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RN Pediatric Nursing Online Practice 2023 B LATEST 2
VERSIONS QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
RN Pediatric Nursing Online Practice 2023 B
A nurse is caring for a school-age child who is receiving Cefazolin via intermittent IV bolus.
The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing
the medication infusion, which of the following medications should the nurse administer
first?
A) Prednisone
B) Epinephrine
C) Diphenhydramine
D) Albuterol
B) Epinephrine
This child is most likely experiencing an anaphylactic reaction to the cefazolin. According to
evidence-based practice, the nurse should first administer epinephrine to treat the anaphylaxis.
Epinephrine is a beta-adrenergic agonist that stimulates the heart, causes vasoconstriction of
blood vessels in the skin and mucous membranes, and triggers bronchodilation in the lungs.
A nurse in a provider's office is caring for a preschooler. Which of the following statements by
a guardian indicate that the discharge teaching was effective? Select all that apply.
A) "We should apply a skin emollient immediately after bathing our child."
B) "We should keep our child's fingernails trimmed short."
C) "We should rub the sores vigorously to remove scabs."
D) "We should allow our child to take a bubble bath prior to bed."
E) "We should use a mild detergent for our laundry."
F) "We should apply a large amount of the ointment to the sores."
A) "We should apply a skin emollient immediately after bathing our child."
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B) "We should keep our child's fingernails trimmed short."
E) "We should use a mild detergent for our laundry."
"We should apply a skin emollient immediately after bathing our child" is correct. An
emollient is an oil that moisturizes the skin and should be applied immediately after bathing,
while the skin is damp, to prevent drying. Therefore this statement by the guardian indicates
the teaching has been effective.
"We should keep our child's fingernails trimmed short" is correct. The child's fingernails and
toenails should be kept short, trimmed, and filed to prevent scratching with sharp edges.
Therefore this statement by the guardian indicates the teaching has been effective.
"We should use a mild detergent for our laundry" is correct. The use of mild detergents for
laundry helps prevent allergens and itching. Therefore this statement by the guardian indicates
the teaching has been effective.
A nurse is caring for a toddler.
Nurses' Notes
0900:
Toddler brought to the provider's office today for report of a cough that won't go away and
recurring respiratory infections. Guardian states toddler has been coughing the past several
weeks with wheezing starting overnight. S1 and S2 auscultated, no murmur noted.
Respirations labored; rhonchi auscultated. Nasal congestion noted. Child is lethargic and
irritable. Guardian states the toddler is "often sweaty, and when I kiss them, it tastes salty."
States the child has been eating well prior to today but won't gain weight. Loose, fatty stool
in diaper. Vital signs and labs obtained.
Vital Signs
0900:
Temperature 37.4° C (99.3° F)
Heart rate 150/min
Respiratory rate 40/min
Blood pressure 82/42 mmHg
Oxygen saturation 92% on room air
Laboratory Results
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1200:
Sodium 128 mEq/L (136 to 145 mEq/L)
Potential Condition:
Otitis media
Actions to Take:
Educate guardian about sweat chloride testing
Prepare toddler for chest physiotherapy.
Parameters to Monitor:
Oxygen saturation level
Stools
Upon recognizing and analyzing client findings, the nurse's priority hypothesis is that the
toddler is most likely experiencing cystic fibrosis and that is it important to generate solutions
and take actions by planning to educate the guardian about sweat chloride testing for the
toddler and prepare the toddler for chest physiotherapy. The toddler is most likely experiencing
cystic fibrosis, as evidenced by reports of recurring respiratory infections, wheezing, coughing,
tachypnea, tachycardia, labored respirations, decreased oxygen saturation, nasal congestion,
inability to gain weight, loose fatty stool, salty tasting sweat, and hyponatremia. To evaluate
the toddler's response to these interventions, the nurse should monitor the toddler's oxygen
saturation level and stools. These are parameters that indicate if the toddler is further
experiencing respiratory distress, inadequate intake, and dehydration, which can lead to further
complications, including pneumothorax, respiratory failure, and failure to thrive.
A nurse is providing discharge teaching to the parent of a school-age child who has moderate
persistent asthma. Which of the following instructions should the nurse include?
A) "You should give your child their salmeterol inhaler every 4 hours when they are having an
acute episode of wheezing."
B) "You should monitor your child's weight weekly while they are receiving inhaled
corticosteroid therapy."
C) "Pulmonary function tests will be performed every 12 to 24 months to evaluate how your
child is responding to therapy."
D) "When using the peak expiratory flow meter, record your child's average of three
readings."
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C) "Pulmonary function tests will be performed every 12 to 24 months to evaluate how your
child is responding to therapy."
The nurse should inform the parent that their child will need pulmonary function tests every 12
to 24 months to evaluate the presence of lung disease and how the child is responding to the
current treatment regimen. As children grow, sometimes their manifestations can improve or
decline, and treatment needs to change accordingly.
A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse
should secure the sensor to which of the following areas on the infant?
A) Wrist
B) Great toe
C) Index finger
D) Heel
B) Great toe
The nurse should secure the sensor to the great toe of the infant and then place a snug-fitting
sock on the foot to hold the sensor in place. The nurse should also check the skin under the
sensor site frequently for temperature, color, and the presence of a pulse.
A nurse on a pediatric unit is caring for a school-age child. After reviewing the information in
the child's medical record, which of the following findings should the nurse report to the
provider?
Select the 4 findings that the nurse should report to the provider.
A) Arterial blood gases
B) Cardiovascular assessment
C) WBC count
D) Hemoglobin
E) Oxygen saturation level
F) Respiratory assessment
A) Arterial blood gases
C) WBC count
E) Oxygen saturation level
F) Respiratory assessment
RN Pediatric Nursing Online Practice 2023 B LATEST 2
VERSIONS QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
RN Pediatric Nursing Online Practice 2023 B
A nurse is caring for a school-age child who is receiving Cefazolin via intermittent IV bolus.
The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing
the medication infusion, which of the following medications should the nurse administer
first?
A) Prednisone
B) Epinephrine
C) Diphenhydramine
D) Albuterol
B) Epinephrine
This child is most likely experiencing an anaphylactic reaction to the cefazolin. According to
evidence-based practice, the nurse should first administer epinephrine to treat the anaphylaxis.
Epinephrine is a beta-adrenergic agonist that stimulates the heart, causes vasoconstriction of
blood vessels in the skin and mucous membranes, and triggers bronchodilation in the lungs.
A nurse in a provider's office is caring for a preschooler. Which of the following statements by
a guardian indicate that the discharge teaching was effective? Select all that apply.
A) "We should apply a skin emollient immediately after bathing our child."
B) "We should keep our child's fingernails trimmed short."
C) "We should rub the sores vigorously to remove scabs."
D) "We should allow our child to take a bubble bath prior to bed."
E) "We should use a mild detergent for our laundry."
F) "We should apply a large amount of the ointment to the sores."
A) "We should apply a skin emollient immediately after bathing our child."
, Page 2 of 55
B) "We should keep our child's fingernails trimmed short."
E) "We should use a mild detergent for our laundry."
"We should apply a skin emollient immediately after bathing our child" is correct. An
emollient is an oil that moisturizes the skin and should be applied immediately after bathing,
while the skin is damp, to prevent drying. Therefore this statement by the guardian indicates
the teaching has been effective.
"We should keep our child's fingernails trimmed short" is correct. The child's fingernails and
toenails should be kept short, trimmed, and filed to prevent scratching with sharp edges.
Therefore this statement by the guardian indicates the teaching has been effective.
"We should use a mild detergent for our laundry" is correct. The use of mild detergents for
laundry helps prevent allergens and itching. Therefore this statement by the guardian indicates
the teaching has been effective.
A nurse is caring for a toddler.
Nurses' Notes
0900:
Toddler brought to the provider's office today for report of a cough that won't go away and
recurring respiratory infections. Guardian states toddler has been coughing the past several
weeks with wheezing starting overnight. S1 and S2 auscultated, no murmur noted.
Respirations labored; rhonchi auscultated. Nasal congestion noted. Child is lethargic and
irritable. Guardian states the toddler is "often sweaty, and when I kiss them, it tastes salty."
States the child has been eating well prior to today but won't gain weight. Loose, fatty stool
in diaper. Vital signs and labs obtained.
Vital Signs
0900:
Temperature 37.4° C (99.3° F)
Heart rate 150/min
Respiratory rate 40/min
Blood pressure 82/42 mmHg
Oxygen saturation 92% on room air
Laboratory Results
, Page 3 of 55
1200:
Sodium 128 mEq/L (136 to 145 mEq/L)
Potential Condition:
Otitis media
Actions to Take:
Educate guardian about sweat chloride testing
Prepare toddler for chest physiotherapy.
Parameters to Monitor:
Oxygen saturation level
Stools
Upon recognizing and analyzing client findings, the nurse's priority hypothesis is that the
toddler is most likely experiencing cystic fibrosis and that is it important to generate solutions
and take actions by planning to educate the guardian about sweat chloride testing for the
toddler and prepare the toddler for chest physiotherapy. The toddler is most likely experiencing
cystic fibrosis, as evidenced by reports of recurring respiratory infections, wheezing, coughing,
tachypnea, tachycardia, labored respirations, decreased oxygen saturation, nasal congestion,
inability to gain weight, loose fatty stool, salty tasting sweat, and hyponatremia. To evaluate
the toddler's response to these interventions, the nurse should monitor the toddler's oxygen
saturation level and stools. These are parameters that indicate if the toddler is further
experiencing respiratory distress, inadequate intake, and dehydration, which can lead to further
complications, including pneumothorax, respiratory failure, and failure to thrive.
A nurse is providing discharge teaching to the parent of a school-age child who has moderate
persistent asthma. Which of the following instructions should the nurse include?
A) "You should give your child their salmeterol inhaler every 4 hours when they are having an
acute episode of wheezing."
B) "You should monitor your child's weight weekly while they are receiving inhaled
corticosteroid therapy."
C) "Pulmonary function tests will be performed every 12 to 24 months to evaluate how your
child is responding to therapy."
D) "When using the peak expiratory flow meter, record your child's average of three
readings."
, Page 4 of 55
C) "Pulmonary function tests will be performed every 12 to 24 months to evaluate how your
child is responding to therapy."
The nurse should inform the parent that their child will need pulmonary function tests every 12
to 24 months to evaluate the presence of lung disease and how the child is responding to the
current treatment regimen. As children grow, sometimes their manifestations can improve or
decline, and treatment needs to change accordingly.
A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse
should secure the sensor to which of the following areas on the infant?
A) Wrist
B) Great toe
C) Index finger
D) Heel
B) Great toe
The nurse should secure the sensor to the great toe of the infant and then place a snug-fitting
sock on the foot to hold the sensor in place. The nurse should also check the skin under the
sensor site frequently for temperature, color, and the presence of a pulse.
A nurse on a pediatric unit is caring for a school-age child. After reviewing the information in
the child's medical record, which of the following findings should the nurse report to the
provider?
Select the 4 findings that the nurse should report to the provider.
A) Arterial blood gases
B) Cardiovascular assessment
C) WBC count
D) Hemoglobin
E) Oxygen saturation level
F) Respiratory assessment
A) Arterial blood gases
C) WBC count
E) Oxygen saturation level
F) Respiratory assessment
