JERSEY COLLEGE PEDIATRIC NURSING CJE STUDY GUIDE
| NGN CLINICAL JUDGMENT SCENARIOS, CORRECT
ANSWERS & DETAILED RATIONALES | 2026/27 UPDATED
100 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
JERSEY COLLEGE PEDIATRIC NURSING CJE STUDY GUIDE | NGN CLINICAL JUDGMENT SCENARIOS,
CORRECT ANSWERS & DETAILED RATIONALES | 2026/27 UPDATED. It contains 100 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
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 100 Questions
Foundations - Application - Jersey College Pediatric Nursing CJE Study Guide NGN Clinical Judgment
Scenarios Correct & Detailed Rationales 2026/27 Updated Pediatric Nursing Clinical Judgment & NGN
Undergraduate YEAR 3 / Graduate
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Management OF CARE 1-17 Child, Infant, Administer, Parents, Pressure
Safety AND Infection Control 18-34 Child, Finding, Pediatric, Describes, Appendicitis
Health Promotion AND 35-51 Child, Finding, Clinical, Medication, Asthma
Maintenance
Psychosocial Integrity 52-68 Child, Finding, Critical, Assessing, Suspected
Basic CARE AND Comfort 69-85 Child, Finding, Indicates, Receiving, Clinical
Pharmacological Therapies 86-100 Child, Finding, Indicates, Intervention, Nursing
TOTAL 100 All questions include answers and detailed rationales
,Section A - Management OF CARE
Q1.
A pediatric nurse is assessing a 6-month-old infant with suspected increased intracranial
pressure. Which finding is most indicative of this condition in this age group?
A. Sunset eyes B. Bulging anterior fontanel
C. High-pitched cry D. Irritability
Correct: B - Bulging anterior fontanel
Rationale:In infants, a bulging anterior fontanel is a direct sign of increased intracranial
pressure because the sutures are not yet closed. Sunset eyes and high-pitched cry are later
signs, while irritability is non-specific.
Why the other answers are wrong:
A. Sunset eyes are a late sign, not the earliest direct indicator.
C. High-pitched cry is a late sign, not the earliest direct indicator.
D. Irritability is a common but non-specific sign seen in many conditions.
Reference: Hockenberry, M.J. & Wilson, D. (2025). Wong's Nursing Care of Infants and Children, 12th
Ed., Ch. 24.
Q2.
A pediatric nurse is reviewing a prescription for a 4-year-old with asthma. The child
weighs 20 kg. The prescription reads: 'Prednisone 2 mg/kg/day PO divided every 12
hours.' The available concentration is 5 mg/5 mL. How many mL should the nurse
administer per dose?
A. 10 mL B. 20 mL
C. 5 mL D. 40 mL
Correct: B - 20 mL
Rationale:Total daily dose = 2 mg/kg × 20 kg = 40 mg/day. Divided every 12 hours = 20 mg
per dose. Concentration: 5 mg/5 mL = 1 mg/mL, so 20 mg requires 20 mL.
Why the other answers are wrong:
A. 10 mL would deliver only 10 mg, half the required dose.
C. 5 mL would deliver only 5 mg, one quarter of the required dose.
D. 40 mL would deliver 40 mg, the total daily dose not the per-dose amount.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 71.
Page 3
, Section A - Management OF CARE
Q3.
Which developmental theory best explains why a toddler with a chronic illness often
exhibits regression in toileting and language after hospitalization?
A. Erikson's psychosocial theory, specifically B. Piaget's cognitive theory, specifically the
the stage of autonomy versus shame and preoperational stage
doubt
C. Freud's psychosexual theory, specifically D. Kohlberg's moral development theory,
the anal stage specifically the preconventional level
Correct: A - Erikson's psychosocial theory, specifically the stage of autonomy versus
shame and doubt
Rationale:Erikson's stage of autonomy vs. shame/doubt (1-3 years) emphasizes control.
Hospitalization and illness disrupt autonomy, leading to regression as a coping mechanism.
Piaget's preoperational stage focuses on magical thinking, not regression.
Why the other answers are wrong:
B. Piaget's preoperational stage relates to egocentric thought, not regression.
C. Freud's anal stage focuses on toilet training conflicts, but regression is better explained by
Erikson's psychosocial crisis.
D. Kohlberg's theory addresses moral reasoning, not developmental regression.
Reference: Hockenberry, M.J. & Wilson, D. (2025). Wong's Nursing Care of Infants and Children, 12th
Ed., Ch. 3.
Q4.
A 2-year-old is brought to the emergency department with a 3-day history of vomiting and
diarrhea. The child's heart rate is 160 bpm, blood pressure is 80/50 mmHg, and skin turgor
is poor. Which IV fluid should the nurse anticipate administering first?
A. 0.45% sodium chloride with 5% dextrose B. Lactated Ringer's solution
C. 0.9% sodium chloride bolus D. 5% dextrose in water
Correct: C - 0.9% sodium chloride bolus
Rationale:In pediatric hypovolemic shock, an isotonic crystalloid bolus (0.9% NaCl) is the
first-line treatment to restore intravascular volume. The child shows signs of shock
(tachycardia, hypotension, poor turgor). Hypotonic solutions (D5W, 0.45% NaCl) are
contraindicated for bolus; LR may be used but NS is standard.
Why the other answers are wrong:
A. Hypotonic solution is inappropriate for volume resuscitation.
B. Lactated Ringer's is isotonic but NS is the preferred initial bolus in pediatric shock.
D. D5W is hypotonic and rapidly leaves the vascular space.
Reference: Hockenberry, M.J. & Wilson, D. (2025). Wong's Nursing Care of Infants and Children, 12th
Page 4
| NGN CLINICAL JUDGMENT SCENARIOS, CORRECT
ANSWERS & DETAILED RATIONALES | 2026/27 UPDATED
100 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
JERSEY COLLEGE PEDIATRIC NURSING CJE STUDY GUIDE | NGN CLINICAL JUDGMENT SCENARIOS,
CORRECT ANSWERS & DETAILED RATIONALES | 2026/27 UPDATED. It contains 100 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
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 100 Questions
Foundations - Application - Jersey College Pediatric Nursing CJE Study Guide NGN Clinical Judgment
Scenarios Correct & Detailed Rationales 2026/27 Updated Pediatric Nursing Clinical Judgment & NGN
Undergraduate YEAR 3 / Graduate
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Management OF CARE 1-17 Child, Infant, Administer, Parents, Pressure
Safety AND Infection Control 18-34 Child, Finding, Pediatric, Describes, Appendicitis
Health Promotion AND 35-51 Child, Finding, Clinical, Medication, Asthma
Maintenance
Psychosocial Integrity 52-68 Child, Finding, Critical, Assessing, Suspected
Basic CARE AND Comfort 69-85 Child, Finding, Indicates, Receiving, Clinical
Pharmacological Therapies 86-100 Child, Finding, Indicates, Intervention, Nursing
TOTAL 100 All questions include answers and detailed rationales
,Section A - Management OF CARE
Q1.
A pediatric nurse is assessing a 6-month-old infant with suspected increased intracranial
pressure. Which finding is most indicative of this condition in this age group?
A. Sunset eyes B. Bulging anterior fontanel
C. High-pitched cry D. Irritability
Correct: B - Bulging anterior fontanel
Rationale:In infants, a bulging anterior fontanel is a direct sign of increased intracranial
pressure because the sutures are not yet closed. Sunset eyes and high-pitched cry are later
signs, while irritability is non-specific.
Why the other answers are wrong:
A. Sunset eyes are a late sign, not the earliest direct indicator.
C. High-pitched cry is a late sign, not the earliest direct indicator.
D. Irritability is a common but non-specific sign seen in many conditions.
Reference: Hockenberry, M.J. & Wilson, D. (2025). Wong's Nursing Care of Infants and Children, 12th
Ed., Ch. 24.
Q2.
A pediatric nurse is reviewing a prescription for a 4-year-old with asthma. The child
weighs 20 kg. The prescription reads: 'Prednisone 2 mg/kg/day PO divided every 12
hours.' The available concentration is 5 mg/5 mL. How many mL should the nurse
administer per dose?
A. 10 mL B. 20 mL
C. 5 mL D. 40 mL
Correct: B - 20 mL
Rationale:Total daily dose = 2 mg/kg × 20 kg = 40 mg/day. Divided every 12 hours = 20 mg
per dose. Concentration: 5 mg/5 mL = 1 mg/mL, so 20 mg requires 20 mL.
Why the other answers are wrong:
A. 10 mL would deliver only 10 mg, half the required dose.
C. 5 mL would deliver only 5 mg, one quarter of the required dose.
D. 40 mL would deliver 40 mg, the total daily dose not the per-dose amount.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 71.
Page 3
, Section A - Management OF CARE
Q3.
Which developmental theory best explains why a toddler with a chronic illness often
exhibits regression in toileting and language after hospitalization?
A. Erikson's psychosocial theory, specifically B. Piaget's cognitive theory, specifically the
the stage of autonomy versus shame and preoperational stage
doubt
C. Freud's psychosexual theory, specifically D. Kohlberg's moral development theory,
the anal stage specifically the preconventional level
Correct: A - Erikson's psychosocial theory, specifically the stage of autonomy versus
shame and doubt
Rationale:Erikson's stage of autonomy vs. shame/doubt (1-3 years) emphasizes control.
Hospitalization and illness disrupt autonomy, leading to regression as a coping mechanism.
Piaget's preoperational stage focuses on magical thinking, not regression.
Why the other answers are wrong:
B. Piaget's preoperational stage relates to egocentric thought, not regression.
C. Freud's anal stage focuses on toilet training conflicts, but regression is better explained by
Erikson's psychosocial crisis.
D. Kohlberg's theory addresses moral reasoning, not developmental regression.
Reference: Hockenberry, M.J. & Wilson, D. (2025). Wong's Nursing Care of Infants and Children, 12th
Ed., Ch. 3.
Q4.
A 2-year-old is brought to the emergency department with a 3-day history of vomiting and
diarrhea. The child's heart rate is 160 bpm, blood pressure is 80/50 mmHg, and skin turgor
is poor. Which IV fluid should the nurse anticipate administering first?
A. 0.45% sodium chloride with 5% dextrose B. Lactated Ringer's solution
C. 0.9% sodium chloride bolus D. 5% dextrose in water
Correct: C - 0.9% sodium chloride bolus
Rationale:In pediatric hypovolemic shock, an isotonic crystalloid bolus (0.9% NaCl) is the
first-line treatment to restore intravascular volume. The child shows signs of shock
(tachycardia, hypotension, poor turgor). Hypotonic solutions (D5W, 0.45% NaCl) are
contraindicated for bolus; LR may be used but NS is standard.
Why the other answers are wrong:
A. Hypotonic solution is inappropriate for volume resuscitation.
B. Lactated Ringer's is isotonic but NS is the preferred initial bolus in pediatric shock.
D. D5W is hypotonic and rapidly leaves the vascular space.
Reference: Hockenberry, M.J. & Wilson, D. (2025). Wong's Nursing Care of Infants and Children, 12th
Page 4
