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RN Nursing School · Pediatrics · 87 questions

Safe, Effective Care Environment practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Safe, Effective Care Environment, practise in the app.

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  1. 1A nurse is assessing a child and notes several bruises. Which of the following actions should the nurse take?Answer →
  2. 2A nurse has just received hand-off communication at the start of their shift. After reviewing each client's status, which of the following clients should the nurse see first?Answer →
  3. 3The MD orders 200mg of Colace. On hand, the RN has 1mg/10mL of docusate (Colace). How many would the RN administer per dose?Answer →
  4. 4The nurse is reviewing the chart of a child. Which findings would lead the nurse to suspect Munchhausen syndrome by proxy Select all that apply:Answer →
  5. 5A mother brings in her 4-month-old for immunizations, stating, "I'm not sure if she needs them this early. Aren't vaccines for older kids?" How should the nurse respond to educate the mother?Answer →
  6. 6A nurse is providing education to a group of parents of toddlers about household items that can be swallowed and block the airway of their child. The nurse should include which of the following items as posing a risk for aspiration?Answer →
  7. 7A nurse is performing a pre-college physical assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering?Answer →
  8. 8The pediatric unit is extremely busy when the admission office notifies the charge nurse that a child who has acute lymphocytic leukemia (ALL) needs to be admitted to the unit. The parents brought prescriptions from the healthcare provider (HCP) for their child to have a chest x-ray and blood work drawn on admission. Which action should the charge nurse take?Answer →
  9. 9A nurse is preparing to administer amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 ml. How many mL should the nurse administer? (Round to the nearest whole number.)Answer →
  10. 10Emotional abuse signAnswer →
  11. 11An infant weigh 10 lb 12 oz. The doctor writes an order for the child to receive 2 mg/kg of a drug. The container states there are 8 mg/mL. How many mL should be administered per dose? (Round to the nearest tenth.)Answer →
  12. 12A nurse is providing teaching to a parent about sudden unexpected infant death (SUID). Which of the following statements should the nurse include?Answer →
  13. 13A nurse in an emergency department is caring for a child who weighs 18 kg (39.7 lb) and ingested six 500 mg acetaminophen tablets 4 hr ago. Which of the following actions should the nurse take?Answer →
  14. 14A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? (Select all that apply.)Answer →
  15. 15The recommended child's dose of Drug B is 7.5–10 mg/kg/day. What is the acceptable daily dose range in mg for a child weighing 43 pounds? (Round to the nearest tenth.)Answer →
  16. 16A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?Answer →
  17. 17A nurse is reviewing transmission-based precautions with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of droplet precautions?Answer →
  18. 18A nurse is providing preoperative teaching for a 9-year-old child who is scheduled for a tonsillectomy. Which of the following actions should the nurse take?Answer →
  19. 19The nurse is preparing to administer vaccinations to a child. Which actions should the nurse take? Select all that apply.Answer →
  20. 20Which immunization should not be given to a child receiving chemotherapy for cancer?Answer →
  21. 21A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow.Answer →
  22. 22A nurse is preparing to administer an oral antibiotic to a 2-year-old who dislikes the taste of medication. What is the best strategy for the nurse to use?Answer →
  23. 23A nurse is caring for a toddler who had a cleft lip and palate repair and is trying to touch the incision site. Which of the following provider prescriptions is recommended for the toddler?Answer →
  24. 24The nurse is preparing to administer an intramuscular (IM) injection to a 4-year-old child. What is the nurse's best action?Answer →
  25. 25A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden unexpected infant death syndrome (SUIDS). Which of the following statements by the parents indicates an understanding of the teaching?Answer →
  26. 26A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?Answer →
  27. 27The MD orders 60 mg/kg/day every 12 hours (2 times per day). The patient weighs 20 kg. What is the maximum dose in mg the patient will receive per dose?Answer →
  28. 28A nurse is providing education to the caregiver of a school-age child regarding immunizations to prevent respiratory infections. Which of the following information should the nurse include in the teaching?Answer →
  29. 29A nurse is caring for a 6-year-old child who has HIV. Which of the following actions should the nurse take?Answer →
  30. 30A nurse is transporting a 12-year-old child in a wheelchair. The child begins to experience a tonic-clonic seizure. Which of the following actions should the nurse take?Answer →
  31. 31A nurse is admitting a child who has suspected epiglottitis. Which of the following actions should the nurse take first?Answer →
  32. 32A nurse at a pediatrician's office is contacted by a parent whose child just ingested half a bottle of vitamins with added ferrous sulfate. Which of the following instructions should the nurse provide to the parent?Answer →
  33. 33A 3-month-old infant is admitted to the pediatric intensive care unit with poor feeding, vomiting, and lethargy. A CT scan reveals a subdural hematoma. Multiple bilateral retinal hemorrhages noted on Ophthalmologic exam. The parent reports that the infant is "just clumsy." Which nursing intervention is most appropriate?Answer →
  34. 34A nurse is caring for a child who is to receive the first dose of IV gentamicin. Which of the following actions should the nurse take?Answer →
  35. 35A 15-year-old admits to not wearing a helmet while biking. The nurse wants to emphasize injury prevention. Which statement would be most effective?Answer →
  36. 36A nurse is teaching the parent of an infant about car seat safety. Which of the following instructions should the nurse include?Answer →
  37. 37Which play activity would be most appropriate for a hospitalized 8-year-old with limited mobility due to a fractured leg?Answer →
  38. 38A mother brings her 18-month-old child to the clinic for the 5th diphtheria, tetanus, and acellular pertussis (DTaP) immunization. The nurse should provide the parent with which instruction for care after administering the injection?Answer →
  39. 39Which of the following reactions of immunizations would most likely be considered severe and serve as a contraindication to the vaccine?Answer →
  40. 40The nurse is preparing to administer oral iron supplement drops to a child. What is the nurse's best action?Answer →
  41. 41A 5-year-old with complex chronic needs is being discharged with a tracheostomy and gastrostomy tube. Which nursing intervention best promotes normalization for the child and family?Answer →
  42. 42A nurse is obtaining informed consent from the parent of a 9-year-old child scheduled for a lumbar puncture. Which action by the nurse is most appropriate?Answer →
  43. 43A nurse is performing a pre-college physical assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering?Answer →
  44. 44A nurse working in an inpatient pediatric unit is caring for a 9-year-old child who has a gastrointestinal (GI) bleed and is experiencing weakness. Which of the following nursing actions reflects the safe and therapeutic use of play in the care of this client?Answer →
  45. 45A home health nurse is developing a plan of care for a child who has hemiplegic cerebral palsy. Which of the following goals is the priority safety intervention for the nurse to include in the plan of care?Answer →
  46. 46A 10-year-old boy on a bicycle has been hit by a car in front of the school. The school nurse immediately assesses airway, breathing and circulation. The next nursing action should be which of the following?Answer →
  47. 47The doctor writes an order for a child who weighs 17 kg to receive 80 mg/kg of Drug M. The medication comes in an oral liquid that is labeled 220 mg/mL. It is to be given in an oral syringe that is marked in tenths. How many mL of Drug M will the nurse give the patient? (Round to the nearest tenth.)Answer →
  48. 48Post surgical procedure the nurse's responsibility is very crucial and includes what aspects of care?Answer →
  49. 49A nurse is preparing to assist with applying a cast to a preschooler's arm. Which of the following actions should the nurse take?Answer →
  50. 50A child presents to the clinic with signs of malnutrition, poor hygiene and unattended medical problems. The nurse recognizes this as what form of child abuse?Answer →
  51. 51Which toy is best for a 10-year-old child with acute rheumatic fever who is on strict bedrest?Answer →
  52. 52A parent of a hospitalized child expresses anxiety about the upcoming surgery. The nurse includes a child life specialist in the care plan. What is the primary purpose of this collaboration?Answer →
  53. 53A nurse is preparing a family for discharge of their 5-year-old child with complex chronic conditions who will require home mechanical ventilation and gastrostomy feedings. Which nursing action is most critical to ensure a safe transition to home care?Answer →
  54. 54A nurse is preparing to insert a peripheral intravenous (IV) catheter for a preschooler. Which of the following actions should the nurse take?Answer →
  55. 55A nurse is preparing to administer furosemide 2 mg/kg/dose PO every 8 hours to a child who weighs 13 lb (5.9 kg). The available furosemide oral solution is 10 mg/mL. How many mL should the nurse administer per dose? (Round to the nearest tenth.)Answer →
  56. 56The nurse is planning education for parents of newborns about the risk factors and prevention measures of otitis media. Which topic(s) should the nurse include in the discussion? Select all that apply.Answer →
  57. 57A nurse is caring for an adolescent who is scheduled for insertion of an intrauterine device. Which of the following actions should the nurse take?Answer →
  58. 58A mother brings her 2-month-old in for a well-baby check and asks if vaccines can be postponed until the child is older. How should the nurse respond?Answer →
  59. 59A nurse is preparing to administer diphenhydramine 12.5 mg PO every 6 hr. Available is diphenhydramine syrup 12.5 mg/5 ml. How many tsp should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  60. 60The nurse is discussing discharge instructions with the parents of a 6-year-old who had a tonsillectomy. What should the nurse include in the instructions to parents? Select all that apply.Answer →
  61. 61The nurse is completing a health history of a 9-month-old child with a serum lead level of 3.5 g/dL. Which question should the nurse include in the history? Select all that apply:Answer →
  62. 62An 18-month-old was brought to the emergency department by her mother, who states, "I think she broke her arm." The child is sent for a radiograph to confirm the fracture. Additional assessment of the child leads the nurse to suspect possible child abuse. Which type of fracture would the radiograph most likely reveal?Answer →
  63. 63A nurse meets a mother who is unsure if her child needs vaccines before entering preschool. The nurse provides education on immunizations. Which information should the nurse include?Answer →
  64. 64During admission, a nurse interviews the parent of a 4-year-old. Which question is most helpful in assessing the child's preparation for hospitalization?Answer →
  65. 65A nurse receives a call from a parent of a child who is having a nosebleed. Which of the following instructions should the nurse give to the parent? Select all that apply.Answer →
  66. 66A doctor orders 200 mg of Rocephin to be taken by a 15.4 lb. infant every 8 hours. The medication label shows that 75-150 mg/kg per day is the appropriate dosage range. What nursing action is most appropriate?Answer →
  67. 67A nurse is assessing a family's adherence to a complex pediatric treatment regimen. Which question would best help evaluate their compliance?Answer →
  68. 68The doctor orders Cefazolin 10mg/kg/day every 6 hours (4 times/doses per day). The patient weighs 24 kgs. What is the appropriate dose (in mg) for this patient?Answer →
  69. 69A nurse is admitting a child who has suspected epiglottitis. Which of the following actions should the nurse take first?Answer →
  70. 70A school-age child is hospitalized after an injury that causes temporary loss of vision. Which nursing plan best promotes safety and independence?Answer →
  71. 71The doctor orders Cefazolin 10mg/kg/day every 8 hours (3 times/doses per day). The patient weighs 24 kgs. What is the appropriate dose (in mg) for this patient?Answer →
  72. 72A nurse is preparing to administer diphenhydramine 12.5 mg PO every 6hr. Available is diphenhydramine syrup 12.5 mg/5 ml. How many tsp should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)Answer →
  73. 73A nurse is caring for a child who develops mild redness, tenderness, and low-grade fever after a D tap immunization. Which statement should the nurse include when teaching the parents? (Select all that apply)Answer →
  74. 74A nurse at a pediatrician's office is contacted by a parent whose child just ingested half a bottle of vitamins with added ferrous sulfate. Which of the following instructions should the nurse provide to the parent?Answer →
  75. 75A nurse is assessing a child and notes several bruises. Which of the following actions should the nurse take?Answer →
  76. 76A nurse has just received hand-off communication at the start of their shift. After reviewing each client's status, which of the following clients should the nurse see first?Answer →
  77. 77You review with a parent hint to help their child who will be home alone for a short while after school. Which statement would indicate that the teaching you provided to the parent was effective?Answer →
  78. 78The MD orders 5mg of IV Ativan. On hand, the RN has 1mg/10mL. How many mL should the nurse administer?Answer →
  79. 79A nurse is providing education to the guardian of a child who has a prescription for nirsevimab for respiratory syncytial virus (RSV). Which of the following instructions should the nurse provide to the guardian?Answer →
  80. 80A nurse is performing a pre-college physical assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering?Answer →
  81. 81The MD orders 5mg of IV Ativan. On hand, the RN has 1mg/mL. How many mL should the nurse administer?Answer →
  82. 82The nurse is assessing a child with suspected lead poisoning. Which of the following assessments would be a risk factor?Answer →
  83. 83A nurse needs to assess pain in a 4-year-old who recently had surgery. The child cannot articulate their pain level effectively. Which pain assessment tool would be most appropriate to use?Answer →
  84. 84A pediatric patient who has Ceftriaxone 200 mg/kg/day ordered divided every 12 hours. The child weighs 10 KG. The RN will give many mg per dose?Answer →
  85. 85The nurse is caring for a 2-day-old newborn diagnosed with Down syndrome. Which intervention(s) will the nurse implement? Select all that apply.Answer →
  86. 86An emancipated minor is one who is legally under the age of majority but recognized as having the legal capacity or social status of an adult under circumstances prescribed by state law. Which would be considered an emancipated minor?Answer →
  87. 87A nurse is reviewing the immunization records of a pediatric client before administering the MMR (measles, mumps, rubella) vaccine. The client has a history of a mild illness and antibiotic therapy for an ear infection 3 days ago. Which nursing action best reduces the risk of adverse reactions and ensures safe vaccination?Answer →