NACE Care of the Child Real Exam
Questions and Correct Detailed
Answers with Rationales || 100%
Guaranteed Pass!!
<Recent Version>
1. A nurse is observing a therapeutic play session for a group of preschoolers in
a clinic; which of these types of play should the nurse consider as
developmentally appropriate for this age group?
· Solitary
· Competitive
· Cooperative
· Associate
- ANSWER ✔Associative play is developmentally appropriate for
preschoolers and involves common materials being shared among
children. Solitary play is the earliest form of play. Competitive play
occurs in school age children. Cooperative play occurs in the early
school age period and involves 2+ children.
2. A 6 month old infant who has anemia is most likely to have which of these
symptoms?
· Bradycardia
· A red, rough tongue
· Irritability
· Petechiae on the extremities
- ANSWER ✔Irritability is a symptom of anemia. The other options are
not a symptom of anemia but may indicate another disease process.
3. After each formula feeding, a 4 month old infant who has CHF should be
positioned to meet which of these goals?
, · To promote venous return from the lower extremities
· To promote the use of the accessory muscles of respiration
· To minimize pressure of the abdominal contents on the diaphragm
· To prevent rapid movement of the formula through the GI Tract
- ANSWER ✔The goal should be to minimize pressure of the
abdominal contents on the diaphragm. This will help decrease any
additional energy that will be needed to breathe, decreasing the
workload on the heart.
4. When performing a physical assessment of an unusually small newborn
infant, by which of these characteristics can a nurse determine that the infant
is small for gestational age (SGA), rather than premature?
· Increased lanugo
· Vigorous cry
· Weak sucking reflex
· Diminished ear recoil
- ANSWER ✔Vigorous cry would indicate the child is SGA and not
premature. Premature infants have a weak cry due to immaturity of
the lungs. The others are all characteristics of a premature infant.
5. A 7 y/o girl who has a known seizure disorder is admitted to the hospital for
the adjustment of a medication dosage. A nurse witnesses the onset of a
generalized seizure. Which of these actions should the nurse take first?
· Place the padded tongue blade between the child's teeth
· Position the child on her side
· Restrain the child's limbs gently
· Obtain the child's blood pressure and pulse rate
- ANSWER ✔The first action nurse should take is to position the child
on her side. This will prevent aspirating the secretions the child may
have during the seizure activity.
6. Which of these measures is most important to include in the care of a 3-
month-old that is dehydrated?
· Placing a urine collection device on the baby
· Assessing the baby for the presence of the rooting reflex
· Checking the baby's Babinski reflex
· Palpating the baby's abdomen to determine areas of tenderness
, - ANSWER ✔Placing a urine collection device on the baby is the most
important measure to include in the care of a 3-month old who is
dehydrated. This will allow accuracy in determining output.
7. A 15 y/o is 25% over the average weight for height and body build. The
adolescent asks for a weight-reduction diet. In preparation for discussing a
diet with the adolescent, a nurse should take which of these actions?
· Have the adolescent read about some of the long-term consequences of
being overweight
· Have the adolescent identify reasons for overeating
· Have the adolescent decide how much weight loss is hoped for
· Have the adolescent keep a log of food intake for several days
- ANSWER ✔Have the adolescent keep a log of food intake for several
days is the action the nurse should take. Viewing the food log from
several days will help further assess where education needs to be
done. All others will not be done until further assessment of the
situation is made.
8. A newborn that has been diagnosed with developmental hip dysplasia is
likely to receive which of these therapeutic interventions initially?
· Open reduction of the hip
· Skin traction
· Application of a spica cast
· Application of a Pavlik harness
- ANSWER ✔A pavlik harness is the primary method of treatment in
developmental hip dysplasia for children less than 6 months of age.
Open reduction of the hip is usually for children greater than 12
months of age. A spica cast is used for closed reduction of the hip on
infants 6-12 months. Skin traction is used on children 2-12 y/o.
9. When assessing a 9 month old infant who is suspected of having acute
laryngotracheobronchitis, a nurse should expect to find which of these
manifestations?
· A crackling sound over the clavicle
· Purulent respiratory secretions
· Excessive drooling
· A barking cough
- ANSWER ✔A barking cough is a classic symptom of
laryngotracheobronchitis (croup).
, 10.A 6 month old infant who has anemia is to receive oral iron supplements.
Because no more than 25 percent of medicinal iron is absorbed from the GI
tract, a nurse should make which of these statements to the mother?
· If the baby becomes constipated, give three ounces of prune juice
· Call the clinic if the whites of the baby's eyes become yellow
· Position the baby on his/her side for 20-30 minutes after each dose of the
medication
· The baby's bowel movements will become blackish-green
- ANSWER ✔The baby's bowel movements will become blackish-
green, is the statement the nurse should make to the mother.
11.A 4 y/o boy who has a large, firm, painful mass in the region of the left
kidney is suspected of having a Wilm's tumor and is admitted to the hospital
for evaluation. Because of the boy's potential diagnosis, Which of these
measure should be included in the child's plan of care?
· Reducing environmental stimuli
· Observing the boy for anuria
· Elevating the head of the bed to a 45 degree angle
· Avoiding palpating the abdomen
- ANSWER ✔The nurse should avoid palpating the abdomen. Palpating
the abdomen or applying pressure to the abdomen could cause the
tumor to rupture and may lead to the cancer cells spreading to other
areas of the body.
12.A 3 y/o child who has impetigo is being discharged from the clinic. Which
of these comments, if made by the child's mother, would indicate to a nurse
that the mother understands the management plan?
· I'll keep my child home from daycare until the lesions are dry
· Scrubbing the crusted areas daily will help clear this up
· A daily oatmeal bath will help clear this up
· I'll cover my child's lesions with gauze to prevent spreading the infection to
the family
- ANSWER ✔It is recommended that the child stay home from daycare
until the lesions are dry. Scrubbing is not recommended but instead
gently washing the areas. A daily oatmeal bath is not recommended
but instead bathing with antibacterial soap. Covering the lesions with
gauze may be recommended, but is not the priority.
Questions and Correct Detailed
Answers with Rationales || 100%
Guaranteed Pass!!
<Recent Version>
1. A nurse is observing a therapeutic play session for a group of preschoolers in
a clinic; which of these types of play should the nurse consider as
developmentally appropriate for this age group?
· Solitary
· Competitive
· Cooperative
· Associate
- ANSWER ✔Associative play is developmentally appropriate for
preschoolers and involves common materials being shared among
children. Solitary play is the earliest form of play. Competitive play
occurs in school age children. Cooperative play occurs in the early
school age period and involves 2+ children.
2. A 6 month old infant who has anemia is most likely to have which of these
symptoms?
· Bradycardia
· A red, rough tongue
· Irritability
· Petechiae on the extremities
- ANSWER ✔Irritability is a symptom of anemia. The other options are
not a symptom of anemia but may indicate another disease process.
3. After each formula feeding, a 4 month old infant who has CHF should be
positioned to meet which of these goals?
, · To promote venous return from the lower extremities
· To promote the use of the accessory muscles of respiration
· To minimize pressure of the abdominal contents on the diaphragm
· To prevent rapid movement of the formula through the GI Tract
- ANSWER ✔The goal should be to minimize pressure of the
abdominal contents on the diaphragm. This will help decrease any
additional energy that will be needed to breathe, decreasing the
workload on the heart.
4. When performing a physical assessment of an unusually small newborn
infant, by which of these characteristics can a nurse determine that the infant
is small for gestational age (SGA), rather than premature?
· Increased lanugo
· Vigorous cry
· Weak sucking reflex
· Diminished ear recoil
- ANSWER ✔Vigorous cry would indicate the child is SGA and not
premature. Premature infants have a weak cry due to immaturity of
the lungs. The others are all characteristics of a premature infant.
5. A 7 y/o girl who has a known seizure disorder is admitted to the hospital for
the adjustment of a medication dosage. A nurse witnesses the onset of a
generalized seizure. Which of these actions should the nurse take first?
· Place the padded tongue blade between the child's teeth
· Position the child on her side
· Restrain the child's limbs gently
· Obtain the child's blood pressure and pulse rate
- ANSWER ✔The first action nurse should take is to position the child
on her side. This will prevent aspirating the secretions the child may
have during the seizure activity.
6. Which of these measures is most important to include in the care of a 3-
month-old that is dehydrated?
· Placing a urine collection device on the baby
· Assessing the baby for the presence of the rooting reflex
· Checking the baby's Babinski reflex
· Palpating the baby's abdomen to determine areas of tenderness
, - ANSWER ✔Placing a urine collection device on the baby is the most
important measure to include in the care of a 3-month old who is
dehydrated. This will allow accuracy in determining output.
7. A 15 y/o is 25% over the average weight for height and body build. The
adolescent asks for a weight-reduction diet. In preparation for discussing a
diet with the adolescent, a nurse should take which of these actions?
· Have the adolescent read about some of the long-term consequences of
being overweight
· Have the adolescent identify reasons for overeating
· Have the adolescent decide how much weight loss is hoped for
· Have the adolescent keep a log of food intake for several days
- ANSWER ✔Have the adolescent keep a log of food intake for several
days is the action the nurse should take. Viewing the food log from
several days will help further assess where education needs to be
done. All others will not be done until further assessment of the
situation is made.
8. A newborn that has been diagnosed with developmental hip dysplasia is
likely to receive which of these therapeutic interventions initially?
· Open reduction of the hip
· Skin traction
· Application of a spica cast
· Application of a Pavlik harness
- ANSWER ✔A pavlik harness is the primary method of treatment in
developmental hip dysplasia for children less than 6 months of age.
Open reduction of the hip is usually for children greater than 12
months of age. A spica cast is used for closed reduction of the hip on
infants 6-12 months. Skin traction is used on children 2-12 y/o.
9. When assessing a 9 month old infant who is suspected of having acute
laryngotracheobronchitis, a nurse should expect to find which of these
manifestations?
· A crackling sound over the clavicle
· Purulent respiratory secretions
· Excessive drooling
· A barking cough
- ANSWER ✔A barking cough is a classic symptom of
laryngotracheobronchitis (croup).
, 10.A 6 month old infant who has anemia is to receive oral iron supplements.
Because no more than 25 percent of medicinal iron is absorbed from the GI
tract, a nurse should make which of these statements to the mother?
· If the baby becomes constipated, give three ounces of prune juice
· Call the clinic if the whites of the baby's eyes become yellow
· Position the baby on his/her side for 20-30 minutes after each dose of the
medication
· The baby's bowel movements will become blackish-green
- ANSWER ✔The baby's bowel movements will become blackish-
green, is the statement the nurse should make to the mother.
11.A 4 y/o boy who has a large, firm, painful mass in the region of the left
kidney is suspected of having a Wilm's tumor and is admitted to the hospital
for evaluation. Because of the boy's potential diagnosis, Which of these
measure should be included in the child's plan of care?
· Reducing environmental stimuli
· Observing the boy for anuria
· Elevating the head of the bed to a 45 degree angle
· Avoiding palpating the abdomen
- ANSWER ✔The nurse should avoid palpating the abdomen. Palpating
the abdomen or applying pressure to the abdomen could cause the
tumor to rupture and may lead to the cancer cells spreading to other
areas of the body.
12.A 3 y/o child who has impetigo is being discharged from the clinic. Which
of these comments, if made by the child's mother, would indicate to a nurse
that the mother understands the management plan?
· I'll keep my child home from daycare until the lesions are dry
· Scrubbing the crusted areas daily will help clear this up
· A daily oatmeal bath will help clear this up
· I'll cover my child's lesions with gauze to prevent spreading the infection to
the family
- ANSWER ✔It is recommended that the child stay home from daycare
until the lesions are dry. Scrubbing is not recommended but instead
gently washing the areas. A daily oatmeal bath is not recommended
but instead bathing with antibacterial soap. Covering the lesions with
gauze may be recommended, but is not the priority.
