RN Pediatric Nursing Online Practice B-with 100% verified solutions-personalized success, Exams of Nursing

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1. A nurse is preparing to administer an immu- nization to a 4- year-old child. Which of the fol- lowing 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 im- munization. C. Administer the im- munization using a 24-gauge needle. D. Inject the immuniza- tion slowly after aspi- rating for 3 seconds.
2. A nurse is caring for a school-age child who has experienced a tonic-clonic seizure. Which of the follow- ing actions should the nurse take during the immediate postictal pe- riod? A. Place the child in a side-lying position. B. Delay documenta- tion until the child is

2 / 75 personalized success C. Administer the immunization using a 24-gauge needle. Rationale: The nurse should administer an immu- nization for a 4- year-old child using a 22 to 25-gauge needle to minimize the amount of pain the child experiences. A. Place the child in a side-lying position. Rationale: The nurse should place the child in a side-lying position to prevent aspiration.

3 / 75 personalized success fully alert. C. Give the child a high- carbohydrate snack. D. Administer an oral sedative to the child.

3. NGN* A nurse on a pe- diatric unit is admit- ting a preschooler. Af- ter reviewing the in- formation in the med- ical record the nurse should identify that the child is at risk for de- veloping which of the following conditions? Dropdown 1: Splenomegaly Acute post-streptococ- cal glomerulonephritis (APSGN) Dysrhythmias Dropdown 2: Positive mononucleo- sis rapid test Urinary output Cardiovascular as- sessment
4. A nurse is assessing an infant who has a ventricular septal de- fect. Which of the fol- lowing findings should

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1. Splenomegaly Rationale: The child's positive mononucleosis rapid test result indicates the presence of infectious mono, a condition 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 Rationale: The child's positive mononucleosis rapid test result indicates the presence of infectious mono, a condition 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. A. Loud, harsh murmur Rationale: The nurse should expect to hear a loud, harsh murmur with a ventricular septal defect due to

5 / 75 personalized success the nurse expect? A. Loud, harsh murmur B. Dysrhythmias C. Weak femoral pulses D. High blood pressure

5. A nurse is providing discharge teaching the guardians of a toddler with a lower leg cast applied 24 hours ago. The nurse should in- struct the guardians to report which of the fol- lowing findings to the provider? A. Capillary refill time < 2 seconds. B. Restricted ability to move the toes. C. Swelling of the cast- ed foot when the leg is dependent. D. Pedal pulse + bilat- eral.
6. A nurse is planning an educational program to teach caregivers about protecting their chil- dren from sunburns.

6 / 75 personalized success the left-to-right shunting of blood, which contributes to hypertrophy of the infant's heart muscle. B. Restricted ability to move the toes. Rationale: The nurse should inform the guardians that the restricted ability of the toddler to move their toes is an indication of neuromuscular compromise and requires immediate notification to the provider. Permanent muscle and tissue damage can occur in just a few hours. B. "Choose a waterproof sunscreen with a minimum SPF of 15." Rationale: The nurse should instruct caregivers to apply a waterproof sunscreen with a minimum SPF

7 / 75 personalized success Which of the following instructions should the nurse plan to include? A. "Allow your child to play outside during the hours between 10:00 am and 2: pm." B. "Choose a water- proof sunscreen with a minimum SPF of 15." C. "Dress your child in loose weave polyester fabric prior to sun ex- posure." D. "Reapply sunscreen every 4 hours."

7. A nurse is assessing a school-age child who has peritonitis. Which of the following find- ings should the nurse expect? A. Hyperactive bowel sounds B. Abdominal disten- tion C. Bradycardia D. Bloody stool

8 / 75 personalized success of 15 for children. The parent should apply sun- screen prior to sun exposure to reduce the risk of sunburn. B. Abdominal distention Rationale: The nurse should identify that abdomi- nal 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 abdom- inal distention. Other manifestations include chills, irritability, and restlessness.

9 / 75 personalized success A nurse is assessing a school-age child who has an infratentorial brain tumor. Which of the following findings should the nurse iden- tify as a manifestation of increased intracra- nial pressure? A. Hypotension B. Reports insomnia C. Difficulty concen- trating D. Tachycardia

9. A nurse in an emer- gency department is performing a physi- cal assessment on a 2-week-old male new- born. Which of the fol- lowing findings is the priority for the nurse to report to the provider? A. Excoriated scrotal area B. Multiple capillary he- mangiomas C. Depressed posterior fontanel

10 / 75 personalized success C. Difficulty concentrating Rationale: The nurse should identify that irritability, inability to follow commands, and difficulty concen- trating are manifestations of increased intracranial pressure due to decreased blood flow within the brain and pressure on the brainstem. D. Substernal retractions Rationale: 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 indi- cates the newborn is experiencing increased respi- ratory effort, which could quickly progress to respi- ratory failure.

11 / 75 personalized success D. Substernal retrac- tions

10. A nurse is caring for an infant who has res- piratory syncytial virus (RSV). Which of the fol- lowing actions should the nurse implement for infection control? A. Have a designated stethoscope in the in- fant's room. B. Place the infant in a room equipped with negative airflow. C. Administer Palivizumab as pre- scribed for the infant. D. Remove gloves af- ter leaving the infant's room.
11. A hospice nurse is car- ing for a preschool- er who has a termi- nal illness. One of the preschooler's parents tells the nurse that they cannot cope any- more and are think- ing about moving out of the house. Which of the following state- ments should the

12 / 75 personalized success A. Have a designated stethoscope in the infant's room. Rationale: 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 blood pressure cuff and stethoscope, should be placed in the infant's room. D. "Let's talk about some of the ways you have handled previous stressors in your life." Rationale: This statement offers a general lead to allow the parent to express their feelings and previ- ous actions when faced with stressful situations. It also helps the parent to focus on ways that they can cope with the current situation.

13 / 75 personalized success nurse make? A. "It is important that you provide emotional support for your family at this time." B. "You have to do what you feel is best. Every- thing will turn out fine." C. "I know how you feel. This is an extremely stressful time for your family." D. "Let's talk about some of the ways you have handled previous stressors in your life."

12. A nurse is preparing to collect a sample from a toddler for a sick- le-turbidity test. Which of the following actions should the nurse plan to take? A. Obtain a sputum specimen. B. Perform an Allen test. C. Perform a finger stick.

14 / 75 personalized success C. Perform a finger stick Rationale: The nurse should perform a finger stick on a toddler as a component of the sickle- turbidity test. If the test is positive, hemoglobin electrophore- sis is required to distinguish between children who have the genetic trait and children who have the disease.

15 / 75 personalized success D. Obtain a stool speci- men

13. A nurse is monitoring the oxygen saturation level of an infant us- ing pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant? A. Wrist B. Great toe C. Index finger D. Heel
14. A nurse is caring for a school-age child who has peripheral ede- ma. The nurse should identify which of the following assessments should be performed to confirm peripheral ede- ma. A. Palpate the dorsum of the child's feet. B. Weigh the child daily using the same scale. C. Assess the child's skin turgor.

16 / 75 personalized success B. Great toe Rationale: The nurse should secure the sensor to the great toe of the infant and then place a snug-fit- ting 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. A. Palpate the dorsum of the child's feet. Rationale: The nurse should palpate the dorsum of the feet by pressing the fingertip against a bony prominence for 5 seconds to assess for peripheral edema.

17 / 75 personalized success D. Observe the child for periorbital swelling.

15. A nurse is reviewing the laboratory report of an infant who is receiv- ing treatment for se- vere dehydration. The nurse should identify which of the following laboratory values indi- cates the effectiveness of the current treat- ment. A. Potassium 2.9 mEq/L B. Sodium 140 mEq/L C. Urine specific gravi- ty 1. D. BUN 25 mg/dL
16. A nurse is assessing a school-age child who has meningitis. Which of the following find- ings is the priority for the nurse to report to the provider? A. Reports HA as 6 on a scale of 0 to 10 B. Petechiae on the lower extremities

18 / 75 personalized success B. Sodium 140 mEq/L Rationale: The nurse should identify that a sodium level of 140 mEq/L is within the expected range of 134 to 150 mEq/L and indicate the current treatment regimen the infant is receiving for dehydration is effective. B. Petechiae on the lower extremities Rationale: The presence of a petechial or purpuric rash on a child who is ill can indicate the presence of meningococcemia. This type of rash indicates the greatest risk of serious rapid complications from sepsis and should be reported immediately to the provider.

19 / 75 personalized success C. Nuchal rigidity D. Positive Kernig's sign

17. A school nurse is preparing to admin- ister Atomoxetine 1. mg/kg/day PO to a school-age child who weighs 75 lb. Avail- able is Atomoxetine 40 mg/capsule. How many capsules should the nurse administer per day? (Round the an- swer to the nearest whole number. Use a leading zero if it ap- plies. Do not use a trail- ing zero).
18. A nurse is planning care for a school-age child who is in the olig- uric phase of acute kid- ney injury (AKI) and has a sodium level of 129 mEq/L. Which of the following interven- tions should the nurse include in the plan? A. Administer Ibu to the child for a temperature greater than 38 C (100.4 F). B. Assess the child's

20 / 75 personalized success 1 capsule D. Initiate seizure precautions for the child. Rationale: 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.

21 / 75 personalized success BP every 8 hr. C. Weigh the child weekly at various times of the day. D. Initiate seizure pre- cautions for the child.

19. A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the following manifes- tations should alert the nurse to a possible he- molytic transfusion re- action? A. Laryngeal edema B. Flank pain C. Distended neck veins D. Muscular weakness
20. A nurse is planning developmental activi- ties for a newly admit- ted 10-year-old child who has neutropenia. Which of the follow- ing actions should the nurse plan to take? A. Provide the child with a book about ad-

22 / 75 personalized success B. Flank pain Rationale: 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. Provide the child with a book about adventure. Rationale: The nurse should provide a school- age child with a book about adventure as a devel- opmental activity because children are expanding their knowledge and imagination during this age. Through reading, school-age children can feel pow- erful and skillful as they imagine themselves in the stories they read.

23 / 75 personalized success venture. B. Arrange frequent visits from family mem- bers and peers. C. Give the child a large piece puzzle. D. Use puppets to en- tertain the child.

21. A nurse is assessing a 3-year-old toddler at a well-child visit. Which of the following man- ifestations should the nurse report to the provider? A. BP 90/30 mmHg B. RR 45/min C.Weight 14.5 kg (32 lb) D. HR 110/min
22. A nurse is planning care to address the nutritional needs of a preschooler who has CF. Which of the following interventions should the nurse in- clude in the plan? A. Administer pancre- atic enzymes 2 hr after

24 / 75 personalized success B. RR 45/min Rationale: The nurse should identify that a RR of 45/min is above the expected reference range of 20 to 25/min for a 3-year-old toddler and can indicate respiratory dysfunction and acute respiratory dis- tress. Therefore, the nurse should report this finding to the provider. D. Increase fat content in the child's diet to 40% of total calories. Rationale: A child who has CF is unable to properly digest fats due to fibrosis of the pancreas and limited secretion of pancreatic enzymes. The nurse should increase the child's fat intake to 35% to 40% of total caloric intake.

25 / 75 personalized success meals. B. Discontinue the use of pancreatic enzymes if steatorrhea devel- ops. C. Limit fluid intake 750 mL per day. D. Increase fat content in the child's diet to 40% of total calories.

23. A nurse is caring for a toddler who has acute otitis media and a tem- perature of 40 C (104 F). After administering Acetaminophen, which of the following actions should the nurse plan to take to reduce the toddler's temperature? A. Apply a cooling blanket to the toddler. B. Dress the toddler in minimal clothing. C. Give the toddler a tepid bath. D. Administer Diphen- hydramine to the tod- dler. B. Dress the toddler in minimal clothing. Rationale: 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.