NR-328 Pediatric Nursing Final 2 Exam
Questions And Correct Answers {Verified
Answers} Plus Rationales 2025/2026 Q&A /
Instant Download Pdf
1. A nurse is caring for a 5-year-old with acute lymphocytic leukemia. Which finding
should be reported to the provider immediately?
a. Loss of appetite
b. Mild fatigue
c. Fever of 38.5°C (101.3°F)
d. Alopecia
Fever in an immunocompromised child can indicate infection, which may rapidly
progress to sepsis; immediate intervention is required.
2. Which intervention is priority for a child with epiglottitis?
a. Administering oral fluids
b. Preparing for intubation
c. Providing a throat culture
d. Encouraging coughing
Airway obstruction is the greatest risk; securing the airway through intubation is
the priority.
3. A nurse teaches a parent of a child with cystic fibrosis about pancreatic enzyme
administration. Which statement indicates understanding?
a. “I will give the enzymes at bedtime.”
b. “I will give the enzymes only if stools are greasy.”
c. “I will give the enzymes with every meal and snack.”
d. “I will crush the enzymes and mix them with juice.”
Pancreatic enzymes must be given with every meal/snack to aid digestion and
nutrient absorption.
4. A child with nephrotic syndrome is on corticosteroid therapy. Which finding indicates
effectiveness of the treatment?
a. Increased blood pressure
b. Decreased edema
c. Hematuria
, d. Weight gain
Corticosteroids reduce protein loss in urine, leading to decreased edema.
5. Which vaccine is contraindicated in a child with severe immunodeficiency?
a. Hepatitis B
b. MMR
c. DTaP
d. Inactivated polio
Live vaccines like MMR are contraindicated in immunocompromised children.
6. A nurse is caring for an infant with bronchiolitis caused by RSV. Which intervention is
appropriate?
a. Administer antibiotics
b. Use contact and droplet precautions
c. Encourage bottle-feeding only
d. Give cough suppressants
RSV spreads via contact and droplets; precautions prevent transmission.
7. A nurse assesses a 3-month-old with pyloric stenosis. Which finding is expected?
a. Green vomiting
b. Projectile vomiting
c. Diarrhea
d. Weight gain
Projectile vomiting after feeding is a hallmark sign of pyloric stenosis.
8. A priority action for a child with sickle cell crisis is:
a. Providing iron supplements
b. Administering IV fluids
c. Encouraging ambulation
d. Applying cold packs
Hydration reduces sickling and improves circulation.
9. A nurse teaches about preventing rheumatic fever recurrence. Which instruction is
correct?
a. Avoid dairy products
b. Complete all prescribed antibiotics
c. Restrict fluids
d. Increase salt intake
Completing antibiotics prevents recurrence caused by group A strep infections.
10. A 10-year-old with diabetes is found unconscious. Blood glucose is 45 mg/dL. First
action?
a. Administer glucagon
b. Give insulin
, c. Call the provider
d. Provide a protein snack
Glucagon rapidly increases blood glucose in an unconscious child.
11. Which assessment finding is priority in a child with a head injury?
a. Vomiting once after injury
b. Unequal pupils
c. Scalp hematoma
d. Headache
Unequal pupils may indicate increased intracranial pressure requiring urgent
intervention.
12. A nurse assesses a toddler with Kawasaki disease. Which finding is expected?
a. Vesicular rash
b. Strawberry tongue
c. Petechiae
d. Weight loss
Strawberry tongue is a hallmark of Kawasaki disease in the acute phase.
13. Best intervention to prevent otitis media in a toddler?
a. Avoid dairy products
b. Feed the child upright
c. Limit outdoor play
d. Avoid immunizations
Feeding upright reduces risk of milk entering the eustachian tube.
14. Which sign indicates respiratory distress in a newborn?
a. Pink mucous membranes
b. Nasal flaring
c. Quiet breathing
d. Heart rate of 130
Nasal flaring is an early sign of respiratory distress.
15. A nurse teaches a child with hemophilia A. Which activity is safest?
a. Soccer
b. Wrestling
c. Swimming
d. Gymnastics
Swimming has minimal risk of injury for children with hemophilia.
16. Which is the priority nursing action for a child having a seizure?
a. Insert an oral airway
b. Place child on their side
c. Restrain the child
Questions And Correct Answers {Verified
Answers} Plus Rationales 2025/2026 Q&A /
Instant Download Pdf
1. A nurse is caring for a 5-year-old with acute lymphocytic leukemia. Which finding
should be reported to the provider immediately?
a. Loss of appetite
b. Mild fatigue
c. Fever of 38.5°C (101.3°F)
d. Alopecia
Fever in an immunocompromised child can indicate infection, which may rapidly
progress to sepsis; immediate intervention is required.
2. Which intervention is priority for a child with epiglottitis?
a. Administering oral fluids
b. Preparing for intubation
c. Providing a throat culture
d. Encouraging coughing
Airway obstruction is the greatest risk; securing the airway through intubation is
the priority.
3. A nurse teaches a parent of a child with cystic fibrosis about pancreatic enzyme
administration. Which statement indicates understanding?
a. “I will give the enzymes at bedtime.”
b. “I will give the enzymes only if stools are greasy.”
c. “I will give the enzymes with every meal and snack.”
d. “I will crush the enzymes and mix them with juice.”
Pancreatic enzymes must be given with every meal/snack to aid digestion and
nutrient absorption.
4. A child with nephrotic syndrome is on corticosteroid therapy. Which finding indicates
effectiveness of the treatment?
a. Increased blood pressure
b. Decreased edema
c. Hematuria
, d. Weight gain
Corticosteroids reduce protein loss in urine, leading to decreased edema.
5. Which vaccine is contraindicated in a child with severe immunodeficiency?
a. Hepatitis B
b. MMR
c. DTaP
d. Inactivated polio
Live vaccines like MMR are contraindicated in immunocompromised children.
6. A nurse is caring for an infant with bronchiolitis caused by RSV. Which intervention is
appropriate?
a. Administer antibiotics
b. Use contact and droplet precautions
c. Encourage bottle-feeding only
d. Give cough suppressants
RSV spreads via contact and droplets; precautions prevent transmission.
7. A nurse assesses a 3-month-old with pyloric stenosis. Which finding is expected?
a. Green vomiting
b. Projectile vomiting
c. Diarrhea
d. Weight gain
Projectile vomiting after feeding is a hallmark sign of pyloric stenosis.
8. A priority action for a child with sickle cell crisis is:
a. Providing iron supplements
b. Administering IV fluids
c. Encouraging ambulation
d. Applying cold packs
Hydration reduces sickling and improves circulation.
9. A nurse teaches about preventing rheumatic fever recurrence. Which instruction is
correct?
a. Avoid dairy products
b. Complete all prescribed antibiotics
c. Restrict fluids
d. Increase salt intake
Completing antibiotics prevents recurrence caused by group A strep infections.
10. A 10-year-old with diabetes is found unconscious. Blood glucose is 45 mg/dL. First
action?
a. Administer glucagon
b. Give insulin
, c. Call the provider
d. Provide a protein snack
Glucagon rapidly increases blood glucose in an unconscious child.
11. Which assessment finding is priority in a child with a head injury?
a. Vomiting once after injury
b. Unequal pupils
c. Scalp hematoma
d. Headache
Unequal pupils may indicate increased intracranial pressure requiring urgent
intervention.
12. A nurse assesses a toddler with Kawasaki disease. Which finding is expected?
a. Vesicular rash
b. Strawberry tongue
c. Petechiae
d. Weight loss
Strawberry tongue is a hallmark of Kawasaki disease in the acute phase.
13. Best intervention to prevent otitis media in a toddler?
a. Avoid dairy products
b. Feed the child upright
c. Limit outdoor play
d. Avoid immunizations
Feeding upright reduces risk of milk entering the eustachian tube.
14. Which sign indicates respiratory distress in a newborn?
a. Pink mucous membranes
b. Nasal flaring
c. Quiet breathing
d. Heart rate of 130
Nasal flaring is an early sign of respiratory distress.
15. A nurse teaches a child with hemophilia A. Which activity is safest?
a. Soccer
b. Wrestling
c. Swimming
d. Gymnastics
Swimming has minimal risk of injury for children with hemophilia.
16. Which is the priority nursing action for a child having a seizure?
a. Insert an oral airway
b. Place child on their side
c. Restrain the child
