RN PEDIATRIC NURSING ONLINE
PRACTICE 2023 B QUESTIONS AND
ANSWERS 100% CORRECT!!
,A nurse is preparing to administer an immunization to a 4-year-old child. Which of
the following actions should the nurse plan to take?
A. Place the child in a prone position for the immunization.
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. - ANSWER C.
Administer the immunization using a 24-gauge needle.
Rationale: The nurse should administer an immunization for a 4-year-old child using
a 22 to 25-gauge needle to minimize the amount of pain the child experiences.
A nurse is caring for a school-age child who has experienced a tonic-clonic seizure.
Which of the following actions 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.
D. Administer an oral sedative to the child. - ANSWER A. Place the child in a side-
lying position.
Rationale: The nurse should place the child in a side-lying position to prevent
aspiration.
NGN* A nurse on a pediatric unit is admitting a preschooler. After reviewing the
,information in the medical record the nurse should identify that the child is at risk for
developing which of the following conditions?
Dropdown 1:
Splenomegaly
Acute post-streptococcal glomerulonephritis (APSGN)
Dysrhythmias
Dropdown 2:
Positive mononucleosis rapid test
Urinary output
Cardiovascular assessment - ANSWER 1. Splenomegaly
Rationale: The child's positive mononucleosis rapid test result indicates the presence
of infectious mono, a condition caused by the Epstein-Barr virus. Therefore, the
nurse should identify that the child is at risk for developing splenomegaly, a common
complication of infectious mono.
2. Positive mono rapid test
Rationale: The child's positive mononucleosis rapid test result indicates the presence
of infectious mono, a condition caused by the Epstein-Barr virus. Therefore, the
nurse should identify that the child is at risk for developing splenomegaly, a common
complication of infectious mono.
A nurse is planning an educational program to teach caregivers about protecting
their children from sunburns. Which of the following instructions should the nurse
plan to include?
A. "Allow your child to play outside 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." - ANSWER B. "Choose a waterproof
sunscreen with a minimum SPF of 15."
Rationale: The nurse should instruct caregivers to apply a waterproof sunscreen with
a minimum SPF of 15 for children. The parent should apply sunscreen prior to sun
exposure to reduce the risk of sunburn.
A nurse is assessing a school-age child who has peritonitis. Which of the following
findings should the nurse expect?
A. Hyperactive bowel sounds
B. Abdominal distention
C. Bradycardia
D. Bloody stool - ANSWER B. Abdominal distention
Rationale: The nurse should identify that abdominal distention is an expected finding
of peritonitis. Peritonitis is an inflammation of the lining of the abdominal wall. This
inflammation in the abdomen, along with the ileus that develops, causes abdominal
distention. Other manifestations include chills, irritability, and restlessness.
A nurse is assessing a school-age child who has an infratentorial brain tumor. Which
of the following findings should the nurse identify as a manifestation of increased
intracranial pressure?
A. Hypotension
B. Reports insomnia
C. Difficulty concentrating
D. Tachycardia - ANSWER C. Difficulty concentrating
PRACTICE 2023 B QUESTIONS AND
ANSWERS 100% CORRECT!!
,A nurse is preparing to administer an immunization to a 4-year-old child. Which of
the following actions should the nurse plan to take?
A. Place the child in a prone position for the immunization.
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. - ANSWER C.
Administer the immunization using a 24-gauge needle.
Rationale: The nurse should administer an immunization for a 4-year-old child using
a 22 to 25-gauge needle to minimize the amount of pain the child experiences.
A nurse is caring for a school-age child who has experienced a tonic-clonic seizure.
Which of the following actions 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.
D. Administer an oral sedative to the child. - ANSWER A. Place the child in a side-
lying position.
Rationale: The nurse should place the child in a side-lying position to prevent
aspiration.
NGN* A nurse on a pediatric unit is admitting a preschooler. After reviewing the
,information in the medical record the nurse should identify that the child is at risk for
developing which of the following conditions?
Dropdown 1:
Splenomegaly
Acute post-streptococcal glomerulonephritis (APSGN)
Dysrhythmias
Dropdown 2:
Positive mononucleosis rapid test
Urinary output
Cardiovascular assessment - ANSWER 1. Splenomegaly
Rationale: The child's positive mononucleosis rapid test result indicates the presence
of infectious mono, a condition caused by the Epstein-Barr virus. Therefore, the
nurse should identify that the child is at risk for developing splenomegaly, a common
complication of infectious mono.
2. Positive mono rapid test
Rationale: The child's positive mononucleosis rapid test result indicates the presence
of infectious mono, a condition caused by the Epstein-Barr virus. Therefore, the
nurse should identify that the child is at risk for developing splenomegaly, a common
complication of infectious mono.
A nurse is planning an educational program to teach caregivers about protecting
their children from sunburns. Which of the following instructions should the nurse
plan to include?
A. "Allow your child to play outside 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." - ANSWER B. "Choose a waterproof
sunscreen with a minimum SPF of 15."
Rationale: The nurse should instruct caregivers to apply a waterproof sunscreen with
a minimum SPF of 15 for children. The parent should apply sunscreen prior to sun
exposure to reduce the risk of sunburn.
A nurse is assessing a school-age child who has peritonitis. Which of the following
findings should the nurse expect?
A. Hyperactive bowel sounds
B. Abdominal distention
C. Bradycardia
D. Bloody stool - ANSWER B. Abdominal distention
Rationale: The nurse should identify that abdominal distention is an expected finding
of peritonitis. Peritonitis is an inflammation of the lining of the abdominal wall. This
inflammation in the abdomen, along with the ileus that develops, causes abdominal
distention. Other manifestations include chills, irritability, and restlessness.
A nurse is assessing a school-age child who has an infratentorial brain tumor. Which
of the following findings should the nurse identify as a manifestation of increased
intracranial pressure?
A. Hypotension
B. Reports insomnia
C. Difficulty concentrating
D. Tachycardia - ANSWER C. Difficulty concentrating
