PN NURSING CARE OF CHILDREN 2020
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1. ANSWER: C. "I will keep my child's towels separate from those of the rest of
the family."
Rationale: The nurse should identify that a child who has an upper respiratory
infection should use separate towels, utensils, and cups to prevent the infec- tion from
spreading.: A nurse is reinforcing teaching with the parent of a child who has a bacterial
upper respiratory infection. Which of the following statements by the parent indicates an
understanding of the teaching?
A. "I will force my child to drink fluids when they have a fever."
B. "I will use a dehumidifier in my child's room."
C. "I will keep my child's towels separate from those of the rest of the family."
D."I will make sure my child eats three meals a day, even though their appetite is not
good right now."
2. ANSWER: D. Amnesia.
Rationale: The nurse should identify that amnesia is an expected manifesta- tion after
a seizure. Children often do not remember the seizure activity.: A nurse is collecting
data from a child who recently experienced a psychomotor seizure. Which of the following
findings should the nurse expect?
A. Hyperactivity
B. Nystagmus
C. Apnea
D.Amnesia
3. ANSWER: D. Unable to tell the difference between right and left.
Rationale: The nurse should recognize that a child should know the difference
between right and left by 6 years of age.: A nurse is collecting data from a
7-year-old child. Which of the following findings indicates a developmental delay?
A. Unable to verbalize the date
B. Unable to count backwards from 20 to 1
C. Unable to make change out of a quarter
D.Unable to tell the difference between right and left
4. ANSWER: D. Ensure the child receives pain medication 30 to 45 min prior to
therapy.
Rationale: The nurse should ensure that the preschooler receives pain med-
, PN NURSING CARE OF CHILDREN 2020
completed
ication 30 to 45 min prior to physical therapy sessions. The nurse should monitor the
child's pain levels and treat them as needed. This will minimize or eliminate pain
from moving tight skin at joints, which will encourage the child to participate in
physical therapy. If the child is in pain during therapy, it will be a challenge to get
the child to participate in future sessions.: A nurse is contributing to the plan of care for
a preschooler who has moderate partial-thickness burns on both lower extremities. Which
of the following interventions should the nurse recommend?
A. Maintain clean technique during the child's dressing change
B. Provide low-calorie snacks for the child three to four times each day between meals
C. Allow the child to set their own daily schedule for wound care
D.Ensure the child receives pain medication 30 to 45 min prior to therapy.-
5. ANSWER: A. Provide a low-sodium diet.
Rationale: The nurse should recommend providing the child with a low-sodi- um diet
to decrease edema associated with nephrotic syndrome.: A nurse is contributing to the
plan of care for a child who has nephrotic syndrome and a prescription for corticosteroids.
Which of the following interventions should the nurse recommend?
A. Provide a low-sodium diet
B. Encourage increased fluid intake
C. Obtain urine ketone levels weekly
D.Administer pancreatic enzymes with meal
6. ANSWER: B. High-potassium foods.
Rationale: The nurse should identify that lisinopril, an ACE inhibitor, can result in
hyperKalemia. Therefore,
the nurse should instruct the client to avoid foods high in potassium, which can
increase the risk of hyperKalemia and lead to cardiac dysrhythmias.: A nurse is
reinforcing teaching with an adolescent client who has a prescription for lisinopril. Which
of the following foods should the nurse instruct the client to avoid?
A. Foods high in fiber
B. High-potassium foods
C. Foods high in Vitamin K
D.Dairy products
, PN NURSING CARE OF CHILDREN 2020
completed
7. ANSWER: D. Making sure the toddler has at least one nap during the day.
Rationale: Toddlers generally require at least one nap per day because of their high
activity levels. At approximately 3 years of age, children have established a sleep
pattern similar to that of an adult.: A nurse is contributing to a plan of care for a 24-
month-old toddler. Which of the following actions should the nurse take?
A. Allowing the toddler to button up their own shirt
B. Asking the toddler questions that have "yes" or "no" answers
C. Providing the toddler with opportunities to share toys with others
D.Making sure the toddler has at least one nap during the day
8. ANSWER: A. "I will administer pain medication on a schedule."
Rationale: The nurse should inform the parents that pain medication will be
administered on a schedule to promote pain control.: A nurse is caring for an
adolescent client who has a terminal illness. Which of the following statements should
the nurse make to the parent?
A. "I will administer pain medication on a schedule."
B. "I will limit visits from siblings who are under the age of 18."
C. "You should go home when your child needs to rest."
D."You should allow your child to die at home."
9. ANSWER: D. Blood pressure 64/40 mmHg.
Rationale: The nurse should identify that this blood pressure is below the expected
systolic pressure of
80 mmHg for a 1-month-old infant. The nurse should report this finding to the
provider.
Expected Reference Range For: 1 Month Old Infant
Axillary Temperature: 36.5-38°C or 97.7-100.4°F Apical
Rate: 110-160/min
Respiratory Rate: 30-60/min: A nurse is collecting data from a 1-month-old infant who
has just undergone a hernia repair. Which of the following findings should the nurse report
to the provider?
A. Axillary temperature 37.4°C (99.3°F)
B. Apical pulse 155/min
completed
1. ANSWER: C. "I will keep my child's towels separate from those of the rest of
the family."
Rationale: The nurse should identify that a child who has an upper respiratory
infection should use separate towels, utensils, and cups to prevent the infec- tion from
spreading.: A nurse is reinforcing teaching with the parent of a child who has a bacterial
upper respiratory infection. Which of the following statements by the parent indicates an
understanding of the teaching?
A. "I will force my child to drink fluids when they have a fever."
B. "I will use a dehumidifier in my child's room."
C. "I will keep my child's towels separate from those of the rest of the family."
D."I will make sure my child eats three meals a day, even though their appetite is not
good right now."
2. ANSWER: D. Amnesia.
Rationale: The nurse should identify that amnesia is an expected manifesta- tion after
a seizure. Children often do not remember the seizure activity.: A nurse is collecting
data from a child who recently experienced a psychomotor seizure. Which of the following
findings should the nurse expect?
A. Hyperactivity
B. Nystagmus
C. Apnea
D.Amnesia
3. ANSWER: D. Unable to tell the difference between right and left.
Rationale: The nurse should recognize that a child should know the difference
between right and left by 6 years of age.: A nurse is collecting data from a
7-year-old child. Which of the following findings indicates a developmental delay?
A. Unable to verbalize the date
B. Unable to count backwards from 20 to 1
C. Unable to make change out of a quarter
D.Unable to tell the difference between right and left
4. ANSWER: D. Ensure the child receives pain medication 30 to 45 min prior to
therapy.
Rationale: The nurse should ensure that the preschooler receives pain med-
, PN NURSING CARE OF CHILDREN 2020
completed
ication 30 to 45 min prior to physical therapy sessions. The nurse should monitor the
child's pain levels and treat them as needed. This will minimize or eliminate pain
from moving tight skin at joints, which will encourage the child to participate in
physical therapy. If the child is in pain during therapy, it will be a challenge to get
the child to participate in future sessions.: A nurse is contributing to the plan of care for
a preschooler who has moderate partial-thickness burns on both lower extremities. Which
of the following interventions should the nurse recommend?
A. Maintain clean technique during the child's dressing change
B. Provide low-calorie snacks for the child three to four times each day between meals
C. Allow the child to set their own daily schedule for wound care
D.Ensure the child receives pain medication 30 to 45 min prior to therapy.-
5. ANSWER: A. Provide a low-sodium diet.
Rationale: The nurse should recommend providing the child with a low-sodi- um diet
to decrease edema associated with nephrotic syndrome.: A nurse is contributing to the
plan of care for a child who has nephrotic syndrome and a prescription for corticosteroids.
Which of the following interventions should the nurse recommend?
A. Provide a low-sodium diet
B. Encourage increased fluid intake
C. Obtain urine ketone levels weekly
D.Administer pancreatic enzymes with meal
6. ANSWER: B. High-potassium foods.
Rationale: The nurse should identify that lisinopril, an ACE inhibitor, can result in
hyperKalemia. Therefore,
the nurse should instruct the client to avoid foods high in potassium, which can
increase the risk of hyperKalemia and lead to cardiac dysrhythmias.: A nurse is
reinforcing teaching with an adolescent client who has a prescription for lisinopril. Which
of the following foods should the nurse instruct the client to avoid?
A. Foods high in fiber
B. High-potassium foods
C. Foods high in Vitamin K
D.Dairy products
, PN NURSING CARE OF CHILDREN 2020
completed
7. ANSWER: D. Making sure the toddler has at least one nap during the day.
Rationale: Toddlers generally require at least one nap per day because of their high
activity levels. At approximately 3 years of age, children have established a sleep
pattern similar to that of an adult.: A nurse is contributing to a plan of care for a 24-
month-old toddler. Which of the following actions should the nurse take?
A. Allowing the toddler to button up their own shirt
B. Asking the toddler questions that have "yes" or "no" answers
C. Providing the toddler with opportunities to share toys with others
D.Making sure the toddler has at least one nap during the day
8. ANSWER: A. "I will administer pain medication on a schedule."
Rationale: The nurse should inform the parents that pain medication will be
administered on a schedule to promote pain control.: A nurse is caring for an
adolescent client who has a terminal illness. Which of the following statements should
the nurse make to the parent?
A. "I will administer pain medication on a schedule."
B. "I will limit visits from siblings who are under the age of 18."
C. "You should go home when your child needs to rest."
D."You should allow your child to die at home."
9. ANSWER: D. Blood pressure 64/40 mmHg.
Rationale: The nurse should identify that this blood pressure is below the expected
systolic pressure of
80 mmHg for a 1-month-old infant. The nurse should report this finding to the
provider.
Expected Reference Range For: 1 Month Old Infant
Axillary Temperature: 36.5-38°C or 97.7-100.4°F Apical
Rate: 110-160/min
Respiratory Rate: 30-60/min: A nurse is collecting data from a 1-month-old infant who
has just undergone a hernia repair. Which of the following findings should the nurse report
to the provider?
A. Axillary temperature 37.4°C (99.3°F)
B. Apical pulse 155/min
