Pediatric Practice Online Exam 2023 B
Unabridged Formatted Document • Complete Practice Exam Edition
RN Pediatric Nursing Online Practice 2023 A
Davieacademia • Pediatric Practice Online Exam 2023 B Page 1 of 37
, 1. A nurse in a pediatric emergency department is plan-
ning care for an adolescent.
Exhibit 1
Exhibit 2
Exhibit 3
Nurses' Notes
2245:
Adolescent arrived via stretcher by Emergency Medical
Transport (EMT) following a motor-vehicle crash.EMT
personnel report:
Client was found conscious at the scene inside of the
vehicle with airbag deployed, wearing a seat belt.
Vital signs: heart rate: 94/min, respiratory rate 20/min,
blood pressure mm Hg
18-gauge peripheral IV inserted in left antecubital.
Guardians contacted and report the child has no med-
ical conditions.2300:Adolescent reports sharp pain in
chest. Rates pain as 6 on a scale of 0 to 10. Respira-
tions fast and shallow. Diminished breath sounds in
left lung. S1 and S2 regular and rapid.
Apply Supplemental Oxygen
Prepare for chest tube
Place adolescent in supine position
Obtain consent for a paracentesis
Administer a levalbuterol inhaler
Apply supplemental oxy-
gen is correct. Accord-
ing to the medical record
and chest x-ray report, the
adolescent could poten-
tially have a pneumotho-
rax. Also according to the
medical record and chest
x-ray report, the adoles-
cent's oxygen saturation
level is decreasing, which
indicates hypoxia. There-
fore, the nurse should plan
to administer supplemen-
tal oxygen.
Prepare for chest tube in-
sertion is correct. Accord-
ing to the medical record
and chest x-ray report, the
adolescent could poten-
tially have a pneumoth-
Davieacademia • Pediatric Practice Online Exam 2023 B Page 2 of 37
, orax. A pneumothorax is
the presence of air in the
pleural cavity, which re-
sults in decreased lung ex-
pansion. The adolescent
could experience dysp-
nea, tachypnea, tachycar-
dia, hypoxia, and pain.
This requires prompt in-
tervention by the provider,
RN Pediatric Nursing Online Practice 2023 A
such as the placement of
a chest tube into the tho-
racic cavity to remove air
and fluid from the pleural
space, if present, allowing
the lung to re-expand.
2. A nurse is reviewing the laboratory report of a
school-age child who is experiencing fatigue. Which of
the following findings should the nurse recognize as
an indication of anemia?
A low hematocrit level
An elevated BUN
An increased neutrophil count
A low uric acid level
A low hematocrit level
The nurse should identi-
fy that a low hematocrit
level indicates anemia. A
child who has anemia can
exhibit fatigue, lighthead-
edness, tachycardia, dysp-
nea, and pallor due to the
decreased oxygen-carry-
ing capacity of the blood
cells.
Davieacademia • Pediatric Practice Online Exam 2023 B Page 3 of 37
, 3. A nurse is teaching the parent of a preschooler about
ways to prevent acute asthma attacks. Which of the
following statements by the parent indicates an under-
standing 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 ha a cough
c. I should avoid using a wet mop on the floors when I
am cleaning
d. I should keep my child indoors when I mow the yard
d. I should keep my child
indoors when I mow the
yard
Davieacademia • Pediatric Practice Online Exam 2023 B Page 4 of 37
Unabridged Formatted Document • Complete Practice Exam Edition
RN Pediatric Nursing Online Practice 2023 A
Davieacademia • Pediatric Practice Online Exam 2023 B Page 1 of 37
, 1. A nurse in a pediatric emergency department is plan-
ning care for an adolescent.
Exhibit 1
Exhibit 2
Exhibit 3
Nurses' Notes
2245:
Adolescent arrived via stretcher by Emergency Medical
Transport (EMT) following a motor-vehicle crash.EMT
personnel report:
Client was found conscious at the scene inside of the
vehicle with airbag deployed, wearing a seat belt.
Vital signs: heart rate: 94/min, respiratory rate 20/min,
blood pressure mm Hg
18-gauge peripheral IV inserted in left antecubital.
Guardians contacted and report the child has no med-
ical conditions.2300:Adolescent reports sharp pain in
chest. Rates pain as 6 on a scale of 0 to 10. Respira-
tions fast and shallow. Diminished breath sounds in
left lung. S1 and S2 regular and rapid.
Apply Supplemental Oxygen
Prepare for chest tube
Place adolescent in supine position
Obtain consent for a paracentesis
Administer a levalbuterol inhaler
Apply supplemental oxy-
gen is correct. Accord-
ing to the medical record
and chest x-ray report, the
adolescent could poten-
tially have a pneumotho-
rax. Also according to the
medical record and chest
x-ray report, the adoles-
cent's oxygen saturation
level is decreasing, which
indicates hypoxia. There-
fore, the nurse should plan
to administer supplemen-
tal oxygen.
Prepare for chest tube in-
sertion is correct. Accord-
ing to the medical record
and chest x-ray report, the
adolescent could poten-
tially have a pneumoth-
Davieacademia • Pediatric Practice Online Exam 2023 B Page 2 of 37
, orax. A pneumothorax is
the presence of air in the
pleural cavity, which re-
sults in decreased lung ex-
pansion. The adolescent
could experience dysp-
nea, tachypnea, tachycar-
dia, hypoxia, and pain.
This requires prompt in-
tervention by the provider,
RN Pediatric Nursing Online Practice 2023 A
such as the placement of
a chest tube into the tho-
racic cavity to remove air
and fluid from the pleural
space, if present, allowing
the lung to re-expand.
2. A nurse is reviewing the laboratory report of a
school-age child who is experiencing fatigue. Which of
the following findings should the nurse recognize as
an indication of anemia?
A low hematocrit level
An elevated BUN
An increased neutrophil count
A low uric acid level
A low hematocrit level
The nurse should identi-
fy that a low hematocrit
level indicates anemia. A
child who has anemia can
exhibit fatigue, lighthead-
edness, tachycardia, dysp-
nea, and pallor due to the
decreased oxygen-carry-
ing capacity of the blood
cells.
Davieacademia • Pediatric Practice Online Exam 2023 B Page 3 of 37
, 3. A nurse is teaching the parent of a preschooler about
ways to prevent acute asthma attacks. Which of the
following statements by the parent indicates an under-
standing 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 ha a cough
c. I should avoid using a wet mop on the floors when I
am cleaning
d. I should keep my child indoors when I mow the yard
d. I should keep my child
indoors when I mow the
yard
Davieacademia • Pediatric Practice Online Exam 2023 B Page 4 of 37
