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Exam (elaborations)

RN Pediatric Nursing Online Practice Exam(VERSION I) 2024/2025 Proctored Exam ( Questions and Answers) | NGN | Latest Version.

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RN Pediatric Nursing Online Practice Exam(VERSION I) 2024/2025 Proctored Exam ( Questions and Answers) | NGN | Latest Version.

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RN Pediatric Nursing Online Practice
Exam(VERSION I) 2024/2025 Proctored
Exam ( Questions and Answers) | NGN |
Latest Version.

Terms in this set (60)

A nurse is teaching the parent of a d. "I should keep my child indoors when I mow the yard."
preschooler about ways to prevent
acute asthma attacks. Which of the The nurse should instruct the parent to keep the preschooler indoors
following statements by the parents during lawn maintenance or when the pollen count is increased.
Guarding against exposure to known allergens found outdoors, such as
indicates and understanding of the
grass, tree, and weed pollen, will decrease the frequency of the
teaching? preschooler's asthma attacks.

a. "I will use a humidifier in
mychild's room at night"
b. "I will give my child a
coughsuppressant every 6 hours if he
has a cough."
c. "I should avoid using a wet
mopon my floors when I am
cleaning."
d. "I should keep my child
indoorswhen I mow the yard."

,A nurse is assessing a 6-year-old child b. Hypoactive bowel sounds
immediately following surgery for a
perforated appendix. Which of the The nurse should expect hypoactive bowel sounds following
following findings should the nurse appendiceal rupture or if the child has developed peritonitis.
Additionally, hypoactive bowel sounds are an expected finding
expect?
immediately following abdominal surgery, until full peristalsis resumes.

a. Purulent drainage from the
NGtube
b. Hypoactive bowel sounds
c. Passage of dark-red stool
withmucus
d. Urine output of 20 mL/hr



A is correct. The nurse should identify that this is the location to tapto elicit the
biceps reflex.
The nurse is assessing a schoolage
child who has an acute spinal cord B is incorrect. The nurse should tap this location to elicit the tricepsreflex.
injury following a sports injury 1 week
ago. Identify the area the nurse
C is incorrect. The nurse should tap this location to elicit thebrachioradialis
should tap to elicit the biceps reflex.
reflex.

, Administer factor VIII is anticipated. 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. The child is experiencing
A nurse on a pediatric unit is caring an acute episode of hemarthrosis due to a recent fall, as evidenced by the
for a toddler. bruising and swelling of the knee joint.
Therefore, applying ice packs to the affected joints is anticipated to manage
Which of the following potential discomfort and decrease bleeding into the joint.
provider prescriptions should the
nurse identify as anticipated or Administer morphine PRN pain is anticipated. The child is experiencing severe
contraindicated? pain. Opioids can be administered in the inpatient setting to relieve pain.
Otherwise, acetaminophen can be given at home for pain. Aspirin and NSAIDs
Potential Provider's Prescription: should be avoided because they inhibit platelet function and might increase
(Anticipated or Contraindicated) bleeding.
1. Administer factor VIII
2. Apply ice packs to the Perform passive range-of-motion (ROM) exercises during the first 12 hr
infectedjoints following injury is contraindicated. The child is experiencing an acute
3. Administer morphine PRN episode of hemarthrosis. Passive ROM exercises can increase bleeding into
pain4. Perform passive range- the joint for the first 48 hr following injury. The toddler should be
ofmotion (ROM) exercises during the encouraged to exercise the joint as tolerated.
first 12 hr following injury 5. Elevate
the affected joints
Elevate the affected joints is anticipated. 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. Elevation of the joint, along with the
application of ice, is anticipated to help decrease bleeding and swelling in
the joint.

, A nurse is providing discharge c. "I will monitor my child's number of wet diapers."
teaching to the parent of an
18month-old toddler who has The nurse should teach the parent to closely monitor the child's number
dehydration due to acute diarrhea. of wet diapers. Monitoring the number of wet diapers per day is an
effective way for the parent to monitor adequate output and hydration
Which of the following statements
status.
by the parent indicates an
understanding of the teaching?


a. "I will offer my child small
amounts of fruit juice frequently.." b.
"I will avoid giving my child solid
foods until the diarrhea has
stopped,"
c. "I will monitor my child's
number of wet diapers." d. "I will
give my child polyethylene glycol
daily for 7 days."

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