RN PEDIATRIC NURSING ONLINE
PRACTICE 2023 A EXAM WITH
QUESTIONS AND WELL VERIFIED
ANSWERS [GRADED A+] ACTUAL EXAM
100%
A nurse in an emergency
... [Show More] 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? - ANS✔✔---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.
A nurse in a pediatric emergency department is planning care for an
adolescent. 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. - ANS✔✔---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.
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? - ANS✔✔---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.
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? - ANS✔✔---
Playing dress-up
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.
A nurse is receiving change-of-shift report for four children. Which of
the following children should the nurse see first? - ANS✔✔---A schoolage 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 i [Show Less]