PN PEDIATRIC NURSING VATI
ONLINE EXAM REVIEW 2026
QUESTIONS RATIONALES AND
VERIFIED DETAILED ANSWERS
LATEST!!
A nurse is caring for an adolescent client who has spina bifida and is paralyzed
from the waist down. Which of the following statements made by the client
indicates a need for further teaching?
ANSWER
I only need to catheterize myself twice a day
RATIONALE
A client with spina bifida commonly has paralysis from the level of the spinal cord
defect down. In most cases, this affects bladder and bowel control. Catheterization
should be performed every 4 to 6 hr, and as needed. Infrequent emptying of the
bladder can result in urinary tract infections.
A nurse is planning care for a child that has severe diarrhea. Which of the
following is the priority nursing action?
ANSWER
Assess fluid balance
RATIONALE
The first action the nurse should take using the nursing process is to collect data.
Therefore the first action is to assess fluid balance to determine severity of
dehydration
, A nurse is preparing to apply a eutectic mixture of local anesthetics (EMLA) cream
prior to inserting an intravenous catheter on a preschool-age child. Which of the
following actions should the nurse plan to take? (Select all that apply).
ANSWER
Cover the treated area with a transparent occlusive dressing.
Apply the medication one hour before the procedure begins.
Use a facial pain rating scale to evaluate effectiveness of the treatment.
RATIONALE
R: Covering the area with an occlusive dressing increases absorption of the
medication and prevents the inadvertent transfer of the cream to other areas of the
body; EMLA cream should be applied 1 hr prior to procedures; most preschoolers
are able to determine the degree of pain based on facial expressions depicted.
A nurse is planning care for a child who is admitting with mumps. Which of the
following is an appropriate action for the nurse to take?
ANSWER
Initiate droplet precautions
RATIONALE
Mumps is a contagious infection transmitted by a large droplet. Therefore initiating
droplet precautions is the appropriate action for the nurse to take
A nurse is planning care for a child who has juvenile rheumatoid arthritis. Which
of the following is an appropriate action for the nurse to take?
ANSWER
Maintain night splints to the affected joint
ONLINE EXAM REVIEW 2026
QUESTIONS RATIONALES AND
VERIFIED DETAILED ANSWERS
LATEST!!
A nurse is caring for an adolescent client who has spina bifida and is paralyzed
from the waist down. Which of the following statements made by the client
indicates a need for further teaching?
ANSWER
I only need to catheterize myself twice a day
RATIONALE
A client with spina bifida commonly has paralysis from the level of the spinal cord
defect down. In most cases, this affects bladder and bowel control. Catheterization
should be performed every 4 to 6 hr, and as needed. Infrequent emptying of the
bladder can result in urinary tract infections.
A nurse is planning care for a child that has severe diarrhea. Which of the
following is the priority nursing action?
ANSWER
Assess fluid balance
RATIONALE
The first action the nurse should take using the nursing process is to collect data.
Therefore the first action is to assess fluid balance to determine severity of
dehydration
, A nurse is preparing to apply a eutectic mixture of local anesthetics (EMLA) cream
prior to inserting an intravenous catheter on a preschool-age child. Which of the
following actions should the nurse plan to take? (Select all that apply).
ANSWER
Cover the treated area with a transparent occlusive dressing.
Apply the medication one hour before the procedure begins.
Use a facial pain rating scale to evaluate effectiveness of the treatment.
RATIONALE
R: Covering the area with an occlusive dressing increases absorption of the
medication and prevents the inadvertent transfer of the cream to other areas of the
body; EMLA cream should be applied 1 hr prior to procedures; most preschoolers
are able to determine the degree of pain based on facial expressions depicted.
A nurse is planning care for a child who is admitting with mumps. Which of the
following is an appropriate action for the nurse to take?
ANSWER
Initiate droplet precautions
RATIONALE
Mumps is a contagious infection transmitted by a large droplet. Therefore initiating
droplet precautions is the appropriate action for the nurse to take
A nurse is planning care for a child who has juvenile rheumatoid arthritis. Which
of the following is an appropriate action for the nurse to take?
ANSWER
Maintain night splints to the affected joint
