RN NURSING CARE OF CHILDREN 2019 EXAM
WITH NGN STUDY GUIDE WITH 100% VERIFIED
ANSWERS (EXPLAINED) {GRADED A+}. 2024
UPDATE
A nurse is creating a plan of care for a school-age child who has heart disease and has
developed heart failure. Which of the following interventions should the nurse include in the
plan?
Provide small, frequent meals for the child.
Schedule time in the play room for the child.
Weigh the child weekly.
Maintain the child in a supine position.
Provide small, frequent meals for the child.
The metabolic rate of a child who has heart failure is high because of poor cardiac function.
Therefore, the nurse should provide small, frequent meals for the child because it helps to
conserve energy.
A nurse is admitting a school-age child who has pertussis. Which of the following actions
should the nurse take?
,Place the child in a room with positive-pressure airflow.
Place the child in a room with negative-pressure airflow.
Initiate contact precautions for the child.
Initiate droplet precautions for the child.
Initiate droplet precautions for the child.
The nurse should initiate droplet precautions for a child who has pertussis, also known as
whooping cough. Pertussis is transmitted through contact with infected large-droplet nuclei
that are suspended in the air when the child coughs, sneezes, or talks.
A school nurse is assessing an adolescent who has scoliosis. Which of the following findings
should the nurse expect?
Increase in anterior convexity of the lumbar spine
Increased curvature of the thoracic spine
Lateral flexion of the neck
A unilateral rib hump
A unilateral rib hump
When assessing an adolescent for scoliosis, the school nurse should expect to see a
unilateral rib hump with hip flexion. This results from a lateral S- or C-shaped curvature to
the thoracic spine resulting in asymmetry of the ribs, shoulders, hips, or pelvis. Scoliosis can
be the result of a neuromuscular or connective tissue disorder, or it can be congenital in
nature.
,A nurse is providing teaching to the parent of a school-age child who has a new prescription
for oral nystatin for the treatment of oral candidiasis. Which of the following instructions
should the nurse include?
"Shake the medication prior to administration."
"Provide the medication through a straw."
"Rinse the child's mouth with water immediately after giving the medication."
"Mix the medication with applesauce if the child dislikes the taste."
"Shake the medication prior to administration."
The nurse should instruct the parent to shake the medication prior to administration to
disperse the medication evenly within the suspension.
A nurse is creating a plan of care for an infant who has an epidural hematoma from a head
injury. Which of the following interventions should the nurse include in the plan?
Position the infant side-lying with their head at a 0° to 5° angle.
Perform a neurological assessment every 4 hr.
Suction the infant's nares to remove secretions.
Implement seizure precautions for the infant.
Implement seizure precautions for the infant.
An infant who has an epidural hematoma is at great risk for seizure activity. Therefore, the
nurse should implement seizure precautions for the child.
, A nurse is teaching the guardian of a 6-month-old infant about car seat use. Which of the
following statements by the guardian indicates an understanding of the teaching?
"I should secure the car seat using lower anchors and tethers instead of the seat belt."
"I should position the car seat harness 1 inch above my baby's shoulders."
"I will make sure that the car seat is placed at a 90-degree angle."
"I will pad my baby's car seat with a blanket for traveling long distances."
"I should secure the car seat using lower anchors and tethers instead of the seat belt."
Lower anchors and tethers, or the LATCH child safety seat system, should be used to
secure an infant's car seat in the vehicle. This system provides anchors between the front
cushion and the back rest for the car seat. Therefore, if this system is available, the seat belt
does not have to be used
Blood pressure 130/90 mm Hg
Heart rate 60/min
Temperature 39.1° C (102.4° F)
Urinary output 100 mL/hr
Temperature 39.1° C (102.4° F)
WITH NGN STUDY GUIDE WITH 100% VERIFIED
ANSWERS (EXPLAINED) {GRADED A+}. 2024
UPDATE
A nurse is creating a plan of care for a school-age child who has heart disease and has
developed heart failure. Which of the following interventions should the nurse include in the
plan?
Provide small, frequent meals for the child.
Schedule time in the play room for the child.
Weigh the child weekly.
Maintain the child in a supine position.
Provide small, frequent meals for the child.
The metabolic rate of a child who has heart failure is high because of poor cardiac function.
Therefore, the nurse should provide small, frequent meals for the child because it helps to
conserve energy.
A nurse is admitting a school-age child who has pertussis. Which of the following actions
should the nurse take?
,Place the child in a room with positive-pressure airflow.
Place the child in a room with negative-pressure airflow.
Initiate contact precautions for the child.
Initiate droplet precautions for the child.
Initiate droplet precautions for the child.
The nurse should initiate droplet precautions for a child who has pertussis, also known as
whooping cough. Pertussis is transmitted through contact with infected large-droplet nuclei
that are suspended in the air when the child coughs, sneezes, or talks.
A school nurse is assessing an adolescent who has scoliosis. Which of the following findings
should the nurse expect?
Increase in anterior convexity of the lumbar spine
Increased curvature of the thoracic spine
Lateral flexion of the neck
A unilateral rib hump
A unilateral rib hump
When assessing an adolescent for scoliosis, the school nurse should expect to see a
unilateral rib hump with hip flexion. This results from a lateral S- or C-shaped curvature to
the thoracic spine resulting in asymmetry of the ribs, shoulders, hips, or pelvis. Scoliosis can
be the result of a neuromuscular or connective tissue disorder, or it can be congenital in
nature.
,A nurse is providing teaching to the parent of a school-age child who has a new prescription
for oral nystatin for the treatment of oral candidiasis. Which of the following instructions
should the nurse include?
"Shake the medication prior to administration."
"Provide the medication through a straw."
"Rinse the child's mouth with water immediately after giving the medication."
"Mix the medication with applesauce if the child dislikes the taste."
"Shake the medication prior to administration."
The nurse should instruct the parent to shake the medication prior to administration to
disperse the medication evenly within the suspension.
A nurse is creating a plan of care for an infant who has an epidural hematoma from a head
injury. Which of the following interventions should the nurse include in the plan?
Position the infant side-lying with their head at a 0° to 5° angle.
Perform a neurological assessment every 4 hr.
Suction the infant's nares to remove secretions.
Implement seizure precautions for the infant.
Implement seizure precautions for the infant.
An infant who has an epidural hematoma is at great risk for seizure activity. Therefore, the
nurse should implement seizure precautions for the child.
, A nurse is teaching the guardian of a 6-month-old infant about car seat use. Which of the
following statements by the guardian indicates an understanding of the teaching?
"I should secure the car seat using lower anchors and tethers instead of the seat belt."
"I should position the car seat harness 1 inch above my baby's shoulders."
"I will make sure that the car seat is placed at a 90-degree angle."
"I will pad my baby's car seat with a blanket for traveling long distances."
"I should secure the car seat using lower anchors and tethers instead of the seat belt."
Lower anchors and tethers, or the LATCH child safety seat system, should be used to
secure an infant's car seat in the vehicle. This system provides anchors between the front
cushion and the back rest for the car seat. Therefore, if this system is available, the seat belt
does not have to be used
Blood pressure 130/90 mm Hg
Heart rate 60/min
Temperature 39.1° C (102.4° F)
Urinary output 100 mL/hr
Temperature 39.1° C (102.4° F)
