PEDIATRIC NURSING EXAM QUESTIONS & ANSWERS 2025 | LEAD
POISONING, SHOCK, IMMUNIZATIONS & POSTOPERATIVE CARE | A+
SUCCESS GUARANTEED.
A nurse in an emergency department is caring for a school-age child who is
☑️
experiencing an anaphylactic reaction. Which of the following is the priority
action by the nurse? - CORRECT ANSWER Administer epinephrine IM
Rationale: When using the urgent vs. non-urgent approach to client care, the nurse
should determine that the priority action is administering epinephrine IM to the child.
During an anaphylactic reaction, histamine release causes bronchoconstriction and
vasodilation. This is an emergency because ultimately it causes decreased blood return
to the heart.
A nurse in a pediatric emergency department is planning care for an adolescent.
Based on the information in the adolescent's medical record, which of the
☑️
following actions should the nurse plan to take?
Select all that apply. - CORRECT ANSWER Apply supplemental oxygen
Rationale: According to the medical record and chest x-ray report, the adolescent could
potentially have a pneumothorax. Also according to the medical record and chest x-ray
report, the adolescent's oxygen saturation level is decreasing, which indicates hypoxia.
Therefore, the nurse should plan to administer supplemental oxygen.
Prepare for chest tube insertion
Rationale: According to the medical record and chest x-ray report, the adolescent could
potentially have a pneumothorax. A pneumothorax is the presence of air in the pleural
cavity, which results in decreased lung expansion. The adolescent could experience
dyspnea, tachypnea, tachycardia, hypoxia, and pain. This requires prompt intervention
by the provider, such as the placement of a chest tube into the thoracic cavity to remove
air and fluid from the pleural space, if present, allowing the lung to re-expand.
☑️
A nurse in an emergency department is caring for a school-age child who has
epiglottitis. Which of the following actions should the nurse take? - CORRECT
ANSWER Monitor the child's oxygen saturation
Rationale: The nurse should monitor the child's oxygen saturation level because the
child is experiencing acute respiratory distress and it is necessary to determine if the
child is responding to treatment.
, A nurse is providing teaching about play activities for social development to the
☑️
guardians of a preschooler. Which of the following play activities should the
nurse recommend for the child? - CORRECT ANSWER Playing dress-up
Rationale: The nurse should instruct the guardians that at the preschool age, play
should focus on social, mental, and physical development. Therefore, playing dress-up
is a recommended play activity for this child.
☑️
A nurse is receiving change-of-shift report for four children. Which of the
following children should the nurse see first? - CORRECT ANSWER A
school-age child who has sickle cell anemia and reports decreased vision in the left eye
Rationale: When using the urgent vs. non-urgent approach to client care, the nurse
should determine the priority finding is a report of decreased vision in the left eye. This
finding indicates that the child is experiencing a vaso-occlusive crisis and should be
reported to the provider immediately. Therefore, the nurse should see this child first.
A nurse is providing teaching to the parents of a preschooler who has heart
☑️
failure and a new prescription for digoxin twice daily. Which of the following
instructions should the nurse include in the teaching? - CORRECT ANSWER
"Brush the child's teeth after giving the medication."
Rationale: The nurse should instruct the parents to brush the child's teeth after
administering digoxin to prevent tooth decay caused by the medication, which comes as
a sweetened liquid to enhance the taste.
A nurse is providing teaching to the parent of an infant who has diaper dermatitis.
☑️
The nurse should instruct the parent to apply which of the following to the
affected area? - CORRECT ANSWER Zinc oxide
Rationale: Diaper dermatitis is a common inflammatory skin disorder caused by contact
with an irritant such as urine, feces, soap, or friction, and takes the form of scaling,
blisters, or papules with erythema. Providing a protective barrier, such as zinc oxide,
against the irritants allows the skin to heal.
A nurse is caring for a client who has been receiving IV fluids via a peripheral IV
catheter. When preparing to discontinue the IV fluids and catheter, which of the
following actions should the nurse plan to take? (Move the steps into the box on
the right, placing them in the order of performance. Use all the steps.) -
POISONING, SHOCK, IMMUNIZATIONS & POSTOPERATIVE CARE | A+
SUCCESS GUARANTEED.
A nurse in an emergency department is caring for a school-age child who is
☑️
experiencing an anaphylactic reaction. Which of the following is the priority
action by the nurse? - CORRECT ANSWER Administer epinephrine IM
Rationale: When using the urgent vs. non-urgent approach to client care, the nurse
should determine that the priority action is administering epinephrine IM to the child.
During an anaphylactic reaction, histamine release causes bronchoconstriction and
vasodilation. This is an emergency because ultimately it causes decreased blood return
to the heart.
A nurse in a pediatric emergency department is planning care for an adolescent.
Based on the information in the adolescent's medical record, which of the
☑️
following actions should the nurse plan to take?
Select all that apply. - CORRECT ANSWER Apply supplemental oxygen
Rationale: According to the medical record and chest x-ray report, the adolescent could
potentially have a pneumothorax. Also according to the medical record and chest x-ray
report, the adolescent's oxygen saturation level is decreasing, which indicates hypoxia.
Therefore, the nurse should plan to administer supplemental oxygen.
Prepare for chest tube insertion
Rationale: According to the medical record and chest x-ray report, the adolescent could
potentially have a pneumothorax. A pneumothorax is the presence of air in the pleural
cavity, which results in decreased lung expansion. The adolescent could experience
dyspnea, tachypnea, tachycardia, hypoxia, and pain. This requires prompt intervention
by the provider, such as the placement of a chest tube into the thoracic cavity to remove
air and fluid from the pleural space, if present, allowing the lung to re-expand.
☑️
A nurse in an emergency department is caring for a school-age child who has
epiglottitis. Which of the following actions should the nurse take? - CORRECT
ANSWER Monitor the child's oxygen saturation
Rationale: The nurse should monitor the child's oxygen saturation level because the
child is experiencing acute respiratory distress and it is necessary to determine if the
child is responding to treatment.
, A nurse is providing teaching about play activities for social development to the
☑️
guardians of a preschooler. Which of the following play activities should the
nurse recommend for the child? - CORRECT ANSWER Playing dress-up
Rationale: The nurse should instruct the guardians that at the preschool age, play
should focus on social, mental, and physical development. Therefore, playing dress-up
is a recommended play activity for this child.
☑️
A nurse is receiving change-of-shift report for four children. Which of the
following children should the nurse see first? - CORRECT ANSWER A
school-age child who has sickle cell anemia and reports decreased vision in the left eye
Rationale: When using the urgent vs. non-urgent approach to client care, the nurse
should determine the priority finding is a report of decreased vision in the left eye. This
finding indicates that the child is experiencing a vaso-occlusive crisis and should be
reported to the provider immediately. Therefore, the nurse should see this child first.
A nurse is providing teaching to the parents of a preschooler who has heart
☑️
failure and a new prescription for digoxin twice daily. Which of the following
instructions should the nurse include in the teaching? - CORRECT ANSWER
"Brush the child's teeth after giving the medication."
Rationale: The nurse should instruct the parents to brush the child's teeth after
administering digoxin to prevent tooth decay caused by the medication, which comes as
a sweetened liquid to enhance the taste.
A nurse is providing teaching to the parent of an infant who has diaper dermatitis.
☑️
The nurse should instruct the parent to apply which of the following to the
affected area? - CORRECT ANSWER Zinc oxide
Rationale: Diaper dermatitis is a common inflammatory skin disorder caused by contact
with an irritant such as urine, feces, soap, or friction, and takes the form of scaling,
blisters, or papules with erythema. Providing a protective barrier, such as zinc oxide,
against the irritants allows the skin to heal.
A nurse is caring for a client who has been receiving IV fluids via a peripheral IV
catheter. When preparing to discontinue the IV fluids and catheter, which of the
following actions should the nurse plan to take? (Move the steps into the box on
the right, placing them in the order of performance. Use all the steps.) -
