Nursier
Register
Log in Register Register

RN exams pediatrics practice questions, set 4

RN exams · pediatrics

RN exams pediatrics practice questions set 4

You match developmental age, safety, and family teaching instead of treating the child as a small adult. Five of the 15 questions include the correct answer and rationale. The other ten keep answers in the study hub. Continue with the RN exams exam guide or more RN exams practice questions.

Five pediatrics questions with answers

Cover the key. Write the first action. Then open the rationale and name why the other choices fail.

Question 1

Prenatal testing is done to identify health issues that may interfere with the developing fetus. Within the first trimester, what lab test is usually obtained?

  1. A. Blood type and Rh factor
  2. B. Amniocentesis
  3. C. Maternal serum Alpha-fetoprotein
  4. D. Group B strep (GBS) vaginal culture
Show answer and rationale

Correct answer: A — Blood type and Rh factor

During the first trimester of pregnancy, one of the essential lab tests obtained is the blood type and Rh factor. This test is crucial for identifying the mother's blood type and Rh factor, which helps in determining any potential blood incompatibility issues that could arise between the mother and the fetus. Identifying such issues early in pregnancy allows healthcare providers to take necessary precautions to prevent complications that could affect the developing fetus. Amniocentesis, maternal serum Alpha-fetoprotein, and Group B strep (GBS) vaginal culture are typically not performed in the first trimester. Amniocentesis is usually done later in pregnancy to test for genetic disorders, maternal serum Alpha-fetoprotein is part of second-trimester screening for neural tube defects, and Group B strep (GBS) vaginal culture is typically done closer to delivery to assess the risk of neonatal infection. Therefore, the correct answer is A: 'Blood type and Rh factor.'

Question 2

Which preoperative nursing interventions should be included for a client who is scheduled to have an emergency cesarean birth?

  1. A. Monitor oxygen saturation and administer pain medication
  2. B. Assess vital signs every 15 minutes and instruct the client about postoperative care
  3. C. Alleviate anxiety and insert an indwelling catheter
  4. D. Perform a sterile vaginal examination and assess breath sounds
Show answer and rationale

Correct answer: C — Alleviate anxiety and insert an indwelling catheter

Option C is the correct answer because when a client is scheduled for an emergency cesarean birth, it is crucial to alleviate anxiety to promote a calm environment. Anxiety can increase stress levels and affect the client's overall well-being. Inserting an indwelling catheter helps in monitoring the client's urinary output during and after the surgery, which is important for assessing fluid balance and preventing complications. Monitoring oxygen saturation and administering pain medication (Option A) are important interventions but are not specific to the immediate needs of a client undergoing an emergency cesarean birth. Assessing vital signs every 15 minutes and instructing the client about postoperative care (Option B) are important postoperative interventions but may not be the priority during the emergency cesarean birth. Performing a sterile vaginal examination and assessing breath sounds (Option D) are not indicated preoperatively for a cesarean birth.

Question 3

The nurse is asking a pregnant woman about her use of recreational drugs as a component of the prenatal history. Harmful effects that may occur from recreational drug use during a client\'s prenatal period include. Which of the following? (select all that apply)

  1. A. Miscarriage/spontaneous abortion
  2. B. Developmental disabilities
  3. C. Macrosomia
  4. D. Low birth weight
Show answer and rationale

Correct answer: C — Macrosomia

Recreational drug use during pregnancy can have various harmful effects on the developing fetus. Macrosomia, which refers to a baby being born significantly larger than average, is a possible consequence of maternal drug use. This can occur due to the impact of drugs on the normal growth and development of the baby in utero. However, miscarriage/spontaneous abortion, developmental disabilities, and low birth weight are also potential risks associated with recreational drug use during pregnancy. Miscarriage can occur due to the toxic effects of drugs on the developing embryo, while developmental disabilities and low birth weight can result from impaired fetal growth and development caused by drug exposure. Therefore, while macrosomia is a known risk, it is important to consider the broader spectrum of potential adverse outcomes when discussing the effects of recreational drug use during pregnancy.

Question 4

Two days after delivery, a postpartum client prepares for discharge. What should the nurse teach her about lochia flow?

  1. A. The color of the lochia changes from a bright red to white after four days
  2. B. Numerous large clots are normal for the next three to four days
  3. C. Saturation of the perineal pad with blood is expected when getting up from the bed
  4. D. Lochia should last for about 3 weeks, changing color every few days
Show answer and rationale

Correct answer: D — Lochia should last for about 3 weeks, changing color every few days

The correct answer is D because lochia, the vaginal discharge after childbirth, typically lasts for about 3 weeks. Initially, it is bright red (lochia rubra) and gradually changes to pink or brown (lochia serosa) before turning white or yellow (lochia alba). This progression in color over time is a normal part of the postpartum healing process. Option A is incorrect as the color change timeline is not accurate. Option B is incorrect as passing numerous large clots is not normal and should be reported to the healthcare provider. Option C is also incorrect as saturation of the perineal pad with blood when getting up is not expected and should be assessed by the nurse. Therefore, teaching the client that lochia should last about 3 weeks and change color every few days is essential postpartum education to ensure the client understands what is normal and when to seek medical attention.

Question 5

A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the following complications should the nurse assess?

  1. A. Abruptio placenta
  2. B. Placenta previa
  3. C. Preeclampsia
  4. D. Maternal bradycardia
Show answer and rationale

Correct answer: A — Abruptio placenta

The correct answer is A: "Abruptio placenta." Cocaine use during pregnancy can increase the risk of abruptio placenta, a serious condition where the placenta separates from the uterine wall before delivery. This can lead to significant bleeding, fetal distress, and potentially life-threatening complications for both the mother and the baby. Placenta previa (B) is another placental complication but is not directly associated with cocaine use. Preeclampsia (C) is a separate condition characterized by high blood pressure and signs of damage to other organ systems, not directly linked to cocaine use. Maternal bradycardia (D) is a slow heart rate in the mother, which is not typically associated with cocaine use during labor. Therefore, the nurse should primarily assess for abruptio placenta in this scenario due to the increased risk associated with recent cocaine use.

Keep going past these 15 questions

Missed-question review, longer banks, and the rest of 20,000+ nursing practice questions open when you start studying.

Start studying See pricing

Ten more RN exams pediatrics questions

Stems and choices stay public so you can still reason. Correct answers and full rationales unlock with the rest of the bank.

Question 6

A nurse is caring for a client who is in labor and requests nonpharmacological pain management. Which of the following nursing actions promotes client comfort?

  1. A. Assisting the client into a squatting position
  2. B. Having the client lie in a supine position
  3. C. Applying fundal pressure during contractions
  4. D. Encouraging the client to void every 6 hr
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 7

A nurse is assessing a client who has gestational diabetes and is experiencing hyperglycemia. Which of the following findings should the nurse expect?

  1. A. Reports increased urinary output
  2. B. Diaphoresis
  3. C. Reports blurred vision
  4. D. Shallow respirations
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 8

A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take?

  1. A. Administer antiviral medication
  2. B. Schedule an ultrasound examination
  3. C. Administer Haemophilus influenza type b vaccine
  4. D. Schedule an indirect Coombs’ test
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 9

A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental abruption. Which of the following laboratory tests should the nurse expect the provider to prescribe?

  1. A. Kleihauer-Betke test
  2. B. Progesterone serum level
  3. C. Lecithin/sphingomyelin (L/S) ratio
  4. D. Maternal Alpha-fetoprotein (AFP)
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 10

The nurse is working in a support group for client with acquired immunodeficiency syndrome (AIDS). Which point is most important for the nurse to stress?

  1. A. Avoiding the use of recreational drugs and alcohol
  2. B. Refraining from telling anyone about the diagnosis
  3. C. Following safer-sex practices
  4. D. Telling potential sex partners about the diagnosis, as required by the law
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 11

Which of the following statements about vomiting is NOT true:

  1. A. The vomiting center is located in the medulla oblongata
  2. B. It is initiated voluntarily
  3. C. It involvcranial nerv8, 9, and 10
  4. D. It receivinput from the vestibular system
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 12

Which of the following instructions would Nurse Courtney include in a teaching plan that focuses on initial prevention for Sheri who is diagnosed with rheumatic fever?

  1. A. Treating streptococcal throat infections with an antibiotic
  2. B. Giving penicillin to patients with rheumatic fever
  3. C. Using corticosteroid to reduce inflammation
  4. D. Providing an antibiotic before dental work
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 13

A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take?

  1. A. Insert two gloved fingers into the vagina and apply upward pressure to the presenting part
  2. B. Wrap the visible cord tightly with sterile, dry gauze
  3. C. Apply oxygen to the client at 2 L/min via nasal cannula
  4. D. Place the client in the lithotomy position and apply fundal pressure
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 14

A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate?

  1. A. Urine ketones
  2. B. Rapid plasma regain
  3. C. Prothrombin time
  4. D. Urine culture
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 15

Which of the following blood study results would the nurse expect as most likely when caring for the child with iron deficiency anemia?

  1. A. Increased hemoglobin
  2. B. Normal hematocrit
  3. C. Decreased mean corpuscular volume (MCV)
  4. D. Normal total iron-binding capacity (TIBC)
Answer and rationale unlock in the Nursier study hub. Unlock answers

About these RN exams pediatrics questions

RN exams pediatrics practice questions, set 4 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

No. Nursier is independent practice. Register through the official path named on the RN exams exam guide.

The first five questions already include the rationale. Start full practice to unlock the remaining keys, missed-question review, and the rest of the bank.

Keep going past these 15 questions

Missed-question review, longer banks, and the rest of 20,000+ nursing practice questions open when you start studying.

Start studying See pricing