RN Pediatric Nursing Online Practice A Questions and Answers
A nurse is teaching the parent of a preschooler should tap to elicit the biceps reflex. - - A is
about ways to prevent acute asthma attacks. correct. The nurse should identify that this is the
Which of the following statements by the parents location to tap to elicit the biceps reflex.
indicates and understanding of the teaching?
B is incorrect. The nurse should tap this location
a. "I will use a humidifier in my child's room at to elicit the triceps reflex.
night"
b. "I will give my child a cough suppressant every C is incorrect. The nurse should tap this location
6 hours if he has a cough." to elicit the brachioradialis reflex.
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 A nurse on a pediatric unit is caring for a toddler.
the yard." - - d. "I should keep my child
indoors when I mow the yard." Which of the following potential provider
prescriptions should the nurse identify as
The nurse should instruct the parent to keep the anticipated or contraindicated?
preschooler indoors during lawn maintenance or
when the pollen count is increased. Guarding Potential Provider's Prescription: (Anticipated or
against exposure to known allergens found Contraindicated)
outdoors, such as grass, tree, and weed pollen, 1. Administer factor VIII
will decrease the frequency of the preschooler's 2. Apply ice packs to the infected joints
asthma attacks. 3. Administer morphine PRN pain
4. Perform passive range-of-motion (ROM)
exercises during the first 12 hr following injury
A nurse is assessing a 6-year-old child 5. Elevate the affected joints - - Administer
immediately following surgery for a perforated factor VIII is anticipated. The child is experiencing
appendix. Which of the following findings should an acute episode of hemophilia due to a recent
the nurse expect? fall. During this acute episode, there is potential
for internal bleeding into the joint spaces.
a. Purulent drainage from the NG tube Therefore, administering factor VIII is anticipated
b. Hypoactive bowel sounds to control bleeding.
c. Passage of dark-red stool with mucus
d. Urine output of 20 mL/hr - - b. Apply ice packs to the affected joints is
Hypoactive bowel sounds anticipated. The child is experiencing an acute
episode of hemarthrosis due to a recent fall, as
The nurse should expect hypoactive bowel evidenced by the bruising and swelling of the
sounds following appendiceal rupture or if the knee joint. Therefore, applying ice packs to the
child has developed peritonitis. Additionally, affected joints is anticipated to manage
hypoactive bowel sounds are an expected discomfort and decrease bleeding into the joint.
finding immediately following abdominal surgery,
until full peristalsis resumes. Administer morphine PRN pain is anticipated.
The child is experiencing severe pain. Opioids
can be administered in the inpatient setting to
The nurse is assessing a school-age child who relieve pain. Otherwise, acetaminophen can be
has an acute spinal cord injury following a sports given at home for pain. Aspirin and NSAIDs
injury 1 week ago. Identify the area the nurse should be avoided because they inhibit platelet
,RN Pediatric Nursing Online Practice A Questions and Answers
function and might increase bleeding. medical record, which of the following findings
should the nurse address first?
Perform passive range-of-motion (ROM)
exercises during the first 12 hr following injury is The nurse should address the child's (oxygen
contraindicated. The child is experiencing an saturation/joint swelling/fever) followed by the
acute episode of hemarthrosis. Passive ROM child's (pain/anemia/hydration). - -
exercises can increase bleeding into the joint for Dropdown 1:
the first 48 hr following injury. The toddler should Oxygen saturation is correct. The child's pulse
be encouraged to exercise the joint as tolerated. oximeter reading is below the expected reference
range. The nurse should take action to maintain
Elevate the affected joints is anticipated. The the child's oxygen saturation above 95%. When
child is experiencing an acute episode of using the urgent vs. non-urgent approach to
hemarthrosis due to a recent fall, as evidenced client care, the nurse should identify that
by the bruising and swelling of the knee joint. addressing the child's hypoxia is the priority
Elevation of the joint, along with the application intervention.
of ice, is anticipated to help decrease bleeding
and swelling in the joint. 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
A nurse is providing discharge teaching to the low-grade fever is an expected finding for a child
parent of an 18-month-old toddler who has who is experiencing a vaso-occlusive crisis.
dehydration due to acute diarrhea. Which of the Therefore, there is another finding that is the
following statements by the parent indicates an nurse's priority.
understanding of the teaching?
Dropdown 2:
a. "I will offer my child small amounts of fruit juice Pain is correct. The child reported their pain as 8
frequently.." on a scale of 0 to 10, which indicates severe
b. "I will avoid giving my child solid foods until the pain. Vaso-occlusive crises can cause severe
diarrhea has stopped," pain due to tissue ischemia from sickled cells
c. "I will monitor my child's number of wet obstructing blood flow. When using the urgent vs.
diapers." non-urgent approach to client care, the nurse
d. "I will give my child polyethylene glycol daily should identify that addressing the child's pain is
for 7 days." - - c. "I will monitor my child's the priority after addressing the child's hypoxia.
number of wet diapers."
Anemia and hydration are incorrect. The child's
The nurse should teach the parent to closely hemoglobin and hematocrit levels are below the
monitor the child's number of wet diapers. expected reference range. Medications are often
Monitoring the number of wet diapers per day is prescribed to increase the production of red
an effective way for the parent to monitor blood cells. However, this is a non-urgent finding.
adequate output and hydration status. The child's oral mucosa indicates dehydration,
which can worsen the manifestations of a vaso-
occlusive crisis. However, this is a non-urgent
A nurse on a pediatric unit is caring for a school- finding. Therefore, there is another finding that is
age child. the nurse's priority.
After reviewing the information in the child's
, RN Pediatric Nursing Online Practice A Questions and Answers
A nurse is caring for a school-age child following
an appendectomy. A nurse is reviewing the medical record of a
school-age child who is 2 days postoperative
After reviewing the information in the child's following an open repair and casting of a fracture
medical record, which of the following findings in the right arm. Which of the following findings
should the nurse identify as a potential should the nurse identify as an indication of a
complication? Select the 3 findings from the potential postoperative complication?
child's medical record that the nurse should
identify as indications of a potential complication. a. increased erythrocyte sedimentation rate
b. apical pulse 92/min
WBC count, Oxygen saturation level, Platelets, c. respiratory rate 24/min
Abdomen assessment, Temperature, Abdominal d. taking an oral analgesic twice daily - - a.
dressings assessment - - WBC count is increased erythrocyte sedimentation rate
correct. The child's WBC count has increased
significantly following the procedure. The nurse The nurse should identify that an increased
should identify that this is a potential indication of erythrocyte sedimentation rate is an indication of
a postoperative infection. osteomyelitis, a potential complication following
surgical repair of a fracture.
Oxygen saturation level is incorrect. The child's
oxygen saturation level is within the expected
reference range. Therefore this finding does not A nurse is caring for a 15-year-old adolescent
indicate a potential complication. following a head injury. Which of the following
findings should the nurse identify as an indication
Platelets is incorrect. The child's platelet count is that the adolescent is developing syndrome of
within the expected reference range. Therefore inappropriate antidiuretic hormone secretion
this finding does not indicate a potential (SIADH)?
complication.
a. increased sodium level
Abdomen assessment is correct. The child's b. decreased urine specific gravity
abdomen is rigid and distended and they are c. mental confusion
reporting increased pain. The nurse should d. weak peripheral pulses - - c. mental
identify that this is a potential indication of a confusion
postoperative infection.
A child who has a head injury can develop
Temperature is correct. One day following SIADH as a result of altered pituitary function,
surgery, the child's temperature has increased leading to an oversecretion of antidiuretic
and is above the expected reference range. The hormone. Oversecretion of antidiuretic hormone
nurse should identify that this is a potential leads to a decrease in urine output,
indication of a postoperative infection. hyponatremia, and hyperosmolality due to
overhydration. As the hyponatremia becomes
Abdominal dressings assessment is incorrect. more severe, mental confusion and other
The child's abdominal dressings have scant neurologic manifestations such as seizures can
serous drainage present, which is an expected occur.
finding following surgery. Therefore this finding
does not indicate a potential complication.
A nurse is discussing organ donation with the
A nurse is teaching the parent of a preschooler should tap to elicit the biceps reflex. - - A is
about ways to prevent acute asthma attacks. correct. The nurse should identify that this is the
Which of the following statements by the parents location to tap to elicit the biceps reflex.
indicates and understanding of the teaching?
B is incorrect. The nurse should tap this location
a. "I will use a humidifier in my child's room at to elicit the triceps reflex.
night"
b. "I will give my child a cough suppressant every C is incorrect. The nurse should tap this location
6 hours if he has a cough." to elicit the brachioradialis reflex.
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 A nurse on a pediatric unit is caring for a toddler.
the yard." - - d. "I should keep my child
indoors when I mow the yard." Which of the following potential provider
prescriptions should the nurse identify as
The nurse should instruct the parent to keep the anticipated or contraindicated?
preschooler indoors during lawn maintenance or
when the pollen count is increased. Guarding Potential Provider's Prescription: (Anticipated or
against exposure to known allergens found Contraindicated)
outdoors, such as grass, tree, and weed pollen, 1. Administer factor VIII
will decrease the frequency of the preschooler's 2. Apply ice packs to the infected joints
asthma attacks. 3. Administer morphine PRN pain
4. Perform passive range-of-motion (ROM)
exercises during the first 12 hr following injury
A nurse is assessing a 6-year-old child 5. Elevate the affected joints - - Administer
immediately following surgery for a perforated factor VIII is anticipated. The child is experiencing
appendix. Which of the following findings should an acute episode of hemophilia due to a recent
the nurse expect? fall. During this acute episode, there is potential
for internal bleeding into the joint spaces.
a. Purulent drainage from the NG tube Therefore, administering factor VIII is anticipated
b. Hypoactive bowel sounds to control bleeding.
c. Passage of dark-red stool with mucus
d. Urine output of 20 mL/hr - - b. Apply ice packs to the affected joints is
Hypoactive bowel sounds anticipated. The child is experiencing an acute
episode of hemarthrosis due to a recent fall, as
The nurse should expect hypoactive bowel evidenced by the bruising and swelling of the
sounds following appendiceal rupture or if the knee joint. Therefore, applying ice packs to the
child has developed peritonitis. Additionally, affected joints is anticipated to manage
hypoactive bowel sounds are an expected discomfort and decrease bleeding into the joint.
finding immediately following abdominal surgery,
until full peristalsis resumes. Administer morphine PRN pain is anticipated.
The child is experiencing severe pain. Opioids
can be administered in the inpatient setting to
The nurse is assessing a school-age child who relieve pain. Otherwise, acetaminophen can be
has an acute spinal cord injury following a sports given at home for pain. Aspirin and NSAIDs
injury 1 week ago. Identify the area the nurse should be avoided because they inhibit platelet
,RN Pediatric Nursing Online Practice A Questions and Answers
function and might increase bleeding. medical record, which of the following findings
should the nurse address first?
Perform passive range-of-motion (ROM)
exercises during the first 12 hr following injury is The nurse should address the child's (oxygen
contraindicated. The child is experiencing an saturation/joint swelling/fever) followed by the
acute episode of hemarthrosis. Passive ROM child's (pain/anemia/hydration). - -
exercises can increase bleeding into the joint for Dropdown 1:
the first 48 hr following injury. The toddler should Oxygen saturation is correct. The child's pulse
be encouraged to exercise the joint as tolerated. oximeter reading is below the expected reference
range. The nurse should take action to maintain
Elevate the affected joints is anticipated. The the child's oxygen saturation above 95%. When
child is experiencing an acute episode of using the urgent vs. non-urgent approach to
hemarthrosis due to a recent fall, as evidenced client care, the nurse should identify that
by the bruising and swelling of the knee joint. addressing the child's hypoxia is the priority
Elevation of the joint, along with the application intervention.
of ice, is anticipated to help decrease bleeding
and swelling in the joint. 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
A nurse is providing discharge teaching to the low-grade fever is an expected finding for a child
parent of an 18-month-old toddler who has who is experiencing a vaso-occlusive crisis.
dehydration due to acute diarrhea. Which of the Therefore, there is another finding that is the
following statements by the parent indicates an nurse's priority.
understanding of the teaching?
Dropdown 2:
a. "I will offer my child small amounts of fruit juice Pain is correct. The child reported their pain as 8
frequently.." on a scale of 0 to 10, which indicates severe
b. "I will avoid giving my child solid foods until the pain. Vaso-occlusive crises can cause severe
diarrhea has stopped," pain due to tissue ischemia from sickled cells
c. "I will monitor my child's number of wet obstructing blood flow. When using the urgent vs.
diapers." non-urgent approach to client care, the nurse
d. "I will give my child polyethylene glycol daily should identify that addressing the child's pain is
for 7 days." - - c. "I will monitor my child's the priority after addressing the child's hypoxia.
number of wet diapers."
Anemia and hydration are incorrect. The child's
The nurse should teach the parent to closely hemoglobin and hematocrit levels are below the
monitor the child's number of wet diapers. expected reference range. Medications are often
Monitoring the number of wet diapers per day is prescribed to increase the production of red
an effective way for the parent to monitor blood cells. However, this is a non-urgent finding.
adequate output and hydration status. The child's oral mucosa indicates dehydration,
which can worsen the manifestations of a vaso-
occlusive crisis. However, this is a non-urgent
A nurse on a pediatric unit is caring for a school- finding. Therefore, there is another finding that is
age child. the nurse's priority.
After reviewing the information in the child's
, RN Pediatric Nursing Online Practice A Questions and Answers
A nurse is caring for a school-age child following
an appendectomy. A nurse is reviewing the medical record of a
school-age child who is 2 days postoperative
After reviewing the information in the child's following an open repair and casting of a fracture
medical record, which of the following findings in the right arm. Which of the following findings
should the nurse identify as a potential should the nurse identify as an indication of a
complication? Select the 3 findings from the potential postoperative complication?
child's medical record that the nurse should
identify as indications of a potential complication. a. increased erythrocyte sedimentation rate
b. apical pulse 92/min
WBC count, Oxygen saturation level, Platelets, c. respiratory rate 24/min
Abdomen assessment, Temperature, Abdominal d. taking an oral analgesic twice daily - - a.
dressings assessment - - WBC count is increased erythrocyte sedimentation rate
correct. The child's WBC count has increased
significantly following the procedure. The nurse The nurse should identify that an increased
should identify that this is a potential indication of erythrocyte sedimentation rate is an indication of
a postoperative infection. osteomyelitis, a potential complication following
surgical repair of a fracture.
Oxygen saturation level is incorrect. The child's
oxygen saturation level is within the expected
reference range. Therefore this finding does not A nurse is caring for a 15-year-old adolescent
indicate a potential complication. following a head injury. Which of the following
findings should the nurse identify as an indication
Platelets is incorrect. The child's platelet count is that the adolescent is developing syndrome of
within the expected reference range. Therefore inappropriate antidiuretic hormone secretion
this finding does not indicate a potential (SIADH)?
complication.
a. increased sodium level
Abdomen assessment is correct. The child's b. decreased urine specific gravity
abdomen is rigid and distended and they are c. mental confusion
reporting increased pain. The nurse should d. weak peripheral pulses - - c. mental
identify that this is a potential indication of a confusion
postoperative infection.
A child who has a head injury can develop
Temperature is correct. One day following SIADH as a result of altered pituitary function,
surgery, the child's temperature has increased leading to an oversecretion of antidiuretic
and is above the expected reference range. The hormone. Oversecretion of antidiuretic hormone
nurse should identify that this is a potential leads to a decrease in urine output,
indication of a postoperative infection. hyponatremia, and hyperosmolality due to
overhydration. As the hyponatremia becomes
Abdominal dressings assessment is incorrect. more severe, mental confusion and other
The child's abdominal dressings have scant neurologic manifestations such as seizures can
serous drainage present, which is an expected occur.
finding following surgery. Therefore this finding
does not indicate a potential complication.
A nurse is discussing organ donation with the
