NSG 1211 RN Pediatric Nursing Online Practice 2023
A | Verified Questions and Correct Answers plus
Rationale | New Update 2026/27 | Graded A+
A nurse in an emergency department is caring for a school-age child who is
experiencing an anaphylactic reaction. Which of the following is the priority action
by the nurse?
A. Administer epinephrine IM
B. Administer diphenhydramine IV
C. Apply oxygen via face mask
D. Establish IV access
Correct Answer: A. Administer epinephrine IM
Rational: When using the urgent vs. non-urgent approach to client care, the
nurse should determine that the priority action is administering epinephrine IM to
the child. During an anaphylactic reaction, histamine release causes
bronchoconstriction and vasodilation. This is an emergency because ultimately it
causes decreased blood return to the heart.
A nurse in a pediatric emergency department is planning care for an adolescent.
Based on the information in the adolescent's medical record, which of the
following actions should the nurse plan to take? Select all that apply.
A. Apply supplemental oxygen
,B. Prepare for chest tube insertion
C. Administer oral analgesics
D. Place the adolescent in a prone position
E. Administer IV antibiotics
Correct Answer: A. Apply supplemental oxygen; B. Prepare for chest tube
insertion
Rational: According to the medical record and chest x-ray report, the adolescent
could potentially have a pneumothorax. Also according to the medical record and
chest x-ray report, the adolescent's oxygen saturation level is decreasing, which
indicates hypoxia. Therefore, the nurse should plan to administer supplemental
oxygen. A pneumothorax is the presence of air in the pleural cavity, which results
in decreased lung expansion. The adolescent could experience dyspnea,
tachypnea, tachycardia, hypoxia, and pain. This requires prompt intervention by
the provider, such as the placement of a chest tube into the thoracic cavity to
remove air and fluid from the pleural space, if present, allowing the lung to re-
expand.
A nurse in an emergency department is caring for a school-age child who has
epiglottitis. Which of the following actions should the nurse take?
A. Monitor the child's oxygen saturation
B. Inspect the child's throat with a tongue depressor
C. Place the child in a supine position
D. Administer oral antibiotics
Correct Answer: A. Monitor the child's oxygen saturation
,Rational: The nurse should monitor the child's oxygen saturation level because
the child is experiencing acute respiratory distress and it is necessary to determine
if the child is responding to treatment.
A nurse is providing teaching about play activities for social development to the
guardians of a preschooler. Which of the following play activities should the nurse
recommend for the child?
A. Playing dress-up
B. Playing with building blocks
C. Playing with a musical toy
D. Playing with a puzzle
Correct Answer: A. Playing dress-up
Rational: The nurse should instruct the guardians that at the preschool age, play
should focus on social, mental, and physical development. Therefore, playing
dress-up is a recommended play activity for this child.
A nurse is receiving change-of-shift report for four children. Which of the following
children should the nurse see first?
A. A school-age child who has sickle cell anemia and reports decreased vision in
the left eye
B. A school-age child who has asthma and reports mild wheezing
C. A preschooler who has a fever of 38.5°C (101.3°F)
D. An adolescent who has a fractured arm and reports pain as 4 on a scale of 0 to
10
, Correct Answer: A. A school-age child who has sickle cell anemia and reports
decreased vision in the left eye
Rational: When using the urgent vs. non-urgent approach to client care, the
nurse should determine the priority finding is a report of decreased vision in the
left eye. This finding indicates that the child is experiencing a vaso-occlusive crisis
and should be reported to the provider immediately. Therefore, the nurse should
see this child first.
A nurse is providing teaching to the parents of a preschooler who has heart failure
and a new prescription for digoxin twice daily. Which of the following instructions
should the nurse include in the teaching?
A. "Brush the child's teeth after giving the medication."
B. "Administer the medication with a full glass of water."
C. "Give the medication with a high-fat meal."
D. "Skip a dose if the child vomits within 30 minutes."
Correct Answer: A. "Brush the child's teeth after giving the medication."
Rational: The nurse should instruct the parents to brush the child's teeth after
administering digoxin to prevent tooth decay caused by the medication, which
comes as a sweetened liquid to enhance the taste.
A nurse is providing teaching to the parent of an infant who has diaper dermatitis.
The nurse should instruct the parent to apply which of the following to the
affected area?
A | Verified Questions and Correct Answers plus
Rationale | New Update 2026/27 | Graded A+
A nurse in an emergency department is caring for a school-age child who is
experiencing an anaphylactic reaction. Which of the following is the priority action
by the nurse?
A. Administer epinephrine IM
B. Administer diphenhydramine IV
C. Apply oxygen via face mask
D. Establish IV access
Correct Answer: A. Administer epinephrine IM
Rational: When using the urgent vs. non-urgent approach to client care, the
nurse should determine that the priority action is administering epinephrine IM to
the child. During an anaphylactic reaction, histamine release causes
bronchoconstriction and vasodilation. This is an emergency because ultimately it
causes decreased blood return to the heart.
A nurse in a pediatric emergency department is planning care for an adolescent.
Based on the information in the adolescent's medical record, which of the
following actions should the nurse plan to take? Select all that apply.
A. Apply supplemental oxygen
,B. Prepare for chest tube insertion
C. Administer oral analgesics
D. Place the adolescent in a prone position
E. Administer IV antibiotics
Correct Answer: A. Apply supplemental oxygen; B. Prepare for chest tube
insertion
Rational: According to the medical record and chest x-ray report, the adolescent
could potentially have a pneumothorax. Also according to the medical record and
chest x-ray report, the adolescent's oxygen saturation level is decreasing, which
indicates hypoxia. Therefore, the nurse should plan to administer supplemental
oxygen. A pneumothorax is the presence of air in the pleural cavity, which results
in decreased lung expansion. The adolescent could experience dyspnea,
tachypnea, tachycardia, hypoxia, and pain. This requires prompt intervention by
the provider, such as the placement of a chest tube into the thoracic cavity to
remove air and fluid from the pleural space, if present, allowing the lung to re-
expand.
A nurse in an emergency department is caring for a school-age child who has
epiglottitis. Which of the following actions should the nurse take?
A. Monitor the child's oxygen saturation
B. Inspect the child's throat with a tongue depressor
C. Place the child in a supine position
D. Administer oral antibiotics
Correct Answer: A. Monitor the child's oxygen saturation
,Rational: The nurse should monitor the child's oxygen saturation level because
the child is experiencing acute respiratory distress and it is necessary to determine
if the child is responding to treatment.
A nurse is providing teaching about play activities for social development to the
guardians of a preschooler. Which of the following play activities should the nurse
recommend for the child?
A. Playing dress-up
B. Playing with building blocks
C. Playing with a musical toy
D. Playing with a puzzle
Correct Answer: A. Playing dress-up
Rational: The nurse should instruct the guardians that at the preschool age, play
should focus on social, mental, and physical development. Therefore, playing
dress-up is a recommended play activity for this child.
A nurse is receiving change-of-shift report for four children. Which of the following
children should the nurse see first?
A. A school-age child who has sickle cell anemia and reports decreased vision in
the left eye
B. A school-age child who has asthma and reports mild wheezing
C. A preschooler who has a fever of 38.5°C (101.3°F)
D. An adolescent who has a fractured arm and reports pain as 4 on a scale of 0 to
10
, Correct Answer: A. A school-age child who has sickle cell anemia and reports
decreased vision in the left eye
Rational: When using the urgent vs. non-urgent approach to client care, the
nurse should determine the priority finding is a report of decreased vision in the
left eye. This finding indicates that the child is experiencing a vaso-occlusive crisis
and should be reported to the provider immediately. Therefore, the nurse should
see this child first.
A nurse is providing teaching to the parents of a preschooler who has heart failure
and a new prescription for digoxin twice daily. Which of the following instructions
should the nurse include in the teaching?
A. "Brush the child's teeth after giving the medication."
B. "Administer the medication with a full glass of water."
C. "Give the medication with a high-fat meal."
D. "Skip a dose if the child vomits within 30 minutes."
Correct Answer: A. "Brush the child's teeth after giving the medication."
Rational: The nurse should instruct the parents to brush the child's teeth after
administering digoxin to prevent tooth decay caused by the medication, which
comes as a sweetened liquid to enhance the taste.
A nurse is providing teaching to the parent of an infant who has diaper dermatitis.
The nurse should instruct the parent to apply which of the following to the
affected area?
