ED Pediatric Emergency Medicine Final Exam 2026 | Most
Tested Questions & Verified Answers | Latest Update |
Graded A+
1. Cat-scratch fever can be prevented by
Pasteurizing milk
Avoiding ticks
Thorough cleaning the scratch wound
Vaccine
2. In a scenario where a pediatric patient is described as 'inconsolable', what
steps should a nurse take before documenting this term in the patient's chart?
Document immediately as it reflects the patient's condition.
Ask the patient for their consent to document.
Consult with the provider for approval before documentation.
Use a different term that does not require approval.
3. Describe how a recent gastrointestinal illness can lead to functional
constipation in children.
Functional constipation is unrelated to previous illnesses.
Gastrointestinal illness has no impact on bowel habits in children.
A recent gastrointestinal illness can lead to functional constipation
due to changes in bowel habits and diet, causing discomfort and
painful bowel movements.
Children always recover their bowel habits immediately after an illness.
4. What are the key symptoms associated with pelvic inflammatory disease?
, Nausea, Vomiting, Diarrhea, Fatigue
Headache, Dizziness, Blurred vision, Tinnitus
Malodorous vaginal discharge, Fever, Dysuria, Abdominal Pain
Chest pain, Cough, Shortness of breath, Wheezing
5. What specific information should be included in the documentation for a
pediatric patient with an arm injury from a scooter fall?
The patient's height and weight.
The patient's vaccination history.
The patient's family medical history.
Details of the injury and the patient's inability to move the arm.
6. What is a key component of a neurological examination for an infant who
cannot respond verbally?
Patient history
Verbal communication
Cognitive assessment
Observation of reflexes
7. What are some key descriptors that should be included in the
general/constitutional section of a normal pediatric exam?
Malnourished, irritable, and anxious
Well-nourished, active, and alert
Underweight, lethargic, and confused
Overweight, sleepy, and unresponsive
,8. Which assessment finding is typical for a patient with dehydration?
Edema.
Increased skin turgor.
Decreased urine output.
Increased blood pressure.
9. What diagnosis is commonly associated with pain during bowel movements
and abdominal pain in pediatric patients?
Gastroenteritis
Appendicitis
Constipation
Intussusception
10. Why is it important to obtain provider approval before documenting certain
terms in a patient chart?
Documentation does not require any approval process.
All terms can be documented freely by any staff member.
Provider approval is only necessary for medication orders.
Certain terms may imply a clinical judgment that requires provider
validation.
11. Basic concepts in history taking of pediatric patients, include which of the
following statements?
If the patient is a newborn, and/or the present problems are related
to the prenatal and perinatal period, the maternal and birth history
should be included in the HPI.
, In the HPI, the signs and symptoms should be described in
chronological order, beginning from the recent events prior to
admission and ending with the initial symptom experienced.
The diagnostic approach to pediatric patients is similar to that of
adults.
Growth and Developmental history is important only in older children
and adolescents.
12. Why is it important to differentiate between subjective and objective
measurements when documenting a fever?
Subjective measurements are based on patient reports, while
objective measurements are based on clinical data.
Both measurements are equally important and interchangeable.
Objective measurements are only relevant in adults, not children.
Subjective measurements are more reliable than objective
measurements.
13. Which of the following is true about history of present illness?
If the patient was previously confined in another hospital, state the
name of the other hospital
If the patient is <2 months old, HPI should start with maternal and
birth history
An elaboration of data on all of the Systems
Previous admissions related to the current illness are placed under
past medical illness
14. Why is it important to document descriptors like 'well-nourished' and 'alert'
in a pediatric exam?
Tested Questions & Verified Answers | Latest Update |
Graded A+
1. Cat-scratch fever can be prevented by
Pasteurizing milk
Avoiding ticks
Thorough cleaning the scratch wound
Vaccine
2. In a scenario where a pediatric patient is described as 'inconsolable', what
steps should a nurse take before documenting this term in the patient's chart?
Document immediately as it reflects the patient's condition.
Ask the patient for their consent to document.
Consult with the provider for approval before documentation.
Use a different term that does not require approval.
3. Describe how a recent gastrointestinal illness can lead to functional
constipation in children.
Functional constipation is unrelated to previous illnesses.
Gastrointestinal illness has no impact on bowel habits in children.
A recent gastrointestinal illness can lead to functional constipation
due to changes in bowel habits and diet, causing discomfort and
painful bowel movements.
Children always recover their bowel habits immediately after an illness.
4. What are the key symptoms associated with pelvic inflammatory disease?
, Nausea, Vomiting, Diarrhea, Fatigue
Headache, Dizziness, Blurred vision, Tinnitus
Malodorous vaginal discharge, Fever, Dysuria, Abdominal Pain
Chest pain, Cough, Shortness of breath, Wheezing
5. What specific information should be included in the documentation for a
pediatric patient with an arm injury from a scooter fall?
The patient's height and weight.
The patient's vaccination history.
The patient's family medical history.
Details of the injury and the patient's inability to move the arm.
6. What is a key component of a neurological examination for an infant who
cannot respond verbally?
Patient history
Verbal communication
Cognitive assessment
Observation of reflexes
7. What are some key descriptors that should be included in the
general/constitutional section of a normal pediatric exam?
Malnourished, irritable, and anxious
Well-nourished, active, and alert
Underweight, lethargic, and confused
Overweight, sleepy, and unresponsive
,8. Which assessment finding is typical for a patient with dehydration?
Edema.
Increased skin turgor.
Decreased urine output.
Increased blood pressure.
9. What diagnosis is commonly associated with pain during bowel movements
and abdominal pain in pediatric patients?
Gastroenteritis
Appendicitis
Constipation
Intussusception
10. Why is it important to obtain provider approval before documenting certain
terms in a patient chart?
Documentation does not require any approval process.
All terms can be documented freely by any staff member.
Provider approval is only necessary for medication orders.
Certain terms may imply a clinical judgment that requires provider
validation.
11. Basic concepts in history taking of pediatric patients, include which of the
following statements?
If the patient is a newborn, and/or the present problems are related
to the prenatal and perinatal period, the maternal and birth history
should be included in the HPI.
, In the HPI, the signs and symptoms should be described in
chronological order, beginning from the recent events prior to
admission and ending with the initial symptom experienced.
The diagnostic approach to pediatric patients is similar to that of
adults.
Growth and Developmental history is important only in older children
and adolescents.
12. Why is it important to differentiate between subjective and objective
measurements when documenting a fever?
Subjective measurements are based on patient reports, while
objective measurements are based on clinical data.
Both measurements are equally important and interchangeable.
Objective measurements are only relevant in adults, not children.
Subjective measurements are more reliable than objective
measurements.
13. Which of the following is true about history of present illness?
If the patient was previously confined in another hospital, state the
name of the other hospital
If the patient is <2 months old, HPI should start with maternal and
birth history
An elaboration of data on all of the Systems
Previous admissions related to the current illness are placed under
past medical illness
14. Why is it important to document descriptors like 'well-nourished' and 'alert'
in a pediatric exam?
