NACE - NURSING CARE OF 2025
CHILDREN EXAM 1
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
A nurse is preparing to administer recommended immunizations to a 2-month-old
infant. Which of the following immunizations should the nurse plan to administer?
A. Human papillomavirus (HPV) and hepatitis A - The HPV immunization series
is started at the age of 11 years, and the hepatitis A immunization series is started
at the age of 12 months.
B. Measles, mumps, rubella (MMR) and tetanus, diphtheria, and acellular pertussis
(TDaP) - The first dose of the MMR immunization is administered at 12 to 15
months of age, and the TDaP immunization is administered at 11 to 12 years of
age.
C. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
D. Varicella (VAR) and live attenuated influenza vaccine (LAIV) - Varicella is not
administered to children younger than 12 months, and the LAIV immunization is
not administered to children under 2 years of age. - ANSWERS-C. Haemophilus
influenzae type B (Hib) and inactivated polio virus (IPV)
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, NACE - NURSING CARE OF 2025
CHILDREN EXAM 1
The recommended immunizations for a 2-month-old infant include Hib and IPV.
The Hib immunization series consists of 3 to 4 doses, depending on the
immunization used, and at a minimum is administered at the ages of 2 months, 4
months, and 12 to 15 months. The IPV immunization series consists of 4 doses and
is administered at the ages of 2 months, 4 months, 6 to 18 months, and 4 to 6 years.
QUESTION 2
A nurse is teaching the parent of an infant about home safety. Which of the
following information should the nurse include? (Select all that apply.)
A. Use a wheeled infant walker. - A stationary infant walker is recommended.
Wheeled infant walkers can quickly move across uneven surfaces and result in
injury.
B. Place soft pillows around the edge of the infant's crib. - Soft pillows and
cushions should not be used in cribs due to the increased risk of suffocation.
C. Position the car seat so it is rear-facing.
D. Secure a safety gate at the top and bottom of the stairs.
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, NACE - NURSING CARE OF 2025
CHILDREN EXAM 1
E. Maintain the water heater temperature at 49° C (120° F). - ANSWERS-C.
Position the car seat so it is rear-facing.
D. Secure a safety gate at the top and bottom of the stairs.
E. Maintain the water heater temperature at 49° C (120° F)
Infants and children should remain in the rear-facing position when in a car seat
until the age of 2 years or until they reach the recommended height and weight per
the manufacturer's guidelines
As the infant begins to crawl and becomes more mobile, the risk of falls increases.
To prevent a burn injury, the temperature of the water heater should not exceed
49° C (120° F).
QUESTION 3
A nurse is preparing to administer a liquid medication to an infant. Which of the
following actions should the nurse take?
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, NACE - NURSING CARE OF 2025
CHILDREN EXAM 1
A. Administer the medication while the infant is supine. - Administering the
medication to the infant while she is supine can cause the infant to choke and
aspirate.
B. Give the medication at the side of the infant's mouth.
C. Add the medication to a full bottle of the infant's formula. - Medication should
never be mixed into an infant's regular formula to be given through a bottle. Using
this method makes it difficult to ensure that all the medication has been
administered and might cause an infant not to take the bottle or formula in the
future if the infant associates it with an unpleasant taste or activity.
D. Administer the medication slowly while holding the nares closed. - An infant's
nasal passages should never be blocked to assure that oral medications are
swallowed. Young infants - ANSWERS-B. Give the medication at the side of the
infant's mouth.
When administering medications to an infant, a needleless oral syringe or medicine
dropper is placed in the side of the mouth (buccal cavity alongside the tongue) to
prevent gagging and aspiration.
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PAGE
4
CHILDREN EXAM 1
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
A nurse is preparing to administer recommended immunizations to a 2-month-old
infant. Which of the following immunizations should the nurse plan to administer?
A. Human papillomavirus (HPV) and hepatitis A - The HPV immunization series
is started at the age of 11 years, and the hepatitis A immunization series is started
at the age of 12 months.
B. Measles, mumps, rubella (MMR) and tetanus, diphtheria, and acellular pertussis
(TDaP) - The first dose of the MMR immunization is administered at 12 to 15
months of age, and the TDaP immunization is administered at 11 to 12 years of
age.
C. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
D. Varicella (VAR) and live attenuated influenza vaccine (LAIV) - Varicella is not
administered to children younger than 12 months, and the LAIV immunization is
not administered to children under 2 years of age. - ANSWERS-C. Haemophilus
influenzae type B (Hib) and inactivated polio virus (IPV)
END OF
PAGE
1
, NACE - NURSING CARE OF 2025
CHILDREN EXAM 1
The recommended immunizations for a 2-month-old infant include Hib and IPV.
The Hib immunization series consists of 3 to 4 doses, depending on the
immunization used, and at a minimum is administered at the ages of 2 months, 4
months, and 12 to 15 months. The IPV immunization series consists of 4 doses and
is administered at the ages of 2 months, 4 months, 6 to 18 months, and 4 to 6 years.
QUESTION 2
A nurse is teaching the parent of an infant about home safety. Which of the
following information should the nurse include? (Select all that apply.)
A. Use a wheeled infant walker. - A stationary infant walker is recommended.
Wheeled infant walkers can quickly move across uneven surfaces and result in
injury.
B. Place soft pillows around the edge of the infant's crib. - Soft pillows and
cushions should not be used in cribs due to the increased risk of suffocation.
C. Position the car seat so it is rear-facing.
D. Secure a safety gate at the top and bottom of the stairs.
END OF
PAGE
2
, NACE - NURSING CARE OF 2025
CHILDREN EXAM 1
E. Maintain the water heater temperature at 49° C (120° F). - ANSWERS-C.
Position the car seat so it is rear-facing.
D. Secure a safety gate at the top and bottom of the stairs.
E. Maintain the water heater temperature at 49° C (120° F)
Infants and children should remain in the rear-facing position when in a car seat
until the age of 2 years or until they reach the recommended height and weight per
the manufacturer's guidelines
As the infant begins to crawl and becomes more mobile, the risk of falls increases.
To prevent a burn injury, the temperature of the water heater should not exceed
49° C (120° F).
QUESTION 3
A nurse is preparing to administer a liquid medication to an infant. Which of the
following actions should the nurse take?
END OF
PAGE
3
, NACE - NURSING CARE OF 2025
CHILDREN EXAM 1
A. Administer the medication while the infant is supine. - Administering the
medication to the infant while she is supine can cause the infant to choke and
aspirate.
B. Give the medication at the side of the infant's mouth.
C. Add the medication to a full bottle of the infant's formula. - Medication should
never be mixed into an infant's regular formula to be given through a bottle. Using
this method makes it difficult to ensure that all the medication has been
administered and might cause an infant not to take the bottle or formula in the
future if the infant associates it with an unpleasant taste or activity.
D. Administer the medication slowly while holding the nares closed. - An infant's
nasal passages should never be blocked to assure that oral medications are
swallowed. Young infants - ANSWERS-B. Give the medication at the side of the
infant's mouth.
When administering medications to an infant, a needleless oral syringe or medicine
dropper is placed in the side of the mouth (buccal cavity alongside the tongue) to
prevent gagging and aspiration.
END OF
PAGE
4
