PN Pediatric Nursing
See correct answers immediately with detailed explanations after each question.
Answer all questions, then review your results with feedback at the end.
Timed simulation that mimics real exam conditions. No feedback until completion.
Below are sample questions from this exam to help you understand the content and format.
Q1: A nurse is preparing to administer morphine 15 mg subcutaneously. The amount available is morphine injection 10 mg/mL. How many mL should the nurse administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Answer Choices:
✔ Desired dose (order): 15 mg
✔ Available concentration: 10 mg/mL
🔺 Volume to administer (mL) =Desired dose (mg) ÷ Available concentration (mg/mL)
🔺 Volume = 15 ÷ 10
✍ =1.5 mL
Q2: A nurse is caring for an adolescent following the application of a plaster cast for a fractured right tibia. Which of the following actions should the nurse take?
Answer Choices:
💎 Neurovascular checks help detect early signs of impaired perfusion, including changes in circulation, sensation, or movement.
💎 Following a cast application, there's a risk of compartment syndrome, which can lead to limb ischemia if not identified early.
💎 This involves checking for color, temperature, pulse, capillary refill, and motor/sensory function.
💎 Keeping the leg in a dependent position can increase swelling and pressure, worsening perfusion.
💎 Using a hair dryer or completely discouraging ambulation may lead to burns or muscle deconditioning, respectively.
Q3: The nurse notes documentation that a child with meningitis is exhibiting a positive Kernig's sign. Which observation is a characteristic of this sign?
Answer Choices:
🔺 This describes Kernig’s sign, a clinical indicator of meningeal irritation, often seen in meningitis.
🔺 The maneuver stretches the meninges and spinal nerves, causing pain and resistance if inflammation is present.
🔺 A positive Brudzinski's sign involves neck flexion causing hip and knee flexion, not leg resistance.
🔺 Petechial rashes are seen in meningococcal sepsis but not specific to Kernig’s sign.
🔺 Recognizing these signs aids in early diagnosis and timely treatment of meningitis, preventing complications.
Q4: A nurse enters a school age child's room to administer morning medications and finds the client sitting in a chair having a seizure. After lowering the client to the floor, which of the following actions should the nurse take first?
Answer Choices:
💖 The lateral or side-lying position helps maintain an open airway and prevents aspiration during a seizure.
💖 It allows secretions or vomit to drain, minimizing the risk of respiratory compromise.
💖 Oxygen can be administered after the airway is secured; it is not the first action.
💖 Anticonvulsants are not administered during an active seizure unless prescribed as emergency rescue.
💖 Protecting the airway and ensuring safety are the immediate priorities during seizure care.
Q5: The nurse is planning to teach parents about prevention of Reye's syndrome. What information would the nurse include in this teaching?
Answer Choices:
⏩ Reye’s syndrome is associated with aspirin (salicylate) use during viral illness in children and adolescents.
⏩ It leads to acute encephalopathy and liver dysfunction, and can be life-threatening if not prevented.
⏩ Teaching parents to avoid aspirin and use acetaminophen or ibuprofen is critical during viral episodes.
⏩ There’s no vaccine or specific diagnostic test for Reye’s; prevention is the best intervention.
⏩ Education should focus on reading medication labels carefully, especially with over-the-counter cold or flu remedies.
