RN Pediatric Nursing Online Practice
2023 A Exam Questions and Answers
Graded A+
A nurse in an emergency department is caring for a school-age child who is
experiencing an anaphylactic reaction. Which of the following is the priority action
by the nurse? - Correct answer-Administer epinephrine IM
Rationale: When using the urgent vs. non-urgent approach to client care, the nurse
should determine that the priority action is administering epinephrine IM to the
child. During an anaphylactic reaction, histamine release causes
bronchoconstriction and vasodilation. This is an emergency because ultimately it
causes decreased blood return to the heart.
A nurse in a pediatric emergency department is planning care for an adolescent.
Based on the information in the adolescent's medical record, which of the
following actions should the nurse plan to take?
Select all that apply. - Correct answer-Apply supplemental oxygen
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,Rationale: According to the medical record and chest x-ray report, the adolescent
could potentially have a pneumothorax. Also according to the medical record and
chest x-ray report, the adolescent's oxygen saturation level is decreasing, which
indicates hypoxia. Therefore, the nurse should plan to administer supplemental
oxygen.
Prepare for chest tube insertion
Rationale: According to the medical record and chest x-ray report, the adolescent
could potentially have a pneumothorax. A pneumothorax is the presence of air in
the pleural cavity, which results in decreased lung expansion. The adolescent could
experience dyspnea, tachypnea, tachycardia, hypoxia, and pain. This requires
prompt intervention by the provider, such as the placement of a chest tube into the
thoracic cavity to remove air and fluid from the pleural space, if present, allowing
the lung to re-expand.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,A nurse in an emergency department is caring for a school-age child who has
epiglottitis. Which of the following actions should the nurse take? - Correct
answer-Monitor the child's oxygen saturation
Rationale: The nurse should monitor the child's oxygen saturation level because the
child is experiencing acute respiratory distress and it is necessary to determine if
the child is responding to treatment.
A nurse is providing teaching about play activities for social development to the
guardians of a preschooler. Which of the following play activities should the nurse
recommend for the child? - Correct answer-Playing dress-up
Rationale: The nurse should instruct the guardians that at the preschool age, play
should focus on social, mental, and physical development. Therefore, playing
dress-up is a recommended play activity for this child.
A nurse is receiving change-of-shift report for four children. Which of the
following children should the nurse see first? - Correct answer-A school-age child
who has sickle cell anemia and reports decreased vision in the left eye
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, Rationale: When using the urgent vs. non-urgent approach to client care, the nurse
should determine the priority finding is a report of decreased vision in the left eye.
This finding indicates that the child is experiencing a vaso-occlusive crisis and
should be reported to the provider immediately. Therefore, the nurse should see
this child first.
A nurse is providing teaching to the parents of a preschooler who has heart failure
and a new prescription for digoxin twice daily. Which of the following instructions
should the nurse include in the teaching? - Correct answer-"Brush the child's teeth
after giving the medication."
Rationale: The nurse should instruct the parents to brush the child's teeth after
administering digoxin to prevent tooth decay caused by the medication, which
comes as a sweetened liquid to enhance the taste.
A nurse is providing teaching to the parent of an infant who has diaper dermatitis.
The nurse should instruct the parent to apply which of the following to the affected
area? - Correct answer-Zinc oxide
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
2023 A Exam Questions and Answers
Graded A+
A nurse in an emergency department is caring for a school-age child who is
experiencing an anaphylactic reaction. Which of the following is the priority action
by the nurse? - Correct answer-Administer epinephrine IM
Rationale: When using the urgent vs. non-urgent approach to client care, the nurse
should determine that the priority action is administering epinephrine IM to the
child. During an anaphylactic reaction, histamine release causes
bronchoconstriction and vasodilation. This is an emergency because ultimately it
causes decreased blood return to the heart.
A nurse in a pediatric emergency department is planning care for an adolescent.
Based on the information in the adolescent's medical record, which of the
following actions should the nurse plan to take?
Select all that apply. - Correct answer-Apply supplemental oxygen
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,Rationale: According to the medical record and chest x-ray report, the adolescent
could potentially have a pneumothorax. Also according to the medical record and
chest x-ray report, the adolescent's oxygen saturation level is decreasing, which
indicates hypoxia. Therefore, the nurse should plan to administer supplemental
oxygen.
Prepare for chest tube insertion
Rationale: According to the medical record and chest x-ray report, the adolescent
could potentially have a pneumothorax. A pneumothorax is the presence of air in
the pleural cavity, which results in decreased lung expansion. The adolescent could
experience dyspnea, tachypnea, tachycardia, hypoxia, and pain. This requires
prompt intervention by the provider, such as the placement of a chest tube into the
thoracic cavity to remove air and fluid from the pleural space, if present, allowing
the lung to re-expand.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,A nurse in an emergency department is caring for a school-age child who has
epiglottitis. Which of the following actions should the nurse take? - Correct
answer-Monitor the child's oxygen saturation
Rationale: The nurse should monitor the child's oxygen saturation level because the
child is experiencing acute respiratory distress and it is necessary to determine if
the child is responding to treatment.
A nurse is providing teaching about play activities for social development to the
guardians of a preschooler. Which of the following play activities should the nurse
recommend for the child? - Correct answer-Playing dress-up
Rationale: The nurse should instruct the guardians that at the preschool age, play
should focus on social, mental, and physical development. Therefore, playing
dress-up is a recommended play activity for this child.
A nurse is receiving change-of-shift report for four children. Which of the
following children should the nurse see first? - Correct answer-A school-age child
who has sickle cell anemia and reports decreased vision in the left eye
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, Rationale: When using the urgent vs. non-urgent approach to client care, the nurse
should determine the priority finding is a report of decreased vision in the left eye.
This finding indicates that the child is experiencing a vaso-occlusive crisis and
should be reported to the provider immediately. Therefore, the nurse should see
this child first.
A nurse is providing teaching to the parents of a preschooler who has heart failure
and a new prescription for digoxin twice daily. Which of the following instructions
should the nurse include in the teaching? - Correct answer-"Brush the child's teeth
after giving the medication."
Rationale: The nurse should instruct the parents to brush the child's teeth after
administering digoxin to prevent tooth decay caused by the medication, which
comes as a sweetened liquid to enhance the taste.
A nurse is providing teaching to the parent of an infant who has diaper dermatitis.
The nurse should instruct the parent to apply which of the following to the affected
area? - Correct answer-Zinc oxide
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
