RN Pediatric Nursing
Online Practice 2023 B |
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Updated 2026 Questions and Answers
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Rationales
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, A nurse is preparing to administer an immunization to a 4- C. Administer the immunization using a 24-gauge needle.
year-old child. Which of the following actions should the
nurse plan to take? 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. 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.
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 immediate Rationale: The nurse should place the child in a side-lying position to prevent
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 is at risk for Rationale: The child's positive mononucleosis rapid test result indicates the
developing which of the following conditions? 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
Dropdown 1: splenomegaly, a common complication of infectious mono.
Splenomegaly
Acute post-streptococcal glomerulonephritis (APSGN) 2. Positive mono rapid test
Dysrhythmias
Rationale: The child's positive mononucleosis rapid test result indicates the
Dropdown 2: presence of infectious mono, a condition caused by the Epstein-Barr virus.
Positive mononucleosis rapid test Therefore, the nurse should identify that the child is at risk for developing
Urinary output splenomegaly, a common complication of infectious mono.
Cardiovascular assessment
A nurse is assessing an infant who has a ventricular septal A. Loud, harsh murmur
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 contributes to
A. Loud, harsh murmur hypertrophy of the infant's heart muscle.
B. Dysrhythmias
C. Weak femoral pulses
D. High blood pressure
A nurse is providing discharge teaching the guardians of a B. Restricted ability to move the toes.
toddler with a lower leg cast applied 24 hours ago. The
nurse should instruct the guardians to report which of the Rationale: The nurse should inform the guardians that the restricted ability of the
following findings to the provider? toddler to move their toes is an indication of neuromuscular compromise and
requires immediate notification to the provider. Permanent muscle and tissue
A. Capillary refill time < 2 seconds. 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.
Online Practice 2023 B |
Practice Questions,
Answers & Exam Review |
Graded A+ | Guaranteed
success|
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
, A nurse is preparing to administer an immunization to a 4- C. Administer the immunization using a 24-gauge needle.
year-old child. Which of the following actions should the
nurse plan to take? 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. 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.
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 immediate Rationale: The nurse should place the child in a side-lying position to prevent
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 is at risk for Rationale: The child's positive mononucleosis rapid test result indicates the
developing which of the following conditions? 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
Dropdown 1: splenomegaly, a common complication of infectious mono.
Splenomegaly
Acute post-streptococcal glomerulonephritis (APSGN) 2. Positive mono rapid test
Dysrhythmias
Rationale: The child's positive mononucleosis rapid test result indicates the
Dropdown 2: presence of infectious mono, a condition caused by the Epstein-Barr virus.
Positive mononucleosis rapid test Therefore, the nurse should identify that the child is at risk for developing
Urinary output splenomegaly, a common complication of infectious mono.
Cardiovascular assessment
A nurse is assessing an infant who has a ventricular septal A. Loud, harsh murmur
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 contributes to
A. Loud, harsh murmur hypertrophy of the infant's heart muscle.
B. Dysrhythmias
C. Weak femoral pulses
D. High blood pressure
A nurse is providing discharge teaching the guardians of a B. Restricted ability to move the toes.
toddler with a lower leg cast applied 24 hours ago. The
nurse should instruct the guardians to report which of the Rationale: The nurse should inform the guardians that the restricted ability of the
following findings to the provider? toddler to move their toes is an indication of neuromuscular compromise and
requires immediate notification to the provider. Permanent muscle and tissue
A. Capillary refill time < 2 seconds. 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.
