NUR 230 EXAM 2 (OB/PEDS) |GALEN COLLEGE OF
NURSING | ACTUAL QUESTIONS AND VERIFIED
ANSWERS NEW 2026-2027 UPDATE|PASS
GUARANTEE|GRADED A+
Question 1
A 2-year-old is brought to the ER with a temperature of 101.5F, a barky cough, stridor, and
hoarseness. Which of the following interventions should the nurse prepare for? (choose
the best answer)
A. Respiratory treatment with racemic epinephrine
B. A tracheostomy set at the beside
C. Informing the parents about a tonsillectomy
4. Immediate IV placement
CORRECT ANSWER
A. Respiratory treatment with racemic epinephrine
Explanation: The child has signs and symptoms of croup. Stridor is caused by upper
airway edema and is relieved by aerosolized racemic epinephrine. IV placement may not
be necessary for this child and is not a priority at this time. The child is not showing signs
and symptoms of tonsillitis, informing the parents of a tonsillectomy would be
inappropriate. A tracheostomy would only be used for a child with complete airway
obstruction.
Question 2
A 6-month-old is admitted to the hospital with bronchiolitis. The nurse is assessing the
infant. Which of the following physical findings would be of MOST concern? (choose the
best answer)
1
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,A. The baby is wheezing
B. The baby has mild retractions
C. The baby has tachypnea
D. The baby is grunting
CORRECT ANSWER
D. The baby is grunting
Explanation: Grunting is a sign of respiratory failure and is a very concerning physical
finding. The other symptoms are common findings with bronchiolitis, should be
monitored, but are not as concerning as grunting.
Question 3
A pediatric client is admitted in status asthmaticus. The parent reports that the child is
currently taking Singulair, albuterol, and Flovent. What is the most important piece of
information that the nurse must ask the parent in order to best treat the patient?
A. "When was your child's last dose of medication?"
B. "When was your child last admitted to the hospital for asthma?"
C. "What time did your child last eat?"
D. "Has your child been exposed to any of the usual asthma triggers?"
CORRECT ANSWER
Answer: A "When was your child's last dose of medication?"
Explanation: The nurse needs to know what medication the child had last and when the
child took it to know to begin treatment.
Question 4
2
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,An otherwise healthy 1 month old infant presents to the emergency department with
persistent inconsolability, irritability, and eye tearing x 12 hours. Which of the following
diagnoses of the eyes is the most likely cause for this presentation? (choose one answer)
A. Congenital glaucoma
B. Congenital cataracts
C. Congential dacryostenosis
D. Retinopathy of rematurity (ROP)
CORRECT ANSWER
A. Congenital glaucoma
Question 5
You are caring for a child with amblyopia, his right eye is covered with a patch. Which eye
would you suspect is affected by amblyopia? (choose the best answer)
A. Left eye
B. Both eyes
C. Right eye
CORRECT ANSWER
A. Left eye
Question 6
The parent of a 10-month-old female brings the infant to the pediatrician's office with
upper respiratory symptoms (URI) and fever. The parent asks the nurse what can be done
at home to improve the child's current condition. Which is the nurse's best response?
(choose all that apply)
3
@https://www.stuvia.com/user/thestudyvault
, A. "Give your baby Robitussin at night to reduce her cough and help her sleep."
B. "Give your baby aceteaminophen every 4 to 6 hours to help reduce the fever."
C. "Keep the head of the bed flat while your baby sleeps."
D. "Give your baby small amounts of fluid every hour to prevent dehydration."
E. "Use saline and bulb suction your baby's nose to keep the nasal passage open."
CORRECT ANSWER
B (acetaminophen), D (fluids), and E (saline and bulb suction)
Question 7
The nurse is caring for a 22-month-old male who has had repeated bouts of otitis media.
The nurse is educating the parents about otitis media. Which of the following statements
from the parents indicates that they need additional teaching? (choose the best answer)
A. "My child will have fewer ear infections if he has his tonsils removed."
B. "If I quit smoking, my child may have less chance of getting an ear infection."
C. "My child may need a speech evaluation."
D. As my child gets older, he should have fewer ear infections, because his immune system
will be more developed."
CORRECT ANSWER
A
explanation: Removing children's tonsils may not have any effect on recurrent ear infections.
Children who have repeated bouts of tonsillitis can have ear infections secondary to the
tonsillitis, but there is no indicating in this question that the child has a problem with
tonsillitis. The other answers all may reduce a child's risk of ear infections.
4
@https://www.stuvia.com/user/thestudyvault
NURSING | ACTUAL QUESTIONS AND VERIFIED
ANSWERS NEW 2026-2027 UPDATE|PASS
GUARANTEE|GRADED A+
Question 1
A 2-year-old is brought to the ER with a temperature of 101.5F, a barky cough, stridor, and
hoarseness. Which of the following interventions should the nurse prepare for? (choose
the best answer)
A. Respiratory treatment with racemic epinephrine
B. A tracheostomy set at the beside
C. Informing the parents about a tonsillectomy
4. Immediate IV placement
CORRECT ANSWER
A. Respiratory treatment with racemic epinephrine
Explanation: The child has signs and symptoms of croup. Stridor is caused by upper
airway edema and is relieved by aerosolized racemic epinephrine. IV placement may not
be necessary for this child and is not a priority at this time. The child is not showing signs
and symptoms of tonsillitis, informing the parents of a tonsillectomy would be
inappropriate. A tracheostomy would only be used for a child with complete airway
obstruction.
Question 2
A 6-month-old is admitted to the hospital with bronchiolitis. The nurse is assessing the
infant. Which of the following physical findings would be of MOST concern? (choose the
best answer)
1
@https://www.stuvia.com/user/thestudyvault
,A. The baby is wheezing
B. The baby has mild retractions
C. The baby has tachypnea
D. The baby is grunting
CORRECT ANSWER
D. The baby is grunting
Explanation: Grunting is a sign of respiratory failure and is a very concerning physical
finding. The other symptoms are common findings with bronchiolitis, should be
monitored, but are not as concerning as grunting.
Question 3
A pediatric client is admitted in status asthmaticus. The parent reports that the child is
currently taking Singulair, albuterol, and Flovent. What is the most important piece of
information that the nurse must ask the parent in order to best treat the patient?
A. "When was your child's last dose of medication?"
B. "When was your child last admitted to the hospital for asthma?"
C. "What time did your child last eat?"
D. "Has your child been exposed to any of the usual asthma triggers?"
CORRECT ANSWER
Answer: A "When was your child's last dose of medication?"
Explanation: The nurse needs to know what medication the child had last and when the
child took it to know to begin treatment.
Question 4
2
@https://www.stuvia.com/user/thestudyvault
,An otherwise healthy 1 month old infant presents to the emergency department with
persistent inconsolability, irritability, and eye tearing x 12 hours. Which of the following
diagnoses of the eyes is the most likely cause for this presentation? (choose one answer)
A. Congenital glaucoma
B. Congenital cataracts
C. Congential dacryostenosis
D. Retinopathy of rematurity (ROP)
CORRECT ANSWER
A. Congenital glaucoma
Question 5
You are caring for a child with amblyopia, his right eye is covered with a patch. Which eye
would you suspect is affected by amblyopia? (choose the best answer)
A. Left eye
B. Both eyes
C. Right eye
CORRECT ANSWER
A. Left eye
Question 6
The parent of a 10-month-old female brings the infant to the pediatrician's office with
upper respiratory symptoms (URI) and fever. The parent asks the nurse what can be done
at home to improve the child's current condition. Which is the nurse's best response?
(choose all that apply)
3
@https://www.stuvia.com/user/thestudyvault
, A. "Give your baby Robitussin at night to reduce her cough and help her sleep."
B. "Give your baby aceteaminophen every 4 to 6 hours to help reduce the fever."
C. "Keep the head of the bed flat while your baby sleeps."
D. "Give your baby small amounts of fluid every hour to prevent dehydration."
E. "Use saline and bulb suction your baby's nose to keep the nasal passage open."
CORRECT ANSWER
B (acetaminophen), D (fluids), and E (saline and bulb suction)
Question 7
The nurse is caring for a 22-month-old male who has had repeated bouts of otitis media.
The nurse is educating the parents about otitis media. Which of the following statements
from the parents indicates that they need additional teaching? (choose the best answer)
A. "My child will have fewer ear infections if he has his tonsils removed."
B. "If I quit smoking, my child may have less chance of getting an ear infection."
C. "My child may need a speech evaluation."
D. As my child gets older, he should have fewer ear infections, because his immune system
will be more developed."
CORRECT ANSWER
A
explanation: Removing children's tonsils may not have any effect on recurrent ear infections.
Children who have repeated bouts of tonsillitis can have ear infections secondary to the
tonsillitis, but there is no indicating in this question that the child has a problem with
tonsillitis. The other answers all may reduce a child's risk of ear infections.
4
@https://www.stuvia.com/user/thestudyvault
