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NCC VIRTUAL ASSESSMENT QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NCC VIRTUAL ASSESSMENT QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NCC VIRTUAL ASSESSMENTQUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
The nurse should instruct the parents to gently pull the pinna downward and straight back during
administration of the medication to the infant. This positions the ear canal and eustachian tube to
ensure correct placement of the medication. - ANSWER
hyperextend the infant's neck is the position used to administer nasal medications. - ANSWER
The nurse should instruct the parents that the otic solution should be at room temperature before
instilling in the ear to minimize discomfort. - ANSWER
The nurse should instruct the parents to massage the ANTERIOR area of the ear, just in front of the
tragus, following administration to facilitate instillation of the medication into the ear canal. This action
assists the medication in reaching the target area. - ANSWER
burn prevention - ANSWER Parents should keep pot handles turned toward the back of the stove at all
times to prevent the toddler from pulling down on the handles and spilling hot contents, inflicting
serious burns.
Parents should change the batteries in their smoke detectors 1 to 2 times a year to ensure the devices
function properly and continuously.
Parents should apply sunscreen of SPF 15 or greater whenever children are outdoors. The nurse should
suggest the parents keep children indoors during 10 a.m. to 2 p.m. when the risk for sunburns is the
greatest.
Parents should plug protective guards into electrical outlets or place furniture in front of the outlets to
protect the toddler from electrical shock or burns.
The nurse should expect a toddler to speak 10 or more words around - ANSWER 18 months of age. The
toddler should also form simple word combinations.
,The nurse should expect an infant to begin speaking their first words with meaning around - ANSWER 10
months of age.
The nurse should expect infants to begin adding consonants to simple syllables ("da-da,wa-wa") and
begin to imitate sounds around - ANSWER 6 months of age.
The nurse should expect a toddler to speak approximately 300 words around - ANSWER 24 months / 2
years of age. The toddler should also use two- and three-word phrases and pronouns.
Hemophilia A is a bleeding disorder caused by a factor VIII deficiency; therefore, the nurse should plan to
administer - ANSWER > factor VIII prophylactically to prevent or minimize bleeding.
>Hemophilia A can cause cerebral bleeding; therefore, the nurse should assess the child for headaches
and decreased level of consciousness.
>he nurse should apply ice or cold packs to the child to vasoconstrict the child's blood flow.
>The nurse should REST the joints during the acute phase of bleeding to prevent stretching the joint or
bleeding** to recur.
The nurse should identify that children who have hemophilia B have a deficiency in factor IX and the
nurse should plan to administer - ANSWER factor IX prophylactically to prevent or minimize bleeding.
The nurse should perform dressing changes using aseptic technique to prevent infection. Delayed wound
healing can occur due to infection, which can also cause partial-thickness wounds to develop into full-
thickness wounds. - ANSWER
Burn injuries create a hypermetabolic state, requiring an increase of up to three times the normal calorie
requirements. The nurse should provide - ANSWER >high-calorie, high-protein snacks to promote healing
and replace calories and proteins that are expended due to the child's increased metabolism.
,With partial thickness burns, the nurse should apply splints to the child's lower extremities during
periods of rest and sleep to minimize the development of flexion contractions. - ANSWER
The nurse should administer pain medication to the child 30 to 45 min prior to painful procedures, such
as physical therapy or dressing changes. Adequate pain control is needed so the child will actively
participate and cooperate during physical therapy. - ANSWER
The clinical manifestations of a brain tumor vary with the size and location of the tumor. - ANSWER
>Vomiting unrelated to feeding is a common finding. It tends to become progressively more projectile
and is most severe in the morning. It can be accompanied by nausea and is a result of increased
intracranial pressure.
>Clumsiness, lack of coordination, and loss of balance are common manifestations of brain tumors.
Manifestations result from pressure and interference with circulation within the brain.
>Irritability is a common behavioral manifestation of brain tumors. Other manifestations include
anorexia, fatigue, lethargy, and bizarre behavior such as staring.
>Headache is probably the most common symptom of brain tumors. Headaches result from pressure on
pain-sensitive areas, such as large blood vessels and cranial nerves. Headaches tend to be worse in the
morning and subside as the day progresses.
hom safety - ANSWER The nurse should instruct the parents to avoid placing the infant in a side-lying
position unless medically indicated. All infants should be placed in supine position to decrease the risk
for sudden infant death syndrome (SIDS).
The nurse should instruct the parents to avoid the use of drop-side cribs due to increased risk for falls
and potential injury.
The nurse should instruct the parents to avoid using plastic on the infant's mattress because it can cause
suffocation.
The nurse should instruct the parents to restrain their infant while sitting in a highchair using the
included strap with a closure. This will prevent the infant from falling out of the chair and decrease the
, risk for injury. The nurse should also instruct the parents to avoid leaving their infant in a highchair
unattended because of the risk of slipping down in the chair and strangling on the safety strap.
CF enzyme intake - ANSWER The parent should have the child swallow the capsules whole or sprinkle
them on their food within 30 min of their meals and snacks. The child should not chew or crush the
enteric-coated tablets, because destroying the enteric coating can lead to inactivation of the enzymes
and excoriation of the oral mucosa.
Constipation can occur in the child who has cystic fibrosis because of a failure to properly break down
foods, a slowing of the intestinal motility, and the thickened enzymatic secretions due to the disease
process itself. The parent should administer an - ANSWER osmotic solution, such as polyethylene glycol,
stool softeners, or laxatives to treat constipation.
The parent should encourage the child to participate in physical exercise to mobilize secretions and
increase blood flow to the lungs. Exercise can stimulate mucus excretion and provides a sense of good
health and positive self-esteem for the child.
The parent should serve nutritious foods that are high in calories, protein, and fats. A child who has
cystic fibrosis experiences intestinal malabsorption and is at risk for nutritional deficiencies and
inadequate growth.
Tetralogy of Fallot Sx - ANSWER >A heart murmur
-Infants who have Tetralogy of Fallot exhibit a SYSTOLIC murmur that is moderate in intensity.
>Cyanotic spells
-Infants who have Tetralogy of Fallot experience anoxic spells when the infant's oxygen requirements
exceed the oxygen available in the blood supply, such as when the infant is crying or following a feeding.
>The chronic hypoxemia stimulates erythropoiesis, resulting in polycythemia, which is an increased
number of RBCs.
Nephrotic syndrome, edema stage, in child - ANSWER > instruct the parents to provide quiet activities,
such as reading and coloring, during the edema phase of nephritis to minimize oxygen consumption and
preserve energy.
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