RN Pediatric Nursing Online Practice 2026 B
Questions with Correct Solutions
A nurse is caring for a toddler.
Nurses' Notes
0900:
Toddler brought to the provider's office today for report of a cough that won't go away and
recurring respiratory infections. Guardian states toddler has been coughing the past
several weeks with wheezing starting overnight. S1 and S2 auscultated, no murmur noted.
Respirations labored; rhonchi auscultated. Nasal congestion noted. Child is lethargic and
irritable. Guardian states the toddler is "often sweaty, and when I kiss them, it tastes
salty." States the child has been eating well prior to today but won't gain weight. Loose,
fatty stool in diaper. Vital signs and labs obtained.
Vital Signs
0900:
Temperature 37.4° C (99.3° F)
Heart rate 150/min
Respiratory rate 40/min
Blood pressure 82/42 mmHg
Oxygen saturation 92% on room air
Laboratory Results
,1200:
Sodium 128 mEq/L (136 to 145 mEq/L)
Potential Condition:
Otitis media
Actions to Take:
Educate guardian about sweat chloride testing
Prepare toddler for chest physiotherapy.
Parameters to Monitor:
Oxygen saturation level
Stools
Upon recognizing and analyzing client findings, the nurse's priority hypothesis is that the toddler
is most likely experiencing cystic fibrosis and that is it important to generate solutions and take
actions by planning to educate the guardian about sweat chloride testing for the toddler and
prepare the toddler for chest physiotherapy. The toddler is most likely experiencing cystic
fibrosis, as evidenced by reports of recurring respiratory infections, wheezing, coughing,
tachypnea, tachycardia, labored respirations, decreased oxygen saturation, nasal congestion,
inability to gain weight, loose fatty stool, salty tasting sweat, and hyponatremia. To evaluate the
toddler's response to these interventions, the nurse should monitor the toddler's oxygen saturation
level and stools. These are parameters that indicate if the toddler is further experiencing
,respiratory distress, inadequate intake, and dehydration, which can lead to further complications,
including pneumothorax, respiratory failure, and failure to thrive.
A nurse is caring for a school-age child who is receiving Cefazolin via intermittent IV
bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After
discontinuing the medication infusion, which of the following medications should the nurse
administer first?
A) Prednisone
B) Epinephrine
C) Diphenhydramine
D) Albuterol
B) Epinephrine
This child is most likely experiencing an anaphylactic reaction to the cefazolin. According to
evidence-based practice, the nurse should first administer epinephrine to treat the anaphylaxis.
Epinephrine is a beta-adrenergic agonist that stimulates the heart, causes vasoconstriction of
blood vessels in the skin and mucous membranes, and triggers bronchodilation in the lungs.
A nurse in a provider's office is caring for a preschooler. Which of the following statements
by a guardian indicate that the discharge teaching was effective? Select all that apply.
A) "We should apply a skin emollient immediately after bathing our child."
B) "We should keep our child's fingernails trimmed short."
, C) "We should rub the sores vigorously to remove scabs."
D) "We should allow our child to take a bubble bath prior to bed."
E) "We should use a mild detergent for our laundry."
F) "We should apply a large amount of the ointment to the sores."
A) "We should apply a skin emollient immediately after bathing our child."
B) "We should keep our child's fingernails trimmed short."
E) "We should use a mild detergent for our laundry."
"We should apply a skin emollient immediately after bathing our child" is correct. An
emollient is an oil that moisturizes the skin and should be applied immediately after bathing,
while the skin is damp, to prevent drying. Therefore this statement by the guardian indicates the
teaching has been effective.
"We should keep our child's fingernails trimmed short" is correct. The child's fingernails
and toenails should be kept short, trimmed, and filed to prevent scratching with sharp edges.
Therefore this statement by the guardian indicates the teaching has been effective.
"We should use a mild detergent for our laundry" is correct. The use of mild detergents for
laundry helps prevent allergens and itching. Therefore this statement by the guardian indicates
the teaching has been effective.
Questions with Correct Solutions
A nurse is caring for a toddler.
Nurses' Notes
0900:
Toddler brought to the provider's office today for report of a cough that won't go away and
recurring respiratory infections. Guardian states toddler has been coughing the past
several weeks with wheezing starting overnight. S1 and S2 auscultated, no murmur noted.
Respirations labored; rhonchi auscultated. Nasal congestion noted. Child is lethargic and
irritable. Guardian states the toddler is "often sweaty, and when I kiss them, it tastes
salty." States the child has been eating well prior to today but won't gain weight. Loose,
fatty stool in diaper. Vital signs and labs obtained.
Vital Signs
0900:
Temperature 37.4° C (99.3° F)
Heart rate 150/min
Respiratory rate 40/min
Blood pressure 82/42 mmHg
Oxygen saturation 92% on room air
Laboratory Results
,1200:
Sodium 128 mEq/L (136 to 145 mEq/L)
Potential Condition:
Otitis media
Actions to Take:
Educate guardian about sweat chloride testing
Prepare toddler for chest physiotherapy.
Parameters to Monitor:
Oxygen saturation level
Stools
Upon recognizing and analyzing client findings, the nurse's priority hypothesis is that the toddler
is most likely experiencing cystic fibrosis and that is it important to generate solutions and take
actions by planning to educate the guardian about sweat chloride testing for the toddler and
prepare the toddler for chest physiotherapy. The toddler is most likely experiencing cystic
fibrosis, as evidenced by reports of recurring respiratory infections, wheezing, coughing,
tachypnea, tachycardia, labored respirations, decreased oxygen saturation, nasal congestion,
inability to gain weight, loose fatty stool, salty tasting sweat, and hyponatremia. To evaluate the
toddler's response to these interventions, the nurse should monitor the toddler's oxygen saturation
level and stools. These are parameters that indicate if the toddler is further experiencing
,respiratory distress, inadequate intake, and dehydration, which can lead to further complications,
including pneumothorax, respiratory failure, and failure to thrive.
A nurse is caring for a school-age child who is receiving Cefazolin via intermittent IV
bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After
discontinuing the medication infusion, which of the following medications should the nurse
administer first?
A) Prednisone
B) Epinephrine
C) Diphenhydramine
D) Albuterol
B) Epinephrine
This child is most likely experiencing an anaphylactic reaction to the cefazolin. According to
evidence-based practice, the nurse should first administer epinephrine to treat the anaphylaxis.
Epinephrine is a beta-adrenergic agonist that stimulates the heart, causes vasoconstriction of
blood vessels in the skin and mucous membranes, and triggers bronchodilation in the lungs.
A nurse in a provider's office is caring for a preschooler. Which of the following statements
by a guardian indicate that the discharge teaching was effective? Select all that apply.
A) "We should apply a skin emollient immediately after bathing our child."
B) "We should keep our child's fingernails trimmed short."
, C) "We should rub the sores vigorously to remove scabs."
D) "We should allow our child to take a bubble bath prior to bed."
E) "We should use a mild detergent for our laundry."
F) "We should apply a large amount of the ointment to the sores."
A) "We should apply a skin emollient immediately after bathing our child."
B) "We should keep our child's fingernails trimmed short."
E) "We should use a mild detergent for our laundry."
"We should apply a skin emollient immediately after bathing our child" is correct. An
emollient is an oil that moisturizes the skin and should be applied immediately after bathing,
while the skin is damp, to prevent drying. Therefore this statement by the guardian indicates the
teaching has been effective.
"We should keep our child's fingernails trimmed short" is correct. The child's fingernails
and toenails should be kept short, trimmed, and filed to prevent scratching with sharp edges.
Therefore this statement by the guardian indicates the teaching has been effective.
"We should use a mild detergent for our laundry" is correct. The use of mild detergents for
laundry helps prevent allergens and itching. Therefore this statement by the guardian indicates
the teaching has been effective.
