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RN Pediatric Nursing Online Practice 2023 A LATEST 2
VERSIONS QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
RN Pediatric Nursing Online Practice 2023 A
QUESTION: 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.
QUESTION: 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
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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.
Joint swelling and fever are incorrect. Swelling of the joints is non-urgent because it is an
expected finding for a child who has sickle cell disease. A low-grade fever is an expected finding
for a child who is experiencing a vaso-occlusive crisis. Therefore, there is another finding that is
the nurse's priority.
Dropdown 2:
Pain is correct. The child reported their pain as 8 on a scale of 0 to 10, which indicates severe
pain. Vaso-occlusive crises can cause severe pain due to tissue ischemia from sickled cells
obstructing blood flow. When using the urgent vs. non-urgent approach to client care, the
nurse should identify that addressing the child's pain is the priority after addressing the child's
hypoxia.
Anemia and hydration are incorrect. The child's hemoglobin and hematocrit levels are below
the expected reference range. Medications are often prescribed to increase the production of
red blood cells. However, this is a non-urgent finding. The child's oral mucosa indicates
dehydration, which can worsen the manifestations of a vaso-occlusive crisis. However, this is a
non-urgent finding. Therefore, there is another finding that is the nurse's priority.
QUESTION: A nurse is caring for a school-age child following an appendectomy.
After reviewing the information in the child's medical record, which of the following findings
should the nurse identify as a potential complication? Select the 3 findings from the child's
medical record that the nurse should identify as indications of a potential complication.
WBC count, Oxygen saturation level, Platelets, Abdomen assessment, Temperature, Abdominal
dressings assessment - ANSWER-WBC count is correct. The child's WBC count has increased
significantly following the procedure. The nurse should identify that this is a potential indication
of a postoperative infection.
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Oxygen saturation level is incorrect. The child's oxygen saturation level is within the expected
reference range. Therefore this finding does not indicate a potential complication.
Platelets is incorrect. The child's platelet count is within the expected reference range.
Therefore this finding does not indicate a potential complication.
Abdomen assessment is correct. The child's abdomen is rigid and distended and they are
reporting increased pain. The nurse should identify that this is a potential indication of a
postoperative infection.
Temperature is correct. One day following surgery, the child's temperature has increased and is
above the expected reference range. The nurse should identify that this is a potential indication
of a postoperative infection.
Abdominal dressings assessment is incorrect. The child's abdominal dressings have scant serous
drainage present, which is an expected finding following surgery. Therefore this finding does
not indicate a potential complication.
QUESTION: A nurse is reviewing the medical record of a school-age child who is 2 days
postoperative following an open repair and casting of a fracture in the right arm. Which of the
following findings should the nurse identify as an indication of a potential postoperative
complication?
a. increased erythrocyte sedimentation rate
b. apical pulse 92/min
c. respiratory rate 24/min
d. taking an oral analgesic twice daily - ANSWER-a. increased erythrocyte sedimentation rate
The nurse should identify that an increased erythrocyte sedimentation rate is an indication of
osteomyelitis, a potential complication following surgical repair of a fracture.
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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.
QUESTION: 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.
QUESTION: 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.
RN Pediatric Nursing Online Practice 2023 A LATEST 2
VERSIONS QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
RN Pediatric Nursing Online Practice 2023 A
QUESTION: 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.
QUESTION: 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
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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.
Joint swelling and fever are incorrect. Swelling of the joints is non-urgent because it is an
expected finding for a child who has sickle cell disease. A low-grade fever is an expected finding
for a child who is experiencing a vaso-occlusive crisis. Therefore, there is another finding that is
the nurse's priority.
Dropdown 2:
Pain is correct. The child reported their pain as 8 on a scale of 0 to 10, which indicates severe
pain. Vaso-occlusive crises can cause severe pain due to tissue ischemia from sickled cells
obstructing blood flow. When using the urgent vs. non-urgent approach to client care, the
nurse should identify that addressing the child's pain is the priority after addressing the child's
hypoxia.
Anemia and hydration are incorrect. The child's hemoglobin and hematocrit levels are below
the expected reference range. Medications are often prescribed to increase the production of
red blood cells. However, this is a non-urgent finding. The child's oral mucosa indicates
dehydration, which can worsen the manifestations of a vaso-occlusive crisis. However, this is a
non-urgent finding. Therefore, there is another finding that is the nurse's priority.
QUESTION: A nurse is caring for a school-age child following an appendectomy.
After reviewing the information in the child's medical record, which of the following findings
should the nurse identify as a potential complication? Select the 3 findings from the child's
medical record that the nurse should identify as indications of a potential complication.
WBC count, Oxygen saturation level, Platelets, Abdomen assessment, Temperature, Abdominal
dressings assessment - ANSWER-WBC count is correct. The child's WBC count has increased
significantly following the procedure. The nurse should identify that this is a potential indication
of a postoperative infection.
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Oxygen saturation level is incorrect. The child's oxygen saturation level is within the expected
reference range. Therefore this finding does not indicate a potential complication.
Platelets is incorrect. The child's platelet count is within the expected reference range.
Therefore this finding does not indicate a potential complication.
Abdomen assessment is correct. The child's abdomen is rigid and distended and they are
reporting increased pain. The nurse should identify that this is a potential indication of a
postoperative infection.
Temperature is correct. One day following surgery, the child's temperature has increased and is
above the expected reference range. The nurse should identify that this is a potential indication
of a postoperative infection.
Abdominal dressings assessment is incorrect. The child's abdominal dressings have scant serous
drainage present, which is an expected finding following surgery. Therefore this finding does
not indicate a potential complication.
QUESTION: A nurse is reviewing the medical record of a school-age child who is 2 days
postoperative following an open repair and casting of a fracture in the right arm. Which of the
following findings should the nurse identify as an indication of a potential postoperative
complication?
a. increased erythrocyte sedimentation rate
b. apical pulse 92/min
c. respiratory rate 24/min
d. taking an oral analgesic twice daily - ANSWER-a. increased erythrocyte sedimentation rate
The nurse should identify that an increased erythrocyte sedimentation rate is an indication of
osteomyelitis, a potential complication following surgical repair of a fracture.
, Page 4 of 53
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.
QUESTION: 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.
QUESTION: 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.
