Pediatric Nursing Exam 09/28/2026
Pediatric Nursing Exam NUR 230): Comprehensive
Assessment of Gastrointestinal, Genitourinary,
Respiratory, Cardiac, and Developmental Concepts
in Pediatric Care
Which teaching would be important to discuss with the family of a newborn with PKU?
1. Studies have shown that children with PKU outgrow the disease.
2. Consumption of decreased amounts of protein and dairy products is advised.
3. High-protein and high-dairy products consumption must be maintained.
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, Pediatric Nursing Exam 09/28/2026
4. Exclusive breastfeeding is encouraged for maximal nutrition for the child. –
Correct Answer :2. Consumption of decreased amounts of protein and dairy products is advised.
Rationale: Many high-protein foods such as meats and dairy products are restricted or eliminated from the diet due
to the high phenylalanine content.
Which teaching is most important for a child with PKU?
1. The child is able to eat a quarter-pound hamburger and drink a milkshake daily.
2. If the child wants soda, diet soda is preferred over milk or dairy products.
3. The child may have ice cream in an unlimited quantity once a week.
4. Diet soda or anything with the sweetener aspartame should be avoided. –
Correct Answer :4. Diet soda or anything with the sweetener aspartame should be avoided.
Rationale: The artificial aspartame should be avoided because it is converted to phenylalanine in the body.
Which intervention should the nurse implement for a newborn diagnosed with galactosemia?
1. Eliminate all milk and lactose-containing foods.
2. Encourage breastfeeding as long as possible.
3. Encourage lactose-containing formulas.
4. Avoid feeding soy-protein formula to the newborn
. - Correct Answer :1. Eliminate all milk and lactose-containing foods.
Which statement by the parent of a newborn diagnosed with galactosemia demonstrates successful teaching?
1. "This is a rare disorder that usually does not affect future children."
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, Pediatric Nursing Exam 09/28/2026
2. "Our newborn looks normal; he may not have galactosemia."
3. "Our newborn may need to take penicillin and other medications to prevent infection."
4. "Penicillin and other drugs that contain lactose as fillers need to be avoided."
- Correct Answer :4. "Penicillin and other drugs that contain lactose as fillers need to be avoided."
Which families would be appropriate to refer for genetic counseling?
1. Parents with a macrososmic infant.
2. Parents with a neonatal abstinence syndrome infant.
3. Couple with a history of planned abortions.
4. Couple with a history of multiple miscarriages.
- Correct Answer :4. Couple with a history of multiple miscarriages.
Which statement from parents of a newborn diagnosed with Tay-Sachs disease indicates successful understanding of
the long-term prognosis?
1. "If we give our baby a proper diet, early intervention, and physical therapy, he can live to adulthood."
2. "He will have normal development for about 6 months before progressive developmental delays occur."
3. "With intense physical therapy and early intervention, we can prevent developmental delays."
4. "If we give our baby a lactose-free diet for life, we can minimize developmental delays and learning disabilities." –
Correct Answer :2. "He will have normal development for about 6 months before progressive developmental delays
occur."
Rationale: Tay-Sachs disease is a genetic disorder in which the infant has normal development for the first 6 months.
After 6 months, developmental delays and neurological worsening occur. Dietary restriction or providing physical
therapy does not change the outcome.
Which intervention might the nurse anticipate in a 2-day-old infant diagnosed with maple syrup urine disease?
JOYCEWWALES 3
, Pediatric Nursing Exam 09/28/2026
1. High-protein, high-amino-acid diet.
2. Low-protein, low-amino-acid diet.
3. Low-protein, low-sodium diet.
4. Phenylalanine-restricted diet. –
Correct Answer :2. Low-protein, low-amino-acid diet.
What would be the priority nursing action on finding the varicella vaccine at room temperature on the shelf in the
medication room?
1. Ensure the varicella vaccine's integrity is intact; if intact, follow the five eights of medication administration.
2. Do not administer this batch of vaccine.
3. Ensure the varicella vaccine's integrity is intact; if intact, give the vaccine after verifying proper physician orders.
4. Ask the mother if the child has had any proper reactions to varicella. –
Correct Answer :2. Do not administer this batch of vaccine.
Rationale: The varicella vaccine integrity cannot be assured if the vaccine is at room temperature, so do not
administer.
Which would be the most therapeutic response for the mother of a 6-month-old who tells the nurse she does not
want her infant to have the DTaP vaccine because the infant had localized redness the last time she received the
vaccine?
1. "I will let the physician know, and we will not administer the DTaP vaccination today."
2. "Every child has that allergic reaction, and your child will still get the DTaP today."
3. "I will let the physician know that you refuse further immunizations for your daughter."
4. "Would you mind if we discussed your concerns?" –
Correct Answer :4. "Would you mind if we discussed your concerns?"
JOYCEWWALES 4
Pediatric Nursing Exam NUR 230): Comprehensive
Assessment of Gastrointestinal, Genitourinary,
Respiratory, Cardiac, and Developmental Concepts
in Pediatric Care
Which teaching would be important to discuss with the family of a newborn with PKU?
1. Studies have shown that children with PKU outgrow the disease.
2. Consumption of decreased amounts of protein and dairy products is advised.
3. High-protein and high-dairy products consumption must be maintained.
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, Pediatric Nursing Exam 09/28/2026
4. Exclusive breastfeeding is encouraged for maximal nutrition for the child. –
Correct Answer :2. Consumption of decreased amounts of protein and dairy products is advised.
Rationale: Many high-protein foods such as meats and dairy products are restricted or eliminated from the diet due
to the high phenylalanine content.
Which teaching is most important for a child with PKU?
1. The child is able to eat a quarter-pound hamburger and drink a milkshake daily.
2. If the child wants soda, diet soda is preferred over milk or dairy products.
3. The child may have ice cream in an unlimited quantity once a week.
4. Diet soda or anything with the sweetener aspartame should be avoided. –
Correct Answer :4. Diet soda or anything with the sweetener aspartame should be avoided.
Rationale: The artificial aspartame should be avoided because it is converted to phenylalanine in the body.
Which intervention should the nurse implement for a newborn diagnosed with galactosemia?
1. Eliminate all milk and lactose-containing foods.
2. Encourage breastfeeding as long as possible.
3. Encourage lactose-containing formulas.
4. Avoid feeding soy-protein formula to the newborn
. - Correct Answer :1. Eliminate all milk and lactose-containing foods.
Which statement by the parent of a newborn diagnosed with galactosemia demonstrates successful teaching?
1. "This is a rare disorder that usually does not affect future children."
JOYCEWWALES 2
, Pediatric Nursing Exam 09/28/2026
2. "Our newborn looks normal; he may not have galactosemia."
3. "Our newborn may need to take penicillin and other medications to prevent infection."
4. "Penicillin and other drugs that contain lactose as fillers need to be avoided."
- Correct Answer :4. "Penicillin and other drugs that contain lactose as fillers need to be avoided."
Which families would be appropriate to refer for genetic counseling?
1. Parents with a macrososmic infant.
2. Parents with a neonatal abstinence syndrome infant.
3. Couple with a history of planned abortions.
4. Couple with a history of multiple miscarriages.
- Correct Answer :4. Couple with a history of multiple miscarriages.
Which statement from parents of a newborn diagnosed with Tay-Sachs disease indicates successful understanding of
the long-term prognosis?
1. "If we give our baby a proper diet, early intervention, and physical therapy, he can live to adulthood."
2. "He will have normal development for about 6 months before progressive developmental delays occur."
3. "With intense physical therapy and early intervention, we can prevent developmental delays."
4. "If we give our baby a lactose-free diet for life, we can minimize developmental delays and learning disabilities." –
Correct Answer :2. "He will have normal development for about 6 months before progressive developmental delays
occur."
Rationale: Tay-Sachs disease is a genetic disorder in which the infant has normal development for the first 6 months.
After 6 months, developmental delays and neurological worsening occur. Dietary restriction or providing physical
therapy does not change the outcome.
Which intervention might the nurse anticipate in a 2-day-old infant diagnosed with maple syrup urine disease?
JOYCEWWALES 3
, Pediatric Nursing Exam 09/28/2026
1. High-protein, high-amino-acid diet.
2. Low-protein, low-amino-acid diet.
3. Low-protein, low-sodium diet.
4. Phenylalanine-restricted diet. –
Correct Answer :2. Low-protein, low-amino-acid diet.
What would be the priority nursing action on finding the varicella vaccine at room temperature on the shelf in the
medication room?
1. Ensure the varicella vaccine's integrity is intact; if intact, follow the five eights of medication administration.
2. Do not administer this batch of vaccine.
3. Ensure the varicella vaccine's integrity is intact; if intact, give the vaccine after verifying proper physician orders.
4. Ask the mother if the child has had any proper reactions to varicella. –
Correct Answer :2. Do not administer this batch of vaccine.
Rationale: The varicella vaccine integrity cannot be assured if the vaccine is at room temperature, so do not
administer.
Which would be the most therapeutic response for the mother of a 6-month-old who tells the nurse she does not
want her infant to have the DTaP vaccine because the infant had localized redness the last time she received the
vaccine?
1. "I will let the physician know, and we will not administer the DTaP vaccination today."
2. "Every child has that allergic reaction, and your child will still get the DTaP today."
3. "I will let the physician know that you refuse further immunizations for your daughter."
4. "Would you mind if we discussed your concerns?" –
Correct Answer :4. "Would you mind if we discussed your concerns?"
JOYCEWWALES 4
