RN PEDIATRIC NURSING ONLINE
PRACTICE 2026 B QUESTIONS
AND VERIFIED ANSWER
1. 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.ANS> C. Administer the immunization using a 24-
gauge needle.
RationaleANS> 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.
2. 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 imme- diate 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.ANS> A. Place the
child in a side-lying position.
, RationaleANS> The nurse should place the child in a side-lying
position to prevent aspiration.
3. NGN* A nurse on a Peds unit is admitting a preschooler. Vital
Signs (0715ANS>) T
38.3° C (100.9° F) HR 126/min RR 26/min O2 97%. Physical
exam Pt has been tired lately and has a sore throat and fever.
Tolerating sips of liquids but is refusing solids. UO dark yellow
urine. Alert, responsive to verbal stim. MM dry, sticky. Skin
turgor w/o tenting. Tonsils enlarged, erythematous. Resps
regular and non-labored. No accessory muscle use. Lungs
clear ant& post bilat. PMI in L mid-clavic line 4th ICS. HR
regular w/o murmurs, gallops, rubs. Radial, pedal pulse 2+ bilat.
Cap refill >2 sec. Abd flat, non-distended. Bowel sounds active
in all 4 quadS. Extrems warm and dry to touch. Mononucl rapid
testANS> posit (neg)
RN should identify that the child is at risk for developing what?
,Dropdown 1ANS> Splenomegaly, Acute post-streptococcal
glomerulonephritis (APSGN), Dysrhythmias
Dropdown 2ANS> + mono rapid test, UO, Cardio
assessmentANS> 1. Splenomegaly
RationaleANS> The child's positive mononucleosis rapid test result indicates the
presence of infectious mono, a condi- tion 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
RationaleANS> The child's positive mononucleosis rapid test result indicates the
presence of infectious mono, a condi- tion 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.
4. ***A nurse is assessing an infant who has a ventricular
septal defect. Which of the following findings should the
nurse expect?
A. Loud, harsh murmur
B. Dysrhythmias
C. Weak femoral pulses
D. High blood pressureANS> A. Loud, harsh murmur
RationaleANS> The nurse should expect to hear a loud, harsh murmur with a ventricular septal
defect due to the left-to-right shunting of blood, which contributes to hypertrophy of the
infant's heart muscle.
Ventricular septal defect does not attect the electrical conduction of the heart. Therefore,
the nurse should not expect to hear dysrhythmias when assessing this infant. The nurse
, should expect weak femoral pulses when assessing an infant who has coarctation of the
aorta. The nurse should expect an elevated blood pressure when assessing an infant
who has coarctation of the aorta.
5. A nurse is providing discharge teaching the guardians of
a toddler with a lower leg cast applied 24 hours ago. The
nurse should instruct the guardians to report which of
the following findings to the provider?
A. Capillary refill time < 2 seconds.
B. Restricted ability to move the toes.
PRACTICE 2026 B QUESTIONS
AND VERIFIED ANSWER
1. 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.ANS> C. Administer the immunization using a 24-
gauge needle.
RationaleANS> 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.
2. 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 imme- diate 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.ANS> A. Place the
child in a side-lying position.
, RationaleANS> The nurse should place the child in a side-lying
position to prevent aspiration.
3. NGN* A nurse on a Peds unit is admitting a preschooler. Vital
Signs (0715ANS>) T
38.3° C (100.9° F) HR 126/min RR 26/min O2 97%. Physical
exam Pt has been tired lately and has a sore throat and fever.
Tolerating sips of liquids but is refusing solids. UO dark yellow
urine. Alert, responsive to verbal stim. MM dry, sticky. Skin
turgor w/o tenting. Tonsils enlarged, erythematous. Resps
regular and non-labored. No accessory muscle use. Lungs
clear ant& post bilat. PMI in L mid-clavic line 4th ICS. HR
regular w/o murmurs, gallops, rubs. Radial, pedal pulse 2+ bilat.
Cap refill >2 sec. Abd flat, non-distended. Bowel sounds active
in all 4 quadS. Extrems warm and dry to touch. Mononucl rapid
testANS> posit (neg)
RN should identify that the child is at risk for developing what?
,Dropdown 1ANS> Splenomegaly, Acute post-streptococcal
glomerulonephritis (APSGN), Dysrhythmias
Dropdown 2ANS> + mono rapid test, UO, Cardio
assessmentANS> 1. Splenomegaly
RationaleANS> The child's positive mononucleosis rapid test result indicates the
presence of infectious mono, a condi- tion 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
RationaleANS> The child's positive mononucleosis rapid test result indicates the
presence of infectious mono, a condi- tion 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.
4. ***A nurse is assessing an infant who has a ventricular
septal defect. Which of the following findings should the
nurse expect?
A. Loud, harsh murmur
B. Dysrhythmias
C. Weak femoral pulses
D. High blood pressureANS> A. Loud, harsh murmur
RationaleANS> The nurse should expect to hear a loud, harsh murmur with a ventricular septal
defect due to the left-to-right shunting of blood, which contributes to hypertrophy of the
infant's heart muscle.
Ventricular septal defect does not attect the electrical conduction of the heart. Therefore,
the nurse should not expect to hear dysrhythmias when assessing this infant. The nurse
, should expect weak femoral pulses when assessing an infant who has coarctation of the
aorta. The nurse should expect an elevated blood pressure when assessing an infant
who has coarctation of the aorta.
5. A nurse is providing discharge teaching the guardians of
a toddler with a lower leg cast applied 24 hours ago. The
nurse should instruct the guardians to report which of
the following findings to the provider?
A. Capillary refill time < 2 seconds.
B. Restricted ability to move the toes.
