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RN PEDIATRIC NURSING ONLINE PRACTICE
2025 | COMPREHENSIVE QUESTIONS WITH
VERIFIED SOLUTIONS
The nurse has reviewed the child's nurse notes, assessment, vital signs, providers
prescriptions and laboratory results for today's visit. Which of the following
conditions are improving since the child's visit 1 month ago?
Select 4 of the following conditions.
Nurses' Notes - 2 months ago:
The toddler is here for their well-child visit and is accompanied by a parent.
Toddler is active, alert, and walking without assistance. The parent reports moving
to an older urban house, which is currentl - correct-answer-When evaluating
outcomes, the nurse should identify an improvement in the child's health based
on the findings of lead poisoning, kidney function, exposure to lead, and
nutritional status. The BLL has decreased since the previous visit in response to
the chelating medication. This indicates a decrease in the amount of lead in the
body. The amount of glucose in the urine has decreased, which shows an
improvement in the damage to the proximal tubules of the kidneys. Exposure to
lead has decreased. The parent reports no longer residing in the older home that
is being renovated, which was a source of lead exposure to the child. The
nutritional status has improved based on parent's report of the child eating better
and consuming more calcium-rich foods. Also, the child's weight has increased
since the previous visit.
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A nurse is reviewing the laboratory report of a school-age child who is
experiencing fatigue. Which of the following findings should the nurse recognize
as an indication of anemia? - correct-answer-Hematocrit 28%
Rationale: The nurse should recognize that this hematocrit level is below the
expected reference range of 32% to 44% for a school-age child. The child can
exhibit fatigue, lightheadedness, tachycardia, dyspnea, and pallor due to the
decreased oxygen-carrying capacity.
A nurse in a provider's office is preparing to administer immunizations to a toddler
during a well-child visit. Which of the following actions should the nurse plan to
take? (Click on the "Exhibit" button for additional information about the client.
There are three tabs that contain separate categories of data.)
Provider PrescriptionsTuberculin skin test (TST)Measles, mumps, and rubella
(MMR) vaccineInactivated influenza vaccineDiphtheria, tetanus, and pertussis
(DTaP) vaccine
Graphic Re - correct-answer-Withhold the measles, mumps, and rubella (MMR)
vaccine.
Rationale: The nurse should recognize that an allergy to neomycin with an
anaphylactic reaction is a contraindication for receiving the MMR vaccine. Clients
who have a severe allergy to eggs or gelatin should not receive this vaccine.
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A nurse is assessing an 8-year-old child who has early indications of shock. After
establishing an airway and stabilizing the child's respirations, which of the
following actions should the nurse take next? - correct-answer-Initiate IV access
Rationale: After establishing an airway and stabilizing the child's respirations, the
next action the nurse should take when using the airway, breathing, and
circulation approach to client care is to establish IV access to maintain the child's
circulatory volume.
A nurse is caring for an adolescent who received a kidney transplant. Which of the
following findings should the nurse identify as an indication the adolescent is
rejecting the kidney? - correct-answer-Serum creatinine 3.0 mg/dL
Rationale: Creatinine is a byproduct of protein metabolism and is excreted from
the body through the kidneys. An elevated serum creatinine level, therefore, can
be an indication that the kidneys are not functioning. The nurse should identify
that the adolescent's serum creatinine level is higher than the expected reference
range of 0.4 to 1.0 mg/dL for an adolescent and can indicate rejection of the
kidney.
A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL.
Which of the following actions should the nurse plan to take? - correct-answer-
Schedule the toddler for a yearly re-screening.
Rationale: The nurse should schedule the toddler for a lead level re-screening in 1
year and educate the family on ways to prevent exposure.
RN PEDIATRIC NURSING ONLINE PRACTICE
2025 | COMPREHENSIVE QUESTIONS WITH
VERIFIED SOLUTIONS
The nurse has reviewed the child's nurse notes, assessment, vital signs, providers
prescriptions and laboratory results for today's visit. Which of the following
conditions are improving since the child's visit 1 month ago?
Select 4 of the following conditions.
Nurses' Notes - 2 months ago:
The toddler is here for their well-child visit and is accompanied by a parent.
Toddler is active, alert, and walking without assistance. The parent reports moving
to an older urban house, which is currentl - correct-answer-When evaluating
outcomes, the nurse should identify an improvement in the child's health based
on the findings of lead poisoning, kidney function, exposure to lead, and
nutritional status. The BLL has decreased since the previous visit in response to
the chelating medication. This indicates a decrease in the amount of lead in the
body. The amount of glucose in the urine has decreased, which shows an
improvement in the damage to the proximal tubules of the kidneys. Exposure to
lead has decreased. The parent reports no longer residing in the older home that
is being renovated, which was a source of lead exposure to the child. The
nutritional status has improved based on parent's report of the child eating better
and consuming more calcium-rich foods. Also, the child's weight has increased
since the previous visit.
,2|Page
A nurse is reviewing the laboratory report of a school-age child who is
experiencing fatigue. Which of the following findings should the nurse recognize
as an indication of anemia? - correct-answer-Hematocrit 28%
Rationale: The nurse should recognize that this hematocrit level is below the
expected reference range of 32% to 44% for a school-age child. The child can
exhibit fatigue, lightheadedness, tachycardia, dyspnea, and pallor due to the
decreased oxygen-carrying capacity.
A nurse in a provider's office is preparing to administer immunizations to a toddler
during a well-child visit. Which of the following actions should the nurse plan to
take? (Click on the "Exhibit" button for additional information about the client.
There are three tabs that contain separate categories of data.)
Provider PrescriptionsTuberculin skin test (TST)Measles, mumps, and rubella
(MMR) vaccineInactivated influenza vaccineDiphtheria, tetanus, and pertussis
(DTaP) vaccine
Graphic Re - correct-answer-Withhold the measles, mumps, and rubella (MMR)
vaccine.
Rationale: The nurse should recognize that an allergy to neomycin with an
anaphylactic reaction is a contraindication for receiving the MMR vaccine. Clients
who have a severe allergy to eggs or gelatin should not receive this vaccine.
, 3|Page
A nurse is assessing an 8-year-old child who has early indications of shock. After
establishing an airway and stabilizing the child's respirations, which of the
following actions should the nurse take next? - correct-answer-Initiate IV access
Rationale: After establishing an airway and stabilizing the child's respirations, the
next action the nurse should take when using the airway, breathing, and
circulation approach to client care is to establish IV access to maintain the child's
circulatory volume.
A nurse is caring for an adolescent who received a kidney transplant. Which of the
following findings should the nurse identify as an indication the adolescent is
rejecting the kidney? - correct-answer-Serum creatinine 3.0 mg/dL
Rationale: Creatinine is a byproduct of protein metabolism and is excreted from
the body through the kidneys. An elevated serum creatinine level, therefore, can
be an indication that the kidneys are not functioning. The nurse should identify
that the adolescent's serum creatinine level is higher than the expected reference
range of 0.4 to 1.0 mg/dL for an adolescent and can indicate rejection of the
kidney.
A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL.
Which of the following actions should the nurse plan to take? - correct-answer-
Schedule the toddler for a yearly re-screening.
Rationale: The nurse should schedule the toddler for a lead level re-screening in 1
year and educate the family on ways to prevent exposure.
