth is wiggly.
A nurse should expect the stools of a child who is diagnosed with intussusception to have which
of these appearances?
Frothy.
Ribbon-like.
Currant jelly-like.
White-clay colored. - Answer Currant jelly-like.
Which of these instructions should a nurse give to the parents of a 2-month-old infant to reduce
the risk of suffocation?
Place the baby on his/her back or side when the baby is in the crib.
Put a small pillow under the baby's head when the baby is sleeping.
Use a humidifier in the baby's room at night.
Avoid exposing the baby to second-hand smoke in the home. - Answer Place the baby on
his/her back or side when the baby is in the crib.
A nurse should instruct the parents of a child who has sickle cell disease to observe for which of
these signs of sickle cell crisis?
Hypothermia.
Questions and Actual Detailed
Answers 2025-2026 Updated.
The mother of a 1-year-old child who has phenylketonuria (PKU) makes these comments about
the child's food intake. Which one indicates that the mother needs FURTHER instruction
because she is feeding the child a food high in phenylalanine?
I give my child a couple of gumdrops every day.
I put a little pepper on my child's scrambled eggs.
My child has a glass of apple juice every afternoon.
I give my child flavored water-ice as a special treat. - Answer I put a little pepper on my child's
scrambled eggs.
A 12-year-old girl who has Type 1 diabetes mellitus receives 5 units of regular insulin (Humulin-
R) and 20 units of isophane insulin (NPH) subcutaneously at 7:00 A.M. She eats her breakfast at
7:30 A.M. and goes to school. At 10:30 A.M., she reports feeling shaky and sweaty. A school
nurse should make which of these interpretations of this information?
The Humulin-R insulin is peaking at this time.
The girl needs additional Humulin-R insulin.
The NPH insulin is peaking at this time.
The girl needs additional NPH insulin. - Answer The Humulin-R insulin is peaking at this time.
Which of these findings should a nurse expect when evaluating the serum laboratory values of a
4-year-old child who is in the induction phase of chemotherapy for acute lymphocytic leukemia?
Polycythemia.
Neutrophilia.
Thrombocytopenia.
Hypergammaglobulinemia. - Answer Thrombocytopenia.
Which of these symptoms should a nurse expect to assess in a child who has scoliosis?
Inability to touch the floor with his/her hands when bending from the waist with knees
straight.
A rib hump on the right side, when bending from the waist with the back parallel to the floor
and hands dangling.
, Which of these statements, if made by the mother of a girl who has cystic fibrosis, indicates that
the mother needs FURTHER instruction about the child's care?
My child takes swimming lessons twice a week.
My child loves walking on her hands while her father or I hold her feet.
I've started giving my child chewable vitamin tablets instead of the liquid vitamin preparation.
I give my child some cough medicine to stop her from coughing during the night. - Answer I
give my child some cough medicine to stop her from coughing during the night.
While a nurse is preparing a 5-year-old for a tonsillectomy, the child makes the following
comments. The nurse should obtain FURTHER data about which comment?
My front tooth is wiggly.
A lion slept under my bed last night.
My throat is not sore today.
I didn't have a BM this morning. - Answer My front tooth is wiggly.
A nurse should expect the stools of a child who is diagnosed with intussusception to have which
of these appearances?
Frothy.
Ribbon-like.
Currant jelly-like.
White-clay colored. - Answer Currant jelly-like.
Which of these instructions should a nurse give to the parents of a 2-month-old infant to reduce
the risk of suffocation?
Place the baby on his/her back or side when the baby is in the crib.
Put a small pillow under the baby's head when the baby is sleeping.
Use a humidifier in the baby's room at night.
Avoid exposing the baby to second-hand smoke in the home. - Answer Place the baby on
his/her back or side when the baby is in the crib.
A nurse should instruct the parents of a child who has sickle cell disease to observe for which of
these signs of sickle cell crisis?
Hypothermia.
