LATEST RN Nursing Care of Children
Online Practice B With NGN (Actual)
Exam Review – all Questions and
Correct Answers Graded A+/ NGN RN
Nursing Care of Children Latest Exam
Review (New!).
A nurse is caring for a child who has varicella. Which of the following
precautions should the nurse initiate?
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Protective environment
Correct Answer: C) Airborne precautions
Rationale: Varicella (chickenpox) is spread through airborne droplets and
contact with vesicular fluid. The incubation period is 2-3 weeks, and the
child is contagious even before lesions appear .
A nurse is assessing a 3-year-old toddler for pain. Which pain assessment
scale should the nurse use?
A) Numeric rating scale
B) FLACC scale
C) FACES pain rating scale
D) Visual analog scale
Correct Answer: C) FACES pain rating scale
Rationale: The Wong-Baker FACES scale is appropriate for children ages
3-8 years who can point to faces representing pain levels .
,A nurse is caring for a school-age child with diabetic ketoacidosis (DKA).
Which respiratory finding should the nurse expect?
A) Shallow respirations of 20/min
B) Deep respirations of 32/min
C) Irregular respirations
D) Apneic episodes
Correct Answer: B) Deep respirations of 32/min
Rationale: Kussmaul respirations (deep, rapid breathing) occur in DKA as
the body attempts to eliminate excess carbon dioxide and achieve
homeostasis .
A nurse is caring for a school-age child with peripheral edema. Which
assessment should the nurse perform to confirm peripheral edema?
A) Measure ankle circumference
B) Palpate the dorsum of the child's feet
C) Check for pitting edema
D) Assess skin turgor
Correct Answer: B) Palpate the dorsum of the child's feet
Rationale: The nurse should palpate the dorsum of the feet by pressing
the fingertip against a bony prominence for 5 seconds to assess for
peripheral edema .
An infant with tetralogy of Fallot begins to have a hypercyanotic ("tet")
spell. Which action should the nurse take first?
A) Administer oxygen
B) Place the infant in a knee-chest position
C) Administer morphine
D) Start IV fluids
Correct Answer: B) Place the infant in a knee-chest position
,Rationale: The knee-chest position decreases the return of desaturated
venous blood from the legs and directs more blood into the pulmonary
artery by increasing systemic vascular resistance .
A nurse is creating a plan of care for a newly admitted adolescent with
bacterial meningitis. How long should the nurse maintain droplet
precautions?
A) 48 hours following admission
B) 24 hours following initiation of antimicrobial therapy
C) Until CSF cultures are negative
D) 72 hours following initiation of antimicrobial therapy
Correct Answer: B) 24 hours following initiation of antimicrobial therapy
Rationale: The adolescent is no longer contagious after 24 hours of
antimicrobial therapy, protecting family members and personnel .
A nurse is creating a plan of care for a preschooler with Wilms tumor
who is scheduled for surgery. Which intervention should the nurse
include?
A) Palpate the abdomen to assess tumor size
B) Avoid palpating the abdomen when bathing the child
C) Apply heat to the abdomen
D) Encourage ambulation four times daily
Correct Answer: B) Avoid palpating the abdomen when bathing the child
Rationale: Palpation can cause cancer cells to disseminate to other sites.
A "DO NOT PALPATE" sign should be placed in the child's room .
A nurse is discussing organ donation with the parents of a school-age
child with brain death. Which action should the nurse take first?
, A) Provide information about the donation process
B) Explore the parents' feelings and wishes regarding organ donation
C) Contact the organ procurement organization
D) Ask the parents to sign consent forms
Correct Answer: B) Explore the parents' feelings and wishes regarding
organ donation
Rationale: The nurse should first explore the parents' feelings and wishes
to provide appropriate support and information .
A nurse is monitoring oxygen saturation in an infant using pulse
oximetry. Where should the nurse secure the sensor?
A) Index finger
B) Earlobe
C) Great toe
D) Heel
Correct Answer: C) Great toe
Rationale: The sensor should be secured to the great toe with a snug-
fitting sock to hold it in place. The skin under the sensor should be
checked frequently .
A nurse is performing hearing screenings for children. Which child should
be referred for a more extensive hearing evaluation?
A) A 4-month-old infant who startles at loud noises
B) An 8-month-old infant who is not yet making babbling sounds
C) A 2-year-old toddler who speaks in two-word phrases
D) A 3-year-old preschooler who speaks in sentences
Correct Answer: B) An 8-month-old infant who is not yet making
babbling sounds
Rationale: An infant should be making babbling sounds by age 7 months;
failure to do so requires further evaluation .
Online Practice B With NGN (Actual)
Exam Review – all Questions and
Correct Answers Graded A+/ NGN RN
Nursing Care of Children Latest Exam
Review (New!).
A nurse is caring for a child who has varicella. Which of the following
precautions should the nurse initiate?
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Protective environment
Correct Answer: C) Airborne precautions
Rationale: Varicella (chickenpox) is spread through airborne droplets and
contact with vesicular fluid. The incubation period is 2-3 weeks, and the
child is contagious even before lesions appear .
A nurse is assessing a 3-year-old toddler for pain. Which pain assessment
scale should the nurse use?
A) Numeric rating scale
B) FLACC scale
C) FACES pain rating scale
D) Visual analog scale
Correct Answer: C) FACES pain rating scale
Rationale: The Wong-Baker FACES scale is appropriate for children ages
3-8 years who can point to faces representing pain levels .
,A nurse is caring for a school-age child with diabetic ketoacidosis (DKA).
Which respiratory finding should the nurse expect?
A) Shallow respirations of 20/min
B) Deep respirations of 32/min
C) Irregular respirations
D) Apneic episodes
Correct Answer: B) Deep respirations of 32/min
Rationale: Kussmaul respirations (deep, rapid breathing) occur in DKA as
the body attempts to eliminate excess carbon dioxide and achieve
homeostasis .
A nurse is caring for a school-age child with peripheral edema. Which
assessment should the nurse perform to confirm peripheral edema?
A) Measure ankle circumference
B) Palpate the dorsum of the child's feet
C) Check for pitting edema
D) Assess skin turgor
Correct Answer: B) Palpate the dorsum of the child's feet
Rationale: The nurse should palpate the dorsum of the feet by pressing
the fingertip against a bony prominence for 5 seconds to assess for
peripheral edema .
An infant with tetralogy of Fallot begins to have a hypercyanotic ("tet")
spell. Which action should the nurse take first?
A) Administer oxygen
B) Place the infant in a knee-chest position
C) Administer morphine
D) Start IV fluids
Correct Answer: B) Place the infant in a knee-chest position
,Rationale: The knee-chest position decreases the return of desaturated
venous blood from the legs and directs more blood into the pulmonary
artery by increasing systemic vascular resistance .
A nurse is creating a plan of care for a newly admitted adolescent with
bacterial meningitis. How long should the nurse maintain droplet
precautions?
A) 48 hours following admission
B) 24 hours following initiation of antimicrobial therapy
C) Until CSF cultures are negative
D) 72 hours following initiation of antimicrobial therapy
Correct Answer: B) 24 hours following initiation of antimicrobial therapy
Rationale: The adolescent is no longer contagious after 24 hours of
antimicrobial therapy, protecting family members and personnel .
A nurse is creating a plan of care for a preschooler with Wilms tumor
who is scheduled for surgery. Which intervention should the nurse
include?
A) Palpate the abdomen to assess tumor size
B) Avoid palpating the abdomen when bathing the child
C) Apply heat to the abdomen
D) Encourage ambulation four times daily
Correct Answer: B) Avoid palpating the abdomen when bathing the child
Rationale: Palpation can cause cancer cells to disseminate to other sites.
A "DO NOT PALPATE" sign should be placed in the child's room .
A nurse is discussing organ donation with the parents of a school-age
child with brain death. Which action should the nurse take first?
, A) Provide information about the donation process
B) Explore the parents' feelings and wishes regarding organ donation
C) Contact the organ procurement organization
D) Ask the parents to sign consent forms
Correct Answer: B) Explore the parents' feelings and wishes regarding
organ donation
Rationale: The nurse should first explore the parents' feelings and wishes
to provide appropriate support and information .
A nurse is monitoring oxygen saturation in an infant using pulse
oximetry. Where should the nurse secure the sensor?
A) Index finger
B) Earlobe
C) Great toe
D) Heel
Correct Answer: C) Great toe
Rationale: The sensor should be secured to the great toe with a snug-
fitting sock to hold it in place. The skin under the sensor should be
checked frequently .
A nurse is performing hearing screenings for children. Which child should
be referred for a more extensive hearing evaluation?
A) A 4-month-old infant who startles at loud noises
B) An 8-month-old infant who is not yet making babbling sounds
C) A 2-year-old toddler who speaks in two-word phrases
D) A 3-year-old preschooler who speaks in sentences
Correct Answer: B) An 8-month-old infant who is not yet making
babbling sounds
Rationale: An infant should be making babbling sounds by age 7 months;
failure to do so requires further evaluation .
