MATERNAL CHILD NURSING EXAM
2024-2025 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED
DETAILED RATIONALES ANSWERS
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Q1. A school-age child with type 1 diabetes mellitus has soccer practice three afternoons a week. The
school nurse provides instructions regarding how to prevent hypoglycemia during practice. Which
should the school nurse tell the child to do?
1. Eat twice the amount normally eaten at lunchtime.
2. Take half the amount of prescribed insulin on practice days.
3. Take the prescribed insulin at noontime rather than in the morning.
4. Eat a small box of raisins or drink a cup of orange juice before soccer practice.
4. Eat a small box of raisins or drink a cup of orange juice before soccer practice.
Q2. The mother of a 6-year-old child who has type 1 diabetes mellitus calls a clinic nurse and tells the
nurse that the child has been sick. The mother reports that she checked the child's urine and it was
positive for ketones. The nurse should instruct the mother to take which action?
1. Hold the next dose of insulin.
2. Come to the clinic immediately
3. Encourage the child to drink liquids.
4. Administer an additional dose of regular insulin.
3. Encourage the child to drink liquids.
Euglycemic DKA treatment is on the same principles as for DKA with correction of dehydration,
electrolytes deficit and insulin replacement.
Q3. A health care provider prescribes an intravenous (IV) solution of 5% dextrose and half-normal saline
(0.45%) with 40 mEq of potassium chloride for a child with hypotonic dehydration. The nurse performs
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,which priority assessment before administering this IV prescription?
1. Obtains a weight
2. Takes the temperature
3. Takes the blood pressure
4. Checks the amount of urine output
4. Checks the amount of urine output
Q4. An adolescent client with type 1 diabetes mellitus is admitted to the emergency department for
treatment of diabetic ketoacidosis. Which assessment findings should the nurse expect to note?
1. Sweating and tremors
2. Hunger and hypertension
3. Cold, clammy skin and irritability
4. Fruity breath odor and decreasing level of consciousness
4. Fruity breath odor and decreasing level of consciousness
Q5. A mother brings her 3-week-old infant to a clinic for a phenylketonuria rescreening blood test. The
test indicates a serum phenylalanine level of 1 mg/ dL. The nurse reviews this result and makes which
interpretation ?
1. It is positive.
2. It is negative.
3. It is inconclusive.
4. It requires rescreening at age 6 weeks.
2. It is negative.
1.2-3.4 normal range
Q6. A child with type 1 diabetes mellitus is brought to the emergency department by the mother, who
states that the child has been complaining of e abdominal pain and has been lethargic. Diabetic
ketoacidosis is diagnosed. Anticipating the plan of care, the nurse prepares to administer which type of
intravenous (IV) infusion?
1. Potassium infusion
2. NPH insulin infusion
3. 5% dextrose infusion
4. Normal saline infusion
4. Normal saline infusion (for dehydration)
Q7. The nurse has just administered ibuprofen (Motrin 1B) to a child with a temperature of 38.8 0 C (102
0 F). The nurse should also take which action?
1. Withhold oral fluids for 8 hours.
2. Sponge the child with cold water.
3. Plan to administer salicylate (aspirin) in 4 hours.
4. Remove excess clothing and blankets from the child.
4. Remove excess clothing and blankets from the child.
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,Q8. A child has fluid volume deficit. The nurse performs an assessment and determines that the child is
improving and the deficit is resolving if which finding is noted?
1. The child has no tears.
2. Urine specific gravity is 1.030.
3. Urine output is less than 1 mL/kg/hr.
4. Capillary refill is less than 2 seconds.
4. Capillary refill is less than 2 seconds.
1.2.3 severe dehydration
Q9. The nurse should implement which interventions for a child older than 2 years with type 1 diabetes
mellitus who has a blood glucose level of 60 mg/ dL? Select all that apply.
1. Administer regular insulin.
2. Encourage the child to ambulate.
3. Give the child a teaspoon of honey.
4. Provide electrolyte replacement therapy intravenously.
5. Wait 30 minutes and confirm the blood glucose reading.
6. Prepare to administer glucagon subcutaneously if unconsciousness occurs.
3. Give the child a teaspoon of honey.
6. Prepare to administer glucagon subcutaneously if unconsciousness occurs
A child is hospitalized because of persistent vomiting. The nurse should monitor the child closely for
which problem?
1. Diarrhea
2. Metabolic acidosis
3. Metabolic alkalosis
4. Hyperactive bowel sounds
3. Metabolic alkalosis
An infant has just returned to the nursing unit after surgical repair of a cleft lip on the right side. The
nurse should place the infant in which best position at this time?
1. Prone position
2. On the stomach
3. Left lateral position
4. Right lateral position
3. Left lateral position
The nurse reviews the record of a newborn infant and notes that a diagnosis of esophageal atresia with
tracheoesophageal fistula is suspected. The nurse expects to note which most likely sign of this
condition documented in the record?
1. Incessant crying
2. Coughing at nighttime
3. Choking with feedings
4. Severe projectile vomiting
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, 3. Choking with feedings
The nurse provides feeding instructions to a parent of an infant diagnosed with gastroesophageal reflux
disease. Which instruction should the nurse give to the parent to assist in reducing the episodes of
emesis?
1. Provide less frequent, larger feedings.
2. Burp the infant less frequently during feedings.
3. Thin the feedings by adding water to the formula.
4. Thicken the feedings by adding rice cereal to the formula.
4. Thicken the feedings by adding rice cereal to the formula.
The nurse admits a child to the hospital with a diagnosis of pyloric stenosis. On assessment, which data
would the nurse expect to obtain when asking the mother about the child's symptoms?
1. Watery diarrhea
2. Projectile vomiting
3. Increased urine output
4. Vomiting large amounts of bile
2. Projectile vomiting
Pyloric stenosis is a problem that affects babies between birth and 6 months of age and causes
forceful vomiting that can lead to dehydration. It is the second most common problem requiring
surgery in newborns. The lower portion of the stomach that connects to the small intestine is known
as the pylorus.
The nurse provides home care instructions to the parents of a child with celiac disease. The nurse
should teach the parents to include which food item in the child's diet?
1. Rice
2. Oatmeal
3. Rye toast
4. Wheat bread
1. Rice
Coeliac disease is a condition where your immune system attacks your own tissues when you eat
gluten.
The clinic nurse reviews the record of an infant and notes that the health care provider has documented
a diagnosis of suspected Hirschsprung's disease. The nurse reviews the assessment findings documented
in the record, knowing that which symptom most likely led the mother to seek health care for the
infant?
1. Diarrhea
2. Projectile vomiting
3. Regurgitation of feedings
4. Foul-smelling ribbon-like stools
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