RN VATI NURSING CARE OF CHILDREN C
COMPREHENSIVE TEST PAPER QUESTIONS
AND SOLUTIONS GRADED A+
◉ A nurse is collecting data from a child who recently experienced a
psychomotor seizure. Which of the following findings should the
nurse expect?
Answer: Amnesia
The nurse should identify that amnesia is an expected manifestation
after a seizure. Children often do not remember the seizure activity.
◉ A nurse is collecting data from a 5-month-old infant who is
postoperative following umbilical hernia repair. Which of the
following measures should the nurse use to evaluate the infant's
pain level?
Answer: FLACC pain rating scale
The nurse should use the FLACC pain rating scale to evaluate this
infant's pain level following outpatient surgery to repair an
umbilical hernia. The FLACC scale is a postoperative pain rating tool
used for children ranging from 2 months old to 7 years old. The
acronym stands for Face, Legs, Activity, Cry, and Consolability. The
,scoring ranges from 0, indicating "no pain behaviors" to 10,
indicating "most possible pain behaviors."
◉ A nurse is assisting in the admission of a 9-month-old infant who
has gastroenteritis with vomiting and diarrhea. Which of the
following findings is the nurse's priority? (Click on the exhibit tabs
for additional information about the client. There are three tabs that
contain separate categories of data.)
Answer: Potassium level
When using the urgent vs. nonurgent approach to client care, the
nurse should identify that the priority finding is a potassium level of
3.2 mEq/L because this is below the expected reference range of 4.1
to 5.3 mEq/L for a 9-month-old infant. Hypokalemia, or a decreased
potassium level, impacts the ability of smooth muscles to contract
and can lead to cardiac arrythmias. Therefore, the nurse should
identify this as the priority finding and notify the provider.
◉ A nurse is caring for a toddler who has a respiratory illness and a
temperature of 39.3° C (102.7" F). Which of the following actions
should the nurse take to reduce the toddler's temperature?
Answer: Remove the toddler's extra clothing.
The nurse should remove the toddler's extra clothing after
administering an antipyretic to reduce the toddler's temperature.
, ◉ A nurse is caring for a preschooler who has diabetes mellitus and
is pale, diaphoretic, and irritable. The child's blood glucose level is
52 mg/dL. Which of the following actions should the nurse take
first?
Answer: Administer 1 tbsp of sugar to the child.
When following evidence-based practice, the nurse should
administer 15 g of simple carbohydrates. Foods, such as 1 tbsp of
table sugar, will quickly bring the glucose level up and resolve the
manifestations of hypoglycemia. This should be followed up by a
complex carbohydrate to prevent rebound hypoglycemia.
◉ A nurse is caring for a child who has pertussis. Which of the
following precautions should the nurse initiate?
Answer: Droplet
The nurse should initiate droplet precautions for a child who has a
disease that is transmitted through droplets larger than 5 microns,
such as pertussis. Individuals providing care for the child should
wear a mask and the child should be placed in a private room.
◉ A nurse is reinforcing teaching with the guardian of an adolescent
who has ADHD and a prescription for methylphenidate. Which of the
COMPREHENSIVE TEST PAPER QUESTIONS
AND SOLUTIONS GRADED A+
◉ A nurse is collecting data from a child who recently experienced a
psychomotor seizure. Which of the following findings should the
nurse expect?
Answer: Amnesia
The nurse should identify that amnesia is an expected manifestation
after a seizure. Children often do not remember the seizure activity.
◉ A nurse is collecting data from a 5-month-old infant who is
postoperative following umbilical hernia repair. Which of the
following measures should the nurse use to evaluate the infant's
pain level?
Answer: FLACC pain rating scale
The nurse should use the FLACC pain rating scale to evaluate this
infant's pain level following outpatient surgery to repair an
umbilical hernia. The FLACC scale is a postoperative pain rating tool
used for children ranging from 2 months old to 7 years old. The
acronym stands for Face, Legs, Activity, Cry, and Consolability. The
,scoring ranges from 0, indicating "no pain behaviors" to 10,
indicating "most possible pain behaviors."
◉ A nurse is assisting in the admission of a 9-month-old infant who
has gastroenteritis with vomiting and diarrhea. Which of the
following findings is the nurse's priority? (Click on the exhibit tabs
for additional information about the client. There are three tabs that
contain separate categories of data.)
Answer: Potassium level
When using the urgent vs. nonurgent approach to client care, the
nurse should identify that the priority finding is a potassium level of
3.2 mEq/L because this is below the expected reference range of 4.1
to 5.3 mEq/L for a 9-month-old infant. Hypokalemia, or a decreased
potassium level, impacts the ability of smooth muscles to contract
and can lead to cardiac arrythmias. Therefore, the nurse should
identify this as the priority finding and notify the provider.
◉ A nurse is caring for a toddler who has a respiratory illness and a
temperature of 39.3° C (102.7" F). Which of the following actions
should the nurse take to reduce the toddler's temperature?
Answer: Remove the toddler's extra clothing.
The nurse should remove the toddler's extra clothing after
administering an antipyretic to reduce the toddler's temperature.
, ◉ A nurse is caring for a preschooler who has diabetes mellitus and
is pale, diaphoretic, and irritable. The child's blood glucose level is
52 mg/dL. Which of the following actions should the nurse take
first?
Answer: Administer 1 tbsp of sugar to the child.
When following evidence-based practice, the nurse should
administer 15 g of simple carbohydrates. Foods, such as 1 tbsp of
table sugar, will quickly bring the glucose level up and resolve the
manifestations of hypoglycemia. This should be followed up by a
complex carbohydrate to prevent rebound hypoglycemia.
◉ A nurse is caring for a child who has pertussis. Which of the
following precautions should the nurse initiate?
Answer: Droplet
The nurse should initiate droplet precautions for a child who has a
disease that is transmitted through droplets larger than 5 microns,
such as pertussis. Individuals providing care for the child should
wear a mask and the child should be placed in a private room.
◉ A nurse is reinforcing teaching with the guardian of an adolescent
who has ADHD and a prescription for methylphenidate. Which of the
