NURSING CARE OF CHILDREN PROCTORED
TEST 4 CERTIFICATION EVALUATION EXAMS
2026 SOLVED QUESTIONS WITH FULL
SOLUTION
◉ A nurse is reinforcing education with the parent of a toddler who
has phenylketonuria and is prescribed a restricted phenylalanine
diet. Which of the following foods would be an appropriate choice
for this child?
Answer: french fries- correct
peanut butter- incorrect
scrambled eggs- incorrect
slice of cheese- incorrect
◉ A nurse is assisting with a nutritional screening for a 12-year-old
client who weighs 41 kg(90lbs) and has a height of 1.5m (60in).
Which of the following values is the client's body mass index (BMI)?
Answer: 18.2
◉ A nurse is caring for a toddler in the immediate postoperative
period following the placement of a ventriculoperitoneal (VP) shunt.
Which of the following interventions should the nurse perform?
Answer: check for abdominal distention
,◉ A nurse is caring for a preschooler who has a terminal illness. The
nurse should expect the preschooler to have which of the following
perspectives about death?
Answer: believes that her own thoughts can cause death
◉ A nurse is reinforcing teaching with the guardian of a 10-year-old
child whos weight is in the 95th percentile on a growth chart. Which
of the following instructions should the nurse include?
Answer: Plan menu that provides the child with 1,200 calories each
day- correct
set a goal with the child to lose weight- incorrect
choose an exercise plan for child based on abilities-incorrect
◉ A nurse on a pediatric oncology unit is helping the parents of a
child who is terminally ill to prepare for the impending loss of their
child. Which of the following statements should the nurse make?
Answer: would you like assistance in planning where your child will
die?
◉ A nurse is reinforcing teaching with a school-aged child who has
asthma about how to use a metered-dose inhaler. In which order
should the nurse instruct the child to perform the following steps
and evaluate return demonstration? (move steps into the box on the
right, placing them in correct order)
, Answer: 1. shake the inhaler while holding it upright
2. position the mouthpiece in the mouth
3. slowly inhale the medication
4. hold the breath for 5-10 sec
◉ A nurse in a providers office receives a phone call from the
guardian of an infant who just vomited after the administration of
digoxin. Which of the following actions should the nurse take first?
Answer: tell the guardian that a repeat dose should not be given
◉ A nurse is reinforcing discharge teaching with the guardian of an
infant following a hypospadias repair. Which of the following
instructions should the nurse include?
Answer: apply antibiotic ointment to penis once per day
◉ A nurse is reinforcing teaching with a school-aged child who has a
new diagnosis of acute lymphoblastic leukemia (ALL). Which of the
following statements from the child indicates an understanding of
the teaching?
A. "Once treatment starts, I won't feel so tired."
B. "This started because of that terrible illness I had last month."
C. "My parents will do things for me so I don't get tired."
D. "I have a good chance of surviving this cancer."
TEST 4 CERTIFICATION EVALUATION EXAMS
2026 SOLVED QUESTIONS WITH FULL
SOLUTION
◉ A nurse is reinforcing education with the parent of a toddler who
has phenylketonuria and is prescribed a restricted phenylalanine
diet. Which of the following foods would be an appropriate choice
for this child?
Answer: french fries- correct
peanut butter- incorrect
scrambled eggs- incorrect
slice of cheese- incorrect
◉ A nurse is assisting with a nutritional screening for a 12-year-old
client who weighs 41 kg(90lbs) and has a height of 1.5m (60in).
Which of the following values is the client's body mass index (BMI)?
Answer: 18.2
◉ A nurse is caring for a toddler in the immediate postoperative
period following the placement of a ventriculoperitoneal (VP) shunt.
Which of the following interventions should the nurse perform?
Answer: check for abdominal distention
,◉ A nurse is caring for a preschooler who has a terminal illness. The
nurse should expect the preschooler to have which of the following
perspectives about death?
Answer: believes that her own thoughts can cause death
◉ A nurse is reinforcing teaching with the guardian of a 10-year-old
child whos weight is in the 95th percentile on a growth chart. Which
of the following instructions should the nurse include?
Answer: Plan menu that provides the child with 1,200 calories each
day- correct
set a goal with the child to lose weight- incorrect
choose an exercise plan for child based on abilities-incorrect
◉ A nurse on a pediatric oncology unit is helping the parents of a
child who is terminally ill to prepare for the impending loss of their
child. Which of the following statements should the nurse make?
Answer: would you like assistance in planning where your child will
die?
◉ A nurse is reinforcing teaching with a school-aged child who has
asthma about how to use a metered-dose inhaler. In which order
should the nurse instruct the child to perform the following steps
and evaluate return demonstration? (move steps into the box on the
right, placing them in correct order)
, Answer: 1. shake the inhaler while holding it upright
2. position the mouthpiece in the mouth
3. slowly inhale the medication
4. hold the breath for 5-10 sec
◉ A nurse in a providers office receives a phone call from the
guardian of an infant who just vomited after the administration of
digoxin. Which of the following actions should the nurse take first?
Answer: tell the guardian that a repeat dose should not be given
◉ A nurse is reinforcing discharge teaching with the guardian of an
infant following a hypospadias repair. Which of the following
instructions should the nurse include?
Answer: apply antibiotic ointment to penis once per day
◉ A nurse is reinforcing teaching with a school-aged child who has a
new diagnosis of acute lymphoblastic leukemia (ALL). Which of the
following statements from the child indicates an understanding of
the teaching?
A. "Once treatment starts, I won't feel so tired."
B. "This started because of that terrible illness I had last month."
C. "My parents will do things for me so I don't get tired."
D. "I have a good chance of surviving this cancer."
