NACE - Nursing Care Of Children Practice Exam 1 Latest
Questions & Verified Answers With Rationale
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the following actions
should the nurse take?
A. Perform the assessment in a head to toe sequence. - It is recommended to start with the least
invasive interventions and proceed to the more invasive. The head to toe approach is recommended
for preschool-age and older children.
B. Minimize physical contact with the child initially.
C. Explain procedures using medical terminology. - The nurse should describe procedures using age-
appropriate language the child can understand.
D. Stop the assessment if the child becomes uncooperative. - If the child becomes uncooperative, the
nurse should perform the procedures more quickly. - ✔✔✔ - B. Minimize physical contact with the
child initially.
The nurse should initially minimize physical contact with the toddler, and then progress from the
least traumatic to the most traumatic procedures.
A nurse on a pediatric unit is admitting a 4-year-old child. Which of the following toys should the
nurse plan to provide for the child to engage in independent play?
A. Brightly colored mobile - A brightly colored mobile is appropriate for a young infant. It does not
meet the activity needs of a preschool-age child.
B. Plastic stethoscope
C. Small piece jigsaw puzzle - A small piece jigsaw puzzle is too difficult for most preschool-age
children and can frustrate them rather than entertain them.
D. A book of short stories - A 4-year-old child is not able to read independently. The nurse should
provide the child with a picture book instead. - ✔✔✔ - B. Plastic stethoscope
Preschool play centers on imitative activities. Providing a stethoscope allows the child an
opportunity for therapeutic play. Imitating health care personnel helps to ease the fear of unfamiliar
equipment.
A nurse is caring for a 2-year-old child who has cystic fibrosis. The nurse is planning to take the child
to the playroom. Which of the following activities would be appropriate for the child?
,A. Cutting figures from colored paper- Most 2-year-old children do not have the coordination abilities
to cut with scissors. This activity is appropriate for a 3-year-old child.
B. Drawing stick figures using crayons - The ability to draw stick figures is an appropriate activity for
a 4-year-old child. The 2-year-old child will draw vertical lines and make circular strokes.
C. Riding a tricycle - Riding a tricycle is an appropriate activity for a 3-year-old child. Most 2-year-old
children do not have the strength or the gross motor ability to ride a tricycle.
D. Building towers of blocks - ✔✔✔ - D. Building towers of blocks
Building towers of blocks is an appropriate activity for a 2-year-old child. It promotes fine-motor
development, and knocking blocks down provides a means of dealing with the stress of
hospitalization.
A nurse is providing anticipatory guidance about accidental ingestion of a toxic substance to the
parents of a toddler. The nurse should instruct the parents to take which of the following actions first
if the child ingests a hazardous substance?
A. Give the toddler milk.- The nurse should instruct the parents that it might be recommended to give
the toddler milk to drink, but this will depend on the poison that is ingested. Evidence-based practice
indicates that the nurse should take a different action first.
B. Go to an emergency department. - The nurse should instruct the parents that it might be
recommended that they take the toddler to the emergency department, but this will depend on the
poison and amount that is ingested. Evidence-based practice indicates that the nurse should take a
different action first.
C. Call the poison control center.
D. Induce vomiting. - The nurse should instruct the parents that - ✔✔✔ - C. Call the poison control
center.
According to evidence-based practice, the nurse should instruct the parents to first call the poison
control center, which will then identify what further actions the parents should take.
A nurse in a pediatric clinic is caring for a 3-year-old child who has a blood lead level of 3 mcg/dL.
When teaching the toddler's parent about the correlation of nutrition with lead poisoning, which of
the following information is appropriate for the nurse to include in the teaching?
A. Decrease the child's vitamin C intake until the blood lead level decreases to zero. - Vitamin C does
not influence absorption or excretion of lead, and intake does not need to be reduced for a child who
has a blood lead level of 3 mcg/dL. Over time, this can result in a vitamin C deficiency.
B. Administer a folic acid supplement to the child each day. - A 3-year-old child does not need a folic
acid supplement. This will not influence absorption or excretion of lead.
, C. Give pancreatic enzymes to the child with meals and snacks. - Pancreatic enzymes are administered
to children who have cystic fibrosis, not an elevated blood lea - ✔✔✔ - D. Ensure the child's dietary
intake of calcium and iron is adequate.
A child who has an elevated blood lead level should have an adequate intake of calcium and iron to
reduce the absorption and effects of the lead. Dietary recommendations should include milk as a good
source of calcium.
A nurse is planning care for a 10-month-old infant who has suspected failure to thrive (FTT). Which
of the following interventions should the nurse include in the plan of care? (Select all that apply.)
A. Observe the parents' actions when feeding the child.
B. Maintain a detailed record of food and fluid intake.
C. Follow the child's cues as to when food and fluids are provided. - A consistent structured routine
of feeding the child at the same time and place is used to promote weight gain. A child who has failure
to thrive might not offer feeding cues.
D. Sit beside the child's high chair when feeding the child. - Caregivers should sit directly in front of
the child to maintain a face-to-face position during feeding and promote eye contact. The emphasis
is on encouraging feeding.
E. Play music videos during scheduled meal times. - A quiet, stimulation-free environment should be
provided at meal times to avoid - ✔✔✔ - A. Observe the parents' actions when feeding the child.
B. Maintain a detailed record of food and fluid intake.
Inappropriate feeding techniques and meal patterns provided by parents can contribute to a child's
growth failure.
A nutritional goal for the child who has suspected FTT is to correct nutritional deficiencies, which
can be identified by recording all food and fluid intake.
A nurse in the emergency department is caring for a 2-year-old child who was found by his parents
crying and holding a container of toilet bowl cleaner. The child's lips are edematous and inflamed,
and he is drooling. Which of the following is the priority action by the nurse?
A. Remove the child's contaminated clothing.- The nurse should remove the child's contaminated
clothing to prevent further exposure to the substance; however, a different action is the priority.
B. Check the child's respiratory status.
C. Administer an antidote to the child. - The nurse may administer an antidote if one is available for
the substance ingested; however, a different action is the priority.
D. Establish IV access for the child. - The nurse should establish IV access because shock is a
complication of some poisons; however, a different action is the priority. - ✔✔✔ - B. Check the child's
respiratory status.
Questions & Verified Answers With Rationale
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the following actions
should the nurse take?
A. Perform the assessment in a head to toe sequence. - It is recommended to start with the least
invasive interventions and proceed to the more invasive. The head to toe approach is recommended
for preschool-age and older children.
B. Minimize physical contact with the child initially.
C. Explain procedures using medical terminology. - The nurse should describe procedures using age-
appropriate language the child can understand.
D. Stop the assessment if the child becomes uncooperative. - If the child becomes uncooperative, the
nurse should perform the procedures more quickly. - ✔✔✔ - B. Minimize physical contact with the
child initially.
The nurse should initially minimize physical contact with the toddler, and then progress from the
least traumatic to the most traumatic procedures.
A nurse on a pediatric unit is admitting a 4-year-old child. Which of the following toys should the
nurse plan to provide for the child to engage in independent play?
A. Brightly colored mobile - A brightly colored mobile is appropriate for a young infant. It does not
meet the activity needs of a preschool-age child.
B. Plastic stethoscope
C. Small piece jigsaw puzzle - A small piece jigsaw puzzle is too difficult for most preschool-age
children and can frustrate them rather than entertain them.
D. A book of short stories - A 4-year-old child is not able to read independently. The nurse should
provide the child with a picture book instead. - ✔✔✔ - B. Plastic stethoscope
Preschool play centers on imitative activities. Providing a stethoscope allows the child an
opportunity for therapeutic play. Imitating health care personnel helps to ease the fear of unfamiliar
equipment.
A nurse is caring for a 2-year-old child who has cystic fibrosis. The nurse is planning to take the child
to the playroom. Which of the following activities would be appropriate for the child?
,A. Cutting figures from colored paper- Most 2-year-old children do not have the coordination abilities
to cut with scissors. This activity is appropriate for a 3-year-old child.
B. Drawing stick figures using crayons - The ability to draw stick figures is an appropriate activity for
a 4-year-old child. The 2-year-old child will draw vertical lines and make circular strokes.
C. Riding a tricycle - Riding a tricycle is an appropriate activity for a 3-year-old child. Most 2-year-old
children do not have the strength or the gross motor ability to ride a tricycle.
D. Building towers of blocks - ✔✔✔ - D. Building towers of blocks
Building towers of blocks is an appropriate activity for a 2-year-old child. It promotes fine-motor
development, and knocking blocks down provides a means of dealing with the stress of
hospitalization.
A nurse is providing anticipatory guidance about accidental ingestion of a toxic substance to the
parents of a toddler. The nurse should instruct the parents to take which of the following actions first
if the child ingests a hazardous substance?
A. Give the toddler milk.- The nurse should instruct the parents that it might be recommended to give
the toddler milk to drink, but this will depend on the poison that is ingested. Evidence-based practice
indicates that the nurse should take a different action first.
B. Go to an emergency department. - The nurse should instruct the parents that it might be
recommended that they take the toddler to the emergency department, but this will depend on the
poison and amount that is ingested. Evidence-based practice indicates that the nurse should take a
different action first.
C. Call the poison control center.
D. Induce vomiting. - The nurse should instruct the parents that - ✔✔✔ - C. Call the poison control
center.
According to evidence-based practice, the nurse should instruct the parents to first call the poison
control center, which will then identify what further actions the parents should take.
A nurse in a pediatric clinic is caring for a 3-year-old child who has a blood lead level of 3 mcg/dL.
When teaching the toddler's parent about the correlation of nutrition with lead poisoning, which of
the following information is appropriate for the nurse to include in the teaching?
A. Decrease the child's vitamin C intake until the blood lead level decreases to zero. - Vitamin C does
not influence absorption or excretion of lead, and intake does not need to be reduced for a child who
has a blood lead level of 3 mcg/dL. Over time, this can result in a vitamin C deficiency.
B. Administer a folic acid supplement to the child each day. - A 3-year-old child does not need a folic
acid supplement. This will not influence absorption or excretion of lead.
, C. Give pancreatic enzymes to the child with meals and snacks. - Pancreatic enzymes are administered
to children who have cystic fibrosis, not an elevated blood lea - ✔✔✔ - D. Ensure the child's dietary
intake of calcium and iron is adequate.
A child who has an elevated blood lead level should have an adequate intake of calcium and iron to
reduce the absorption and effects of the lead. Dietary recommendations should include milk as a good
source of calcium.
A nurse is planning care for a 10-month-old infant who has suspected failure to thrive (FTT). Which
of the following interventions should the nurse include in the plan of care? (Select all that apply.)
A. Observe the parents' actions when feeding the child.
B. Maintain a detailed record of food and fluid intake.
C. Follow the child's cues as to when food and fluids are provided. - A consistent structured routine
of feeding the child at the same time and place is used to promote weight gain. A child who has failure
to thrive might not offer feeding cues.
D. Sit beside the child's high chair when feeding the child. - Caregivers should sit directly in front of
the child to maintain a face-to-face position during feeding and promote eye contact. The emphasis
is on encouraging feeding.
E. Play music videos during scheduled meal times. - A quiet, stimulation-free environment should be
provided at meal times to avoid - ✔✔✔ - A. Observe the parents' actions when feeding the child.
B. Maintain a detailed record of food and fluid intake.
Inappropriate feeding techniques and meal patterns provided by parents can contribute to a child's
growth failure.
A nutritional goal for the child who has suspected FTT is to correct nutritional deficiencies, which
can be identified by recording all food and fluid intake.
A nurse in the emergency department is caring for a 2-year-old child who was found by his parents
crying and holding a container of toilet bowl cleaner. The child's lips are edematous and inflamed,
and he is drooling. Which of the following is the priority action by the nurse?
A. Remove the child's contaminated clothing.- The nurse should remove the child's contaminated
clothing to prevent further exposure to the substance; however, a different action is the priority.
B. Check the child's respiratory status.
C. Administer an antidote to the child. - The nurse may administer an antidote if one is available for
the substance ingested; however, a different action is the priority.
D. Establish IV access for the child. - The nurse should establish IV access because shock is a
complication of some poisons; however, a different action is the priority. - ✔✔✔ - B. Check the child's
respiratory status.
