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NSG 3600 PEDIATRIC EXAM 2 – CORRECT
QUESTIONS AND ANSWERS | 2026 UPDATE
PEDI EXAM 2 PRACTICE
Question 1
A nurse is caring for a 3-year-old child diagnosed with epiglottitis. Which intervention is
priority?
A. Administer oral antibiotics immediately
B. Obtain a throat culture to confirm the diagnosis
C. Prepare for emergency airway management
D. Place the child in a supine position to help with breathing
Answer: C
Rationale: Epiglottitis is a medical emergency due to the risk of sudden airway obstruction.
The nurse should never attempt to examine the throat and should be ready for emergency
intubation or tracheostomy.
Question 2
A nurse is assessing an infant with tetralogy of Fallot who is having a cyanotic spell. What is
the priority nursing intervention?
A. Place the infant in a knee-chest position
B. Administer IV fluids
C. Provide high-flow oxygen via mask
D. Suction the airway to remove secretions
Answer: A
Rationale: The knee-chest position increases systemic vascular resistance, reducing the
rightto-left shunting of deoxygenated blood and improving oxygenation.
Question 3
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Which finding in a newborn with tracheoesophageal fistula (TEF) requires immediate
intervention?
A. Excessive frothy saliva and choking with feeds
B. Mild cyanosis that improves with crying
C. Soft systolic murmur
D. Low-grade fever
Answer: A
Rationale: Excessive frothy saliva, choking, and cyanosis with feeds are classic signs of TEF,
which can lead to aspiration pneumonia and respiratory distress.
Question 4
A 2-year-old is brought to the ER with a barking cough and stridor at rest. Which medication
should the nurse anticipate administering first?
A. Albuterol nebulizer
B. Nebulized epinephrine
C. Oral prednisone
D. IV antibiotics
Answer: B
Rationale: Nebulized epinephrine rapidly reduces upper airway swelling in severe croup,
preventing respiratory failure.
Question 5
A child with cystic fibrosis (CF) is experiencing thick respiratory secretions. Which
intervention is priority?
A. Encouraging a high-protein, high-calorie diet
B. Performing chest physiotherapy before meals
C. Limiting fluid intake
D. Administering pancreatic enzymes after meals
Answer: B
Rationale: Chest physiotherapy helps loosen thick mucus and should be done before meals to
prevent vomiting.
Question 6
NSG 3600 PEDIATRIC EXAM 2 – CORRECT
QUESTIONS AND ANSWERS | 2026 UPDATE
PEDI EXAM 2 PRACTICE
Question 1
A nurse is caring for a 3-year-old child diagnosed with epiglottitis. Which intervention is
priority?
A. Administer oral antibiotics immediately
B. Obtain a throat culture to confirm the diagnosis
C. Prepare for emergency airway management
D. Place the child in a supine position to help with breathing
Answer: C
Rationale: Epiglottitis is a medical emergency due to the risk of sudden airway obstruction.
The nurse should never attempt to examine the throat and should be ready for emergency
intubation or tracheostomy.
Question 2
A nurse is assessing an infant with tetralogy of Fallot who is having a cyanotic spell. What is
the priority nursing intervention?
A. Place the infant in a knee-chest position
B. Administer IV fluids
C. Provide high-flow oxygen via mask
D. Suction the airway to remove secretions
Answer: A
Rationale: The knee-chest position increases systemic vascular resistance, reducing the
rightto-left shunting of deoxygenated blood and improving oxygenation.
Question 3
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Which finding in a newborn with tracheoesophageal fistula (TEF) requires immediate
intervention?
A. Excessive frothy saliva and choking with feeds
B. Mild cyanosis that improves with crying
C. Soft systolic murmur
D. Low-grade fever
Answer: A
Rationale: Excessive frothy saliva, choking, and cyanosis with feeds are classic signs of TEF,
which can lead to aspiration pneumonia and respiratory distress.
Question 4
A 2-year-old is brought to the ER with a barking cough and stridor at rest. Which medication
should the nurse anticipate administering first?
A. Albuterol nebulizer
B. Nebulized epinephrine
C. Oral prednisone
D. IV antibiotics
Answer: B
Rationale: Nebulized epinephrine rapidly reduces upper airway swelling in severe croup,
preventing respiratory failure.
Question 5
A child with cystic fibrosis (CF) is experiencing thick respiratory secretions. Which
intervention is priority?
A. Encouraging a high-protein, high-calorie diet
B. Performing chest physiotherapy before meals
C. Limiting fluid intake
D. Administering pancreatic enzymes after meals
Answer: B
Rationale: Chest physiotherapy helps loosen thick mucus and should be done before meals to
prevent vomiting.
Question 6
