RN PEDIATRIC NURSING ONLINE PRACTICE A EXAM QUESTIONS
AND ANSWERS GRADED A+ 100% GUARANTEED SUCCESS.
A nurse in an emergency department is caring for a school-age
child who is experiencing an anaphylactic reaction. Which of the
following is the priority action by the nurse? ANS >> Administer
epinephrine IM
Rationale: When using the urgent vs. non-urgent approach to
client care, the nurse should determine that the priority action is
administering epinephrine IM to the child. During an
anaphylactic reaction, histamine release causes
bronchoconstriction and vasodilation. This is an emergency
because ultimately it causes decreased blood return to the
heart.
,A nurse in a paediatric emergency department is planning care
for an adolescent. Based on the information in the adolescent's
medical record, which of the following actions should the nurse
plan to take?
Select all that apply. ANS >> Apply supplemental oxygen
Rationale: 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
Rationale: 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 dyspneal, tachypnoea, 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 in an emergency department is caring for a school-age
child who has epiglottitis. Which of the following actions should
the nurse take? ANS >> Monitor the child's oxygen saturation
Rationale: The nurse should monitor the child's oxygen
saturation level because the child is experiencing acute
respiratory distress and it is necessary to determine if the child
is responding to treatment.
A nurse is providing teaching about play activities for social
development to the guardians of a preschooler. Which of the
following play activities should the nurse recommend for the
child? ANS >> Playing dress-up
Rationale: The nurse should instruct the guardians that at the
preschool age, play should focus on social, mental, and physical
development. Therefore, playing dress-up is a recommended
play activity for this child.
A nurse is receiving change-of-shift report for four children.
Which of the following children should the nurse see first? ANS >>
, A school-age child who has sickle cell anaemia and reports
decreased vision in the left eye
Rationale: When using the urgent vs. non-urgent approach to
client care, the nurse should determine the priority finding is a
report of decreased vision in the left eye. This finding indicates
that the child is experiencing a Vaso-occlusive crisis and should
be reported to the provider immediately. Therefore, the nurse
should see this child first.
A nurse is providing teaching to the parents of a preschooler
who has heart failure and a new prescription for digoxin twice
daily. Which of the following instructions should the nurse
include in the teaching? ANS >> “Brush the child's teeth after
giving the medication."
Rationale: The nurse should instruct the parents to brush the
child's teeth after administering digoxin to prevent tooth decay
caused by the medication, which comes as a sweetened liquid to
enhance the taste.
A nurse is providing teaching to the parent of an infant who has
diaper dermatitis. The nurse should instruct the parent to apply
which of the following to the affected area? ANS >> Zinc oxide
AND ANSWERS GRADED A+ 100% GUARANTEED SUCCESS.
A nurse in an emergency department is caring for a school-age
child who is experiencing an anaphylactic reaction. Which of the
following is the priority action by the nurse? ANS >> Administer
epinephrine IM
Rationale: When using the urgent vs. non-urgent approach to
client care, the nurse should determine that the priority action is
administering epinephrine IM to the child. During an
anaphylactic reaction, histamine release causes
bronchoconstriction and vasodilation. This is an emergency
because ultimately it causes decreased blood return to the
heart.
,A nurse in a paediatric emergency department is planning care
for an adolescent. Based on the information in the adolescent's
medical record, which of the following actions should the nurse
plan to take?
Select all that apply. ANS >> Apply supplemental oxygen
Rationale: 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
Rationale: 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 dyspneal, tachypnoea, 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 in an emergency department is caring for a school-age
child who has epiglottitis. Which of the following actions should
the nurse take? ANS >> Monitor the child's oxygen saturation
Rationale: The nurse should monitor the child's oxygen
saturation level because the child is experiencing acute
respiratory distress and it is necessary to determine if the child
is responding to treatment.
A nurse is providing teaching about play activities for social
development to the guardians of a preschooler. Which of the
following play activities should the nurse recommend for the
child? ANS >> Playing dress-up
Rationale: The nurse should instruct the guardians that at the
preschool age, play should focus on social, mental, and physical
development. Therefore, playing dress-up is a recommended
play activity for this child.
A nurse is receiving change-of-shift report for four children.
Which of the following children should the nurse see first? ANS >>
, A school-age child who has sickle cell anaemia and reports
decreased vision in the left eye
Rationale: When using the urgent vs. non-urgent approach to
client care, the nurse should determine the priority finding is a
report of decreased vision in the left eye. This finding indicates
that the child is experiencing a Vaso-occlusive crisis and should
be reported to the provider immediately. Therefore, the nurse
should see this child first.
A nurse is providing teaching to the parents of a preschooler
who has heart failure and a new prescription for digoxin twice
daily. Which of the following instructions should the nurse
include in the teaching? ANS >> “Brush the child's teeth after
giving the medication."
Rationale: The nurse should instruct the parents to brush the
child's teeth after administering digoxin to prevent tooth decay
caused by the medication, which comes as a sweetened liquid to
enhance the taste.
A nurse is providing teaching to the parent of an infant who has
diaper dermatitis. The nurse should instruct the parent to apply
which of the following to the affected area? ANS >> Zinc oxide
