2026 -2027 Actual Complete Real Exam Questions and
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A 5-year-old child presents with hives, swelling of the lips and
face, and stridor that developed about an hour after eating
lunch. The child has no known allergies. Which of the following
is the priority intervention?
A. Administer intramuscular epinephrine
B. Auscultate bilateral breath sounds
C. Insert an intravenous catheter
D. Administer inhaled albuterol - ANSWER-A. Administer
intramuscular epinephrine
An adolescent is awaiting ICU admission for pneumonia.
During reassessment, which of the following findings would be
most indicative that respiratory failure is developing?
A. SpO2 of 94 % on room air
B. Widened pulse pressure
C. Extreme lethargy
D. Flash capillary refill - ANSWER-A. SpO2 of 94 % on room air
A 3-year-old has a two-day history of runny nose, low-grade
fever, and a "barky"
cough at night. The child is awake and alert with noted stridor.
Pulse oximetry is
,96% on room air. Which of the following interventions
would be the most
appropriated for this
child?
A. Delivery of humidified oxygen by
nasal cannula
B. Administration of nebulized
epinephrine
C. Suctioning secretions from the
oropharynx
D. Administration of albuterol with a spacer - ANSWER-B.
Administration of
nebulized
epinephrine
A 14-year-old patient had a reduction of a temporomandibular
joint dislocation
in the ED. Which of the following should be included in
the discharge
instructions?
A. Practice yawning three to four
times a day
B. Resume eating a regular diet later today
C. Apply hot packs to the joint area for pain control
D. Use a nonsteroidal anti-inflammatory for pain control -
ANSWER-D. Use a nonsteroidal anti-inflammatory for pain
control
,Which of the following parameters would indicate that
appropriate post resuscitation interventions were successfully
carried out in the pediatric patient?
A. Pulse oximetry reading of 96%
B. Temperature of 99.8°F (37.6°C)
C. Capillary refill of < 1 second
D. Capnography reading of 60 mm Hg - ANSWER-A. Pulse
oximetry reading of
96%
An anxious 12-year-old child presents to the emergency
department with a sudden onset of nausea, diarrhea, abdominal
cramping, flushing, and hypotension. Symptoms started about
60 minutes after lunch. Which of the following conditions is the
most likely cause of these symptoms?
A. Anaphylaxis
B. Renal colic
C. Crohn's Disease
D. Menarche - ANSWER-A. Anaphylaxis
An 8-year-old trauma patient suddenly develops increased
respiratory distress with a rise in heart rate from 112
beats/minute to 142 beats/minute associated with an abrupt
hypotensive event. Distention of the jugular veins is noted.
Which of the following emergent interventions should be
anticipated first?
A. High flow oxygen
B. Drug assisted intubation
C. Chest tube insertion
, D. Needle decompression - ANSWER-D. Needle decompression
A 4-week-old infant born prematurely is brought to the
emergency department due to the rapid onset of abdominal
distention, vomiting, bloody stools, and exhibiting signs of
shock. Based on these findings, what condition should the
nurse suspect?
A. Necrotizing enterocolitis
B. Pyloric stenosis
C. Megacolon
D. Congenital diaphragmatic hernia - ANSWER-A. Necrotizing
enterocolitis
A 4-year-old presents with vomiting, lethargy, frequent
urination, weight loss, and dry mucous membranes. Vital signs
reveal deep respirations at 44 breaths per minute, BP of 70/44
mm Hg, and HR of 144 beats per minute. Which of the following
laboratory values would be most expected in this child?
A. Hypoglycemia
B. Severe anemia
C. Low pH level
D. Elevated serum bicarbonate - ANSWER-C. Low pH level
Which of the following pathologic processes would most likely
be attributed to a
primary diagnosis of cystic
fibrosis?