2023 NGN RN NURSING CARE OF CHILDREN PROCTORED
FORM A, B&C LATEST 2023-2024 EACH FORM CONTAINS 70
QUESTIONS AND CORRECT ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+ (BRAND NEW!!)
FORM A
A nurse is interviewing the parent of an 18-month-old toddler during a wellchild visit. The nurse should identify that which of the following findings
indicates a need to assess the toddler for hearing loss?
The toddler has a vocabulary of 25 words.
The toddler developed a mild rash following a recent varicella immunization.
The toddler’s Moro reflex is absent.
The toddler received tobramycin during a hospitalization 2 weeks ago.
The toddler received tobramycin during a hospitalization 2 weeks ago.
RATIONALE: The nurse should identify tobramycin as an aminoglycoside,
which is an ototoxic medication that can cause mild to moderate hearing loss, and
should assess the toddler for a hearing impairment.
A nurse in a provider’s office is caring for a preschooler.
Nurses’ Notes
0915:Guardians report that lately the child has had severe itching and is breaking
out with sores on their eyebrows, wrists, and ankles. The “sores started to bleed.”
Guardians report no relief with application of the topical hydrocortisone
cream.0930:Child is alert. Multiple small erythematous papules with some scaling
noted on the child’s eyebrows, forearms, and lower legs bilaterally.1015:Provider
in to evaluate the child. Discharge to home after medication administration of new
prescriptions and discharge teaching for atopic dermatitis.
Medical History
Family history of atopic dermatitis
Medication Administration Record
1000:Loratadine (oral solution) 5 mg PO daily. Administer first dose now prior to
discharge.Tacrolimus 0.03% ointment. Apply thin layer to affected areas twice
daily; rub in gently and completely.Return to primary care provider in 1 to 2 weeks
for evaluation.
Which of the following statements by a guardian indicate that the discharge
teaching was effective?
Select all that apply.
“We should apply a skin emollient immediately after bathing our child.”
“We should keep our child’s fingernails tri
“We should apply a skin emollient immediately after bathing our child” is
correct.
RATIONALE: An emollient is an oil that moisturizes the skin and should be
applied immediately after bathing while the skin is damp to prevent drying.
Therefore, this statement by the guardian indicates the teaching has been effective
“We should keep our child’s fingernails trimmed short” is correct. The child’s
fingernails and toenails should be kept short, trimmed, and filed to prevent
scratching with sharp edges. Therefore, this statement by the guardian indicates the
teaching has been effective.
g.
“We should use a mild detergent for our laundry” is correct. The use of mild
detergents for laundry helps prevent allergens and itching. Therefore, this
statement by the guardian indicates the teaching has been effective.
A nurse is caring for a school-age child who is receiving cefazolin via
intermittent IV bolus. The child suddenly develops diffuse flushing of the skin
and angioedema. After discontinuing the medication infusion, which of the
following medications should the nurse administer first?
Prednisone
Epinephrine
Diphenhydramine
Albuterol
Epinephrine
RATIONALE: This child is most likely experiencing an anaphylactic reaction to
the cefazolin. According to evidence-based practice, the nurse should first
administer epinephrine to treat the anaphylaxis. Epinephrine is a beta adrenergic
agonist that stimulates the heart, causes vasoconstriction of blood vessels in the
skin and mucous membranes, and triggers bronchodilation in the lungs.
A nurse in an emergency department is caring for an adolescent who has
severe abdominal pain due to appendicitis. Which of the following locations
should the nurse identify as McBurney’s point? (You will find “hot spots” to
select in the artwork below. Select only the hot spot that corresponds to your
answer.)
A is correct
A nurse is reviewing the lumbar puncture results of a school-age child who is
suspected of having bacterial meningitis. Which of the following findings
should the nurse identify as an indication of bacterial meningitis?
Decreased cerebrospinal fluid pressure
Decreased WBC count
Increased protein concentration
Increased glucose level
Increased protein concentration
RATIONALE: The nurse should identify that an increased protein concentration
in the spinal fluid is a finding that can indicate bacterial meningitis.
A nurse is preparing to collect a sample from a toddler for a sickle-turbidity
test. Which of the following actions should the nurse plan to take?
Obtain a sputum specimen.
Perform an Allen test.
Perform a finger stick.
Obtain a stool specimen.
Perform a finger stick.
RATIONALE: The nurse should perform a finger stick on a toddler as a
component of the sickle-turbidity test. If the test is positive, hemoglobin
electrophoresis is required to distinguish between children who have the genetic
trait and children who have the disease.
A nurse is providing dietary teaching to the parent of a school-age child who
has celiac disease. The nurse should recommend that the parent offer which of
the following foods to the child?
Wheat crackers
Rye bread
Barley soup
White rice
White rice
RATIONALE: The nurse should recommend that the parent offer white rice to the
child because it is a gluten-free food. The nurse should instruct the parent that the
child will remain on a lifelong gluten-free diet and the child should not consume
oats, rye, barley, or wheat, and sometimes lactose deficiency can be secondary to
this disease.
A nurse in an emergency department is performing a physical assessment on a
2-week-old male newborn. Which of the following findings is the priority for
the nurse to report to the provider?
Excoriated scrotal area
Multiple capillary hemangiomas
Depressed posterior fontanel
Substernal retractions
Substernal retractions
RATIONALE: When using the airway, breathing, and circulation approach to
client care, the nurse should determine that the priority finding to report to the
provider is substernal retractions. This finding indicates the newborn is