1
Nursing Care of Children Exam Review Questions and 100% Correct
Answers Latest 2026 Solution.
A 1) A nurs is caring for a child who is receiving treatment for diabetic ketoacidosis and has a
current blood glucose level of 250mg/dL. Which of the following actions should the nurs take?
A. Administer 5% dextrose in 0.9% sodium chloride by continuous IV infusion.
When the child’s blood glucose level falls between 250 and 300 mg/dL, the
nurs should begin IV infusion of 5% or 10% dextrose in 0.9% sodium
chloride. The goal is to maintain blood glucose levels between 120 and 240
mg/dL. If dextrose is not added, hypoglycemia might occur.
B. Give potassium as a rapid IV bolus.
Giving potassium as a rapid IV bolus is contraindicated because it can result in
cardiac arrest.
C. Administer 3 units of ultralente insulin subcutaneously.
Ultralente is long-acting insulin that takes 6 to 14 hr to begin working. Regular
insulin will be given via IV infusion until the blood sugar reaches 250 to 300
mg/dL. If the regular insulin infusion continues, hypoglycemia can occur.
D. Obtain an HbA1c level stat.
An HbA1c level measures the blood glucose level over the last 2 to 3
months and will not give useful information for the client’s current
status.
1) A nurs is caring for a child who has Tetralogy of Fallot. Which of the following laboratory
values should the nurs expect to find?
A. Platelet count of 20,000/mm3
A platelet count of 20,000/mm3 is below the expected range. A child who has
Tetralogy of Fallot will not have a decreased platelet count.
B. WBC 4,000/mm3
Nursing Care of Children Exam
, 2
A WBC count of 4,000/mm3 is below the expected reference range. A child
who has Tetralogy of Fallot will not have neutropenia.
C. Thyroid stimulating hormone 7.0 microunits/mL
This TSH level is above the expected reference range. A child who has Tetralogy
of Fallot will not have changes in the thyroid function levels.
D. RBC 6.8 million/uL
A child who has Tetralogy of Fallot causes cyanosis; therefore, the body
responds by increasing RBC production (polycythemia) in an attempt to
supply oxygen to all body parts.
2) A nurs is planning care for a preschool-age child who has autism and is being admitted to
the facility. Which of the following actions should the nurs plan to take?
A. Encourage the parents to bring in the child's stuffed animal.
Encouraging parents to bring in a child’s favorite stuffed animal helps lessen
the disruptiveness of hospitalization.
B. Give the child choices when planning daily activities.
Children who have autism have difficulty organizing behaviors; therefore, it is
best to not give choices.
C. Administer phenytoin three times per day.
Phenytoin is taken by children who have seizure disorders.
D. Provide a shared room with another child his age.
Children who have autism need decreasing stimulation and avoidance of
auditory or visual distraction. These children should have a private
room.
3) A nurs is caring for a child who has a vesicular rash. The parents of the child asks the nurs
what illness can cause this rash for 6 days. The nurs should expect that the child has which of
the following conditions?
A. Measles
Nursing Care of Children Exam
, 3
A child who has measles might develop Koplik spots, a transient cephalocaudal
rash of maculopapular eruptions of the upper trunk and face, becoming more
confluent as it spreads to the lower areas of the body.
B. Fifth disease
A child who has fifth disease usually begins with bright red cheeks producing
a "slapped-cheek" appearance. Following this, a rash appears on the
extremities and trunk. The rash fades centrally, giving a lacy (reticulated)
appearance to the rash.
C. Tetanus
A child who has tetanus will develop lockjaw and muscle rigidity; however,
there is no rash associated with tetanus. Nurs s recommend the DTaP
immunization to aid in prevention of this disease.
D. Varicella
Children who have varicella might commence with a maculopapular rash that
progresses to vesicles on erythematous bases that eventually rupture and crust
over.
4) A nurs is admitting a child who has acute lymphocytic leukemia. Which of the following
laboratory values should the nurs expect?
A. Platelet count 500,000 mm3
A platelet count of 500,000 mm3 is above the expected reference range. A
child who has acute lymphocytic leukemia has a low platelet count.
B. RBC 2.5 million/uL
An RBC of 2.5 million/uL is below the expected reference range. A child who has
acute lymphocytic leukemia has a low RBC.
C. WBC 4,000/mm3
A WBC of 4,000/mm3 is below the expected reference range. A child who has
acute lymphocytic leukemia has a very high WBC.
D. Hct 60%
Nursing Care of Children Exam
, 4
An Hct of 60% is above the expected reference range. A child who has
acute lymphocytic leukemia has a low Hct level.
5) A nurs is assessing the pain level of a 3-year-old child who is postoperative following
abdominal surgery. Which of the following pain scales should the nurs use?
A. Word graphic rating scale
A word graphic rating scale uses a line with words identifying a scale of no pain
to worst possible pain. Children ages 4 to 17 place a line on the scale that
describes their pain. Children who are 3 years old will have difficulty
understanding the words.
B. Color tool
The color tool uses four markers for the child to represent pain at various
levels. Children ages 4 and older can use this tool. Children who are 3 years
old might have difficulty remembering what each marker represents.
C. FACES pain rating scale
The FACES scale is a scale that looks at various faces, which represent various
levels of pain. A 3-year-old child is able to identify faces that represent
different pain levels.
D. Numeric scale
Using a numeric scale from 0 to 10 to rate pain requires the child to
understand numbers. This tool is helpful for children ages 5 and older.
6) A nurs is preparing a school-age child for a tonsillectomy. Which of the following actions
should the nurs take?
A. Schedule the child for a preoperative visit to the facility.
A preoperative visit to the facility allows the child to observe perioperative
processes. This education helps the child feel at ease prior to the surgical
procedure.
Nursing Care of Children Exam
Nursing Care of Children Exam Review Questions and 100% Correct
Answers Latest 2026 Solution.
A 1) A nurs is caring for a child who is receiving treatment for diabetic ketoacidosis and has a
current blood glucose level of 250mg/dL. Which of the following actions should the nurs take?
A. Administer 5% dextrose in 0.9% sodium chloride by continuous IV infusion.
When the child’s blood glucose level falls between 250 and 300 mg/dL, the
nurs should begin IV infusion of 5% or 10% dextrose in 0.9% sodium
chloride. The goal is to maintain blood glucose levels between 120 and 240
mg/dL. If dextrose is not added, hypoglycemia might occur.
B. Give potassium as a rapid IV bolus.
Giving potassium as a rapid IV bolus is contraindicated because it can result in
cardiac arrest.
C. Administer 3 units of ultralente insulin subcutaneously.
Ultralente is long-acting insulin that takes 6 to 14 hr to begin working. Regular
insulin will be given via IV infusion until the blood sugar reaches 250 to 300
mg/dL. If the regular insulin infusion continues, hypoglycemia can occur.
D. Obtain an HbA1c level stat.
An HbA1c level measures the blood glucose level over the last 2 to 3
months and will not give useful information for the client’s current
status.
1) A nurs is caring for a child who has Tetralogy of Fallot. Which of the following laboratory
values should the nurs expect to find?
A. Platelet count of 20,000/mm3
A platelet count of 20,000/mm3 is below the expected range. A child who has
Tetralogy of Fallot will not have a decreased platelet count.
B. WBC 4,000/mm3
Nursing Care of Children Exam
, 2
A WBC count of 4,000/mm3 is below the expected reference range. A child
who has Tetralogy of Fallot will not have neutropenia.
C. Thyroid stimulating hormone 7.0 microunits/mL
This TSH level is above the expected reference range. A child who has Tetralogy
of Fallot will not have changes in the thyroid function levels.
D. RBC 6.8 million/uL
A child who has Tetralogy of Fallot causes cyanosis; therefore, the body
responds by increasing RBC production (polycythemia) in an attempt to
supply oxygen to all body parts.
2) A nurs is planning care for a preschool-age child who has autism and is being admitted to
the facility. Which of the following actions should the nurs plan to take?
A. Encourage the parents to bring in the child's stuffed animal.
Encouraging parents to bring in a child’s favorite stuffed animal helps lessen
the disruptiveness of hospitalization.
B. Give the child choices when planning daily activities.
Children who have autism have difficulty organizing behaviors; therefore, it is
best to not give choices.
C. Administer phenytoin three times per day.
Phenytoin is taken by children who have seizure disorders.
D. Provide a shared room with another child his age.
Children who have autism need decreasing stimulation and avoidance of
auditory or visual distraction. These children should have a private
room.
3) A nurs is caring for a child who has a vesicular rash. The parents of the child asks the nurs
what illness can cause this rash for 6 days. The nurs should expect that the child has which of
the following conditions?
A. Measles
Nursing Care of Children Exam
, 3
A child who has measles might develop Koplik spots, a transient cephalocaudal
rash of maculopapular eruptions of the upper trunk and face, becoming more
confluent as it spreads to the lower areas of the body.
B. Fifth disease
A child who has fifth disease usually begins with bright red cheeks producing
a "slapped-cheek" appearance. Following this, a rash appears on the
extremities and trunk. The rash fades centrally, giving a lacy (reticulated)
appearance to the rash.
C. Tetanus
A child who has tetanus will develop lockjaw and muscle rigidity; however,
there is no rash associated with tetanus. Nurs s recommend the DTaP
immunization to aid in prevention of this disease.
D. Varicella
Children who have varicella might commence with a maculopapular rash that
progresses to vesicles on erythematous bases that eventually rupture and crust
over.
4) A nurs is admitting a child who has acute lymphocytic leukemia. Which of the following
laboratory values should the nurs expect?
A. Platelet count 500,000 mm3
A platelet count of 500,000 mm3 is above the expected reference range. A
child who has acute lymphocytic leukemia has a low platelet count.
B. RBC 2.5 million/uL
An RBC of 2.5 million/uL is below the expected reference range. A child who has
acute lymphocytic leukemia has a low RBC.
C. WBC 4,000/mm3
A WBC of 4,000/mm3 is below the expected reference range. A child who has
acute lymphocytic leukemia has a very high WBC.
D. Hct 60%
Nursing Care of Children Exam
, 4
An Hct of 60% is above the expected reference range. A child who has
acute lymphocytic leukemia has a low Hct level.
5) A nurs is assessing the pain level of a 3-year-old child who is postoperative following
abdominal surgery. Which of the following pain scales should the nurs use?
A. Word graphic rating scale
A word graphic rating scale uses a line with words identifying a scale of no pain
to worst possible pain. Children ages 4 to 17 place a line on the scale that
describes their pain. Children who are 3 years old will have difficulty
understanding the words.
B. Color tool
The color tool uses four markers for the child to represent pain at various
levels. Children ages 4 and older can use this tool. Children who are 3 years
old might have difficulty remembering what each marker represents.
C. FACES pain rating scale
The FACES scale is a scale that looks at various faces, which represent various
levels of pain. A 3-year-old child is able to identify faces that represent
different pain levels.
D. Numeric scale
Using a numeric scale from 0 to 10 to rate pain requires the child to
understand numbers. This tool is helpful for children ages 5 and older.
6) A nurs is preparing a school-age child for a tonsillectomy. Which of the following actions
should the nurs take?
A. Schedule the child for a preoperative visit to the facility.
A preoperative visit to the facility allows the child to observe perioperative
processes. This education helps the child feel at ease prior to the surgical
procedure.
Nursing Care of Children Exam
