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I!l I!l I!l I!l I!l I!l I!l I!l I!l I!l I!l I!l RN Pediatric Nursing Online Practice B
6 6 6 6 66 I!l
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1. A nurse is preparing to administer an immunization to a 4-
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yearold child. Which of the following actions should the nurse plan to take?
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A. Place the child in a prone position for the immunization. 6 6 6 6 6 6 6 6 6 I!l
B. Request that the child's caregiver leave the room during the immunization. 6 6 6 6 6 6 6 6 6 6 I!l
C. Administer the immunization using a 24-gauge needle. 6 6 6 6 6 6 I!l
D. Inject the immunization slowly after aspirating for 3 seconds.: C. Administer
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I!l
the immunization using a 24-gauge needle.
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Rationale: The nurse should administer an immunization for a 4- 6 6 6 6 6 6 6 6 6
yearold child using a 22 to 25gauge needle to minimize the amount of pain the chil
6 6 6 6 6 6 6 6 6 6 6 6 6 6 6
6experiences. I!l
2. A nurse is caring for a school-
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age child who has experienced a tonicclonic seizure. Which of the following ac
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I!l
tions should the nurse take during th e immediate postictal period?
6 6 6 6 6 6 I!l 6 6 6 I!l
A. Place the child in a side-lying position. 6 6 6 6 6 6 I!l
B. Delay documentation until the child is fully alert. 6 6 6 6 6 6 6 I!l
C. Give the child a high-carbohydrate snack. 6 6 6 6 6 I!l
D. Administer an oral sedative to the child.: A. Place the child in a sidelying pos 6 6 6 6 6 6 6 6 6 6 6 6 6 6
I!l
ition. I!l
Rationale: The nurse should place the child in a sidelying position to prevent as 6 6 6 6 6 6 6 6 6 6 6 6 6
piration. I!l
3.
NGN* A nurse on a Peds unit is admitting a preschooler. Vital Signs (0715:) T
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38.3° C (100.9° F) HR 126/min RR 26/min O2 97%. Physical exam Pt has been tir
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e
d lately and has a sore throat and fever. Tolerating sips of liquids but is refusin
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g solids. UO dark yellow urine. Alert, responsive to verbal stim. MM dry, sticky.
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S
kin turgor w/o tenting. Tonsils enlarged, erythematous. Resps regular and non
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labored. No accessory muscle use. Lungs clear ant& post bilat. PMI in L midcla
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vic line 4th ICS. HR regular w/o murmurs, gallops, rubs. Radial, pedal pulse
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2+ bilat. Cap refill >2 sec. Abd flat, non-
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,I!l
RN Pediatric Nursing Online Practice 2023 B
6 6 6 6 6 6 I!l
Study6online6at6https://quizlet.com/_enloxu I!l
distended. Bowel sounds active in all 4 quadS. Extrems warm and dry to touch
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I!l
. Mononucl rapid test: posit (neg)
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RN should identify that the child is at risk for developing what?
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Dropdown 1: Splenomegaly, Acute post-
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16/653
streptococcal glomerulonephritis (APSGN), Dysrhythmias
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,I!l
I!l I!l I!l I!l I!l I!l I!l I!l I!l I!l I!l I!l RN Pediatric Nursing Online Practice B
6 6 6 6 66 I!l
26/653
I!l
Dropdown 2: + mono rapid test, UO, Cardio assessment: 1. Splenomegaly Ratio 6 6 6 6 6 6 6 6 6 6 6
nale: The child's positive mononucleosis rapid test result indicates the pres-
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ence of infectious mono, a condition caused by the Epstein-
6 6 6 6 6 6 6 6 6 6
Barr virus. Therefore, the nurse should identify that the child is at risk for dev
6 6 6 6 6 6 6 6 6 6 6 6 6 6
e loping splenomegaly, a common complication of infectious mono.
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2. Positive mono rapid testI!l 6 6 6 I!l
Rationale: The child's positive mononucleosis rapid test result indicates the p 6 6 6 6 6 6 6 6 6 6
res- ence of infectious mono, a condition caused by the Epstein-
I!l 6 6 6 6 6 6 6 6 6 6
Barr virus. Therefore, the nurse should identify that the child is at risk for dev
6 6 6 6 6 6 6 6 6 6 6 6 6 6
e loping splenomegaly, a common complication of infectious mono.
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4.
***A nurse is assessing an infant who has a ventricular septal defect. Which o
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I!l
f the following findings should the nurse expect?
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A. Loud, harsh murmur 6 6 I!l
B. Dysrhythmias I!l
C. Weak femoral pulses 6 6 I!l
D. High blood pressure: A. Loud, harsh murmur 6 6 6 6 6 6 I!l
I!l
Rationale: The nurse should expect to hear a loud, harsh murmur with a ventricula 6 6 6 6 6 6 6 6 6 6 6 6 6
r septal defect due to the left-
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toright shunting of blood, which contributes to hyper trophy of the infant's hear
6 6 6 6 6 6 6 6 6 6 6 6
I!l
t muscle. 6 I!l
Ventricular septal defect does not affect the electrical conduction of the hear 6 6 6 6 6 6 6 6 6 6 6
t. Therefore, the nurse should not expect to hear dysrhythmias when assessing th
6 6 6 6 6 6 6 6 6 6 6 6
is infant. The nurse should expect weak femoral pulses when assessing an infant w
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h
o has coarctation of the aorta. The nurse should expect an elevated blood pressur
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e when assessing an infant who has coarctation of the aorta.
I!l 6 6 6 6 6 6 6 6 6 6 I!l
, I!l
RN Pediatric Nursing Online Practice 2023 B
6 6 6 6 6 6 I!l
Study6online6at6https://quizlet.com/_enloxu I!l
5.
A nurse is providing discharge teaching the guardians of a toddler with a lo
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wer leg cast applied 24 hours ago. The nurse should instruct the guardians to
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I!l
eport which of the following findings to the provider?
I!l 6 6 6 6 6 6 6 6 I!l
A. Capillary refill time < 2 seconds. 6 6 6 6 6 I!l
B. Restricted ability to move the toes. 6 6 6 6 6 I!l
C. Swelling of the casted foot when the leg is dependent.
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D. Pedal pulse +3 bilateral.: B. Restricted ability to move the toes.
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36/653
I!l
Rationale: The nurse should inform the guardians that the restricted ability of t
6 6 6 6 6 6 6 6 6 6 6 6
h e tod- I!l 6
dler to move their toes is an indication of neuromuscular compromise and require
6 6 6 6 6 6 6 6 6 6 6 6 6
sI!l I!l
I!l I!l I!l I!l I!l I!l I!l I!l I!l I!l I!l I!l RN Pediatric Nursing Online Practice B
6 6 6 6 66 I!l
I!l
1. A nurse is preparing to administer an immunization to a 4-
I!l 6 6 6 6 6 6 6 6 6 6
yearold child. Which of the following actions should the nurse plan to take?
6 6 6 6 6 6 6 6 6 6 6 6 I!l
A. Place the child in a prone position for the immunization. 6 6 6 6 6 6 6 6 6 I!l
B. Request that the child's caregiver leave the room during the immunization. 6 6 6 6 6 6 6 6 6 6 I!l
C. Administer the immunization using a 24-gauge needle. 6 6 6 6 6 6 I!l
D. Inject the immunization slowly after aspirating for 3 seconds.: C. Administer
6 6 6 6 6 6 6 6 6 6
I!l
the immunization using a 24-gauge needle.
I!l 6 6 6 6 6 I!l
Rationale: The nurse should administer an immunization for a 4- 6 6 6 6 6 6 6 6 6
yearold child using a 22 to 25gauge needle to minimize the amount of pain the chil
6 6 6 6 6 6 6 6 6 6 6 6 6 6 6
6experiences. I!l
2. A nurse is caring for a school-
I!l 6 6 6 6 6 6
age child who has experienced a tonicclonic seizure. Which of the following ac
6 6 6 6 6 6 6 6 6 6 6 6
I!l
tions should the nurse take during th e immediate postictal period?
6 6 6 6 6 6 I!l 6 6 6 I!l
A. Place the child in a side-lying position. 6 6 6 6 6 6 I!l
B. Delay documentation until the child is fully alert. 6 6 6 6 6 6 6 I!l
C. Give the child a high-carbohydrate snack. 6 6 6 6 6 I!l
D. Administer an oral sedative to the child.: A. Place the child in a sidelying pos 6 6 6 6 6 6 6 6 6 6 6 6 6 6
I!l
ition. I!l
Rationale: The nurse should place the child in a sidelying position to prevent as 6 6 6 6 6 6 6 6 6 6 6 6 6
piration. I!l
3.
NGN* A nurse on a Peds unit is admitting a preschooler. Vital Signs (0715:) T
I!l 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6
38.3° C (100.9° F) HR 126/min RR 26/min O2 97%. Physical exam Pt has been tir
I!l 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6
e
d lately and has a sore throat and fever. Tolerating sips of liquids but is refusin
I!l 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6
g solids. UO dark yellow urine. Alert, responsive to verbal stim. MM dry, sticky.
I!l 6 6 6 6 6 6 6 6 6 6 6 6 6
S
kin turgor w/o tenting. Tonsils enlarged, erythematous. Resps regular and non
I!l 6 6 6 6 6 6 6 6 6 6
labored. No accessory muscle use. Lungs clear ant& post bilat. PMI in L midcla
6 6 6 6 6 6 6 6 6 6 6 6 6
vic line 4th ICS. HR regular w/o murmurs, gallops, rubs. Radial, pedal pulse
6 6 6 6 6 6 6 6 6 6 6 6 6
2+ bilat. Cap refill >2 sec. Abd flat, non-
6 6 6 6 6 6 6 6
,I!l
RN Pediatric Nursing Online Practice 2023 B
6 6 6 6 6 6 I!l
Study6online6at6https://quizlet.com/_enloxu I!l
distended. Bowel sounds active in all 4 quadS. Extrems warm and dry to touch
6 6 6 6 6 6 6 6 6 6 6 6 6
I!l
. Mononucl rapid test: posit (neg)
I!l 6 6 6 6 6 I!l
I!l
RN should identify that the child is at risk for developing what?
6 6 6 6 6 6 6 6 6 6 6 I!l
Dropdown 1: Splenomegaly, Acute post-
6 6 6 6
16/653
streptococcal glomerulonephritis (APSGN), Dysrhythmias
6 6 6 I!l
,I!l
I!l I!l I!l I!l I!l I!l I!l I!l I!l I!l I!l I!l RN Pediatric Nursing Online Practice B
6 6 6 6 66 I!l
26/653
I!l
Dropdown 2: + mono rapid test, UO, Cardio assessment: 1. Splenomegaly Ratio 6 6 6 6 6 6 6 6 6 6 6
nale: The child's positive mononucleosis rapid test result indicates the pres-
I!l 6 6 6 6 6 6 6 6 6 6
ence of infectious mono, a condition caused by the Epstein-
6 6 6 6 6 6 6 6 6 6
Barr virus. Therefore, the nurse should identify that the child is at risk for dev
6 6 6 6 6 6 6 6 6 6 6 6 6 6
e loping splenomegaly, a common complication of infectious mono.
I!l 6 6 6 6 6 6 6 I!l
2. Positive mono rapid testI!l 6 6 6 I!l
Rationale: The child's positive mononucleosis rapid test result indicates the p 6 6 6 6 6 6 6 6 6 6
res- ence of infectious mono, a condition caused by the Epstein-
I!l 6 6 6 6 6 6 6 6 6 6
Barr virus. Therefore, the nurse should identify that the child is at risk for dev
6 6 6 6 6 6 6 6 6 6 6 6 6 6
e loping splenomegaly, a common complication of infectious mono.
I!l 6 6 6 6 6 6 6 I!l
4.
***A nurse is assessing an infant who has a ventricular septal defect. Which o
I!l 6 6 6 6 6 6 6 6 6 6 6 6 6
I!l
f the following findings should the nurse expect?
I!l 6 6 6 6 6 6 6 I!l
A. Loud, harsh murmur 6 6 I!l
B. Dysrhythmias I!l
C. Weak femoral pulses 6 6 I!l
D. High blood pressure: A. Loud, harsh murmur 6 6 6 6 6 6 I!l
I!l
Rationale: The nurse should expect to hear a loud, harsh murmur with a ventricula 6 6 6 6 6 6 6 6 6 6 6 6 6
r septal defect due to the left-
I!l 6 6 6 6 6 6
toright shunting of blood, which contributes to hyper trophy of the infant's hear
6 6 6 6 6 6 6 6 6 6 6 6
I!l
t muscle. 6 I!l
Ventricular septal defect does not affect the electrical conduction of the hear 6 6 6 6 6 6 6 6 6 6 6
t. Therefore, the nurse should not expect to hear dysrhythmias when assessing th
6 6 6 6 6 6 6 6 6 6 6 6
is infant. The nurse should expect weak femoral pulses when assessing an infant w
I!l 6 6 6 6 6 6 6 6 6 6 6 6 6
h
o has coarctation of the aorta. The nurse should expect an elevated blood pressur
I!l 6 6 6 6 6 6 6 6 6 6 6 6 6
e when assessing an infant who has coarctation of the aorta.
I!l 6 6 6 6 6 6 6 6 6 6 I!l
, I!l
RN Pediatric Nursing Online Practice 2023 B
6 6 6 6 6 6 I!l
Study6online6at6https://quizlet.com/_enloxu I!l
5.
A nurse is providing discharge teaching the guardians of a toddler with a lo
I!l 6 6 6 6 6 6 6 6 6 6 6 6 6
wer leg cast applied 24 hours ago. The nurse should instruct the guardians to
I!l 6 6 6 6 6 6 6 6 6 6 6 6 6 6
I!l
eport which of the following findings to the provider?
I!l 6 6 6 6 6 6 6 6 I!l
A. Capillary refill time < 2 seconds. 6 6 6 6 6 I!l
B. Restricted ability to move the toes. 6 6 6 6 6 I!l
C. Swelling of the casted foot when the leg is dependent.
6 6 6 6 6 6 6 6 6 I!l
D. Pedal pulse +3 bilateral.: B. Restricted ability to move the toes.
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36/653
I!l
Rationale: The nurse should inform the guardians that the restricted ability of t
6 6 6 6 6 6 6 6 6 6 6 6
h e tod- I!l 6
dler to move their toes is an indication of neuromuscular compromise and require
6 6 6 6 6 6 6 6 6 6 6 6 6
sI!l I!l
