NUR 230 PEDIATRIC NURSING EXAM 3
ULTIMATE STUDY GUIDE & NCLEX-
STYLE QUESTION BANK
Boost your exam scores with this comprehensive pediatric
nursing test bank specifically engineered for NUR 230. Every
single high-yield question features verified italicised answers
and detailed bold-italicised rationales covering gastrointestinal,
genitourinary, respiratory, cardiac, and developmental milestones.
Master complex clinical scenarios like Tetralogy of Fallot spells
and Nephrotic Syndrome relapses to confidently ace your
upcoming nursing exams.
1. A nurse is assessing an 8-month-old infant with
suspected intussusception. Which clinical
manifestation should the nurse expect to find?
A) Olive-shaped mass in the epigastrium
B) Ribbon-like, foul-smelling stools
C) Currant-jelly-like stools
D) Projectile vomiting after feedings
Answer: C) Currant-jelly-like stools
Rationale: Currant-jelly stools containing
blood and mucus are a hallmark sign of
intussusception, caused by intestinal
ischemia and mucosal shedding. An olive-
shaped mass is associated with hypertrophic
pyloric stenosis, ribbon-like stools indicate
, Hirschsprung's disease, and projectile
vomiting points to pyloric stenosis.
2. A 4-year-old child is admitted with acute post-
streptococcal glomerulonephritis (APSGN).
Which laboratory finding should the nurse
prioritize?
A) Decreased serum creatinine
B) Elevated Antistreptolysin O (ASO) titer
C) Reduced urine specific gravity
D) Hypokalemia
Answer: B) Elevated Antistreptolysin O (ASO)
titer
Rationale: An elevated ASO titer confirms a
recent streptococcal infection, which
triggers the immune-complex
glomerulonephritis. Creatinine would be
elevated, not decreased, due to reduced
glomerular filtration. Urine specific gravity is
typically high, and hyperkalemia is a risk due
to oliguria.
3. An infant with Tetralogy of Fallot becomes
acutely cyanotic, tachypneic, and agitated during
a blood draw. Which nursing action is the
immediate priority?
A) Administer 100% oxygen via blow-by
, B) Place the infant in a knee-chest position
C) Administer IV morphine sulfate
D) Prepare for emergency endotracheal
intubation
Answer: B) Place the infant in a knee-chest
position
Rationale: Placing the infant in a knee-chest
position is the priority action during a
hypercyanotic ("tet") spell. This position
increases systemic vascular resistance,
reducing the right-to-left shunt and
improving pulmonary blood flow. Oxygen
and morphine are secondary actions.
4. A nurse evaluates a 2-year-old child for
developmental milestones. Which finding
requires further developmental evaluation?
A) Inability to use a spoon independently
B) Failure to speak in 2- to 3-word phrases
C) Inability to hop on one foot
D) Inability to tie shoelaces
Answer: B) Failure to speak in 2- to 3-word
phrases
Rationale: By age 2, a toddler should typically
speak in 2- to 3-word phrases. Failure to do
so warrants developmental screening.
, Hopping on one foot is a 4-year-old
milestone, and tying shoelaces is a 5-year-
old skill. Using a spoon independently is still
developing at 2 years.
5. A 6-month-old infant is admitted with respiratory
syncytial virus (RSV) bronchiolitis. Which
intervention should the nurse include in the plan
of care?
A) Schedule routine chest physiotherapy every 4
hours
B) Administer prophylactic oral antibiotics
C) Perform nasal suctioning before feedings
D) Maintain the infant in a prone position
Answer: C) Perform nasal suctioning before
feedings
Rationale: Infants are obligatory nose
breathers. Nasal suctioning clears thick
mucus secretions, improving respiratory
effort and supporting safe feeding. Routine
chest physiotherapy is no longer
recommended for RSV. Antibiotics are
ineffective against viral infections, and the
prone position increases SIDS risks.
6. A 5-year-old child is diagnosed with Nephrotic
Syndrome. Which clinical feature should the
ULTIMATE STUDY GUIDE & NCLEX-
STYLE QUESTION BANK
Boost your exam scores with this comprehensive pediatric
nursing test bank specifically engineered for NUR 230. Every
single high-yield question features verified italicised answers
and detailed bold-italicised rationales covering gastrointestinal,
genitourinary, respiratory, cardiac, and developmental milestones.
Master complex clinical scenarios like Tetralogy of Fallot spells
and Nephrotic Syndrome relapses to confidently ace your
upcoming nursing exams.
1. A nurse is assessing an 8-month-old infant with
suspected intussusception. Which clinical
manifestation should the nurse expect to find?
A) Olive-shaped mass in the epigastrium
B) Ribbon-like, foul-smelling stools
C) Currant-jelly-like stools
D) Projectile vomiting after feedings
Answer: C) Currant-jelly-like stools
Rationale: Currant-jelly stools containing
blood and mucus are a hallmark sign of
intussusception, caused by intestinal
ischemia and mucosal shedding. An olive-
shaped mass is associated with hypertrophic
pyloric stenosis, ribbon-like stools indicate
, Hirschsprung's disease, and projectile
vomiting points to pyloric stenosis.
2. A 4-year-old child is admitted with acute post-
streptococcal glomerulonephritis (APSGN).
Which laboratory finding should the nurse
prioritize?
A) Decreased serum creatinine
B) Elevated Antistreptolysin O (ASO) titer
C) Reduced urine specific gravity
D) Hypokalemia
Answer: B) Elevated Antistreptolysin O (ASO)
titer
Rationale: An elevated ASO titer confirms a
recent streptococcal infection, which
triggers the immune-complex
glomerulonephritis. Creatinine would be
elevated, not decreased, due to reduced
glomerular filtration. Urine specific gravity is
typically high, and hyperkalemia is a risk due
to oliguria.
3. An infant with Tetralogy of Fallot becomes
acutely cyanotic, tachypneic, and agitated during
a blood draw. Which nursing action is the
immediate priority?
A) Administer 100% oxygen via blow-by
, B) Place the infant in a knee-chest position
C) Administer IV morphine sulfate
D) Prepare for emergency endotracheal
intubation
Answer: B) Place the infant in a knee-chest
position
Rationale: Placing the infant in a knee-chest
position is the priority action during a
hypercyanotic ("tet") spell. This position
increases systemic vascular resistance,
reducing the right-to-left shunt and
improving pulmonary blood flow. Oxygen
and morphine are secondary actions.
4. A nurse evaluates a 2-year-old child for
developmental milestones. Which finding
requires further developmental evaluation?
A) Inability to use a spoon independently
B) Failure to speak in 2- to 3-word phrases
C) Inability to hop on one foot
D) Inability to tie shoelaces
Answer: B) Failure to speak in 2- to 3-word
phrases
Rationale: By age 2, a toddler should typically
speak in 2- to 3-word phrases. Failure to do
so warrants developmental screening.
, Hopping on one foot is a 4-year-old
milestone, and tying shoelaces is a 5-year-
old skill. Using a spoon independently is still
developing at 2 years.
5. A 6-month-old infant is admitted with respiratory
syncytial virus (RSV) bronchiolitis. Which
intervention should the nurse include in the plan
of care?
A) Schedule routine chest physiotherapy every 4
hours
B) Administer prophylactic oral antibiotics
C) Perform nasal suctioning before feedings
D) Maintain the infant in a prone position
Answer: C) Perform nasal suctioning before
feedings
Rationale: Infants are obligatory nose
breathers. Nasal suctioning clears thick
mucus secretions, improving respiratory
effort and supporting safe feeding. Routine
chest physiotherapy is no longer
recommended for RSV. Antibiotics are
ineffective against viral infections, and the
prone position increases SIDS risks.
6. A 5-year-old child is diagnosed with Nephrotic
Syndrome. Which clinical feature should the
