Pn Pediatric Nursing Online Practice 2023 B Questions And Verified Detailed Answers And Rationales Latest!!

PN PEDIATRIC NURSING ONLINE
PRACTICE 2023 B QUESTIONS AND
VERIFIED DETAILED ANSWERS
AND RATIONALES LATEST!!
A nurse is assisting with the care of a child who has tonic-clonic seizures. Which
of the following actions should the nurse take?
a) Ensure the availability of soft extremity restraints.
b) Place a padded tongue blade at the bedside.
c) Have a suction canister and tubing available in the room.
d) Keep the child's bed in the highest position.
ANSWER
 Have a suction canister and tubing available in the room.
RATIONALE
The nurse should have a suction canister and tubing available in the child's room to
keep the child's airway patent during a seizure.




A nurse has assisted with collecting data from a child and is reviewing their
electronic health record (EHR).
Which of the following findings should the nurse report to the provider?
Select all that apply.
a) Pain level
b) Respiratory findings
c) Surgical incision findings
d) Temperature
e) Musculoskeletal findings
f) Heart rate
ANSWER
 Temperature

,  heart rate
 pain level
 musculoskeletal findings
 surgical incision findings.
RATIONALE
When recognizing cues, the nurse should identify that the findings to report to the
provider are the child's temperature, heart rate, pain level, musculoskeletal
findings, and surgical incision findings. The child's temperature and heart rate are
above the expected reference range and should be addressed further and reported to
the provider. The child's pain level was reported as 7 which indicates severe pain
and should be reported to provider. The child's musculoskeletal findings included
tenderness to light palpation of left lower leg and limited range of motion. These
are unexpected findings that should be reported to the provider. The child's surgical
incision findings indicate edema and warmth which require further reporting and
evaluation.




A nurse has assisted with collecting data from a child and is reviewing their
electronic health record (EHR).
Drag one condition and one child finding to fill in each blank in the following
sentence.
The nurse should identify that the child is displaying manifestations of
__________ as evidenced by their __________.
ANSWER
 osteomyelitis
 surgical incision findings
RATIONALE
When analyzing cues, the nurse should recognize that the child is displaying
manifestations of osteomyelitis as evidenced by their surgical incision findings.
Manifestations of osteomyelitis include localized inflammation and warmth at the
site of infection, fever, and severe pain. Risk factors for osteomyelitis include open
fracture and surgical contamination.

,A nurse has reviewed the Provider Prescriptions on Day 1 at 1100.
Complete the following sentence by using the lists of options.
The nurse should prioritize ___________, followed by ____________ when
determining care needs for the child.
ANSWER
 obtaining the child's ordered blood specimens
 administering antipyretic medication
RATIONALE
When prioritizing hypotheses, using the urgent vs. non-urgent approach to client
care, the nurse should prioritize obtaining the ordered blood specimens followed
by administering the prescribed antipyretic medication. Osteomyelitis is an
emergent infection of the bone. If osteomyelitis is suspected, the nurse will need to
obtain blood cultures, along with cultures of bone aspirate, to evaluate for the
causative organism. Nursing interventions include managing elevated
temperatures. Therefore, after obtaining the ordered blood specimens, the nurse
should prioritize administering the prescribed antipyretic medication for fever and
pain management.




A nurse has reviewed the Provider Prescriptions on Day 1 at 1100.
Click to highlight the instructions the nurse should plan to reinforce with the
parents about the ordered procedure. To deselect a finding, click on the finding
again.
ANSWER
 Metallic hair pins should be removed.
 Child is required to lie flat.
 Child must remain still during testing.
RATIONALE

, When generating solutions, the nurse should plan to reinforce information about
the prescribed MRI procedure and the use of magnetic waves imaging with the
parents and the child. The nurse should reinforce that, prior to the procedure, all
metal objects such as hair pins should be removed to prevent injury. The nurse
should also reinforce that, during the procedure, the child is positioned flat on their
back and placed through the MRI machine, where they must remain still.




The nurse has reviewed the plan of care on Day 1 1300.
A nurse is collaborating with the interprofessional team to implement the plan care
for the child.
Select the 6 actions the nurse should take.
a) Monitor peripheral IV infusions.
b) Facilitate partial weight bearing on left extremity.
c) Encourage intake of foods with protein.
d) Reinforce the importance of dietary calcium.
e) Reinforce with parents that child may require home antibiotic therapy.
f) Monitor for findings of infection.
g) Initiate antibiotics prior to obtaining cultures.
h) Initiate droplet isolation precautions.
ANSWER
 Facilitate partial weight bearing on left extremity.
 Encourage intake of foods with protein.
 Reinforce the importance of dietary calcium
 Reinforce instructions about home antibiotic therapy
 monitor for infection
 monitor the peripheral IV infusion site.
RATIONALE
Since the child has infection of the tibia, extensive antibiotic therapy may be
required. Other actions will promote healing and prevent further complications.