RN PEDIATRIC NURSING ONLINE
PRACTICE 2023 B 2026 EDITION
COMPLETE PRACTICE QUESTIONS AND
CORRECT ANSWERS WITH DETAILED
RATIONALES COMPREHENSIVE NCLEX-
RN PEDIATRIC REVIEW GUIDE
Obtain a wound culture is anticipated.
Rationale: The child has an elevated temperature and malodorous green
wound drainage. The nurse should obtain a wound culture to determine the
causative organism and an abx should be administered.
Place the child on a pressure-reduction mattress is anticipated.
Rationale: The child has developed a stage 1 pressure injury on their
occiput. A pressure-reduction mattress can help prevent further tissue
injury.
Limit daily protein intake is contraindicated.
Rationale: Children who have major burns require a high-protein, high-
calorie diet to help with wound healing. The nurse should provide high-
protein snacks to the child between meals.
,NGN* The nurse is caring for the child 14 days after admission.
The child has returned to the unit following the procedure. Which of the
following actions should the nurse take? SATA
A. Monitor SaO2 every 2 hr.
B. Provide 100% oxygen via face mask.
C. Check anterior neck and chest dressing for bleeding.
D. Replace the dressing on the left thigh.
E. Place a warm blanket on the child.
F. Keep the child's head in a neutral position. - CORRECT ANSWER-B.
Provide 100% oxygen via face mask.
Rationale: The nurse should provide 100% oxygen via a face mask to the
child because of their SaO2 and RR. The SaO2 should be maintained at 95%
or higher and if the SaO2 falls below 95%, supplemental oxygen should be
initiated.
C. Check anterior neck and chest dressing for bleeding.
,Rationale: Upon return from the procedure, all surgical dressings should be
assessed for drainage and to ensure the dressing is intact.
E. Place a warm blanket on the child.
Rationale: The child is exhibiting hypothermia. It is important for the child
to have a stable body temperature because vasoconstriction can diminish
blood flow to the surgical sites and impair healing.
F. Keep the child's head in a neutral position.
Rationale: The child's head should be kept in a neutral alignment to prevent
hyperextension or hyperflexion and to prevent graft loss.
NGN* The nurse is providing discharge teaching to the child and their
parent 36 days after admission.
Select 6 statements by the parent that indicate an understanding of the
discharge teaching.
"I will give my child Hydroxyzine to prevent bacterial infection."
"I should apply a moisturizer to the scar tissue."
"I will use a measured spoon or medicine cup to give my child
Hydroxyzine."
, "I can give my child Hydroxyzine every 6 hours as needed."
"Puppet play can be helpful for my child."
"I should avoid giving Hydroxyzine at bedtime."
"I will avoid massaging the scar tissue."
"My child is too young to be concerned about their body image."
"I need to assess for any redness or open skin areas before applying my
child's left arm splint."
"My child will need to use a compression garment to decrease blood supply
to the scarred tissue." - CORRECT ANSWER-1. "I should apply a moisturizer
to the scar tissue."
Rationale: Frequent application of a non-perfume moisturizer should be
applied to the scar tissue to help reduce itching the child might experience.
2. "I will use a measured spoon or medicine cup to give my child
Hydroxyzine."
Rationale: All liquid medications should be administered with a measured
spoon or cup to provide an accurate amount of the prescribed dose of
medication.
PRACTICE 2023 B 2026 EDITION
COMPLETE PRACTICE QUESTIONS AND
CORRECT ANSWERS WITH DETAILED
RATIONALES COMPREHENSIVE NCLEX-
RN PEDIATRIC REVIEW GUIDE
Obtain a wound culture is anticipated.
Rationale: The child has an elevated temperature and malodorous green
wound drainage. The nurse should obtain a wound culture to determine the
causative organism and an abx should be administered.
Place the child on a pressure-reduction mattress is anticipated.
Rationale: The child has developed a stage 1 pressure injury on their
occiput. A pressure-reduction mattress can help prevent further tissue
injury.
Limit daily protein intake is contraindicated.
Rationale: Children who have major burns require a high-protein, high-
calorie diet to help with wound healing. The nurse should provide high-
protein snacks to the child between meals.
,NGN* The nurse is caring for the child 14 days after admission.
The child has returned to the unit following the procedure. Which of the
following actions should the nurse take? SATA
A. Monitor SaO2 every 2 hr.
B. Provide 100% oxygen via face mask.
C. Check anterior neck and chest dressing for bleeding.
D. Replace the dressing on the left thigh.
E. Place a warm blanket on the child.
F. Keep the child's head in a neutral position. - CORRECT ANSWER-B.
Provide 100% oxygen via face mask.
Rationale: The nurse should provide 100% oxygen via a face mask to the
child because of their SaO2 and RR. The SaO2 should be maintained at 95%
or higher and if the SaO2 falls below 95%, supplemental oxygen should be
initiated.
C. Check anterior neck and chest dressing for bleeding.
,Rationale: Upon return from the procedure, all surgical dressings should be
assessed for drainage and to ensure the dressing is intact.
E. Place a warm blanket on the child.
Rationale: The child is exhibiting hypothermia. It is important for the child
to have a stable body temperature because vasoconstriction can diminish
blood flow to the surgical sites and impair healing.
F. Keep the child's head in a neutral position.
Rationale: The child's head should be kept in a neutral alignment to prevent
hyperextension or hyperflexion and to prevent graft loss.
NGN* The nurse is providing discharge teaching to the child and their
parent 36 days after admission.
Select 6 statements by the parent that indicate an understanding of the
discharge teaching.
"I will give my child Hydroxyzine to prevent bacterial infection."
"I should apply a moisturizer to the scar tissue."
"I will use a measured spoon or medicine cup to give my child
Hydroxyzine."
, "I can give my child Hydroxyzine every 6 hours as needed."
"Puppet play can be helpful for my child."
"I should avoid giving Hydroxyzine at bedtime."
"I will avoid massaging the scar tissue."
"My child is too young to be concerned about their body image."
"I need to assess for any redness or open skin areas before applying my
child's left arm splint."
"My child will need to use a compression garment to decrease blood supply
to the scarred tissue." - CORRECT ANSWER-1. "I should apply a moisturizer
to the scar tissue."
Rationale: Frequent application of a non-perfume moisturizer should be
applied to the scar tissue to help reduce itching the child might experience.
2. "I will use a measured spoon or medicine cup to give my child
Hydroxyzine."
Rationale: All liquid medications should be administered with a measured
spoon or cup to provide an accurate amount of the prescribed dose of
medication.
