RN Pediatric Nursing Online Practice Test
A nurse is caring for a school-age child who has A. Place the child in a side-lying position.
experienced a tonic-clonic seizure. Which of the
following actions should the nurse take during the Rationale: The nurse should place the child in a side-lying position to prevent
immediate postictal period? aspiration.
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.
NGN* A nurse on a pediatric unit is admitting a 1. Splenomegaly
preschooler. After reviewing the information in the
medical record the nurse should identify that the child Rationale: The child's positive mononucleosis rapid test result indicates the
is at risk for developing which of the following presence of infectious mono, a condition caused by the Epstein-Barr virus.
conditions? Therefore, the nurse should identify that the child is at risk for developing
splenomegaly, a common complication of infectious mono.
Dropdown 1:
Splenomegaly 2. Positive mono rapid test
Acute post-streptococcal glomerulonephritis (APSGN)
Dysrhythmias Rationale: The child's positive mononucleosis rapid test result indicates the
presence of infectious mono, a condition caused by the Epstein-Barr virus.
Dropdown 2: Therefore, the nurse should identify that the child is at risk for developing
Positive mononucleosis rapid test splenomegaly, a common complication of infectious mono.
Urinary output
Cardiovascular assessment
A nurse is assessing an infant who has a ventricular A. Loud, harsh murmur
septal defect. Which of the following findings should
the nurse expect? 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
A. Loud, harsh murmur contributes to hypertrophy of the infant's heart muscle.
B. Dysrhythmias
C. Weak femoral pulses
D. High blood pressure
, RN Pediatric Nursing Online Practice Test
A nurse is providing discharge teaching the guardians B. Restricted ability to move the toes.
of a toddler with a lower leg cast applied 24 hours ago.
The nurse should instruct the guardians to report which Rationale: The nurse should inform the guardians that the restricted ability of
of the following findings to the provider? the toddler to move their toes is an indication of neuromuscular compromise
and requires immediate notification to the provider. Permanent muscle and
A. Capillary refill time < 2 seconds. tissue damage can occur in just a few hours.
B. Restricted ability to move the toes.
C. Swelling of the casted foot when the leg is
dependent.
D. Pedal pulse +3 bilateral.
A nurse is planning an educational program to teach B. "Choose a waterproof sunscreen with a minimum SPF of 15."
caregivers about protecting their children from
sunburns. Which of the following instructions should the Rationale: The nurse should instruct caregivers to apply a waterproof
nurse plan to include? 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. "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."
A nurse is assessing a school-age child who has B. Abdominal distention
peritonitis. Which of the following findings should the
nurse expect? Rationale: The nurse should identify that abdominal distention is an expected
finding of peritonitis. Peritonitis is an inflammation of the lining of the
A. Hyperactive bowel sounds abdominal wall. This inflammation in the abdomen, along with the ileus that
develops, causes abdominal distention. Other manifestations include chills,
B. Abdominal distention irritability, and restlessness.
C. Bradycardia
D. Bloody stool
A nurse is assessing a school-age child who has an C. Difficulty concentrating
infratentorial brain tumor. Which of the following
findings should the nurse identify as a manifestation of Rationale: The nurse should identify that irritability, inability to follow
increased intracranial pressure? commands, and difficulty concentrating are manifestations of increased
intracranial pressure due to decreased blood flow within the brain and
A. Hypotension pressure on the brainstem.
B. Reports insomnia
C. Difficulty concentrating
D. Tachycardia
, RN Pediatric Nursing Online Practice Test
A nurse in an emergency department is performing a D. Substernal retractions
physical assessment on a 2-week-old male newborn.
Which of the following findings is the priority for the Rationale: When using the airway, breathing, and circulation approach to client
nurse to report to the provider? care, the nurse should determine that the priority finding to report to the
provider is substernal retractions. This finding indicates the newborn is
A. Excoriated scrotal area experiencing increased respiratory effort, which could quickly progress to
respiratory failure.
B. Multiple capillary hemangiomas
C. Depressed posterior fontanel
D. Substernal retractions
A nurse is caring for an infant who has respiratory A. Have a designated stethoscope in the infant's room.
syncytial virus (RSV). Which of the following actions
should the nurse implement for infection control? Rationale:
A. Have a designated stethoscope in the infant's room. The nurse should initiate droplet precautions for an infant who has RSV
because the virus is spread by direct contact with respiratory secretions.
B. Place the infant in a room equipped with negative Therefore, designated equipment, such as blood pressure cuff and
airflow. stethoscope, should be placed in the infant's room.
C. Administer Palivizumab as prescribed for the infant.
D. Remove gloves after leaving the infant's room.
A hospice nurse is caring for a preschooler who has a D. "Let's talk about some of the ways you have handled previous stressors in
terminal illness. One of the preschooler's parents tells your life."
the nurse that they cannot cope anymore and are
thinking about moving out of the house. Which of the Rationale: This statement offers a general lead to allow the parent to express
following statements should the nurse make? their feelings and previous actions when faced with stressful situations. It also
helps the parent to focus on ways that they can cope with the current situation.
A. "It is important that you provide emotional support
for your family at this time."
B. "You have to do what you feel is best. Everything will
turn out fine."
C. "I know how you feel. This is an extremely stressful
time for your family."
D. "Let's talk about some of the ways you have handled
previous stressors in your life."
A nurse is preparing to collect a sample from a toddler C. Perform a finger stick
for a sickle-turbidity test. Which of the following actions
should the nurse plan to take? Rationale: The nurse should perform a finger stick on a toddler as a component
of the sickle-turbidity test. If the test is positive, hemoglobin electrophoresis is
A. Obtain a sputum specimen. required to distinguish between children who have the genetic trait and
children who have the disease.
B. Perform an Allen test.
C. Perform a finger stick.
D. Obtain a stool specimen
A nurse is caring for a school-age child who has A. Place the child in a side-lying position.
experienced a tonic-clonic seizure. Which of the
following actions should the nurse take during the Rationale: The nurse should place the child in a side-lying position to prevent
immediate postictal period? aspiration.
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.
NGN* A nurse on a pediatric unit is admitting a 1. Splenomegaly
preschooler. After reviewing the information in the
medical record the nurse should identify that the child Rationale: The child's positive mononucleosis rapid test result indicates the
is at risk for developing which of the following presence of infectious mono, a condition caused by the Epstein-Barr virus.
conditions? Therefore, the nurse should identify that the child is at risk for developing
splenomegaly, a common complication of infectious mono.
Dropdown 1:
Splenomegaly 2. Positive mono rapid test
Acute post-streptococcal glomerulonephritis (APSGN)
Dysrhythmias Rationale: The child's positive mononucleosis rapid test result indicates the
presence of infectious mono, a condition caused by the Epstein-Barr virus.
Dropdown 2: Therefore, the nurse should identify that the child is at risk for developing
Positive mononucleosis rapid test splenomegaly, a common complication of infectious mono.
Urinary output
Cardiovascular assessment
A nurse is assessing an infant who has a ventricular A. Loud, harsh murmur
septal defect. Which of the following findings should
the nurse expect? 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
A. Loud, harsh murmur contributes to hypertrophy of the infant's heart muscle.
B. Dysrhythmias
C. Weak femoral pulses
D. High blood pressure
, RN Pediatric Nursing Online Practice Test
A nurse is providing discharge teaching the guardians B. Restricted ability to move the toes.
of a toddler with a lower leg cast applied 24 hours ago.
The nurse should instruct the guardians to report which Rationale: The nurse should inform the guardians that the restricted ability of
of the following findings to the provider? the toddler to move their toes is an indication of neuromuscular compromise
and requires immediate notification to the provider. Permanent muscle and
A. Capillary refill time < 2 seconds. tissue damage can occur in just a few hours.
B. Restricted ability to move the toes.
C. Swelling of the casted foot when the leg is
dependent.
D. Pedal pulse +3 bilateral.
A nurse is planning an educational program to teach B. "Choose a waterproof sunscreen with a minimum SPF of 15."
caregivers about protecting their children from
sunburns. Which of the following instructions should the Rationale: The nurse should instruct caregivers to apply a waterproof
nurse plan to include? 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. "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."
A nurse is assessing a school-age child who has B. Abdominal distention
peritonitis. Which of the following findings should the
nurse expect? Rationale: The nurse should identify that abdominal distention is an expected
finding of peritonitis. Peritonitis is an inflammation of the lining of the
A. Hyperactive bowel sounds abdominal wall. This inflammation in the abdomen, along with the ileus that
develops, causes abdominal distention. Other manifestations include chills,
B. Abdominal distention irritability, and restlessness.
C. Bradycardia
D. Bloody stool
A nurse is assessing a school-age child who has an C. Difficulty concentrating
infratentorial brain tumor. Which of the following
findings should the nurse identify as a manifestation of Rationale: The nurse should identify that irritability, inability to follow
increased intracranial pressure? commands, and difficulty concentrating are manifestations of increased
intracranial pressure due to decreased blood flow within the brain and
A. Hypotension pressure on the brainstem.
B. Reports insomnia
C. Difficulty concentrating
D. Tachycardia
, RN Pediatric Nursing Online Practice Test
A nurse in an emergency department is performing a D. Substernal retractions
physical assessment on a 2-week-old male newborn.
Which of the following findings is the priority for the Rationale: When using the airway, breathing, and circulation approach to client
nurse to report to the provider? care, the nurse should determine that the priority finding to report to the
provider is substernal retractions. This finding indicates the newborn is
A. Excoriated scrotal area experiencing increased respiratory effort, which could quickly progress to
respiratory failure.
B. Multiple capillary hemangiomas
C. Depressed posterior fontanel
D. Substernal retractions
A nurse is caring for an infant who has respiratory A. Have a designated stethoscope in the infant's room.
syncytial virus (RSV). Which of the following actions
should the nurse implement for infection control? Rationale:
A. Have a designated stethoscope in the infant's room. The nurse should initiate droplet precautions for an infant who has RSV
because the virus is spread by direct contact with respiratory secretions.
B. Place the infant in a room equipped with negative Therefore, designated equipment, such as blood pressure cuff and
airflow. stethoscope, should be placed in the infant's room.
C. Administer Palivizumab as prescribed for the infant.
D. Remove gloves after leaving the infant's room.
A hospice nurse is caring for a preschooler who has a D. "Let's talk about some of the ways you have handled previous stressors in
terminal illness. One of the preschooler's parents tells your life."
the nurse that they cannot cope anymore and are
thinking about moving out of the house. Which of the Rationale: This statement offers a general lead to allow the parent to express
following statements should the nurse make? their feelings and previous actions when faced with stressful situations. It also
helps the parent to focus on ways that they can cope with the current situation.
A. "It is important that you provide emotional support
for your family at this time."
B. "You have to do what you feel is best. Everything will
turn out fine."
C. "I know how you feel. This is an extremely stressful
time for your family."
D. "Let's talk about some of the ways you have handled
previous stressors in your life."
A nurse is preparing to collect a sample from a toddler C. Perform a finger stick
for a sickle-turbidity test. Which of the following actions
should the nurse plan to take? Rationale: The nurse should perform a finger stick on a toddler as a component
of the sickle-turbidity test. If the test is positive, hemoglobin electrophoresis is
A. Obtain a sputum specimen. required to distinguish between children who have the genetic trait and
children who have the disease.
B. Perform an Allen test.
C. Perform a finger stick.
D. Obtain a stool specimen
