RN PEDIATRICS PROCTORED QUESTIONS BANK 2024/2025
NEWEST!!ACTUAL COMPLETE 300 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED .
A nurse is caring for a preschooler who was recently admitted to a
pediatric unit. 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.
Nurses' Notes
The preschooler's guardians report that their child had a
gastrointestinal illness with some - ANSWER -Temperature is
consistent with acute poststreptococcal glomerulonephritis and
hemolytic uremic syndrome. According to the EMR, the child's
temperature is outside the expected reference range and is
increasing. The child who has acute poststreptococcal
glomerulonephritis may present with a low-grade fever. The child
who has hemolytic uremic syndrome may experience fever that is
high enough to cause hallucinations and lethargy.
BUN level is consistent with acute poststreptococcal
glomerulonephritis and hemolytic uremic syndrome. According to
the EMR, the child's BUN level is elevated, which indicates an
,impairment of kidney function. With acute poststreptococcal
glomerulonephritis, a streptococcal infection invades the inner
membranes of the kidney, which affects filtration and blood flow.
With hemolytic uremic syndrome, intravascular coagulation occurs
in the endothelium of the glomeruli of the kidneys, which impairs
filtration and blood flow. Platelet count is consistent with hemolytic
A nurse on a pediatric unit is caring for a toddler. Which of the
following potential provider prescriptions should the
nurse identify as anticipated or contraindicated? For each potential
provider's prescription, click to specify if the
potential prescription is anticipated or
contraindicated for the toddler.
Medical History
Hemophilia A
Nurses'
Notes 1100:
Guardian reports that the toddler fell at home while playing with toys.
Since the fall, the toddler has been very irritable, crying uncon -
ANSWER -Administer factor VIII is anticipated.
Rationale: The child is experiencing an acute episode of hemophilia
due to a recent fall. During this acute episode, there is potential for
internal bleeding into the joint spaces. Therefore, administering
factor VIII is anticipated to control bleeding.
,Apply ice packs to the affected joints is anticipated.
Rationale: The child is experiencing an acute episode of
hemarthrosis due to a recent fall, as evidenced by the bruising and
swelling of the knee joint. Therefore, applying ice packs to the
affected joints is anticipated to manage discomfort and decrease
bleeding into the joint.
Administer morphine PRN pain is anticipated.
Rationale: The child is experiencing severe pain. Opioids can be
administered in the inpatient setting to relieve pain.
Otherwise, acetaminophen can be given at home for pain. Aspirin
and NSAIDs should be avoided because they
inhibit platelet function and
might increase bleeding.
Perform passive range-of-motion (ROM) ex
A nurse is caring for an 8-month-old infant. Upon evaluation of the
infant's status at 0630, the nurse should identify
which of the following as
signs of improvement?
Nurses'
Notes Day
of
, admission
0515:
Infant is admitted for moderate acute laryngotracheobronchitis (LTB)
and decreased fluid intake. The infant's parent reports it has been
more than 12 hr since the infant last voided. The infant is restless,
irritable, has a hoarse cry, and is not easily consoled by the parent.
Audible inspirato - ANSWER -Infant is sleeping in parent's arms is
correct. Restlessness and irritability are potential indications of
hypoxia and impending airway obstruction. The infant was restless
and irritable on admission, even when the parent was holding them.
Therefore, this finding is an indication that the infant's condition has
improved.
SpO2 is 96% with 100% cool mist oxygen via blow-by is correct. A
low SpO2 is an indication of hypoxia. The infant's SpO2 has
increased from 89% to 96%, which is within the expected reference
range. Therefore, this finding is an indication that the infant's
condition has improved.
Breath sounds are present and equal bilaterally in the bases is
correct. This finding indicates increased air movement compared to
the 0600 assessment. Therefore, this finding is an indication that the
infant's condition has improved.
Infant voided 34 mL is correct. The infant's parent reported upon
admission that the infant had not voided in over 12
NEWEST!!ACTUAL COMPLETE 300 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED .
A nurse is caring for a preschooler who was recently admitted to a
pediatric unit. 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.
Nurses' Notes
The preschooler's guardians report that their child had a
gastrointestinal illness with some - ANSWER -Temperature is
consistent with acute poststreptococcal glomerulonephritis and
hemolytic uremic syndrome. According to the EMR, the child's
temperature is outside the expected reference range and is
increasing. The child who has acute poststreptococcal
glomerulonephritis may present with a low-grade fever. The child
who has hemolytic uremic syndrome may experience fever that is
high enough to cause hallucinations and lethargy.
BUN level is consistent with acute poststreptococcal
glomerulonephritis and hemolytic uremic syndrome. According to
the EMR, the child's BUN level is elevated, which indicates an
,impairment of kidney function. With acute poststreptococcal
glomerulonephritis, a streptococcal infection invades the inner
membranes of the kidney, which affects filtration and blood flow.
With hemolytic uremic syndrome, intravascular coagulation occurs
in the endothelium of the glomeruli of the kidneys, which impairs
filtration and blood flow. Platelet count is consistent with hemolytic
A nurse on a pediatric unit is caring for a toddler. Which of the
following potential provider prescriptions should the
nurse identify as anticipated or contraindicated? For each potential
provider's prescription, click to specify if the
potential prescription is anticipated or
contraindicated for the toddler.
Medical History
Hemophilia A
Nurses'
Notes 1100:
Guardian reports that the toddler fell at home while playing with toys.
Since the fall, the toddler has been very irritable, crying uncon -
ANSWER -Administer factor VIII is anticipated.
Rationale: The child is experiencing an acute episode of hemophilia
due to a recent fall. During this acute episode, there is potential for
internal bleeding into the joint spaces. Therefore, administering
factor VIII is anticipated to control bleeding.
,Apply ice packs to the affected joints is anticipated.
Rationale: The child is experiencing an acute episode of
hemarthrosis due to a recent fall, as evidenced by the bruising and
swelling of the knee joint. Therefore, applying ice packs to the
affected joints is anticipated to manage discomfort and decrease
bleeding into the joint.
Administer morphine PRN pain is anticipated.
Rationale: The child is experiencing severe pain. Opioids can be
administered in the inpatient setting to relieve pain.
Otherwise, acetaminophen can be given at home for pain. Aspirin
and NSAIDs should be avoided because they
inhibit platelet function and
might increase bleeding.
Perform passive range-of-motion (ROM) ex
A nurse is caring for an 8-month-old infant. Upon evaluation of the
infant's status at 0630, the nurse should identify
which of the following as
signs of improvement?
Nurses'
Notes Day
of
, admission
0515:
Infant is admitted for moderate acute laryngotracheobronchitis (LTB)
and decreased fluid intake. The infant's parent reports it has been
more than 12 hr since the infant last voided. The infant is restless,
irritable, has a hoarse cry, and is not easily consoled by the parent.
Audible inspirato - ANSWER -Infant is sleeping in parent's arms is
correct. Restlessness and irritability are potential indications of
hypoxia and impending airway obstruction. The infant was restless
and irritable on admission, even when the parent was holding them.
Therefore, this finding is an indication that the infant's condition has
improved.
SpO2 is 96% with 100% cool mist oxygen via blow-by is correct. A
low SpO2 is an indication of hypoxia. The infant's SpO2 has
increased from 89% to 96%, which is within the expected reference
range. Therefore, this finding is an indication that the infant's
condition has improved.
Breath sounds are present and equal bilaterally in the bases is
correct. This finding indicates increased air movement compared to
the 0600 assessment. Therefore, this finding is an indication that the
infant's condition has improved.
Infant voided 34 mL is correct. The infant's parent reported upon
admission that the infant had not voided in over 12
