RN Pediatric Nursing Online Practice 2023 A
Study online at https://quizlet.com/_e1ca1o
1. 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?: 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.
2. A nurse in a pediatric emergency department is planning care for an ado-
lescent. 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.: 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.
3. 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?: 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.
4. 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?: Playing dress-up
, RN Pediatric Nursing Online Practice 2023 A
Study online at https://quizlet.com/_e1ca1o
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.
5. A nurse is receiving change-of-shift report for four children. Which of the
following children should the nurse see first?: 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.
6. 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?: "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.
7. 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?: 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.
8. 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.): First, the nurse should turn off the IV pump. Next, the nurse should occlude
the IV tubing, and then remove the tape securing the catheter. Last, the nurse should
apply pressure over the catheter insertion site.
9. A 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
, RN Pediatric Nursing Online Practice 2023 A
Study online at https://quizlet.com/_e1ca1o
elicit the biceps reflex. (You will find hot spots to select in the artwork below.
Select only the hot spot that corresponds to your answer.): A
10. A nurse is caring for a school-age child who is receiving chemotherapy
and is severely immunocompromised. Which of the following actions should
the nurse take?: Screen the child's visitors for indications of infection.
Rationale: A child who is severely immunocompromised is unable to adequately
respond to infectious organisms, resulting in the potential for overwhelming infection.
Therefore, the nurse should screen the child's visitors for indications of infection.
11. A nurse is providing teaching to the parent of a school-age child who has a
new prescription for oral nystatin for the treatment of oral candidiasis. Which
of the following instructions should the nurse include?: "Shake the medication
prior to administration."
Rationale: The nurse should instruct the parent to shake the medication prior to
administration to disperse the medication evenly within the suspension.
12. A nurse is teaching a group of parents about infectious mononucleosis.
Which of the following statements by a parent indicates an understanding the
teaching?: "Mononucleosis is caused by an infection with the Epstein-Barr virus."
Rationale: The nurse should identify that mononucleosis is a mildly contagious
illness that occurs sporadically or in groups, and is primarily caused by the Ep-
stein-Barr virus.
13. A nurse is creating a plan of care for a school-age child who has heart
disease and has developed heart failure. Which of the following interventions
should the nurse include in the plan?: Provide small, frequent meals for the child.
Rationale: The metabolic rate of a child who has heart failure is high because of poor
cardiac function. Therefore, the nurse should provide small, frequent meals for the
child because it helps to conserve energy.
14. A nurse is providing anticipatory guidance to the guardian of a toddler.
Which of the following expected behavior characteristics of toddlers should
the nurse include?: Expresses likes and dislikes
Rationale: The nurse should include that expressing likes and dislikes is an expected
behavior of toddlers. This is the time in life when a toddler is developing autonomy
and self-concept. They will try to assert themselves and frequently refuse to comply.
The guardian should allow the child to have some control, but also set limits for them
so they learn from their behavior and learn to control their actions.
Study online at https://quizlet.com/_e1ca1o
1. 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?: 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.
2. A nurse in a pediatric emergency department is planning care for an ado-
lescent. 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.: 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.
3. 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?: 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.
4. 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?: Playing dress-up
, RN Pediatric Nursing Online Practice 2023 A
Study online at https://quizlet.com/_e1ca1o
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.
5. A nurse is receiving change-of-shift report for four children. Which of the
following children should the nurse see first?: 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.
6. 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?: "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.
7. 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?: 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.
8. 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.): First, the nurse should turn off the IV pump. Next, the nurse should occlude
the IV tubing, and then remove the tape securing the catheter. Last, the nurse should
apply pressure over the catheter insertion site.
9. A 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
, RN Pediatric Nursing Online Practice 2023 A
Study online at https://quizlet.com/_e1ca1o
elicit the biceps reflex. (You will find hot spots to select in the artwork below.
Select only the hot spot that corresponds to your answer.): A
10. A nurse is caring for a school-age child who is receiving chemotherapy
and is severely immunocompromised. Which of the following actions should
the nurse take?: Screen the child's visitors for indications of infection.
Rationale: A child who is severely immunocompromised is unable to adequately
respond to infectious organisms, resulting in the potential for overwhelming infection.
Therefore, the nurse should screen the child's visitors for indications of infection.
11. A nurse is providing teaching to the parent of a school-age child who has a
new prescription for oral nystatin for the treatment of oral candidiasis. Which
of the following instructions should the nurse include?: "Shake the medication
prior to administration."
Rationale: The nurse should instruct the parent to shake the medication prior to
administration to disperse the medication evenly within the suspension.
12. A nurse is teaching a group of parents about infectious mononucleosis.
Which of the following statements by a parent indicates an understanding the
teaching?: "Mononucleosis is caused by an infection with the Epstein-Barr virus."
Rationale: The nurse should identify that mononucleosis is a mildly contagious
illness that occurs sporadically or in groups, and is primarily caused by the Ep-
stein-Barr virus.
13. A nurse is creating a plan of care for a school-age child who has heart
disease and has developed heart failure. Which of the following interventions
should the nurse include in the plan?: Provide small, frequent meals for the child.
Rationale: The metabolic rate of a child who has heart failure is high because of poor
cardiac function. Therefore, the nurse should provide small, frequent meals for the
child because it helps to conserve energy.
14. A nurse is providing anticipatory guidance to the guardian of a toddler.
Which of the following expected behavior characteristics of toddlers should
the nurse include?: Expresses likes and dislikes
Rationale: The nurse should include that expressing likes and dislikes is an expected
behavior of toddlers. This is the time in life when a toddler is developing autonomy
and self-concept. They will try to assert themselves and frequently refuse to comply.
The guardian should allow the child to have some control, but also set limits for them
so they learn from their behavior and learn to control their actions.
