NR 328 NURSING CARE OF CHILDREN ONLINE
PRACTICE EXAM WITH NGN QUESTIONS WITH
100% VERIFIED THE CORRECT ANSWERS
A nurse is assisting with the admission of a toddler who has bacterial meningitis caused
by Haemophilus influenzae type B. Which of the following isolation guidelines should the
nurse plan to initiate? - THE CORRECT ANSWER-Droplet precautions
The nurse should plan to initiate droplet precautions for this child, because bacterial
meningitis caused by Haemophilus influenzae type B is transmitted through the air via
large-particle droplets.
A nurse is reinforcing teaching to the guardian of a toddler who is receiving
chemotherapy and has developed stomatitis. Which of the following instructions should
the nurse include in the teaching? - THE CORRECT ANSWER-Frequently rinse the
mouth with chlorihexidine mouthwash
The nurse should encourage the guardian to rinse the toddler's mouth frequently with
chlorhexidine mouthwash.
A nurse is reinforcing discharge teaching with the guardians of a 6month old infant
following a surgical procedure to repair a hypospadias. Which of the following
instructions should the nurse include? - THE CORRECT ANSWER-Wait 1 week
before giving the infant a tub bath
Keep the infants penis as dry as possible until the stent or cather is removed.
The nurse should instruct the guardians to keep the infant's penis as dry as possible
until the stent or catheter is removed. The parent should provide sponge-baths to the
child until the stent or catheter is removed.
A nurse is reviewing the laboratory findings of a school-age child who reports feeling
tired and being easily bruised. Which of the following laboratory values should the nurse
report to the provider? - THE CORRECT ANSWER-Platelets 85,000/mm3
This value is below the expected reference range for a school-age child and should be
reported to the provider.
A nurse is contributing to the plan of care for a child who has type 1 diabetes mellitus
and is experiencing an acute illness. Which of the following actions should the nurse
include in the plan of care? - THE CORRECT ANSWER-- Encourage an increased
fluid intake
to flush out ketones and prevent dehydration; this can lead to DKA
,The nurse should encourage an increased fluid intake to flush out ketones and prevent
dehydration. Children who have diabetes mellitus and an acute illness are more likely to
experience ketonuria and hyperglycemia. Dehydration increases the risk of the child
developing diabetic ketoacidosis.
A nurse is contributing to the plan of care for a child who is in Buck's traction. Which of
the following interventions should the nurse include in the plan? - THE CORRECT
ANSWER-Maintain the leg in an extended position
-decreases the risk for further injury to the extremity and minimizes the occurrence of
muscle spasms
A nurse in a pediatric clinic is caring for an infant who has heart failure and a
prescription for digoxin. Which of the following statements by the parent indicates
desired therapeutic effect of the medication? - THE CORRECT ANSWER-My baby is
breathing easier than she used to
-Digoxin(increases cardiac output and decrease venous pressure and pulmonary
edema, which will reduce respiratory demands
A nurse is caring for a group of children in an acute care setting. The nurse should
identify that which of the following children is at risk for impaired elimation? - THE
CORRECT ANSWER-A child who has hyperglycemia
-A patient who has hyperglycemia exhibits manifestations of polyuria, lethargy,
confusion, thirst, nausea, vomiting, abdominal pain, signs of dehydration, rapid
respiration, and fruity breath. A child who has hyperglycemia is at risk for dehydration
A nurse is caring for a toddler who has terminal cancer and is receiving hospice care.
The child's parent tells the nurse, "I'm a bad parent, and I cant deal with this." Which of
the following responses should the nurse make? - THE CORRECT ANSWER-I'm not
sure I follow you. Can you explain?
The nurse should use open-ended statements that will allow the parent to share their
feelings and emotions. During times of grief, the parent needs to express emotions. The
use of an open-ended statement relays the message that it is safe to do so with the
nurse.
A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) with the
parent of a 1month old infant. Which of the following statement by the parent indicates
an understanding of the teaching? - THE CORRECT ANSWER-I will allow my baby to
have a pacifier while sleeping
-decreases the risk for SIDS
A nurse is reinforcing teaching with the guardian of a school-age child who has acute
bacterial conjunctivitis and a new prescription for sulfacetamide. Which of the following
,instructions should the nurse include? - THE CORRECT ANSWER-Instill medication
immediately after cleansing the eye
A nurse is assisting with the development of a health promotion program for the
guardians of adolescents. Which of the following information about adolescents should
the nurse recommend to include in the program - THE CORRECT ANSWER-The
leading cause of death in adolescents is physical injury
-MVC (motor vehicle crashes) are the leading cause of death in adolescent population.
A nurse is reinforcing teaching with the parent of an infant who has a new diagnosis of
human immunodefiency virus (HIV). Which of the following statements made by the
parent indicates an understanding of the teaching? - THE CORRECT ANSWER-"I
should bring my child in for immunizations on schedule."
Immunizations provide protection from communicable diseases
A nurse is reinforcing teaching about home care with the guardian of a 14month old
toddler who has spatic cerebral palsy. Which of the following statements by the guardian
indicates an understanding of the teaching? - THE CORRECT ANSWER-"I will perform
daily stretching exercises to my toddler's affected muscles
Stretching prevents muscle contractures.
A nurse is collecting physical data from a 4-year-old child who has diarrhea and has
been vomiting for 24 hr. Which of the following sites should the nurse grasp to determine
the child's skin turgor? - THE CORRECT ANSWER-The child's abdomen.
The nurse should expect the child who has diarrhea and has been vomiting to exhibit a
decrease in skin turgor. To check skin turgor, the nurse should grasp the skin on the
child's abdomen, pull it taut, and release it quickly. A child who has been vomiting and
had diarrhea for 24 hr will have a prolonged period of tenting.
A nurse is screening a group of school age children for abuse. The nurse should identify
that which of the following conditions places a child at risk for physical abuse? - THE
CORRECT ANSWER- A child who has ADHD
due to the increased emotional and physical demands the conditon can place of the
child's parents
A nurse is providing care to parents immediately following their child;s unexpected
death. Which of the following actions should the nurse take? - THE CORRECT
ANSWER-Offer the parents the opportunity to bathe and dress the child's body
, -this can facilitate the grieing process and allow them to provide care for their child one
last time
During a well-child visit, the parent of a toddler expresses concern to the nurse that the
toddler takes several hours to fall asleep at night. Which of the following
recommendations should the nurse make? - THE CORRECT ANSWER-Provide the
toddler with a favorite toy at bedtime.
providing the toddler with a favorite toy at bedtime will help the toddler to feel more
secure and facilitate sleep.
A nurse is collecting data from a 10-month-old infant. Which of the following findings
should the nurse report to the provider? - THE CORRECT ANSWER-Sits with support
by leaning on hands
bc an infant should be able to sit unsupported by 8months of age
A nurse is caring for a school aged child who has hemophilia A. Which of the following
should the nurse recognize as a manifestation of this disorder? - THE CORRECT
ANSWER-Join pain and stiffness
oint pain and stiffness can occur as a result of bleeding into the joint, which is a
manifestation of hemophilia A.
A nurse is caring for a 1month old infant who has a nasogasatric tube in place for
intermittent feedings. Which of the following actions should the nurse take? - THE
CORRECT ANSWER- position the head of the crib at 30 angle between feedings
place the infant with the head of the crib elevated 30° to 45° to prevent aspiration.
A nurse is collecting for an adolescent who has asthma and has received an albuterol
nebulizer treatment. Which of the following findings indicates an improvement in the
adolescent's condition - THE CORRECT ANSWER-RR 20/min expected reference
A nurse is preparing to assist a provider with a lumbar puncture for a school age child.
Which of the following actions is the nurse's priority - THE CORRECT ANSWER-
maintaining the child's position
A nurse is preparing to administer furosemide to a toddler who has a heart defect. Which
of the following actions should the nurse take to identify the toddler? - THE CORRECT
ANSWER-ask the guardian to verify the child's name
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