PN Pediatric Nursing Online Practice 2023 B
Questions with Answers
A nurse is contributing to the plan of care for a child who has sickle cell anemia and
is experiencing a vase-occlusive crisis. Which of the following is the priority
intervention for the nurse to recommend to include in the plan?
Promote oxygen utilization.
Administer antibiotics.
Encourage fluid intake.
Apply a warm compress to the joints. - Correct Answer Promote oxygen utilization.
The priority action the nurse should take when using the airway, breathing,
circulation (ABC) approach to client care is promoting oxygen utilization to prevent
further sickling of the red blood cells and promote adequate oxygenation of the
tissue.
For each data collection finding, click to specify if the finding is consistent with
nightmares or sleep terrors. Each finding may support more than one disease
process. - Correct Answer Nightmares: Child's concentration, child's
responsiveness to parents, child's description of the dream, daytime alertness,
timing of the child's crying, impulsivity, child's return to sleep (cause distress after,
cry, express fear, believe dream is real, Impaired concentration, daytime fatigue,
impulsive behaviors.)
Sleep Terrors: Daytime alertness, Impaired concentration, Child's concentration,
Impulsivity (Partial awakening during deep sleep, will not remember, not comforted
by others, daytime fatigue, and impulsive behaviors.)
Click to highlight the findings that require follow-up. To deselect a finding, click on
the finding again. - Correct Answer Toddler appears lethargic
ribbon-like, foul-smelling stools in diaper.
Hypoactive bowel sounds.
Abdomen distended
Palpable fecal mass
A nurse is assisting in the care of a school-age child who has skeletal traction
applied to the right lower leg to repair a femur fracture. Which of the following
findings is the priority for the nurse to report to the provider?
Report of tingling in the right foot.
Pain rating of 7 on a scale of 0 to 10
,Decrease in food intake
Increase in crusting at pin sites - Correct Answer Report of tingling in the right foot.
The nurse should identify that the greatest risk to the child is nerve injury. Therefore,
tingling in the right foot, which can indicate nerve damage or compartment
syndrome, is the priority finding for the nurse to report to the provider.
Select the 3 findings that the nurse should identify as indications of a potential
complication. - Correct Answer Temperature
Abdominal assessment
WBC count
A nurse in a community center is reinforcing teaching about poison control with a
group of parents. Identify the sequence of actions the nurse should recommend to
the parent. (Move the steps into the box on the right, placing them in the order of
performance. All steps must be used.) - Correct Answer Determine if the child is
breathing.
Empty the child's mouth of remaining pills and residue.
Identify the medication and dosage strength.
Call a poison control center
Complete the diagram by dragging from the choices below to specify what condition
the client is most likely experiencing, 2 actions the nurse should take to address that
condition, and 2 parameters the nurse should monitor to assess the client's
progress. - Correct Answer Cystic fibrosis
Reinforce teaching with parents about sweat chloride testing.
Prepare toddler for chest physiotherapy
Stools
Oxygen saturation level
A nurse on a pediatric unit is assisting with the care of a toddler. For each potential
provider's prescription, click to specify if the potential prescription is anticipated or
contraindicated for the toddler. - Correct Answer Perform passive range-of-motion
(ROM) exercises during the first 12 hr following injury. - Contraindicated
Apply ice packs to affected joints. - Anticipated
Administer factor VIII. - Anticipated
Elevate affected joints. - Anticipated
Administer aspirin PRN pain. - Contraindicated
A nurse on a pediatric unit is assisting with the care of a school-age child.
Select the 4 findings that the nurse should report to the provider. - Correct Answer
ABGs is correct. The child's ABGs indicate respiratory alkalosis, which is associated
with complications of asthma, such as hyperventilation and hypoxia. Therefore, the
nurse should report these findings to the provider.
, Cardiovascular assessment is incorrect. The child's cardiovascular assessment
reflects expected findings for a school-age child. Therefore, there is no indication
that the nurse should report these findings to the provider.
WBC count is correct. The child's WBC count is above the expected reference
range, which could be an indication of infection or inflammation. Therefore, the nurse
should report this finding to the provider.
Hob is incorrect. The child's hemoglobin is within the expected reference range.
Therefore, there is no indication that the nurse should report this finding to the
provider.
Oxygen saturation is correct. The child's oxygen saturation has decreased below the
expected reference range despite the use of supplemental oxygen. Therefore, the
nurse should report this finding to the provider.
Respiratory assessment is correct. The child's respiratory assessment indicates
increased respiratory distress, as evidenced by the presence of tachypnea,
retractions, and increased wheezing. Therefore, the nurse should report these
findings to the provider.
A nurse is assisting with the care of an adolescent following a cardiac
catheterization. Which of the following is the priority finding the nurse should report
to the provider?
Reports pain as a 4 on a 0 to 10 scale
Heart rate 104/min
Distal pulse 1+
Bleeding noted on the dressing - Correct Answer Bleeding noted on the dressing.
Bleeding noted on the dressing is an indication that the client is at greatest risk for
hemorrhage at the catheterization site; therefore, the nurse should identify bleeding
on the dressing as the priority finding. The nurse should apply continuous pressure
2.5 cm (1 in) above the site and notify the provider.
A nurse is reinforcing teaching with the guardian of a school-age child who has
acute bacterial conjunctivitis and a new prescription for sulfacetamide. Which of the
following instructions should the nurse include?
Remove dried drainage with a cold washcloth.
Instill medication immediately after cleansing the eye.
Apply an occlusive gauze over the child's eye.
Cleanse the eye by gently wiping from the outer aspect of the eye inward toward the
nose. - Correct Answer Instill medication immediately after cleansing the eye.
The nurse should instruct the guardian to instill the medication in the eye
immediately after cleansing.
A nurse is collecting data from a 12-month-old infant during a well-child visit. Which
of the following findings should the nurse report to the provider?
Questions with Answers
A nurse is contributing to the plan of care for a child who has sickle cell anemia and
is experiencing a vase-occlusive crisis. Which of the following is the priority
intervention for the nurse to recommend to include in the plan?
Promote oxygen utilization.
Administer antibiotics.
Encourage fluid intake.
Apply a warm compress to the joints. - Correct Answer Promote oxygen utilization.
The priority action the nurse should take when using the airway, breathing,
circulation (ABC) approach to client care is promoting oxygen utilization to prevent
further sickling of the red blood cells and promote adequate oxygenation of the
tissue.
For each data collection finding, click to specify if the finding is consistent with
nightmares or sleep terrors. Each finding may support more than one disease
process. - Correct Answer Nightmares: Child's concentration, child's
responsiveness to parents, child's description of the dream, daytime alertness,
timing of the child's crying, impulsivity, child's return to sleep (cause distress after,
cry, express fear, believe dream is real, Impaired concentration, daytime fatigue,
impulsive behaviors.)
Sleep Terrors: Daytime alertness, Impaired concentration, Child's concentration,
Impulsivity (Partial awakening during deep sleep, will not remember, not comforted
by others, daytime fatigue, and impulsive behaviors.)
Click to highlight the findings that require follow-up. To deselect a finding, click on
the finding again. - Correct Answer Toddler appears lethargic
ribbon-like, foul-smelling stools in diaper.
Hypoactive bowel sounds.
Abdomen distended
Palpable fecal mass
A nurse is assisting in the care of a school-age child who has skeletal traction
applied to the right lower leg to repair a femur fracture. Which of the following
findings is the priority for the nurse to report to the provider?
Report of tingling in the right foot.
Pain rating of 7 on a scale of 0 to 10
,Decrease in food intake
Increase in crusting at pin sites - Correct Answer Report of tingling in the right foot.
The nurse should identify that the greatest risk to the child is nerve injury. Therefore,
tingling in the right foot, which can indicate nerve damage or compartment
syndrome, is the priority finding for the nurse to report to the provider.
Select the 3 findings that the nurse should identify as indications of a potential
complication. - Correct Answer Temperature
Abdominal assessment
WBC count
A nurse in a community center is reinforcing teaching about poison control with a
group of parents. Identify the sequence of actions the nurse should recommend to
the parent. (Move the steps into the box on the right, placing them in the order of
performance. All steps must be used.) - Correct Answer Determine if the child is
breathing.
Empty the child's mouth of remaining pills and residue.
Identify the medication and dosage strength.
Call a poison control center
Complete the diagram by dragging from the choices below to specify what condition
the client is most likely experiencing, 2 actions the nurse should take to address that
condition, and 2 parameters the nurse should monitor to assess the client's
progress. - Correct Answer Cystic fibrosis
Reinforce teaching with parents about sweat chloride testing.
Prepare toddler for chest physiotherapy
Stools
Oxygen saturation level
A nurse on a pediatric unit is assisting with the care of a toddler. For each potential
provider's prescription, click to specify if the potential prescription is anticipated or
contraindicated for the toddler. - Correct Answer Perform passive range-of-motion
(ROM) exercises during the first 12 hr following injury. - Contraindicated
Apply ice packs to affected joints. - Anticipated
Administer factor VIII. - Anticipated
Elevate affected joints. - Anticipated
Administer aspirin PRN pain. - Contraindicated
A nurse on a pediatric unit is assisting with the care of a school-age child.
Select the 4 findings that the nurse should report to the provider. - Correct Answer
ABGs is correct. The child's ABGs indicate respiratory alkalosis, which is associated
with complications of asthma, such as hyperventilation and hypoxia. Therefore, the
nurse should report these findings to the provider.
, Cardiovascular assessment is incorrect. The child's cardiovascular assessment
reflects expected findings for a school-age child. Therefore, there is no indication
that the nurse should report these findings to the provider.
WBC count is correct. The child's WBC count is above the expected reference
range, which could be an indication of infection or inflammation. Therefore, the nurse
should report this finding to the provider.
Hob is incorrect. The child's hemoglobin is within the expected reference range.
Therefore, there is no indication that the nurse should report this finding to the
provider.
Oxygen saturation is correct. The child's oxygen saturation has decreased below the
expected reference range despite the use of supplemental oxygen. Therefore, the
nurse should report this finding to the provider.
Respiratory assessment is correct. The child's respiratory assessment indicates
increased respiratory distress, as evidenced by the presence of tachypnea,
retractions, and increased wheezing. Therefore, the nurse should report these
findings to the provider.
A nurse is assisting with the care of an adolescent following a cardiac
catheterization. Which of the following is the priority finding the nurse should report
to the provider?
Reports pain as a 4 on a 0 to 10 scale
Heart rate 104/min
Distal pulse 1+
Bleeding noted on the dressing - Correct Answer Bleeding noted on the dressing.
Bleeding noted on the dressing is an indication that the client is at greatest risk for
hemorrhage at the catheterization site; therefore, the nurse should identify bleeding
on the dressing as the priority finding. The nurse should apply continuous pressure
2.5 cm (1 in) above the site and notify the provider.
A nurse is reinforcing teaching with the guardian of a school-age child who has
acute bacterial conjunctivitis and a new prescription for sulfacetamide. Which of the
following instructions should the nurse include?
Remove dried drainage with a cold washcloth.
Instill medication immediately after cleansing the eye.
Apply an occlusive gauze over the child's eye.
Cleanse the eye by gently wiping from the outer aspect of the eye inward toward the
nose. - Correct Answer Instill medication immediately after cleansing the eye.
The nurse should instruct the guardian to instill the medication in the eye
immediately after cleansing.
A nurse is collecting data from a 12-month-old infant during a well-child visit. Which
of the following findings should the nurse report to the provider?
