NACE Care of the Child Proctored Exam Practice Questions

Select one answer.

• Inadequate nutritional intake.
• Dental caries.
• Diarrhea.
• Gingival hyperplasia.

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• 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.

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• 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.

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• 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.

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• 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.

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• 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.

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• 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.

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• 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.

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• 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.

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• 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.

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• The patient will maintain a moist oral mucosa.
• The patient will increase physical mobility.
• The patient will remain free of infection.
• The patient will ingest a moderate potassium diet.

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• is intolerant of strangers.
• is becoming increasingly modest.
• may have imaginary companions.
• prefers that others make decisions.

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• Encourage attachment.
• Minimize crying.
• Restrict oral intake.
• Initiate range of motion.

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• Have a child life specialist explain the procedure using a doll.
• Give the client color handouts explaining the procedure.
• Tell the client that a lot of children have this procedure.
• Allow the patient to watch a video of the procedure on another child.

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• "You will be placed in halo traction.".
• "The nurses will use a log-roll technique when you are turned.".
• "You can have nothing by mouth for 72 hours.".
• "You will not be allowed to have visitors for 48 hours.".

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• Interactions with seizure medications.
• Increase in dystonia.
• Reduction in muscle tone.
• Decreased mobility.

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• Educating caregivers on sensory impairment.
• Preventing infection.
• Correction of joint contractures.
• Measuring daily head circumference.

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• Educating caregivers on sensory impairment.
• Preventing infection.
• Correction of joint contractures.
• Measuring daily head circumference.

(Select All that Apply.)

• 4-year-old child with Down Syndrome.
• 6-month-old developmentally appropriate infant.
• 15-month-old child with autism.
• 10-year-old with acquired immune deficiency syndrome (AIDS).
• 12-year-child with an arm fracture.
• For which clients would the varicella (chickenpox) vaccine be contraindicated? Select all that apply.

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• Take the medication each night at bedtime.
• The medication should be taken every 12 hours.
• Take the medication 30 minutes before breakfast.
• The medication should be taken with every meal.

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• Administer a bolus of intravenous (IV) fluids as ordered.
• Offer clear fluids, popsicles, and gelatin as tolerated by the child.
• Offer oral rehydration solution (ORS) in small, frequent amounts.
• Keep the child on a strict BRAT (bananas, rice, applesauce, toast) diet.