Pediatric Nursing Next Generation NCLEX (NextGen)
Prep-U – Comprehensive Practice Questions and
Exam Preparation Guide
A nurse in a pediatrician's office performs a focused assessment on a 6-year-old child
for reports of swollen, painful joints. The assessment reveals bilateral swollen knees
and elbows, malaise, poor appetite, and poor growth and asymmetrical leg bone
growth.
For each finding, click to specify if the finding indicates pauciarticular arthritis,
polyarticular arthritis, or systemic arthritis. Each finding may support more than one
disease classification. - Answer--Pauciarticular Arthritis
(All selections)
Polyarticular Arthritis
involves several joints
poor weight gain
Systemic Arthritis
involves several joints
A nurse in a pediatrician's office is assessing a 4-year-old child. What assessment
techniques will the nurse use with a preschool-age child?
Complete the following sentence(s) by choosing from the lists of options.
To improve the assessment process with a preschool-age child, the nurse will
_____________ and ____________. - Answer--involve the child in the assessment
allow the child to play with safe medical equipment
, A 9-year-old female child was brought to the emergency department after experiencing
wheezing and shortness of breath while playing soccer. The parents administered two
puffs of albuterol metered dose inhaler (MDI) with little effect, and 911 was notified.
Paramedics applied oxygen 2 liters by nasal cannula for oxygen saturation of 90% on
room air, and administered an albuterol nebulizer treatment. Audible wheezing was
heard, and a 20-gauge intravenous (IV) catheter was inserted. Vital signs upon arrival at
the emergency room: temperature, 98.8°F (37.1°C); heart rate, 125 beats/min; blood
pressure, 88/50 mm Hg; respiratory rate, 32 breaths/min; oxygen saturation, 92% on
simple face mask. Child appears anxious.
Complete the following sentence(s) by choosing from the lists of options.
The emergency room nurse should first ____________ then ____________. -
Answer--assess airway
administer intravenous (IV) methylprednisolone
A nurse on a pediatric unit finds a 3-year-old child unconscious. The child does not
respond to stimuli. The nurse calls a code and starts to perform cardiopulmonary
resuscitation (CPR).
Complete the following sentence(s) by choosing from the lists of options.
A school nurse is called to the school cafeteria after a 13-year-old child is reported to
have sudden difficulty breathing. The child has a history of asthma and allergies to
peanuts. The focused nursing assessment reveals difficulty breathing, inspiratory and
expiratory wheezing, swelling of lips, and a rash on the face. The child reports feeling
nauseated, having chest tightness, and feeling faint.
Complete the following sentence(s) by choosing from the lists of options.
The nurse should first address the child's ____________ then ____________. -
Answer--wheezing
swelling of lips
A nurse on the neurology unit is monitoring an 8-year-old child admitted with seizures.
The child experiences a prolonged tonic-clonic seizure.
Complete the following sentence(s) by choosing from the lists of options.
The nurse should first ____________ followed by ____________. - Answer--ensure
proper oxygenation
administer intravenous (IV) or intramuscular (IM) benzodiazepine
A nurse is caring for a 10-week-old male infant in the emergency department.
Assessment reveals: congestive cough, crackles in the lower lung fields, cyanosis of
extremities, capillary refill >2 seconds, diaphoretic, respiratory rate of 80 breaths/min
with subcostal and suprasternal retractions, oxygen saturations of 90% on room air,
Prep-U – Comprehensive Practice Questions and
Exam Preparation Guide
A nurse in a pediatrician's office performs a focused assessment on a 6-year-old child
for reports of swollen, painful joints. The assessment reveals bilateral swollen knees
and elbows, malaise, poor appetite, and poor growth and asymmetrical leg bone
growth.
For each finding, click to specify if the finding indicates pauciarticular arthritis,
polyarticular arthritis, or systemic arthritis. Each finding may support more than one
disease classification. - Answer--Pauciarticular Arthritis
(All selections)
Polyarticular Arthritis
involves several joints
poor weight gain
Systemic Arthritis
involves several joints
A nurse in a pediatrician's office is assessing a 4-year-old child. What assessment
techniques will the nurse use with a preschool-age child?
Complete the following sentence(s) by choosing from the lists of options.
To improve the assessment process with a preschool-age child, the nurse will
_____________ and ____________. - Answer--involve the child in the assessment
allow the child to play with safe medical equipment
, A 9-year-old female child was brought to the emergency department after experiencing
wheezing and shortness of breath while playing soccer. The parents administered two
puffs of albuterol metered dose inhaler (MDI) with little effect, and 911 was notified.
Paramedics applied oxygen 2 liters by nasal cannula for oxygen saturation of 90% on
room air, and administered an albuterol nebulizer treatment. Audible wheezing was
heard, and a 20-gauge intravenous (IV) catheter was inserted. Vital signs upon arrival at
the emergency room: temperature, 98.8°F (37.1°C); heart rate, 125 beats/min; blood
pressure, 88/50 mm Hg; respiratory rate, 32 breaths/min; oxygen saturation, 92% on
simple face mask. Child appears anxious.
Complete the following sentence(s) by choosing from the lists of options.
The emergency room nurse should first ____________ then ____________. -
Answer--assess airway
administer intravenous (IV) methylprednisolone
A nurse on a pediatric unit finds a 3-year-old child unconscious. The child does not
respond to stimuli. The nurse calls a code and starts to perform cardiopulmonary
resuscitation (CPR).
Complete the following sentence(s) by choosing from the lists of options.
A school nurse is called to the school cafeteria after a 13-year-old child is reported to
have sudden difficulty breathing. The child has a history of asthma and allergies to
peanuts. The focused nursing assessment reveals difficulty breathing, inspiratory and
expiratory wheezing, swelling of lips, and a rash on the face. The child reports feeling
nauseated, having chest tightness, and feeling faint.
Complete the following sentence(s) by choosing from the lists of options.
The nurse should first address the child's ____________ then ____________. -
Answer--wheezing
swelling of lips
A nurse on the neurology unit is monitoring an 8-year-old child admitted with seizures.
The child experiences a prolonged tonic-clonic seizure.
Complete the following sentence(s) by choosing from the lists of options.
The nurse should first ____________ followed by ____________. - Answer--ensure
proper oxygenation
administer intravenous (IV) or intramuscular (IM) benzodiazepine
A nurse is caring for a 10-week-old male infant in the emergency department.
Assessment reveals: congestive cough, crackles in the lower lung fields, cyanosis of
extremities, capillary refill >2 seconds, diaphoretic, respiratory rate of 80 breaths/min
with subcostal and suprasternal retractions, oxygen saturations of 90% on room air,
