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NSG4432 Questions with Detailed Answer
Key 2026 latest updated version with 100%
accuracy-South College
1 . A nurse is providing discharge teaching about nutrition to the parents of a child
who has cystic fibrosis (CF). Which of the following responses by the parents
indicates an understanding of the teaching?
"We will give our child pancreatic enzymes with snacks and meals."
Rationale: CF interferes with the availability of pancreatic enzymes necessary
for digestion and absorption of nutrients. Therefore, pancreatic
enzymes must be taken with all meals and snacks.
B. "We will restrict the amount of salt in our child's food."
Rationale: CF does not cause a child's sodium requirements to decrease.
Adequate sodium is required for electrolyte balance, and at times
when the child loses excessive fluids due to diaphoresis, additional
sodium might be required.
C. "l will limit my child's fluid intake."
Rationale: Fluids should not be restricted. Dehydration due to inadequate
fluid intake can aggravate the excessive buildup of tenacious
respiratory mucus associated with CF.
D. "l will prepare low-fat meals with limited protein for my child."
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Rationale: A diet that is high in calories and protein, and unrestricted in fats
and salt, is typically recommended to meet the nutritional needs of
the child who has CF.
2. A nurse is admitting a child who has leukemia. Which of the following clients
should the nurse place in the same room with this child?
A child who has nephrotic syndrome
Rationale: A child who has leukemia is at risk for infection. Nephrotic
syndrome is not an infectious disorder poses no risk to a child who
has leukemia.
B. A child recovering from a ruptured appendix
Rationale: A child who has leukemia is at risk for infection. A client
recovering from a ruptured appendix can be infectious.
C. A child who has rheumatic fever
Rationale: A child who has leukemia is at risk for infection. A child who has
rheumatic fever can still be infectious from the original causative
organism.
D. A child who has cystic fibrosis
Rationale: A child who has leukemia is at risk for infection. A client who has
cystic fibrosis is likely to be
infectious.
3. A nurse reports an incident of suspected child abuse. One of the parents of the
child becomes upset and demands to know the reason for the nurse's action. Which
of the following responses by the nurse is appropriate?
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"As a nurse, I am required by law to report suspected child abuse."
Rationale: A nurse is required by law to report suspected child abuse.
Therefore, this is a truthful, non-accusatory response.
B. "l am unable to discuss this, but I can contact my supervisor to speak with you."
Rationale: This response defers to another authority figure, rather than
providing the parent with an answer.
C. "The provider will be coming to explain the situation."
Rationale: This response does not answer the parent's concern. Although the
provider will speak with the family, the nurse should address the
parent's question.
D. "l reported the incident to my supervisor who decided to contact the
authorities."
Rationale: Although a nurse supervisor can assist with the process, the nurse
is mandated to report suspected child abuse.
4. A nurse is preparing to administer vaccines to a I-year-old child. Which of the
following vaccines should the nurse give? (Select all that apply.)
Measles, mumps rubella (MMR)
B. Diphtheria, tetanus and acellular
pertussis (DTaP) e C. Varicella (VAR)
D. Rotavirus (RV)
E. Human papillomavirus (HPV4)
Rationale: Measles, mumps rubella (MMR) is correct. A I-year-old child
should receive the first of two doses of the MMR
vaccine.Diphtheria, tetanus and acellular pertussis (DTaP) is
incorrect. By 1 year of age, the child should have already received
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three doses of DTaP: at 2 months, 4 months, and 6 months. The
child should receive a fourth dose at 15 months of age.Varicella
(VAR) is correct. A I-year-old child should receive the first of two
doses of the VAR vaccine. Rotavirus (RV) is incorrect. A I-year-old
child should have received the RV vaccine in a two or three dose
series starting at 2 months of age.Human papillomavirus (HPV4) is
incorrect. A child should receive a three dose series of the HPV4
vaccine at 1 1 or 12 years of age.
5. A nurse is speaking with the mother of a 6-year-old child. Which of the following
statements by the mother should concern the nurse?
A. "The teacher says my child has to squint to see the board."
Rationale: Squinting to see the board can indicate a vision problem. It is
essential to assess children for hearing and vision problems. If not
caught early, they lead to frustration and decreased ability to learn.
B. "My child has recently lost both front top teeth."
Rationale: Children begin to lose their deciduous teeth around 6 years of age
and replace them with their permanent teeth.
C. "My child often cheats when we play board games."
Rationale: Children who are 5 to 7 years of age often cheat to win at games
because they feel winning is most important.
D. "Sometimes my child acts bossy with his friends."
Rationale: Children of this age are learning how to interact with peers. During
this gradual process of learning to appreciate the feelings of others,
they can remain somewhat egocentric.
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NSG4432 Questions with Detailed Answer
Key 2026 latest updated version with 100%
accuracy-South College
1 . A nurse is providing discharge teaching about nutrition to the parents of a child
who has cystic fibrosis (CF). Which of the following responses by the parents
indicates an understanding of the teaching?
"We will give our child pancreatic enzymes with snacks and meals."
Rationale: CF interferes with the availability of pancreatic enzymes necessary
for digestion and absorption of nutrients. Therefore, pancreatic
enzymes must be taken with all meals and snacks.
B. "We will restrict the amount of salt in our child's food."
Rationale: CF does not cause a child's sodium requirements to decrease.
Adequate sodium is required for electrolyte balance, and at times
when the child loses excessive fluids due to diaphoresis, additional
sodium might be required.
C. "l will limit my child's fluid intake."
Rationale: Fluids should not be restricted. Dehydration due to inadequate
fluid intake can aggravate the excessive buildup of tenacious
respiratory mucus associated with CF.
D. "l will prepare low-fat meals with limited protein for my child."
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Rationale: A diet that is high in calories and protein, and unrestricted in fats
and salt, is typically recommended to meet the nutritional needs of
the child who has CF.
2. A nurse is admitting a child who has leukemia. Which of the following clients
should the nurse place in the same room with this child?
A child who has nephrotic syndrome
Rationale: A child who has leukemia is at risk for infection. Nephrotic
syndrome is not an infectious disorder poses no risk to a child who
has leukemia.
B. A child recovering from a ruptured appendix
Rationale: A child who has leukemia is at risk for infection. A client
recovering from a ruptured appendix can be infectious.
C. A child who has rheumatic fever
Rationale: A child who has leukemia is at risk for infection. A child who has
rheumatic fever can still be infectious from the original causative
organism.
D. A child who has cystic fibrosis
Rationale: A child who has leukemia is at risk for infection. A client who has
cystic fibrosis is likely to be
infectious.
3. A nurse reports an incident of suspected child abuse. One of the parents of the
child becomes upset and demands to know the reason for the nurse's action. Which
of the following responses by the nurse is appropriate?
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"As a nurse, I am required by law to report suspected child abuse."
Rationale: A nurse is required by law to report suspected child abuse.
Therefore, this is a truthful, non-accusatory response.
B. "l am unable to discuss this, but I can contact my supervisor to speak with you."
Rationale: This response defers to another authority figure, rather than
providing the parent with an answer.
C. "The provider will be coming to explain the situation."
Rationale: This response does not answer the parent's concern. Although the
provider will speak with the family, the nurse should address the
parent's question.
D. "l reported the incident to my supervisor who decided to contact the
authorities."
Rationale: Although a nurse supervisor can assist with the process, the nurse
is mandated to report suspected child abuse.
4. A nurse is preparing to administer vaccines to a I-year-old child. Which of the
following vaccines should the nurse give? (Select all that apply.)
Measles, mumps rubella (MMR)
B. Diphtheria, tetanus and acellular
pertussis (DTaP) e C. Varicella (VAR)
D. Rotavirus (RV)
E. Human papillomavirus (HPV4)
Rationale: Measles, mumps rubella (MMR) is correct. A I-year-old child
should receive the first of two doses of the MMR
vaccine.Diphtheria, tetanus and acellular pertussis (DTaP) is
incorrect. By 1 year of age, the child should have already received
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three doses of DTaP: at 2 months, 4 months, and 6 months. The
child should receive a fourth dose at 15 months of age.Varicella
(VAR) is correct. A I-year-old child should receive the first of two
doses of the VAR vaccine. Rotavirus (RV) is incorrect. A I-year-old
child should have received the RV vaccine in a two or three dose
series starting at 2 months of age.Human papillomavirus (HPV4) is
incorrect. A child should receive a three dose series of the HPV4
vaccine at 1 1 or 12 years of age.
5. A nurse is speaking with the mother of a 6-year-old child. Which of the following
statements by the mother should concern the nurse?
A. "The teacher says my child has to squint to see the board."
Rationale: Squinting to see the board can indicate a vision problem. It is
essential to assess children for hearing and vision problems. If not
caught early, they lead to frustration and decreased ability to learn.
B. "My child has recently lost both front top teeth."
Rationale: Children begin to lose their deciduous teeth around 6 years of age
and replace them with their permanent teeth.
C. "My child often cheats when we play board games."
Rationale: Children who are 5 to 7 years of age often cheat to win at games
because they feel winning is most important.
D. "Sometimes my child acts bossy with his friends."
Rationale: Children of this age are learning how to interact with peers. During
this gradual process of learning to appreciate the feelings of others,
they can remain somewhat egocentric.
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