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Nursing Care of Children - Pre-Assessment Quiz ALL QUESTIONS AND 100%
CORRECT ANSWERS ALREADY GRADED A+ - LATEST UPDATE 2026
1. A 2-year-old child presents with a barking cough, stridor, and low-grade fever. What is the
most likely diagnosis?
A) Asthma
B) Croup (laryngotracheitis)
C) Bronchiolitis
D) Pneumonia
Answer: B
Rationale: Croup is characterized by a barking cough, inspiratory stridor, and hoarseness,
typically in children 6 months–3 years.
2. True or False: Children should remain in a rear-facing car seat until at least age 2 or until they
reach the car seat manufacturer’s height/weight limit.
Answer: True
Rationale: Rear-facing seats provide optimal protection for a child’s head, neck, and spine.
3. A 4-year-old has sudden onset of drooling, high fever, and difficulty swallowing. What is the
priority action?
A) Administer antipyretics
B) Place the child supine
C) Prepare for possible airway obstruction and emergency intubation
D) Encourage oral fluids
Answer: C
Rationale: These are signs of epiglottitis, a medical emergency; airway management is the
priority.
4. True or False: Children metabolize medications faster than adults, so dosage adjustments are
often necessary.
Answer: True
Rationale: Pediatric pharmacokinetics differ; metabolism and clearance rates vary with age.
UPDATED exam 2026
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5. Which is a common early sign of increased intracranial pressure in infants?
A) Bulging fontanel
B) Bradycardia
C) Hyperactivity
D) Hypotension
Answer: A
Rationale: Bulging fontanels, irritability, and poor feeding are early indicators of increased ICP
in infants.
6. A child with nephrotic syndrome presents with edema and proteinuria. Which is the priority
nursing intervention?
A) Encourage high-salt diet
B) Monitor for infection
C) Restrict fluid intake excessively
D) Administer corticosteroids as ordered
Answer: D
Rationale: Corticosteroids reduce proteinuria and edema; monitoring and supportive care are
also essential.
7. True or False: The most common cause of gastroenteritis in children is rotavirus.
Answer: True
Rationale: Rotavirus is a leading cause of diarrhea in infants and young children, though
vaccines have reduced incidence.
8. A school-age child with type 1 diabetes is hypoglycemic. Which intervention is appropriate?
A) Administer 15 g of fast-acting carbohydrate
B) Give 10 units of insulin
C) Encourage exercise
D) Administer glucagon only
Answer: A
Rationale: The “15-15 rule” is used: 15 g carbohydrate, wait 15 minutes, recheck glucose,
repeat if needed.
9. True or False: The Denver II Developmental Screening Test assesses children from birth to 6
years for developmental milestones.
UPDATED exam 2026
Nursing Care of Children - Pre-Assessment Quiz ALL QUESTIONS AND 100%
CORRECT ANSWERS ALREADY GRADED A+ - LATEST UPDATE 2026
1. A 2-year-old child presents with a barking cough, stridor, and low-grade fever. What is the
most likely diagnosis?
A) Asthma
B) Croup (laryngotracheitis)
C) Bronchiolitis
D) Pneumonia
Answer: B
Rationale: Croup is characterized by a barking cough, inspiratory stridor, and hoarseness,
typically in children 6 months–3 years.
2. True or False: Children should remain in a rear-facing car seat until at least age 2 or until they
reach the car seat manufacturer’s height/weight limit.
Answer: True
Rationale: Rear-facing seats provide optimal protection for a child’s head, neck, and spine.
3. A 4-year-old has sudden onset of drooling, high fever, and difficulty swallowing. What is the
priority action?
A) Administer antipyretics
B) Place the child supine
C) Prepare for possible airway obstruction and emergency intubation
D) Encourage oral fluids
Answer: C
Rationale: These are signs of epiglottitis, a medical emergency; airway management is the
priority.
4. True or False: Children metabolize medications faster than adults, so dosage adjustments are
often necessary.
Answer: True
Rationale: Pediatric pharmacokinetics differ; metabolism and clearance rates vary with age.
UPDATED exam 2026
, 2|Page
5. Which is a common early sign of increased intracranial pressure in infants?
A) Bulging fontanel
B) Bradycardia
C) Hyperactivity
D) Hypotension
Answer: A
Rationale: Bulging fontanels, irritability, and poor feeding are early indicators of increased ICP
in infants.
6. A child with nephrotic syndrome presents with edema and proteinuria. Which is the priority
nursing intervention?
A) Encourage high-salt diet
B) Monitor for infection
C) Restrict fluid intake excessively
D) Administer corticosteroids as ordered
Answer: D
Rationale: Corticosteroids reduce proteinuria and edema; monitoring and supportive care are
also essential.
7. True or False: The most common cause of gastroenteritis in children is rotavirus.
Answer: True
Rationale: Rotavirus is a leading cause of diarrhea in infants and young children, though
vaccines have reduced incidence.
8. A school-age child with type 1 diabetes is hypoglycemic. Which intervention is appropriate?
A) Administer 15 g of fast-acting carbohydrate
B) Give 10 units of insulin
C) Encourage exercise
D) Administer glucagon only
Answer: A
Rationale: The “15-15 rule” is used: 15 g carbohydrate, wait 15 minutes, recheck glucose,
repeat if needed.
9. True or False: The Denver II Developmental Screening Test assesses children from birth to 6
years for developmental milestones.
UPDATED exam 2026
