PROCTORED EXAM A 2025 WITH NGN A+
VERIFIED QUESTIONS AND ANSWERS
1. A.nurse .is .providing .discharge .teaching .to .the .parent .of .an .18 .mo .old .toddler
who .has .dehydration .as .a .result .of .acute .diarrhea. .Which .of .the .following
.
. statements .by .the .parent .indicates .an .understanding .of .the .teaching?
A) I .will .offer .my .child .small .amounts .of .fruit .juice .frequently
B) I .will .avoid .giving .my .child .solid .foods .until .his .diarrhea .has .stopped
C) I .will .monitor .my .child's .number .of .wet .diapers
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,D) I .will .give .my.child .polyethylene .glycol .daily.for .7 .days
: .A) .INCORRECT: .Fruitjuice .is .high .in .carbs .and .low .in .electrolytes
B) INCORRECT: .Encourage .solid .foods .with .diarrhea
C) CORRECT: .best .way .to .monitor .adequate .output .and .hydration .status
D) INCORRECT: .this .will .pull .fluid .into .the .bowel .and .increase .diarrhea .and .dehy-
. dration. .Your .baby .be .dead!
2. A .nurse .is .caring .for .a .preschooler .who .has .been .receiving .IV .fluids .via .a
. peripheral .IV..When .preparing .to .discontinue .the .IV .fluids .and .catheter, .which
. of .the .following .actions .should .the .nurse .plan .to .take? .(place .these .in .the .right
order)
.
A) Remove .the .tape .securing .the .catheter
B) Apply .pressure .over .the .catheter .insertion .site
C) Turn .off .the .IV .pump
D) Occlude .the .IV .tubing
: .C, .D, .A, .B
3. The .nurse .is .preparing .to .collect .a .sample .for .a .toddler .for .a .sickle-turbidity
. test..Which .of .the .following .actions .should .the .nurse .plan .to .take?
A) Obtain .a .sputum .specimen
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,B) Perform .an .Allen .test
C) Perform .a .finger .stick
D) Obtain .a .stool .specimen
: .A) .INCORRECT: .collected .to .ID .infectious .organisms(kids .with .acute .respiratory
. tract .infections)
B) INCORRECT: .this .determines .adequate .circulation .by .observing .capillary .refill
. before .an .arterial .puncture.
C) CORRECT: .if .the .test .is .positive, .hemoglobin .electrophoresis .is .required .to .tell
. the .difference .between .the .genetic .trait .or .the .disease
D) INCORRECT:.collected .to .ID .organisms .or .parasites .that .cause .diarrhea .or .check
for .occult .blood
.
4. A .nurse .in .an .emergency .department .is .performing .a .physical .assessment
. on .a .2 .week .old .male .infant. .Which .of .the .following .manifestations .in .the
. priority .for .the .nurse .to .report .to .the .provider?
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, A) Excoriated .scrotal .area
B) Multiple .capillary .hemangiomas
C) Depressed .posterior .fontanel
D) Substernal .retractions
: .A) .INCORRECT: .not .the .priority .(skin .issue)
B) INCORRECT: .not .the .priority .(small .vascular .issue)
C) INCORRECT: .not .the .priority .(dehydration)
D) CORRECT: .ABC's-->baby .is .having .acute .respiratory .distress
5. A .nurse .is .providing .anticipatory .guidance .to .the .mother .of .a .toddler..Which
. of .the .following .expected .behavior .characteristics .of .toddlers .should .the
. nurse .include .in .the .teaching?
A) Controls .impulsive .feelings
B) Understands .right .from .wrong
C) Easily .separates .from .parents .for .long .periods .of .time
D) Expresses .likes .and .dislikes
: .A) .INCORRECT: .school .aged .children
B) INCORRECT: .preschooler
C) INCORRECT: .Toddlers .have .separation .anxiety
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