1|Page
NGN RN Pediatric Nursing Online Practice 2023 A
with Complete 60 Questions and Correct Answers
with Rationales / Ped Proctored Online Practice A
2023 with NGN real Test
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? - ...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. - ...ANSWER...✓✓ Apply
supplemental oxygen
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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? - ...ANSWER...✓✓
Monitor the child's oxygen saturation
,3|Page
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? - ...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? - ...ANSWER...✓✓ A school-age child who has
sickle cell anemia and reports decreased vision in the left
eye
, 4|Page
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? -
...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? - ...ANSWER...✓✓ Zinc oxide
NGN RN Pediatric Nursing Online Practice 2023 A
with Complete 60 Questions and Correct Answers
with Rationales / Ped Proctored Online Practice A
2023 with NGN real Test
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? - ...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. - ...ANSWER...✓✓ Apply
supplemental oxygen
,2|Page
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? - ...ANSWER...✓✓
Monitor the child's oxygen saturation
,3|Page
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? - ...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? - ...ANSWER...✓✓ A school-age child who has
sickle cell anemia and reports decreased vision in the left
eye
, 4|Page
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? -
...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? - ...ANSWER...✓✓ Zinc oxide
