NACE Care of the Child Exam 2026/2027| Actual
Exam Questions and Correct Answers for
Guaranteed Pass
To help prepare a 4 y/o for postoperative abdominal surgery care, a nurse should take
which of these measures?
· Teaching the child how to contract and relax the abdominal muscles
· Having the child wear a chest restraint whenever he/she is in bed
· Practicing deep-breathing exercises with the child
· Telling the child to lie either on the back or on the side until allowed out of bed
Correct answer: Practicing deep-breathing exercises with the child
Practicing deep-breathing exercises preoperatively helps the child learn a skill that expands the
lungs after surgery and reduces the risk of postoperative respiratory complications such as
atelectasis or pneumonia.
A 12 y/o girl who has type 1 DM receives 5 units regular insulin and 20 units isophane
insulin subcutaneously at 7am. She eats her breakfast at 7:30am and goes to school. At
10:30 am she reports feeling shaky and sweaty. A school nurse should make which of these
interpretations of this information?
· The Humulin-R insulin is peaking at this time
· The girl needs additional Humulin-R insulin
· The NPH insulin is peaking at this time
· The girl needs additional NPH insulin
Correct answer: The Humulin-R insulin is peaking at this time
Regular (Humulin-R) insulin has an onset of about 30 minutes, peaks at 1–3 hours, and lasts 6–8
hours. Symptoms of hypoglycemia at 10:30 a.m. (3½ hours after injection) coincide with the
peak of regular insulin. NPH peaks later (4–12 hours).
An 18 month old child has been placed on Bryant traction. The traction has been properly
applied if a nurse observes that
· Both legs are at a 35 degree angle
· 10-pound weights are in place
· The ropes are slack
· Both buttocks are off the bed
Correct answer: Both buttocks are off the bed
In Bryant’s traction both legs are suspended at approximately 90° to the trunk so that the child’s
, body weight provides the counter-traction. Proper application is confirmed when both buttocks
are lifted slightly off the bed.
Which of these measures should a nurse plan for a 3 ½ y/o child whose scrotum is very
edematous?
· Applying a lanolin-based lotion to his scrotum
· Instructing him to avoid touching his scrotum when voiding
· Supporting his scrotum on a soft pad
· Placing cold compresses on his scrotum
Correct answer: Supporting his scrotum on a soft pad
Elevating and supporting an edematous scrotum on a soft pad reduces gravitational pull,
decreases swelling, and improves comfort.
While an 18-month-old boy is in a mist tent, which of these toys would be most
appropriate?
· Crayons and a coloring book
· A wooden telephone
· Colored balloons
· A mobile
Correct answer: A wooden telephone
A wooden telephone is safe, washable, and age-appropriate for an 18-month-old inside a mist
tent. Crayons can be a choking hazard or stain the tent, balloons are an aspiration risk, and a
mobile is more suitable for younger infants.
The purpose of giving a low-phenylalanine formula to an infant who has phenylketonuria
(PKU) is to
· Prevent the accumulation of phenylalanine in the blood
· Prevent the secretion of the enzyme phenylalanine hydroxylase
· Promote the conversion of phenylalanine to tyrosine
· Promote the excretion of phenylpyruvic acid in the urine
Correct answer: Prevent the accumulation of phenylalanine in the blood
In PKU the enzyme that converts phenylalanine to tyrosine is deficient; a low-phenylalanine
formula limits intake of the amino acid so it does not accumulate to toxic levels.
A 12 month old child is admitted to the hospital for open heart surgery for repair of the
ventricular septal defect. When preparing this client for surgery, which intervention would
be most appropriate?
· Allow the child's mother to stay in the preoperative area until the child is sedated prior to
surgery
· Have the child play with suture material to what will be used on the child's skin incision
· Show the child the surgical room and all the equipment
Exam Questions and Correct Answers for
Guaranteed Pass
To help prepare a 4 y/o for postoperative abdominal surgery care, a nurse should take
which of these measures?
· Teaching the child how to contract and relax the abdominal muscles
· Having the child wear a chest restraint whenever he/she is in bed
· Practicing deep-breathing exercises with the child
· Telling the child to lie either on the back or on the side until allowed out of bed
Correct answer: Practicing deep-breathing exercises with the child
Practicing deep-breathing exercises preoperatively helps the child learn a skill that expands the
lungs after surgery and reduces the risk of postoperative respiratory complications such as
atelectasis or pneumonia.
A 12 y/o girl who has type 1 DM receives 5 units regular insulin and 20 units isophane
insulin subcutaneously at 7am. She eats her breakfast at 7:30am and goes to school. At
10:30 am she reports feeling shaky and sweaty. A school nurse should make which of these
interpretations of this information?
· The Humulin-R insulin is peaking at this time
· The girl needs additional Humulin-R insulin
· The NPH insulin is peaking at this time
· The girl needs additional NPH insulin
Correct answer: The Humulin-R insulin is peaking at this time
Regular (Humulin-R) insulin has an onset of about 30 minutes, peaks at 1–3 hours, and lasts 6–8
hours. Symptoms of hypoglycemia at 10:30 a.m. (3½ hours after injection) coincide with the
peak of regular insulin. NPH peaks later (4–12 hours).
An 18 month old child has been placed on Bryant traction. The traction has been properly
applied if a nurse observes that
· Both legs are at a 35 degree angle
· 10-pound weights are in place
· The ropes are slack
· Both buttocks are off the bed
Correct answer: Both buttocks are off the bed
In Bryant’s traction both legs are suspended at approximately 90° to the trunk so that the child’s
, body weight provides the counter-traction. Proper application is confirmed when both buttocks
are lifted slightly off the bed.
Which of these measures should a nurse plan for a 3 ½ y/o child whose scrotum is very
edematous?
· Applying a lanolin-based lotion to his scrotum
· Instructing him to avoid touching his scrotum when voiding
· Supporting his scrotum on a soft pad
· Placing cold compresses on his scrotum
Correct answer: Supporting his scrotum on a soft pad
Elevating and supporting an edematous scrotum on a soft pad reduces gravitational pull,
decreases swelling, and improves comfort.
While an 18-month-old boy is in a mist tent, which of these toys would be most
appropriate?
· Crayons and a coloring book
· A wooden telephone
· Colored balloons
· A mobile
Correct answer: A wooden telephone
A wooden telephone is safe, washable, and age-appropriate for an 18-month-old inside a mist
tent. Crayons can be a choking hazard or stain the tent, balloons are an aspiration risk, and a
mobile is more suitable for younger infants.
The purpose of giving a low-phenylalanine formula to an infant who has phenylketonuria
(PKU) is to
· Prevent the accumulation of phenylalanine in the blood
· Prevent the secretion of the enzyme phenylalanine hydroxylase
· Promote the conversion of phenylalanine to tyrosine
· Promote the excretion of phenylpyruvic acid in the urine
Correct answer: Prevent the accumulation of phenylalanine in the blood
In PKU the enzyme that converts phenylalanine to tyrosine is deficient; a low-phenylalanine
formula limits intake of the amino acid so it does not accumulate to toxic levels.
A 12 month old child is admitted to the hospital for open heart surgery for repair of the
ventricular septal defect. When preparing this client for surgery, which intervention would
be most appropriate?
· Allow the child's mother to stay in the preoperative area until the child is sedated prior to
surgery
· Have the child play with suture material to what will be used on the child's skin incision
· Show the child the surgical room and all the equipment
