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NACE Care of the Child Exam 2

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Exam Details !

Title : NACE Care of the Child Exam 2

Type : Nursing

Category : RN Nursing Exams

Subcategory : GENERAL Exams

Domain : Maternal & Newborn (General RN)

Fragment : N/A

Module : RN-NURSING

Exam Status : active

Rating : 95.00%

Attempts Allowed : 15

Exam Year : 2025

Duration : 260 minutes

Total Questions : 10

Passing Score : 90%

Difficulty : Intermediate

Instructions : Answer all questions carefully and within the allocated time, using current best practices and critical thinking.

Description : This test features high-yield, NCLEX-style Maternal & Newborn questions tailored for RN students.

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1 :
A patient taking a combination of antineoplastic agents develops stomatitis. Nursing care should include actions to prevent which problem?

Inadequate nutritional intake.

Dental caries.

Diarrhea.

Gingival hyperplasia.

Hint : 🥛When the mouth hurts, think about the patient’s ability to eat and drink enough.

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2 :
In consideration of the patient's body image, the nurse should take which action when performing venipuncture in a preschool-aged child?

Show the patient the needle and the syringe to be used for the venipuncture.

Have the patient help to cleanse the site chosen for the venipuncture.

After the venipuncture, encourage the patient to show the site to adults in the area.

After the venipuncture, help the patient apply a small dressing to the venipuncture site.

Hint : 🧸Think of an action that reassures a young child their body is still intact after a procedure.

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3 :
What information should a nurse plan to give the parents of a 9-month-old infant who is to be discharged after a cleft palate repair?

Allow the child to self-feed with a spoon.

Feed the child pureed or soft foods.

Use a cup with a straw instead of a bottle.

Restrict breastfeeding for the first month.

Hint : 🍼Avoid anything that requires strong sucking pressure after palate surgery.

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4 :
What information should a nurse plan to give the parents of a child newly diagnosed with cognitive impairment (mental retardation)?

Avoid setting limits or establishing disciplinary guidelines.

Encourage the child to socialize with same-aged children.

Avoid discussing sexuality until the child is an adult.

Encourage delaying the child's entry into educational programs.

Hint : 👩‍👧Think about what enhances adaptation and learning in children with developmental delays.

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5 :
What information should a nurse plan to give the parents of a child recently diagnosed with autism spectrum disorder?

High levels of structure will cause behavioral problems.

Negative reinforcement works better than positive reinforcement.

Strict dietary modifications can sometimes cure autism.

Level of functioning varies significantly among children with autism.

Hint : 🌈Think about the word “spectrum” and what it means in child functioning.

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6 :
A patient has a neurogenic bladder with incomplete emptying. Which discharge instruction for the patient's mother should be included in the teaching plan?

Instruct the mother in palpation of bladder distention.

Inform her mother that life-long antibiotic administration will be necessary.

Prepare the mother for the need for urinary diversion surgery.

Instruct the mother in the technique of clean intermittent catheterization.

Hint : 🚽Think of the safest way to regularly empty a child’s bladder at home.

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7 :
The nurse plans to begin teaching a 7-year-old patient and the child's mother about diabetes management. Which action should the nurse take initially?

Limit their first session to 40 minutes.

Have them handle the necessary equipment.

Give them an illustrated book to read.

Evaluate their readiness to learn.

Hint : 🧩The first step in effective teaching is not telling, but assessing.

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8 :
A 4-year-old child with a history of cystic fibrosis is hospitalized with an acute pulmonary exacerbation. His prescription includes chest physiotherapy four times a day, antibiotics via IV, and pancreatic enzymes. Which time is best for the nurse to plan for chest physiotherapy?

An hour before meals and at bedtime.

Every six hours around the clock.

Upon awakening and within an hour after meals.

Evenly spaced when the patient is awake.

Hint : 🌬️Think about airway clearance timing to avoid interfering with eating.

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9 :
The nurse is exploring strategies to help a patient with multiple allergies to have less frequent and less severe exacerbations of his asthma. Which strategy is most appropriate for the nurse to teach the family?

Dust the child's room with a damp cloth every week.

Provide down pillows for the child.

Use a warm mist humidifier in the child's room.

Encourage the child to go outside into the cold air at the start of an asthma attack.

Hint : 🧽Think about cleaning strategies that reduce airborne allergens.

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10 :
A 5-year-old child is being admitted to the hospital for surgery. Which intervention would be appropriate to help prepare this child for hospitalization?

Wait to discuss the surgery with until the child asks specific questions.

Set aside an hour a day to talk about the child's feelings concerning the surgery.

Read the child a story about children of similar age who go to the hospital for surgery.

Have the child visit a family whose preschool child has just been discharged from the hospital.

Hint : 📖Think of developmentally appropriate preparation for a preschool child.

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Ans

NACE Care of the Child Exam 2

No.

1 : A patient taking a combination of antineoplastic agents develops stomatitis. Nursing care should include actions to prevent which problem?

2 : In consideration of the patient's body image, the nurse should take which action when performing venipuncture in a preschool-aged child?

3 : What information should a nurse plan to give the parents of a 9-month-old infant who is to be discharged after a cleft palate repair?

4 : What information should a nurse plan to give the parents of a child newly diagnosed with cognitive impairment (mental retardation)?

5 : What information should a nurse plan to give the parents of a child recently diagnosed with autism spectrum disorder?

6 : A patient has a neurogenic bladder with incomplete emptying. Which discharge instruction for the patient's mother should be included in the teaching plan?

7 : The nurse plans to begin teaching a 7-year-old patient and the child's mother about diabetes management. Which action should the nurse take initially?

8 : A 4-year-old child with a history of cystic fibrosis is hospitalized with an acute pulmonary exacerbation. His prescription includes chest physiotherapy four times a day, antibiotics via IV, and pancreatic enzymes. Which time is best for the nurse to plan for chest physiotherapy?

9 : The nurse is exploring strategies to help a patient with multiple allergies to have less frequent and less severe exacerbations of his asthma. Which strategy is most appropriate for the nurse to teach the family?

10 : A 5-year-old child is being admitted to the hospital for surgery. Which intervention would be appropriate to help prepare this child for hospitalization?

1 :
A patient taking a combination of antineoplastic agents develops stomatitis. Nursing care should include actions to prevent which problem?

2 :
In consideration of the patient's body image, the nurse should take which action when performing venipuncture in a preschool-aged child?

3 :
What information should a nurse plan to give the parents of a 9-month-old infant who is to be discharged after a cleft palate repair?

4 :
What information should a nurse plan to give the parents of a child newly diagnosed with cognitive impairment (mental retardation)?

5 :
What information should a nurse plan to give the parents of a child recently diagnosed with autism spectrum disorder?

6 :
A patient has a neurogenic bladder with incomplete emptying. Which discharge instruction for the patient's mother should be included in the teaching plan?

7 :
The nurse plans to begin teaching a 7-year-old patient and the child's mother about diabetes management. Which action should the nurse take initially?

8 :
A 4-year-old child with a history of cystic fibrosis is hospitalized with an acute pulmonary exacerbation. His prescription includes chest physiotherapy four times a day, antibiotics via IV, and pancreatic enzymes. Which time is best for the nurse to plan for chest physiotherapy?

9 :
The nurse is exploring strategies to help a patient with multiple allergies to have less frequent and less severe exacerbations of his asthma. Which strategy is most appropriate for the nurse to teach the family?

10 :
A 5-year-old child is being admitted to the hospital for surgery. Which intervention would be appropriate to help prepare this child for hospitalization?