2023 NGN PN 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!!)
A nurse assisting the provider with a developmental assessment of a toddler.Which of the following behaviors should the nurse recognize as an expected finding?
- Walks backward with heel to toe
- Stands on one foot for several seconds
- Uses scissors to cut out shapes
- Prints letters with a pencil
- Stands on one foot for several seconds
RATIONALE: (Standing on one foot for several seconds is an expected behavior
for a toddler.) -Walks backward with heel to toe Walking backward with heel to toe is an expected behavior for a 5-year-old child.-Uses scissors to cut out shapes Using scissors to cut out shapes is an expected behavior for a 4-year-old child.-Prints letters with a pencil Printing letters with a pencil is an expected behavior for a 5-year-old child.A nurse is reinforcing dietary teaching with the guardian of a school-age child who has celiac disease. Which of the following foods should the nurse recommend including in the child's diet?
- White rice
- Whole wheat bread
- Graham crackers
- French fries 1 / 4
- White rice
RATIONALE: (The nurse should reinforce to the guardian that celiac disease is a
genetic autoimmune disorder in which eating gluten, even in very small amounts, can damage the child's small intestine. Currently, the only treatment for the disease is a lifelong, strict adherence to a gluten-free diet. The nurse should stress the importance of avoiding foods containing wheat, rye, barley, and oats. The child should consume foods that are gluten-free, such as milk, cheese, rice, corn, eggs, potatoes, fruits, vegetables, fresh poultry, meats, fish, and dried beans.) -Whole wheat bread Wheat contains gluten, and treatment for celiac disease is limited to avoiding gluten.-Graham crackers Graham crackers contain gluten, and treatment for celiac disease is limited to avoiding gluten.-French fries French fries contain gluten, and treatment for celiac disease is limited to avoiding gluten.A nurse is caring for an adolescent client who is a practicing Jehovah's Witness and is scheduled for surgery for a ruptured appendix. The adolescent tells the nurse that based on their religious beliefs, they cannot receive a blood transfusion. Which of the following responses should the nurse make?
- "Why do members of your faith believe this?"
- "You'll only receive blood during the procedure if you need it."
- "I will let the surgical team know your wishes."
- "Let's discuss the possible need for a transfusion with your parents."
- "Let's discuss the possible need for a transfusion with your parents."
RATIONALE: (The nurse should offer to involve the child's parents to understand
the family's beliefs about blood transfusions.) -"Why do members of your faith believe this?" 2 / 4
The nurse should avoid asking a "why" question, because it can appear judgmental or accusatory.-"You'll only receive blood during the procedure if you need it." The nurse should not use false reassurance because it can belittle the child's feelings and concerns.-"I will let the surgical team know your wishes." The nurse should avoid using automatic responses and instead use therapeutic communication to explore the cultural request.A nurse is reviewing the laboratory report of a school-age child who is receiving prednisone. Which of the following laboratory results should the nurse report to the provider?
- Fasting blood glucose 74 mg/dL
- Sodium 150 mEq/L
- Potassium 4.2 mEq/L
- WBC count 9,400/mm3
- Sodium 150 mEq/L
RATIONALE: (Hypernatremia is an adverse effect of prednisone. This level is
above the expected reference range for a school-age child. Therefore, the nurse should report this value to the provider.) -Fasting blood glucose 74 mg/dL Hyperglycemia is an adverse effect of prednisone. However, this level is within the expected reference range for a school-age child.-Potassium 4.2 mEq/L Hypokalemia is an adverse effect of prednisone. However, this level is within the expected reference range for a school-age child.-WBC count 9,400/mm3 A decrease in WBC count is an adverse effect of prednisone. However, this WBC count is within the expected reference range for a school-age child. 3 / 4
A nurse is reviewing the laboratory report of a preschooler. Which of the following laboratory results should the nurse report to the provider?
- Potassium 4.2 mEq/L
- Lead 14 mcg/dL
- Fasting blood glucose 75 mg/dL
- Hematocrit 40%
- Lead 14 mcg/dL
RATIONALE: (This lead level is above the expected reference range for a
preschooler. Therefore, the nurse should report this result to the provider.) -Potassium 4.2 mEq/L This potassium level is within the expected reference range for a preschooler.-Fasting blood glucose 75 mg/dL This glucose level is within the expected reference range for a preschooler.-Hematocrit 40% This hematocrit level is within the expected reference range for a preschooler.A nurse is assisting with the administration of a nasogastric enteral feeding for an infant. Which of the following actions should the nurse take?
- Place the infant in semi-Fowler's position for 1 hr after the feeding.
- Flush the tube with 30 mL of normal saline before the feeding.
- Warm the feeding in the microwave immediately prior to administration.
- Auscultate over the infant's epigastric area to ensure proper tube placement.
- Place the infant in semi-Fowler's position for 1 hr after the feeding.
- / 4
RATIONALE: (The nurse should elevate the head of the infant's bed by 30º to 45º for 30 min to 1 hr after the feeding.) -Flush the tube with 30 mL of normal saline before the feeding.The nurse should not flush the tube prior to the feeding. Additionally, when flushing the tube for medication administration, the nurse should use sterile water, rather than normal saline.