NURSING CARE OF CHILDREN PROCTORED
2026
A nurse is preparing an adolescent for a lumbar puncture. Which of the
following actions should the nurse take?
A- Place a cardiac monitor on the Adolescent prior to the procedure
B- apply topical analgesic cream to the site one hour prior to the procedure
C- keep the Adolescent in a semi Fowler's position for 4 hours following the
procedure
D- restrict fluids for 2 hours following the procedure
B- apply topical analgesic cream to the site one hour prior to the procedure; The nurse
should apply a topical analgesic to the lumbar site 60 min prior to the
procedure to decrease the adolescent's pain while the lumbar needle is inserted.
A nurse is providing teaching to the parents of a toddler about the
administration of a prescribed eye drops and eye ointment. Which of the
following instructions should the nurse include?
A- Apply the eye ointment within 30 minutes of your toddler Awakening in the
morning
B- apply the eye ointment from the outer canthus to the inner campus
C- use one hand to pull the upper eyelid upward when instilling the eye drops
D- administer the eye drops 3 minutes before the ointment
,D- administer the eye drops 3 minutes before the ointment; The nurse should instruct
the parents to administer the eye drops first and then wait
3 min before administering the eye ointment. This action provides adequate time and
spacing for each separate medication to work.
The nurse is providing discharge teaching to the parent of an 18-month old
toddler who has dehydration as a result of acute diarrhea. Which of the
following statements by the parent indicates an understanding of the teaching?
A- I will offer my child small amounts of fruit juice frequently
B- I will avoid giving my child solid foods until his diarrhea has stopped
C- I will monitor my child's number of wet diapers
D- I will give my child polyethylene glycol daily for 7 days
C- I will monitor my child's number of wet diapers; The nurse should teach the parent to
closely monitor the child's number of
wet diapers. Monitoring the number of wet diapers per day is the best way
for the parent to monitor adequate output and hydration status.
A nurse is preparing to collect a sample from a toddler for a sickle turbidity
test. Which of the following actions should the nurse plan to take?
A- Obtain a sputum specimen
B- perform an allen test
C- perform a finger stick
D- obtain a stool specimen
C- perform a finger stick; The nurse should perform a finger stick on a toddler as a
component of the sickleturbidity
,test. If the test is positive, hemoglobin electrophoresis is required to
distinguish between children who have the genetic trait and children who have the
disease.
A nurse is caring for a school-age child who has peripheral edema. Which of
the following assessments should the nurse perform to confirm peripheral
edema?
A- Palpate the dorsum of the child's feet
B- play the child daily using the same scale
C- assess the child's skin turgor
D- observe the child for periorbital swelling
A- Palpate the dorsum of the child's feet; The nurse should palpate the dorsum of the
feet by pressing her fingertip against a
bony prominence for 5 seconds to assess for peripheral edema.
A nurse in the emergency department is caring for a toddler who has partial
thickness burns on his right arm. Which of the following actions should the
nurse take?
A- Insert a nasogastric tube
B- initiate prophylactic antibiotics therapy
C- cleanse the affected area with mild soap and water
D- apply a topical corticosteroid to the affected area
C- cleanse the affected area with mild soap and water; The nurse should wash the
affected area with mild soap and water to remove any
loose tissue that could cause infection.
, A nurse is performing hearing screenings for children at a community health
fair. Which of the following children should the nurse refer to a provider for
a more extensive hearing evaluation?
A- A toddler who is 18 months old and has unintelligible speech
B- an infant who is 3 months old and has an exaggerated startle response
C- a preschooler who is 4 years old and prefers playing with others rather than
alone
D- an infant who is 8 months old and is not yet making babbling sounds
D- an infant who is 8 months old and is not yet making babbling sounds; The nurse
should refer an infant who is not making babbling sounds by the age of 7
months to a provider for more extensive evaluation of hearing.
A nurse is providing dietary teaching to the parent of a school-age child who
has cystic fibrosis. Which of the following statements should the nurse
make?
A- You should offer your child high protein meals and snacks
throughout the day
B- your child should decrease dietary fats to less than 10% of her caloric intake
C- your child will need to take a 1-gram sodium chloride tablet daily throughout
her
lifetime
D- you should calculate your child carbohydrate needs based on her daily
activities