Pediatric Nursing Exam 09/28/2026
Pediatric Nursing Exam 1 (NUR 230):
Comprehensive Assessment of Gastrointestinal,
Genitourinary, Respiratory, Cardiac, and
Developmental Concepts in Pediatric Care
The nurse is caring for a school-age child with crusting and swollen eyelids, purulent drainage, and inflamed
conjunctiva. The child receives a prescription for an ophthalmic anti-infective ointment.
Which instruction should the nurse provide the child's caregivers during discharge education?
A. Discontinue the ointment once drainage resolves.
B. Prepare the child for blurry vision after ointment application.
C. Use a disposable moist wipe to remove eye crusts.
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, Pediatric Nursing Exam 09/28/2026
D. Remove secretions by wiping toward the opposite eye.
B
When using an ophthalmic anti-infective ointment, it is important to prepare the child for blurry vision after
ointment application. This is because the ointment can temporarily blur vision after application. It is important to
follow the instructions on the medication label and continue using the ointment for the full course of treatment,
even if symptoms improve before then ¹.
The nurse is providing nutrition education to the parents of an infant with failure to thrive (FTT). Which statement
made by the parent should the nurse recognize as an appropriate understanding of interventions?
A. Breast milk provides adequate calories for the child.
B. Regular syringe feedings promote rapid weight gain.
C. High-calorie formula encourages increased growth.
D. Fruit juice increases the child's daily vitamin intake.
C
THe nurse should recognize that the statement "high-calorie formula encourages increased growth" is an
appropriate understanding of interventions for an infant with FTT. High-calorie formula can help infants who are not
gaining weight adequately to increase their calorie intake and promote growth.
Breast milk provides adequate nutrition for most infants, but in cases of FTT, the infant may require a higher calorie
intake than breast milk can provide. Regular syringe feedings and fruit juice are not recommended interventions for
FTT. Syringe feedings can cause aspiration and fruit juice does not provide the appropriate balance of nutrients
needed for an infant's growth and development.
A male adolescent arrives at the clinic and reports intense pain in the testicular area that occurred during football
practice at high school. The nurse observes the scrotum and identifies significant erythema and swelling.
Which action should the nurse take?
A. Report the findings immediately to the healthcare provider.
B. Obtain a swab of secretions from the penis and urethra.
C. Collect a sterile urine sample for culture and sensitivity.
D. Provide the adolescent with a urinal for urinary hesitancy.
A
The nurse should report the findings of significant erythema and swelling in the scrotum immediately to the
healthcare provider. The adolescent's symptoms may be indicative of testicular torsion, which is a medical
emergency and requires prompt treatment to prevent loss of the testicle.
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, Pediatric Nursing Exam 09/28/2026
The nurse is providing teaching to a school-age child with left femoral osteomyelitis and the child's parent prior to
discharge.
Which instruction should the nurse provide related to the initial phase of treatment?
A. Administer topical antibiotic therapy daily.
B. Provide passive range of motion exercises.
C. Ensure no weight bearing on the affected extremity.
D. Schedule ice pack applications to the infected area.
C
During the initial phase of treatment for osteomyelitis, the nurse should instruct the child and parent to ensure that
there is no weight bearing on the affected extremity. This may require the use of assistive devices such as crutches or
a wheelchair. Administering topical antibiotic therapy, providing passive range of motion exercises, and scheduling
ice pack applications to the infected area are not appropriate interventions during the initial phase of treatment.
A 3-year-old boy in a daycare facility scratches his head frequently, and the nurse confirms the presence of head lice.
The nurse washes the child's hair with permethrin shampoo and calls his parents.
Which instruction should the nurse provide to the parents about treatment for head lice?
A. Take the child to a hair salon for a shampoo and a shorter haircut.
B. Dispose of the child's brushes, combs, and other hair accessories.
C. Rewash the child's hair following a 24-hour isolation period.
D. Wash the child's bed linens and clothing in hot soapy water.
D
The nurse should instruct the parents to wash the child's bed linens and clothing in hot soapy water to kill any
remaining head lice and prevent reinfestation.
The nurse is assessing a child with acute glomerulonephritis who presents with increased fatigue, facial puffiness,
decreased appetite. The child's urine sample is dark yellow in color.
Which additional finding should the nurse report to the healthcare provider?
A. Positive rapid strep test of oropharynx.
B. Blood pressure 88/50 mmHg.
C. Maculopapular rash over trunk of body.
D. Weight loss.
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, Pediatric Nursing Exam 09/28/2026
A
The nurse should report a positive rapid strep test of the oropharynx to the healthcare provider. Acute
glomerulonephritis is often caused by a recent streptococcal infection, and a positive rapid strep test would confirm
this as the underlying cause.
A six-year-old girl is being admited to the hospital for repair of an umbilical hernia. Which information, collected by
the admitting nurse, is particularly helpful in planning care for this child?
A. List of achievement timeline for developmental milestones.
B. Reactions to any previous hospitalizations.
C. A history of rubella, rubeola, or chicken pox.
D. Mother's use of alcohol, drugs, or cigaretes during pregnancy.
B
Information about the child's reactions to any previous hospitalizations would be particularly helpful in planning care
for this six-year-old girl who is being admited for repair of an umbilical hernia. This information can help the nurse
anticipate and address any fears or concerns the child may have about the hospitalization and procedure.
When advising a new mother on caring for a child with croup, which symptom should be a priority concern for the
telephone triage nurse?
A. Fever of 101.0°F (38.3°C)
B. Cries often when nursing
C. Difficulty swallowing secretions.
C
When advising a new mother on caring for a child with croup, the telephone triage nurse should prioritize concern
for difficulty swallowing secretions. This symptom can indicate that the child's airway is becoming obstructed and
requires immediate medical attention.
The nurse is providing treatment education to the caregiver of a school-age child recently diagnosed with atention-
deficit/hyperactivity disorder (ADHD). Which statement(s) made by the caregiver demonstrate an understanding of
the education?
Select all that apply.
A. Understanding that nonstimulant medications show litle benefit in treatment.
B. Designating an established area for study.
C. Anticipating being automatically entered into a specialized education plan.
D. Knowing that medication is not always the best approach to treatment.
JOYCEWWALES 4
Pediatric Nursing Exam 1 (NUR 230):
Comprehensive Assessment of Gastrointestinal,
Genitourinary, Respiratory, Cardiac, and
Developmental Concepts in Pediatric Care
The nurse is caring for a school-age child with crusting and swollen eyelids, purulent drainage, and inflamed
conjunctiva. The child receives a prescription for an ophthalmic anti-infective ointment.
Which instruction should the nurse provide the child's caregivers during discharge education?
A. Discontinue the ointment once drainage resolves.
B. Prepare the child for blurry vision after ointment application.
C. Use a disposable moist wipe to remove eye crusts.
JOYCEWWALES 1
, Pediatric Nursing Exam 09/28/2026
D. Remove secretions by wiping toward the opposite eye.
B
When using an ophthalmic anti-infective ointment, it is important to prepare the child for blurry vision after
ointment application. This is because the ointment can temporarily blur vision after application. It is important to
follow the instructions on the medication label and continue using the ointment for the full course of treatment,
even if symptoms improve before then ¹.
The nurse is providing nutrition education to the parents of an infant with failure to thrive (FTT). Which statement
made by the parent should the nurse recognize as an appropriate understanding of interventions?
A. Breast milk provides adequate calories for the child.
B. Regular syringe feedings promote rapid weight gain.
C. High-calorie formula encourages increased growth.
D. Fruit juice increases the child's daily vitamin intake.
C
THe nurse should recognize that the statement "high-calorie formula encourages increased growth" is an
appropriate understanding of interventions for an infant with FTT. High-calorie formula can help infants who are not
gaining weight adequately to increase their calorie intake and promote growth.
Breast milk provides adequate nutrition for most infants, but in cases of FTT, the infant may require a higher calorie
intake than breast milk can provide. Regular syringe feedings and fruit juice are not recommended interventions for
FTT. Syringe feedings can cause aspiration and fruit juice does not provide the appropriate balance of nutrients
needed for an infant's growth and development.
A male adolescent arrives at the clinic and reports intense pain in the testicular area that occurred during football
practice at high school. The nurse observes the scrotum and identifies significant erythema and swelling.
Which action should the nurse take?
A. Report the findings immediately to the healthcare provider.
B. Obtain a swab of secretions from the penis and urethra.
C. Collect a sterile urine sample for culture and sensitivity.
D. Provide the adolescent with a urinal for urinary hesitancy.
A
The nurse should report the findings of significant erythema and swelling in the scrotum immediately to the
healthcare provider. The adolescent's symptoms may be indicative of testicular torsion, which is a medical
emergency and requires prompt treatment to prevent loss of the testicle.
JOYCEWWALES 2
, Pediatric Nursing Exam 09/28/2026
The nurse is providing teaching to a school-age child with left femoral osteomyelitis and the child's parent prior to
discharge.
Which instruction should the nurse provide related to the initial phase of treatment?
A. Administer topical antibiotic therapy daily.
B. Provide passive range of motion exercises.
C. Ensure no weight bearing on the affected extremity.
D. Schedule ice pack applications to the infected area.
C
During the initial phase of treatment for osteomyelitis, the nurse should instruct the child and parent to ensure that
there is no weight bearing on the affected extremity. This may require the use of assistive devices such as crutches or
a wheelchair. Administering topical antibiotic therapy, providing passive range of motion exercises, and scheduling
ice pack applications to the infected area are not appropriate interventions during the initial phase of treatment.
A 3-year-old boy in a daycare facility scratches his head frequently, and the nurse confirms the presence of head lice.
The nurse washes the child's hair with permethrin shampoo and calls his parents.
Which instruction should the nurse provide to the parents about treatment for head lice?
A. Take the child to a hair salon for a shampoo and a shorter haircut.
B. Dispose of the child's brushes, combs, and other hair accessories.
C. Rewash the child's hair following a 24-hour isolation period.
D. Wash the child's bed linens and clothing in hot soapy water.
D
The nurse should instruct the parents to wash the child's bed linens and clothing in hot soapy water to kill any
remaining head lice and prevent reinfestation.
The nurse is assessing a child with acute glomerulonephritis who presents with increased fatigue, facial puffiness,
decreased appetite. The child's urine sample is dark yellow in color.
Which additional finding should the nurse report to the healthcare provider?
A. Positive rapid strep test of oropharynx.
B. Blood pressure 88/50 mmHg.
C. Maculopapular rash over trunk of body.
D. Weight loss.
JOYCEWWALES 3
, Pediatric Nursing Exam 09/28/2026
A
The nurse should report a positive rapid strep test of the oropharynx to the healthcare provider. Acute
glomerulonephritis is often caused by a recent streptococcal infection, and a positive rapid strep test would confirm
this as the underlying cause.
A six-year-old girl is being admited to the hospital for repair of an umbilical hernia. Which information, collected by
the admitting nurse, is particularly helpful in planning care for this child?
A. List of achievement timeline for developmental milestones.
B. Reactions to any previous hospitalizations.
C. A history of rubella, rubeola, or chicken pox.
D. Mother's use of alcohol, drugs, or cigaretes during pregnancy.
B
Information about the child's reactions to any previous hospitalizations would be particularly helpful in planning care
for this six-year-old girl who is being admited for repair of an umbilical hernia. This information can help the nurse
anticipate and address any fears or concerns the child may have about the hospitalization and procedure.
When advising a new mother on caring for a child with croup, which symptom should be a priority concern for the
telephone triage nurse?
A. Fever of 101.0°F (38.3°C)
B. Cries often when nursing
C. Difficulty swallowing secretions.
C
When advising a new mother on caring for a child with croup, the telephone triage nurse should prioritize concern
for difficulty swallowing secretions. This symptom can indicate that the child's airway is becoming obstructed and
requires immediate medical attention.
The nurse is providing treatment education to the caregiver of a school-age child recently diagnosed with atention-
deficit/hyperactivity disorder (ADHD). Which statement(s) made by the caregiver demonstrate an understanding of
the education?
Select all that apply.
A. Understanding that nonstimulant medications show litle benefit in treatment.
B. Designating an established area for study.
C. Anticipating being automatically entered into a specialized education plan.
D. Knowing that medication is not always the best approach to treatment.
JOYCEWWALES 4
