Pediatric Nursing Practice 2024-2025: A+ Guide, Exams of Pediatrics

A comprehensive guide to pediatric nursing practice, covering a wide range of topics related to the care of children. It includes multiple-choice questions and answers, designed to test knowledge and understanding of key concepts in pediatric nursing. Particularly useful for students preparing for exams or seeking to enhance their understanding of pediatric nursing principles.

Typology: Exams

2024/2025

Available from 11/04/2024

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PN Pediatric Nursing Practice 2024-2025
A+ Guide
A nurse is collecting data for an adolescent who
has asthma and has received an albuterol
treatment. Which of the following findings indicates
an improvement in the adolescent's condition? -
correct answer ✅✅Respiratory rate 20/min
A nurse is collecting data from an 18-month-old
toddler who has just resented to the urgent care
clinic. Which of the following data should the nurse
investigate further? - correct answer ✅✅Blood
pressure 120/80 mm Hg
A nurse is collecting data from a school-age child.
The nurse should identify that which of the
following findings is a manifestation of physical
abuse? - correct answer ✅✅Bruises at various
stages of healing
A nurse is reinforcing teaching with the parents of
a 7-year-old child about behavioral expectations.
Which of the following behaviors should the nurse
include in the teaching? - correct answer
✅✅Spends a lot of time by themselves
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A+ Guide

A nurse is collecting data for an adolescent who has asthma and has received an albuterol treatment. Which of the following findings indicates an improvement in the adolescent's condition? - correct answer ✅✅Respiratory rate 20/min A nurse is collecting data from an 18-month-old toddler who has just resented to the urgent care clinic. Which of the following data should the nurse investigate further? - correct answer ✅✅Blood pressure 120/80 mm Hg A nurse is collecting data from a school-age child. The nurse should identify that which of the following findings is a manifestation of physical abuse? - correct answer ✅✅Bruises at various stages of healing A nurse is reinforcing teaching with the parents of a 7-year-old child about behavioral expectations. Which of the following behaviors should the nurse include in the teaching? - correct answer ✅✅Spends a lot of time by themselves

A+ Guide

A nurse is reinforcing teaching about liquid oral iron supplements with the guardian of school-age child who has iron deficiency anemia. Which of the following statements by the guardian indicates an understanding of the teaching? - correct answer ✅✅"I will give this medication to my child with a straw." A nurse in a pediatric clinic is assisting in the care of an infant who has heart failure and a prescription for digoxin. Which of the following statements by the parent indicates the desired therapeutic effect of the medication? - correct answer ✅✅"My baby is breathing easier than they used to." A nurse is preparing to administer ophthalmic drops to a child. Which of the following actions should the nurse take? - correct answer ✅✅Apply pressure to the lacrimal punctum for 1 min following administration

A+ Guide

of the following statements by the parent requires immediate intervention by the nurse? - correct answer ✅✅"My child has refused to drink any fluids for the past 8 hours." A nurse in a clinic is collecting data from an adolescent who has received all recommended immunizations through the age of 6 years. Which of the following immunizations should the nurse plan to administer? - correct answer ✅✅Tetanus, diphtheria toxoids, and acellular pertussis (Tdap) A nurse is assisting in the care of a preschooler who is suspected to have a Wilms tumor. Which of the following findings should the nurse expect? - correct answer ✅✅A decreased Hgb level A nurse is assisting with the admission of a toddler who has bacterial meningitis caused by Haemophilus influenza type B. Which of the following isolation guidelines should the nurse plan to initiate? - correct answer ✅✅Droplet precautions

A+ Guide

A nurse is reinforcing teaching regarding the immunization schedule with the parent of a 6- month-old infant during a well-child visit. Which of the following statements by the parent indicates and understanding of the teaching? - correct answer ✅✅"My baby will receive their third DTaP vaccine today." A nurse is assisting in the care of a child who has type 1 diabetes mellitus and has been receiving insulin via subcutaneous infusion pump. Which of the following laboratory tests would verify the average blood glucose level over the past 2 months? - correct answer ✅✅Glycosylated hemoglobin A nurse is reinforcing teaching with the guardian of a child who has a new diagnosis of enterobiasis. The nurse should advise the guardian to take which of the following actions to prevent infection? - correct answer ✅✅Trim the child's fingernails short

A+ Guide

A nurse in an emergency department is assisting in the care of a toddler. Click to highlight the findings that require follow-up. - correct answer ✅✅Parent reports the child's voice sounds muffled when they speak Toddler's chin is trust forward with tongue protruding, excessive drooling present Inspiratory stridor auscultated, mild suprasternal retractions visible Temperature 39.3° C (102.8°F) Heart rate 142/min Respiratory rate 34/min Oxygen saturation 91% on room air A nurse in an emergency department is assisting in the care of a toddler. For each toddler finding, click to specify if the finding is consistent with Acute Epiglottitis, Acute Laryngotracheobronchititis, or Acute Spasmodic Laryngitis - correct answer ✅✅Acute Epiglottitis: Age, Lung sounds, Parent report of voice characteristics, Temperature Acute laryngothracheobronchitis: Age, Lung sounds

A+ Guide

Acute Spasmodic Laryngitis: Age, Lung sounds A nurse has reviewed the Nurses' Notes and Vital Signs at 0100 and Provider Prescriptions at 0105. Complete the following sentence by using the lists of options - correct answer ✅✅Ensure resuscitation equipment is readily available Administering humidified oxygen The Nurse is assisting in planning care for the toddler as part of the inter professional team. Select 2 interventions the nurse should recommend including in the toddler's care plan - correct answer ✅✅Maintain the toddler on continuous pulse oximetry Instruct visitors to wear a surgical mask in the toddler's room The nurse is reinforcing teaching with the toddler's parents. Which of the following statements should the nurse include when reinforcing teaching. (Select all that apply) - correct answer ✅✅"The

A+ Guide

A nurse is collecting data about the dietary habits of an adolescent female client. The nurse should identify that which of the following findings puts the client at risk for nutritional deficits? - correct answer ✅✅The client fasts twice a week to manage dietary intake A nurse is reinforcing discharge teaching with the guardian of a school-age child who has acute lymphocytic leukemia and an absolute neutrophil count of 450/mm3 (2,500 to 8,000/mm3). Which of the following instructions should the nurse include?

- correct answer ✅✅"Keep your child away from crowded areas" During a well-child visit, the parent of a toddler expresses concern to the nurse that the toddler takes several hours to fall asleep at night. Which of the following recommendations should the nurse make? - correct answer ✅✅Provide the toddler with a favorite toy at bedtime

A+ Guide

A nurse is reinforcing teaching with an adolescent female client who has acne vulgarism and a new prescription for isotretinoin. Which of the following information should the nurse include? - correct answer ✅✅"You will need to have two negative pregnancy tests prior to starting this medication." A nurse is assisting with the administration of a nasogastric enteral feeding for an infant. Which of the following actions should the nurse take? - correct answer ✅✅Place the infant in semi- Fowler's position for 1 hr after the feeding A nurse is assisting with the care of a 4-year-old child who is prescribed an IV medication preoperatively. Which of the following techniques should the nurse use to assist the child to cope with this procedure? (select all that apply) - correct answer ✅✅Discussing the benefits of the procedure Giving the child needless IV supplies to play with Allowing the child to perform the procedure with a doll

A+ Guide

A nurse in a care provider's office is preparing to administer scheduled vaccines to an infant. The infant's parent refuses to allow the nurse to administer the vaccines. Which of the following actions should the nurse take? - correct answer ✅✅Provide the parent with a vaccine information sheet (VIS) A nurse is collecting data from a toddler at a well- child visit. Which of the following findings should the nurse identify as a possible indication of child maltreatment? - correct answer ✅✅Laceration on the side of the torso A nurse is caring for a school-age child who has hypocalcemia. Which of the following manifestations should the nurse expect? - correct answer ✅✅Hypotension A nurse is reinforcing discharge teaching with the guardian of a school-age child who has a new prescription for home oxygen therapy. Which of the following statements by the guardian indicates an

A+ Guide

understanding of the teaching? - correct answer ✅✅"I will make sure that electrical devices in the house are grounded." A nurse is assisting with a sterile dressing change for an adolescent who has a partial thickness burn on the right hip. Which of the following actions should the nurse take first? - correct answer ✅✅Administer pain medication to the client A nurse is assisting with the care of a school-age child who has congestive heart failure and is receiving digoxin. Which of the following manifestations should the nurse report to the provider? - correct answer ✅✅2+ edema in lower extremities A nurse is preparing to leave the room after performing nasal suctioning for an infant who has (RSV). Identify the sequence in which the nurse should remove the following (PPE) - correct answer ✅✅Gloves Goggles

A+ Guide

A nurse is assisting in the care of a school-aged child who has hemophilia A. Which of the following should the nurse recognize as a manifestation of this disorder? - correct answer ✅✅Joint pain and stiffness A nurse is assisting with scoliosis screenings for a group of school-aged children. The nurse should place the students in which of the following positions during the screening? - correct answer ✅✅Bending forward with back parallel to the floor A nurse is reinforcing dietary teaching with the parent of a 2-year-old toddler. Which of the following should the nurse include in the teaching?

- correct answer ✅✅"An appropriate serving size is 1 tablespoon of food per year of age." A nurse is assisting with the care of a school-age child following an appendectomy. Select the 3 findings that the nurse should identify as indications of potential complication - correct answer ✅✅Temperature

A+ Guide

Abdominal assessment WBC count A nurse is reinforcing teaching with the family of an adolescent who was recently diagnosed with celiac disease. Which of the following foods should the nurse recommend? - correct answer ✅✅Yellow corn A nurse is assisting with the development of a health promotion program for the guardians of adolescents. Which of the following information about adolescents should the nurse recommend to include in the program? - correct answer ✅✅The leading cause of death in adolescents is physical injury A nurse is assisting with the care of an 8-month-old infant. Click to highlight the information in the Nurses' Notes that indicate the infant's condition is improving. - correct answer ✅✅Infant is sleeping in parent's arms

A+ Guide

that the nurse should report to the provider - correct answer ✅✅Respiratory assessment Oxygen saturation WBC count ABGs Which of the following statements by the guardians indicates that the discharge teaching was effective? - correct answer ✅✅"We should use a mild detergent for our laundry" "We should keep our child's fingernails trimmed short" "We should apply skin emollient immediately after bathing our child" A nurse in a pediatric clinic is observing for an anaphylactic reaction after administering an IM antibiotic to a child 5 min ago. Which of the following manifestations should the nurse expect to observe first? - correct answer ✅✅Hives

A+ Guide

A nurse on the pediatric unit is assisting with the care of a preschooler. Complete the following sentence by using the lists of options - correct answer ✅✅Splenomegaly Positive mononucleosis spot test A nurse is assisting in the care of a toddler following a tonsillectomy. Which of the following is the priority finding that the nurse should report to the provider? - correct answer ✅✅Continuous swallowing