RN Pediatric Nursing Online Practice B Test Exam with questions and answers 100%Correctly, Exams of Nursing

Download RN Pediatric Nursing Online Practice B Test Exam with questions and answers 100%Correctly and more Exams Nursing in PDF only on Docsity! RN Pediatric Nursing Online Practice B Test Exam with questions and answers 100%Correctly verified answers latest update 2024/2025 RATED A+ Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress. - CORRECT ANSWERS educate the guardian about sweat chloride testing for the toddler and prepare the toddler for chest physiotherapy. The toddler is most likely experiencing cystic fibrosis, as evidenced by reports of recurring respiratory infections, wheezing, coughing, tachypnea, tachycardia, labored respirations, decreased oxygen saturation, nasal congestion, inability to gain weight, loose fatty stool, salty tasting sweat, and hyponatremia. To evaluate the toddler's response to these interventions, the nurse should monitor the toddler's oxygen saturation level and stools. These are parameters that indicate if the toddler is further experiencing respiratory distress, inadequate intake, and dehydration, which can lead to further complications, including pneumothorax, respiratory failure, and failure to thrive A nurse is caring for a school age child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first? - CORRECT ANSWERS Epinephrine This child is most likely experiencing an anaphylactic reaction to the cefazolin. According to evidence-based practice, the nurse should first administer epinephrine to treat the anaphylaxis. Epinephrine is a beta-adrenergic agonist that stimulates the heart, causes vasoconstriction of blood vessels in the skin and mucous membranes, and triggers bronchodilation in the lungs. Which of the following statements by a guardian indicate that the discharge teaching was effective? Select all that apply - CORRECT ANSWERS "We should apply a skin emollient immediately after bathing our child" is correct. An emollient is an oil that moisturizes the skin and should be applied immediately after bathing, while the skin is damp, to prevent drying. Therefore this statement by the guardian indicates the teaching has been effective. "We should keep our child's fingernails trimmed short" is correct. The child's fingernails and toenails should be kept short, trimmed, and filed to prevent scratching with sharp edges. Therefore this statement by the guardian indicates the teaching has been effective. "We should use a mild detergent for our laundry" is correct. The use of mild detergents for laundry helps prevent allergens and itching. Therefore this statement by the guardian indicates the teaching has been effective. RN Pediatric Nursing Online Practice B Test Exam with questions and answers 100%Correctly verified answers latest update 2024/2025 RATED A+ A nurse is providing discharge teaching to the parent of a school age child who has moderate persistent asthma. Which of the following instructions should the nurse include? - CORRECT ANSWERS "Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy." The nurse should inform the parent that their child will need pulmonary function tests every 12 to 24 months to evaluate the presence of lung disease and how the child is responding to the current treatment regimen. As children grow, sometimes their manifestations can improve or decline, and treatment needs to change accordingly. A nurse is monitoring oxygen saturation of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant? - CORRECT ANSWERS Great Toe The nurse should secure the sensor to the great toe of the infant and then place a snug-fitting sock on the foot to hold the sensor in place. The nurse should also check the skin under the sensor site frequently for temperature, color, and the presence of a pulse. After reviewing the information in the child's medical record, which of the following findings should the nurse report to the provider? Select the 4 findings that the nurse should report to the provider. - CORRECT ANSWERS Arterial blood gases is correct. The child's arterial blood gases (ABGs) indicate respiratory alkalosis, which is associated with complications of asthma, such as hyperventilation and hypoxia. Therefore, the nurse should report these findings to the provider. WBC count is correct. The child's WBC count is above the expected reference range, which could be an indication of infection or inflammation. Therefore, the nurse should report this finding to the provider. Oxygen saturation level is correct. The child's oxygen saturation level has decreased below the expected reference range despite the use of supplemental oxygen. Therefore, the nurse should report this finding to the provider. Respiratory assessment is correct. The child's respiratory assessment indicates increased respiratory distress, as evidenced by the presence of tachypnea, retractions, and increased wheezing. Therefore, the nurse should report these findings to the provider. RN Pediatric Nursing Online Practice B Test Exam with questions and answers 100%Correctly verified answers latest update 2024/2025 RATED A+ This statement offers a general lead to allow the parent to express their feelings and previous actions when faced with stressful situations. It also helps the parent to focus on ways that they can cope with the current situation. A nurse is planning developmental activities for a newly admitted 10 yr old child who has neutropenia. Which of the following actions should the nurse take first? - CORRECT ANSWERS Provide the child with a book about adventure. The nurse should provide a school-age child with a book about adventure as a developmental activity because children are expanding their knowledge and imagination during this age. Through reading, school-age children can feel powerful and skillful as they imagine themselves in the stories they read. A school nurse is providing an in service for faculty about improving education for students who have ADHD. Which of the following statements by a faculty member indicates an understanding of the teaching? - CORRECT ANSWERS "I will teach challenging academic subjects to students who have ADHD in the morning." Faculty should plan to teach challenging academic subjects in the morning when students who have ADHD are most able to focus and their medication is most likely to be effective. A school nurse is caring for a child following a tonic clonic seizure. Which of the following actions should the nurse take first? - CORRECT ANSWERS Check the child's respiratory rate. When using the airway, breathing, and circulation approach to client care, the nurse should determine the priority action is to assess the child's respiratory rate. If the child is not breathing, the nurse should administer rescue breaths. A nurse is teaching the parent of an infant about ways to prevent sudden unexplained infant death (SUID). Which of the following instructions should the nurse include? - CORRECT ANSWERS "Give the infant a pacifier at bedtime." The nurse should inform the parent that protective factors against SUID include breastfeeding and the use of a pacifier when the infant is sleeping. A nurse is reviewing the lab report of an infant who is receiving treatment for severe dehydration. The nurse should identify that which of the following lab values indicates effectiveness of the current treatment? - CORRECT ANSWERS Sodium 140 mEq/L RN Pediatric Nursing Online Practice B Test Exam with questions and answers 100%Correctly verified answers latest update 2024/2025 RATED A+ The nurse should identify that a sodium level of 140 mEq/L is within the expected reference range of 134 to 150 mEq/L and indicates the current treatment regimen the infant is receiving for dehydration is effective. A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the nurse clarify with the provider? - CORRECT ANSWERS Potassium chloride The nurse should identify that a child who has congestive heart failure can develop electrolyte imbalances, such as hyperkalemia or hypokalemia. The nurse should identify that the child is exhibiting manifestations of hyperkalemia and contact the provider about the administration of potassium chloride, which can increase the severity of hyperkalemia. A nurse is receiving a change of shift report for four children. Which of the following children should the nurse assess first? - CORRECT ANSWERS A toddler who has a concussion and is experiencing an episode of forceful vomiting When using the urgent vs. nonurgent approach to client care, the nurse should assess this child first. An episode of forceful vomiting is an indication of increased intracranial pressure in a toddler who has a concussion. A nurse is planning an educational program to teach caregivers about protecting their children from sunburns. Which of the following instructions should the nurse plan to include? - CORRECT ANSWERS "Choose a waterproof sunscreen with a minimum SPF of 15." The nurse should instruct caregivers to apply a waterproof sunscreen with a minimum SPF of 15 for children. The parents should apply the sunscreen prior to sun exposure to reduce the risk of sunburn. A nurse is planning care for a school age child who has a tunneled central venous access device. Which of the following interventions should the nurse include in the plan? - CORRECT ANSWERS Use a semipermeable transparent dressing to cover the site. The nurse should cover the site with a semipermeable transparent dressing to reduce the risk of infection. RN Pediatric Nursing Online Practice B Test Exam with questions and answers 100%Correctly verified answers latest update 2024/2025 RATED A+ A nurse is caring for a school age child who is receiving a blood transfusion. Which of the following manifestations should alert the nurse to a possible hemolytic transfusion reaction? - CORRECT ANSWERS Flank pain The nurse should recognize that flank pain is caused by the breakdown of RBCs and is an indication of a hemolytic reaction to the blood transfusion. A nurse is reviewing the lumbar puncture results of a school age child who is suspected of having bacterial meningitis. Which of the following findings should the nurse identify as an indication of bacterial meningitis? - CORRECT ANSWERS Increased protein concentration The nurse should identify that an increased protein concentration in the spinal fluid is a finding that can indicate bacterial meningitis. A nurse in an emergency department is performing a physical assessment on a 2 week old male newborn. Which of the following findings is priority for the nurse to report to the provider? - CORRECT ANSWERS Substernal retractions When using the airway, breathing, and circulation approach to client care, the nurse should determine that the priority finding to report to the provider is substernal retractions. This finding indicates the newborn is experiencing increased respiratory effort, which could quickly progress to respiratory failure. A nurse is preparing to collect a sample from a toddler for sickle turbidity test. Which of the following actions should the nurse plan to take? - CORRECT ANSWERS Perform a finger stick. The nurse should perform a finger stick on a toddler as a component of the sickle- turbidity test. If the test is positive, hemoglobin electrophoresis is required to distinguish between children who have the genetic trait and children who have the disease. A nurse is assessing a school age child who has peritonitis. Which of the following findings should the nurse expect? - CORRECT ANSWERS Abdominal distention The nurse should identify that abdominal distention is an expected finding of peritonitis. Peritonitis is an inflammation of the lining of the abdominal wall. This inflammation in the abdomen, along with the ileus that develops, causes abdominal distention. Other manifestations include chills, irritability, and restlessness. RN Pediatric Nursing Online Practice B Test Exam with questions and answers 100%Correctly verified answers latest update 2024/2025 RATED A+ "I will use a measured spoon or medicine cup to give my child hydroxyzine" is correct. "I can give my child hydroxyzine every 6 hours as needed" is correct. "Puppet play can be helpful for my child" is correct. "I need to assess for any redness or open skin areas before applying my child's left arm splint" is correct. "My child will need to use a compression garment to decrease blood supply to the scarred tissue" is correct. A nurse is providing dietary teaching to the parent of a school age child who has celiac disease. The nurse should recommend that the parent offer which of the following foods to the child? - CORRECT ANSWERS White rice The nurse should recommend that the parent offer white rice to the child because it is a gluten-free food. The nurse should instruct the parent that the child will remain on a lifelong gluten-free diet and the child should not consume oats, rye, barley, or wheat, and that sometimes lactose deficiency can be secondary to this disease. A nurse is providing discharge teaching to the guardians of a toddler who had a lower leg cast applied 24 hr ago. The nurse should instruct the guardians to report which of the following findings to the provider? - CORRECT ANSWERS Restricted ability to move the toes The nurse should inform the guardians that a restricted ability of the toddler to move their toes is an indication of neurovascular compromise and requires immediate notification of the provider. Permanent muscle and tissue damage can occur in just a few hours. A nurse is preparing to administer an immunization to a 4 yr old. which of the following action should the nurse plan to take? - CORRECT ANSWERS Administer the immunization using a 24-gauge needle. RN Pediatric Nursing Online Practice B Test Exam with questions and answers 100%Correctly verified answers latest update 2024/2025 RATED A+ 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. A nurse is creating a plan of care for a newly admitted adolescent who has bacterial meningitis. How long should the nurse plan to maintain the adolescent in droplet precautions? - CORRECT ANSWERS For 24 hr following initiation of antimicrobial therapy The nurse should plan to maintain the adolescent on droplet precautions for at least 24 hr following initiation of antimicrobial therapy. This will ensure that the adolescent is no longer contagious, which protects family members and the personnel caring for the client. Prophylactic antibiotics might be prescribed to individuals who were in close contact with the adolescent. A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should the nurse expect? - CORRECT ANSWERS Loud, harsh murmur 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. A nurse is caring for a toddler who has acute otitis media and a temp of 40 C (104 F). After administering acetaminophen, which of the following action should the nurse plan to take to reduce the toddlers temp? - CORRECT ANSWERS Dress the toddler in minimal clothing. The nurse should recognize that dressing the toddler in minimal clothing will expose the skin to air and maximize heat evaporation from the skin, thus reducing the toddler's temperature. A nurse is teaching a school age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching? - CORRECT ANSWERS "I will give myself a shot of regular insulin 30 minutes before I eat breakfast." The child should administer regular insulin 30 min before meals so that the onset coincides with food intake. RN Pediatric Nursing Online Practice B Test Exam with questions and answers 100%Correctly verified answers latest update 2024/2025 RATED A+ A nurse is caring for an infant who has respiratory syncytial virus (RSV). Which of the following actions should the nurse implement for infection control? - CORRECT ANSWERS Have a designated stethoscope in the infant's room. The nurse should initiate droplet precautions for an infant who has RSV because the virus is spread by direct contact with respiratory secretions. Therefore, designated equipment, such as a blood pressure cuff and stethoscope, should be placed in the infant's room. A school nurse is assessing an adolescent who has multiple burns in various stages of healing. Which of the following behaviors should the nurse identify as a possible indication of physical abuse? - CORRECT ANSWERS Denies discomfort during assessment of injuries The nurse should suspect child maltreatment in the form of physical abuse if the adolescent has a blunted response to painful stimuli or injury. A nurse is teaching the guardian of a 6 mo old about car seat use. Which of the following statements by the guardian indicates an understanding of the teaching? - CORRECT ANSWERS "I should secure the car seat using lower anchors and tethers instead of the seat belt." Lower anchors and tethers, or the LATCH child safety seat system, should be used to secure an infant's car seat in the vehicle. This system provides anchors between the front cushion and the back rest for the car seat. Therefore, if this system is available, the seat belt does not have to be used. A nurse is assessing a school age child who has an infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure? - CORRECT ANSWERS Difficulty concentrating The nurse should identify that irritability, inability to follow commands, and difficulty concentrating are manifestations of increased intracranial pressure due to decreased blood flow within the brain and pressure on the brainstem. 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 immediate postictal period? - CORRECT ANSWERS Place the child in a side-lying position. The nurse should place the child in a side-lying position to prevent aspiration. RN Pediatric Nursing Online Practice B Test Exam with questions and answers 100%Correctly verified answers latest update 2024/2025 RATED A+ take? - CORRECT ANSWERS Cleanse the affected area with mild soap and water. The nurse should wash the affected area with mild soap and water to remove any loose tissue that could cause infection. A nurse is assessing an infant who has pneumonia. Which of the following findings is the priority for the nurse to report to the provider? - CORRECT ANSWERS Nasal flaring When using the airway, breathing, and circulation approach to client care, the nurse should determine that the priority finding to report to the provider is nasal flaring. Nasal flaring indicates the infant is experiencing acute respiratory distress. A nurse is planning care for a school aged child who is in the oliguric phase of acute kidney injury (AKI) and has a sodium level of 129 mEq/L. Which of the following intervention should the nurse include in the plan? - CORRECT ANSWERS Initiate seizure precautions for the child. A sodium level of 129 mEq/L indicates hyponatremia and places the child at increased risk for neurological deficits and seizure activity. The nurse should complete a neurologic assessment and implement seizure precautions to maintain the child's safety. A nurse is caring for a preschool-age child. For each assessment finding, click to specify if the finding is consistent with nightmares, sleep terrors, or insomnia. Each finding may support more than 1 disease process. - CORRECT ANSWERS nightmares -Child's responsiveness to guardian -Daytime alertness -Timing of Child's cry -Impulsivity -Child's concentration -Child's description of the dream sleep terrors -Daytime alertness RN Pediatric Nursing Online Practice B Test Exam with questions and answers 100%Correctly verified answers latest update 2024/2025 RATED A+ -Impulsivity -Child's concentration -Child's return to sleeping insomnia -Daytime alertness -Child's concentration **This may or may not be correct