NURSING CARE OF CHILDREN 1 EXAM
SCRIPT PRACTICE QUESTIONS AND
CORRECT SOLUTIONS
●● A nurse is reinforcing teaching with a parent of a child who has type
1 diabetes mellitus. The nurse is explaining how to manage the child's
disorder during an illness such as a cold. Which of the following
statements by the parent indicates an understanding of the teaching?
Answer: I'll check his blood glucose more often
●● A nurse is collecting data from a 10-month-old infant at a well child
check up. Which of the following assessment findings should the nurse
report to the provider?
Answer: the infant needs assistance to sit up- correct
the infants anterior fontanel is open- incorrect
the infants Moro reflex is absent- incorrect
the infant is unable to walk independently- incorrect
●● A nurse is preparing to administer an oral liquid medication to a 6-
month-old infant. Which of the following interventions should the nurse
plan to perform?
Answer: administer medication into the side of the infants mouth
,●● A nurse is reviewing the morning laboratory results of an infant who
is receiving digoxin and furosemide for the treatment of heart failure.
Which of the following findings should the nurse report to the provider?
Answer: Potassium 3.2 mEq/L- correct (4.1-5.3 norm)
Sodium 140 mEq/L- incorrect (134-150 norm)
Calcium 10.2 mg/dL- incorrect (8.8-10.8 norm)
Chloride 100 mEq/L- incorrect (90-110 norm)
●● A nurse is reinforcing teaching about exercise with an adolescent
client who has type 1 diabetes. Which of the following points should the
nurse reinforce?
Answer: you might need to decrease your routine insulin dose before
exercise
●● A nurse is caring for a 4-month-old infant who has tetralogy of Fallot
and experiences a hypercyanotic spell. Which of the following actions
should the nurse take?
Answer: place infant in knee chest position- correct
begin CPR- incorrect
●● A nurse is planning to use guided imagery for an early school-aged
child who continues to have mild discomfort following the
administration of an analgesic. Which of the following techniques
should the nurse plan to use?
Answer: encourage the child to focus on a recent pleasurable experience
, ●● A nurse is preparing to administer diphenhydramine 5mg/kg/day po
divided equally every 8 hours to a school aged child who weighs 50lb.
Diphenhydramine 12.5mg/5ml available. How many ml should the nurse
administer per dose?
Answer: 15
●● A nurse is collecting data from a 4-year-old child for growth and
developmental milestones during a well child visit. Which of the
following findings suggest a possible delay in development?
Answer: speaking using 2- or 3-word sentences- correct
inability to tie shoes- incorrect
adding 3 parts to a stick figure- incorrect
inability to walk backward- incorrect
●● A nurse is assisting with the development of a health education
program for the parents of school-aged females. Which of the following
pieces of information regarding sexual maturation should the nurse
include?
Answer: higher body fat content is associated with earlier onset of
menarche- correct
pubic hair is typically present prior to breast development- incorrect
ovulation begins after sexual maturation is complete- incorrect
menarche signals the beginning of puberty- incorrect
SCRIPT PRACTICE QUESTIONS AND
CORRECT SOLUTIONS
●● A nurse is reinforcing teaching with a parent of a child who has type
1 diabetes mellitus. The nurse is explaining how to manage the child's
disorder during an illness such as a cold. Which of the following
statements by the parent indicates an understanding of the teaching?
Answer: I'll check his blood glucose more often
●● A nurse is collecting data from a 10-month-old infant at a well child
check up. Which of the following assessment findings should the nurse
report to the provider?
Answer: the infant needs assistance to sit up- correct
the infants anterior fontanel is open- incorrect
the infants Moro reflex is absent- incorrect
the infant is unable to walk independently- incorrect
●● A nurse is preparing to administer an oral liquid medication to a 6-
month-old infant. Which of the following interventions should the nurse
plan to perform?
Answer: administer medication into the side of the infants mouth
,●● A nurse is reviewing the morning laboratory results of an infant who
is receiving digoxin and furosemide for the treatment of heart failure.
Which of the following findings should the nurse report to the provider?
Answer: Potassium 3.2 mEq/L- correct (4.1-5.3 norm)
Sodium 140 mEq/L- incorrect (134-150 norm)
Calcium 10.2 mg/dL- incorrect (8.8-10.8 norm)
Chloride 100 mEq/L- incorrect (90-110 norm)
●● A nurse is reinforcing teaching about exercise with an adolescent
client who has type 1 diabetes. Which of the following points should the
nurse reinforce?
Answer: you might need to decrease your routine insulin dose before
exercise
●● A nurse is caring for a 4-month-old infant who has tetralogy of Fallot
and experiences a hypercyanotic spell. Which of the following actions
should the nurse take?
Answer: place infant in knee chest position- correct
begin CPR- incorrect
●● A nurse is planning to use guided imagery for an early school-aged
child who continues to have mild discomfort following the
administration of an analgesic. Which of the following techniques
should the nurse plan to use?
Answer: encourage the child to focus on a recent pleasurable experience
, ●● A nurse is preparing to administer diphenhydramine 5mg/kg/day po
divided equally every 8 hours to a school aged child who weighs 50lb.
Diphenhydramine 12.5mg/5ml available. How many ml should the nurse
administer per dose?
Answer: 15
●● A nurse is collecting data from a 4-year-old child for growth and
developmental milestones during a well child visit. Which of the
following findings suggest a possible delay in development?
Answer: speaking using 2- or 3-word sentences- correct
inability to tie shoes- incorrect
adding 3 parts to a stick figure- incorrect
inability to walk backward- incorrect
●● A nurse is assisting with the development of a health education
program for the parents of school-aged females. Which of the following
pieces of information regarding sexual maturation should the nurse
include?
Answer: higher body fat content is associated with earlier onset of
menarche- correct
pubic hair is typically present prior to breast development- incorrect
ovulation begins after sexual maturation is complete- incorrect
menarche signals the beginning of puberty- incorrect
