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 well- child 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 1 / 4
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 2 / 4
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. 3 / 4
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
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