RN VATI NURSING CARE OF CHILDREN C
CERTIFICATION EVALUATION TESTED
QUESTIONS COMPLETE ANSWERS
◉ A nurse in an emergency department is assessing a 5-year-old
child who has a concussion. Which of the following manifestations
should the nurse identify as an early indication of ICP?
Answer: Nausea
-Early findings of ICP
◉ A nurse is creating a plan of care for a school-age child who has
moderate partial thickness burns on both lower extremities. Which
of the following interventions should the nurse include in the plan?
Answer: Maintain aseptic technique during the child dressing
changes.
-To prevent infection. Delayed wound healing can occur due to
infection, which can also cause partial thickness wounds to develop
into full thickness wounds.
,◉ A charge nurse on a pediatric unit is reviewing informed consent
guidelines with newly licensed nurse. For which of the following
clients should the nurse obtain informed consent from a guardian?
Answer: A 15-year-old client who requires an open reduction of a
fracture.
-Sign consent prior to surgical procedures for a minor.
◉ A nurse is caring for a child who has terminal leukemia. The
parents asks the nurse, "When will we know that our child is nearing
the end of their life?" Which of the following statements should the
nurse make?
Answer: Your child will lose movement in their legs.
-Lose movement in the lower extremities. This progressive loss of
movement will move up the body as death nears.
◉ A nurse is providing home care instructions to the parents of a
child who is in the edema phase of nephrotic syndrome. Which of
the following instructions should the nurse include in the teaching?
Answer: Provide quite activities for the child.
-Provide quite activities, such as reading and coloring, during edema
phase of nephritis to minimize oxygen consumption and preserve
energy.
,◉ A nurse is assessing a 2-year-old child following a surgical
procedure. Which of the following pain tools should the nurse use?
Answer: Face, Legs, Activity, Cry Consolability (FLACC) scale.
-The FLACC scale is used for infants and children from 2 months to 7
years.
◉ A nurse is providing discharge teaching to the parents of a school
age child who has epilepsy and a new prescription for phenytoin
extended release capsules. Which of the following instructions
should the nurse include in the teaching?
Answer: Encourage the child to brush their teeth after each meal.
- Dental hygiene, this medications can cause gingival hyperplasia,
and good oral hygiene reduces the risk of this occurring.
◉ A nurse is caring for a 6 month old infant who has acute vomiting
and diarrhea. Which of the following manifestations should the
nurse identify as an indication of moderate hypovolemia?
Answer: Tachypnea
-A hypovolemia worsens, breathing becomes hyperpneic.
, ◉ A nurse is caring for a toddler who is experiencing hyperglycemia.
Which of the following manifestations should the nurse expect?
Answer: Lethargic mood.
-Will be irritable and have a labile mood.
◉ A nurse is providing discharge teaching to the parent of a 5-year-
old child who has leukemia and is receiving chemotherapy. Which of
the following statements by the parent indicates an understanding
of the teaching?
Answer: I will make sure to inspect my son's mouth every day for
sores.
-Increase risk for mucositis, therefore, the parent should inspect the
mouth daily for lesions or ulcerations and report these to the
provider. Open lesions can become infected in the child who is
immunocompromised.
◉ A home health nurse is developing a plan of care for the parents of
a toddler who has hemophilia A. Which of the following instructions
should the nurse include?
Answer: Place knee pads on the child.
-Take measures to make the environment safe. This can include
measures such as installing carpet over ceramic tiled floors or
CERTIFICATION EVALUATION TESTED
QUESTIONS COMPLETE ANSWERS
◉ A nurse in an emergency department is assessing a 5-year-old
child who has a concussion. Which of the following manifestations
should the nurse identify as an early indication of ICP?
Answer: Nausea
-Early findings of ICP
◉ A nurse is creating a plan of care for a school-age child who has
moderate partial thickness burns on both lower extremities. Which
of the following interventions should the nurse include in the plan?
Answer: Maintain aseptic technique during the child dressing
changes.
-To prevent infection. Delayed wound healing can occur due to
infection, which can also cause partial thickness wounds to develop
into full thickness wounds.
,◉ A charge nurse on a pediatric unit is reviewing informed consent
guidelines with newly licensed nurse. For which of the following
clients should the nurse obtain informed consent from a guardian?
Answer: A 15-year-old client who requires an open reduction of a
fracture.
-Sign consent prior to surgical procedures for a minor.
◉ A nurse is caring for a child who has terminal leukemia. The
parents asks the nurse, "When will we know that our child is nearing
the end of their life?" Which of the following statements should the
nurse make?
Answer: Your child will lose movement in their legs.
-Lose movement in the lower extremities. This progressive loss of
movement will move up the body as death nears.
◉ A nurse is providing home care instructions to the parents of a
child who is in the edema phase of nephrotic syndrome. Which of
the following instructions should the nurse include in the teaching?
Answer: Provide quite activities for the child.
-Provide quite activities, such as reading and coloring, during edema
phase of nephritis to minimize oxygen consumption and preserve
energy.
,◉ A nurse is assessing a 2-year-old child following a surgical
procedure. Which of the following pain tools should the nurse use?
Answer: Face, Legs, Activity, Cry Consolability (FLACC) scale.
-The FLACC scale is used for infants and children from 2 months to 7
years.
◉ A nurse is providing discharge teaching to the parents of a school
age child who has epilepsy and a new prescription for phenytoin
extended release capsules. Which of the following instructions
should the nurse include in the teaching?
Answer: Encourage the child to brush their teeth after each meal.
- Dental hygiene, this medications can cause gingival hyperplasia,
and good oral hygiene reduces the risk of this occurring.
◉ A nurse is caring for a 6 month old infant who has acute vomiting
and diarrhea. Which of the following manifestations should the
nurse identify as an indication of moderate hypovolemia?
Answer: Tachypnea
-A hypovolemia worsens, breathing becomes hyperpneic.
, ◉ A nurse is caring for a toddler who is experiencing hyperglycemia.
Which of the following manifestations should the nurse expect?
Answer: Lethargic mood.
-Will be irritable and have a labile mood.
◉ A nurse is providing discharge teaching to the parent of a 5-year-
old child who has leukemia and is receiving chemotherapy. Which of
the following statements by the parent indicates an understanding
of the teaching?
Answer: I will make sure to inspect my son's mouth every day for
sores.
-Increase risk for mucositis, therefore, the parent should inspect the
mouth daily for lesions or ulcerations and report these to the
provider. Open lesions can become infected in the child who is
immunocompromised.
◉ A home health nurse is developing a plan of care for the parents of
a toddler who has hemophilia A. Which of the following instructions
should the nurse include?
Answer: Place knee pads on the child.
-Take measures to make the environment safe. This can include
measures such as installing carpet over ceramic tiled floors or
