RN Pediatric Nursing Online
Practice Final Exam
(2026/2027)
Complete Practice Questions and
Correct Detailed Answers with
Rationales | 100% Guaranteed Pass |
New Version
,A nurse in a pediatric emergency department is Apply supplemental oxygen is correct. According to the medical record and
planning care for an adolescent. chest x-ray report, the adolescent could potentially have a pneumothorax. Also
Exhibit 1 according to the medical record and chest x-ray report, the adolescent's
Exhibit 2 oxygen saturation level is decreasing, which indicates hypoxia. Therefore, the
Exhibit 3 nurse should plan to administer supplemental oxygen.
Nurses' Notes
2245: Prepare for chest tube insertion is correct. According to the medical record
Adolescent arrived via stretcher by Emergency Medical and chest x-ray report, the adolescent could potentially have a pneumothorax.
Transport (EMT) following a motor-vehicle crash.EMT A pneumothorax is the presence of air in the pleural cavity, which results in
personnel report: decreased lung expansion. The adolescent could experience dyspnea,
Client was found conscious at the scene inside of the tachypnea, tachycardia, hypoxia, and pain. This requires prompt intervention by
vehicle with airbag deployed, wearing a seat belt. the provider, such as the placement of a chest tube into the thoracic cavity to
Vital signs: heart rate: 94/min, respiratory rate 20/min, remove air and fluid from the pleural space, if present, allowing the lung to re-
blood pressure 100/60 mm Hg expand.
18-gauge peripheral IV inserted in left antecubital.
Guardians contacted and report the child has no
medical conditions.2300:Adolescent reports sharp pain
in chest. Rates pain as 6 on a scale of 0 to 10.
Respirations fast and shallow. Diminished breath sounds
in left lung. S1 and S2 regular and rapid.
Apply Supplemental Oxygen
Prepare for chest tube
Place adolescent in supine position
Obtain consent for a paracentesis
Administer a levalbuterol inhaler
A nurse is reviewing the laboratory report of a school- A low hematocrit level
age child who is experiencing fatigue. Which of the
following findings should the nurse recognize as an The nurse should identify that a low hematocrit level indicates anemia. A child
indication of anemia? who has anemia can exhibit fatigue, lightheadedness, tachycardia, dyspnea,
and pallor due to the decreased oxygen-carrying capacity of the blood cells.
A low hematocrit level
An elevated BUN
An increased neutrophil count
A low uric acid level
A nurse is teaching the parent of a preschooler about d. I should keep my child indoors when I mow the yard
ways to prevent acute asthma attacks. Which of the
following statements by the parent indicates an
understanding of the teaching?
a. I will use a humidifier in my child's room at night
b. I will give my child a cough suppressant every 6
hours if he ha a cough
c. I should avoid using a wet mop on the floors when I
am cleaning
d. I should keep my child indoors when I mow the yard
, A nurse on a pediatric unit is caring for a toddler. Anticipated:
Hx Hemophilia Administer factor VIII is anticipated. The child is experiencing an acute
Guardian reports that the toddler fell at home while episode of hemophilia due to a recent fall. During this acute episode, there is
playing w/ toys. Since the fall, the toddler been very potential for internal bleeding into the joint spaces. Therefore, administering
irritable, crying uncontrollably, + grabbing at their left factor VIII is anticipated to control bleeding.
knee. The toddler can walk but insists being picked up. Apply ice packs to the affected joints is anticipated. The child is experiencing
Toddler is alert during exam. Extremities are warm + dry an acute episode of hemarthrosis due to a recent fall, as evidenced by the
to touch. Decreased movement of the left leg bruising and swelling of the knee joint. Therefore, applying ice packs to the
observed. Tenderness noted w/ palpation of the left affected joints is anticipated to manage discomfort and decrease bleeding into
knee joint. Pain level 6/10 using FLACC scale. the joint.
Toddler is fussy + crying. Pain assessed as 8 on scale of Administer morphine PRN pain is anticipated. The child is experiencing severe
0 to 10 using the FLACC scale. pain. Opioids can be administered in the inpatient setting to relieve pain.
Left knee observed to be ecchymotic + edematous. Otherwise, acetaminophen can be given at home for pain. Aspirin and NSAIDs
Temp 36.9° C (98.4° F) should be avoided because they inhibit platelet function and might increase
HR 110/min bleeding.
RR 28/min Elevate the affected joints is anticipated. The child is experiencing an acute
O₂ Sat 98% on room air episode of hemarthrosis due to a recent fall, as evidenced by the bruising and
swelling of the knee joint. Elevation of the joint, along with the application of
Administer factor VIII. ice, is anticipated to help decrease bleeding and swelling in the joint.
Apply ice packs to the affected joints.
Administer morphine PRN pain. Contraindication
Perform passive range-of-motion (ROM) exercises Perform passive range-of-motion (ROM) exercises during the first 12 hr
during the first 12 hr following injury. following injury is contraindicated. The child is experiencing an acute episode
Elevate the affected joints. of hemarthrosis. Passive ROM exercises can increase bleeding into the joint for
the first 48 hr following injury. The toddler should be encouraged to exercise
the joint as tolerated.
Nurse in health department is caring for emancipated Have the adolescent sign a consent form for treatment.
adolescent with STI and unaccompanied by guardian.
Which actions should the nurse take?
Have the adolescent sign a consent form for treatment.
Instruct the adolescent to return with a guardian.
Obtain consent from the adolescent's guardian over the
phone
Treat the adolescent without a consent form
A nurse is caring for a preschooler who was recently Nephrotic Syndrome- BP, Cholesterol
admitted to a pediatric unit. APG- temp, BUN, BP
Nurses' Notes HUS- temp, BUN, platelet, BP
The preschooler's guardians report that their child had
a gastrointestinal illness with some vomiting and
diarrhea about 1 week ago. Their child started to feel
better. However, within the last 2 days, they noticed
several small bruises that appeared on their child's arms
and legs. Additionally, the guardians report the child is
lethargic.
The nurse is reviewing the information in the child's
electronic medical record (EMR).
For each EMR finding, click to specify if the finding is
consistent with nephrotic syndrome, acute
poststreptococcal glomerulonephritis, or hemolytic
uremic syndrome. Each finding may support more than
one disease process.
Practice Final Exam
(2026/2027)
Complete Practice Questions and
Correct Detailed Answers with
Rationales | 100% Guaranteed Pass |
New Version
,A nurse in a pediatric emergency department is Apply supplemental oxygen is correct. According to the medical record and
planning care for an adolescent. chest x-ray report, the adolescent could potentially have a pneumothorax. Also
Exhibit 1 according to the medical record and chest x-ray report, the adolescent's
Exhibit 2 oxygen saturation level is decreasing, which indicates hypoxia. Therefore, the
Exhibit 3 nurse should plan to administer supplemental oxygen.
Nurses' Notes
2245: Prepare for chest tube insertion is correct. According to the medical record
Adolescent arrived via stretcher by Emergency Medical and chest x-ray report, the adolescent could potentially have a pneumothorax.
Transport (EMT) following a motor-vehicle crash.EMT A pneumothorax is the presence of air in the pleural cavity, which results in
personnel report: decreased lung expansion. The adolescent could experience dyspnea,
Client was found conscious at the scene inside of the tachypnea, tachycardia, hypoxia, and pain. This requires prompt intervention by
vehicle with airbag deployed, wearing a seat belt. the provider, such as the placement of a chest tube into the thoracic cavity to
Vital signs: heart rate: 94/min, respiratory rate 20/min, remove air and fluid from the pleural space, if present, allowing the lung to re-
blood pressure 100/60 mm Hg expand.
18-gauge peripheral IV inserted in left antecubital.
Guardians contacted and report the child has no
medical conditions.2300:Adolescent reports sharp pain
in chest. Rates pain as 6 on a scale of 0 to 10.
Respirations fast and shallow. Diminished breath sounds
in left lung. S1 and S2 regular and rapid.
Apply Supplemental Oxygen
Prepare for chest tube
Place adolescent in supine position
Obtain consent for a paracentesis
Administer a levalbuterol inhaler
A nurse is reviewing the laboratory report of a school- A low hematocrit level
age child who is experiencing fatigue. Which of the
following findings should the nurse recognize as an The nurse should identify that a low hematocrit level indicates anemia. A child
indication of anemia? who has anemia can exhibit fatigue, lightheadedness, tachycardia, dyspnea,
and pallor due to the decreased oxygen-carrying capacity of the blood cells.
A low hematocrit level
An elevated BUN
An increased neutrophil count
A low uric acid level
A nurse is teaching the parent of a preschooler about d. I should keep my child indoors when I mow the yard
ways to prevent acute asthma attacks. Which of the
following statements by the parent indicates an
understanding of the teaching?
a. I will use a humidifier in my child's room at night
b. I will give my child a cough suppressant every 6
hours if he ha a cough
c. I should avoid using a wet mop on the floors when I
am cleaning
d. I should keep my child indoors when I mow the yard
, A nurse on a pediatric unit is caring for a toddler. Anticipated:
Hx Hemophilia Administer factor VIII is anticipated. The child is experiencing an acute
Guardian reports that the toddler fell at home while episode of hemophilia due to a recent fall. During this acute episode, there is
playing w/ toys. Since the fall, the toddler been very potential for internal bleeding into the joint spaces. Therefore, administering
irritable, crying uncontrollably, + grabbing at their left factor VIII is anticipated to control bleeding.
knee. The toddler can walk but insists being picked up. Apply ice packs to the affected joints is anticipated. The child is experiencing
Toddler is alert during exam. Extremities are warm + dry an acute episode of hemarthrosis due to a recent fall, as evidenced by the
to touch. Decreased movement of the left leg bruising and swelling of the knee joint. Therefore, applying ice packs to the
observed. Tenderness noted w/ palpation of the left affected joints is anticipated to manage discomfort and decrease bleeding into
knee joint. Pain level 6/10 using FLACC scale. the joint.
Toddler is fussy + crying. Pain assessed as 8 on scale of Administer morphine PRN pain is anticipated. The child is experiencing severe
0 to 10 using the FLACC scale. pain. Opioids can be administered in the inpatient setting to relieve pain.
Left knee observed to be ecchymotic + edematous. Otherwise, acetaminophen can be given at home for pain. Aspirin and NSAIDs
Temp 36.9° C (98.4° F) should be avoided because they inhibit platelet function and might increase
HR 110/min bleeding.
RR 28/min Elevate the affected joints is anticipated. The child is experiencing an acute
O₂ Sat 98% on room air episode of hemarthrosis due to a recent fall, as evidenced by the bruising and
swelling of the knee joint. Elevation of the joint, along with the application of
Administer factor VIII. ice, is anticipated to help decrease bleeding and swelling in the joint.
Apply ice packs to the affected joints.
Administer morphine PRN pain. Contraindication
Perform passive range-of-motion (ROM) exercises Perform passive range-of-motion (ROM) exercises during the first 12 hr
during the first 12 hr following injury. following injury is contraindicated. The child is experiencing an acute episode
Elevate the affected joints. of hemarthrosis. Passive ROM exercises can increase bleeding into the joint for
the first 48 hr following injury. The toddler should be encouraged to exercise
the joint as tolerated.
Nurse in health department is caring for emancipated Have the adolescent sign a consent form for treatment.
adolescent with STI and unaccompanied by guardian.
Which actions should the nurse take?
Have the adolescent sign a consent form for treatment.
Instruct the adolescent to return with a guardian.
Obtain consent from the adolescent's guardian over the
phone
Treat the adolescent without a consent form
A nurse is caring for a preschooler who was recently Nephrotic Syndrome- BP, Cholesterol
admitted to a pediatric unit. APG- temp, BUN, BP
Nurses' Notes HUS- temp, BUN, platelet, BP
The preschooler's guardians report that their child had
a gastrointestinal illness with some vomiting and
diarrhea about 1 week ago. Their child started to feel
better. However, within the last 2 days, they noticed
several small bruises that appeared on their child's arms
and legs. Additionally, the guardians report the child is
lethargic.
The nurse is reviewing the information in the child's
electronic medical record (EMR).
For each EMR finding, click to specify if the finding is
consistent with nephrotic syndrome, acute
poststreptococcal glomerulonephritis, or hemolytic
uremic syndrome. Each finding may support more than
one disease process.
