RN PEDIATRIC NURSING ONLINE
PRACTICE 2023 A EXAM QUESTIONS AND
ANSWERS 100% CORRECT!
,A nurse in an emergency department is caring for a school-age child who is
experiencing an anaphylactic reaction. Which of the following is the priority action by the
nurse? - ANSWER Administer epinephrine IM
Rationale: When using the urgent vs. non-urgent approach to client care, the nurse
should determine that the priority action is administering epinephrine IM to the child.
During an anaphylactic reaction, histamine release causes bronchoconstriction and
vasodilation. This is an emergency because ultimately it causes decreased blood return
to the heart.
A nurse in a pediatric emergency department is planning care for an adolescent. Based
on the information in the adolescent's medical record, which of the following actions
should the nurse plan to take?
Select all that apply. - ANSWER Apply supplemental oxygen
Rationale: According to the medical record and chest x-ray report, the adolescent could
potentially have a pneumothorax. Also according to the medical record and chest x-ray
report, the adolescent's oxygen saturation level is decreasing, which indicates hypoxia.
Therefore, the nurse should plan to administer supplemental oxygen.
Prepare for chest tube insertion
Rationale: According to the medical record and chest x-ray report, the adolescent could
potentially have a pneumothorax. A pneumothorax is the presence of air in the pleural
cavity, which results in decreased lung expansion. The adolescent could experience
dyspnea, tachypnea, tachycardia, hypoxia, and pain. This requires prompt intervention
by the provider, such as the placement of a chest tube into the thoracic cavity to remove
air and fluid from the pleural space, if present, allowing the lung to re-expand.
A nurse in an emergency department is caring for a school-age child who has
epiglottitis. Which of the following actions should the nurse take? - ANSWER Monitor
the child's oxygen saturation
Rationale: The nurse should monitor the child's oxygen saturation level because the
child is experiencing acute respiratory distress and it is necessary to determine if the
child is responding to treatment.
A nurse is providing teaching about play activities for social development to the
guardians of a preschooler. Which of the following play activities should the nurse
recommend for the child? - ANSWER Playing dress-up
, Rationale: The nurse should instruct the guardians that at the preschool age, play
should focus on social, mental, and physical development. Therefore, playing dress-up
is a recommended play activity for this child.
A nurse is providing teaching to the parent of an infant who has diaper dermatitis. The
nurse should instruct the parent to apply which of the following to the affected area? -
ANSWER Zinc oxide
Rationale: Diaper dermatitis is a common inflammatory skin disorder caused by contact
with an irritant such as urine, feces, soap, or friction, and takes the form of scaling,
blisters, or papules with erythema. Providing a protective barrier, such as zinc oxide,
against the irritants allows the skin to heal.
A nurse is caring for a client who has been receiving IV fluids via a peripheral IV
catheter. When preparing to discontinue the IV fluids and catheter, which of the
following actions should the nurse plan to take? (Move the steps into the box on the
right, placing them in the order of performance. Use all the steps.) - ANSWER First, the
nurse should turn off the IV pump. Next, the nurse should occlude the IV tubing, and
then remove the tape securing the catheter. Last, the nurse should apply pressure over
the catheter insertion site.
A 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. (You will find hot spots to select in the artwork below. Select only the hot spot
that corresponds to your answer.) - ANSWER A
A nurse is caring for a school-age child who is receiving chemotherapy and is severely
immunocompromised. Which of the following actions should the nurse take? - ANSWER
Screen the child's visitors for indications of infection.
Rationale: A child who is severely immunocompromised is unable to adequately
respond to infectious organisms, resulting in the potential for overwhelming infection.
Therefore, the nurse should screen the child's visitors for indications of infection.
A nurse is providing teaching to the parent of a school-age child who has a new
prescription for oral nystatin for the treatment of oral candidiasis. Which of the following
instructions should the nurse include? - ANSWER "Shake the medication prior to
administration."
PRACTICE 2023 A EXAM QUESTIONS AND
ANSWERS 100% CORRECT!
,A nurse in an emergency department is caring for a school-age child who is
experiencing an anaphylactic reaction. Which of the following is the priority action by the
nurse? - ANSWER Administer epinephrine IM
Rationale: When using the urgent vs. non-urgent approach to client care, the nurse
should determine that the priority action is administering epinephrine IM to the child.
During an anaphylactic reaction, histamine release causes bronchoconstriction and
vasodilation. This is an emergency because ultimately it causes decreased blood return
to the heart.
A nurse in a pediatric emergency department is planning care for an adolescent. Based
on the information in the adolescent's medical record, which of the following actions
should the nurse plan to take?
Select all that apply. - ANSWER Apply supplemental oxygen
Rationale: According to the medical record and chest x-ray report, the adolescent could
potentially have a pneumothorax. Also according to the medical record and chest x-ray
report, the adolescent's oxygen saturation level is decreasing, which indicates hypoxia.
Therefore, the nurse should plan to administer supplemental oxygen.
Prepare for chest tube insertion
Rationale: According to the medical record and chest x-ray report, the adolescent could
potentially have a pneumothorax. A pneumothorax is the presence of air in the pleural
cavity, which results in decreased lung expansion. The adolescent could experience
dyspnea, tachypnea, tachycardia, hypoxia, and pain. This requires prompt intervention
by the provider, such as the placement of a chest tube into the thoracic cavity to remove
air and fluid from the pleural space, if present, allowing the lung to re-expand.
A nurse in an emergency department is caring for a school-age child who has
epiglottitis. Which of the following actions should the nurse take? - ANSWER Monitor
the child's oxygen saturation
Rationale: The nurse should monitor the child's oxygen saturation level because the
child is experiencing acute respiratory distress and it is necessary to determine if the
child is responding to treatment.
A nurse is providing teaching about play activities for social development to the
guardians of a preschooler. Which of the following play activities should the nurse
recommend for the child? - ANSWER Playing dress-up
, Rationale: The nurse should instruct the guardians that at the preschool age, play
should focus on social, mental, and physical development. Therefore, playing dress-up
is a recommended play activity for this child.
A nurse is providing teaching to the parent of an infant who has diaper dermatitis. The
nurse should instruct the parent to apply which of the following to the affected area? -
ANSWER Zinc oxide
Rationale: Diaper dermatitis is a common inflammatory skin disorder caused by contact
with an irritant such as urine, feces, soap, or friction, and takes the form of scaling,
blisters, or papules with erythema. Providing a protective barrier, such as zinc oxide,
against the irritants allows the skin to heal.
A nurse is caring for a client who has been receiving IV fluids via a peripheral IV
catheter. When preparing to discontinue the IV fluids and catheter, which of the
following actions should the nurse plan to take? (Move the steps into the box on the
right, placing them in the order of performance. Use all the steps.) - ANSWER First, the
nurse should turn off the IV pump. Next, the nurse should occlude the IV tubing, and
then remove the tape securing the catheter. Last, the nurse should apply pressure over
the catheter insertion site.
A 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. (You will find hot spots to select in the artwork below. Select only the hot spot
that corresponds to your answer.) - ANSWER A
A nurse is caring for a school-age child who is receiving chemotherapy and is severely
immunocompromised. Which of the following actions should the nurse take? - ANSWER
Screen the child's visitors for indications of infection.
Rationale: A child who is severely immunocompromised is unable to adequately
respond to infectious organisms, resulting in the potential for overwhelming infection.
Therefore, the nurse should screen the child's visitors for indications of infection.
A nurse is providing teaching to the parent of a school-age child who has a new
prescription for oral nystatin for the treatment of oral candidiasis. Which of the following
instructions should the nurse include? - ANSWER "Shake the medication prior to
administration."
