PN PEDIATRIC NURSING PRAC exam 2026 UPDATED QUESTIONS AND
ANSWERS
A nurse is contributing to the plan of care for a child who has sickle cell anaemia and is
experiencing a vaso-occlusive crisis. Which of the following is the priority intervention for the
nurse to recommend to include in the the plan?
Promote oxygen utilization.
Administer antibiotics.
Encourage fluid intake.
Apply a warm compress to the joints.
Promote oxygen utilization.
The priority action the nurse should take when using the airway, breathing, circulation (ABC)
approach to client care is promoting oxygen utilization to prevent further sickling of the red
blood cells and promote adequate oxygenation of the tissue.
A nurse is assisting in the care of a school-age child who has skeletal traction applied to the right
lower leg to repair a femur fracture. Which of the following findings is the priority for the nurse
to report to the provider?
,Report of tingling in the right foot.
Pain rating of 7 on a scale of 0 to 10
Decrease in food intake
Increase in crusting at pin sites
Report of tingling in the right foot.
The nurse should identify that the greatest risk to the child is nerve injury. Therefore, tingling in
the right foot, which can indicate nerve damage or compartment syndrome, is the priority
finding for the nurse to report to the provider.
Select the 3 findings that the nurse should identify as indications of a potential complication.
Temperature
Abdominal assessment
WBC count
A nurse in a community center is reinforcing teaching about poison control with a group of
parents. Identify the sequence of actions the nurse should recommend to the parent. (Move the
steps into the box on the right, placing them in the order of performance. All steps must be
used.)
Determine if the child is breathing.
Empty the child's mouth of remaining pills and residue.
Identify the medication and dosage strength.
Call a poison control center
, A nurse on a pediatric unit is assisting with the care of a toddler. For each potential provider's
prescription, click to specify if the potential prescription is anticipated or contraindicated for the
toddler.
Perform passive range-of-motion (ROM) exercises during the first 12 hr following injury. -
Contraindicated
Apply ice packs to affected joints. - Anticipated
Administer factor VIII. - Anticipated
Elevate affected joints. - Anticipated
Administer aspirin PRN pain. - Contraindicated
A nurse is assisting with the care of an adolescent following a cardiac catheterization. Which of
the following is the priority finding the nurse should report to the provider?
Reports pain as a 4 on a 0 to 10 scale
Heart rate 104/min
Distal pulse 1+
ANSWERS
A nurse is contributing to the plan of care for a child who has sickle cell anaemia and is
experiencing a vaso-occlusive crisis. Which of the following is the priority intervention for the
nurse to recommend to include in the the plan?
Promote oxygen utilization.
Administer antibiotics.
Encourage fluid intake.
Apply a warm compress to the joints.
Promote oxygen utilization.
The priority action the nurse should take when using the airway, breathing, circulation (ABC)
approach to client care is promoting oxygen utilization to prevent further sickling of the red
blood cells and promote adequate oxygenation of the tissue.
A nurse is assisting in the care of a school-age child who has skeletal traction applied to the right
lower leg to repair a femur fracture. Which of the following findings is the priority for the nurse
to report to the provider?
,Report of tingling in the right foot.
Pain rating of 7 on a scale of 0 to 10
Decrease in food intake
Increase in crusting at pin sites
Report of tingling in the right foot.
The nurse should identify that the greatest risk to the child is nerve injury. Therefore, tingling in
the right foot, which can indicate nerve damage or compartment syndrome, is the priority
finding for the nurse to report to the provider.
Select the 3 findings that the nurse should identify as indications of a potential complication.
Temperature
Abdominal assessment
WBC count
A nurse in a community center is reinforcing teaching about poison control with a group of
parents. Identify the sequence of actions the nurse should recommend to the parent. (Move the
steps into the box on the right, placing them in the order of performance. All steps must be
used.)
Determine if the child is breathing.
Empty the child's mouth of remaining pills and residue.
Identify the medication and dosage strength.
Call a poison control center
, A nurse on a pediatric unit is assisting with the care of a toddler. For each potential provider's
prescription, click to specify if the potential prescription is anticipated or contraindicated for the
toddler.
Perform passive range-of-motion (ROM) exercises during the first 12 hr following injury. -
Contraindicated
Apply ice packs to affected joints. - Anticipated
Administer factor VIII. - Anticipated
Elevate affected joints. - Anticipated
Administer aspirin PRN pain. - Contraindicated
A nurse is assisting with the care of an adolescent following a cardiac catheterization. Which of
the following is the priority finding the nurse should report to the provider?
Reports pain as a 4 on a 0 to 10 scale
Heart rate 104/min
Distal pulse 1+
