R
N PEDIATRIC
NURSING ONLINE
PRACTICE 2026
ACTUAL EXAM WITH
COMPLETE QUESTIONS
AND CORRECT DETAILED
ANSWERS
(100% VERIFIED ANSWERS)
| ALREADY GRADED A+ |
PROFESSOR VERIFIED |
BRANDNEW!!! | 2026!!!!
A nurse is caring for an adolescent who was brought to the
pediatric emergency department following a motor vehicle crash.
The client reports sharp chest pain rated 6/10, has fast shallow
respirations, diminished breath sounds on the left, and oxygen
saturation is 89%. Which two priority interventions should the
nurse prepare to implement?
,★ SELECT ALL THAT APPLY
A. Apply supplemental oxygen
B. Prepare for chest tube insertion
C. Place the client in the supine position
D. Obtain consent for paracentesis
E. Administer a levalbuterol inhaler
✔ CORRECT ANSWER: A and B
RATIONALE:
This adolescent is presenting with classic signs of a pneumothorax
following blunt chest trauma — diminished unilateral breath sounds,
pleuritic chest pain, tachypnea, and declining oxygen saturation. A
pneumothorax occurs when air accumulates in the pleural space,
preventing the affected lung from expanding properly, leading to
progressive hypoxia. The immediate priority is applying supplemental
oxygen to address the existing hypoxia and support oxygenation while
definitive treatment is arranged. The nurse should simultaneously
prepare for chest tube insertion, which is the definitive treatment for a
pneumothorax — the tube is inserted into the thoracic cavity to
evacuate the trapped air, restore negative intrapleural pressure, and
allow the collapsed lung to re-expand. Placing the client supine is
incorrect because the semi-Fowler's or sitting position promotes
respiratory effort. Paracentesis addresses abdominal fluid, not pleural
,air. Levalbuterol is a bronchodilator used for airway bronchospasm
such as in asthma, not for pneumothorax management.
A nurse is reviewing laboratory results for a school-age child who
presents with fatigue, pallor, and lightheadedness. Which
laboratory finding is the most direct indicator of anemia?
A. Elevated blood urea nitrogen (BUN)
B. Increased neutrophil count
C. Low hematocrit level
D. Low uric acid level
✔ CORRECT ANSWER: C
RATIONALE:
Hematocrit measures the proportion of red blood cells in the total blood
volume and is one of the primary indicators used to diagnose anemia.
A low hematocrit level directly indicates a reduced red blood cell mass,
meaning the blood has a diminished oxygen-carrying capacity. This
reduction in oxygen delivery to tissues explains the child's symptoms of
fatigue, pallor, and lightheadedness. The body compensates with
tachycardia and increased respiratory rate. An elevated BUN is
associated with renal impairment or dehydration, not anemia. An
increased neutrophil count suggests infection or inflammation. A low
uric acid level is not clinically associated with anemia and is generally
not a standard diagnostic marker for this condition.
, A nurse is providing teaching to the parent of a preschooler with
a history of asthma about preventing acute asthma attacks.
Which statement by the parent indicates an understanding of the
teaching?
A. I will use a humidifier in my child's room at night.
B. I will give my child a cough suppressant every 6 hours if they
have a cough.
C. I should avoid using a wet mop on the floors when I am cleaning.
D. I should keep my child indoors when I mow the yard.
✔ CORRECT ANSWER: D
RATIONALE:
Freshly cut grass releases high levels of pollen, mold spores, and
other particulate matter into the air, all of which are potent asthma
triggers. Keeping the child indoors during lawn mowing is a practical,
evidence-based measure to reduce allergen and irritant exposure that
could precipitate a bronchospasm. Humidifiers can promote mold and
dust mite growth, both of which are significant asthma triggers, making
routine humidifier use inadvisable without strict maintenance. Cough
suppressants are contraindicated in asthma because suppressing the
cough can lead to mucus retention, worsening airway obstruction.
Using a wet mop is actually recommended because it traps dust rather
than dispersing it into the air, making this statement incorrect.
N PEDIATRIC
NURSING ONLINE
PRACTICE 2026
ACTUAL EXAM WITH
COMPLETE QUESTIONS
AND CORRECT DETAILED
ANSWERS
(100% VERIFIED ANSWERS)
| ALREADY GRADED A+ |
PROFESSOR VERIFIED |
BRANDNEW!!! | 2026!!!!
A nurse is caring for an adolescent who was brought to the
pediatric emergency department following a motor vehicle crash.
The client reports sharp chest pain rated 6/10, has fast shallow
respirations, diminished breath sounds on the left, and oxygen
saturation is 89%. Which two priority interventions should the
nurse prepare to implement?
,★ SELECT ALL THAT APPLY
A. Apply supplemental oxygen
B. Prepare for chest tube insertion
C. Place the client in the supine position
D. Obtain consent for paracentesis
E. Administer a levalbuterol inhaler
✔ CORRECT ANSWER: A and B
RATIONALE:
This adolescent is presenting with classic signs of a pneumothorax
following blunt chest trauma — diminished unilateral breath sounds,
pleuritic chest pain, tachypnea, and declining oxygen saturation. A
pneumothorax occurs when air accumulates in the pleural space,
preventing the affected lung from expanding properly, leading to
progressive hypoxia. The immediate priority is applying supplemental
oxygen to address the existing hypoxia and support oxygenation while
definitive treatment is arranged. The nurse should simultaneously
prepare for chest tube insertion, which is the definitive treatment for a
pneumothorax — the tube is inserted into the thoracic cavity to
evacuate the trapped air, restore negative intrapleural pressure, and
allow the collapsed lung to re-expand. Placing the client supine is
incorrect because the semi-Fowler's or sitting position promotes
respiratory effort. Paracentesis addresses abdominal fluid, not pleural
,air. Levalbuterol is a bronchodilator used for airway bronchospasm
such as in asthma, not for pneumothorax management.
A nurse is reviewing laboratory results for a school-age child who
presents with fatigue, pallor, and lightheadedness. Which
laboratory finding is the most direct indicator of anemia?
A. Elevated blood urea nitrogen (BUN)
B. Increased neutrophil count
C. Low hematocrit level
D. Low uric acid level
✔ CORRECT ANSWER: C
RATIONALE:
Hematocrit measures the proportion of red blood cells in the total blood
volume and is one of the primary indicators used to diagnose anemia.
A low hematocrit level directly indicates a reduced red blood cell mass,
meaning the blood has a diminished oxygen-carrying capacity. This
reduction in oxygen delivery to tissues explains the child's symptoms of
fatigue, pallor, and lightheadedness. The body compensates with
tachycardia and increased respiratory rate. An elevated BUN is
associated with renal impairment or dehydration, not anemia. An
increased neutrophil count suggests infection or inflammation. A low
uric acid level is not clinically associated with anemia and is generally
not a standard diagnostic marker for this condition.
, A nurse is providing teaching to the parent of a preschooler with
a history of asthma about preventing acute asthma attacks.
Which statement by the parent indicates an understanding of the
teaching?
A. I will use a humidifier in my child's room at night.
B. I will give my child a cough suppressant every 6 hours if they
have a cough.
C. I should avoid using a wet mop on the floors when I am cleaning.
D. I should keep my child indoors when I mow the yard.
✔ CORRECT ANSWER: D
RATIONALE:
Freshly cut grass releases high levels of pollen, mold spores, and
other particulate matter into the air, all of which are potent asthma
triggers. Keeping the child indoors during lawn mowing is a practical,
evidence-based measure to reduce allergen and irritant exposure that
could precipitate a bronchospasm. Humidifiers can promote mold and
dust mite growth, both of which are significant asthma triggers, making
routine humidifier use inadvisable without strict maintenance. Cough
suppressants are contraindicated in asthma because suppressing the
cough can lead to mucus retention, worsening airway obstruction.
Using a wet mop is actually recommended because it traps dust rather
than dispersing it into the air, making this statement incorrect.
