Cuyahoga Community College District / NURS 1230
Nurs 1230 Peds Exam 1 Case Study style
Questions And Correct Verified Answers New Version 2026
A 5-year-old presents with sore throat, fever of 102.2°F, and swollen tonsils with exudates. Rapid
strep test is positive. Which is the nurse's best action?
A. Encourage increased fluid intake only.
B. Begin antibiotic therapy as prescribed.
C. Apply warm compresses to the throat.
D. Wait for culture results before any action.
Answer: B. Begin antibiotic therapy as prescribed.
Rationale: Positive rapid strep requires antibiotics to prevent complications like rheumatic fever.
Waiting delays treatment; fluids and comfort measures are supportive but not definitive.
Parents want to use herbal remedies along with prescribed meds for their child's chronic illness. Best
nurse action?
A. Assess safety, research interactions, and collaborate with family
B. Refuse outright
C. Approve without evaluation
D. Ignore and focus on prescribed meds
Answer: A Assess safety, research interactions, and collaborate with family
Rationale: Respect cultural beliefs but ensure safety and evidence-based care.
A 4-year-old weighing 20 kg needs acetaminophen 15 mg/kg. Which dose is correct?
A. 100 mg
B. 200 mg
C. 300 mg
D. 600 mg
Answer: C (300 mg)
Rationale: 20 × 15 mg = 300 mg/dose.
During hospitalization, a 3-year-old screams when nurse says, "I'll stick you." Best future approach?
,A. Use simple, concrete words like "I'll give medicine with a tiny needle."
B. Continue using "stick."
C. Avoid explanation.
D. Tell the child it won't hurt at all.
Answer: A. Use simple, concrete words like "I'll give medicine with a tiny needle."
Rationale: Toddlers take words literally; use concrete, honest language.
, A 2-year-old with otitis media is prescribed amoxicillin. Answer: A. "Your child's infection is bacterial, not viral."
The mother asks why antibiotics are needed when colds are Rationale: Otitis media is often bacterial. Antibiotics are not for colds, do not prevent
viral. Best response? infections, and do not directly reduce fever.
A."Your child's infection is bacterial, not viral."
B. "Antibiotics always help with colds."
C. "Amoxicillin will prevent your child from getting colds in the
future."
D. "This antibiotic works against fever."
A toddler with varicella is admitted. Which roommate Answer: D. Another child with confirmed varicella.
assignment is most appropriate? Rationale: Cohorting with the same illness prevents cross-contamination.
A.A 4-year-old with asthma exacerbation. Immunocompromised and uninfected children are at risk.
B. A 2-year-old with RSV bronchiolitis.
C.A 6-month-old with neutropenia.
D. Another child with confirmed varicella.
A nurse is caring for a 6-year-old with impetigo. Which Answer: B. Keep child home until lesions are crusted and healing.
statement indicates effective parent teaching? Rationale: Impetigo is highly contagious; isolation is necessary until healing.
A. "We will keep lesions uncovered for air-drying." Towels should not be shared, and antibiotics should be completed.
B. "We'll keep the child home until lesions are crusted and
healing."
C. "We will share towels to promote healing."
D. "We should stop antibiotics once lesions look better."
A nurse is preparing to insert an IV in a child with Answer: A. Administer antibiotics as soon as possible.
suspected bacterial meningitis. Which priority nursing action Rationale: Early antibiotic therapy is critical to reduce mortality and morbidity in
must be completed first? meningitis.
A.Administer antibiotics as soon as possible.
B. Administer antipyretics.
C. Perform a lumbar puncture.
D. Place the child in a quiet room.
A 10-year-old with mononucleosis reports severe Answer: B. Splenic rupture.
abdominal pain. Which complication should the nurse Rationale: Splenomegaly with mono can rupture, especially with abdominal pain - medical
suspect? emergency.
A. Appendicitis.
B. Splenic rupture.
C. Constipation.
D. Dehydration.
Nurs 1230 Peds Exam 1 Case Study style
Questions And Correct Verified Answers New Version 2026
A 5-year-old presents with sore throat, fever of 102.2°F, and swollen tonsils with exudates. Rapid
strep test is positive. Which is the nurse's best action?
A. Encourage increased fluid intake only.
B. Begin antibiotic therapy as prescribed.
C. Apply warm compresses to the throat.
D. Wait for culture results before any action.
Answer: B. Begin antibiotic therapy as prescribed.
Rationale: Positive rapid strep requires antibiotics to prevent complications like rheumatic fever.
Waiting delays treatment; fluids and comfort measures are supportive but not definitive.
Parents want to use herbal remedies along with prescribed meds for their child's chronic illness. Best
nurse action?
A. Assess safety, research interactions, and collaborate with family
B. Refuse outright
C. Approve without evaluation
D. Ignore and focus on prescribed meds
Answer: A Assess safety, research interactions, and collaborate with family
Rationale: Respect cultural beliefs but ensure safety and evidence-based care.
A 4-year-old weighing 20 kg needs acetaminophen 15 mg/kg. Which dose is correct?
A. 100 mg
B. 200 mg
C. 300 mg
D. 600 mg
Answer: C (300 mg)
Rationale: 20 × 15 mg = 300 mg/dose.
During hospitalization, a 3-year-old screams when nurse says, "I'll stick you." Best future approach?
,A. Use simple, concrete words like "I'll give medicine with a tiny needle."
B. Continue using "stick."
C. Avoid explanation.
D. Tell the child it won't hurt at all.
Answer: A. Use simple, concrete words like "I'll give medicine with a tiny needle."
Rationale: Toddlers take words literally; use concrete, honest language.
, A 2-year-old with otitis media is prescribed amoxicillin. Answer: A. "Your child's infection is bacterial, not viral."
The mother asks why antibiotics are needed when colds are Rationale: Otitis media is often bacterial. Antibiotics are not for colds, do not prevent
viral. Best response? infections, and do not directly reduce fever.
A."Your child's infection is bacterial, not viral."
B. "Antibiotics always help with colds."
C. "Amoxicillin will prevent your child from getting colds in the
future."
D. "This antibiotic works against fever."
A toddler with varicella is admitted. Which roommate Answer: D. Another child with confirmed varicella.
assignment is most appropriate? Rationale: Cohorting with the same illness prevents cross-contamination.
A.A 4-year-old with asthma exacerbation. Immunocompromised and uninfected children are at risk.
B. A 2-year-old with RSV bronchiolitis.
C.A 6-month-old with neutropenia.
D. Another child with confirmed varicella.
A nurse is caring for a 6-year-old with impetigo. Which Answer: B. Keep child home until lesions are crusted and healing.
statement indicates effective parent teaching? Rationale: Impetigo is highly contagious; isolation is necessary until healing.
A. "We will keep lesions uncovered for air-drying." Towels should not be shared, and antibiotics should be completed.
B. "We'll keep the child home until lesions are crusted and
healing."
C. "We will share towels to promote healing."
D. "We should stop antibiotics once lesions look better."
A nurse is preparing to insert an IV in a child with Answer: A. Administer antibiotics as soon as possible.
suspected bacterial meningitis. Which priority nursing action Rationale: Early antibiotic therapy is critical to reduce mortality and morbidity in
must be completed first? meningitis.
A.Administer antibiotics as soon as possible.
B. Administer antipyretics.
C. Perform a lumbar puncture.
D. Place the child in a quiet room.
A 10-year-old with mononucleosis reports severe Answer: B. Splenic rupture.
abdominal pain. Which complication should the nurse Rationale: Splenomegaly with mono can rupture, especially with abdominal pain - medical
suspect? emergency.
A. Appendicitis.
B. Splenic rupture.
C. Constipation.
D. Dehydration.
