RN Pediatric Nursing Online Practice 2026 A
Questions with Correct Solutions
A nurse in a pediatric emergency department is planning 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 100/60 mm Hg
18-gauge peripheral IV inserted in left antecubital.
Guardians contacted and report the child has no medical conditions.2300:Adolescent
reports sharp pain in chest. Rates pain as 6 on a scale of 0 to 10. Respirations 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 oxygen is correct. 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 is correct. 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 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 identify that a low hematocrit level indicates anemia. A child who has anemia
can exhibit fatigue, lightheadedness, tachycardia, dyspnea, and pallor due to the decreased
oxygen-carrying capacity of the blood cells.
,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 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 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
A nurse on a pediatric unit is caring for a toddler.
Hx Hemophilia
Guardian reports that the toddler fell at home while playing w/ toys. Since the fall, the
toddler been very irritable, crying uncontrollably, + grabbing at their left knee. The
toddler can walk but insists being picked up.
Toddler is alert during exam. Extremities are warm + dry to touch. Decreased movement
of the left leg observed. Tenderness noted w/ palpation of the left knee joint. Pain level 6/10
using FLACC scale.
Toddler is fussy + crying. Pain assessed as 8 on scale of 0 to 10 using the FLACC scale.
Left knee observed to be ecchymotic + edematous.
Temp 36.9° C (98.4° F)
HR 110/min
RR 28/min
O₂ Sat 98% on room air
, Administer factor VIII.
Apply ice packs to the affected joints.
Administer morphine PRN pain.
Perform passive range-of-motion (ROM) exercises during the first 12 hr following injury.
Elevate the affected joints.
Anticipated:
Administer factor VIII is anticipated. The child is experiencing an acute episode of
hemophilia due to a recent fall. During this acute episode, there is potential for internal bleeding
into the joint spaces. Therefore, administering factor VIII is anticipated to control bleeding.
Apply ice packs to the affected joints is anticipated. The child is experiencing an acute
episode of hemarthrosis due to a recent fall, as evidenced by the bruising and swelling of the
knee joint. Therefore, applying ice packs to the affected joints is anticipated to manage
discomfort and decrease bleeding into the joint.
Administer morphine PRN pain is anticipated. The child is experiencing severe pain. Opioids
can be administered in the inpatient setting to relieve pain. Otherwise, acetaminophen can be
given at home for pain. Aspirin and NSAIDs should be avoided because they inhibit platelet
function and might increase bleeding.
Elevate the affected joints is anticipated. The child is experiencing an acute episode of
hemarthrosis due to a recent fall, as evidenced by the bruising and swelling of the knee joint.
Elevation of the joint, along with the application of ice, is anticipated to help decrease bleeding
and swelling in the joint.
Contraindication
Questions with Correct Solutions
A nurse in a pediatric emergency department is planning 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 100/60 mm Hg
18-gauge peripheral IV inserted in left antecubital.
Guardians contacted and report the child has no medical conditions.2300:Adolescent
reports sharp pain in chest. Rates pain as 6 on a scale of 0 to 10. Respirations 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 oxygen is correct. 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 is correct. 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 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 identify that a low hematocrit level indicates anemia. A child who has anemia
can exhibit fatigue, lightheadedness, tachycardia, dyspnea, and pallor due to the decreased
oxygen-carrying capacity of the blood cells.
,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 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 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
A nurse on a pediatric unit is caring for a toddler.
Hx Hemophilia
Guardian reports that the toddler fell at home while playing w/ toys. Since the fall, the
toddler been very irritable, crying uncontrollably, + grabbing at their left knee. The
toddler can walk but insists being picked up.
Toddler is alert during exam. Extremities are warm + dry to touch. Decreased movement
of the left leg observed. Tenderness noted w/ palpation of the left knee joint. Pain level 6/10
using FLACC scale.
Toddler is fussy + crying. Pain assessed as 8 on scale of 0 to 10 using the FLACC scale.
Left knee observed to be ecchymotic + edematous.
Temp 36.9° C (98.4° F)
HR 110/min
RR 28/min
O₂ Sat 98% on room air
, Administer factor VIII.
Apply ice packs to the affected joints.
Administer morphine PRN pain.
Perform passive range-of-motion (ROM) exercises during the first 12 hr following injury.
Elevate the affected joints.
Anticipated:
Administer factor VIII is anticipated. The child is experiencing an acute episode of
hemophilia due to a recent fall. During this acute episode, there is potential for internal bleeding
into the joint spaces. Therefore, administering factor VIII is anticipated to control bleeding.
Apply ice packs to the affected joints is anticipated. The child is experiencing an acute
episode of hemarthrosis due to a recent fall, as evidenced by the bruising and swelling of the
knee joint. Therefore, applying ice packs to the affected joints is anticipated to manage
discomfort and decrease bleeding into the joint.
Administer morphine PRN pain is anticipated. The child is experiencing severe pain. Opioids
can be administered in the inpatient setting to relieve pain. Otherwise, acetaminophen can be
given at home for pain. Aspirin and NSAIDs should be avoided because they inhibit platelet
function and might increase bleeding.
Elevate the affected joints is anticipated. The child is experiencing an acute episode of
hemarthrosis due to a recent fall, as evidenced by the bruising and swelling of the knee joint.
Elevation of the joint, along with the application of ice, is anticipated to help decrease bleeding
and swelling in the joint.
Contraindication
