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RN Pediatrics Practice Quiz

Question 1 of 50

A nurse is caring for a child who has bacterial meningitis. Which of the following findings should indicate to the nurse that the child can be removed from droplet precautions?

Select one answer.

Review all questions in this quiz

RN Pediatrics Practice Quiz Practice Questions

Review these RN Pediatrics Practice Quiz nursing practice questions with answer choices and explanations.

Question 1

A nurse is caring for a child who has bacterial meningitis. Which of the following findings should indicate to the nurse that the child can be removed from droplet precautions?

  1. Absent nuchal rigidity
  2. Negative cerebrospinal fluid culture
  3. Temperature below 37.4°C (99.3°F)
  4. Antibiotics initiated 24 hr ago
View answer and explanation

Correct answer:

  1. Antibiotics initiated 24 hr ago

Explanation: Droplet precautions can be discontinued after 24 hours of effective antibiotic therapy.

Question 2

A nurse is caring for an infant who has heart failure and is receiving digoxin. Which finding indicates a positive response?

  1. Respiratory rate 32/min
  2. Heart rate 187/min
  3. Urine output 2 mL/kg/hr
  4. Capillary refill 4 seconds
View answer and explanation

Correct answer:

  1. Urine output 2 mL/kg/hr

Explanation: Improved urine output reflects improved cardiac output.

Question 3

A nurse is caring for an adolescent with newly diagnosed type 1 diabetes mellitus. Which recommendation should the nurse make?

  1. Consult with a nutritionist
  2. Monitor capillary blood glucose daily
  3. Follow up with physical therapy
  4. Store opened insulin for 60 days
View answer and explanation

Correct answer:

  1. Consult with a nutritionist

Explanation: Nutritional counseling is essential.

Question 4

A nurse is caring for an infant with hydrocephalus and VP shunt malfunction. Which finding indicates increased ICP?

  1. Increased appetite
  2. Irritability
  3. Flat fontanel
  4. Tachycardia
View answer and explanation

Correct answer:

  1. Irritability

Explanation: Irritability is an early ICP sign.

Question 5

A nurse is caring for an adolescent with minor head injury. Which finding is expected?

  1. Fixed dilated pupils
  2. Retinal hemorrhages
  3. Vomiting
  4. Fever
View answer and explanation

Correct answer:

  1. Vomiting

Explanation: Vomiting is common after minor head injury.

Question 6

A nurse is planning care for an infant with bronchiolitis. Which action should be included?

  1. Meningococcal vaccine
  2. Suction nares with bulb syringe
  3. IV antibiotics
  4. Negative-pressure room
View answer and explanation

Correct answer:

  1. Suction nares with bulb syringe

Explanation: Suctioning maintains airway.

Question 7

A nurse is caring for a child who has bacterial meningitis. Which of the following findings should indicate to the nurse that the child can be removed from droplet precautions?

  1. Absent nuchal rigidity
  2. Negative cerebrospinal fluid culture
  3. Temperature below 37.4°C (99.3°F)
  4. Antibiotics initiated 24 hr ago
View answer and explanation

Correct answer:

  1. Antibiotics initiated 24 hr ago

Explanation: Droplet precautions can be discontinued after 24 hours of effective antibiotic therapy.

Question 8

A nurse is caring for an infant who has heart failure and is receiving digoxin. Which finding indicates a positive response?

  1. Respiratory rate 32/min
  2. Heart rate 187/min
  3. Urine output 2 mL/kg/hr
  4. Capillary refill 4 seconds
View answer and explanation

Correct answer:

  1. Urine output 2 mL/kg/hr

Explanation: Improved urine output reflects improved cardiac output.

Question 9

A nurse is caring for an adolescent with newly diagnosed type 1 diabetes mellitus. Which recommendation should the nurse make?

  1. Consult with a nutritionist
  2. Monitor capillary blood glucose daily
  3. Follow up with physical therapy
  4. Store opened insulin for 60 days
View answer and explanation

Correct answer:

  1. Consult with a nutritionist

Explanation: Nutritional counseling is essential.

Question 10

A nurse is caring for an infant with hydrocephalus and VP shunt malfunction. Which finding indicates increased ICP?

  1. Increased appetite
  2. Irritability
  3. Flat fontanel
  4. Tachycardia
View answer and explanation

Correct answer:

  1. Irritability

Explanation: Irritability is an early ICP sign.

Question 11

A nurse is caring for an adolescent with minor head injury. Which finding is expected?

  1. Fixed dilated pupils
  2. Retinal hemorrhages
  3. Vomiting
  4. Fever
View answer and explanation

Correct answer:

  1. Vomiting

Explanation: Vomiting is common after minor head injury.

Question 12

A nurse is planning care for an infant with bronchiolitis. Which action should be included?

  1. Meningococcal vaccine
  2. Suction nares with bulb syringe
  3. IV antibiotics
  4. Negative-pressure room
View answer and explanation

Correct answer:

  1. Suction nares with bulb syringe

Explanation: Suctioning maintains airway.

Question 13

A nurse is caring for a child who has bacterial meningitis. Which of the following findings should indicate to the nurse that the child can be removed from droplet precautions?

  1. Absent nuchal rigidity
  2. Negative cerebrospinal fluid culture
  3. Temperature below 37.4°C (99.3°F)
  4. Antibiotics initiated 24 hr ago
View answer and explanation

Correct answer:

  1. Antibiotics initiated 24 hr ago

Explanation: Droplet precautions can be discontinued after 24 hours of effective antibiotic therapy.

Question 14

A nurse is caring for an infant who has heart failure and is receiving digoxin. Which finding indicates a positive response?

  1. Respiratory rate 32/min
  2. Heart rate 187/min
  3. Urine output 2 mL/kg/hr
  4. Capillary refill 4 seconds
View answer and explanation

Correct answer:

  1. Urine output 2 mL/kg/hr

Explanation: Improved urine output reflects improved cardiac output.

Question 15

A nurse is caring for an adolescent with newly diagnosed type 1 diabetes mellitus. Which recommendation should the nurse make?

  1. Consult with a nutritionist
  2. Monitor capillary blood glucose daily
  3. Follow up with physical therapy
  4. Store opened insulin for 60 days
View answer and explanation

Correct answer:

  1. Consult with a nutritionist

Explanation: Nutritional counseling is essential.

Question 16

A nurse is caring for an infant with hydrocephalus and VP shunt malfunction. Which finding indicates increased ICP?

  1. Increased appetite
  2. Irritability
  3. Flat fontanel
  4. Tachycardia
View answer and explanation

Correct answer:

  1. Irritability

Explanation: Irritability is an early ICP sign.

Question 17

A nurse is caring for an adolescent with minor head injury. Which finding is expected?

  1. Fixed dilated pupils
  2. Retinal hemorrhages
  3. Vomiting
  4. Fever
View answer and explanation

Correct answer:

  1. Vomiting

Explanation: Vomiting is common after minor head injury.

Question 18

A nurse is planning care for an infant with bronchiolitis. Which action should be included?

  1. Meningococcal vaccine
  2. Suction nares with bulb syringe
  3. IV antibiotics
  4. Negative-pressure room
View answer and explanation

Correct answer:

  1. Suction nares with bulb syringe

Explanation: Suctioning maintains airway.

Question 19

A nurse is caring for a child who has bacterial meningitis. Which of the following findings should indicate to the nurse that the child can be removed from droplet precautions?

  1. Absent nuchal rigidity
  2. Negative cerebrospinal fluid culture
  3. Temperature below 37.4°C (99.3°F)
  4. Antibiotics initiated 24 hr ago
View answer and explanation

Correct answer:

  1. Antibiotics initiated 24 hr ago

Explanation: Droplet precautions can be discontinued after 24 hours of effective antibiotic therapy.

Question 20

A nurse is caring for an infant who has heart failure and is receiving digoxin. Which finding indicates a positive response?

  1. Respiratory rate 32/min
  2. Heart rate 187/min
  3. Urine output 2 mL/kg/hr
  4. Capillary refill 4 seconds
View answer and explanation

Correct answer:

  1. Urine output 2 mL/kg/hr

Explanation: Improved urine output reflects improved cardiac output.

Question 21

A nurse is caring for an adolescent with newly diagnosed type 1 diabetes mellitus. Which recommendation should the nurse make?

  1. Consult with a nutritionist
  2. Monitor capillary blood glucose daily
  3. Follow up with physical therapy
  4. Store opened insulin for 60 days
View answer and explanation

Correct answer:

  1. Consult with a nutritionist

Explanation: Nutritional counseling is essential.

Question 22

A nurse is caring for an infant with hydrocephalus and VP shunt malfunction. Which finding indicates increased ICP?

  1. Increased appetite
  2. Irritability
  3. Flat fontanel
  4. Tachycardia
View answer and explanation

Correct answer:

  1. Irritability

Explanation: Irritability is an early ICP sign.

Question 23

A nurse is caring for an adolescent with minor head injury. Which finding is expected?

  1. Fixed dilated pupils
  2. Retinal hemorrhages
  3. Vomiting
  4. Fever
View answer and explanation

Correct answer:

  1. Vomiting

Explanation: Vomiting is common after minor head injury.

Question 24

A nurse is planning care for an infant with bronchiolitis. Which action should be included?

  1. Meningococcal vaccine
  2. Suction nares with bulb syringe
  3. IV antibiotics
  4. Negative-pressure room
View answer and explanation

Correct answer:

  1. Suction nares with bulb syringe

Explanation: Suctioning maintains airway.

Question 25

A nurse is caring for a child who has bacterial meningitis. Which of the following findings should indicate to the nurse that the child can be removed from droplet precautions?

  1. Absent nuchal rigidity
  2. Negative cerebrospinal fluid culture
  3. Temperature below 37.4°C (99.3°F)
  4. Antibiotics initiated 24 hr ago
View answer and explanation

Correct answer:

  1. Antibiotics initiated 24 hr ago

Explanation: Droplet precautions can be discontinued after 24 hours of effective antibiotic therapy.

Question 26

A nurse is caring for an infant who has heart failure and is receiving digoxin. Which finding indicates a positive response?

  1. Respiratory rate 32/min
  2. Heart rate 187/min
  3. Urine output 2 mL/kg/hr
  4. Capillary refill 4 seconds
View answer and explanation

Correct answer:

  1. Urine output 2 mL/kg/hr

Explanation: Improved urine output reflects improved cardiac output.

Question 27

A nurse is caring for an adolescent with newly diagnosed type 1 diabetes mellitus. Which recommendation should the nurse make?

  1. Consult with a nutritionist
  2. Monitor capillary blood glucose daily
  3. Follow up with physical therapy
  4. Store opened insulin for 60 days
View answer and explanation

Correct answer:

  1. Consult with a nutritionist

Explanation: Nutritional counseling is essential.

Question 28

A nurse is caring for an infant with hydrocephalus and VP shunt malfunction. Which finding indicates increased ICP?

  1. Increased appetite
  2. Irritability
  3. Flat fontanel
  4. Tachycardia
View answer and explanation

Correct answer:

  1. Irritability

Explanation: Irritability is an early ICP sign.

Question 29

A nurse is caring for an adolescent with minor head injury. Which finding is expected?

  1. Fixed dilated pupils
  2. Retinal hemorrhages
  3. Vomiting
  4. Fever
View answer and explanation

Correct answer:

  1. Vomiting

Explanation: Vomiting is common after minor head injury.

Question 30

A nurse is planning care for an infant with bronchiolitis. Which action should be included?

  1. Meningococcal vaccine
  2. Suction nares with bulb syringe
  3. IV antibiotics
  4. Negative-pressure room
View answer and explanation

Correct answer:

  1. Suction nares with bulb syringe

Explanation: Suctioning maintains airway.

Question 31

A nurse is caring for a child who has bacterial meningitis. Which of the following findings should indicate to the nurse that the child can be removed from droplet precautions?

  1. Absent nuchal rigidity
  2. Negative cerebrospinal fluid culture
  3. Temperature below 37.4°C (99.3°F)
  4. Antibiotics initiated 24 hr ago
View answer and explanation

Correct answer:

  1. Antibiotics initiated 24 hr ago

Explanation: Droplet precautions can be discontinued after 24 hours of effective antibiotic therapy.

Question 32

A nurse is caring for an infant who has heart failure and is receiving digoxin. Which finding indicates a positive response?

  1. Respiratory rate 32/min
  2. Heart rate 187/min
  3. Urine output 2 mL/kg/hr
  4. Capillary refill 4 seconds
View answer and explanation

Correct answer:

  1. Urine output 2 mL/kg/hr

Explanation: Improved urine output reflects improved cardiac output.

Question 33

A nurse is caring for an adolescent with newly diagnosed type 1 diabetes mellitus. Which recommendation should the nurse make?

  1. Consult with a nutritionist
  2. Monitor capillary blood glucose daily
  3. Follow up with physical therapy
  4. Store opened insulin for 60 days
View answer and explanation

Correct answer:

  1. Consult with a nutritionist

Explanation: Nutritional counseling is essential.

Question 34

A nurse is caring for an infant with hydrocephalus and VP shunt malfunction. Which finding indicates increased ICP?

  1. Increased appetite
  2. Irritability
  3. Flat fontanel
  4. Tachycardia
View answer and explanation

Correct answer:

  1. Irritability

Explanation: Irritability is an early ICP sign.

Question 35

A nurse is caring for an adolescent with minor head injury. Which finding is expected?

  1. Fixed dilated pupils
  2. Retinal hemorrhages
  3. Vomiting
  4. Fever
View answer and explanation

Correct answer:

  1. Vomiting

Explanation: Vomiting is common after minor head injury.

Question 36

A nurse is planning care for an infant with bronchiolitis. Which action should be included?

  1. Meningococcal vaccine
  2. Suction nares with bulb syringe
  3. IV antibiotics
  4. Negative-pressure room
View answer and explanation

Correct answer:

  1. Suction nares with bulb syringe

Explanation: Suctioning maintains airway.

Question 37

A nurse is caring for a child who has bacterial meningitis. Which of the following findings should indicate to the nurse that the child can be removed from droplet precautions?

  1. Absent nuchal rigidity
  2. Negative cerebrospinal fluid culture
  3. Temperature below 37.4°C (99.3°F)
  4. Antibiotics initiated 24 hr ago
View answer and explanation

Correct answer:

  1. Antibiotics initiated 24 hr ago

Explanation: Droplet precautions can be discontinued after 24 hours of effective antibiotic therapy.

Question 38

A nurse is caring for an infant who has heart failure and is receiving digoxin. Which finding indicates a positive response?

  1. Respiratory rate 32/min
  2. Heart rate 187/min
  3. Urine output 2 mL/kg/hr
  4. Capillary refill 4 seconds
View answer and explanation

Correct answer:

  1. Urine output 2 mL/kg/hr

Explanation: Improved urine output reflects improved cardiac output.

Question 39

A nurse is caring for an adolescent with newly diagnosed type 1 diabetes mellitus. Which recommendation should the nurse make?

  1. Consult with a nutritionist
  2. Monitor capillary blood glucose daily
  3. Follow up with physical therapy
  4. Store opened insulin for 60 days
View answer and explanation

Correct answer:

  1. Consult with a nutritionist

Explanation: Nutritional counseling is essential.

Question 40

A nurse is caring for an infant with hydrocephalus and VP shunt malfunction. Which finding indicates increased ICP?

  1. Increased appetite
  2. Irritability
  3. Flat fontanel
  4. Tachycardia
View answer and explanation

Correct answer:

  1. Irritability

Explanation: Irritability is an early ICP sign.

Question 41

A nurse is caring for an adolescent with minor head injury. Which finding is expected?

  1. Fixed dilated pupils
  2. Retinal hemorrhages
  3. Vomiting
  4. Fever
View answer and explanation

Correct answer:

  1. Vomiting

Explanation: Vomiting is common after minor head injury.

Question 42

A nurse is planning care for an infant with bronchiolitis. Which action should be included?

  1. Meningococcal vaccine
  2. Suction nares with bulb syringe
  3. IV antibiotics
  4. Negative-pressure room
View answer and explanation

Correct answer:

  1. Suction nares with bulb syringe

Explanation: Suctioning maintains airway.

Question 43

A nurse is caring for a child who has bacterial meningitis. Which of the following findings should indicate to the nurse that the child can be removed from droplet precautions?

  1. Absent nuchal rigidity
  2. Negative cerebrospinal fluid culture
  3. Temperature below 37.4°C (99.3°F)
  4. Antibiotics initiated 24 hr ago
View answer and explanation

Correct answer:

  1. Antibiotics initiated 24 hr ago

Explanation: Droplet precautions can be discontinued after 24 hours of effective antibiotic therapy.

Question 44

A nurse is caring for an infant who has heart failure and is receiving digoxin. Which finding indicates a positive response?

  1. Respiratory rate 32/min
  2. Heart rate 187/min
  3. Urine output 2 mL/kg/hr
  4. Capillary refill 4 seconds
View answer and explanation

Correct answer:

  1. Urine output 2 mL/kg/hr

Explanation: Improved urine output reflects improved cardiac output.

Question 45

A nurse is caring for an adolescent with newly diagnosed type 1 diabetes mellitus. Which recommendation should the nurse make?

  1. Consult with a nutritionist
  2. Monitor capillary blood glucose daily
  3. Follow up with physical therapy
  4. Store opened insulin for 60 days
View answer and explanation

Correct answer:

  1. Consult with a nutritionist

Explanation: Nutritional counseling is essential.

Question 46

A nurse is caring for an infant with hydrocephalus and VP shunt malfunction. Which finding indicates increased ICP?

  1. Increased appetite
  2. Irritability
  3. Flat fontanel
  4. Tachycardia
View answer and explanation

Correct answer:

  1. Irritability

Explanation: Irritability is an early ICP sign.

Question 47

A nurse is caring for an adolescent with minor head injury. Which finding is expected?

  1. Fixed dilated pupils
  2. Retinal hemorrhages
  3. Vomiting
  4. Fever
View answer and explanation

Correct answer:

  1. Vomiting

Explanation: Vomiting is common after minor head injury.

Question 48

A nurse is planning care for an infant with bronchiolitis. Which action should be included?

  1. Meningococcal vaccine
  2. Suction nares with bulb syringe
  3. IV antibiotics
  4. Negative-pressure room
View answer and explanation

Correct answer:

  1. Suction nares with bulb syringe

Explanation: Suctioning maintains airway.

Question 49

A nurse is caring for a child who has bacterial meningitis. Which of the following findings should indicate to the nurse that the child can be removed from droplet precautions?

  1. Absent nuchal rigidity
  2. Negative cerebrospinal fluid culture
  3. Temperature below 37.4°C (99.3°F)
  4. Antibiotics initiated 24 hr ago
View answer and explanation

Correct answer:

  1. Antibiotics initiated 24 hr ago

Explanation: Droplet precautions can be discontinued after 24 hours of effective antibiotic therapy.

Question 50

A nurse is caring for an infant who has heart failure and is receiving digoxin. Which finding indicates a positive response?

  1. Respiratory rate 32/min
  2. Heart rate 187/min
  3. Urine output 2 mL/kg/hr
  4. Capillary refill 4 seconds
View answer and explanation

Correct answer:

  1. Urine output 2 mL/kg/hr

Explanation: Improved urine output reflects improved cardiac output.