Pediatric Nursing Practice Exam Questions and Certified
Answers 2024-2025
A 3-year-old client being treated for sepsis has begun bleeding from multiple sites. The nurse's
assessment reveals widespread petechiae and bleeding from the nose, mouth, and rectum. Laboratory
results reveal a prolonged prothrombin time (PT), elevated d-dimer, and low platelet count. Which
disorder should the nurse suspect?
a. Von Willebrand disease.
b. Disseminated intravascular coagulation.
c. Hemophilia type A.
d. Hypoplastic anemia.
b
Which treatment regimen reduces the risk of pneumococcal infection in a pediatric client with sickle cell
anemia?
a. Annual flu shot.
b. Penicillin prophylaxis.
c. Vitamin E supplementation.
d. Tdap vaccination series.
b
A teenager is admitted to the hospital diagnosed with anorexia nervosa. Which condition should the
nurse evaluate the client for?
a. Osteoarthritis.
b. Cardiac arrhythmia.
c. Asthma.
d. Bowel ischemia.
,b
A 12-year-old client presents suddenly with signs of shock; weak and rapid pulse; bronchoconstriction
and laryngeal edema. What should the nurse suspect is the cause of this presentation?
a. Bronchial asthma.
b. Anaphylaxis.
c. Bronchiolitis.
d. Respiratory distress syndrome.
b
The nurse is assessing a four year old victim who was an improperly restrained passenger of a high speed
impact motor vehicle collision. The victim presents with a falling blood pressure, poor capillary refill, low
central venous pressure, tachycardia and bruising noted upper left quadrant of the abdomen. Which
condition should the nurse suspect?
a. Neurogenic shock.
b. Cardiogenic shock.
c. Hypovolemic shock.
d. Distributive shock.
c
A pediatric client is admitted with sepsis and a high-grade fever following an episode of gastritis. The
nurse's assessment reveals cool skin; normal pulse and blood pressure; decreased urinary output; and a
diminished mental state. Which term describes this stage of septic shock?
a. Hyperdynamic.
b. Normodynamic.
c. Macrodynamic.
d. Hypodynamic.
,b
The nurse is counseling the parents of a child with adrenocortical insufficiency. The nurse should educate
the parents about the signs and symptoms of which condition that can occur as a result of prolonged
hydrocortisone therapy?
a. Gastric ulcers.
b. Weight loss.
c. Drowsiness.
d. Decreased blood pressure.
a
Which action should the nurse take when caring for a child with epiglottitis?
a. Examine the throat with tongue depressor.
b. Set up emergency airway equipment at bedside.
c. Place the child in supine position.
d. Perform a throat culture.
b
Which intervention should the nurse implement to assist a child and the family to reduce the risk of an
asthma exacerbation?
a. Help them recognize triggers.
b. Encourage peak pulmonary flow measurement.
c. Demonstrate use of MDI spacer.
d. Provide emergency treatment plan.
a
A child with cystic fibrosis (CF) is experiencing recurrent lung infections. Which lung condition is this
client likely to develop?
a. Pleurisy.
b. Bronchiectasis.
c. Bronchiolitis.
, d. Asthma.
b
The nurse is assessing an agitated three-year-old child who is leaning forward with their chin thrust out,
mouth open, and tongue protruded with copious amount of drooling present. The client's vital signs are
tympanic temperature of 103.1°F (39.5°C), pulse of 110 beats per minute and respiratory rate of 28 per
minute. Which condition should the nurse suspect?
a. Croup.
b. Bronchiolitis.
c. Acute epiglottitis.
d. Gastroesophageal reflux.
c
Which medication is administered to premature infants to reduce the severity of symptoms associated
with respiratory syncytial virus (RSV) infection?
a. Respaire.
b. Singulair.
c. Menomune.
d. Synagis.
d
An alert child has been treated for a submersion injury (near drowning). Which complication should the
nurse anticipate?
a. Hypertension.
b. Edema.
c. Oliguria.
d. Hypothermia.
d
Answers 2024-2025
A 3-year-old client being treated for sepsis has begun bleeding from multiple sites. The nurse's
assessment reveals widespread petechiae and bleeding from the nose, mouth, and rectum. Laboratory
results reveal a prolonged prothrombin time (PT), elevated d-dimer, and low platelet count. Which
disorder should the nurse suspect?
a. Von Willebrand disease.
b. Disseminated intravascular coagulation.
c. Hemophilia type A.
d. Hypoplastic anemia.
b
Which treatment regimen reduces the risk of pneumococcal infection in a pediatric client with sickle cell
anemia?
a. Annual flu shot.
b. Penicillin prophylaxis.
c. Vitamin E supplementation.
d. Tdap vaccination series.
b
A teenager is admitted to the hospital diagnosed with anorexia nervosa. Which condition should the
nurse evaluate the client for?
a. Osteoarthritis.
b. Cardiac arrhythmia.
c. Asthma.
d. Bowel ischemia.
,b
A 12-year-old client presents suddenly with signs of shock; weak and rapid pulse; bronchoconstriction
and laryngeal edema. What should the nurse suspect is the cause of this presentation?
a. Bronchial asthma.
b. Anaphylaxis.
c. Bronchiolitis.
d. Respiratory distress syndrome.
b
The nurse is assessing a four year old victim who was an improperly restrained passenger of a high speed
impact motor vehicle collision. The victim presents with a falling blood pressure, poor capillary refill, low
central venous pressure, tachycardia and bruising noted upper left quadrant of the abdomen. Which
condition should the nurse suspect?
a. Neurogenic shock.
b. Cardiogenic shock.
c. Hypovolemic shock.
d. Distributive shock.
c
A pediatric client is admitted with sepsis and a high-grade fever following an episode of gastritis. The
nurse's assessment reveals cool skin; normal pulse and blood pressure; decreased urinary output; and a
diminished mental state. Which term describes this stage of septic shock?
a. Hyperdynamic.
b. Normodynamic.
c. Macrodynamic.
d. Hypodynamic.
,b
The nurse is counseling the parents of a child with adrenocortical insufficiency. The nurse should educate
the parents about the signs and symptoms of which condition that can occur as a result of prolonged
hydrocortisone therapy?
a. Gastric ulcers.
b. Weight loss.
c. Drowsiness.
d. Decreased blood pressure.
a
Which action should the nurse take when caring for a child with epiglottitis?
a. Examine the throat with tongue depressor.
b. Set up emergency airway equipment at bedside.
c. Place the child in supine position.
d. Perform a throat culture.
b
Which intervention should the nurse implement to assist a child and the family to reduce the risk of an
asthma exacerbation?
a. Help them recognize triggers.
b. Encourage peak pulmonary flow measurement.
c. Demonstrate use of MDI spacer.
d. Provide emergency treatment plan.
a
A child with cystic fibrosis (CF) is experiencing recurrent lung infections. Which lung condition is this
client likely to develop?
a. Pleurisy.
b. Bronchiectasis.
c. Bronchiolitis.
, d. Asthma.
b
The nurse is assessing an agitated three-year-old child who is leaning forward with their chin thrust out,
mouth open, and tongue protruded with copious amount of drooling present. The client's vital signs are
tympanic temperature of 103.1°F (39.5°C), pulse of 110 beats per minute and respiratory rate of 28 per
minute. Which condition should the nurse suspect?
a. Croup.
b. Bronchiolitis.
c. Acute epiglottitis.
d. Gastroesophageal reflux.
c
Which medication is administered to premature infants to reduce the severity of symptoms associated
with respiratory syncytial virus (RSV) infection?
a. Respaire.
b. Singulair.
c. Menomune.
d. Synagis.
d
An alert child has been treated for a submersion injury (near drowning). Which complication should the
nurse anticipate?
a. Hypertension.
b. Edema.
c. Oliguria.
d. Hypothermia.
d
