RN Pediatric Nursing Online Practice 2023 B EXAM 2023 WITH NGN GURAANTEED PASS(NCLEX)

RN Pediatric Nursing Online Practice 2023 B A nurse is preparing to administer an immunization to a 4-year-old child. Which of the following actions should the nurse plan to take? 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. - ANS C. Administer the immunization using a 24-gauge needle. 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 nurse is caring for a school-age child who has experienced a tonic-clonic seizure. Which of the following actions should the nurse take during the immediate postictal period? 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. - ANS A. Place the child in a side-lying position. Rationale: The nurse should place the child in a side-lying position to prevent aspiration. NGN* A nurse on a pediatric unit is admitting a preschooler. After reviewing the information in the medical record the nurse should identify that the child is at risk for developing which of the following conditions? Dropdown 1: Splenomegaly Acute post-streptococcal glomerulonephritis (APSGN) Dysrhythmias Dropdown 2: Positive mononucleosis rapid test Urinary output Cardiovascular assessment - ANS 1. Splenomegaly Rationale: The child's positive mononucleosis rapid test result indicates the 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 splenomegaly, a common complication of infectious mono. 2. Positive mono rapid test Rationale: The child's positive mononucleosis rapid test result indicates the 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 splenomegaly, a common complication of infectious mono. A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should the nurse expect? A. Loud, harsh murmur B. Dysrhythmias C. Weak femoral pulses D. High blood pressure - ANS A. Loud, harsh murmur 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 hypertrophy of the infant's heart muscle. A nurse is providing discharge teaching the guardians of a toddler with a lower leg cast applied 24 hours ago. The nurse should instruct the guardians to report which of the following findings to the provider? A. Capillary refill time < 2 seconds. B. Restricted ability to move the toes. C. Swelling of the casted foot when the leg is dependent. D. Pedal pulse +3 bilateral. - ANS B. Restricted ability to move the toes. Rationale: The nurse should inform the guardians that the restricted ability of the toddler to move their toes is an indication of neuromuscular compromise and requires immediate notification to the provider. Permanent muscle and tissue damage can occur in just a few hours. A nurse is planning an educational program to teach caregivers about protecting their children from sunburns. Which of the following instructions should the nurse plan to include? 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." - ANS B. "Choose a waterproof sunscreen with a minimum SPF of 15." Rationale: The nurse should instruct caregivers to apply a waterproof 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 nurse is assessing a school-age child who has peritonitis. Which of the following findings should the nurse expect? A. Hyperactive bowel sounds B. Abdominal distention C. Bradycardia D. Bloody stool - ANS B. Abdominal distention Rationale: The nurse should identify that abdominal distention is an expected finding of peritonitis. Peritonitis is an inflammation of the lining of the abdominal wall. This inflammation in the abdomen, along with the ileus that develops, causes abdominal distention. Other manifestations include chills, irritability, and restlessness. A nurse is assessing a school-age child who has an infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure? A. Hypotension B. Reports insomnia C. Difficulty concentrating D. Tachycardia - ANS C. Difficulty concentrating Rationale: The nurse should identify that irritability, inability to follow commands, and difficulty concentrating are manifestations of increased intracranial pressure due to decreased blood flow within the brain and pressure on the brainstem. A nurse in an emergency department is performing a physical assessment on a 2-week-old male newborn. Which of the following findings is the priority for the nurse to report to the provider? A. Excoriated scrotal area B. Multiple capillary hemangiomas C. Depressed posterior fontanel D. Substernal retractions - ANS D. Substernal retractions Rationale: When using the airway, breathing, and circulation approach to client care, the nurse should determine that the priority finding to report to the provider is substernal retractions. This finding indicates the newborn is experiencing increased respiratory effort, which could quickly progress to respiratory failure. A nurse is caring for an infant who has respiratory syncytial virus (RSV). Which of the following actions should the nurse implement for infection control? A. Have a designated stethoscope in the infant's room. B. Place the infant in a room equipped with negative airflow. C. Administer Palivizumab as prescribed for the infant. D. Remove gloves after leaving the infant's room. - ANS A. Have a designated stethoscope in the infant's room. Rationale: The nurse should initiate droplet precautions for an infant who has RSV because the virus is spread by direct contact with respiratory secretions. Therefore, designated equipment, such as blood pressure cuff and stethoscope, should be placed in the infant's room.