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RN Nursing Care of Children Exam Questions and Answers, Exams of Nursing

Vanderbilt University (Vandy)Nursing

A valuable resource for nursing students preparing for exams. it features a series of multiple-choice questions covering various aspects of pediatric nursing, including medication administration, assessment, and care planning for common childhood illnesses and conditions. the questions test knowledge of appropriate nursing interventions, safety protocols, and understanding of child development. each question includes the correct answer, allowing for self-assessment and learning.

Typology: Exams

2024/2025

Available from 05/10/2025

jully-shiam
jully-shiam 🇺🇸

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RN nursing care of children exam 2024-
2025 proctor
1) A nurse is preparing to apply lidocaine and prilocaine cream to a child prior to the
insertion of an IV catheter. Which of the following actions should the nurse plan to take?
a. Wash the site with alcohol prior to applying the cream
b. Gently rub the cream into the skin
c. Apply the cream 1 hour before the procedure
d. Avoid removing the cream prior to the procedure. - answers>>c. Apply the cream 1
hour before the procedure
2)A nurse is caring for an infant who has Patent ductus arteriosus. The nurse should
identify that the defect is a switch of the following locations of the heart. (you will find hot
spots to select in the artwork below. Select only the hot spot that corresponds to your
answer) - answers>>B
3) A nurse is planning care for an adolescent following repair of Meckel Diverticulum.
Which of the following actions should the nurse include in the plan of care?
a. Administer total parenteral nutrition
b. Initiate long term antibiotic therapy
c. Maintain an Ng tube for decompression
d. Teach the client about ostomy care - answers>>c. Maintain an Ng tube for
decompression
4) A nurse in an emergency department is caring for a preschool-age child who has
acute acetylsalicylic acid poisoning. Which of the following should the nurse expect?
a. polyuria
b. neck vein distension
c. jaundice
d. hyperpyrexia - answers>>d. hyperpyrexia
5) A nurse is reviewing the medical record of a 24-month-old child who has acute
lymphocytic leukemia. Which of the following actions should the nurse take?
a. initiate bleeding precautions
b. place the child in knee-chest position
c. Apply viscous lidocaine to the oral mucosa
d. Obtain a rectal temperature every 4 hours - answers>>a. initiate bleeding precautions
6. A nurse is creating a plan of care for an adolescent who has muscular dystrophy.
Which of the following interventions should the nurse include in the plan?
a. Avoid influenza and pneumococcal vaccines for 24 months
b. Initiate a referral for chest physiotherapy every 4 hr.
c. Recommend the adolescent use a wheelchair to prevent stress the lower extremities
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RN nursing care of children exam 2024 -

2025 proctor

  1. A nurse is preparing to apply lidocaine and prilocaine cream to a child prior to the insertion of an IV catheter. Which of the following actions should the nurse plan to take? a. Wash the site with alcohol prior to applying the cream b. Gently rub the cream into the skin c. Apply the cream 1 hour before the procedure d. Avoid removing the cream prior to the procedure. - answers>>c. Apply the cream 1 hour before the procedure 2)A nurse is caring for an infant who has Patent ductus arteriosus. The nurse should identify that the defect is a switch of the following locations of the heart. (you will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer) - answers>>B
  2. A nurse is planning care for an adolescent following repair of Meckel Diverticulum. Which of the following actions should the nurse include in the plan of care? a. Administer total parenteral nutrition b. Initiate long term antibiotic therapy c. Maintain an Ng tube for decompression d. Teach the client about ostomy care - answers>>c. Maintain an Ng tube for decompression
  3. A nurse in an emergency department is caring for a preschool-age child who has acute acetylsalicylic acid poisoning. Which of the following should the nurse expect? a. polyuria b. neck vein distension c. jaundice d. hyperpyrexia - answers>>d. hyperpyrexia
  4. A nurse is reviewing the medical record of a 24-month-old child who has acute lymphocytic leukemia. Which of the following actions should the nurse take? a. initiate bleeding precautions b. place the child in knee-chest position c. Apply viscous lidocaine to the oral mucosa d. Obtain a rectal temperature every 4 hours - answers>>a. initiate bleeding precautions
  1. A nurse is creating a plan of care for an adolescent who has muscular dystrophy. Which of the following interventions should the nurse include in the plan? a. Avoid influenza and pneumococcal vaccines for 24 months b. Initiate a referral for chest physiotherapy every 4 hr. c. Recommend the adolescent use a wheelchair to prevent stress the lower extremities

d. Encourage the adolescent to perform incentive spirometry to maintain lung capacity - answers>>d. Encourage the adolescent to perform incentive spirometry to maintain lung capacity

  1. A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching? a. Your child should walk the bicycle through intersections b. your child's feet should be three to six inches above the ground when Seated on the bicycle c. you should try to keep the bicycle at least three feet from the curb while riding in the street d. your child should ride the bicycle against the flow of traffic - answers>>a. Your child should walk the bicycle through intersections
  2. A nurse is preparing to administer ondansetron 0.15 mg/kg IV to child who is receiving chemotherapy and weighs 29.4 kg. Available is ondansetron 4 mg/2 mL solution. How many mL should the nurse administer? - answers>>2.
  3. A nurse is preparing to administer immunizations to a 3 - month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care? a. Provide a pacifier coated with an oral sucrose prior to injections b. Inject the immunizations into the deltoid muscle c. Use as 20-gauge needle for injections d. Apply eutectic mixture of local anesthetics cream immediately before the injections - answers>>a. Provide a pacifier coated with an oral sucrose prior to injections
  4. A nurse at an inpatient facility is planning care for a child who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan of care? a. Vary daily routines when providing care for the child b. Keep the television on in the child's room for background noise c. Keep staff visits with the child brief d. Place the child in a semi private room - answers>>c. Keep staff visits with the child brief
  5. A nurse is caring for a 2-month-old infant who has heart failure and is receiving furosemide. Which of the following findings is the nurse's priority? a. heart rate 162/min b. negative doll's eye reflex. c. Sunken anterior fontanel d. potassium 5.1MEq/L - answers>>b. negative doll's eye reflex.
  6. A nurse is educating an adolescent following this application of an arm cast. Which of the following statements by the client indicates an understanding of the teaching? a. I should limit the use of the fingers of my broken arms b. I should expect my fingers to be swollen for several days

d. obtain a throat culture. - answers>>a. initiate droplet isolation precaution.

  1. A nurse is teaching about growth and development to a parent of a 12-year-old child. The nurse should instruct the parent to expect the child to exhibit which of the following characteristics during early adolescence. a. decelerating growth rate b. increase self-esteem. c. emotional separation from parent. d. mood swing. - answers>>d. mood swing
  2. A nurse is reviewing the laboratory results of a preschooler who has gastroenteritis and notes the client's potassium level is 3.2 meq L which of the following assessment findings should the nurse expect? a. Hypertension b. Hyporeflexia c. hyperactive bowel sounds d. Oliguria - answers>>d. Oliguria
  3. A nurse is reviewing the medical record of a 15-month-old child who is scheduled to receive measles, mumps, rubella. Which of the following findings Should the nurse identify as a contradiction for receiving the vaccine? a. Allergy to neomycin b. upper respiratory infection 2 days ago c. temperature of 37.2 (99 Fahrenheit) d. family history of seizures - answers>>a. Allergy to neomycin
  4. A nurse is caring for a child who received partial-thickness burn s to over 50% of his body 10 days ago and has splints over his joints to prevent contractures. Which of the following action should the nurse take? (select all that apply.). a. provide a high-calories diet. b. Administer analgesics IM. c. monitor intake and output d. remove splints during sleep. e. change dressing using aseptic technique. - answers>>c. monitor intake and output e. change dressing using aseptic technique
  5. A nurse is planning to admit a preschooler from the PACU following removal of a Wilms' tumor. Which of the following children should the nurse identify as an appropriate roommate for the preschooler? a. A child who has a fractured left femur. b. A child who has cellulitis of the right radius. c. A child who has impetigo. d. A child who has viral pneumonia. - answers>>a. A child who has a fractured left femur.
  1. A nurse in a family practice clinic is assessing a preschool-age child who recently experienced the death of a sibling. Which of the following reactions is an age- appropriate response to death? a. The child is curious about what happened to the sibling's body? b. The child feels responsible for the sibling's death c. The child can give a logical explanation for the sibling's death d. The child views the sibling's death as permanent - answers>>b. The child feels responsible for the sibling's death
  2. A nurse is assessing a 24-month-old toddler. Which of the following finding should the nurse report to the provider? a. Has a vocabulary of 30 words. b. Sleep 11 to 12 hr. per day. c. Eats a large amount of food one day then very little the next d. Holds his breath when having a temper tantrum. - answers>>a. Has a vocabulary of 30 words.
  3. A nurse is assisting a child who has multiple closed fractures of the lower extremities due to a motor-vehicle crash. The nurse should monitor the child for which of the following complications during the first 24 hr after the injury occurred? a. Osteomyelitis b. Compartment syndrome c. Volkmann ischemic contracture d. Renal calculi - answers>>b. Compartment syndrome
  4. A nurse is assessing a child who has heart failure. Which of the following findings is a clinical manifestation associated with this diagnosis? a. Tachypnea b. Increased appetite c. Tremors d. Bradycardia - answers>>a. Tachypnea
  5. A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following immunization should the nurse include in the plan? a. pneumococcal conjugate (PCV13) b. Respiratory syncytial virus (RSV). c. Measles, Mumps, and rubella MMR d. Rotavirus. - answers>>a. pneumococcal conjugate (PCV13)
  6. A nurse is providing teaching to the guardians of an infant who require a pavlik harness. Which instructions should the nurse include? a. apply baby power under the hardness straps daily. b. place the diaper under the straps of the harness. c. adjust the harness straps daily. d. massage lotion into the skin under the hardness twice per - answers>>b. place the diaper under the straps of the harness.

b. Avoid foods containing milk products c. Increase the toddlers protein consumption d. Limit foods high in iron - answers>>b. Avoid foods containing milk products

  1. A nurse is providing teaching to the guardian of a school-age child who has seizure disorder. Which of the following factors should the nurse include as a common trigger that increases the risk of seizure? a. Prolonged headache b. decrease temperature c. lack of sleep d. exposure to secondhand smoke - answers>>c. lack of sleep
  2. A nurse is teaching a group of male adolescents about testicular self-examination. Which of the following statements should the nurse include in the teaching? a. You should perform the examination once every other month b. You should notify your provider if your testes are firm, and egg shaped c. If you feel a hard lump, wait 1 month and retest yourself d. Perform the examination following a warm shower - answers>>d. Perform the examination following a warm shower
  3. A nurse in a community clinic is reviewing the laboratory result of four clients. The nurse should identify that which of the following sexually transmitted infections is nationally notifiable? a. Bacterial vaginosis trichinosis. b. Gonorrhea c. Human Papillomavirus. d. Genital Herpes Simplex-virus - answers>>b. Gonorrhea
  4. A nurse is creating a plan of care for a toddler who is recovering following a routine surgical procedure. Which of the following interventions should the include. a. Place cooling blanket on the toddler. b. Administer IV dantrolene sodium to the toddler. c. encourage the toddler to use an incentive spirometer. d. Administer aspirin to the toddler as needed for pain. - answers>>c. encourage the toddler to use an incentive spirometer
  5. 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? a. Consume flavored yogurt instead of plain yogurt b. Replace milk with non-dairy source of calcium c. Drink milk on an empty stomach d. you might tolerate plain milk better than chocolate milk - answers>>b. Replace milk with non-dairy source of calcium
  1. A nurse is caring for a 4-year-old child who has meningitis and receiving gentamicin. Which of the following laboratory results should the nurse notify the health care provider? a. creatinine 1. b. creatinine 0. c. BUN 12 d. BUN 6 - answers>>a. creatinine 1.
  2. A nurse planning to perform tracheostomy care for a toddler. Which of the following is an appropriate action for the nurse to take? a. use clean technique to change the tracheostomy tube. b. clean around the stoma with full-strength hydrogen peroxide. c. Place the child in Trendelenburg position when performing care. d. Have the child flex his head when securing the ties. - answers>>d. Have the child flex his head when securing the ties.
  3. A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that infant should receive the first dose of which of the following immunizations at 12 months of age. a. human papillomavirus. b. inactivated polio virus c. hepatitis B d. Varicella - answers>>d. Varicella
  4. A nurse is assessing an client who has Hodgkin's lymphoma. Which of the following findings should the nurse expect? a. unexplained weight gain b. Flushed skin c. decrease body temperature d. night sweat. - answers>>d. night sweat
  5. A nurse is teaching an adolescent who has type 1 diabetes mellitus. Which of the following finding is the nurse priority? a. Cholesterol 189 mg/dl b. Glycosuria. C. HbA1c 11.5%. d. preprandial blood glucose of 124 mg/dL. - answers>>C. HbA1c 11.5%
  6. 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? a. initiate contact precaution b. Apply warm compresses to the affected area. c. Decrease the child's fluid intake. d. Administer furosemide IV twice per day. - answers>>b. Apply warm compresses to the affected area.
  1. A nurse in an emergency department is caring for a child who experienced a submersion injury. Which of the following is the priority action for the nurse to take? a. Assist with intubation b. Obtain an ABG sample c. Administer an IV bolus d. Apply warming blankets - answers>>a. Assist with intubation
  2. A nurse is assessing a toddler who has a history of lead poisoning. Which of the following actions should the nurse take? a. Obtain a stool specimen for lead levels b. Initiate a low-iron diet for lead absorption c. Perform developmental testing for delays d. Inspect the skin for discoloration - answers>>c. Perform developmental testing for delays
  3. A nurse is planning care for a child who is experiencing a sickle cell crisis. Which of the following interventions should the nurse include in the plan of care? a. Administer meperidine as needed for plan b. Initiate bed rest c. Limit fluid intake d. Apply cold compresses to affected joints - answers>>b. Initiate bed rest
  4. A nurse is preparing to perform a venipuncture to collect a blood sample from an infant. Which of the following restraints should the nurse plan to use for this procedure? a. Jacket b. Miken c. Mummy d. Elbow - answers>>c. Mummy
  5. A nurse is caring for a child who has bacterial meningitis. Which of the following findings should indicate to the nurse that the child can be removed from droplet precautions? a. Antibiotics initiated 24 hr ago b. Negative Cerebrospinal fluid culture c. Absent nuchal rigidity d. Temperature below 37.4 C (99.4F) - answers>>a. Antibiotics initiated 24 hr ago
  6. A nurse is caring for a preschooler who has brain tumor. Which of the following findings is the priority for the nurse to the provider? a. Hyperactivity b. Pruritus c. Diplopia d. Nightmares - answers>>c. Diplopia
  1. A nurse is teaching a parent about home interventions for a preschooler who is experiencing night terrors. Which of the following instructions should the nurse include in the teaching? a. Wait until your child indicates that he is tired before putting him to bed b. Allow your child to watch an animated movie over night before bedtime c. Wake your child up during the night terror d. Avoid allowing your child to sleep in your bed - answers>>d. Avoid allowing your child to sleep in your bed
  2. A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12-month- old infant. Which of the following actions should the nurse plan to take? a. Cover the insertion site with an opaque dressing b. Use a 24-gauge catheter to start the IV c. Start the IV on the infant's foot d. Change the IV site every 3 days - answers>>b. Use a 24-gauge catheter to start the IV
  3. A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse? a. Weight in 45th percentile b. Bruising around the wrists c. Abrasions on the knees d. Front deciduous teeth missing - answers>>b. Bruising around the wrists
  4. a nurse is teaching a parent of a 10-month-old infant about home safety. Which of the following instructions should the nurse include in the teaching? (select all that apply). a. place gate at the top and bottom of the stairs. b. Ensure the crib mattress is in the lowest position. c. Remove labels from containers that contain toxic substance. d. Keep toilet lids in the upright position. e. select a toy chest that has a heavy, hinged lid. - answers>>a. place gate at the top and bottom of the stairs. b. Ensure the crib mattress is in the lowest position.
  5. A nurse is caring for a client who is postoperative placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take? a. Encourage flexion and extension of the neck b. Assess the pin sites for injection once every other day c. Reposition the client using a turning sheet d. Tighten the screw on the halo device once-quarter turn every 48 hr. - answers>>c. Reposition the client using a turning sheet
  6. A nurse is caring for a group of clients. Which of the following findings should the nurse report to the provider?

e. Administer an analgesic to the child on a schedule basis - answers>>a. Observe the child for frequent swallowing d. Discourage the child from coughing e. Administer an analgesic to the child on a schedule basis

  1. A nurse is providing teaching to the parents of a child who has varicella about management of the disease. Which of the following instructions should the nurse include in the teaching? a. Keep the child away from others until the skin is clear of scabs b. Dress the child in warm clothing to promote healing of vesicles c. Apply calamine lotion to vesicles on the child's skin d. Avoid giving the child a bath while vesicles are present - answers>>c. Apply calamine lotion to vesicles on the child's skin