Page 1 of 122
“PEDS EXAM 1 PRACTICE TEST QUIZZES “ NEWEST UPDATED EXAM 2025 – 2026
SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED AND HIGHLY RECOMMENDALE
Peds Exam 1
A nurse is explaining to a nursing student that a patient experienced a sentinel
event during a previous hospitalization. What does the student understand
about this event?
A. Experienced an unusual event that is rare in the literature
B. Had an unexpected response to treatment or nursing care
C. Meeting a major milestone in treatment for an illness
D. Unexpected event resulting in serious injury (or death)
ANS: D
A sentinel event is an unexpected event that results in the death or serious injury of
a patient. The other descriptions are inaccurate.
The pediatric nurse working in a hospital setting uses both standard
precautions and transmission-based precautions for patients. Which patient
requires only standard precautions?
A. Infectious diarrhea
B. Staphylococcal infection
C. Tonsillitis
D. Tuberculosis
ANS: C
Transmission-based precautions are intended to prevent the transmission of
pathogens from those with infectious diseases. Transmission-based precautions
include airborne, droplet (TB), and contact precautions (infectious diarrhea and staph
, Page 2 of 122
infection). Standard precautions are used on all patients, including those with
tonsillitis.
A pediatric nurse needs to administer acetaminophen (Children's Tylenol) to
patients in the intensive care unit (ICU). Which dose, based on age, is correct?
A. 0 to 3 months, 40 mg
B. 4 to 11 months, 220 mg
C. 2 to 3 years, 120 mg
D. 4 to 5 years, 100 mg
ANS: A
The proper dosage based on age is 0 to 3 months, 40 mg; 4 to 11 months, 80 mg;
12 to 23 months, 120 mg; 2 to 3 years, 160 mg; and 4 to 5 years, 240 mg.
A parent of a teething child asks for guidance on nonpharmacological
treatments for gum pain. What herbal preparation can the nurse suggest?
A. Aloe vera
B. Chamomile
C. Echinacea
D. Tea tree oil
ANS: B
Chamomile is used for the pain of teething, colic, and stomach aches. Aloe vera is
used orally for constipation and topically for minor skin irritation. Echinacea is used
for colds, fever, and inflammation of the mouth and pharynx. Tea tree oil is a topical
treatment for skin infections.
A nurse is attempting to assess a toddler, who is being uncooperative. What
action by the nurse would be best to accomplish this task?
A. Get on the floor while assessing the child.
B. Give the child toys to play with.
C. Have the parent restrain the toddler.
D. Visit with the parent for a short while.
ANS: D
Young children need to feel comfortable with the nurse before they will be
cooperative. At this age, the best way to improve the child's comfort level is for the
nurse to establish a rapport with the parent(s). Once the child becomes comfortable
with the nurse present, he or she is more likely to cooperate. Giving toys and getting
on the same level of the child are helpful, age-appropriate actions, but not the best
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answer. Having the parent restrain the child would be the last resort unless the
assessment technique could injure a struggling child (e.g., otoscopic examination of
the ear).
A middle-aged woman has brought a fussy baby to the pediatric clinic. After
placing the woman and child in an exam room, which of the following
questions should the nurse ask first?
A. "Have you taken the baby's temperature?"
B. "How are you related to the baby?"
C. "How long has the baby been so fussy?"
D. "What brings you to the office today?"
ANS: B
It is crucial to establish the relationship between a child and the adult who brings the
child in for treatment. The nurse should ascertain the woman's identity; it is possible
she is not legally able to provide consent for treatment. The other questions are
important assessment questions, but establishing the identity of the adult comes first.
A teenager is in the family practice clinic for a school physical. When the
parent leaves the room, the teen admits to "cutting myself" after a relative
"touched me in my private area." What action by the nurse is most
appropriate?
A. Document the statements and alert the provider.
B. Explain that this information must be shared.
C. Have the secretary call the police department.
D. Reassure the teen of confidentiality rules.
ANS: B
Older children (teens and preteens) often prefer to be interviewed in private where
concerns of a personal nature can be shared in a safe area. Information about
sexuality is often discussed at this time. The nurse is responsible for maintaining
privacy except in situations of abuse or where a life-threatening situation exists. The
nurse should first explain to the teen that this information needs to be shared with
the parent before doing anything else. The information does need to be documented
and the provider alerted, but not as the priority. Each facility will have policies in
place to report possible abuse, which may or may not involve calling the police, Child
Protective Services, or a social worker. However, reporting will wait until the nurse
explains to the teen that the information needs to be shared.
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A nurse is assessing a school-age child who complains of stomach aches
after eating. Which question is appropriate for the "D" component of the OLD
CAT mnemonic?
A. "Can you describe how your tummy pain feels?"
B. "Have you tried any over-the-counter drugs?"
C. "How long does the pain last after you eat?"
D. "What day did you first notice the pain?"
ANS: C
OLD CAT stands for onset, location, duration, character, aggravating/alleviating
factors, and timing. Asking the child how long the pain lasts reflects duration.
A nurse is assessing a school-age child in the clinic with an earache and fever.
Using the SODA mnemonic, what question by the nurse best relates to "S"?
A. "Does it keep you from sleeping?"
B. "Has this affected your schoolwork?"
C. "How long have you been sick?"
D. "How sore is your ear today?"
ANS: A
The SODA mnemonic stands for sleep, output, diet, and activity. Asking if the child's
earache is affecting sleep is the appropriate question for the "S" component of this
mnemonic.
A 1-week-old infant is in the pediatric clinic. The birth weight was 8 lb, 1 oz
(3.65 kg). Today the infant weighs 7 lb (3.17 kg). The mother breastfeeds
exclusively. What action by the nurse is best?
A. Assess the mother's breastfeeding technique.
B. Document the finding and alert the provider.
C. Reassure the woman that weight loss is normal.
D. Refer the mother to a lactation consultant.
ANS: B
Newborns often lose 5-10% of their birth weight during the first week of life.
However, a weight loss greater than 10% needs further evaluation. This baby has
lost just over 10% of birth weight. The nurse should document the finding and alert
the health-care provider. Assessing breastfeeding technique and referral to a
lactation consultant may be appropriate depending on the etiology of the problem.
“PEDS EXAM 1 PRACTICE TEST QUIZZES “ NEWEST UPDATED EXAM 2025 – 2026
SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED AND HIGHLY RECOMMENDALE
Peds Exam 1
A nurse is explaining to a nursing student that a patient experienced a sentinel
event during a previous hospitalization. What does the student understand
about this event?
A. Experienced an unusual event that is rare in the literature
B. Had an unexpected response to treatment or nursing care
C. Meeting a major milestone in treatment for an illness
D. Unexpected event resulting in serious injury (or death)
ANS: D
A sentinel event is an unexpected event that results in the death or serious injury of
a patient. The other descriptions are inaccurate.
The pediatric nurse working in a hospital setting uses both standard
precautions and transmission-based precautions for patients. Which patient
requires only standard precautions?
A. Infectious diarrhea
B. Staphylococcal infection
C. Tonsillitis
D. Tuberculosis
ANS: C
Transmission-based precautions are intended to prevent the transmission of
pathogens from those with infectious diseases. Transmission-based precautions
include airborne, droplet (TB), and contact precautions (infectious diarrhea and staph
, Page 2 of 122
infection). Standard precautions are used on all patients, including those with
tonsillitis.
A pediatric nurse needs to administer acetaminophen (Children's Tylenol) to
patients in the intensive care unit (ICU). Which dose, based on age, is correct?
A. 0 to 3 months, 40 mg
B. 4 to 11 months, 220 mg
C. 2 to 3 years, 120 mg
D. 4 to 5 years, 100 mg
ANS: A
The proper dosage based on age is 0 to 3 months, 40 mg; 4 to 11 months, 80 mg;
12 to 23 months, 120 mg; 2 to 3 years, 160 mg; and 4 to 5 years, 240 mg.
A parent of a teething child asks for guidance on nonpharmacological
treatments for gum pain. What herbal preparation can the nurse suggest?
A. Aloe vera
B. Chamomile
C. Echinacea
D. Tea tree oil
ANS: B
Chamomile is used for the pain of teething, colic, and stomach aches. Aloe vera is
used orally for constipation and topically for minor skin irritation. Echinacea is used
for colds, fever, and inflammation of the mouth and pharynx. Tea tree oil is a topical
treatment for skin infections.
A nurse is attempting to assess a toddler, who is being uncooperative. What
action by the nurse would be best to accomplish this task?
A. Get on the floor while assessing the child.
B. Give the child toys to play with.
C. Have the parent restrain the toddler.
D. Visit with the parent for a short while.
ANS: D
Young children need to feel comfortable with the nurse before they will be
cooperative. At this age, the best way to improve the child's comfort level is for the
nurse to establish a rapport with the parent(s). Once the child becomes comfortable
with the nurse present, he or she is more likely to cooperate. Giving toys and getting
on the same level of the child are helpful, age-appropriate actions, but not the best
, Page 3 of 122
answer. Having the parent restrain the child would be the last resort unless the
assessment technique could injure a struggling child (e.g., otoscopic examination of
the ear).
A middle-aged woman has brought a fussy baby to the pediatric clinic. After
placing the woman and child in an exam room, which of the following
questions should the nurse ask first?
A. "Have you taken the baby's temperature?"
B. "How are you related to the baby?"
C. "How long has the baby been so fussy?"
D. "What brings you to the office today?"
ANS: B
It is crucial to establish the relationship between a child and the adult who brings the
child in for treatment. The nurse should ascertain the woman's identity; it is possible
she is not legally able to provide consent for treatment. The other questions are
important assessment questions, but establishing the identity of the adult comes first.
A teenager is in the family practice clinic for a school physical. When the
parent leaves the room, the teen admits to "cutting myself" after a relative
"touched me in my private area." What action by the nurse is most
appropriate?
A. Document the statements and alert the provider.
B. Explain that this information must be shared.
C. Have the secretary call the police department.
D. Reassure the teen of confidentiality rules.
ANS: B
Older children (teens and preteens) often prefer to be interviewed in private where
concerns of a personal nature can be shared in a safe area. Information about
sexuality is often discussed at this time. The nurse is responsible for maintaining
privacy except in situations of abuse or where a life-threatening situation exists. The
nurse should first explain to the teen that this information needs to be shared with
the parent before doing anything else. The information does need to be documented
and the provider alerted, but not as the priority. Each facility will have policies in
place to report possible abuse, which may or may not involve calling the police, Child
Protective Services, or a social worker. However, reporting will wait until the nurse
explains to the teen that the information needs to be shared.
, Page 4 of 122
A nurse is assessing a school-age child who complains of stomach aches
after eating. Which question is appropriate for the "D" component of the OLD
CAT mnemonic?
A. "Can you describe how your tummy pain feels?"
B. "Have you tried any over-the-counter drugs?"
C. "How long does the pain last after you eat?"
D. "What day did you first notice the pain?"
ANS: C
OLD CAT stands for onset, location, duration, character, aggravating/alleviating
factors, and timing. Asking the child how long the pain lasts reflects duration.
A nurse is assessing a school-age child in the clinic with an earache and fever.
Using the SODA mnemonic, what question by the nurse best relates to "S"?
A. "Does it keep you from sleeping?"
B. "Has this affected your schoolwork?"
C. "How long have you been sick?"
D. "How sore is your ear today?"
ANS: A
The SODA mnemonic stands for sleep, output, diet, and activity. Asking if the child's
earache is affecting sleep is the appropriate question for the "S" component of this
mnemonic.
A 1-week-old infant is in the pediatric clinic. The birth weight was 8 lb, 1 oz
(3.65 kg). Today the infant weighs 7 lb (3.17 kg). The mother breastfeeds
exclusively. What action by the nurse is best?
A. Assess the mother's breastfeeding technique.
B. Document the finding and alert the provider.
C. Reassure the woman that weight loss is normal.
D. Refer the mother to a lactation consultant.
ANS: B
Newborns often lose 5-10% of their birth weight during the first week of life.
However, a weight loss greater than 10% needs further evaluation. This baby has
lost just over 10% of birth weight. The nurse should document the finding and alert
the health-care provider. Assessing breastfeeding technique and referral to a
lactation consultant may be appropriate depending on the etiology of the problem.
