RN PEDIATRIC NURSING ONLINE PRACTICE
2023 B EXAM WITH ELABIORATED QUESTIONS
AND ANSWERS
A nurse is preparing to administer an immunization to a 4-year-old child. Which of the following actions
should the nurse plan to take?
A. Place the child in a prone position for the immunization.
B. Request that the child's caregiver leave the room during the immunization.
C. Administer the immunization using a 24-gauge needle.
D. Inject the immunization slowly after aspirating for 3 seconds. - CORRECT ANSWER- C. Administer the
immunization using a 24-gauge needle.
Rationale: The nurse should administer an immunization for a 4-year-old child using a 22 to 25-gauge
needle to minimize the amount of pain the child experiences.
A nurse is caring for a school-age child who has experienced a tonic-clonic seizure. Which of the
following actions should the nurse take during the immediate postictal period?
A. Place the child in a side-lying position.
B. Delay documentation until the child is fully alert.
C. Give the child a high-carbohydrate snack.
,D. Administer an oral sedative to the child. - CORRECT ANSWER- A. Place the child in a side-lying
position.
Rationale: The nurse should place the child in a side-lying position to prevent aspiration.
NGN* A nurse on a pediatric unit is admitting a preschooler. After reviewing the information in the
medical record the nurse should identify that the child is at risk for developing which of the following
conditions?
Dropdown 1:
Splenomegaly
Acute post-streptococcal glomerulonephritis (APSGN)
Dysrhythmias
Dropdown 2:
Positive mononucleosis rapid test
Urinary output
Cardiovascular assessment - CORRECT ANSWER- 1. Splenomegaly
Rationale: The child's positive mononucleosis rapid test result indicates the presence of infectious
mono, a condition caused by the Epstein-Barr virus. Therefore, the nurse should identify that the child is
at risk for developing splenomegaly, a common complication of infectious mono.
2. Positive mono rapid test
Rationale: The child's positive mononucleosis rapid test result indicates the presence of infectious
mono, a condition caused by the Epstein-Barr virus. Therefore, the nurse should identify that the child is
at risk for developing splenomegaly, a common complication of infectious mono.
A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should
the nurse expect?
,A. Loud, harsh murmur
B. Dysrhythmias
C. Weak femoral pulses
D. High blood pressure - CORRECT ANSWER- A. Loud, harsh murmur
Rationale: The nurse should expect to hear a loud, harsh murmur with a ventricular septal defect due to
the left-to-right shunting of blood, which contributes to hypertrophy of the infant's heart muscle.
A nurse is providing discharge teaching the guardians of a toddler with a lower leg cast applied 24 hours
ago. The nurse should instruct the guardians to report which of the following findings to the provider?
A. Capillary refill time < 2 seconds.
B. Restricted ability to move the toes.
C. Swelling of the casted foot when the leg is dependent.
D. Pedal pulse +3 bilateral. - CORRECT ANSWER- B. Restricted ability to move the toes.
Rationale: The nurse should inform the guardians that the restricted ability of the toddler to move their
toes is an indication of neuromuscular compromise and requires immediate notification to the provider.
Permanent muscle and tissue damage can occur in just a few hours.
A nurse is planning an educational program to teach caregivers about protecting their children from
sunburns. Which of the following instructions should the nurse plan to include?
A. "Allow your child to play outside during the hours between 10:00 am and 2:00 pm."
, B. "Choose a waterproof sunscreen with a minimum SPF of 15."
C. "Dress your child in loose weave polyester fabric prior to sun exposure."
D. "Reapply sunscreen every 4 hours." - CORRECT ANSWER- B. "Choose a waterproof sunscreen with a
minimum SPF of 15."
Rationale: The nurse should instruct caregivers to apply a waterproof sunscreen with a minimum SPF of
15 for children. The parent should apply sunscreen prior to sun exposure to reduce the risk of sunburn.
A nurse is assessing a school-age child who has peritonitis. Which of the following findings should the
nurse expect?
A. Hyperactive bowel sounds
B. Abdominal distention
C. Bradycardia
D. Bloody stool - CORRECT ANSWER- B. Abdominal distention
Rationale: The nurse should identify that abdominal distention is an expected finding of peritonitis.
Peritonitis is an inflammation of the lining of the abdominal wall. This inflammation in the abdomen,
along with the ileus that develops, causes abdominal distention. Other manifestations include chills,
irritability, and restlessness.
A nurse is assessing a school-age child who has an infratentorial brain tumor. Which of the following
findings should the nurse identify as a manifestation of increased intracranial pressure?
A. Hypotension
2023 B EXAM WITH ELABIORATED QUESTIONS
AND ANSWERS
A nurse is preparing to administer an immunization to a 4-year-old child. Which of the following actions
should the nurse plan to take?
A. Place the child in a prone position for the immunization.
B. Request that the child's caregiver leave the room during the immunization.
C. Administer the immunization using a 24-gauge needle.
D. Inject the immunization slowly after aspirating for 3 seconds. - CORRECT ANSWER- C. Administer the
immunization using a 24-gauge needle.
Rationale: The nurse should administer an immunization for a 4-year-old child using a 22 to 25-gauge
needle to minimize the amount of pain the child experiences.
A nurse is caring for a school-age child who has experienced a tonic-clonic seizure. Which of the
following actions should the nurse take during the immediate postictal period?
A. Place the child in a side-lying position.
B. Delay documentation until the child is fully alert.
C. Give the child a high-carbohydrate snack.
,D. Administer an oral sedative to the child. - CORRECT ANSWER- A. Place the child in a side-lying
position.
Rationale: The nurse should place the child in a side-lying position to prevent aspiration.
NGN* A nurse on a pediatric unit is admitting a preschooler. After reviewing the information in the
medical record the nurse should identify that the child is at risk for developing which of the following
conditions?
Dropdown 1:
Splenomegaly
Acute post-streptococcal glomerulonephritis (APSGN)
Dysrhythmias
Dropdown 2:
Positive mononucleosis rapid test
Urinary output
Cardiovascular assessment - CORRECT ANSWER- 1. Splenomegaly
Rationale: The child's positive mononucleosis rapid test result indicates the presence of infectious
mono, a condition caused by the Epstein-Barr virus. Therefore, the nurse should identify that the child is
at risk for developing splenomegaly, a common complication of infectious mono.
2. Positive mono rapid test
Rationale: The child's positive mononucleosis rapid test result indicates the presence of infectious
mono, a condition caused by the Epstein-Barr virus. Therefore, the nurse should identify that the child is
at risk for developing splenomegaly, a common complication of infectious mono.
A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should
the nurse expect?
,A. Loud, harsh murmur
B. Dysrhythmias
C. Weak femoral pulses
D. High blood pressure - CORRECT ANSWER- A. Loud, harsh murmur
Rationale: The nurse should expect to hear a loud, harsh murmur with a ventricular septal defect due to
the left-to-right shunting of blood, which contributes to hypertrophy of the infant's heart muscle.
A nurse is providing discharge teaching the guardians of a toddler with a lower leg cast applied 24 hours
ago. The nurse should instruct the guardians to report which of the following findings to the provider?
A. Capillary refill time < 2 seconds.
B. Restricted ability to move the toes.
C. Swelling of the casted foot when the leg is dependent.
D. Pedal pulse +3 bilateral. - CORRECT ANSWER- B. Restricted ability to move the toes.
Rationale: The nurse should inform the guardians that the restricted ability of the toddler to move their
toes is an indication of neuromuscular compromise and requires immediate notification to the provider.
Permanent muscle and tissue damage can occur in just a few hours.
A nurse is planning an educational program to teach caregivers about protecting their children from
sunburns. Which of the following instructions should the nurse plan to include?
A. "Allow your child to play outside during the hours between 10:00 am and 2:00 pm."
, B. "Choose a waterproof sunscreen with a minimum SPF of 15."
C. "Dress your child in loose weave polyester fabric prior to sun exposure."
D. "Reapply sunscreen every 4 hours." - CORRECT ANSWER- B. "Choose a waterproof sunscreen with a
minimum SPF of 15."
Rationale: The nurse should instruct caregivers to apply a waterproof sunscreen with a minimum SPF of
15 for children. The parent should apply sunscreen prior to sun exposure to reduce the risk of sunburn.
A nurse is assessing a school-age child who has peritonitis. Which of the following findings should the
nurse expect?
A. Hyperactive bowel sounds
B. Abdominal distention
C. Bradycardia
D. Bloody stool - CORRECT ANSWER- B. Abdominal distention
Rationale: The nurse should identify that abdominal distention is an expected finding of peritonitis.
Peritonitis is an inflammation of the lining of the abdominal wall. This inflammation in the abdomen,
along with the ileus that develops, causes abdominal distention. Other manifestations include chills,
irritability, and restlessness.
A nurse is assessing a school-age child who has an infratentorial brain tumor. Which of the following
findings should the nurse identify as a manifestation of increased intracranial pressure?
A. Hypotension
