Course: Pediatric Nursing
Level: Nursing Students
Time: 2 Hours
Instructions:
1. Answer all questions.
2. Read each question carefully before answering.
3. Multiple-response questions require selecting all correct answers.
4. Each question carries equal marks unless otherwise stated.
SECTION A: MULTIPLE CHOICE QUESTIONS
Question 1
A pediatrician diagnoses gastroesophageal reflux (GER) in an infant. Which information should the nurse include when teaching the
infant’s parents?
A. GER prevents stomach contents from returning into the esophagus
B. GER includes symptoms such as vomiting and regurgitation
C. GER only occurs in premature infants
D. GER causes permanent esophageal damage in all infants
Question 2
A child is being discharged after a pyloromyotomy. Which discharge instruction should the nurse provide to the parents?
A. Restrict all oral feedings for 1 week
B. Report vomiting after 48 hours
C. Keep the child flat after feeding
D. Avoid bathing the child for 1 month
, Question 3
Which clinical manifestations are most commonly associated with acute glomerulonephritis?
A. Polyuria, dehydration, and weight loss
B. Edema, hematuria, and oliguria
C. Hematemesis and diarrhea
D. Hypertension and bradycardia only
Question 4
Which nursing intervention is appropriate for a child with acute glomerulonephritis?
A. Encourage unrestricted fluid intake
B. Weigh the child daily
C. Limit all activity permanently
D. Administer high-protein meals
Question 5
Which assessment finding may indicate increased intracranial pressure in an infant?
A. Bulging fontanel
B. Positive Kernig sign
C. Nuchal rigidity
D. Diplopia
Question 6
A 12-year-old child is being assessed for possible Reye Syndrome. Which findings would the nurse expect? (Select all that apply.)