PN NURSING CARE OF CHILDREN 2024-2025 FORM B
EXAM COMPLETE 60 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|ALREADY
GRADED A+
A nurse is assisting in the care of a male child who has acute post-streptococcal glomerulonephritis
(APSGN). For which of the following manifestations should the nurse monitor?
Hypotension
a. Epispadias
b. Chordee
c. Oliguria - ANSWER-Oliguria
Rationale: The nurse should monitor the child who has APSGN for oliguria due to the decreased
glomerular filtration rate and retention of sodium and water associated with the disease process.
A nurse is reinforcing teaching with the parents of a 2-year-old toddler at a well-child visit. Which of the
following should the nurse recommend as an age-appropriate activity for the toddler?
Putting together a large-piece puzzle
a. Riding a tricycle
b. Learning the alphabet with flash cards
c. Creating a rock collection - ANSWER-Putting together a large-piece puzzle
Rationale: The nurse should recommend putting together a large-piece puzzle as an age-appropriate
activity for a 2-year-old toddler. Puzzles provide the child an opportunity to develop fine motor skills.
Other fine motor skill activities include finger painting and coloring with thick crayons.
A nurse is caring for a toddler who has terminal cancer and is receiving hospice care. The child's parent
tells the nurse, "I'm a bad parent, and I can't deal with this." Which of the following responses should
the nurse make?
"I understand. Other parents say the same thing."
a. "Let's talk about home care for your child."
b. "I disagree. You're a great parent."
c. "I'm not sure I follow you. Can you explain?" - ANSWER-"I'm not sure I follow you. Can you explain?"
, Rationale: The nurse should use open-ended statements that will allow the parent to share their feelings
and emotions. During times of grief, the parent needs to express emotions. The use of an open-ended
statement relays the message that it is safe to do so with the nurse.
A nurse is preparing to administer furosemide to a toddler who has a heart defect. Which of the
following actions should the nurse take to identify the toddler?
Ask the pharmacy for the child's room number.
a. Ask the child to state their birthday.
b. Ask the guardian to verify the child's name.
c. Ask the child to state their name. - ANSWER-Ask the guardian to verify the child's name.
Rationale: Prior to administration of any medication, the nurse must correctly identify the toddler using
two identifiers. The nurse should ask the guardian to verify the identity of the child and use the
identification band as the second identifier.
A nurse in a pediatric clinic is caring for an infant who has heart failure and a prescription for digoxin.
Which of the following statements by the parent indicates the desired therapeutic effect of the
medication?
"My baby is breathing easier than she used to."
a. "My baby is having fewer wet diapers."
b. "My baby's heart rate is faster than it used to be."
c. "My baby is taking longer naps." - ANSWER-"My baby is breathing easier than she used to."
Rationale: The nurse should identify that the desired effect of digoxin is to increase cardiac output and
decrease venous pressure and pulmonary edema, which will reduce respiratory demands.
A nurse is assisting with planning dietary needs for a toddler. Which of the following interventions should
the nurse include in the plan of care?
Give the toddler ½ cup (113 g) of fruit daily.
a. Encourage the toddler to drink 8 oz (236.6 mL) of juice daily.
b. Provide 1 Tbsp (15 g) of solid food for each year of age.
c. Give the child 40 oz (1.2 L) of milk daily. - ANSWER-Provide 1 Tbsp (15 g) of solid food for each year of
age.
Rationale: The nurse should ensure the toddler receives food serving sizes of 1 Tbsp (15 g) of solid food
for each year of age of the toddler.
, A nurse is assisting with the care of a child who is receiving a blood transfusion. Which of the following
findings indicates the child is having a hemolytic reaction?
Pruritus and flushing
a. Chills and flank pain
b. Bradycardia and diarrhea
c. Rales and cyanosis - ANSWER-Chills and flank pain
Rationale: Chills and flank pain are findings that indicate an incompatibility of the transfused blood
product with the child's blood. The nurse should identify this finding as an indication that the child is
having a hemolytic reaction.
A nurse is reinforcing teaching regarding the immunization schedule with the parent of a 6-month-old
infant during a well-child visit. Which of the following statements by the parent indicates an
understanding of the teaching?
"My baby will receive his final polio vaccine today."
a. "My baby will receive his third DTaP vaccine today."
b. "My baby will receive his first hepatitis B vaccine today."
c. "My baby is old enough to receive the varicella vaccine today." - ANSWER-"My baby will receive his
third DTaP vaccine today."
Rationale: The nurse should reinforce with the parent that the infant should receive his third diphtheria,
tetanus, and pertussis (DTaP) immunization at 6 months of age.
A nurse is reviewing the laboratory findings of a school-age child who reports feeling tired and being
easily bruised. Which of the following laboratory values should the nurse report to the provider?
Hematocrit 39%
a. Hemoglobin 14.2 g/dL
b. Platelets 85,000/mm3
c. RBC count 5 million/mm3 - ANSWER-Platelets 85,000/mm3
Rationale: This value is below the expected reference range for a school-age child and should be
reported to the provider.
EXAM COMPLETE 60 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|ALREADY
GRADED A+
A nurse is assisting in the care of a male child who has acute post-streptococcal glomerulonephritis
(APSGN). For which of the following manifestations should the nurse monitor?
Hypotension
a. Epispadias
b. Chordee
c. Oliguria - ANSWER-Oliguria
Rationale: The nurse should monitor the child who has APSGN for oliguria due to the decreased
glomerular filtration rate and retention of sodium and water associated with the disease process.
A nurse is reinforcing teaching with the parents of a 2-year-old toddler at a well-child visit. Which of the
following should the nurse recommend as an age-appropriate activity for the toddler?
Putting together a large-piece puzzle
a. Riding a tricycle
b. Learning the alphabet with flash cards
c. Creating a rock collection - ANSWER-Putting together a large-piece puzzle
Rationale: The nurse should recommend putting together a large-piece puzzle as an age-appropriate
activity for a 2-year-old toddler. Puzzles provide the child an opportunity to develop fine motor skills.
Other fine motor skill activities include finger painting and coloring with thick crayons.
A nurse is caring for a toddler who has terminal cancer and is receiving hospice care. The child's parent
tells the nurse, "I'm a bad parent, and I can't deal with this." Which of the following responses should
the nurse make?
"I understand. Other parents say the same thing."
a. "Let's talk about home care for your child."
b. "I disagree. You're a great parent."
c. "I'm not sure I follow you. Can you explain?" - ANSWER-"I'm not sure I follow you. Can you explain?"
, Rationale: The nurse should use open-ended statements that will allow the parent to share their feelings
and emotions. During times of grief, the parent needs to express emotions. The use of an open-ended
statement relays the message that it is safe to do so with the nurse.
A nurse is preparing to administer furosemide to a toddler who has a heart defect. Which of the
following actions should the nurse take to identify the toddler?
Ask the pharmacy for the child's room number.
a. Ask the child to state their birthday.
b. Ask the guardian to verify the child's name.
c. Ask the child to state their name. - ANSWER-Ask the guardian to verify the child's name.
Rationale: Prior to administration of any medication, the nurse must correctly identify the toddler using
two identifiers. The nurse should ask the guardian to verify the identity of the child and use the
identification band as the second identifier.
A nurse in a pediatric clinic is caring for an infant who has heart failure and a prescription for digoxin.
Which of the following statements by the parent indicates the desired therapeutic effect of the
medication?
"My baby is breathing easier than she used to."
a. "My baby is having fewer wet diapers."
b. "My baby's heart rate is faster than it used to be."
c. "My baby is taking longer naps." - ANSWER-"My baby is breathing easier than she used to."
Rationale: The nurse should identify that the desired effect of digoxin is to increase cardiac output and
decrease venous pressure and pulmonary edema, which will reduce respiratory demands.
A nurse is assisting with planning dietary needs for a toddler. Which of the following interventions should
the nurse include in the plan of care?
Give the toddler ½ cup (113 g) of fruit daily.
a. Encourage the toddler to drink 8 oz (236.6 mL) of juice daily.
b. Provide 1 Tbsp (15 g) of solid food for each year of age.
c. Give the child 40 oz (1.2 L) of milk daily. - ANSWER-Provide 1 Tbsp (15 g) of solid food for each year of
age.
Rationale: The nurse should ensure the toddler receives food serving sizes of 1 Tbsp (15 g) of solid food
for each year of age of the toddler.
, A nurse is assisting with the care of a child who is receiving a blood transfusion. Which of the following
findings indicates the child is having a hemolytic reaction?
Pruritus and flushing
a. Chills and flank pain
b. Bradycardia and diarrhea
c. Rales and cyanosis - ANSWER-Chills and flank pain
Rationale: Chills and flank pain are findings that indicate an incompatibility of the transfused blood
product with the child's blood. The nurse should identify this finding as an indication that the child is
having a hemolytic reaction.
A nurse is reinforcing teaching regarding the immunization schedule with the parent of a 6-month-old
infant during a well-child visit. Which of the following statements by the parent indicates an
understanding of the teaching?
"My baby will receive his final polio vaccine today."
a. "My baby will receive his third DTaP vaccine today."
b. "My baby will receive his first hepatitis B vaccine today."
c. "My baby is old enough to receive the varicella vaccine today." - ANSWER-"My baby will receive his
third DTaP vaccine today."
Rationale: The nurse should reinforce with the parent that the infant should receive his third diphtheria,
tetanus, and pertussis (DTaP) immunization at 6 months of age.
A nurse is reviewing the laboratory findings of a school-age child who reports feeling tired and being
easily bruised. Which of the following laboratory values should the nurse report to the provider?
Hematocrit 39%
a. Hemoglobin 14.2 g/dL
b. Platelets 85,000/mm3
c. RBC count 5 million/mm3 - ANSWER-Platelets 85,000/mm3
Rationale: This value is below the expected reference range for a school-age child and should be
reported to the provider.
