NACE - NURSING CARE OF 2025
CHILDREN EXAM
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
A nurse is caring for a toddler who as asthma. The parents are concerned about the
toddler's reaction to the hospitalization. Which of the following actions should the
nurse take to decrease the child's anxiety?
a. provide privacy
B. give the child a thorough explanation before providing care
C. encourage rooming-in
D. tell the child you will help fix her - ANSWERS-C, rooming-in is the most
effective means of providing emotional support for a toddler--the family's presence
provides a sense of security that increases the child's ability to cope with an
unfamiliar environment
school aged children are more concerned about privacy
a nurse should provide, short, simple explanations for a toddler
refrain for the word "fix", use "I will help make you feel better" instead
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PAGE
1
, NACE - NURSING CARE OF 2025
CHILDREN EXAM
QUESTION 2
A nurse is caring for a child who has bacterial endocarditis. The child is scheduled
to receive moderate-term antibiotic therapy and requires a peripherally inserted
central catheter (PICC). Which of the following statements should the nurse
include when teaching the childs parent?
a. the PICC line will last for several weeks with proper care
B. the public health nurse will rotate the insertion site every 3 days
C. you will need to ensure the arm board is in place at all times
D. your child will go to the operating room to have the line placed - ANSWERS-A
not necessary to immobilize the arm
PICC lines are inserted using a local anesthetic by a trained personnel
QUESTION 3
Varicella - ANSWERS-may first present with a maculopapular rash that progresses
to vesicles on erythematous bases, which eventually rupture and crust over
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PAGE
2
, NACE - NURSING CARE OF 2025
CHILDREN EXAM
QUESTION 4
Measles - ANSWERS-might develop Koplik spots, a transient cephalocaudal rash
of maculopapular eruptions of the upper trunk and face. The rash becomes more
confluent as it spreads to lower areas of the body
QUESTION 5
Fifth disease - ANSWERS-usually begins with bright red cheeks, "slapped cheek",
then a rash appears on the extremities and trunk. the rash fades centrally, giving
lacy (reticulated) appearance)
QUESTION 6
Tetanus - ANSWERS-will have lockjaw and muscle rigidity. no rash
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3
, NACE - NURSING CARE OF 2025
CHILDREN EXAM
QUESTION 7
A nurse is providing discharge teaching to the parents of a child who has nephrotic
syndrome. Which of the following instructions should the nurse include in the
teaching?
A. restrict the child's potassium intake
B. administer acetaminophen to the child twice daily
C. weigh the child once each week
D. keep the child away from people who have an infection - ANSWERS-D
a child who has acute glomerulonephritis should have restricted potassium intake
corticosteroids are the first-line treatment
QUESTION 8
A school nurse is providing care to a child who has a nosebleed. Which of the
following actions should the nurse perform?
A. place the child in a supine position
END OF
PAGE
4
CHILDREN EXAM
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
A nurse is caring for a toddler who as asthma. The parents are concerned about the
toddler's reaction to the hospitalization. Which of the following actions should the
nurse take to decrease the child's anxiety?
a. provide privacy
B. give the child a thorough explanation before providing care
C. encourage rooming-in
D. tell the child you will help fix her - ANSWERS-C, rooming-in is the most
effective means of providing emotional support for a toddler--the family's presence
provides a sense of security that increases the child's ability to cope with an
unfamiliar environment
school aged children are more concerned about privacy
a nurse should provide, short, simple explanations for a toddler
refrain for the word "fix", use "I will help make you feel better" instead
END OF
PAGE
1
, NACE - NURSING CARE OF 2025
CHILDREN EXAM
QUESTION 2
A nurse is caring for a child who has bacterial endocarditis. The child is scheduled
to receive moderate-term antibiotic therapy and requires a peripherally inserted
central catheter (PICC). Which of the following statements should the nurse
include when teaching the childs parent?
a. the PICC line will last for several weeks with proper care
B. the public health nurse will rotate the insertion site every 3 days
C. you will need to ensure the arm board is in place at all times
D. your child will go to the operating room to have the line placed - ANSWERS-A
not necessary to immobilize the arm
PICC lines are inserted using a local anesthetic by a trained personnel
QUESTION 3
Varicella - ANSWERS-may first present with a maculopapular rash that progresses
to vesicles on erythematous bases, which eventually rupture and crust over
END OF
PAGE
2
, NACE - NURSING CARE OF 2025
CHILDREN EXAM
QUESTION 4
Measles - ANSWERS-might develop Koplik spots, a transient cephalocaudal rash
of maculopapular eruptions of the upper trunk and face. The rash becomes more
confluent as it spreads to lower areas of the body
QUESTION 5
Fifth disease - ANSWERS-usually begins with bright red cheeks, "slapped cheek",
then a rash appears on the extremities and trunk. the rash fades centrally, giving
lacy (reticulated) appearance)
QUESTION 6
Tetanus - ANSWERS-will have lockjaw and muscle rigidity. no rash
END OF
PAGE
3
, NACE - NURSING CARE OF 2025
CHILDREN EXAM
QUESTION 7
A nurse is providing discharge teaching to the parents of a child who has nephrotic
syndrome. Which of the following instructions should the nurse include in the
teaching?
A. restrict the child's potassium intake
B. administer acetaminophen to the child twice daily
C. weigh the child once each week
D. keep the child away from people who have an infection - ANSWERS-D
a child who has acute glomerulonephritis should have restricted potassium intake
corticosteroids are the first-line treatment
QUESTION 8
A school nurse is providing care to a child who has a nosebleed. Which of the
following actions should the nurse perform?
A. place the child in a supine position
END OF
PAGE
4
