Peds Exam 2 NCLEX Questions and
answers 2026\2027 A+ Grade
A 12-year-old child is in the urgent care clinic with a complaint of fever, headache, and sore throat. A
diagnosis of group A beta-hemolytic streptococcus (GABHS) pharyngitis is established with a rapid-strep
test, and oral penicillin is prescribed. The nurse knows which of the following statements about GABHS
is correct?
a. Children with a GABHS infection are less likely to contract the illness again after the antibiotic regimen
is completed.
b. A follow-up throat culture is recommended following the completion of antibiotic therapy.
c. Children with a GABHS infection are at increased risk for the development of rheumatic fever (RF) and
glomerulonephritis.
d. Children with a GABHS infection are at increased risk for the development of rheumatoid arthritis in
adulthood.
- correct answer C. Children with GABHS infection are at increased risk for the development of
rheumatic fever (RF) and glomerulonephritis
A 5-year-old is recovering from a tonsillectomy and adenoidectomy and is being discharged home with
his mother. Home care instructions should include which of the following? Select all that apply.
a. Observe the child for continuous swallowing.
b. Encourage the child to take sips of cool, clear liquids.
c. Administer codeine elixir as necessary for throat pain.
d. Observe the child for restlessness or difficulty breathing.
e. Encourage the child to cough every 4 to 5 hours to prevent pneumonia.
f. Administer an analgesic such as acetaminophen for pain.
- correct answer A. Observe the child for continuous swallowing
B. Encourage the child to take sips of cool, clear liquids
, D. Observe child for restlessness or difficulty breathing
F. Administer an analgesic such as acetaminophen for pain
A 3-month-old infant is seen in the clinic with the following symptoms: irritability, crying, refusal to
nurse for more than 2 to 3 minutes, rhinitis, and a rectal temperature of 101.8° F (38.8° C). The labor,
delivery, and postpartum history for this term infant is unremarkable. The nurse anticipates a diagnosis
of:
a. Acute otitis media (AOM)
b. Otitis media with effusion (OME)
c. Otitis externa
d. Respiratory syncytial virus (RSV)
- correct answer A. Acute Otitis Media (AOM)
A 5-year-old is seen in the urgent care clinic with the following history and symptoms: sudden onset of
severe sore throat after going to bed, drooling and difficulty swallowing, axillary temperature of 102.2° F
(39.0° C), clear breath sounds, and absence of cough. The child appears anxious and is flushed. Based on
these symptoms and history, the nurse anticipates a diagnosis of:
a. Group A beta-hemolytic streptococcus (GABHS) pharyngitis
b. Acute tracheitis
c. Acute epiglottitis
d. Acute laryngotracheobronchitis (LTB)
- correct answer C. Acute epiglottis
A 2-month-old formerly healthy infant born at term is seen in the urgent care clinic with intercostal
retractions, respiratory rate of 62, heart rate of 128, refusal to breastfeed, abundant nasal secretions,
and a pulse oximeter reading of 88% in room air. The diagnosis of respiratory syncytial virus (RSV) is
made, and a bronchodilator is administered. The infant's oxygen saturation (SaO2) remains 95% in room
air, and the respiratory rate is 54, with intercostal retractions; heart rate is 120 bpm. After 2 hours of
observation and an intravenous (IV) bolus of fluids, the infant is being discharged home. The nurse
provides which of the following home care instructions for this infant? Select all that apply.
a. Continue breastfeeding infant.
answers 2026\2027 A+ Grade
A 12-year-old child is in the urgent care clinic with a complaint of fever, headache, and sore throat. A
diagnosis of group A beta-hemolytic streptococcus (GABHS) pharyngitis is established with a rapid-strep
test, and oral penicillin is prescribed. The nurse knows which of the following statements about GABHS
is correct?
a. Children with a GABHS infection are less likely to contract the illness again after the antibiotic regimen
is completed.
b. A follow-up throat culture is recommended following the completion of antibiotic therapy.
c. Children with a GABHS infection are at increased risk for the development of rheumatic fever (RF) and
glomerulonephritis.
d. Children with a GABHS infection are at increased risk for the development of rheumatoid arthritis in
adulthood.
- correct answer C. Children with GABHS infection are at increased risk for the development of
rheumatic fever (RF) and glomerulonephritis
A 5-year-old is recovering from a tonsillectomy and adenoidectomy and is being discharged home with
his mother. Home care instructions should include which of the following? Select all that apply.
a. Observe the child for continuous swallowing.
b. Encourage the child to take sips of cool, clear liquids.
c. Administer codeine elixir as necessary for throat pain.
d. Observe the child for restlessness or difficulty breathing.
e. Encourage the child to cough every 4 to 5 hours to prevent pneumonia.
f. Administer an analgesic such as acetaminophen for pain.
- correct answer A. Observe the child for continuous swallowing
B. Encourage the child to take sips of cool, clear liquids
, D. Observe child for restlessness or difficulty breathing
F. Administer an analgesic such as acetaminophen for pain
A 3-month-old infant is seen in the clinic with the following symptoms: irritability, crying, refusal to
nurse for more than 2 to 3 minutes, rhinitis, and a rectal temperature of 101.8° F (38.8° C). The labor,
delivery, and postpartum history for this term infant is unremarkable. The nurse anticipates a diagnosis
of:
a. Acute otitis media (AOM)
b. Otitis media with effusion (OME)
c. Otitis externa
d. Respiratory syncytial virus (RSV)
- correct answer A. Acute Otitis Media (AOM)
A 5-year-old is seen in the urgent care clinic with the following history and symptoms: sudden onset of
severe sore throat after going to bed, drooling and difficulty swallowing, axillary temperature of 102.2° F
(39.0° C), clear breath sounds, and absence of cough. The child appears anxious and is flushed. Based on
these symptoms and history, the nurse anticipates a diagnosis of:
a. Group A beta-hemolytic streptococcus (GABHS) pharyngitis
b. Acute tracheitis
c. Acute epiglottitis
d. Acute laryngotracheobronchitis (LTB)
- correct answer C. Acute epiglottis
A 2-month-old formerly healthy infant born at term is seen in the urgent care clinic with intercostal
retractions, respiratory rate of 62, heart rate of 128, refusal to breastfeed, abundant nasal secretions,
and a pulse oximeter reading of 88% in room air. The diagnosis of respiratory syncytial virus (RSV) is
made, and a bronchodilator is administered. The infant's oxygen saturation (SaO2) remains 95% in room
air, and the respiratory rate is 54, with intercostal retractions; heart rate is 120 bpm. After 2 hours of
observation and an intravenous (IV) bolus of fluids, the infant is being discharged home. The nurse
provides which of the following home care instructions for this infant? Select all that apply.
a. Continue breastfeeding infant.
