NRSG 421 PEDIATRICS EXAM QUESTIONS AND
ANSWERS (VERIFIED AND WELL DETAILED
ANSWERS) LATEST UPDATE 2025/2026
,What age group is most likely to view illness and hospitalization as a punishment?
- CORRECT ANSWER preschoolers
Parents bring 7 year old son in to the ER for what appeared to be a febrile seizurel The
parents gave their son the correct dosage of Tylenol 3 hours prior to coming in to hospital.
After orders from MRP, what is the best action? - CORRECT ANSWER give the ordered
Advil doses
T/F Systematically rotate injection sites for insulin for diabetes - CORRECT ANSWER T
What age can babies first eat sweetened food and sugar? - CORRECT ANSWER
12 months
When a mother asks the nurse when she should start giving her infant solid foods, the
nurse should instruct her to introduce which solid food first? - CORRECT ANSWER rice
cereal
T/F Children are more likely to have ruptured appendix - CORRECT ANSWER
T
,Which is best method for nurse to perform physical assessment on an 18 month old
(toddler) - CORRECT ANSWER Least to most invasive
What age should children be able to sit unsupported? - CORRECT ANSWER 3-4 months
What age should babies be eating solid food? - CORRECT ANSWER 6 months
9 year old patient waiting for appendectomy at noon/ Your AM assessment findings show
HR130, RR30, T39.2, and 8/10 on FACES scale and states "my tummy hurts more than
last night? What do you suspect the patient most likely has? - CORRECT ANSWER
peritonitis
What is most common IV fluid ordered for a child with appendicitis? Why? -
CORRECT ANSWER D5NS
sugar helps because of increased metabolism in children
Which respiratory condition is always considered a medical emergency? What kind of
condition is it? - CORRECT ANSWER epiglottitis
higher up airway condition
T/F Always consider ABC and what is normal for that condition - CORRECT ANSWER T
Sudden Infant Death Syndrome (SIDS) teaching
Baby should always be put on
If swaddling, use blanket or sleep
Toys, stuffies, and pillows are not recommended until at least months
, Best to room share with baby in their own sleeping area (crib, bassinet) for
months
If smoking, avoid smoking in - CORRECT ANSWER back
velcro, sack
12
4
house
4 types of indrawing for babies - CORRECT ANSWER Supersternal, substernal, subcostal,
intercostal
When should kids take rescue inhaler for sports? - CORRECT ANSWER before and
during sometimes
8 S/S of appendicitis - CORRECT ANSWER RLQ pain
guarding
rebound tenderness low
grade fever diarrhea
chills
distension
vomiting/nausea
*What is first intervention for diabetic ketoacidosis (DKA) protocol? - CORRECT
ANSWER fluids first
ANSWERS (VERIFIED AND WELL DETAILED
ANSWERS) LATEST UPDATE 2025/2026
,What age group is most likely to view illness and hospitalization as a punishment?
- CORRECT ANSWER preschoolers
Parents bring 7 year old son in to the ER for what appeared to be a febrile seizurel The
parents gave their son the correct dosage of Tylenol 3 hours prior to coming in to hospital.
After orders from MRP, what is the best action? - CORRECT ANSWER give the ordered
Advil doses
T/F Systematically rotate injection sites for insulin for diabetes - CORRECT ANSWER T
What age can babies first eat sweetened food and sugar? - CORRECT ANSWER
12 months
When a mother asks the nurse when she should start giving her infant solid foods, the
nurse should instruct her to introduce which solid food first? - CORRECT ANSWER rice
cereal
T/F Children are more likely to have ruptured appendix - CORRECT ANSWER
T
,Which is best method for nurse to perform physical assessment on an 18 month old
(toddler) - CORRECT ANSWER Least to most invasive
What age should children be able to sit unsupported? - CORRECT ANSWER 3-4 months
What age should babies be eating solid food? - CORRECT ANSWER 6 months
9 year old patient waiting for appendectomy at noon/ Your AM assessment findings show
HR130, RR30, T39.2, and 8/10 on FACES scale and states "my tummy hurts more than
last night? What do you suspect the patient most likely has? - CORRECT ANSWER
peritonitis
What is most common IV fluid ordered for a child with appendicitis? Why? -
CORRECT ANSWER D5NS
sugar helps because of increased metabolism in children
Which respiratory condition is always considered a medical emergency? What kind of
condition is it? - CORRECT ANSWER epiglottitis
higher up airway condition
T/F Always consider ABC and what is normal for that condition - CORRECT ANSWER T
Sudden Infant Death Syndrome (SIDS) teaching
Baby should always be put on
If swaddling, use blanket or sleep
Toys, stuffies, and pillows are not recommended until at least months
, Best to room share with baby in their own sleeping area (crib, bassinet) for
months
If smoking, avoid smoking in - CORRECT ANSWER back
velcro, sack
12
4
house
4 types of indrawing for babies - CORRECT ANSWER Supersternal, substernal, subcostal,
intercostal
When should kids take rescue inhaler for sports? - CORRECT ANSWER before and
during sometimes
8 S/S of appendicitis - CORRECT ANSWER RLQ pain
guarding
rebound tenderness low
grade fever diarrhea
chills
distension
vomiting/nausea
*What is first intervention for diabetic ketoacidosis (DKA) protocol? - CORRECT
ANSWER fluids first
