RN Pediatric Nursing Online
Practice 2023 A
A nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks. Which of the following statements by the parents indicates and understanding of the teaching?
a. "I will use a humidifier in my child's room at night"
b. "I will give my child a cough suppressant every 6 hours if he has a cough."
c. "I should avoid using a wet mop on my floors when I am cleaning."
d. "I should keep my child indoors when I mow the yard." - ANSWER d. "I should keep my child indoors when I mow the yard."
The nurse should instruct the parent to keep the preschooler indoors during lawn maintenance or when the pollen count is increased. Guarding against exposure to known allergens found outdoors, such as grass, tree, and weed pollen, will decrease the frequency of the preschooler's asthma attacks.
A nurse is assessing a 6-year-old child immediately following surgery for a perforated appendix. Which of the following findings should the nurse expect?
a. Purulent drainage from the NG tube b. Hypoactive bowel sounds
c. Passage of dark-red stool with mucus
d. Urine output of 20 mL/hr - ANSWER b. Hypoactive bowel sounds
The nurse should expect hypoactive bowel sounds following appendiceal rupture or if the child has developed peritonitis. Additionally, hypoactive bowel sounds are an expected finding immediately following abdominal surgery, until full peristalsis resumes.
The nurse is assessing a school-age child who has an acute spinal cord injury following a sports injury 1 week ago. Identify the area the nurse should tap to elicit the biceps reflex. - ANSWER A is correct. The nurse should identify that this is the location to tap to elicit the biceps reflex.
B is incorrect. The nurse should tap this location to elicit the triceps reflex.
C is incorrect. The nurse should tap this location to elicit the brachioradialis reflex.
A nurse on a pediatric unit is caring for a toddler.
Which of the following potential provider prescriptions should the nurse identify as anticipated or contraindicated?
Potential Provider's Prescription: (Anticipated or Contraindicated)
1. Administer factor VIII
2. Apply ice packs to the infected joints
3. Administer morphine PRN pain 4. Perform passive range-of-motion (ROM) exercises during the first 12 hr following injury
5. Elevate the affected joints - ANSWER Administer factor VIII is anticipated. The child is experiencing an acute episode of hemophilia due to a recent fall. During this acute episode, there is potential for internal bleeding into the joint spaces. Therefore, administering factor VIII is anticipated to control bleeding.
Apply ice packs to the affected joints is anticipated. The child is experiencing an acute episode of hemarthrosis due to a recent fall, as evidenced by the bruising and swelling of the knee joint. Therefore, applying ice packs to the affected joints is anticipated to manage discomfort and decrease bleeding into the joint.
Administer morphine PRN pain is anticipated. The child is experiencing severe pain. Opioids can be administered in the inpatient setting to relieve pain. Otherwise, acetaminophen can be given at home for pain. Aspirin and NSAIDs should be avoided because they inhibit platelet function and might increase bleeding.
Perform passive range-of-motion (ROM) exercises during the first 12 hr following injury is contraindicated. The child is experiencing an acute episode of hemarthrosis. Passive ROM exercises can increase bleeding into the joint for the first 48 hr following injury. The toddler should be encouraged to exercise the joint as tolerated.
Elevate the affected joints is anticipated. The child is experiencing an acute episode of hemarthrosis due to a recent fall, as evidenced by the bruising and swelling of the knee joint. Elevation of the joint, along with
the application of ice, is anticipated to help decrease bleeding and swelling in the joint. A nurse is providing discharge teaching to the parent of an 18-month-old
toddler who has dehydration due to acute diarrhea. Which of the following statements by the parent indicates an understanding of the teaching?
a. "I will offer my child small amounts of fruit juice frequently.."
b. "I will avoid giving my child solid foods until the diarrhea has stopped,"
c. "I will monitor my child's number of wet diapers."
d. "I will give my child polyethylene glycol daily for 7 days." - ANSWER c. "I will monitor my child's number
of wet diapers."
The nurse should teach the parent to closely monitor the child's number of wet diapers. Monitoring the number of wet diapers per day is an effective way for the parent to monitor adequate output and hydration status.
A nurse on a pediatric unit is caring for a school-age child.
After reviewing the information in the child's medical record, which of the following findings should the nurse address first?
The nurse should address the child's (oxygen saturation/joint swelling/fever) followed by the child's (pain/anemia/hydration). - ANSWER Dropdown 1:
Oxygen saturation is correct. The child's pulse oximeter reading is below
the expected reference range. The nurse should take action to maintain the child's oxygen saturation above 95%. When using the urgent vs. non-
urgent approach to client care, the nurse should identify that addressing the child's hypoxia is the priority intervention.
Practice 2023 A
A nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks. Which of the following statements by the parents indicates and understanding of the teaching?
a. "I will use a humidifier in my child's room at night"
b. "I will give my child a cough suppressant every 6 hours if he has a cough."
c. "I should avoid using a wet mop on my floors when I am cleaning."
d. "I should keep my child indoors when I mow the yard." - ANSWER d. "I should keep my child indoors when I mow the yard."
The nurse should instruct the parent to keep the preschooler indoors during lawn maintenance or when the pollen count is increased. Guarding against exposure to known allergens found outdoors, such as grass, tree, and weed pollen, will decrease the frequency of the preschooler's asthma attacks.
A nurse is assessing a 6-year-old child immediately following surgery for a perforated appendix. Which of the following findings should the nurse expect?
a. Purulent drainage from the NG tube b. Hypoactive bowel sounds
c. Passage of dark-red stool with mucus
d. Urine output of 20 mL/hr - ANSWER b. Hypoactive bowel sounds
The nurse should expect hypoactive bowel sounds following appendiceal rupture or if the child has developed peritonitis. Additionally, hypoactive bowel sounds are an expected finding immediately following abdominal surgery, until full peristalsis resumes.
The nurse is assessing a school-age child who has an acute spinal cord injury following a sports injury 1 week ago. Identify the area the nurse should tap to elicit the biceps reflex. - ANSWER A is correct. The nurse should identify that this is the location to tap to elicit the biceps reflex.
B is incorrect. The nurse should tap this location to elicit the triceps reflex.
C is incorrect. The nurse should tap this location to elicit the brachioradialis reflex.
A nurse on a pediatric unit is caring for a toddler.
Which of the following potential provider prescriptions should the nurse identify as anticipated or contraindicated?
Potential Provider's Prescription: (Anticipated or Contraindicated)
1. Administer factor VIII
2. Apply ice packs to the infected joints
3. Administer morphine PRN pain 4. Perform passive range-of-motion (ROM) exercises during the first 12 hr following injury
5. Elevate the affected joints - ANSWER Administer factor VIII is anticipated. The child is experiencing an acute episode of hemophilia due to a recent fall. During this acute episode, there is potential for internal bleeding into the joint spaces. Therefore, administering factor VIII is anticipated to control bleeding.
Apply ice packs to the affected joints is anticipated. The child is experiencing an acute episode of hemarthrosis due to a recent fall, as evidenced by the bruising and swelling of the knee joint. Therefore, applying ice packs to the affected joints is anticipated to manage discomfort and decrease bleeding into the joint.
Administer morphine PRN pain is anticipated. The child is experiencing severe pain. Opioids can be administered in the inpatient setting to relieve pain. Otherwise, acetaminophen can be given at home for pain. Aspirin and NSAIDs should be avoided because they inhibit platelet function and might increase bleeding.
Perform passive range-of-motion (ROM) exercises during the first 12 hr following injury is contraindicated. The child is experiencing an acute episode of hemarthrosis. Passive ROM exercises can increase bleeding into the joint for the first 48 hr following injury. The toddler should be encouraged to exercise the joint as tolerated.
Elevate the affected joints is anticipated. The child is experiencing an acute episode of hemarthrosis due to a recent fall, as evidenced by the bruising and swelling of the knee joint. Elevation of the joint, along with
the application of ice, is anticipated to help decrease bleeding and swelling in the joint. A nurse is providing discharge teaching to the parent of an 18-month-old
toddler who has dehydration due to acute diarrhea. Which of the following statements by the parent indicates an understanding of the teaching?
a. "I will offer my child small amounts of fruit juice frequently.."
b. "I will avoid giving my child solid foods until the diarrhea has stopped,"
c. "I will monitor my child's number of wet diapers."
d. "I will give my child polyethylene glycol daily for 7 days." - ANSWER c. "I will monitor my child's number
of wet diapers."
The nurse should teach the parent to closely monitor the child's number of wet diapers. Monitoring the number of wet diapers per day is an effective way for the parent to monitor adequate output and hydration status.
A nurse on a pediatric unit is caring for a school-age child.
After reviewing the information in the child's medical record, which of the following findings should the nurse address first?
The nurse should address the child's (oxygen saturation/joint swelling/fever) followed by the child's (pain/anemia/hydration). - ANSWER Dropdown 1:
Oxygen saturation is correct. The child's pulse oximeter reading is below
the expected reference range. The nurse should take action to maintain the child's oxygen saturation above 95%. When using the urgent vs. non-
urgent approach to client care, the nurse should identify that addressing the child's hypoxia is the priority intervention.
