RN Pediatric Nursing Online Practice
2023 A Questions And Answers
A nurse in an emergency department is caring for a school-age child who is experiencing an
n n n n n n n n n n n n n n n
anaphylactic reaction. Which of the following is the priority action by the nurse? - Correct Answer -
n n n n n n n n n n n n n n n n n
Administer epinephrine IM
n n n n
Rationale: When using the urgent vs. non-urgent approach to client care, the nurse should determine
n n n n n n n n n n n n n n
that the priority action is administering epinephrine IM to the child. During an anaphylactic reaction,
n n n n n n n n n n n n n n n
histamine release causes bronchoconstriction and vasodilation. This is an emergency because
n n n n n n n n n n n
ultimately it causes decreased blood return to the heart.
n n n n n n n n n
A nurse in a pediatric emergency department is planning care for an adolescent. Based on the
n n n n n n n n n n n n n n n
information in the adolescent's medical record, which of the following actions should the nurse plan
n n n n n n n n n n n n n n n
to take?
n n
Select all that apply. - Correct Answer - Apply supplemental oxygen
n n n n n n n n n n
Rationale: According to the medical record and chest x-ray report, the adolescent could potentially
n n n n n n n n n n n n n
have a pneumothorax. Also according to the medical record and chest x-ray report, the adolescent's
n n n n n n n n n n n n n n n
oxygen saturation level is decreasing, which indicates hypoxia. Therefore, the nurse should plan to
n n n n n n n n n n n n n n
administer supplemental oxygen.
n n n
Prepare for chest tube insertion
n n n n
Rationale: According to the medical record and chest x-ray report, the adolescent could potentially
n n n n n n n n n n n n n
have a pneumothorax. A pneumothorax is the presence of air in the pleural cavity, which results in
n n n n n n n n n n n n n n n n n
decreased lung expansion. The adolescent could experience dyspnea, tachypnea, tachycardia, hypoxia,
n n n n n n n n n n n
and pain. This requires prompt intervention by the provider, such as the placement of a chest tube
n n n n n n n n n n n n n n n n n
into the thoracic cavity to remove air and fluid from the pleural space, if present, allowing the lung to
n n n n n n n n n n n n n n n n n n n
re-expand.
n
A nurse in an emergency department is caring for a school-age child who has epiglottitis. Which of the
n n n n n n n n n n n n n n n n n
following actions should the nurse take? - Correct Answer - Monitor the child's oxygen saturation
n n n n n n n n n n n n n n n
,Rationale: The nurse should monitor the child's oxygen saturation level because the child is
n n n n n n n n n n n n n
experiencing acute respiratory distress and it is necessary to determine if the child is responding to
n n n n n n n n n n n n n n n n
treatment.
n
A nurse is providing teaching about play activities for social development to the guardians of a
n n n n n n n n n n n n n n n
preschooler. Which of the following play activities should the nurse recommend for the child? -
n n n n n n n n n n n n n n n
Correct Answer - Playing dress-up
n n n n n
Rationale: The nurse should instruct the guardians that at the preschool age, play should focus on
n n n n n n n n n n n n n n n
social, mental, and physical development. Therefore, playing dress-up is a recommended play activity
n n n n n n n n n n n n n
for this child.
n n n
A nurse is receiving change-of-shift report for four children. Which of the following children should the
n n n n n n n n n n n n n n n
nurse see first? - Correct Answer - A school-age child who has sickle cell anemia and reports
n n n n n n n n n n n n n n n n n
decreased vision in the left eye
n n n n n n
Rationale: When using the urgent vs. non-urgent approach to client care, the nurse should determine
n n n n n n n n n n n n n n
the priority finding is a report of decreased vision in the left eye. This finding indicates that the child is
n n n n n n n n n n n n n n n n n n n n
experiencing a vaso-occlusive crisis and should be reported to the provider immediately. Therefore,
n n n n n n n n n n n n n
the nurse should see this child first.
n n n n n n n
A nurse is providing teaching to the parents of a preschooler who has heart failure and a new
n n n n n n n n n n n n n n n n n
prescription for digoxin twice daily. Which of the following instructions should the nurse include in the
n n n n n n n n n n n n n n n n
teaching? - Correct Answer - "Brush the child's teeth after giving the medication."
n n n n n n n n n n n n n
Rationale: The nurse should instruct the parents to brush the child's teeth after administering digoxin
n n n n n n n n n n n n n n
to prevent tooth decay caused by the medication, which comes as a sweetened liquid to enhance the
n n n n n n n n n n n n n n n n n
taste.
n
A nurse is providing teaching to the parent of an infant who has diaper dermatitis. The nurse should
n n n n n n n n n n n n n n n n n
instruct the parent to apply which of the following to the affected area? - Correct Answer - Zinc oxide
n n n n n n n n n n n n n n n n n n n
Rationale: Diaper dermatitis is a common inflammatory skin disorder caused by contact with an irritant
n n n n n n n n n n n n n n
such as urine, feces, soap, or friction, and takes the form of scaling, blisters, or papules with
n n n n n n n n n n n n n n n n n
erythema. Providing a protective barrier, such as zinc oxide, against the irritants allows the skin to
n n n n n n n n n n n n n n n n
heal.
n
A nurse is caring for a client who has been receiving IV fluids via a peripheral IV catheter. When
n n n n n n n n n n n n n n n n n n
preparing to discontinue the IV fluids and catheter, which of the following actions should the nurse
n n n n n n n n n n n n n n n n
plan to take? (Move the steps into the box on the right, placing them in the order of performance.
n n n n n n n n n n n n n n n n n n n
Use all the steps.) - Correct Answer - First, the nurse should turn off the IV pump. Next, the nurse
n n n n n n n n n n n n n n n n n n n n
, n should occlude the IV tubing, and then remove the tape securing the catheter. Last, the nurse should
n n n n n n n n n n n n n n n n
n apply pressure over the catheter insertion site.
n n n n n n
A nurse is assessing a school-age child who has an acute spinal cord injury following a sports injury 1
n n n n n n n n n n n n n n n n n n
week ago. Identify the area the nurse should tap to elicit the biceps reflex. (You will find hot spots to
n n n n n n n n n n n n n n n n n n n n
select in the artwork below. Select only the hot spot that corresponds to your answer.) - Correct
n n n n n n n n n n n n n n n n n
Answer - A
n n n
A nurse is caring for a school-age child who is receiving chemotherapy and is severely
n n n n n n n n n n n n n n
immunocompromised. Which of the following actions should the nurse take? - Correct Answer -
n n n n n n n n n n n n n n
Screen the child's visitors for indications of infection.
n n n n n n n n
Rationale: A child who is severely immunocompromised is unable to adequately respond to infectious
n n n n n n n n n n n n n
organisms, resulting in the potential for overwhelming infection. Therefore, the nurse should screen
n n n n n n n n n n n n n
the child's visitors for indications of infection.
n n n n n n n
A nurse is providing teaching to the parent of a school-age child who has a new prescription for oral
n n n n n n n n n n n n n n n n n n
nystatin for the treatment of oral candidiasis. Which of the following instructions should the nurse
n n n n n n n n n n n n n n n
include? - Correct Answer - "Shake the medication prior to administration."
n n n n n n n n n n n
Rationale: The nurse should instruct the parent to shake the medication prior to administration to
n n n n n n n n n n n n n n
disperse the medication evenly within the suspension.
n n n n n n n
A nurse is teaching a group of parents about infectious mononucleosis. Which of the following
n n n n n n n n n n n n n n
statements by a parent indicates an understanding the teaching? - Correct Answer - "Mononucleosis is
n n n n n n n n n n n n n n n
caused by an infection with the Epstein-Barr virus."
n n n n n n n n
Rationale: The nurse should identify that mononucleosis is a mildly contagious illness that occurs
n n n n n n n n n n n n n
sporadically or in groups, and is primarily caused by the Epstein-Barr virus.
n n n n n n n n n n n n
A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart
n n n n n n n n n n n n n n n n n n n
failure. Which of the following interventions should the nurse include in the plan? - Correct Answer -
n n n n n n n n n n n n n n n n n
Provide small, frequent meals for the child.
n n n n n n n
Rationale: The metabolic rate of a child who has heart failure is high because of poor cardiac function.
n n n n n n n n n n n n n n n n n
Therefore, the nurse should provide small, frequent meals for the child because it helps to conserve
n n n n n n n n n n n n n n n n
energy.
n
A nurse is providing anticipatory guidance to the guardian of a toddler. Which of the following
n n n n n n n n n n n n n n n
expected behavior characteristics of toddlers should the nurse include? - Correct Answer - Expresses
n n n n n n n n n n n n n n
likes and dislikes
n n n
2023 A Questions And Answers
A nurse in an emergency department is caring for a school-age child who is experiencing an
n n n n n n n n n n n n n n n
anaphylactic reaction. Which of the following is the priority action by the nurse? - Correct Answer -
n n n n n n n n n n n n n n n n n
Administer epinephrine IM
n n n n
Rationale: When using the urgent vs. non-urgent approach to client care, the nurse should determine
n n n n n n n n n n n n n n
that the priority action is administering epinephrine IM to the child. During an anaphylactic reaction,
n n n n n n n n n n n n n n n
histamine release causes bronchoconstriction and vasodilation. This is an emergency because
n n n n n n n n n n n
ultimately it causes decreased blood return to the heart.
n n n n n n n n n
A nurse in a pediatric emergency department is planning care for an adolescent. Based on the
n n n n n n n n n n n n n n n
information in the adolescent's medical record, which of the following actions should the nurse plan
n n n n n n n n n n n n n n n
to take?
n n
Select all that apply. - Correct Answer - Apply supplemental oxygen
n n n n n n n n n n
Rationale: According to the medical record and chest x-ray report, the adolescent could potentially
n n n n n n n n n n n n n
have a pneumothorax. Also according to the medical record and chest x-ray report, the adolescent's
n n n n n n n n n n n n n n n
oxygen saturation level is decreasing, which indicates hypoxia. Therefore, the nurse should plan to
n n n n n n n n n n n n n n
administer supplemental oxygen.
n n n
Prepare for chest tube insertion
n n n n
Rationale: According to the medical record and chest x-ray report, the adolescent could potentially
n n n n n n n n n n n n n
have a pneumothorax. A pneumothorax is the presence of air in the pleural cavity, which results in
n n n n n n n n n n n n n n n n n
decreased lung expansion. The adolescent could experience dyspnea, tachypnea, tachycardia, hypoxia,
n n n n n n n n n n n
and pain. This requires prompt intervention by the provider, such as the placement of a chest tube
n n n n n n n n n n n n n n n n n
into the thoracic cavity to remove air and fluid from the pleural space, if present, allowing the lung to
n n n n n n n n n n n n n n n n n n n
re-expand.
n
A nurse in an emergency department is caring for a school-age child who has epiglottitis. Which of the
n n n n n n n n n n n n n n n n n
following actions should the nurse take? - Correct Answer - Monitor the child's oxygen saturation
n n n n n n n n n n n n n n n
,Rationale: The nurse should monitor the child's oxygen saturation level because the child is
n n n n n n n n n n n n n
experiencing acute respiratory distress and it is necessary to determine if the child is responding to
n n n n n n n n n n n n n n n n
treatment.
n
A nurse is providing teaching about play activities for social development to the guardians of a
n n n n n n n n n n n n n n n
preschooler. Which of the following play activities should the nurse recommend for the child? -
n n n n n n n n n n n n n n n
Correct Answer - Playing dress-up
n n n n n
Rationale: The nurse should instruct the guardians that at the preschool age, play should focus on
n n n n n n n n n n n n n n n
social, mental, and physical development. Therefore, playing dress-up is a recommended play activity
n n n n n n n n n n n n n
for this child.
n n n
A nurse is receiving change-of-shift report for four children. Which of the following children should the
n n n n n n n n n n n n n n n
nurse see first? - Correct Answer - A school-age child who has sickle cell anemia and reports
n n n n n n n n n n n n n n n n n
decreased vision in the left eye
n n n n n n
Rationale: When using the urgent vs. non-urgent approach to client care, the nurse should determine
n n n n n n n n n n n n n n
the priority finding is a report of decreased vision in the left eye. This finding indicates that the child is
n n n n n n n n n n n n n n n n n n n n
experiencing a vaso-occlusive crisis and should be reported to the provider immediately. Therefore,
n n n n n n n n n n n n n
the nurse should see this child first.
n n n n n n n
A nurse is providing teaching to the parents of a preschooler who has heart failure and a new
n n n n n n n n n n n n n n n n n
prescription for digoxin twice daily. Which of the following instructions should the nurse include in the
n n n n n n n n n n n n n n n n
teaching? - Correct Answer - "Brush the child's teeth after giving the medication."
n n n n n n n n n n n n n
Rationale: The nurse should instruct the parents to brush the child's teeth after administering digoxin
n n n n n n n n n n n n n n
to prevent tooth decay caused by the medication, which comes as a sweetened liquid to enhance the
n n n n n n n n n n n n n n n n n
taste.
n
A nurse is providing teaching to the parent of an infant who has diaper dermatitis. The nurse should
n n n n n n n n n n n n n n n n n
instruct the parent to apply which of the following to the affected area? - Correct Answer - Zinc oxide
n n n n n n n n n n n n n n n n n n n
Rationale: Diaper dermatitis is a common inflammatory skin disorder caused by contact with an irritant
n n n n n n n n n n n n n n
such as urine, feces, soap, or friction, and takes the form of scaling, blisters, or papules with
n n n n n n n n n n n n n n n n n
erythema. Providing a protective barrier, such as zinc oxide, against the irritants allows the skin to
n n n n n n n n n n n n n n n n
heal.
n
A nurse is caring for a client who has been receiving IV fluids via a peripheral IV catheter. When
n n n n n n n n n n n n n n n n n n
preparing to discontinue the IV fluids and catheter, which of the following actions should the nurse
n n n n n n n n n n n n n n n n
plan to take? (Move the steps into the box on the right, placing them in the order of performance.
n n n n n n n n n n n n n n n n n n n
Use all the steps.) - Correct Answer - First, the nurse should turn off the IV pump. Next, the nurse
n n n n n n n n n n n n n n n n n n n n
, n should occlude the IV tubing, and then remove the tape securing the catheter. Last, the nurse should
n n n n n n n n n n n n n n n n
n apply pressure over the catheter insertion site.
n n n n n n
A nurse is assessing a school-age child who has an acute spinal cord injury following a sports injury 1
n n n n n n n n n n n n n n n n n n
week ago. Identify the area the nurse should tap to elicit the biceps reflex. (You will find hot spots to
n n n n n n n n n n n n n n n n n n n n
select in the artwork below. Select only the hot spot that corresponds to your answer.) - Correct
n n n n n n n n n n n n n n n n n
Answer - A
n n n
A nurse is caring for a school-age child who is receiving chemotherapy and is severely
n n n n n n n n n n n n n n
immunocompromised. Which of the following actions should the nurse take? - Correct Answer -
n n n n n n n n n n n n n n
Screen the child's visitors for indications of infection.
n n n n n n n n
Rationale: A child who is severely immunocompromised is unable to adequately respond to infectious
n n n n n n n n n n n n n
organisms, resulting in the potential for overwhelming infection. Therefore, the nurse should screen
n n n n n n n n n n n n n
the child's visitors for indications of infection.
n n n n n n n
A nurse is providing teaching to the parent of a school-age child who has a new prescription for oral
n n n n n n n n n n n n n n n n n n
nystatin for the treatment of oral candidiasis. Which of the following instructions should the nurse
n n n n n n n n n n n n n n n
include? - Correct Answer - "Shake the medication prior to administration."
n n n n n n n n n n n
Rationale: The nurse should instruct the parent to shake the medication prior to administration to
n n n n n n n n n n n n n n
disperse the medication evenly within the suspension.
n n n n n n n
A nurse is teaching a group of parents about infectious mononucleosis. Which of the following
n n n n n n n n n n n n n n
statements by a parent indicates an understanding the teaching? - Correct Answer - "Mononucleosis is
n n n n n n n n n n n n n n n
caused by an infection with the Epstein-Barr virus."
n n n n n n n n
Rationale: The nurse should identify that mononucleosis is a mildly contagious illness that occurs
n n n n n n n n n n n n n
sporadically or in groups, and is primarily caused by the Epstein-Barr virus.
n n n n n n n n n n n n
A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart
n n n n n n n n n n n n n n n n n n n
failure. Which of the following interventions should the nurse include in the plan? - Correct Answer -
n n n n n n n n n n n n n n n n n
Provide small, frequent meals for the child.
n n n n n n n
Rationale: The metabolic rate of a child who has heart failure is high because of poor cardiac function.
n n n n n n n n n n n n n n n n n
Therefore, the nurse should provide small, frequent meals for the child because it helps to conserve
n n n n n n n n n n n n n n n n
energy.
n
A nurse is providing anticipatory guidance to the guardian of a toddler. Which of the following
n n n n n n n n n n n n n n n
expected behavior characteristics of toddlers should the nurse include? - Correct Answer - Expresses
n n n n n n n n n n n n n n
likes and dislikes
n n n
