RN PEDIATRIC NURSING PRACTICE
EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALE
A nurse is teaching the parent of a preschooler about ways to prevent acute asthma
attacks. Which of the following statements by the parent indicates an
understanding of the teaching? - ANS✔✔---"I should keep my child indoors when
I mow the yard."
Rationale: The nurse should instruct the parent to keep the preschooler indoors
during lawn maintenance or when the pollen count is increased. Guarding against
exposure to known allergens found outdoors, such as grass, tree, and weed pollen,
will decrease the frequency of the preschooler's asthma attacks.
A nurse is reviewing the dietary choices of an adolescent who has iron deficiency
anemia. The nurse should identify that which of the following menu items has the
highest amount of nonheme iron? - ANS✔✔---½ cup raisins
Rationale: The nurse should encourage the adolescent to eat raisins because they
contain the highest amount of non-heme iron.
Page 1 of 33
,A nurse is providing teaching to the family of a school-age child who has juvenile
idiopathic arthritis. Which of the following instructions should the nurse include in
the teaching? - ANS✔✔---"Encourage the child to perform independent self-care."
Rationale: The nurse should teach the family the importance of encouraging the
child to perform independent self-care. This will minimize the child's pain while
maximizing mobility. Encouraging and praising the child's efforts for independence
will also increase their self-esteem.
A nurse is preparing an adolescent for a lumbar puncture. Which of the following
actions should the nurse take? - ANS✔✔---Apply topical analgesic cream to the
site 1 hr prior to the procedure.
Rationale: The nurse should apply a topical analgesic to the lumbar site 1 hr prior
to the procedure to decrease the adolescent's pain while the lumbar needle is
inserted.
A nurse is creating a plan of care for a school-age child who has heart disease and
has developed heart failure. Which of the following interventions should the nurse
include in the plan? - ANS✔✔---Provide small, frequent meals for the child.
Page 2 of 33
,Rationale: The metabolic rate of a child who has heart failure is high because of
poor cardiac function. Therefore, the nurse should provide small, frequent meals
for the child because it helps to conserve energy.
A nurse is providing anticipatory guidance to the guardian of a toddler. Which of
the following expected behavior characteristics of toddlers should the nurse
include? - ANS✔✔---Expresses likes and dislikes
Rationale: The nurse should include that expressing likes and dislikes is an
expected behavior of toddlers. This is the time in life when a toddler is developing
autonomy and self-concept. They will try to assert themselves and frequently
refuse to comply. The guardian should allow the child to have some control, but
also set limits for them so they learn from their behavior and learn to control their
actions.
A nurse in the outpatient pediatric clinic is caring for a 2-year-old child. Click to
highlight the findings that require follow-up. To deselect a finding, click on the
finding again.
Nurses' Notes - 2 months ago:
The toddler is here for their well-child visit and is accompanied by a parent.
Toddler is active, alert, and walking without assistance. The parent reports moving
to an older urban house, which is currently being renovated, about 6 months ago.
Page 3 of 33
, Parent reports having difficulty getting - ANS✔✔---When recognizing cues, the
nurse should identify that pale pink mucous membranes, living in an older urban
house that is being renovated, and the parent's report that the toddler seems less
active and gets tired more quickly are findings that require follow-up. These
findings are associated with lead poisoning, and the child's blood lead level should
be determined. Pale pink membranes, decreased activity, and tiring more quickly
are manifestations of anemia, which can result from increased blood lead levels.
Older urban homes are a common source of lead, especially during renovation,
which may aerosolize the lead particles.
A nurse in the outpatient pediatric clinic is caring for a 2-year-old child. Drag
words from the choices below to fill in each blank in the following sentence.
Nurses' Notes - 2 months ago:
The toddler is here for their well-child visit and is accompanied by a parent.
Toddler is active, alert, and walking without assistance. The parent reports moving
to an older urban house, which is currently being renovated, about 6 months ago.
Parent reports having difficulty getting the toddler to Nurses' N - ANS✔✔---When
analyzing cues, the nurse should identify that the child is a risk for developing
intellectual deficits, such as a decreased IQ, due to the increase in membrane
permeability of the brain tissue resulting in increased intracranial pressure, tissue
ischemia, and atrophy. The nurse should also identify that the child is at risk for
decreased kidney function due to the damage of the proximal tubules caused by the
elevated blood lead level.
Page 4 of 33
EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALE
A nurse is teaching the parent of a preschooler about ways to prevent acute asthma
attacks. Which of the following statements by the parent indicates an
understanding of the teaching? - ANS✔✔---"I should keep my child indoors when
I mow the yard."
Rationale: The nurse should instruct the parent to keep the preschooler indoors
during lawn maintenance or when the pollen count is increased. Guarding against
exposure to known allergens found outdoors, such as grass, tree, and weed pollen,
will decrease the frequency of the preschooler's asthma attacks.
A nurse is reviewing the dietary choices of an adolescent who has iron deficiency
anemia. The nurse should identify that which of the following menu items has the
highest amount of nonheme iron? - ANS✔✔---½ cup raisins
Rationale: The nurse should encourage the adolescent to eat raisins because they
contain the highest amount of non-heme iron.
Page 1 of 33
,A nurse is providing teaching to the family of a school-age child who has juvenile
idiopathic arthritis. Which of the following instructions should the nurse include in
the teaching? - ANS✔✔---"Encourage the child to perform independent self-care."
Rationale: The nurse should teach the family the importance of encouraging the
child to perform independent self-care. This will minimize the child's pain while
maximizing mobility. Encouraging and praising the child's efforts for independence
will also increase their self-esteem.
A nurse is preparing an adolescent for a lumbar puncture. Which of the following
actions should the nurse take? - ANS✔✔---Apply topical analgesic cream to the
site 1 hr prior to the procedure.
Rationale: The nurse should apply a topical analgesic to the lumbar site 1 hr prior
to the procedure to decrease the adolescent's pain while the lumbar needle is
inserted.
A nurse is creating a plan of care for a school-age child who has heart disease and
has developed heart failure. Which of the following interventions should the nurse
include in the plan? - ANS✔✔---Provide small, frequent meals for the child.
Page 2 of 33
,Rationale: The metabolic rate of a child who has heart failure is high because of
poor cardiac function. Therefore, the nurse should provide small, frequent meals
for the child because it helps to conserve energy.
A nurse is providing anticipatory guidance to the guardian of a toddler. Which of
the following expected behavior characteristics of toddlers should the nurse
include? - ANS✔✔---Expresses likes and dislikes
Rationale: The nurse should include that expressing likes and dislikes is an
expected behavior of toddlers. This is the time in life when a toddler is developing
autonomy and self-concept. They will try to assert themselves and frequently
refuse to comply. The guardian should allow the child to have some control, but
also set limits for them so they learn from their behavior and learn to control their
actions.
A nurse in the outpatient pediatric clinic is caring for a 2-year-old child. Click to
highlight the findings that require follow-up. To deselect a finding, click on the
finding again.
Nurses' Notes - 2 months ago:
The toddler is here for their well-child visit and is accompanied by a parent.
Toddler is active, alert, and walking without assistance. The parent reports moving
to an older urban house, which is currently being renovated, about 6 months ago.
Page 3 of 33
, Parent reports having difficulty getting - ANS✔✔---When recognizing cues, the
nurse should identify that pale pink mucous membranes, living in an older urban
house that is being renovated, and the parent's report that the toddler seems less
active and gets tired more quickly are findings that require follow-up. These
findings are associated with lead poisoning, and the child's blood lead level should
be determined. Pale pink membranes, decreased activity, and tiring more quickly
are manifestations of anemia, which can result from increased blood lead levels.
Older urban homes are a common source of lead, especially during renovation,
which may aerosolize the lead particles.
A nurse in the outpatient pediatric clinic is caring for a 2-year-old child. Drag
words from the choices below to fill in each blank in the following sentence.
Nurses' Notes - 2 months ago:
The toddler is here for their well-child visit and is accompanied by a parent.
Toddler is active, alert, and walking without assistance. The parent reports moving
to an older urban house, which is currently being renovated, about 6 months ago.
Parent reports having difficulty getting the toddler to Nurses' N - ANS✔✔---When
analyzing cues, the nurse should identify that the child is a risk for developing
intellectual deficits, such as a decreased IQ, due to the increase in membrane
permeability of the brain tissue resulting in increased intracranial pressure, tissue
ischemia, and atrophy. The nurse should also identify that the child is at risk for
decreased kidney function due to the damage of the proximal tubules caused by the
elevated blood lead level.
Page 4 of 33
