NGNkATIkPEDSkPROCTOREDkEXAMkLATESTk2023k/kPEDSkATIkPROCTOREDkACTUALkEXAMkALLk300+kQUESTI
NSkANDkCORRECTkDETAILEDkANSWERS
1. A nurse is teaching the
k "I will give my son the enzymes between meals."
k k k k k k k k k k k k
mother of a 5-year- k k k
old child who has cystic Rationale:The parent should give the child pan-
k k k k k k k k k k k k
fi- creatic enzymes with every meal and snack. k k k k k k k
kbrosis about pancreat- k k
kic enzymes. The nurse s
k k k k
hould understand that fu k k k
rther teaching is nec- k k k
kessary when the mother k k k
states which of the follow- k k k k
king?
13% weight loss k k
2. . A nurse is admitting an i
k k k k k k
nfant who has severe de- Rationale:A weight loss greater than 10% is a ma
k k k k k k k k k k k k
khydration from acute gas- nifestation of severe dehydration in an infant.
k k k k k k k k k
ktroenteritis. Which of the f k k k k
ollowing findings should t k k k
he nurse expect?k k
Fetal heart tones detected by ultrasound k k k k k
3. 2. A nurse is teach-
k k k k
k ing a client about posi-
k Rationale: Fetal heart tones are a positive sign of
k k k k k k k k k k k k
tive signs of pregnancy. pregnancy because the presence of fetal heart to
k k k k k k k k k k k
Which of the following fin nes can only be explained by pregnancy
k k k k k k k k k k
dings should the nurse inc k k k k
lude?
Position the child laterally k k k
4. . A nurse is caring for a chi
k k k k k k k
ld who is experiencing a s
k k k k k
eizure.Which of the fol- k k k k
klowing actions should the k k k k
nurse take? k
Sits with pillow props k k k
5. . A nurse is assessing an
k k k k k k
8-month- Rationale:Infants who have cerebral palsy re- k k k k k
old infant for cerebral pal quire support when sitting upright.
k k k k k k k k k
sy. Which of k k
the following findings is a
k k k k k
manifestation of the con- k k k
kdition?
1k/k70
,NGNkATIkPEDSkPROCTOREDkEXAMkLATESTk2023k/kPEDSkATIkPROCTOREDkACTUALkEXAMkALLk300+kQUESTI
NSkANDkCORRECTkDETAILEDkANSWERS
6.
2k/k70
,NGNkATIkPEDSkPROCTOREDkEXAMkLATESTk2023k/kPEDSkATIkPROCTOREDkACTUALkEXAMkALLk300+kQUESTI
NSkANDkCORRECTkDETAILEDkANSWERS
A nurse is caring for
k k k k Provide bedtime rituals. k k
a toddler who is having dif
k k k k k
ficulty sleeping dur- k k Rationale:Establishing a bedtime routine is im- k k k k k
king hospitalization.Which
k k portant. Reading a familiar book or providing a fav
k k k k k k k k k
kof the following actions s
k k k k orite stuffed toy or blanket will help decrease the chi
k k k k k k k k k
hould the nurse take to pr k k k k k d's insecurity and fears.
k k k
omote sleep? k
7. A nurse is caring for a chil Position the child laterally.
k k k k k k k k k
d who is experiencing a se
k k k k k
izure.Which of the fol- kRationale:Positioning the child laterally facili-
k k k k k k k
klowing actions should the tates airway patency
k k k k k k k
nurse take? k
8. . A nurse is caring for a
k k Place the infant in an infant seat.
k k k k k k k k k k
n infant who has gas-
k k k k
troesophageal reflux. The Rationale:An infant seat provides elevation and de k k k k k k k k k
nurse should place the in- creases the risk of aspiration.
k k k k k k k k
kfant in which of the fol-
k k k k k
klowing positions follow- k k
king feedings? k
9. A nurse is caring for a ch
k k k k k k Position the child side-lying. k k k
ild who is having a tonic-
k k k k k
clonic seizure and vomit k k k Rationale: This is the priority nursing action. To pre
k k k k k k k k
ing. Which of the followi
k k k k vent aspiration due to vomiting, the nurse should p
k k k k k k k k
ng actions is the nurse's
k k k k lace the child in a side-lying position.
k k k k k k
kpriority?
10. A nurse is preparing to te
k k k k k Communicability period k
ach about communi- k k
cable diseases. During w
k k k k Rationale: The communicability period is the timk k k k k k
hich of the following stag
k k k k e when a disease is contagious and can be trans
k k k k k k k k k
es is the period in which a
k k k k k k k mitted to others. k k
disease is conta- gious? k k k
11. A nurse is assessing a
k k k k
3-month- Inability to raise head when in prone position R k k k k k k k k
old infant.Which of the foll
k k k k k
owing findings ationale:A 3-month-old infant should be able
k k k k k k
3k/k70
, NGNkATIkPEDSkPROCTOREDkEXAMkLATESTk2023k/kPEDSkATIkPROCTOREDkACTUALkEXAMkALLk300+kQUESTI
NSkANDkCORRECTkDETAILEDkANSWERS
should the nurse report to t to raise her head and shoulders from prone posit
k k k k k k k k k k k k k
he provider?k ion; therefore, the nurse should report this finding k k k k k k k
to the provider k k k
12. A nurse receives a call fr "Have your child sit with her head tilted forward a
k k k k k k k k k k k k k k
om a parent of a child w
k k nd hold pressure on her nose for 10 minutes." k k k k k k k k k k k k
ho has von Willebrand di
k k k k
sease and has having a k k k k k
nosebleed. Which of k k
the following instructions
k k k
should the nurse give to t k k k k k
he parent? k
13. A nurse is assessing a pre The preschooler mispronounces words.
k k k k k k k k
schooler. Which of the foll k k k k
owing findings should ind E. The preschooler speaks in a nasally tone
k k k k k k k k k k
icate to the nurse a need f
k k k k k k
or speech therapy? (Selec
k k k
t all that apply.)
k k k
14. A nurse is caring for an ad Bloating
k k k k k k
olescent who was ad- k k k
mitted with anorexia ner- Rationale: Bloating is a finding associated with a
k k k k k k k k k k k
vosa. Which of the fol-
k norexia nervosa.
k k k k k
lowing finding should the
k k k k k
nurse expect? k
15. A nurse is caring for a chil "It is not your fault that this happened."
k k k k k k k k k k k k k
d who has been phys-
k k k k
ically abused by a family Rationale: The nurse should reinforce to the child
k k k k k k k k k k k k k
member. Which of the fol- that the abuse is not his fault
k k k k k k k k k k k
lowing statements should
k k k
the nurse to say to the chi
k k k k k k k
ld?
16. A nurse is caring fo
k k k k Reposition the child every 2 hr. k k k k k
r a child who has
k k k k
Legg-Calve-Perthes dis- k Rationale: The nurse should reposition the child s
k k k k k k k
ease and is in Buck exten-
k k k k k k hould be repositioned every 2 hr to prevent skin br
k k k k k k k k k
sion traction.Which of the
k k k k k eakdown
4k/k70
NSkANDkCORRECTkDETAILEDkANSWERS
1. A nurse is teaching the
k "I will give my son the enzymes between meals."
k k k k k k k k k k k k
mother of a 5-year- k k k
old child who has cystic Rationale:The parent should give the child pan-
k k k k k k k k k k k k
fi- creatic enzymes with every meal and snack. k k k k k k k
kbrosis about pancreat- k k
kic enzymes. The nurse s
k k k k
hould understand that fu k k k
rther teaching is nec- k k k
kessary when the mother k k k
states which of the follow- k k k k
king?
13% weight loss k k
2. . A nurse is admitting an i
k k k k k k
nfant who has severe de- Rationale:A weight loss greater than 10% is a ma
k k k k k k k k k k k k
khydration from acute gas- nifestation of severe dehydration in an infant.
k k k k k k k k k
ktroenteritis. Which of the f k k k k
ollowing findings should t k k k
he nurse expect?k k
Fetal heart tones detected by ultrasound k k k k k
3. 2. A nurse is teach-
k k k k
k ing a client about posi-
k Rationale: Fetal heart tones are a positive sign of
k k k k k k k k k k k k
tive signs of pregnancy. pregnancy because the presence of fetal heart to
k k k k k k k k k k k
Which of the following fin nes can only be explained by pregnancy
k k k k k k k k k k
dings should the nurse inc k k k k
lude?
Position the child laterally k k k
4. . A nurse is caring for a chi
k k k k k k k
ld who is experiencing a s
k k k k k
eizure.Which of the fol- k k k k
klowing actions should the k k k k
nurse take? k
Sits with pillow props k k k
5. . A nurse is assessing an
k k k k k k
8-month- Rationale:Infants who have cerebral palsy re- k k k k k
old infant for cerebral pal quire support when sitting upright.
k k k k k k k k k
sy. Which of k k
the following findings is a
k k k k k
manifestation of the con- k k k
kdition?
1k/k70
,NGNkATIkPEDSkPROCTOREDkEXAMkLATESTk2023k/kPEDSkATIkPROCTOREDkACTUALkEXAMkALLk300+kQUESTI
NSkANDkCORRECTkDETAILEDkANSWERS
6.
2k/k70
,NGNkATIkPEDSkPROCTOREDkEXAMkLATESTk2023k/kPEDSkATIkPROCTOREDkACTUALkEXAMkALLk300+kQUESTI
NSkANDkCORRECTkDETAILEDkANSWERS
A nurse is caring for
k k k k Provide bedtime rituals. k k
a toddler who is having dif
k k k k k
ficulty sleeping dur- k k Rationale:Establishing a bedtime routine is im- k k k k k
king hospitalization.Which
k k portant. Reading a familiar book or providing a fav
k k k k k k k k k
kof the following actions s
k k k k orite stuffed toy or blanket will help decrease the chi
k k k k k k k k k
hould the nurse take to pr k k k k k d's insecurity and fears.
k k k
omote sleep? k
7. A nurse is caring for a chil Position the child laterally.
k k k k k k k k k
d who is experiencing a se
k k k k k
izure.Which of the fol- kRationale:Positioning the child laterally facili-
k k k k k k k
klowing actions should the tates airway patency
k k k k k k k
nurse take? k
8. . A nurse is caring for a
k k Place the infant in an infant seat.
k k k k k k k k k k
n infant who has gas-
k k k k
troesophageal reflux. The Rationale:An infant seat provides elevation and de k k k k k k k k k
nurse should place the in- creases the risk of aspiration.
k k k k k k k k
kfant in which of the fol-
k k k k k
klowing positions follow- k k
king feedings? k
9. A nurse is caring for a ch
k k k k k k Position the child side-lying. k k k
ild who is having a tonic-
k k k k k
clonic seizure and vomit k k k Rationale: This is the priority nursing action. To pre
k k k k k k k k
ing. Which of the followi
k k k k vent aspiration due to vomiting, the nurse should p
k k k k k k k k
ng actions is the nurse's
k k k k lace the child in a side-lying position.
k k k k k k
kpriority?
10. A nurse is preparing to te
k k k k k Communicability period k
ach about communi- k k
cable diseases. During w
k k k k Rationale: The communicability period is the timk k k k k k
hich of the following stag
k k k k e when a disease is contagious and can be trans
k k k k k k k k k
es is the period in which a
k k k k k k k mitted to others. k k
disease is conta- gious? k k k
11. A nurse is assessing a
k k k k
3-month- Inability to raise head when in prone position R k k k k k k k k
old infant.Which of the foll
k k k k k
owing findings ationale:A 3-month-old infant should be able
k k k k k k
3k/k70
, NGNkATIkPEDSkPROCTOREDkEXAMkLATESTk2023k/kPEDSkATIkPROCTOREDkACTUALkEXAMkALLk300+kQUESTI
NSkANDkCORRECTkDETAILEDkANSWERS
should the nurse report to t to raise her head and shoulders from prone posit
k k k k k k k k k k k k k
he provider?k ion; therefore, the nurse should report this finding k k k k k k k
to the provider k k k
12. A nurse receives a call fr "Have your child sit with her head tilted forward a
k k k k k k k k k k k k k k
om a parent of a child w
k k nd hold pressure on her nose for 10 minutes." k k k k k k k k k k k k
ho has von Willebrand di
k k k k
sease and has having a k k k k k
nosebleed. Which of k k
the following instructions
k k k
should the nurse give to t k k k k k
he parent? k
13. A nurse is assessing a pre The preschooler mispronounces words.
k k k k k k k k
schooler. Which of the foll k k k k
owing findings should ind E. The preschooler speaks in a nasally tone
k k k k k k k k k k
icate to the nurse a need f
k k k k k k
or speech therapy? (Selec
k k k
t all that apply.)
k k k
14. A nurse is caring for an ad Bloating
k k k k k k
olescent who was ad- k k k
mitted with anorexia ner- Rationale: Bloating is a finding associated with a
k k k k k k k k k k k
vosa. Which of the fol-
k norexia nervosa.
k k k k k
lowing finding should the
k k k k k
nurse expect? k
15. A nurse is caring for a chil "It is not your fault that this happened."
k k k k k k k k k k k k k
d who has been phys-
k k k k
ically abused by a family Rationale: The nurse should reinforce to the child
k k k k k k k k k k k k k
member. Which of the fol- that the abuse is not his fault
k k k k k k k k k k k
lowing statements should
k k k
the nurse to say to the chi
k k k k k k k
ld?
16. A nurse is caring fo
k k k k Reposition the child every 2 hr. k k k k k
r a child who has
k k k k
Legg-Calve-Perthes dis- k Rationale: The nurse should reposition the child s
k k k k k k k
ease and is in Buck exten-
k k k k k k hould be repositioned every 2 hr to prevent skin br
k k k k k k k k k
sion traction.Which of the
k k k k k eakdown
4k/k70