RN Pediatric Nursing Online Practice 2023 A
Terms in this set (60)
A nurse in a pediatric emergency department is planning Apply supplemental oxygen is correct. According to the medical
record and care for an adolescent. chest x-ray report, the adolescent could potentially have a pneumothorax. Also
Exhibit 1 according to the medical record and chest x-ray report, the adolescent's oxygen
Exhibit 2 saturation level is decreasing, which indicates hypoxia. Therefore, the nurse should
Exhibit 3 plan to administer supplemental oxygen.
Nurses' Notes
2245: Prepare for chest tube insertion is correct. According to the medical record and
Adolescent arrived via stretcher by Emergency Medical chest x-ray report, the adolescent could potentially have a pneumothorax.
A Transport (EMT) following a motor-vehicle crash.EMT pneumothorax is the presence of air in the pleural cavity, which results in
personnel report: decreased lung expansion. The adolescent could experience dyspnea,
Client was found conscious at the scene inside of the tachypnea, tachycardia, hypoxia, and pain. This requires prompt intervention by
the vehicle with airbag deployed, wearing a seat belt. provider, such as the placement of a chest tube into the thoracic cavity to
remove Vital signs: heart rate: 94/min, respiratory rate 20/min, air and fluid from the pleural space, if present, allowing the
lung to re-expand. blood pressure 100/60 mm Hg
18-gauge peripheral IV inserted in left antecubital.
Guardians contacted and report the child has no medical
conditions.2300:Adolescent reports sharp pain in
chest. Rates pain as 6 on a scale of 0 to 10. Respirations
fast and shallow. Diminished breath sounds in left lung.
S1 and S2 regular and rapid.
Apply Supplemental Oxygen
Prepare for chest tube
Place adolescent in supine position
Obtain consent for a
paracentesis Administer a
levalbuterol inhaler
,A nurse is reviewing the laboratory report of a school- A low hematocrit level
age child who is experiencing fatigue. Which of the
following findings should the nurse recognize as an The nurse should identify that a low hematocrit level indicates anemia. A child who
indication of anemia? has anemia can exhibit fatigue, lightheadedness, tachycardia, dyspnea, and
pallor due to the decreased oxygen-carrying capacity of the blood cells.
A low hematocrit level
An elevated BUN
An increased neutrophil count
A low uric acid level
A nurse is teaching the parent of a preschooler about d. I should keep my child indoors when I mow the
yard ways to prevent acute asthma attacks. Which of the
following statements 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 he ha 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
A nurse on a pediatric unit is caring for a toddler. Anticipated:
Hx Hemophilia Administer factor VIII is anticipated. The child is experiencing an acute episode
Guardian reports that the toddler fell at home while of hemophilia due to a recent fall. During this acute episode, there is potential
for playing w/ toys. Since the fall, the toddler been very internal bleeding into the joint spaces. Therefore, administering factor VIII is
irritable, crying uncontrollably, + grabbing at their left anticipated to control bleeding.
knee. The toddler can walk but insists being picked up. Apply ice packs to the affected joints is anticipated. The child is experiencing an
Toddler is alert during exam. Extremities are warm + dry to acute episode of hemarthrosis due to a recent fall, as evidenced by the
bruising touch. Decreased movement of the left leg observed. and swelling of the knee joint. Therefore, applying ice packs to the
affected joints is Tenderness noted w/ palpation of the left knee joint. Pain anticipated to manage discomfort and decrease
bleeding into the joint.
level 6/10 using FLACC scale. Administer morphine PRN pain is anticipated. The child is experiencing
severe Toddler is fussy + crying. Pain assessed as 8 on scale of 0 pain. Opioids can be administered in the inpatient setting to
relieve pain.
to 10 using the FLACC scale. Otherwise, acetaminophen can be given at home for pain. Aspirin and
NSAIDs Left knee observed to be ecchymotic + edematous. should be avoided because they inhibit platelet function and might
increase Temp 36.9° C (98.4° F) bleeding.
HR 110/min Elevate the affected joints is anticipated. The child is experiencing an acute
RR 28/min episode of hemarthrosis due to a recent fall, as evidenced by the bruising and
O₂ Sat 98% on room air swelling of the knee joint. Elevation of the joint, along with the application of ice,
is anticipated to help decrease bleeding and swelling in the joint.
Administer factor VIII.
Apply ice packs to the affected joints. Contraindication
Administer morphine PRN pain. Perform passive range-of-motion (ROM) exercises during the first 12 hr
Perform passive range-of-motion (ROM) exercises during following injury is contraindicated. The child is experiencing an acute episode of
the first 12 hr following injury. hemarthrosis. Passive ROM exercises can increase bleeding into the joint for the
Elevate the affected joints. first 48 hr following injury. The toddler should be encouraged to exercise the
joint as tolerated.
, Nurse in health department is caring for emancipated Have the adolescent sign a consent form for
treatment. adolescent with STI and unaccompanied by guardian.
Which actions should the nurse take?
Have the adolescent sign a consent form for treatment.
Instruct the adolescent to return with a guardian.
Obtain consent from the adolescent's guardian over the
phone
Treat the adolescent without a consent form
A nurse is caring for a preschooler who was recently Nephrotic Syndrome- BP, Cholesterol
admitted to a pediatric unit. APG- temp, BUN, BP
Nurses' Notes HUS- temp, BUN, platelet, BP
The preschooler's guardians report that their child had a
gastrointestinal illness with some vomiting and diarrhea
about 1 week ago. Their child started to feel better.
However, within the last 2 days, they noticed several small
bruises that appeared on their child's arms and legs.
Additionally, the guardians report the child is lethargic.
The nurse is reviewing the information in the child's
electronic medical record (EMR).
For each EMR finding, click to specify if the finding is
consistent with nephrotic syndrome, acute
poststreptococcal glomerulonephritis, or hemolytic
uremic syndrome. Each finding may support more than
one disease process.
A nurse is assessing an 8-year-old child who has early c. initiate IV
access indications of shock. After establishing an airway and
stabilizing the child's respirations, which of the following
actions should the nurse take next?
a.insert an indwelling urinary catheter
b.measure weight and height
c. initiate IV access
d.maintain ECG monitoring
A nurse is reviewing the dietary choices of an adolescent 1/2 cup of
raisins who has iron deficiency anemia. The nurse should identify
that which of the following menu items has the
highest amount of iron?
A nurse is reviewing the medical record of a school-age a. increased erythrocyte sedimentation
rate child who is 2 days postoperative following an open
repair and casting of a fracture in the right arm. Which
of the following findings should the nurse identify as
an indication of a potential postoperative
complication?
a.increased erythrocyte sedimentation rate
b.apical pulse 92/min
c. respiratory rate 24/min
d.taking an oral analgesic twice daily
Terms in this set (60)
A nurse in a pediatric emergency department is planning Apply supplemental oxygen is correct. According to the medical
record and care for an adolescent. chest x-ray report, the adolescent could potentially have a pneumothorax. Also
Exhibit 1 according to the medical record and chest x-ray report, the adolescent's oxygen
Exhibit 2 saturation level is decreasing, which indicates hypoxia. Therefore, the nurse should
Exhibit 3 plan to administer supplemental oxygen.
Nurses' Notes
2245: Prepare for chest tube insertion is correct. According to the medical record and
Adolescent arrived via stretcher by Emergency Medical chest x-ray report, the adolescent could potentially have a pneumothorax.
A Transport (EMT) following a motor-vehicle crash.EMT pneumothorax is the presence of air in the pleural cavity, which results in
personnel report: decreased lung expansion. The adolescent could experience dyspnea,
Client was found conscious at the scene inside of the tachypnea, tachycardia, hypoxia, and pain. This requires prompt intervention by
the vehicle with airbag deployed, wearing a seat belt. provider, such as the placement of a chest tube into the thoracic cavity to
remove Vital signs: heart rate: 94/min, respiratory rate 20/min, air and fluid from the pleural space, if present, allowing the
lung to re-expand. blood pressure 100/60 mm Hg
18-gauge peripheral IV inserted in left antecubital.
Guardians contacted and report the child has no medical
conditions.2300:Adolescent reports sharp pain in
chest. Rates pain as 6 on a scale of 0 to 10. Respirations
fast and shallow. Diminished breath sounds in left lung.
S1 and S2 regular and rapid.
Apply Supplemental Oxygen
Prepare for chest tube
Place adolescent in supine position
Obtain consent for a
paracentesis Administer a
levalbuterol inhaler
,A nurse is reviewing the laboratory report of a school- A low hematocrit level
age child who is experiencing fatigue. Which of the
following findings should the nurse recognize as an The nurse should identify that a low hematocrit level indicates anemia. A child who
indication of anemia? has anemia can exhibit fatigue, lightheadedness, tachycardia, dyspnea, and
pallor due to the decreased oxygen-carrying capacity of the blood cells.
A low hematocrit level
An elevated BUN
An increased neutrophil count
A low uric acid level
A nurse is teaching the parent of a preschooler about d. I should keep my child indoors when I mow the
yard ways to prevent acute asthma attacks. Which of the
following statements 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 he ha 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
A nurse on a pediatric unit is caring for a toddler. Anticipated:
Hx Hemophilia Administer factor VIII is anticipated. The child is experiencing an acute episode
Guardian reports that the toddler fell at home while of hemophilia due to a recent fall. During this acute episode, there is potential
for playing w/ toys. Since the fall, the toddler been very internal bleeding into the joint spaces. Therefore, administering factor VIII is
irritable, crying uncontrollably, + grabbing at their left anticipated to control bleeding.
knee. The toddler can walk but insists being picked up. Apply ice packs to the affected joints is anticipated. The child is experiencing an
Toddler is alert during exam. Extremities are warm + dry to acute episode of hemarthrosis due to a recent fall, as evidenced by the
bruising touch. Decreased movement of the left leg observed. and swelling of the knee joint. Therefore, applying ice packs to the
affected joints is Tenderness noted w/ palpation of the left knee joint. Pain anticipated to manage discomfort and decrease
bleeding into the joint.
level 6/10 using FLACC scale. Administer morphine PRN pain is anticipated. The child is experiencing
severe Toddler is fussy + crying. Pain assessed as 8 on scale of 0 pain. Opioids can be administered in the inpatient setting to
relieve pain.
to 10 using the FLACC scale. Otherwise, acetaminophen can be given at home for pain. Aspirin and
NSAIDs Left knee observed to be ecchymotic + edematous. should be avoided because they inhibit platelet function and might
increase Temp 36.9° C (98.4° F) bleeding.
HR 110/min Elevate the affected joints is anticipated. The child is experiencing an acute
RR 28/min episode of hemarthrosis due to a recent fall, as evidenced by the bruising and
O₂ Sat 98% on room air swelling of the knee joint. Elevation of the joint, along with the application of ice,
is anticipated to help decrease bleeding and swelling in the joint.
Administer factor VIII.
Apply ice packs to the affected joints. Contraindication
Administer morphine PRN pain. Perform passive range-of-motion (ROM) exercises during the first 12 hr
Perform passive range-of-motion (ROM) exercises during following injury is contraindicated. The child is experiencing an acute episode of
the first 12 hr following injury. hemarthrosis. Passive ROM exercises can increase bleeding into the joint for the
Elevate the affected joints. first 48 hr following injury. The toddler should be encouraged to exercise the
joint as tolerated.
, Nurse in health department is caring for emancipated Have the adolescent sign a consent form for
treatment. adolescent with STI and unaccompanied by guardian.
Which actions should the nurse take?
Have the adolescent sign a consent form for treatment.
Instruct the adolescent to return with a guardian.
Obtain consent from the adolescent's guardian over the
phone
Treat the adolescent without a consent form
A nurse is caring for a preschooler who was recently Nephrotic Syndrome- BP, Cholesterol
admitted to a pediatric unit. APG- temp, BUN, BP
Nurses' Notes HUS- temp, BUN, platelet, BP
The preschooler's guardians report that their child had a
gastrointestinal illness with some vomiting and diarrhea
about 1 week ago. Their child started to feel better.
However, within the last 2 days, they noticed several small
bruises that appeared on their child's arms and legs.
Additionally, the guardians report the child is lethargic.
The nurse is reviewing the information in the child's
electronic medical record (EMR).
For each EMR finding, click to specify if the finding is
consistent with nephrotic syndrome, acute
poststreptococcal glomerulonephritis, or hemolytic
uremic syndrome. Each finding may support more than
one disease process.
A nurse is assessing an 8-year-old child who has early c. initiate IV
access indications of shock. After establishing an airway and
stabilizing the child's respirations, which of the following
actions should the nurse take next?
a.insert an indwelling urinary catheter
b.measure weight and height
c. initiate IV access
d.maintain ECG monitoring
A nurse is reviewing the dietary choices of an adolescent 1/2 cup of
raisins who has iron deficiency anemia. The nurse should identify
that which of the following menu items has the
highest amount of iron?
A nurse is reviewing the medical record of a school-age a. increased erythrocyte sedimentation
rate child who is 2 days postoperative following an open
repair and casting of a fracture in the right arm. Which
of the following findings should the nurse identify as
an indication of a potential postoperative
complication?
a.increased erythrocyte sedimentation rate
b.apical pulse 92/min
c. respiratory rate 24/min
d.taking an oral analgesic twice daily
