RN Pediatric Nursing Online Practice 2023 A
Questions and Answers
A nurse is teaching the parent of a preschooler about ways to prevent acute asthma
attacks. Which of the following statements by the parents indicates and
understanding of the teaching?
"I will use a humidifier in my child's room at night"
"I will give my child a cough suppressant every 6 hours if he has a cough."
"I should avoid using a wet mop on my floors when I am cleaning."
"I should keep my child indoors when I mow the yard." - Correct Answer d. "I
should keep my child indoors when I mow the yard."
The nurse should instruct the parent to keep the preschooler indoors during lawn
maintenance or when the pollen count is increased. Guarding against exposure to
known allergens found outdoors, such as grass, tree, and weed pollen, will decrease
the frequency of the preschooler's asthma attacks.
A nurse is assessing a 6-year-old child immediately following surgery for a
perforated appendix. Which of the following findings should the nurse expect?
Purulent drainage from the NG tube
Hypoactive bowel sounds
Passage of dark-red stool with mucus
Urine output of 20 mL/hr - Correct Answer b. Hypoactive bowel sounds
The nurse should expect hypoactive bowel sounds following appendicular rupture or
if the child has developed peritonitis. Additionally, hypoactive bowel sounds are an
expected finding immediately following abdominal surgery, until full peristalsis
resumes.
The nurse is assessing a school-age child who has an acute spinal cord injury
following a sports injury 1 week ago. Identify the area the nurse should tap to elicit
the biceps reflex. - Correct Answer A is correct. The nurse should identify that this
is the location to tap to elicit the biceps reflex.
B is incorrect. The nurse should tap this location to elicit the triceps reflex.
C is incorrect. The nurse should tap this location to elicit the brachioradialis reflex.
A nurse on a pediatric unit is caring for a toddler.
,Which of the following potential provider prescriptions should the nurse identify as
anticipated or contraindicated?
Potential Provider's Prescription: (Anticipated or Contraindicated)
Administer factor VIII
Apply ice packs to the infected joints
Administer morphine PRN pain
Perform passive range-of-motion (ROM) exercises during the first 12 hr following
injury
Elevate the affected joints - Correct Answer Administer factor VIII is anticipated.
The child is experiencing an acute episode of hemophilia due to a recent fall. During
this acute episode, there is potential for internal bleeding into the joint spaces.
Therefore, administering factor VIII is anticipated to control bleeding.
Apply ice packs to the affected joints is anticipated. The child is experiencing an
acute episode of hemarthrosis due to a recent fall, as evidenced by the bruising and
swelling of the knee joint. Therefore, applying ice packs to the affected joints is
anticipated to manage discomfort and decrease bleeding into the joint.
Administer morphine PRN pain is anticipated. The child is experiencing severe pain.
Opioids can be administered in the inpatient setting to relieve pain. Otherwise,
acetaminophen can be given at home for pain. Aspirin and NSAIDs should be
avoided because they inhibit platelet function and might increase bleeding.
Perform passive range-of-motion (ROM) exercises during the first 12 hr following
injury is contraindicated. The child is experiencing an acute episode of hemarthrosis.
Passive ROM exercises can increase bleeding into the joint for the first 48 hr
following injury. The toddler should be encouraged to exercise the joint as tolerated.
Elevate the affected joints is anticipated. The child is experiencing an acute episode
of hemarthrosis due to a recent fall, as evidenced by the bruising and 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.
A nurse is providing discharge teaching to the parent of an 18-month-old toddler who
has dehydration due to acute diarrhea. Which of the following statements by the
parent indicates an understanding of the teaching?
"I will offer my child small amounts of fruit juice frequently.."
"I will avoid giving my child solid foods until the diarrhea has stopped,"
"I will monitor my child's number of wet diapers."
"I will give my child polyethylene glycol daily for 7 days." - Correct Answer c.
"I will monitor my child's number of wet diapers."
, The nurse should teach the parent to closely monitor the child's number of wet
diapers. Monitoring the number of wet diapers per day is an effective way for the
parent to monitor adequate output and hydration status.
A nurse on a pediatric unit is caring for a school-age child.
After reviewing the information in the child's medical record, which of the following
findings should the nurse address first?
The nurse should address the child's (oxygen saturation/joint swelling/fever) followed
by the child's (pain/anemia/hydration). - Correct Answer Dropdown 1:
Oxygen saturation is correct. The child's pulse oximetry reading is below the
expected reference range. The nurse should take action to maintain the child's
oxygen saturation above 95%. When using the urgent vs. non-urgent approach to
client care, the nurse should identify that addressing the child's hypoxia is the priority
intervention.
Joint swelling and fever are incorrect. Swelling of the joints is non-urgent because it
is an expected finding for a child who has sickle cell disease. A low-grade fever is an
expected finding for a child who is experiencing a vase-occlusive crisis. Therefore,
there is another finding that is the nurse's priority.
Dropdown 2:
Pain is correct. The child reported their pain as 8 on a scale of 0 to 10, which
indicates severe pain. Vase-occlusive crises can cause severe pain due to tissue
ischemia from sickled cells obstructing blood flow. When using the urgent vs. non-
urgent approach to client care, the nurse should identify that addressing the child's
pain is the priority after addressing the child's hypoxia.
Anemia and hydration are incorrect. The child's hemoglobin and hematocrit levels
are below the expected reference range. Medications are often prescribed to
increase the production of red blood cells. However, this is a non-urgent finding. The
child's oral mucosa indicates dehydration, which can worsen the manifestations of a
vase-occlusive crisis. However, this is a non-urgent finding. Therefore, there is
another finding that is the nurse's priority.
A nurse is caring for a school-age child following an appendectomy.
After reviewing the information in the child's medical record, which of the following
findings should the nurse identify as a potential complication? Select the 3 findings
from the child's medical record that the nurse should identify as indications of a
potential complication.
WBC count, Oxygen saturation level, Platelets, Abdomen assessment, Temperature,
Abdominal dressing’s assessment - Correct Answer WBC count is correct. The
Questions and Answers
A nurse is teaching the parent of a preschooler about ways to prevent acute asthma
attacks. Which of the following statements by the parents indicates and
understanding of the teaching?
"I will use a humidifier in my child's room at night"
"I will give my child a cough suppressant every 6 hours if he has a cough."
"I should avoid using a wet mop on my floors when I am cleaning."
"I should keep my child indoors when I mow the yard." - Correct Answer d. "I
should keep my child indoors when I mow the yard."
The nurse should instruct the parent to keep the preschooler indoors during lawn
maintenance or when the pollen count is increased. Guarding against exposure to
known allergens found outdoors, such as grass, tree, and weed pollen, will decrease
the frequency of the preschooler's asthma attacks.
A nurse is assessing a 6-year-old child immediately following surgery for a
perforated appendix. Which of the following findings should the nurse expect?
Purulent drainage from the NG tube
Hypoactive bowel sounds
Passage of dark-red stool with mucus
Urine output of 20 mL/hr - Correct Answer b. Hypoactive bowel sounds
The nurse should expect hypoactive bowel sounds following appendicular rupture or
if the child has developed peritonitis. Additionally, hypoactive bowel sounds are an
expected finding immediately following abdominal surgery, until full peristalsis
resumes.
The nurse is assessing a school-age child who has an acute spinal cord injury
following a sports injury 1 week ago. Identify the area the nurse should tap to elicit
the biceps reflex. - Correct Answer A is correct. The nurse should identify that this
is the location to tap to elicit the biceps reflex.
B is incorrect. The nurse should tap this location to elicit the triceps reflex.
C is incorrect. The nurse should tap this location to elicit the brachioradialis reflex.
A nurse on a pediatric unit is caring for a toddler.
,Which of the following potential provider prescriptions should the nurse identify as
anticipated or contraindicated?
Potential Provider's Prescription: (Anticipated or Contraindicated)
Administer factor VIII
Apply ice packs to the infected joints
Administer morphine PRN pain
Perform passive range-of-motion (ROM) exercises during the first 12 hr following
injury
Elevate the affected joints - Correct Answer Administer factor VIII is anticipated.
The child is experiencing an acute episode of hemophilia due to a recent fall. During
this acute episode, there is potential for internal bleeding into the joint spaces.
Therefore, administering factor VIII is anticipated to control bleeding.
Apply ice packs to the affected joints is anticipated. The child is experiencing an
acute episode of hemarthrosis due to a recent fall, as evidenced by the bruising and
swelling of the knee joint. Therefore, applying ice packs to the affected joints is
anticipated to manage discomfort and decrease bleeding into the joint.
Administer morphine PRN pain is anticipated. The child is experiencing severe pain.
Opioids can be administered in the inpatient setting to relieve pain. Otherwise,
acetaminophen can be given at home for pain. Aspirin and NSAIDs should be
avoided because they inhibit platelet function and might increase bleeding.
Perform passive range-of-motion (ROM) exercises during the first 12 hr following
injury is contraindicated. The child is experiencing an acute episode of hemarthrosis.
Passive ROM exercises can increase bleeding into the joint for the first 48 hr
following injury. The toddler should be encouraged to exercise the joint as tolerated.
Elevate the affected joints is anticipated. The child is experiencing an acute episode
of hemarthrosis due to a recent fall, as evidenced by the bruising and 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.
A nurse is providing discharge teaching to the parent of an 18-month-old toddler who
has dehydration due to acute diarrhea. Which of the following statements by the
parent indicates an understanding of the teaching?
"I will offer my child small amounts of fruit juice frequently.."
"I will avoid giving my child solid foods until the diarrhea has stopped,"
"I will monitor my child's number of wet diapers."
"I will give my child polyethylene glycol daily for 7 days." - Correct Answer c.
"I will monitor my child's number of wet diapers."
, The nurse should teach the parent to closely monitor the child's number of wet
diapers. Monitoring the number of wet diapers per day is an effective way for the
parent to monitor adequate output and hydration status.
A nurse on a pediatric unit is caring for a school-age child.
After reviewing the information in the child's medical record, which of the following
findings should the nurse address first?
The nurse should address the child's (oxygen saturation/joint swelling/fever) followed
by the child's (pain/anemia/hydration). - Correct Answer Dropdown 1:
Oxygen saturation is correct. The child's pulse oximetry reading is below the
expected reference range. The nurse should take action to maintain the child's
oxygen saturation above 95%. When using the urgent vs. non-urgent approach to
client care, the nurse should identify that addressing the child's hypoxia is the priority
intervention.
Joint swelling and fever are incorrect. Swelling of the joints is non-urgent because it
is an expected finding for a child who has sickle cell disease. A low-grade fever is an
expected finding for a child who is experiencing a vase-occlusive crisis. Therefore,
there is another finding that is the nurse's priority.
Dropdown 2:
Pain is correct. The child reported their pain as 8 on a scale of 0 to 10, which
indicates severe pain. Vase-occlusive crises can cause severe pain due to tissue
ischemia from sickled cells obstructing blood flow. When using the urgent vs. non-
urgent approach to client care, the nurse should identify that addressing the child's
pain is the priority after addressing the child's hypoxia.
Anemia and hydration are incorrect. The child's hemoglobin and hematocrit levels
are below the expected reference range. Medications are often prescribed to
increase the production of red blood cells. However, this is a non-urgent finding. The
child's oral mucosa indicates dehydration, which can worsen the manifestations of a
vase-occlusive crisis. However, this is a non-urgent finding. Therefore, there is
another finding that is the nurse's priority.
A nurse is caring for a school-age child following an appendectomy.
After reviewing the information in the child's medical record, which of the following
findings should the nurse identify as a potential complication? Select the 3 findings
from the child's medical record that the nurse should identify as indications of a
potential complication.
WBC count, Oxygen saturation level, Platelets, Abdomen assessment, Temperature,
Abdominal dressing’s assessment - Correct Answer WBC count is correct. The
