Exam with 350+ Questions, NGN-Style
Questions & Case Scenarios | Get A Level
2 or Higher
1. Growth & Development
A nurse is assessing a 2-year-old child during a well-child visit. Which finding is most appropriate
for this developmental stage?
A. Uses two-word phrases
B. Reads simple sentences
C. Rides a bicycle independently
D. Has fully developed abstract reasoning
CORRECT ANSWER: A. Uses two-word phrases
Rationale:
Toddlers commonly begin combining words into simple phrases. Developmental milestones
should always be considered in relation to the child's overall pattern of development.
2. Select all that apply
Which findings are commonly associated with a preschool-age child?
,A. Imaginative play
B. Increasing independence
C. Parallel play as the dominant form of play
D. Improved language development
E. Abstract reasoning comparable to adults
CORRECT ANSWERS: A, B, D
Rationale:
Preschoolers develop rapidly in language, imagination, independence, and social interaction.
Parallel play is more characteristic of toddlers, while abstract reasoning develops later.
3. Priority Question
A nurse is caring for four pediatric clients. Which child should the nurse assess first?
A. A child with a temperature of 38.1°C (100.6°F)
B. A child with mild diarrhea
C. A child with nasal congestion
D. A child with stridor and increasing respiratory distress
CORRECT ANSWER: D. A child with stridor and increasing respiratory distress
Rationale:
Airway and breathing take priority. Stridor with increasing respiratory distress can indicate
significant upper-airway obstruction and requires immediate assessment and intervention.
, 4. Asthma
A child with asthma develops wheezing and difficulty breathing after exercise. Which
medication would the nurse expect to be used for rapid relief?
A. Albuterol
B. Montelukast
C. Fluticasone
D. Budesonide
CORRECT ANSWER: A. Albuterol
Rationale:
Albuterol is a short-acting bronchodilator used for rapid relief of acute bronchospasm. Inhaled
corticosteroids such as fluticasone are controller medications rather than immediate rescue
therapy.
5. Asthma — SATA
Which findings can indicate worsening respiratory distress in a child with asthma?
A. Retractions
B. Nasal flaring
C. Difficulty speaking
D. Improved air movement
E. Cyanosis