RN Pediatric Nursing Online Practice 2023 B |
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Terms in this set (60)
A nurse is preparing to administer an C. Administer the immunization using a 24-gauge
immunization to a 4-year-old child. needle.
Which of the following actions
should the nurse plan to take? Rationale: The nurse should administer an
immunization for a 4-year-old child using a 22 to
A. Place the child in a prone position 25-gauge needle to minimize the amount of pain
for the immunization. the child experiences.
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.
,A nurse is caring for a school-age A. Place the child in a side-lying position.
child who has experienced a tonic-
clonic seizure. Which of the following Rationale: The nurse should place the child in a
actions should the nurse take during side-lying position to prevent aspiration.
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.
NGN* A nurse on a pediatric unit is 1. Splenomegaly
admitting a preschooler. After
reviewing the information in the Rationale: The child's positive mononucleosis rapid
medical record the nurse should test result indicates the presence of infectious
identify that the child is at risk for mono, a condition caused by the Epstein-Barr virus.
developing which of the following Therefore, the nurse should identify that the child is
conditions? at risk for developing splenomegaly, a common
complication of infectious mono.
Dropdown 1:
Splenomegaly 2. Positive mono rapid test
Acute post-streptococcal
glomerulonephritis (APSGN) Rationale: The child's positive mononucleosis rapid
Dysrhythmias test result indicates the presence of infectious
mono, a condition caused by the Epstein-Barr virus.
Dropdown 2: Therefore, the nurse should identify that the child is
Positive mononucleosis rapid test at risk for developing splenomegaly, a common
Urinary output complication of infectious mono.
Cardiovascular assessment
,A nurse is assessing an infant who A. Loud, harsh murmur
has a ventricular septal defect. Which
of the following findings should the Rationale: The nurse should expect to hear a loud,
nurse expect? harsh murmur with a ventricular septal defect due
to the left-to-right shunting of blood, which
A. Loud, harsh murmur contributes to hypertrophy of the infant's heart
muscle.
B. Dysrhythmias
C. Weak femoral pulses
D. High blood pressure
A nurse is providing discharge B. Restricted ability to move the toes.
teaching the guardians of a toddler
with a lower leg cast applied 24 Rationale: The nurse should inform the guardians
hours ago. The nurse should instruct that the restricted ability of the toddler to move
the guardians to report which of the their toes is an indication of neuromuscular
following findings to the provider? compromise and requires immediate notification to
the provider. Permanent muscle and tissue damage
A. Capillary refill time < 2 seconds. can occur in just a few hours.
B. Restricted ability to move the toes.
C. Swelling of the casted foot when
the leg is dependent.
D. Pedal pulse +3 bilateral.
, A nurse is planning an educational B. "Choose a waterproof sunscreen with a minimum
program to teach caregivers about SPF of 15."
protecting their children from
sunburns. Which of the following Rationale: The nurse should instruct caregivers to
instructions should the nurse plan to apply a waterproof sunscreen with a minimum SPF
include? of 15 for children. The parent should apply
sunscreen prior to sun exposure to reduce the risk
A. "Allow your child to play outside of sunburn.
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."
A nurse is assessing a school-age B. Abdominal distention
child who has peritonitis. Which of
the following findings should the Rationale: The nurse should identify that abdominal
nurse expect? distention is an expected finding of peritonitis.
Peritonitis is an inflammation of the lining of the
A. Hyperactive bowel sounds abdominal wall. This inflammation in the abdomen,
along with the ileus that develops, causes
B. Abdominal distention abdominal distention. Other manifestations include
chills, irritability, and restlessness.
C. Bradycardia
D. Bloody stool
questions and Answers
Save
Terms in this set (60)
A nurse is preparing to administer an C. Administer the immunization using a 24-gauge
immunization to a 4-year-old child. needle.
Which of the following actions
should the nurse plan to take? Rationale: The nurse should administer an
immunization for a 4-year-old child using a 22 to
A. Place the child in a prone position 25-gauge needle to minimize the amount of pain
for the immunization. the child experiences.
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.
,A nurse is caring for a school-age A. Place the child in a side-lying position.
child who has experienced a tonic-
clonic seizure. Which of the following Rationale: The nurse should place the child in a
actions should the nurse take during side-lying position to prevent aspiration.
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.
NGN* A nurse on a pediatric unit is 1. Splenomegaly
admitting a preschooler. After
reviewing the information in the Rationale: The child's positive mononucleosis rapid
medical record the nurse should test result indicates the presence of infectious
identify that the child is at risk for mono, a condition caused by the Epstein-Barr virus.
developing which of the following Therefore, the nurse should identify that the child is
conditions? at risk for developing splenomegaly, a common
complication of infectious mono.
Dropdown 1:
Splenomegaly 2. Positive mono rapid test
Acute post-streptococcal
glomerulonephritis (APSGN) Rationale: The child's positive mononucleosis rapid
Dysrhythmias test result indicates the presence of infectious
mono, a condition caused by the Epstein-Barr virus.
Dropdown 2: Therefore, the nurse should identify that the child is
Positive mononucleosis rapid test at risk for developing splenomegaly, a common
Urinary output complication of infectious mono.
Cardiovascular assessment
,A nurse is assessing an infant who A. Loud, harsh murmur
has a ventricular septal defect. Which
of the following findings should the Rationale: The nurse should expect to hear a loud,
nurse expect? harsh murmur with a ventricular septal defect due
to the left-to-right shunting of blood, which
A. Loud, harsh murmur contributes to hypertrophy of the infant's heart
muscle.
B. Dysrhythmias
C. Weak femoral pulses
D. High blood pressure
A nurse is providing discharge B. Restricted ability to move the toes.
teaching the guardians of a toddler
with a lower leg cast applied 24 Rationale: The nurse should inform the guardians
hours ago. The nurse should instruct that the restricted ability of the toddler to move
the guardians to report which of the their toes is an indication of neuromuscular
following findings to the provider? compromise and requires immediate notification to
the provider. Permanent muscle and tissue damage
A. Capillary refill time < 2 seconds. can occur in just a few hours.
B. Restricted ability to move the toes.
C. Swelling of the casted foot when
the leg is dependent.
D. Pedal pulse +3 bilateral.
, A nurse is planning an educational B. "Choose a waterproof sunscreen with a minimum
program to teach caregivers about SPF of 15."
protecting their children from
sunburns. Which of the following Rationale: The nurse should instruct caregivers to
instructions should the nurse plan to apply a waterproof sunscreen with a minimum SPF
include? of 15 for children. The parent should apply
sunscreen prior to sun exposure to reduce the risk
A. "Allow your child to play outside of sunburn.
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."
A nurse is assessing a school-age B. Abdominal distention
child who has peritonitis. Which of
the following findings should the Rationale: The nurse should identify that abdominal
nurse expect? distention is an expected finding of peritonitis.
Peritonitis is an inflammation of the lining of the
A. Hyperactive bowel sounds abdominal wall. This inflammation in the abdomen,
along with the ileus that develops, causes
B. Abdominal distention abdominal distention. Other manifestations include
chills, irritability, and restlessness.
C. Bradycardia
D. Bloody stool
