NACE CARE OF THE CHILD EXAM 2026-2027
QUESTIONS AND ANSWERS GRADED A+
Which of these measures should a nurse plan for a 3 ½ y/o child whose scrotum is
very edematous?
· Applying a lanolin-based lotion to his scrotum
· Instructing him to avoid touching his scrotum when voiding
· Supporting his scrotum on a soft pad
· Placing cold compresses on his scrotum
The nurse should plan on supporting his scrotum on a soft pad. This will help
decrease the pressure and the weight pulling down on the scrotum.
While an 18-month-old boy is in a mist tent, which of these toys would be most
appropriate?
· Crayons and a coloring book
· A wooden telephone
· Colored balloons
· A mobile
A wooden telephone would be the most appropriate under a mist tent.
The purpose of giving a low-phenylalanine formula to an infant who has
phenylketonuria (PKU) is to
· Prevent the accumulation of phenylalanine in the blood
,· Prevent the secretion of the enzyme phenylalanine hydroxylase
· Promote the conversion of phenylalanine to tyrosine
· Promote the excretion of phenylpyruvic acid in the urine
Preventing the accumulation of phenylalanine in the blood is the purpose of giving
the infant a low-phenylalanine formula.
A 12 month old child is admitted to the hospital for open heart surgery for repair of
the ventricular septal defect. When preparing this client for surgery, which
intervention would be most appropriate?
· Allow the child's mother to stay in the preoperative area until the child is sedated
prior to surgery
· Have the child play with suture material to what will be used on the child's skin
incision
· Show the child the surgical room and all the equipment
· Explain to the child the functioning of the cardiopulmonary bypass machine to be
used during surgery
Toddlers fear abandonment; as a result, separation from family can be extremely
stressful. Their ability to comprehend a new environment or unfamiliar materials
or machines is limited and would not be appropriate for this child.
On a routine home visit, a visiting nurse learns that a 3 y/ child who has short
bowel syndrome has had diarrhea for the past 12 hours. An assessment reveals that
the child is mildly dehydrated and has no other abnormal findings. Which of these
foods should a nurse suggest that the mother give the child?
· Orange juice
· Chocolate milk
· Buttermilk
, · Carbonated water
Orange juice, chocolate milk, and buttermilk may cause additional diarrhea stools.
Carbonated water would be the best suggestion for the mother.
An infant develops hydrocephalus and has a ventriculoperitoneal shunt placed. 2
weeks after surgery, the baby is to be discharged and a nurse has been teaching the
parents about postoperative care. The mother visits the infant every day. One day
the mother makes these comments about her baby. Which comment most strongly
suggests that the mother is progressing in attachment to the baby?
· I wonder if people will notice the little bulge behind my baby's ear where the tube
is
· Does my baby have any pain where the back operation was done
· I like to see my baby empty the formula bottle when I feed my baby
· My baby's nose is just like mine
The comment, "My baby's nose is just like mine" most strongly suggest the mother
is progressing in attachment to the baby.
A 6 y/o child in vaso-occlusive sickle cell crisis is on bed rest and receiving IV
fluids and analgesics. Which of these findings in the child would indicate that the
treatment plan is effective?
· A decreased erythrocyte sedimentation rate
· An increase in hemoglobin level
· A decrease in reports of pain
· An increased respiratory rate
A decrease in reports of pain would indicate the treatment plan is effective.
Hydration, pain management, and rest are the treatment for vaso-occlusive crisis.
QUESTIONS AND ANSWERS GRADED A+
Which of these measures should a nurse plan for a 3 ½ y/o child whose scrotum is
very edematous?
· Applying a lanolin-based lotion to his scrotum
· Instructing him to avoid touching his scrotum when voiding
· Supporting his scrotum on a soft pad
· Placing cold compresses on his scrotum
The nurse should plan on supporting his scrotum on a soft pad. This will help
decrease the pressure and the weight pulling down on the scrotum.
While an 18-month-old boy is in a mist tent, which of these toys would be most
appropriate?
· Crayons and a coloring book
· A wooden telephone
· Colored balloons
· A mobile
A wooden telephone would be the most appropriate under a mist tent.
The purpose of giving a low-phenylalanine formula to an infant who has
phenylketonuria (PKU) is to
· Prevent the accumulation of phenylalanine in the blood
,· Prevent the secretion of the enzyme phenylalanine hydroxylase
· Promote the conversion of phenylalanine to tyrosine
· Promote the excretion of phenylpyruvic acid in the urine
Preventing the accumulation of phenylalanine in the blood is the purpose of giving
the infant a low-phenylalanine formula.
A 12 month old child is admitted to the hospital for open heart surgery for repair of
the ventricular septal defect. When preparing this client for surgery, which
intervention would be most appropriate?
· Allow the child's mother to stay in the preoperative area until the child is sedated
prior to surgery
· Have the child play with suture material to what will be used on the child's skin
incision
· Show the child the surgical room and all the equipment
· Explain to the child the functioning of the cardiopulmonary bypass machine to be
used during surgery
Toddlers fear abandonment; as a result, separation from family can be extremely
stressful. Their ability to comprehend a new environment or unfamiliar materials
or machines is limited and would not be appropriate for this child.
On a routine home visit, a visiting nurse learns that a 3 y/ child who has short
bowel syndrome has had diarrhea for the past 12 hours. An assessment reveals that
the child is mildly dehydrated and has no other abnormal findings. Which of these
foods should a nurse suggest that the mother give the child?
· Orange juice
· Chocolate milk
· Buttermilk
, · Carbonated water
Orange juice, chocolate milk, and buttermilk may cause additional diarrhea stools.
Carbonated water would be the best suggestion for the mother.
An infant develops hydrocephalus and has a ventriculoperitoneal shunt placed. 2
weeks after surgery, the baby is to be discharged and a nurse has been teaching the
parents about postoperative care. The mother visits the infant every day. One day
the mother makes these comments about her baby. Which comment most strongly
suggests that the mother is progressing in attachment to the baby?
· I wonder if people will notice the little bulge behind my baby's ear where the tube
is
· Does my baby have any pain where the back operation was done
· I like to see my baby empty the formula bottle when I feed my baby
· My baby's nose is just like mine
The comment, "My baby's nose is just like mine" most strongly suggest the mother
is progressing in attachment to the baby.
A 6 y/o child in vaso-occlusive sickle cell crisis is on bed rest and receiving IV
fluids and analgesics. Which of these findings in the child would indicate that the
treatment plan is effective?
· A decreased erythrocyte sedimentation rate
· An increase in hemoglobin level
· A decrease in reports of pain
· An increased respiratory rate
A decrease in reports of pain would indicate the treatment plan is effective.
Hydration, pain management, and rest are the treatment for vaso-occlusive crisis.
