Download PEDIATRICS LATEST PRACTICE EXAM 2025-2026 WITH CORRECT VERIFIED QUESTIONS AND ANSWERS GR and more Exams Nursing in PDF only on Docsity!
PEDIATRICS LATEST PRACTICE EXAM 2025- 2026
WITH CORRECT VERIFIED QUESTIONS AND
ANSWERS GRADED A+
The nurse should instruct the parents of an 8-year-old child who has sickle cell anemia to be alert for which complaint from the child: A. "I am shorter than everyone else" B. "I am really hot and thirsty." C. "I don't want to eat any vegetables." D. "I have to urinate every few hours." - correct answer>>B. "I am really hot and thirsty." A hospitalized child stiffens and starts to seize as the nurse enters the room. What actions should the nurse take? Select all that apply. A. Instruct the parents to leave the room. B. Pad side rails with available pillows and blankets. C. Notify the emergency response team. D. Monitor duration and progress of the seizure. E. Turn client to the side if possible - correct answer>>B. Pad side rails with available pillows and blankets. D. Monitor duration and progress of the seizure. E. Turn client to the side if possible The nurse is assessing an 8-month-old who has a cough, axillary temperature of 100°F, and rhinorrhea. What information is most important for the nurse to obtain from this child's mother? A. Living conditions B. Labor and delivery history of the infant. C. Immunization status of the infant D. Alcohol and drug intake of the mother - correct answer>>C. Immunization status of the infant
What snack is best to provide a 6-year-old child on prescribed bedrest while receiving treatment for osteomyelitis? A. Milkshake B. Soup broth C. Applesauce D. Popsicle - correct answer>>A. Milkshake A child with acute laryngotracheobronchitis (croup) received epinephrine 2 hours ago in the emergency room, and is now being prepared for discharge to the home. The nurse should instruct the parents to take which action if the child's uncontrolled coughing reoccurs. A. Call for emergency transportation to the hospital. B. Increase the fluid intake to liquefy the secretions. C. Administer a dose of the prescribed cough medicine. D. Sit with the child in the bathroom with hot steam - correct answer>>D. Sit with the child in the bathroom with hot steam A 10-year-old girl is diagnosed with inflammatory bowel disease (IBD). Her mother is concerned that she will experience developmental delays as the result of this disorder. How should the nurse response? A. She will only experience developmental delays if weight loss cannot be controlled. B. Scheduling a private tutor can help to prevent developmental delays C. She is at a high risk for a number of different problems, including developmental delays. D. Growth failure is a concern, but developmental delays are not likely to occur - correct answer>>D. Growth failure is a concern, but developmental delays are not likely to occur A child who has been vomiting for 3 days is admitted for correction of fluid and electrolyte imbalances. What acid base imbalance is the child likely to exhibit? A. Respiratory Acidosis B. Metabolic Alkalosis
The nurse notices that the hem of a skirt on a pre-adolescent girl is uneven when she comes to the clinic. What procedure should the nurse follow to examine the girl for scoliosis? Arrange the examination process from first on top to last on the bottom. A. Examine for scapular prominence B. Ask the girl to remove her shirt but leave on her bra or swimsuit top C. Instruct the girl to bend at the waist so back is parallel to the floor D. Look for asymmetry in the hip area - correct answer>>B. Ask the girl to remove her shirt but leave on her bra or swimsuit top D. Look for asymmetry in the hip area C. Instruct the girl to bend at the waist so back is parallel to the floor A. Examine for scapular prominence The parents of a 14-year-old girl tell the nurse that their daughter dresses as a tomboy and plays baseball one day and the next day dresses in feminine clothing and is a teenage drama queen. What information should the nurse use to respond to the parents? A. Adolescents try on different roles while seeking their identity B. Teenagers need a strong role model to emulate. C. Such erratic behavior needs further investigation D. 14 year olds often try to please parents with role choices - correct answer>>A. Adolescents try on different roles while seeking their identity A 2-year-old is receiving care in the ED for a deep laceration on the head. What action should the nurse implement to facilitate the child's cooperation? A. Let the child decide whether to sit up or lie down for procedures. B. Direct the parents to remain outside the treatment room C. Keep the child physically restrained during nursing care. D. Allow the child to hold a favorite toy or blanket - correct answer>>D. Allow the child to hold a favorite toy or blanket A 4 y/o is brought to the ED for a laceration on the right foot. What action should the nurse implement to help the child in coping with the emergent experience?
A. Give the child some time after explaining procedures B. Avoid using jargon such as shot when giving care C. Remind the preschooler how big children should act D. Avoid the use of bandages to keep wounds open to air - correct answer>>B. Avoid using jargon such as shot when giving care A 6 y/o child is admitted in the ED with a SBP of 58 mmHg. What action should the nurse take first? A. Alert the healthcare provider B. Initiate IV fluid replacement C. Comfort the child D. Assess responsiveness - correct answer>>A. Alert the healthcare provider A child is brought to the ED with sweating, chills, and snake fang-like puncture marks on the calf. What action should the nurse implement after the snake is identified? A. Reassure the child and parent B. Secure the antivenin C. Apply a tourniquet to the leg D. Ambulate the child - correct answer>>B. Secure the antivenin Which finding should the nurse in the ED identify as an indicator that a 3 y/o has been mistreated? A. the toddler does not remember how the injury occurred. B. the parents are extremely calm in the emergency room C. the child was doing something unsafe when the injury occurred. D. the injury sustained is highly unusual for a 3 y/o child - correct answer>>D. the injury sustained is highly unusual for a 3 y/o child A crying toddler has a BP measurement of 120/70 mmHg. What action should the nurse implement? A. ask the parent if the child has a history of hypertension
D. MMR
E. HEPb F. IPV - correct answer>>A. Hib B. DTaP E. HEPb F. IPV While assessing the apical pulse of a 13 y/o, the nurse determines that the rate is 88 bpm and the rhythm is irregular. The heart rate is phasic with respirations increasing during inspiration and decreasing with expiration. What action should the nurse take? A. continue the cardiac examination B. Re-assess the apical pulse in 15 minutes C. Inquire about daily caffeine intake D. Schedule a consultation with a cardiologist - correct answer>>A. continue the cardiac examination What is a priority nursing diagnosis for a child in the subacute stage of Kawasaki disease? A. High risk for altered tissue perfusion, cardiopulmonary B. High risk for fluid volume deficit C. Alterations in skin integrity D. Risk for imbalanced body temperature, hyperthermia - correct answer>>A. High risk for altered tissue perfusion, cardiopulmonary The nurse is developing the plan of care for a school-aged boy with a chronic disability. The child frequently cries about being different from his siblings and wants others to do things for him that he is capable of doing for himself. To assist the family in coping with this child's chronic illness, which intervention is most important? A. Suggest that all the children are included in family decision making. B. Evaluate the proper use of equipment that is provided to improve the child's lifestyle.
C. Recommend the use of consistent discipline and reward for acceptable behavior D. Encourage the parents to role model ways to act when one is disappointed - correct answer>>C. Recommend the use of consistent discipline and reward for acceptable behavior A man who was recently diagnosed with Huntington's disease asks the nurse if his adolescent son should be tested for the disease. What is the best response? A. Testing is needed because there is a 50% risk of passing the gene to each offspring B. Autosomal dominant disorders, such as Huntington's, cannot be inherited from the parent C. Genetic counseling should be provided to ensure an informed decision by the family D. Positive genetic testing may contribute to insurance discrimination that denies coverage - correct answer>>A. Testing is needed because there is a 50% risk of passing the gene to each offspring Which clinical finding should the nurse expect a child with nephrosis to exhibit? A. Urine protein 3+ to 4+ B. Elevated blood pressure C. Blood-tinged urine D. Elevated temperature - correct answer>>A. Urine protein 3+ to 4+ When plotting a 20 w/o infant's weight on a standardized growth chart, the nurse determines that the child's weight is between the 2nd and 3rd percentile. What action should the nurse take? A. Obtain a 24 hour nutritional history before making any conclusions B. Compare this weight with previous weights recorded in the child's record C. Teach the parents about interventions for failure to thrive syndrome D. Evaluate the parent's body build in relation the infant's weight - correct answer>>B. Compare this weight with previous weights recorded in the child's record
A. Having our children brush with fluoride toothpaste is not effective B. Dental caries can be prevented through fluoridation of public water C. Use of fluoride in water is mostly effective during initial tooth formation D. Excessive amounts of fluoride will make teeth turn brittle and yellow - correct answer>>B. Dental caries can be prevented through fluoridation of public water A 7 m/o infant is admitted with nonorganic failure to thrive. To aid the child's growth and development, which intervention is most important for the nurse to implement. A. Demonstrate feeding strategies and infant cues that indicate hunger and satiation B. Encourage the parents to participate in a planned program of play with the infant. C. Refer the parents for psychological counseling to identify parental detachment D. Provide instructions about formula preparation and feeding schedules - correct answer>>A. Demonstrate feeding strategies and infant cues that indicate hunger and satiation A 14 y/o returns to the unit after corrective surgery for scoliosis. In the immediate post-operative period, the nurse should include which actions (select all that apply) A. Assess bowel sounds ever 4 hours B. Elevate the head of the bed 30 degrees C. Ambulate for 5 minutes 12 hours post-operative D. Record intake and output every 8 hours E. Give morphine sulfate 2 mg IV every 4 hours PRN F. Initiate a logrolling schedule every 2 hours - correct answer>>A. Assess bowel sounds ever 4 hours D. Record intake and output every 8 hours E. Give morphine sulfate 2 mg IV every 4 hours PRN F. Initiate a logrolling schedule every 2 hours The parents of an adolescent male with Ewing Sarcoma ask the nurse what is the most significant factor contributing to their sons prognosis:
A. Age of onset B. Gender of child C. Degree of metastasis D. Appearance on X-Ray - correct answer>>C. Degree of metastasis A child with nephrotic syndrome is receiving prednisone. Which priority nursing diagnosis should the nurse include in the plan of care? A. Disturbed body image B. Risk for infection C. Risk for bleeding D. Nausea - correct answer>>B. Risk for infection An 8 y/o boy recently diagnosed with diabetes mellitus is admitted to the ICU with DKA. What is the highest priority: A. initiate an IV infusion B. Place on cardiac monitor C. Collect specimens for serum electrolytes D. Obtain fingerstick glucose - correct answer>>A. initiate an IV infusion Muscular dystrophy is characterized by which condition: A. Skeletal muscle degeneration B. Cardiac damage C. Stressed induced tremor and trembling D. Seizure activity - correct answer>>A. Skeletal muscle degeneration When caring for a child who has pertussis that is in the paroxysmal stage, what is the most important intervention A. Maintain a liquid diet B. Increase protein intake C. Offer the child a regular diet D. Provide small frequent meals - correct answer>>D. Provide small frequent meals
The nurse is caring for a female client with scoliosis who had a posterior spinal fusion and is in a body jacket cast. Which findings indicates cast syndrome? A. Abdominal distention B. Diminished pulses in the foot C. Hot spot felt on the cast D. Musty, unpleasant odor to cast - correct answer>>A. Abdominal distention A nurse reviews the methods for preventing recurring UTIs. Which response indicates a need for further teaching: A. Bathes the child nightly with liquid bubbles added B. Increases oral fluids and encourages the child to void frequently C. Provides the child with cotton underwear for daily use D. Teaches the child to cleanse perineal area from front to back - correct answer>>A. Bathes the child nightly with liquid bubbles added What is the priority nursing intervention for a 12 y/o newly diagnosed with bacterial meningitis: A. Monitor for increased ICP and do frequent neurons vital sign checks B. Administer broad spectrum antibiotics before results of culture and sensitivity tests are returned C. Maintain seizure precautions to protect the client from injury D. Continue with pain management and provide comfort measures - correct answer>>B. Administer broad spectrum antibiotics before results of culture and sensitivity tests are returned When assessing a preschooler, which finding warrants further assessment by the nurse? A. Talks about an imaginary friend B. Gains 2 pounds in 12 months C. Able to ride a tricycle D. Dresses independely - correct answer>>B. Gains 2 pounds in 12 months
What is the best action for the nurse to take when initiating contact with a toddler for the first time A. ask the toddler to point to where it hurts B. tell the child your name and that you are the nurse C. call the child by name while picking up the toddler D. kneel in front of the toddler and speak softly to the child - correct answer>>D. kneel in front of the toddler and speak softly to the child A mother expresses concern to the nurse about the behavior of her 15 y/o who is frequently finding fault and criticizing her. A. the family value system may need to be changed to meet the teen's changing needs B. parents should relinquish their relationship with their teen to the teen's peers. C. conflicts int the parent-teen relationship are to be expected during adolescence D. teens create psychological distance from parents in order to separate from them - correct answer>>D. teens create psychological distance from parents in order to separate from them A 6 y/o squirms and giggles when the nurse begins to palpate the abdomen. What should the nurse do A. place the child's hand under the examiner's hand while palpating B. press the abdomen with the child bearing down and holding breath C. postpone the abdominal palpation until the next examination D. touch the abdomen firmly as the child takes short, quick breaths - correct answer>>A. place the child's hand under the examiner's hand while palpating Which site should the nurse assess to obtain the pulse rate for a 1 y/o A. Femoral B. Carotid C. Radial D. Apical - correct answer>>D. Apical
What intervention should the nurse implement to help keep a 6 m/o infant calm during an assessment A. give the infant a soft cuddly toy to hold B. remove the pacifier from the infants mouth C. distract the infant with noise or bright lights D. encourage the patient to hold the infant - correct answer>>D. encourage the patient to hold the infant The nurse plans to mix a medication with food to make it more palatable for a child. Which food should be administered A. formula or milk B. syrup C. orange juice D. applesauce - correct answer>>D. applesauce After discussion the introduction of solid foods of a 6 m/o infant. What should be the first food to give A. yellow vegetables B. rice cereal C. egg yolks D. fruits - correct answer>>B. rice cereal During the well assessment the parents of a 4 y/o express concern that their child chatters while playing alone. What should the nurse say: A. concern for psychological development is warranted so further testing is required B. the child is attempting to formulate a secondary language C. this is an attempt by the child to form an imaginary social base D. private speech is normal at this age and serves as a problem solving tool - correct answer>>D. private speech is normal at this age and serves as a problem solving tool
The father of an 8 y/o wants his child to succeed in soccer. The child wants to play chess and feels like a failure in soccer. How should the nurse respond A. the child has an introverted personality and should be encouraged to play isolated games B. the father should encourage the son to participate in team sports instead of less physical activities C. the child should be given opportunities to achieve a sense of competency in an area he chooses D. the father should decrease his expectations to give the son a chance to succeed. - correct answer>>C. the child should be given opportunities to achieve a sense of competency in an area he chooses The mother of a 2 m/o reports that she often lets the baby cry in the middle of night instead of going to it. What should the nurse say A. picking up the infant in the middle of the night fosters dependency on the mother B. an infant is learning to manipulate others when the infant is picked up unnecessarily C. a 2 m/o who does not sleep through the night should be evaluated further D. a sense of trust is developed in an infant when others respond to the infants cry - correct answer>>D. a sense of trust is developed in an infant when others respond to the infants cry The nurse observes the interactions of a 2 y/o who says no even when yes is what the child wants to say. The parent wants to know why the child is so negative. How should the nurse respond A. the toddler is exhibiting an example of ritualistic behavior B. the child is trying to assert autonomy through negativism C. a 2 y/o often acts in the opposite way to get attention D. this age child is testing the limits of the parent's patience - correct answer>>B. the child is trying to assert autonomy through negativism An infant weight 7 lb at birth. How much should the nurse expect the infant to weigh at 6 months.
D. review the dietary intake for indications of a vitamin deficiency or malnutrition
- correct answer>>A. document general physical appearance of a normally developed toddler During a well visit, the nurse hides a block under the baby's blanket, and the baby looks for the block. Which normal milestone does this indicate A. object permanence B. separation anxiety C. object prehension D. associative play - correct answer>>A. object permanence The mother of a 2 y/o who just received the first DTap asks the nurse what symptoms to expect. How will the nurse respond: A. seizures are common and require anticonvulsant medication B. most children do not experience any reaction C. the most common reaction is a whole body rash that develops into itchy vesicles D. mild reactions are common and most frequently include low grade fever - correct answer>>D. mild reactions are common and most frequently include low grade fever The nurse is assessing an infant with diarrhea and lethargy. Which finding indicates early dehydration: A. tachycardia B. bradycardia C. increased skin turgor D. dry mucus membranes - correct answer>>A. tachycardia When administering a lavage feeding to a school age child which action should the nurse implement A. administer feedings over 5 to 10 minutes B. check the placement of the tube by inserting 20 ml of sterile water C. position the child on the right side after administering the feeding
D. lubricate the tip of the feeding tube with petroleum jelly to facilitate passage - correct answer>>C. position the child on the right side after administering the feeding What sign of malignant hyperthermia should the nurse assess for during the preoperative period in a child receiving general anesthesia A. apnea B. decreased blood pressure C. tachypnea D. bradycardia - correct answer>>C. tachypnea a 4 y/o child who is ventilator dependent is receiving tube feedings. List in order which actions the nurse should implement. A. Refuse to feed the child orally, because the risk is too high B. Ask the parents to negotiate a change in feeding methods with the healthcare provider C. Acknowledge the request and then explore with the family the available options for care D. Set additional goals for feeding the child with the parents - correct answer>>C. Acknowledge the request and then explore with the family the available options for care D. Set additional goals for feeding the child with the parents A. Refuse to feed the child orally, because the risk is too high B. Ask the parents to negotiate a change in feeding methods with the healthcare provider A 5 y/o child is one day postoperative and has bilateral eye patches and should be out of bed. What is the priority intervention should the nurse implement before leaving the bedside A. allow the child to assist in feeding himself B. orient the child to the immediate surroundings C. allow the parents to stay in the room with the child D. speak to the child when entering the room - correct answer>>B. orient the child to the immediate surroundings
