RN PEDIATRIC NURSING ONLINE
PRACTICE 2023 B
A6nurse6is6preparing6to6administer6an6immunization6to6a64-year-
old6child.6Which6of6the6following6actions6should6the6nurse6plan6to6take?6
A.6Place6the6child6in6a6prone6position6for6the6immunization.
B.6Request6that6the6child's6caregiver6leave6the6room6during6the6immunization.
C.6Administer6the6immunization6using6a624-gauge6needle.
D.6Inject6the6immunization6slowly6after6aspirating6for636seconds.6-6ans--
C.6Administer6the6immunization6using6a624-gauge6needle.
Rationale:6The6nurse6should6administer6an6immunization6for6a64-year-
old6child6using6a6226to625-
gauge6needle6to6minimize6the6amount6of6pain6the6child6experiences.
A6nurse6is6caring6for6a6school-age6child6who6has6experienced6a6tonic-
clonic6seizure.6Which6of6the6following6actions6should6the6nurse6take6during6the6immediat
e6postictal6period?
A.6Place6the6child6in6a6side-lying6position.
B.6Delay6documentation6until6the6child6is6fully6alert.
C.6Give6the6child6a6high-carbohydrate6snack.
D.6Administer6an6oral6sedative6to6the6child.6-6ans--A.6Place6the6child6in6a6side-
lying6position.
Rationale:6The6nurse6should6place6the6child6in6a6side-lying6position6to6prevent6aspiration.
NGN*6A6nurse6on6a6pediatric6unit6is6admitting6a6preschooler.6After6reviewing6the6informat
ion6in6the6medical6record6the6nurse6should6identify6that6the6child6is6at6risk6for6developing6
which6of6the6following6conditions?6
Dropdown61:6
Splenomegaly
,Acute6post-streptococcal6glomerulonephritis6(APSGN)
Dysrhythmias
Dropdown62:6
Positive6mononucleosis6rapid6test
Urinary6output
Cardiovascular6assessment6-6ans--1.6Splenomegaly
Rationale:6The6child's6positive6mononucleosis6rapid6test6result6indicates6the6presence6of6
infectious6mono,6a6condition6caused6by6the6Epstein-
Barr6virus.6Therefore,6the6nurse6should6identify6that6the6child6is6at6risk6for6developing6spl
enomegaly,6a6common6complication6of6infectious6mono.
2.6Positive6mono6rapid6test
Rationale:6The6child's6positive6mononucleosis6rapid6test6result6indicates6the6presence6of6
infectious6mono,6a6condition6caused6by6the6Epstein-
Barr6virus.6Therefore,6the6nurse6should6identify6that6the6child6is6at6risk6for6developing6spl
enomegaly,6a6common6complication6of6infectious6mono.
A6nurse6is6assessing6an6infant6who6has6a6ventricular6septal6defect.6Which6of6the6followin
g6findings6should6the6nurse6expect?
A.6Loud,6harsh6murmur
B.6Dysrhythmias
C.6Weak6femoral6pulses
D.6High6blood6pressure6-6ans--A.6Loud,6harsh6murmur
Rationale:6The6nurse6should6expect6to6hear6a6loud,6harsh6murmur6with6a6ventricular6sept
al6defect6due6to6the6left-to-
right6shunting6of6blood,6which6contributes6to6hypertrophy6of6the6infant's6heart6muscle.
A6nurse6is6providing6discharge6teaching6the6guardians6of6a6toddler6with6a6lower6leg6cast6
applied6246hours6ago.6The6nurse6should6instruct6the6guardians6to6report6which6of6the6foll
owing6findings6to6the6provider?
A.6Capillary6refill6time6<626seconds.
B.6Restricted6ability6to6move6the6toes.
C.6Swelling6of6the6casted6foot6when6the6leg6is6dependent.
D.6Pedal6pulse6+36bilateral.6-6ans--B.6Restricted6ability6to6move6the6toes.
, Rationale:6The6nurse6should6inform6the6guardians6that6the6restricted6ability6of6the6toddler
6to6move6their6toes6is6an6indication6of6neuromuscular6compromise6and6requires6immedia
te6notification6to6the6provider.6Permanent6muscle6and6tissue6damage6can6occur6in6just6a6
few6hours.
A6nurse6is6planning6an6educational6program6to6teach6caregivers6about6protecting6their6c
hildren6from6sunburns.6Which6of6the6following6instructions6should6the6nurse6plan6to6inclu
de?
A.6"Allow6your6child6to6play6outside6during6the6hours6between610:006am6and62:006pm."
B.6"Choose6a6waterproof6sunscreen6with6a6minimum6SPF6of615."
C.6"Dress6your6child6in6loose6weave6polyester6fabric6prior6to6sun6exposure."
D.6"Reapply6sunscreen6every646hours."6-6ans--
B.6"Choose6a6waterproof6sunscreen6with6a6minimum6SPF6of615."
Rationale:6The6nurse6should6instruct6caregivers6to6apply6a6waterproof6sunscreen6with6a6
minimum6SPF6of6156for6children.6The6parent6should6apply6sunscreen6prior6to6sun6exposu
re6to6reduce6the6risk6of6sunburn.
A6nurse6is6assessing6a6school-
age6child6who6has6peritonitis.6Which6of6the6following6findings6should6the6nurse6expect?
A.6Hyperactive6bowel6sounds
B.6Abdominal6distention
C.6Bradycardia
D.6Bloody6stool6-6ans--B.6Abdominal6distention
Rationale:6The6nurse6should6identify6that6abdominal6distention6is6an6expected6finding6of6
peritonitis.6Peritonitis6is6an6inflammation6of6the6lining6of6the6abdominal6wall.6This6inflamm
ation6in6the6abdomen,6along6with6the6ileus6that6develops,6causes6abdominal6distention.6
Other6manifestations6include6chills,6irritability,6and6restlessness.
A6nurse6is6assessing6a6school-
age6child6who6has6an6infratentorial6brain6tumor.6Which6of6the6following6findings6should6th
e6nurse6identify6as6a6manifestation6of6increased6intracranial6pressure?6
A.6Hypotension
B.6Reports6insomnia
PRACTICE 2023 B
A6nurse6is6preparing6to6administer6an6immunization6to6a64-year-
old6child.6Which6of6the6following6actions6should6the6nurse6plan6to6take?6
A.6Place6the6child6in6a6prone6position6for6the6immunization.
B.6Request6that6the6child's6caregiver6leave6the6room6during6the6immunization.
C.6Administer6the6immunization6using6a624-gauge6needle.
D.6Inject6the6immunization6slowly6after6aspirating6for636seconds.6-6ans--
C.6Administer6the6immunization6using6a624-gauge6needle.
Rationale:6The6nurse6should6administer6an6immunization6for6a64-year-
old6child6using6a6226to625-
gauge6needle6to6minimize6the6amount6of6pain6the6child6experiences.
A6nurse6is6caring6for6a6school-age6child6who6has6experienced6a6tonic-
clonic6seizure.6Which6of6the6following6actions6should6the6nurse6take6during6the6immediat
e6postictal6period?
A.6Place6the6child6in6a6side-lying6position.
B.6Delay6documentation6until6the6child6is6fully6alert.
C.6Give6the6child6a6high-carbohydrate6snack.
D.6Administer6an6oral6sedative6to6the6child.6-6ans--A.6Place6the6child6in6a6side-
lying6position.
Rationale:6The6nurse6should6place6the6child6in6a6side-lying6position6to6prevent6aspiration.
NGN*6A6nurse6on6a6pediatric6unit6is6admitting6a6preschooler.6After6reviewing6the6informat
ion6in6the6medical6record6the6nurse6should6identify6that6the6child6is6at6risk6for6developing6
which6of6the6following6conditions?6
Dropdown61:6
Splenomegaly
,Acute6post-streptococcal6glomerulonephritis6(APSGN)
Dysrhythmias
Dropdown62:6
Positive6mononucleosis6rapid6test
Urinary6output
Cardiovascular6assessment6-6ans--1.6Splenomegaly
Rationale:6The6child's6positive6mononucleosis6rapid6test6result6indicates6the6presence6of6
infectious6mono,6a6condition6caused6by6the6Epstein-
Barr6virus.6Therefore,6the6nurse6should6identify6that6the6child6is6at6risk6for6developing6spl
enomegaly,6a6common6complication6of6infectious6mono.
2.6Positive6mono6rapid6test
Rationale:6The6child's6positive6mononucleosis6rapid6test6result6indicates6the6presence6of6
infectious6mono,6a6condition6caused6by6the6Epstein-
Barr6virus.6Therefore,6the6nurse6should6identify6that6the6child6is6at6risk6for6developing6spl
enomegaly,6a6common6complication6of6infectious6mono.
A6nurse6is6assessing6an6infant6who6has6a6ventricular6septal6defect.6Which6of6the6followin
g6findings6should6the6nurse6expect?
A.6Loud,6harsh6murmur
B.6Dysrhythmias
C.6Weak6femoral6pulses
D.6High6blood6pressure6-6ans--A.6Loud,6harsh6murmur
Rationale:6The6nurse6should6expect6to6hear6a6loud,6harsh6murmur6with6a6ventricular6sept
al6defect6due6to6the6left-to-
right6shunting6of6blood,6which6contributes6to6hypertrophy6of6the6infant's6heart6muscle.
A6nurse6is6providing6discharge6teaching6the6guardians6of6a6toddler6with6a6lower6leg6cast6
applied6246hours6ago.6The6nurse6should6instruct6the6guardians6to6report6which6of6the6foll
owing6findings6to6the6provider?
A.6Capillary6refill6time6<626seconds.
B.6Restricted6ability6to6move6the6toes.
C.6Swelling6of6the6casted6foot6when6the6leg6is6dependent.
D.6Pedal6pulse6+36bilateral.6-6ans--B.6Restricted6ability6to6move6the6toes.
, Rationale:6The6nurse6should6inform6the6guardians6that6the6restricted6ability6of6the6toddler
6to6move6their6toes6is6an6indication6of6neuromuscular6compromise6and6requires6immedia
te6notification6to6the6provider.6Permanent6muscle6and6tissue6damage6can6occur6in6just6a6
few6hours.
A6nurse6is6planning6an6educational6program6to6teach6caregivers6about6protecting6their6c
hildren6from6sunburns.6Which6of6the6following6instructions6should6the6nurse6plan6to6inclu
de?
A.6"Allow6your6child6to6play6outside6during6the6hours6between610:006am6and62:006pm."
B.6"Choose6a6waterproof6sunscreen6with6a6minimum6SPF6of615."
C.6"Dress6your6child6in6loose6weave6polyester6fabric6prior6to6sun6exposure."
D.6"Reapply6sunscreen6every646hours."6-6ans--
B.6"Choose6a6waterproof6sunscreen6with6a6minimum6SPF6of615."
Rationale:6The6nurse6should6instruct6caregivers6to6apply6a6waterproof6sunscreen6with6a6
minimum6SPF6of6156for6children.6The6parent6should6apply6sunscreen6prior6to6sun6exposu
re6to6reduce6the6risk6of6sunburn.
A6nurse6is6assessing6a6school-
age6child6who6has6peritonitis.6Which6of6the6following6findings6should6the6nurse6expect?
A.6Hyperactive6bowel6sounds
B.6Abdominal6distention
C.6Bradycardia
D.6Bloody6stool6-6ans--B.6Abdominal6distention
Rationale:6The6nurse6should6identify6that6abdominal6distention6is6an6expected6finding6of6
peritonitis.6Peritonitis6is6an6inflammation6of6the6lining6of6the6abdominal6wall.6This6inflamm
ation6in6the6abdomen,6along6with6the6ileus6that6develops,6causes6abdominal6distention.6
Other6manifestations6include6chills,6irritability,6and6restlessness.
A6nurse6is6assessing6a6school-
age6child6who6has6an6infratentorial6brain6tumor.6Which6of6the6following6findings6should6th
e6nurse6identify6as6a6manifestation6of6increased6intracranial6pressure?6
A.6Hypotension
B.6Reports6insomnia
