Nursing Care of Children Online Practice
Assessment Exam 2024 RN Nursing Care of
Children Online Practice Assessment Exam
Latest Update 2024 Questions and Correct
Answers Rated A+
A nurse is auscultating the lungs of an adolescent who has asthma.
The nurse should identify the sound as which of the following? -
ANSWER-Tachypnea abnormally rapid breathing.
The nurse should identify the sound heard during auscultation as
tachypnea, which is a rapid, regular
breathing pattern. This breathing pattern often occurs with anxiety,
fever, metabolic acidosis, or severe
anemia.
A nurse in an ED is caring for a school-age child who is experiencing
an anaphylactic rxn. Priority action by the nurse? -ANSWER-
Administer IM epinephrine to the child.
When using the urgent vs non-urgent approach to client care, the
nurse determines that the priority action
is administering IM epinephrine 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 is preparing to administer an immunization to a 4-yo child.
Which of the
,following actions should the nurse plan to take? -ANSWER-Administer
the immunization using a 24-gauge needle
The nurse should administer an immunization for a 4-year-old child
using a 24-gauge needle to minimize
the amount of pain experienced by the toddler.
A nurse is reviewing the lab report of an infant who is receiving tx for
severe
dehydration. The nurse should identify that which of the following lab
values indicates
effectiveness of the current tx? -ANSWER-Sodium 140 mEq/L
The nurse should identify that a sodium level of 140 mEq/L is within
the expected reference range and
indicates the current treatment regimen the infant is receiving for
dehydration is effective.
A nurse is providing teaching about social development to the parents
of a preschooler.
Which of the following play activities should the nurse recommend for
the child? -ANSWER-Playing dress-up
The nurse should instruct the parents 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 teaching the parent of a newborn about ways to prevent
SIDS. Instructions to
be included? -ANSWER-"Give the infant a pacifier at bedtime."
,The nurse should inform the parent that protective factors against
SIDS include breastfeeding and the use
of a pacifier when the infant is sleeping.
A nurse is assessing an infant who has pneumonia. Which of the
following findings is
the priority for the nurse to report to MD? -ANSWER-Nasal flaring
When using the airway, breathing, circulation approach to client care,
the nurse should place the priority
on nasal flaring. Nasal flaring indicates that the infant is experiencing
acute respiratory distress
A school nurse is assessing a school-age child's BP while he is
seated in a chair. The
child starts to experience a tonic-clonic seizure. Appropriate action to
take first? -ANSWER-Assist the child to a side-lying position on the
floor
The greatest risk to this child is aspiration, occlusion of the airway,
and bodily injury from falling out of the
chair. The nurse should ease the child down to floor in a side-lying
position immediately. This position
enables the child's secretions to drain from the mouth, preventing
aspiration, and maintaining a patent
airway.
A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hr PRN
for temps. above
38.0C (100.5F) to an infant who weights 17.6 lbs. The infant has a
temp. of 38.4C
, (101.2F). Available is ibuprofen liquid 100 mg/5mL. How many mL
should the nurse
administer to the infant per dose? (Nearest whole #) -ANSWER-2 mL
Receiving change-of-shift report on 4 children. Which should be
assessed 1st? -ANSWER-A toddler who has a concussion and an
episode of forceful vomiting
When using the urgent vs. non urgent approach to client care, the
nurse should assess this child first. An
episode of forceful vomiting is an indication of increased intracranial
pressure in a toddler who has a
concussion.
A nurse in the ED is caring for an adolescent who has severe
abdominal pain due to
appendicitis. Which of the following locations should the nurse identify
as McBurney's
point? (Hotspot) -ANSWER-A. the lower R. quadrant of the abdomen
between the umbilicus and the anterior iliac
crest.
A is correct. The nurse should identify the lower right quadrant of the
abdomen between the umbilicus
and the anterior iliac crest as the location of McBurney's point.
A nurse is providing teaching to the family of a school-age child who
has juvenile
idiopathic arthritis. Instructions to be included in the teaching? -
ANSWER-"Encourage the child to perform independent self-care"
Assessment Exam 2024 RN Nursing Care of
Children Online Practice Assessment Exam
Latest Update 2024 Questions and Correct
Answers Rated A+
A nurse is auscultating the lungs of an adolescent who has asthma.
The nurse should identify the sound as which of the following? -
ANSWER-Tachypnea abnormally rapid breathing.
The nurse should identify the sound heard during auscultation as
tachypnea, which is a rapid, regular
breathing pattern. This breathing pattern often occurs with anxiety,
fever, metabolic acidosis, or severe
anemia.
A nurse in an ED is caring for a school-age child who is experiencing
an anaphylactic rxn. Priority action by the nurse? -ANSWER-
Administer IM epinephrine to the child.
When using the urgent vs non-urgent approach to client care, the
nurse determines that the priority action
is administering IM epinephrine 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 is preparing to administer an immunization to a 4-yo child.
Which of the
,following actions should the nurse plan to take? -ANSWER-Administer
the immunization using a 24-gauge needle
The nurse should administer an immunization for a 4-year-old child
using a 24-gauge needle to minimize
the amount of pain experienced by the toddler.
A nurse is reviewing the lab report of an infant who is receiving tx for
severe
dehydration. The nurse should identify that which of the following lab
values indicates
effectiveness of the current tx? -ANSWER-Sodium 140 mEq/L
The nurse should identify that a sodium level of 140 mEq/L is within
the expected reference range and
indicates the current treatment regimen the infant is receiving for
dehydration is effective.
A nurse is providing teaching about social development to the parents
of a preschooler.
Which of the following play activities should the nurse recommend for
the child? -ANSWER-Playing dress-up
The nurse should instruct the parents 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 teaching the parent of a newborn about ways to prevent
SIDS. Instructions to
be included? -ANSWER-"Give the infant a pacifier at bedtime."
,The nurse should inform the parent that protective factors against
SIDS include breastfeeding and the use
of a pacifier when the infant is sleeping.
A nurse is assessing an infant who has pneumonia. Which of the
following findings is
the priority for the nurse to report to MD? -ANSWER-Nasal flaring
When using the airway, breathing, circulation approach to client care,
the nurse should place the priority
on nasal flaring. Nasal flaring indicates that the infant is experiencing
acute respiratory distress
A school nurse is assessing a school-age child's BP while he is
seated in a chair. The
child starts to experience a tonic-clonic seizure. Appropriate action to
take first? -ANSWER-Assist the child to a side-lying position on the
floor
The greatest risk to this child is aspiration, occlusion of the airway,
and bodily injury from falling out of the
chair. The nurse should ease the child down to floor in a side-lying
position immediately. This position
enables the child's secretions to drain from the mouth, preventing
aspiration, and maintaining a patent
airway.
A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hr PRN
for temps. above
38.0C (100.5F) to an infant who weights 17.6 lbs. The infant has a
temp. of 38.4C
, (101.2F). Available is ibuprofen liquid 100 mg/5mL. How many mL
should the nurse
administer to the infant per dose? (Nearest whole #) -ANSWER-2 mL
Receiving change-of-shift report on 4 children. Which should be
assessed 1st? -ANSWER-A toddler who has a concussion and an
episode of forceful vomiting
When using the urgent vs. non urgent approach to client care, the
nurse should assess this child first. An
episode of forceful vomiting is an indication of increased intracranial
pressure in a toddler who has a
concussion.
A nurse in the ED is caring for an adolescent who has severe
abdominal pain due to
appendicitis. Which of the following locations should the nurse identify
as McBurney's
point? (Hotspot) -ANSWER-A. the lower R. quadrant of the abdomen
between the umbilicus and the anterior iliac
crest.
A is correct. The nurse should identify the lower right quadrant of the
abdomen between the umbilicus
and the anterior iliac crest as the location of McBurney's point.
A nurse is providing teaching to the family of a school-age child who
has juvenile
idiopathic arthritis. Instructions to be included in the teaching? -
ANSWER-"Encourage the child to perform independent self-care"
