NGN RN Pediatric Nursing Online Practice 2023 A with Complete
60 Questions and Correct Answers with Rationales / Ped Proctored
Online Practice A 2023 with NGN real Test
A nurse is planning an educational program for school-age children and their
parents about bicycle safety. Which of the following information should the nurse
plan to include? - ANSWER-The child should be able to stand on the balls of their
feet when sitting on the bike.
Rationale: To decrease the risk for injury, parents should ensure that the bike is
the correct size for the child. When seated on the bike, the child should be able to
stand with the ball of each foot touching the ground and should be able to stand
with each foot flat on the ground when straddling the bike's center bar.
A nurse is assessing a 4-year-old child at a well-child visit. Which of the following
developmental milestones should the nurse expect to observe? - ANSWER-Cuts
an outlined shape using scissors
Rationale: The nurse should recognize that an expected developmental milestone
of a 4-year-old child is using scissors to cut out a shape.
A nurse is assessing a school-age child immediately following a perforated
appendix repair. Which of the following findings should the nurse expect? -
ANSWER-Absence of peristalsis
Rationale: The nurse should expect absence of peristalsis immediately following a
perforated appendix repair, until the bowel resumes functioning.
A nurse in a health department is caring for an emancipated adolescent who has an
STI and is unaccompanied by a guardian. Which of the following actions should
pg. 1
,the nurse take? - ANSWER-Have the adolescent sign a consent form for
treatment.
Rationale: The nurse should identify that an emancipated minor can sign the
consent form for treatment of an STI or any other form of medical treatment
requiring consent.
A nurse is admitting a 4-month-old infant who has heart failure. Which of the
following findings is the nurse's priority? (Click on the "Exhibit" button for
additional information about the client. There are three tabs that contain separate
categories of data.)
Graphic Record
Temperature 37.5° C (99.5° F)
Heart rate 70/min
Respiratory rate 30/min
Birth weight 3.2 kg (7 lb)
Current weight 5.9 (13 lb)
Nurses' Notes
3 episodes of vomiting
6 wet diapers in 24 hr
Consumed 3 oz concentrated formula every 3 hr
Medication Administration Record
Digoxin 0.5 mcg PO Q12H
Furosemide 20 mg PO Q12H - ANSWER-Episodes of vomiting
pg. 2
, Rationale: When using the urgent vs. non-urgent approach to client care, the nurse
should determine that the priority finding is three episodes of vomiting. This can
indicate digoxin toxicity, which requires immediate intervention. Therefore, this is
the nurse's priority finding.
A nurse is caring for a 1-month-old infant who is breastfeeding and requires a heel
stick. Which of the following actions should the nurse take to minimize the infant's
pain? - ANSWER-Allow the mother to breastfeed while the sample is being
obtained.
Rationale: The nurse should allow the mother to breastfeed the infant prior to or
during the procedure. Evidence-based practice indicates breastfeeding or non-
nutritive sucking with a pacifier can provide non-pharmacological pain
management in infants.
A nurse is creating a plan of care for a preschooler who has Wilms' tumor and is
scheduled for surgery. Which of the following interventions should the nurse
include? - ANSWER-Avoid palpating the abdomen when bathing the child before
surgery.
Rationale: The nurse should avoid palpating the abdomen when bathing the child
before surgery because movement of the tumor can cause cancer cells to
disseminate to other sites, adjacent and distant to the tumor site.
A nurse is creating a plan of care for an infant who has an epidural hematoma from
a head injury. Which of the following interventions should the nurse include in the
plan? - ANSWER-Implement seizure precautions for the infant.
Rationale: An infant who has an epidural hematoma is at great risk for seizure
activity. Therefore, the nurse should implement seizure precautions for the child.
pg. 3
60 Questions and Correct Answers with Rationales / Ped Proctored
Online Practice A 2023 with NGN real Test
A nurse is planning an educational program for school-age children and their
parents about bicycle safety. Which of the following information should the nurse
plan to include? - ANSWER-The child should be able to stand on the balls of their
feet when sitting on the bike.
Rationale: To decrease the risk for injury, parents should ensure that the bike is
the correct size for the child. When seated on the bike, the child should be able to
stand with the ball of each foot touching the ground and should be able to stand
with each foot flat on the ground when straddling the bike's center bar.
A nurse is assessing a 4-year-old child at a well-child visit. Which of the following
developmental milestones should the nurse expect to observe? - ANSWER-Cuts
an outlined shape using scissors
Rationale: The nurse should recognize that an expected developmental milestone
of a 4-year-old child is using scissors to cut out a shape.
A nurse is assessing a school-age child immediately following a perforated
appendix repair. Which of the following findings should the nurse expect? -
ANSWER-Absence of peristalsis
Rationale: The nurse should expect absence of peristalsis immediately following a
perforated appendix repair, until the bowel resumes functioning.
A nurse in a health department is caring for an emancipated adolescent who has an
STI and is unaccompanied by a guardian. Which of the following actions should
pg. 1
,the nurse take? - ANSWER-Have the adolescent sign a consent form for
treatment.
Rationale: The nurse should identify that an emancipated minor can sign the
consent form for treatment of an STI or any other form of medical treatment
requiring consent.
A nurse is admitting a 4-month-old infant who has heart failure. Which of the
following findings is the nurse's priority? (Click on the "Exhibit" button for
additional information about the client. There are three tabs that contain separate
categories of data.)
Graphic Record
Temperature 37.5° C (99.5° F)
Heart rate 70/min
Respiratory rate 30/min
Birth weight 3.2 kg (7 lb)
Current weight 5.9 (13 lb)
Nurses' Notes
3 episodes of vomiting
6 wet diapers in 24 hr
Consumed 3 oz concentrated formula every 3 hr
Medication Administration Record
Digoxin 0.5 mcg PO Q12H
Furosemide 20 mg PO Q12H - ANSWER-Episodes of vomiting
pg. 2
, Rationale: When using the urgent vs. non-urgent approach to client care, the nurse
should determine that the priority finding is three episodes of vomiting. This can
indicate digoxin toxicity, which requires immediate intervention. Therefore, this is
the nurse's priority finding.
A nurse is caring for a 1-month-old infant who is breastfeeding and requires a heel
stick. Which of the following actions should the nurse take to minimize the infant's
pain? - ANSWER-Allow the mother to breastfeed while the sample is being
obtained.
Rationale: The nurse should allow the mother to breastfeed the infant prior to or
during the procedure. Evidence-based practice indicates breastfeeding or non-
nutritive sucking with a pacifier can provide non-pharmacological pain
management in infants.
A nurse is creating a plan of care for a preschooler who has Wilms' tumor and is
scheduled for surgery. Which of the following interventions should the nurse
include? - ANSWER-Avoid palpating the abdomen when bathing the child before
surgery.
Rationale: The nurse should avoid palpating the abdomen when bathing the child
before surgery because movement of the tumor can cause cancer cells to
disseminate to other sites, adjacent and distant to the tumor site.
A nurse is creating a plan of care for an infant who has an epidural hematoma from
a head injury. Which of the following interventions should the nurse include in the
plan? - ANSWER-Implement seizure precautions for the infant.
Rationale: An infant who has an epidural hematoma is at great risk for seizure
activity. Therefore, the nurse should implement seizure precautions for the child.
pg. 3
