RN PEDIATRIC NURSING ONLINE
PRACTICE 2026 B COMPREHENSIVE
QUESTIOND VERIFIED ANSWERS AND
RATIONALES(DETAILED)
A nurse is preparing to administer an immunization to a 4-year-old child. Which of
the following actions should the nurse plan to take?
A. Place the child in a prone position for the immunization.
B. Request that the child's caregiver leave the room during the immunization.
C. Administer the immunization using a 24-gauge needle.
D. Inject the immunization slowly after aspirating for 3 seconds.
C. Administer the immunization using a 24-gauge needle.
Rationale: The nurse should administer an immunization for a 4-year-old child
using a 22 to 25-gauge needle to minimize the amount of pain the child
experiences.
A nurse is caring for a school-age child who has experienced a tonic-clonic
seizure. Which of the following actions should the nurse take during the immediate
postictal period?
A. Place the child in a side-lying position.
B. Delay documentation until the child is fully alert.
C. Give the child a high-carbohydrate snack.
D. Administer an oral sedative to the child.
A. Place the child in a side-lying position.
Rationale: The nurse should place the child in a side-lying position to prevent
aspiration.
,NGN* A nurse on a pediatric unit is admitting a preschooler. After reviewing the
information in the medical record the nurse should identify that the child is at risk
for developing which of the following conditions?
Dropdown 1:
Splenomegaly
Acute post-streptococcal glomerulonephritis (APSGN)
Dysrhythmias
Dropdown 2:
Positive mononucleosis rapid test
Urinary output
Cardiovascular assessment
1. Splenomegaly
Rationale: The child's positive mononucleosis rapid test result indicates the
presence of infectious mono, a condition caused by the Epstein-Barr virus.
Therefore, the nurse should identify that the child is at risk for developing
splenomegaly, a common complication of infectious mono.
2. Positive mono rapid test
Rationale: The child's positive mononucleosis rapid test result indicates the
presence of infectious mono, a condition caused by the Epstein-Barr virus.
Therefore, the nurse should identify that the child is at risk for developing
splenomegaly, a common complication of infectious mono.
A nurse is assessing an infant who has a ventricular septal defect. Which of the
following findings should the nurse expect?
A. Loud, harsh murmur
B. Dysrhythmias
C. Weak femoral pulses
,D. High blood pressure
A. Loud, harsh murmur
Rationale: The nurse should expect to hear a loud, harsh murmur with a
ventricular septal defect due to the left-to-right shunting of blood, which
contributes to hypertrophy of the infant's heart muscle.
A nurse is providing discharge teaching the guardians of a toddler with a lower leg
cast applied 24 hours ago. The nurse should instruct the guardians to report which
of the following findings to the provider?
A. Capillary refill time < 2 seconds.
B. Restricted ability to move the toes.
C. Swelling of the casted foot when the leg is dependent.
D. Pedal pulse +3 bilateral.
B. Restricted ability to move the toes.
Rationale: The nurse should inform the guardians that the restricted ability of the
toddler to move their toes is an indication of neuromuscular compromise and
requires immediate notification to the provider. Permanent muscle and tissue
damage can occur in just a few hours.
A nurse is planning an educational program to teach caregivers about protecting
their children from sunburns. Which of the following instructions should the nurse
plan to include?
A. "Allow your child to play outside during the hours between 10:00 am and 2:00
pm."
B. "Choose a waterproof sunscreen with a minimum SPF of 15."
C. "Dress your child in loose weave polyester fabric prior to sun exposure."
D. "Reapply sunscreen every 4 hours."
, B. "Choose a waterproof sunscreen with a minimum SPF of 15."
Rationale: The nurse should instruct caregivers to apply a waterproof sunscreen
with a minimum SPF of 15 for children. The parent should apply sunscreen prior to
sun exposure to reduce the risk of sunburn.
A nurse is assessing a school-age child who has peritonitis. Which of the following
findings should the nurse expect?
A. Hyperactive bowel sounds
B. Abdominal distention
C. Bradycardia
D. Bloody stool
B. Abdominal distention
Rationale: The nurse should identify that abdominal distention is an expected
finding of peritonitis. Peritonitis is an inflammation of the lining of the abdominal
wall. This inflammation in the abdomen, along with the ileus that develops, causes
abdominal distention. Other manifestations include chills, irritability, and
restlessness.
A nurse is assessing a school-age child who has an infratentorial brain tumor.
Which of the following findings should the nurse identify as a manifestation of
increased intracranial pressure?
A. Hypotension
B. Reports insomnia
C. Difficulty concentrating
D. Tachycardia
C. Difficulty concentrating
PRACTICE 2026 B COMPREHENSIVE
QUESTIOND VERIFIED ANSWERS AND
RATIONALES(DETAILED)
A nurse is preparing to administer an immunization to a 4-year-old child. Which of
the following actions should the nurse plan to take?
A. Place the child in a prone position for the immunization.
B. Request that the child's caregiver leave the room during the immunization.
C. Administer the immunization using a 24-gauge needle.
D. Inject the immunization slowly after aspirating for 3 seconds.
C. Administer the immunization using a 24-gauge needle.
Rationale: The nurse should administer an immunization for a 4-year-old child
using a 22 to 25-gauge needle to minimize the amount of pain the child
experiences.
A nurse is caring for a school-age child who has experienced a tonic-clonic
seizure. Which of the following actions should the nurse take during the immediate
postictal period?
A. Place the child in a side-lying position.
B. Delay documentation until the child is fully alert.
C. Give the child a high-carbohydrate snack.
D. Administer an oral sedative to the child.
A. Place the child in a side-lying position.
Rationale: The nurse should place the child in a side-lying position to prevent
aspiration.
,NGN* A nurse on a pediatric unit is admitting a preschooler. After reviewing the
information in the medical record the nurse should identify that the child is at risk
for developing which of the following conditions?
Dropdown 1:
Splenomegaly
Acute post-streptococcal glomerulonephritis (APSGN)
Dysrhythmias
Dropdown 2:
Positive mononucleosis rapid test
Urinary output
Cardiovascular assessment
1. Splenomegaly
Rationale: The child's positive mononucleosis rapid test result indicates the
presence of infectious mono, a condition caused by the Epstein-Barr virus.
Therefore, the nurse should identify that the child is at risk for developing
splenomegaly, a common complication of infectious mono.
2. Positive mono rapid test
Rationale: The child's positive mononucleosis rapid test result indicates the
presence of infectious mono, a condition caused by the Epstein-Barr virus.
Therefore, the nurse should identify that the child is at risk for developing
splenomegaly, a common complication of infectious mono.
A nurse is assessing an infant who has a ventricular septal defect. Which of the
following findings should the nurse expect?
A. Loud, harsh murmur
B. Dysrhythmias
C. Weak femoral pulses
,D. High blood pressure
A. Loud, harsh murmur
Rationale: The nurse should expect to hear a loud, harsh murmur with a
ventricular septal defect due to the left-to-right shunting of blood, which
contributes to hypertrophy of the infant's heart muscle.
A nurse is providing discharge teaching the guardians of a toddler with a lower leg
cast applied 24 hours ago. The nurse should instruct the guardians to report which
of the following findings to the provider?
A. Capillary refill time < 2 seconds.
B. Restricted ability to move the toes.
C. Swelling of the casted foot when the leg is dependent.
D. Pedal pulse +3 bilateral.
B. Restricted ability to move the toes.
Rationale: The nurse should inform the guardians that the restricted ability of the
toddler to move their toes is an indication of neuromuscular compromise and
requires immediate notification to the provider. Permanent muscle and tissue
damage can occur in just a few hours.
A nurse is planning an educational program to teach caregivers about protecting
their children from sunburns. Which of the following instructions should the nurse
plan to include?
A. "Allow your child to play outside during the hours between 10:00 am and 2:00
pm."
B. "Choose a waterproof sunscreen with a minimum SPF of 15."
C. "Dress your child in loose weave polyester fabric prior to sun exposure."
D. "Reapply sunscreen every 4 hours."
, B. "Choose a waterproof sunscreen with a minimum SPF of 15."
Rationale: The nurse should instruct caregivers to apply a waterproof sunscreen
with a minimum SPF of 15 for children. The parent should apply sunscreen prior to
sun exposure to reduce the risk of sunburn.
A nurse is assessing a school-age child who has peritonitis. Which of the following
findings should the nurse expect?
A. Hyperactive bowel sounds
B. Abdominal distention
C. Bradycardia
D. Bloody stool
B. Abdominal distention
Rationale: The nurse should identify that abdominal distention is an expected
finding of peritonitis. Peritonitis is an inflammation of the lining of the abdominal
wall. This inflammation in the abdomen, along with the ileus that develops, causes
abdominal distention. Other manifestations include chills, irritability, and
restlessness.
A nurse is assessing a school-age child who has an infratentorial brain tumor.
Which of the following findings should the nurse identify as a manifestation of
increased intracranial pressure?
A. Hypotension
B. Reports insomnia
C. Difficulty concentrating
D. Tachycardia
C. Difficulty concentrating
