RN NURSING CARE OF CHILDREN NGN ONLINE PRACTICE
2023 FORM A & B EACH FORM CONTAINS 70 NGN
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
FORM A
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.
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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 2 / 4
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
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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 experiencing increased respiratory effort, which could quickly progress to respiratory failure.
A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney?
Negative leukocyte esterase
Serum creatinine 3.0 mg/dL
Negative urine protein
Urine output 40 mL/hr
Serum creatinine 3.0 mg/dL
Rationale: Creatinine is a byproduct of protein metabolism and is excreted
from the body through the kidneys. An elevated serum creatinine level, therefore, can be an indication that the kidneys are not functioning. The nurse should identify that the adolescent's serum creatinine level is higher than the
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