Cuyahoga Community College District / NURS 1230
Nurs 1230 Peds Exam 1 Nclex Questions
And Correct Verified Answers New Version 2026
26
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?
20
A. Encourage increased fluid intake only.
B. Begin antibiotic therapy as prescribed.
s
am
C. Apply warm compresses to the throat.
D. Wait for culture results before any action.
Ex
Answer: B. Begin antibiotic therapy as prescribed.
Rationale: Positive rapid strep requires antibiotics to prevent complications like rheumatic fever.
s
Waiting delays treatment; fluids and comfort measures are supportive but not definitive.
rt
pe
Parents want to use herbal remedies along with prescribed meds for their child's chronic illness.
Best nurse action?
Ex
A. Assess safety, research interactions, and collaborate with family
B. Refuse outright
se
C. Approve without evaluation
ur
D. Ignore and focus on prescribed meds
Answer: A
N
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?
26
A. Use simple, concrete words like "I'll give medicine with a tiny needle."
20
B. Continue using "stick."
C. Avoid explanation.
s
D. Tell the child it won't hurt at all.
am
Answer: A
Rationale: Toddlers take words literally; use concrete, honest language.
Ex
A 10-year-old is prescribed a new inhaled LABA (long- acting beta2-agonist) in combination with
s
inhaled steroid. What teaching is important?
rt
A. LABA alone is preferred over combination therapy.
pe
B. LABA should not be used as monotherapy for long- term control in children — it must be
Ex
combined with an inhaled corticosteroid.
C. LABAs are rescue inhalers for immediate relief.
se
D. LABAs cure asthma permanently.
Answer: B. LABA should not be used as monotherapy for long-term control in children — it must
ur
be combined with an inhaled corticosteroid.
N
Rationale: LABAs must be used with inhaled corticosteroids to reduce risk of severe exacerbations.
They are not rescue medications and do not cure asthma.
, Which statement best describes atraumatic care? Answer: B.
A. Care that focuses only on pain control with Rationale: Atraumatic care seeks to minimize both physical and psychological stress,
medications preserve parent-child relationships, and use interventions (like child life) to reduce trauma.
B. Interventions that minimize physical and psychological stress
to the child and family
C. Care delivered only by child life specialists
D. Procedures done without parental presence to avoid
distress
Which element is not a principle of family-centered care? Answer: C.
A. Information sharing Rationale: Family-centered care emphasizes dignity/respect, information
26
B. Participation of family in care planning sharing,participation, and collaboration - not rigidly prioritizing institutional rules.
C. Placing institutional rules above family preferences
D. Collaboration between providers and family
20
s
am
Ex
A 2-year-old is admitted for a painful procedure. Which Answer: B.
approach most aligns with atraumatic care?
Rationale: Atraumatic care uses comforting measures, parental involvement, and
s
A. Separate the child from parents during procedure to reduce
minimizing invasive/traumatic measures when possible.
distraction
rt
B. Use therapeutic hugging and involve the parent for
comfort
pe
C.Avoid explaining the procedure to the child to reduce fear
D. Restrain the child tightly to ensure the procedure goes quickly
Ex
se
Which pain assessment tool is most appropriate for a Answer: C.
nonverbal 6-month-old infant? Rationale: FLACC is observational and appropriate for infants and children who cannot
A. Numeric 0-10 scale self-report.
ur
B. Wong-Baker FACES
C. FLACC (Face, Legs, Activity, Cry, Consolability)
D. Visual analogue scale
N
An infant <3 months has a rectal temperature of 38.1 ℃ Answer: B.
(100.6°F). What is the nurse's priority? Rationale: Infants <3 months with fever >38℃C should be evaluated due to risk of serious
A. Give ibuprofen at home as needed and observe infection.
B. Call the provider or bring the infant for medical
evaluation
C. Offer fluids and light clothing at home only
D. Give acetaminophen and wait 48 hours
Nurs 1230 Peds Exam 1 Nclex Questions
And Correct Verified Answers New Version 2026
26
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?
20
A. Encourage increased fluid intake only.
B. Begin antibiotic therapy as prescribed.
s
am
C. Apply warm compresses to the throat.
D. Wait for culture results before any action.
Ex
Answer: B. Begin antibiotic therapy as prescribed.
Rationale: Positive rapid strep requires antibiotics to prevent complications like rheumatic fever.
s
Waiting delays treatment; fluids and comfort measures are supportive but not definitive.
rt
pe
Parents want to use herbal remedies along with prescribed meds for their child's chronic illness.
Best nurse action?
Ex
A. Assess safety, research interactions, and collaborate with family
B. Refuse outright
se
C. Approve without evaluation
ur
D. Ignore and focus on prescribed meds
Answer: A
N
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?
26
A. Use simple, concrete words like "I'll give medicine with a tiny needle."
20
B. Continue using "stick."
C. Avoid explanation.
s
D. Tell the child it won't hurt at all.
am
Answer: A
Rationale: Toddlers take words literally; use concrete, honest language.
Ex
A 10-year-old is prescribed a new inhaled LABA (long- acting beta2-agonist) in combination with
s
inhaled steroid. What teaching is important?
rt
A. LABA alone is preferred over combination therapy.
pe
B. LABA should not be used as monotherapy for long- term control in children — it must be
Ex
combined with an inhaled corticosteroid.
C. LABAs are rescue inhalers for immediate relief.
se
D. LABAs cure asthma permanently.
Answer: B. LABA should not be used as monotherapy for long-term control in children — it must
ur
be combined with an inhaled corticosteroid.
N
Rationale: LABAs must be used with inhaled corticosteroids to reduce risk of severe exacerbations.
They are not rescue medications and do not cure asthma.
, Which statement best describes atraumatic care? Answer: B.
A. Care that focuses only on pain control with Rationale: Atraumatic care seeks to minimize both physical and psychological stress,
medications preserve parent-child relationships, and use interventions (like child life) to reduce trauma.
B. Interventions that minimize physical and psychological stress
to the child and family
C. Care delivered only by child life specialists
D. Procedures done without parental presence to avoid
distress
Which element is not a principle of family-centered care? Answer: C.
A. Information sharing Rationale: Family-centered care emphasizes dignity/respect, information
26
B. Participation of family in care planning sharing,participation, and collaboration - not rigidly prioritizing institutional rules.
C. Placing institutional rules above family preferences
D. Collaboration between providers and family
20
s
am
Ex
A 2-year-old is admitted for a painful procedure. Which Answer: B.
approach most aligns with atraumatic care?
Rationale: Atraumatic care uses comforting measures, parental involvement, and
s
A. Separate the child from parents during procedure to reduce
minimizing invasive/traumatic measures when possible.
distraction
rt
B. Use therapeutic hugging and involve the parent for
comfort
pe
C.Avoid explaining the procedure to the child to reduce fear
D. Restrain the child tightly to ensure the procedure goes quickly
Ex
se
Which pain assessment tool is most appropriate for a Answer: C.
nonverbal 6-month-old infant? Rationale: FLACC is observational and appropriate for infants and children who cannot
A. Numeric 0-10 scale self-report.
ur
B. Wong-Baker FACES
C. FLACC (Face, Legs, Activity, Cry, Consolability)
D. Visual analogue scale
N
An infant <3 months has a rectal temperature of 38.1 ℃ Answer: B.
(100.6°F). What is the nurse's priority? Rationale: Infants <3 months with fever >38℃C should be evaluated due to risk of serious
A. Give ibuprofen at home as needed and observe infection.
B. Call the provider or bring the infant for medical
evaluation
C. Offer fluids and light clothing at home only
D. Give acetaminophen and wait 48 hours
