Pediatric Nursing Exam #2 EXAM
QUESTIONS VERIFIED ANSWERS
LATEST UPDATE 2025/2026 RATED A+
An infant arrives at the clinic with a persistent cough. Mother reports the infant has not been feeding
well for the past day. What nursing interventions would be appropriate?
A. Provide oxygen to the infant via cannula
B. Undress the infant to do a complete assessment
C. Suction the infant's nose with a bulb syringe
D. Start an IV - CORRECT ANSWERS C. Suction the infant's nose with a bulb syringe
Cough & hasn't been eating well = prodromal symptom
Think about 1st priority → C would be the answer b/c of airway
Bulb syringe before Mom puts baby to breast or bottle b/c if they can't breathe, they're not going to be
able to feed
Don't give O2 until we have a provider's order → considered a med
A nurse is assessing an infant who has manifestations of acute otitis media (AOM). Which of the
following assessment data should the nurse identify as risk factors for otitis media?
Select all that apply.
A. Breastfeeds without formula supplementation.
B. Attends day care 4 days per week.
C. Immunizations are up to date.
D. History of a cleft palate repair.
,E. Parents smoke cigarettes outside. - CORRECT ANSWERS B. Attends day care 4 days per
week.
D. History of a cleft palate repair.
E. Parents smoke cigarettes outside.
When recognizing cues during the care of an infant who has manifestation of acute otitis media, the
nurse should identify that attending daycare, having a history of cleft palate repair, and living with
parents who smoke are risk factors for acute otitis media. Attending daycare increases the risk due to
exposure to multiple children. Children who have had a cleft palate repair are more prone to AOM
because micro-organisms can easily enter the Eustachian tubes. Children who live with parents who
smoke cigarettes, even outside, are at a greater risk due to exposure to secondhand smoke.
Breastfeeding helps to protect against AOM because breast milk contains secretory immunoglobulin A.
The pneumococcal conjugate vaccine decreases the incidence of OM.
A nurse is assessing an infant who has presented for a well-baby check-up. Which of the following
findings should the nurse identify as clinical manifestations of acute otitis media?
Select all that apply.
A. Decreased pain in the supine position
B. Rolling head side to side
C. Loss of appetite
D. Increased sensitivity to sound
E. Crying - CORRECT ANSWERS B. Rolling head side to side
C. Loss of appetite
E. Crying
When recognizing cues during the assessment of an infant, the nurse should recognize that rolling the
head side to side, loss of appetite, and crying are manifestations of acute otitis media. Infants who have
acute otitis media will have an increase in pain in the supine position from the fluid and pressure in the
ear. Infants who have acute otitis media have a decreased sensitivity to sound from the fluid and
pressure in the ear.
,A nurse is caring for a toddler who has had rhinitis, cough, and diarrhea for 2 days. Upon assessment, it
is noted that the tympanic membrane has an orange discoloration and decreased movement. Which of
the following statements should the nurse make to the caregiver?
A. "Your child has an ear infection that requires antibiotics."
B. "Your child may have transient hearing loss."
C. "Your child will need a decongestant until this condition clears."
D. "Your child will need to have a myringotomy." - CORRECT ANSWERS B. "Your child may have
transient hearing loss."
When analyzing cues during the care of a toddler who has had rhinitis, cough, and diarrhea for 2 days
that is accompanied by a tympanic membrane with an orange discoloration and decreased movement,
the nurse should identify that the toddler has manifestations of otitis media effusion (OME). Transient
hearing loss is a complication of OME; therefore, the nurse should inform the guardians that the child
may have transient hearing loss. Antibiotics are not recommended for OME. Decongestants are not
recommended for OME. Myringotomy is recommended for clients who have chronic OME. NCLEX
Connection: Physiological Adaptation, Unexpected Response to Therapies
A nurse is caring for a toddler who has acute otitis media. Which of the following is the priority action
for the nurse to take?
A. Provide emotional support to the family.
B. Educate the family on care of the child.
C. Provide a diversional activity.
D. Administer analgesics. - CORRECT ANSWERS D. Administer analgesics
When using Maslow's hierarchy of needs to prioritize hypothesis during the care of a toddler who has
acute otitis media, the nurse should identify that the administration of analgesics can meet the toddlers
physiologic need for pain relief. Therefore, this is the priority action to take. Providing emotional
support to the family will promote psychological well-being. However, it is not the priority action.
Educating the family on the care of the child will promote recovery from illness. However, it is not the
priority action. Providing a diversional activity for the toddler will help provide normalcy during care.
However, it is not the priority action. NCLEX Connection: Physiological Adaptation, Illness Management
, A nurse is caring for a toddler who has had three ear infections in the past 5 months. The nurse should
identify that the toddler is at risk for developing which of the following long-term complications?
A. Balance difficulties
B. Rash
C. Speech delays
D. Mastoiditis - CORRECT ANSWERS C. Speech delays
When analyzing cues during the care of a toddler who has had three ear infections in the past five
months, the nurse should identify that the toddler is at risk for speech delays as a complication of
recurrent otitis media. Balance difficulties can be present with otitis media. However, it is not a long-
term complication. Although rash can indicate antibiotic sensitivity, it is not a long-term complication of
otitis media. Mastoiditis can be a result of otitis media. However, it is not a long-term complication.
NCLEX Connection: Physiological Adaptation, Pathophysiology
A nurse is assessing a child who has a rotavirus infection. Which of the following findings should the
nurse expect?
Select all that apply.
A. Fever
B. Vomiting
C. Watery stools
D. Bloody stools
E. Confusion - CORRECT ANSWERS A. Fever
B. Vomiting
C. Watery stools
A nurse is teaching a group of parents about Salmonella. Which of the following information should the
nurse include in the teaching?
Select all that apply.
A. Incubation period is nonspecific.
QUESTIONS VERIFIED ANSWERS
LATEST UPDATE 2025/2026 RATED A+
An infant arrives at the clinic with a persistent cough. Mother reports the infant has not been feeding
well for the past day. What nursing interventions would be appropriate?
A. Provide oxygen to the infant via cannula
B. Undress the infant to do a complete assessment
C. Suction the infant's nose with a bulb syringe
D. Start an IV - CORRECT ANSWERS C. Suction the infant's nose with a bulb syringe
Cough & hasn't been eating well = prodromal symptom
Think about 1st priority → C would be the answer b/c of airway
Bulb syringe before Mom puts baby to breast or bottle b/c if they can't breathe, they're not going to be
able to feed
Don't give O2 until we have a provider's order → considered a med
A nurse is assessing an infant who has manifestations of acute otitis media (AOM). Which of the
following assessment data should the nurse identify as risk factors for otitis media?
Select all that apply.
A. Breastfeeds without formula supplementation.
B. Attends day care 4 days per week.
C. Immunizations are up to date.
D. History of a cleft palate repair.
,E. Parents smoke cigarettes outside. - CORRECT ANSWERS B. Attends day care 4 days per
week.
D. History of a cleft palate repair.
E. Parents smoke cigarettes outside.
When recognizing cues during the care of an infant who has manifestation of acute otitis media, the
nurse should identify that attending daycare, having a history of cleft palate repair, and living with
parents who smoke are risk factors for acute otitis media. Attending daycare increases the risk due to
exposure to multiple children. Children who have had a cleft palate repair are more prone to AOM
because micro-organisms can easily enter the Eustachian tubes. Children who live with parents who
smoke cigarettes, even outside, are at a greater risk due to exposure to secondhand smoke.
Breastfeeding helps to protect against AOM because breast milk contains secretory immunoglobulin A.
The pneumococcal conjugate vaccine decreases the incidence of OM.
A nurse is assessing an infant who has presented for a well-baby check-up. Which of the following
findings should the nurse identify as clinical manifestations of acute otitis media?
Select all that apply.
A. Decreased pain in the supine position
B. Rolling head side to side
C. Loss of appetite
D. Increased sensitivity to sound
E. Crying - CORRECT ANSWERS B. Rolling head side to side
C. Loss of appetite
E. Crying
When recognizing cues during the assessment of an infant, the nurse should recognize that rolling the
head side to side, loss of appetite, and crying are manifestations of acute otitis media. Infants who have
acute otitis media will have an increase in pain in the supine position from the fluid and pressure in the
ear. Infants who have acute otitis media have a decreased sensitivity to sound from the fluid and
pressure in the ear.
,A nurse is caring for a toddler who has had rhinitis, cough, and diarrhea for 2 days. Upon assessment, it
is noted that the tympanic membrane has an orange discoloration and decreased movement. Which of
the following statements should the nurse make to the caregiver?
A. "Your child has an ear infection that requires antibiotics."
B. "Your child may have transient hearing loss."
C. "Your child will need a decongestant until this condition clears."
D. "Your child will need to have a myringotomy." - CORRECT ANSWERS B. "Your child may have
transient hearing loss."
When analyzing cues during the care of a toddler who has had rhinitis, cough, and diarrhea for 2 days
that is accompanied by a tympanic membrane with an orange discoloration and decreased movement,
the nurse should identify that the toddler has manifestations of otitis media effusion (OME). Transient
hearing loss is a complication of OME; therefore, the nurse should inform the guardians that the child
may have transient hearing loss. Antibiotics are not recommended for OME. Decongestants are not
recommended for OME. Myringotomy is recommended for clients who have chronic OME. NCLEX
Connection: Physiological Adaptation, Unexpected Response to Therapies
A nurse is caring for a toddler who has acute otitis media. Which of the following is the priority action
for the nurse to take?
A. Provide emotional support to the family.
B. Educate the family on care of the child.
C. Provide a diversional activity.
D. Administer analgesics. - CORRECT ANSWERS D. Administer analgesics
When using Maslow's hierarchy of needs to prioritize hypothesis during the care of a toddler who has
acute otitis media, the nurse should identify that the administration of analgesics can meet the toddlers
physiologic need for pain relief. Therefore, this is the priority action to take. Providing emotional
support to the family will promote psychological well-being. However, it is not the priority action.
Educating the family on the care of the child will promote recovery from illness. However, it is not the
priority action. Providing a diversional activity for the toddler will help provide normalcy during care.
However, it is not the priority action. NCLEX Connection: Physiological Adaptation, Illness Management
, A nurse is caring for a toddler who has had three ear infections in the past 5 months. The nurse should
identify that the toddler is at risk for developing which of the following long-term complications?
A. Balance difficulties
B. Rash
C. Speech delays
D. Mastoiditis - CORRECT ANSWERS C. Speech delays
When analyzing cues during the care of a toddler who has had three ear infections in the past five
months, the nurse should identify that the toddler is at risk for speech delays as a complication of
recurrent otitis media. Balance difficulties can be present with otitis media. However, it is not a long-
term complication. Although rash can indicate antibiotic sensitivity, it is not a long-term complication of
otitis media. Mastoiditis can be a result of otitis media. However, it is not a long-term complication.
NCLEX Connection: Physiological Adaptation, Pathophysiology
A nurse is assessing a child who has a rotavirus infection. Which of the following findings should the
nurse expect?
Select all that apply.
A. Fever
B. Vomiting
C. Watery stools
D. Bloody stools
E. Confusion - CORRECT ANSWERS A. Fever
B. Vomiting
C. Watery stools
A nurse is teaching a group of parents about Salmonella. Which of the following information should the
nurse include in the teaching?
Select all that apply.
A. Incubation period is nonspecific.
