Sentinel U APS Complete Bundle |
Pediatric Wellness, Complex &
Gerontology | 8 Simulation Case Studies,
EHR, Diagnostics & Care Plans | 100%
Score Verified Answers | 2026 Updated
Guide
1. A nurse is assessing a healthy 2-year-old during a wellness visit. Which
finding requires the most immediate follow-up?
A. Uses two-word phrases
B. Runs with a wide-based gait
C. Does not respond consistently to spoken language
D. Has a respiratory rate of 24/min
Answer: _C. Does not respond consistently to spoken language_
Rationale: Inconsistent response to spoken language can indicate a hearing or
developmental concern. Early identification and intervention are important for
communication and overall development.
2. During a pediatric wellness assessment, which intervention best promotes
injury prevention for a toddler?
A. Encourage the child to walk independently near stairs
B. Keep medications in an unlocked cabinet
C. Use an age-appropriate rear-facing or forward-facing car restraint according to
current recommendations
D. Allow the child to play with small household objects
Answer: _C. Use an age-appropriate rear-facing or forward-facing car restraint
according to current recommendations_
,Rationale: Properly selected and correctly installed child restraints significantly
reduce the risk of serious injury during motor-vehicle crashes.
3. A child with asthma develops increasing wheezing and difficulty speaking
in complete sentences. What should the nurse prioritize?
A. Encourage oral fluids
B. Assess respiratory status and initiate prescribed rescue therapy
C. Obtain a routine dietary history
D. Delay treatment until diagnostic testing is completed
Answer: _B. Assess respiratory status and initiate prescribed rescue therapy_
Rationale: Difficulty speaking because of respiratory distress indicates potentially
significant airway compromise. Rapid respiratory assessment and prescribed
rescue treatment take priority.
4. Which assessment finding is most concerning in an infant with vomiting
and diarrhea?
A. One loose stool
B. Moist oral mucosa
C. Decreased urine output and lethargy
D. Mild thirst after feeding
Answer: _C. Decreased urine output and lethargy_
Rationale: Reduced urine output and altered activity can indicate significant
dehydration. Infants can deteriorate rapidly and require prompt assessment and
fluid management.
5. A pediatric patient is prescribed an oral medication based on weight.
Which information should the nurse verify before administration?
A. The child's favorite food
B. The child's current weight in kilograms
C. The parent's occupation
D. The child's school schedule
Answer: _B. The child's current weight in kilograms_
,Rationale: Many pediatric medications are weight-based. The current weight in
kilograms is essential for calculating and verifying a safe dose.
6. Which finding in an older adult most strongly suggests an acute change
requiring further evaluation?
A. Gradual decrease in height
B. New onset of confusion over several hours
C. Mildly slower walking speed
D. Long-standing difficulty hearing
Answer: _B. New onset of confusion over several hours_
Rationale: Acute confusion can represent delirium, which may be caused by
infection, medication effects, metabolic disturbances, dehydration, or other acute
conditions.
7. An older adult is taking several prescription medications and reports
dizziness after standing. Which assessment is most appropriate initially?
A. Ask about favorite recreational activities
B. Measure orthostatic vital signs and review medications
C. Restrict all oral fluids
D. Encourage rapid position changes
Answer: _B. Measure orthostatic vital signs and review medications_
Rationale: Orthostatic hypotension and medication effects are common
contributors to dizziness and falls in older adults.
8. Which intervention is most appropriate for reducing fall risk in an older
adult's home?
A. Place frequently used items on high shelves
B. Remove loose rugs and improve lighting
C. Encourage walking without assistive devices
D. Keep electrical cords across walking paths
Answer: _B. Remove loose rugs and improve lighting_
, Rationale: Environmental hazards such as loose rugs, poor lighting, and
obstructed walkways increase fall risk.
9. A nurse is reviewing an EHR for a pediatric patient with complex medical
needs. Which information is most important when reconciling medications?
A. Medication names, doses, routes, frequency, and recent changes
B. The child's preferred television programs
C. The family's preferred transportation method
D. The child's favorite classroom subject
Answer: _A. Medication names, doses, routes, frequency, and recent changes_
Rationale: Accurate medication reconciliation helps identify omissions,
duplications, contraindications, and dosing errors.
10. Which documentation entry is most appropriate in an electronic health
record?
A. “Patient looks bad today.”
B. “Patient seems annoying and uncooperative.”
C. “Child reports abdominal pain rated 6/10; guarding noted in the right lower
quadrant.”
D. “Mother is probably exaggerating symptoms.”
Answer: _C. “Child reports abdominal pain rated 6/10; guarding noted in the right
lower quadrant.”**_
Rationale: Clinical documentation should be objective, specific, measurable, and
based on observed or reported findings rather than judgmental statements.
11. A child with fever and suspected infection has a heart rate of 150/min,
delayed capillary refill, and decreased urine output. What is the nurse's
priority?
A. Obtain a detailed developmental history
B. Recognize possible impaired perfusion and promptly escalate care
C. Encourage independent ambulation
D. Schedule a routine wellness appointment
Pediatric Wellness, Complex &
Gerontology | 8 Simulation Case Studies,
EHR, Diagnostics & Care Plans | 100%
Score Verified Answers | 2026 Updated
Guide
1. A nurse is assessing a healthy 2-year-old during a wellness visit. Which
finding requires the most immediate follow-up?
A. Uses two-word phrases
B. Runs with a wide-based gait
C. Does not respond consistently to spoken language
D. Has a respiratory rate of 24/min
Answer: _C. Does not respond consistently to spoken language_
Rationale: Inconsistent response to spoken language can indicate a hearing or
developmental concern. Early identification and intervention are important for
communication and overall development.
2. During a pediatric wellness assessment, which intervention best promotes
injury prevention for a toddler?
A. Encourage the child to walk independently near stairs
B. Keep medications in an unlocked cabinet
C. Use an age-appropriate rear-facing or forward-facing car restraint according to
current recommendations
D. Allow the child to play with small household objects
Answer: _C. Use an age-appropriate rear-facing or forward-facing car restraint
according to current recommendations_
,Rationale: Properly selected and correctly installed child restraints significantly
reduce the risk of serious injury during motor-vehicle crashes.
3. A child with asthma develops increasing wheezing and difficulty speaking
in complete sentences. What should the nurse prioritize?
A. Encourage oral fluids
B. Assess respiratory status and initiate prescribed rescue therapy
C. Obtain a routine dietary history
D. Delay treatment until diagnostic testing is completed
Answer: _B. Assess respiratory status and initiate prescribed rescue therapy_
Rationale: Difficulty speaking because of respiratory distress indicates potentially
significant airway compromise. Rapid respiratory assessment and prescribed
rescue treatment take priority.
4. Which assessment finding is most concerning in an infant with vomiting
and diarrhea?
A. One loose stool
B. Moist oral mucosa
C. Decreased urine output and lethargy
D. Mild thirst after feeding
Answer: _C. Decreased urine output and lethargy_
Rationale: Reduced urine output and altered activity can indicate significant
dehydration. Infants can deteriorate rapidly and require prompt assessment and
fluid management.
5. A pediatric patient is prescribed an oral medication based on weight.
Which information should the nurse verify before administration?
A. The child's favorite food
B. The child's current weight in kilograms
C. The parent's occupation
D. The child's school schedule
Answer: _B. The child's current weight in kilograms_
,Rationale: Many pediatric medications are weight-based. The current weight in
kilograms is essential for calculating and verifying a safe dose.
6. Which finding in an older adult most strongly suggests an acute change
requiring further evaluation?
A. Gradual decrease in height
B. New onset of confusion over several hours
C. Mildly slower walking speed
D. Long-standing difficulty hearing
Answer: _B. New onset of confusion over several hours_
Rationale: Acute confusion can represent delirium, which may be caused by
infection, medication effects, metabolic disturbances, dehydration, or other acute
conditions.
7. An older adult is taking several prescription medications and reports
dizziness after standing. Which assessment is most appropriate initially?
A. Ask about favorite recreational activities
B. Measure orthostatic vital signs and review medications
C. Restrict all oral fluids
D. Encourage rapid position changes
Answer: _B. Measure orthostatic vital signs and review medications_
Rationale: Orthostatic hypotension and medication effects are common
contributors to dizziness and falls in older adults.
8. Which intervention is most appropriate for reducing fall risk in an older
adult's home?
A. Place frequently used items on high shelves
B. Remove loose rugs and improve lighting
C. Encourage walking without assistive devices
D. Keep electrical cords across walking paths
Answer: _B. Remove loose rugs and improve lighting_
, Rationale: Environmental hazards such as loose rugs, poor lighting, and
obstructed walkways increase fall risk.
9. A nurse is reviewing an EHR for a pediatric patient with complex medical
needs. Which information is most important when reconciling medications?
A. Medication names, doses, routes, frequency, and recent changes
B. The child's preferred television programs
C. The family's preferred transportation method
D. The child's favorite classroom subject
Answer: _A. Medication names, doses, routes, frequency, and recent changes_
Rationale: Accurate medication reconciliation helps identify omissions,
duplications, contraindications, and dosing errors.
10. Which documentation entry is most appropriate in an electronic health
record?
A. “Patient looks bad today.”
B. “Patient seems annoying and uncooperative.”
C. “Child reports abdominal pain rated 6/10; guarding noted in the right lower
quadrant.”
D. “Mother is probably exaggerating symptoms.”
Answer: _C. “Child reports abdominal pain rated 6/10; guarding noted in the right
lower quadrant.”**_
Rationale: Clinical documentation should be objective, specific, measurable, and
based on observed or reported findings rather than judgmental statements.
11. A child with fever and suspected infection has a heart rate of 150/min,
delayed capillary refill, and decreased urine output. What is the nurse's
priority?
A. Obtain a detailed developmental history
B. Recognize possible impaired perfusion and promptly escalate care
C. Encourage independent ambulation
D. Schedule a routine wellness appointment
