PRACTICE 2023 FORM A & B EACH FORM CONTAINS 70
NGN QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is planning care for a newly admitted schole-age child who has generalized
seizure disorder. Which of the following interventions should the nurse plan to
include? - ANSWER: Ensure the oxygen source is functioning in the childs room
the nurse should recognize that maintaining the childs airway is important during a
seizure. the nurse should ensure the oxygen source is functioning bc the child might
require supplemental oxygen following a seizure
A nurse is providing dietary teaching to the guardian of a school-age child who has
cystic fibrosis. Which of the following statements should the nurse make? - ANSWER:
"You should offer your child high-protein meals and snacks throughout the day."
children who have cf require a higher percentage of the recommended dietary
allowances of all nutrients to meet their energy requirements. children who have
good nutritional intake have improved lung function and decrease risk of infection
A nurse is providing discharge teaching to the parents of a 6-month-old infant who is
postoperative following hypospadias repair with a stent placement. Which of the
following instructions should the nurse include in the teaching? - ANSWER: "Allow
the stent to drain into your infants diaper."
this is to prevent kinking or twisting that can interfere with urine flow
A nurse is caring for a school-age child who has primary nephrotic syndrome and is
taking prednisone. Following 1 week of treatment, which of the following
manifestations indicates to the nurse that the medication is effective? - ANSWER:
Decreased edema
a child who has nephrotic syndrome can experience edema d/t the increase
glomerular permeability, which increases protein loss. prednisone decreases
glomerular permeability, which causes fluid to shift from the extracellular spaces,
resulting in decreased edema
A nurse is receiving change-of-shift report for four children. Which of the following
children should the nurse assess first? - ANSWER: A toddler who has a concussion
and an episode of forceful vomiting.
when using urgent vs. nonurgent approach to pt care, the nurse should assess this
child first. an episode of forceful vomiting is an indication of increased ICP in a
toddler who has a concussion
, A nurse is providing discharge teaching to the guardians of a toddler who had lower
leg cast applied 24 hr ago. The nurse should instruct the guardians to report which of
the following finding to the provider? - ANSWER: Restricted ability to move the toes.
this is an indication of neurovascular compromise and requires immediate
notification of the provider. permanent muscle and tissue damage can occur in just a
few hours
A nurse in an emergency department is auscultating the lungs of an adolescent who
is experiencing dyspnea. The nurse should identify the sound as which of the
following? - ANSWER: Wheezes
wheezes are high-pitched, musical or whistling-like sounds heard primarily on
expiration as air passes through and vibrate narrowed airways
A nurse is caring for a preschooler who has congestive heart failure. The nurse
observes wide QRS complexes and peaked T waves on the cardiac monitor. Which of
the following prescriptions should the nurse clarify with the provider? - ANSWER:
Potassium Chloride
the nurse should identify that a child who has a chf can develop e imbalances such as
hyper hypokalemia. the nurse should identify that the child is exhibiting
manifestations of hyperkalemia and contact the MD about the admin of this which
can increase the severity of hyperkalemia
A nurse is planning an educational program for school-age children and their parents
about bicycle safety. Which of the following information should the nurse plan to
include? - ANSWER: The child should be able to stand on the balls of their feet when
sitting on the bike.
to decrease the risk of injury, parents should ensure that the bike is the correct size
for the child. when seated on the bike, the child should be able to stand with the ball
of each foot touching the ground and should be able to stand with each foot flat on
the ground when straddling the bikes center
A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry.
The nurse should secure the sensor to which of the following areas on the infant? -
ANSWER: Great Toe
the nurse should secure the sensor to the great toe of the infant and then place a
snug-fitting sock on the foot to hold the sensor in place. the nurse should also check
the skin under the sensor site frequently for temp, color, and the presence of a pulse
A nurse is an emergency department is caring for a school-age child who has
epiglottitis. Which of the following actions should the nurse take? - ANSWER:
Monitor the childs oxygen saturation