ANSWERS UPDATED 2024/2025
TESTS RATED A+
240 Questions with Answers and Detailed Rationales
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NUR 203 PEDS EXAM AND ANSWERS UPDATED 2024/2025 TESTS RATED A+. It contains 240 carefully
selected questions that reflect the most current exam content and testing strategies. Each question is
accompanied by a correct answer and a detailed rationale that explains the underlying pathophysiology,
pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
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Review Summary 240 Questions
Foundations - Application - NUR 203 PEDS AND Updated 2024/2025 Tests Rated A Pediatric Nursing
Undergraduate YEAR 3
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
NUR 203 PEDS AND Updated 1-40 Child, Pediatric, Finding, Severe, Acute
2024/2025 Tests Rated A
Pediatric Nursing
Undergraduate YEAR 3
Finding 41-80 Child, Pediatric, Indicates, Receiving, Acute
Pediatric 81-120 Child, Finding, Diagnosis, Asthma, Indicates
Indicates 121-160 Child, Pediatric, Finding, Intervention, Consistent
Intervention 161-200 Child, Finding, Receiving, Asthma, Presents
Acute 201-240 Child, Finding, Pediatric, Indicates, Intervention
TOTAL 240 All questions include answers and detailed rationales
,Section A - NUR 203 PEDS AND Updated 2024/2025 Tests
Rated A Pediatric Nursing Undergraduate YEAR 3
Q1.
A school nurse is planning a health education session for middle school students. Which
developmental theory most directly supports teaching abstract concepts such as the
long-term consequences of substance use?
A. Erikson's stage of industry versus B. Piaget's formal operational stage
inferiority
C. Kohlberg's postconventional morality D. Freud's latency period
Correct: B - Piaget's formal operational stage
Rationale:Piaget's formal operational stage (beginning around age 11) enables abstract and
hypothetical thinking, essential for understanding long-term consequences. Erikson's industry
vs. inferiority focuses on competence, Kohlberg's postconventional morality is rare in this age,
and Freud's latency is not about cognitive abstraction.
Q2.
A nurse is assessing a child with suspected lead poisoning. Which finding is most
consistent with chronic lead exposure?
A. Hyperactivity and cognitive deficits B. Acute onset of seizures and coma
C. Maculopapular rash and fever D. Sudden onset of jaundice and
hepatomegaly
Correct: A - Hyperactivity and cognitive deficits
Rationale:Chronic lead exposure commonly presents with neurobehavioral effects such as
hyperactivity, attention deficits, and lowered IQ. Acute encephalopathy with seizures is seen
in very high acute exposure, but the chronic picture is more insidious. Rash and jaundice are
not typical of lead poisoning.
Q3.
A nurse is caring for an infant with bronchiolitis. Which assessment finding should be
reported immediately?
A. Respiratory rate of 50 breaths per minute B. Oxygen saturation of 92% on room air
C. Intermittent dry cough D. Nasal flaring and grunting
Correct: D - Nasal flaring and grunting
Page 3
, Section A - NUR 203 PEDS AND Updated 2024/2025 Tests Rated A Pediatric Nursing Undergraduate YEAR 3
Rationale: Nasal flaring and grunting are signs of increased work of breathing and impending
respiratory failure, requiring immediate intervention. A respiratory rate of 50 may be elevated
but not immediately alarming; SpO2 of 92% warrants intervention but not as urgent as
flaring/grunting. Dry cough is common.
Q4.
A pediatric nurse is reviewing the medication orders for a child with asthma. Which order
is most appropriate for acute bronchospasm?
A. Oral prednisone B. Inhaled albuterol
C. Montelukast D. Inhaled fluticasone
Correct: B - Inhaled albuterol
Rationale:Inhaled albuterol is a short-acting beta-agonist that provides rapid bronchodilation
for acute symptoms. Oral prednisone is for inflammation and takes hours to work;
montelukast is a controller; fluticasone is an inhaled corticosteroid for long-term control, not
acute relief.
Q5.
A nurse is educating parents of a child with type 1 diabetes. Which instruction is most
important to prevent hypoglycemia during exercise?
A. Administer insulin before exercise B. Check blood glucose before and after
exercise
C. Restrict carbohydrates after exercise D. Increase insulin dose on exercise days
Correct: B - Check blood glucose before and after exercise
Rationale:Monitoring blood glucose before and after exercise is essential to adjust insulin
and carbohydrate intake to prevent hypoglycemia. Administering insulin before exercise
without adjustment can cause hypoglycemia; restricting carbs is dangerous; increasing insulin
on exercise days increases risk.
Q6.
A nurse is performing a developmental screening on a toddler. Which finding indicates a
possible developmental delay?
A. Walks independently at 15 months B. Says two-word phrases at 24 months
C. Builds a tower of four blocks at 30 D. Follows two-step commands at 18
months months
Correct: D - Follows two-step commands at 18 months
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