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This actual examination reflects the comprehensive pediatric nursing knowledge required for
success on NSG 3600 Exam 2. It is designed to evaluate the student's ability to provide holistic,
age-appropriate care for pediatric patients and their families, integrating principles of growth and
development from infancy through adolescence. Questions are structured to assess recall of key
pediatric concepts, application of evidence-based nursing interventions, and analysis of complex
clinical scenarios involving respiratory, cardiovascular, and gastrointestinal systems. This
authentic question bank represents the real exams used in the course and serves as a
comprehensive resource for students demonstrating mastery of pediatric nursing conte
Respiratory Disorders (Questions 1–12)
1. A 2-year-old is brought to the emergency department with a barking cough, stridor, and mild
retractions. The child is sitting upright and is not drooling. Which condition is most likely?
A. Epiglottitis B. Croup (laryngotracheobronchitis) C. Foreign-body aspiration D. Bacterial
pneumonia
B. Croup (laryngotracheobronchitis) [CORRECT] The best answer is B because the classic
barking cough, stridor, and absence of drooling in a toddler point to viral croup rather than the
more toxic presentation of epiglottitis.
Correct Answer: B
2. A nurse is caring for an infant with bronchiolitis caused by RSV. Which intervention should
the nurse implement first?
A. Administer a routine dose of albuterol B. Suction the nares before feeding C. Place the infant
in a flat supine position D. Restrict all oral fluids
B. Suction the nares before feeding [CORRECT] This choice is correct because infants are
obligate nose breathers; clearing nasal secretions improves oxygenation and feeding tolerance.
, Correct Answer: B
3. Which assessment finding in a child with asthma requires the most immediate action?
A. Mild expiratory wheezing B. Speaks in short sentences and has intercostal retractions C. Peak
expiratory flow rate at 80 % of personal best D. Dry cough at night
B. Speaks in short sentences and has intercostal retractions [CORRECT] The best answer is
B because difficulty speaking and retractions indicate significant respiratory distress and possible
impending respiratory failure.
Correct Answer: B
4. A 4-year-old with suspected epiglottitis is sitting forward with an open mouth and is drooling.
What is the priority nursing action?
A. Inspect the throat with a tongue blade B. Keep the child calm and prepare for emergency
airway management C. Force the child to lie flat for a chest X-ray D. Give oral fluids to soothe
the throat
B. Keep the child calm and prepare for emergency airway management [CORRECT] This
aligns with the clinical principle that any agitation or examination of the throat can precipitate
complete airway obstruction.
Correct Answer: B
5. An infant with bronchopulmonary dysplasia is receiving oxygen via nasal cannula. Which
finding indicates the need for suctioning?
A. Quiet breathing with oxygen saturation 96 % B. Audible secretions and a drop in oxygen
saturation C. Mild nasal flaring only during crying D. Pink mucous membranes
B. Audible secretions and a drop in oxygen saturation [CORRECT] The best answer is B
because retained secretions impair gas exchange and must be cleared promptly.
Correct Answer: B
6. A school-age child with pneumonia is receiving intravenous antibiotics and oxygen. Which
observation indicates improvement?
A. Increased respiratory rate and work of breathing B. Decreased oxygen requirement and
improved appetite C. Persistent high fever after 48 hours of antibiotics D. New onset of cyanosis
B. Decreased oxygen requirement and improved appetite [CORRECT] This choice is
correct because reduced oxygen need and return of appetite are reliable signs of clinical
improvement.