RN Pediatric Nursing Practice
Question with Answers (100% Verified)
1. A hospice nurse is caring for a preschooler with a terminal illness. The parent says
they cannot cope and are thinking about moving out. Which response should the
nurse make?
A. "It is important that you provide emotional support for your family at this time."
B. "You have to do what you feel is best. Everything will turn out fine."
C. "I know how you feel. This is an extremely stressful time for your family."
D. "Let's talk about some of the ways you have handled previous stressors in your
life."
Answer: D. "Let's talk about some of the ways you have handled previous stressors
in your life."
2. A nurse is caring for a preschooler and providing discharge teaching to guardians.
Which statements indicate effective teaching? (SATA)
A. "We should apply a skin emollient immediately after bathing our child."
B. "We should keep our child's fingernails trimmed short."
C. "We should rub the sores vigorously to remove the scabs."
D. "We should allow our child to take a bubble bath prior to going to bed."
E. "We should use a mild detergent for our laundry."
F. "We should apply a large amount of ointment to the sores."
Answer: A, B, E
3. A nurse is caring for a school-age child with varicella. The parent asks when the
child will no longer be contagious. Which response is correct?
A. "When your child no longer has an increased temperature."
B. "Three days after you first noticed the rash appear."
C. "When your child's lesions are crusted, usually 6 days after they appear."
D. "Two to three weeks, when your child's lesions completely disappear."
,Answer: C. "When your child's lesions are crusted, usually 6 days after they appear."
4. A nurse is caring for a school-age child with appendicitis who rates pain as 7 out
of 10. Which action should the nurse take?
A. Instill a 500 mL tap water enema.
B. Give morphine 0.05 mg/kg IV.
C. Administer polyethylene glycol 1 g/kg PO.
D. Apply a heating pad to the child's abdomen.
Answer: B. Give morphine 0.05 mg/kg IV.
5. A nurse is caring for a toddler with partial-thickness burns on the right arm. Which
action should the nurse take?
A. Insert a nasogastric tube.
B. Initiate prophylactic antibiotic therapy.
C. Cleanse the affected area with mild soap and water.
D. Apply a topical corticosteroid to the affected area.
Answer: C. Cleanse the affected area with mild soap and water.
6. A nurse is assessing a 2-week-old male newborn. Which finding is the priority to
report to the provider?
A. Excoriated scrotal area
B. Multiple capillary hemangiomas
C. Depressed posterior fontanel
D. Substernal retractions
Answer: D. Substernal retractions
7. A nurse is assessing a 3-year-old toddler at a well-child visit. Which finding should
the nurse report to the provider?
A. BP 90/30 mmHg
B. RR 45/min
C. Weight 14.5 kg (32 lb)
D. HR 110/min
,Answer: B. RR 45/min
8. A nurse is assessing a school-age child with an infratentorial brain tumor. Which
finding indicates increased intracranial pressure?
A. Hypotension
B. Reports insomnia
C. Difficulty concentrating
D. Tachycardia
Answer: C. Difficulty concentrating
9. A nurse is assessing a school-age child with meningitis. Which finding is the
priority to report to the provider?
A. Reports headache as 6 on a scale of 0 to 10
B. Petechiae on the lower extremities
C. Nuchal rigidity
D. Positive Kernig's sign
Answer: B. Petechiae on the lower extremities
10. A nurse is assessing a school-age child with peritonitis. Which finding should the
nurse expect?
A. Hyperactive bowel sounds
B. Abdominal distention
C. Bradycardia
D. Bloody stool
Answer: B. Abdominal distention
11. A nurse is assessing an infant with a ventricular septal defect. Which finding
should the nurse expect?
A. Loud, harsh murmur
B. Dysrhythmias
C. Weak femoral pulses
D. High blood pressure
, Answer: A. Loud, harsh murmur
12. A nurse is assessing an infant with pneumonia. Which finding is the priority to
report to the provider?
A. Nasal flaring
B. WBC count of 11,300/mm3
C. Diarrhea
D. Abdominal distention
Answer: A. Nasal flaring
13. A nurse is caring for a preschooler with CHF and observes wide QRS complexes
and peaked T waves on the monitor. Which prescription should the nurse clarify with
the provider?
A. Furosemide
B. Captopril
C. Regular insulin
D. Potassium chloride
Answer: D. Potassium chloride
14. A nurse is caring for a school-age child with diabetic ketoacidosis. Which
respiratory finding should the nurse expect?
A. Deep respirations of 32/min
B. Shallow respirations of 10/min
C. Paradoxic respirations of 26/min
D. Periods of apnea lasting for 20 seconds
Answer: A. Deep respirations of 32/min
15. A nurse is caring for a school-age child following a tonic-clonic seizure. Which
action should the nurse take during 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.
Question with Answers (100% Verified)
1. A hospice nurse is caring for a preschooler with a terminal illness. The parent says
they cannot cope and are thinking about moving out. Which response should the
nurse make?
A. "It is important that you provide emotional support for your family at this time."
B. "You have to do what you feel is best. Everything will turn out fine."
C. "I know how you feel. This is an extremely stressful time for your family."
D. "Let's talk about some of the ways you have handled previous stressors in your
life."
Answer: D. "Let's talk about some of the ways you have handled previous stressors
in your life."
2. A nurse is caring for a preschooler and providing discharge teaching to guardians.
Which statements indicate effective teaching? (SATA)
A. "We should apply a skin emollient immediately after bathing our child."
B. "We should keep our child's fingernails trimmed short."
C. "We should rub the sores vigorously to remove the scabs."
D. "We should allow our child to take a bubble bath prior to going to bed."
E. "We should use a mild detergent for our laundry."
F. "We should apply a large amount of ointment to the sores."
Answer: A, B, E
3. A nurse is caring for a school-age child with varicella. The parent asks when the
child will no longer be contagious. Which response is correct?
A. "When your child no longer has an increased temperature."
B. "Three days after you first noticed the rash appear."
C. "When your child's lesions are crusted, usually 6 days after they appear."
D. "Two to three weeks, when your child's lesions completely disappear."
,Answer: C. "When your child's lesions are crusted, usually 6 days after they appear."
4. A nurse is caring for a school-age child with appendicitis who rates pain as 7 out
of 10. Which action should the nurse take?
A. Instill a 500 mL tap water enema.
B. Give morphine 0.05 mg/kg IV.
C. Administer polyethylene glycol 1 g/kg PO.
D. Apply a heating pad to the child's abdomen.
Answer: B. Give morphine 0.05 mg/kg IV.
5. A nurse is caring for a toddler with partial-thickness burns on the right arm. Which
action should the nurse take?
A. Insert a nasogastric tube.
B. Initiate prophylactic antibiotic therapy.
C. Cleanse the affected area with mild soap and water.
D. Apply a topical corticosteroid to the affected area.
Answer: C. Cleanse the affected area with mild soap and water.
6. A nurse is assessing a 2-week-old male newborn. Which finding is the priority to
report to the provider?
A. Excoriated scrotal area
B. Multiple capillary hemangiomas
C. Depressed posterior fontanel
D. Substernal retractions
Answer: D. Substernal retractions
7. A nurse is assessing a 3-year-old toddler at a well-child visit. Which finding should
the nurse report to the provider?
A. BP 90/30 mmHg
B. RR 45/min
C. Weight 14.5 kg (32 lb)
D. HR 110/min
,Answer: B. RR 45/min
8. A nurse is assessing a school-age child with an infratentorial brain tumor. Which
finding indicates increased intracranial pressure?
A. Hypotension
B. Reports insomnia
C. Difficulty concentrating
D. Tachycardia
Answer: C. Difficulty concentrating
9. A nurse is assessing a school-age child with meningitis. Which finding is the
priority to report to the provider?
A. Reports headache as 6 on a scale of 0 to 10
B. Petechiae on the lower extremities
C. Nuchal rigidity
D. Positive Kernig's sign
Answer: B. Petechiae on the lower extremities
10. A nurse is assessing a school-age child with peritonitis. Which finding should the
nurse expect?
A. Hyperactive bowel sounds
B. Abdominal distention
C. Bradycardia
D. Bloody stool
Answer: B. Abdominal distention
11. A nurse is assessing an infant with a ventricular septal defect. Which finding
should the nurse expect?
A. Loud, harsh murmur
B. Dysrhythmias
C. Weak femoral pulses
D. High blood pressure
, Answer: A. Loud, harsh murmur
12. A nurse is assessing an infant with pneumonia. Which finding is the priority to
report to the provider?
A. Nasal flaring
B. WBC count of 11,300/mm3
C. Diarrhea
D. Abdominal distention
Answer: A. Nasal flaring
13. A nurse is caring for a preschooler with CHF and observes wide QRS complexes
and peaked T waves on the monitor. Which prescription should the nurse clarify with
the provider?
A. Furosemide
B. Captopril
C. Regular insulin
D. Potassium chloride
Answer: D. Potassium chloride
14. A nurse is caring for a school-age child with diabetic ketoacidosis. Which
respiratory finding should the nurse expect?
A. Deep respirations of 32/min
B. Shallow respirations of 10/min
C. Paradoxic respirations of 26/min
D. Periods of apnea lasting for 20 seconds
Answer: A. Deep respirations of 32/min
15. A nurse is caring for a school-age child following a tonic-clonic seizure. Which
action should the nurse take during 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.
