NGN NEWEST ACTUAL EXAM 2024 100

2019 Nursing care of children proctored

NGN NEWEST ACTUAL EXAM 2024 100

QUESTIONS DETAILED ANSWERS

(VERIFIED ANSWERS) ALREADY

GRADED A

A nurse is providing education about dietary modifications to the parent of a school age child who has glomerulonephritis. Which of the following information should the nurse include in the teaching?

• Increase the child calcium intake
• Decrease the Child's sodium intake
• Increase the child's intake of carbohydrates
• Decrease the child's fat intake - ANSWER>>B. Decrease the Child's

sodium intake

A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure?

• Minimize movement of the limbs
• Insert a tongue blade between the teeth
• Clear the area of hard object
• Place the child in a prone position - ANSWER>>C. Clear the area of

hard object

A nurse is assessing an adolescent who has type 1 diabetes mellitus.Which of the following findings is the nurse's priority?

• HbA1C 11.5%
• cholesterol 189 mg/dL
• Preprandial blood glucose 124 mg/dL
• Glycosuria - ANSWER>>A. HbA1C 11.5%

A nurse is providing anticipatory guidance to a parent of a 1- month-old infant. The nurse should include that it is recommended to start this series of which of the following immunization first?

• Varicella
• measles, mumps, rubella
• Inactivated poliovirus
• Hepatitis A tetra - ANSWER>>C. Inactivated poliovirus

A nurse is reviewing the laboratory report of a toddler who has hemolytic uremic syndrome. Which of the following findings should the nurse expect?

• Creatinine 0.3 mg/dL
• Hbg 18 g/dL
• Urine casts absent
• BUN 28 mg/dL - ANSWER>>D. BUN 28 mg/dL

A nurse is caring for a school-age child who is experiencing a sickle cell crisis. Which of the following actions should the nurse take?

• Administer furosemide IV twice per day.
• Apply warm compresses to the affected areas
• Decrease the child's fluid intake
• Initiate contact precautions. - ANSWER>>B. Apply warm compresses to

the affected areas

A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following finding to the provider?

• Rhinorrhea
• Tachypnea
• Pharyngitis
• Coughing - ANSWER>>B. Tachypnea

A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching?

• You can drink milk on an empty stomach.
• You should consume flavored yogurt instead of plain yogurt.
• You can tolerate plain milk better than chocolate milk.
• You can replace milk with nondairy source of calcium - ANSWER>>D.

You can replace milk with nondairy source of calcium

A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5 Ib) and is postoperative following open heart surgery. Which of the following findings should the nurse report to the provider?

• Skin temperature 36C (96.8 F)
• Pedal and posterior tibial pulses of 2+
• Urine output of 15 mL in the last 2 hr - urine output should = 1mL/kg/hr

=>24mL

• Drainage from the chest tube of 22 mL in the last hour - ANSWER>>C.

Urine output of 15 mL in the last 2 hr - urine output should = 1mL/kg/hr =>24mL

A nurse is providing dietary teaching to a parent of a 10-month-old infant who has phenylketonuria. Which of the following responses by the parent indicate an

understanding of the teaching?

• My daughter can't drink orange juice
• I will steam carrots and cut them into small pieces for her."
• I should ensure that my daughter eats one ounce of meat every day."
• I will switch her to whole milk now that she is old enough." -

ANSWER>>B.I will steam carrots and cut them into small pieces for her."

A nurse is providing teaching to the parent of a preschool-age child who has celiac disease. Which of the following instructions should the nurse include?

• Your child will be on a gluten-free diet for the rest of her life."
• Your child will need to follow a low-protein diet temporarily."
• You should place your child on a high-fiber diet when she has an

exacerbation."

• You should replace white flour with wheat flour when preparing meals

for your child." - ANSWER>>A. Your child will be on a gluten-free diet for the rest of her life."

A nurse is administering albuterol by metered dose inhaler for a preschool- age child who is experiencing an asthma exacerbation. Which of the following findings should the nurse report to the provider?

• Respiratory rate 24 /min
• Peak flow rate of 80%
• Intercoastal retractions
• Elevated heart rate - ANSWER>>C. Intercoastal retractions

A nurse is caring for a school-age child who is 1 hr postoperative following it tonsillectomy. Which of the following actions should the nurse take? (Select all that apply.)

• Administer an analgesic to the child on a scheduled basis.