Page 1 of 110
PEDIATRIC NURSING EXAM 3 — ADVANCED
PEDIATRIC CARE, GROWTH & DEVELOPMENT,
AND COMPLEX DISORDERS MASTERY/UPDATED
(2025–2026 COMPREHENSIVE REVIEW EDITION)
HIGH-YIELD CONCEPTS, CLINICAL JUDGMENT
STRATEGIES, AND EVIDENCE-BASED PRACTICE
FOR PEDIATRIC SUCCESS
The nurse percussing over an empty stomach
expects to hear which sound?
- ANSWER-A. Tympany
The nurse is admitting a toddler to the pediatric
infectious disease unit. What is the single most
important component of the child's physical
examination?
- ANSWER-d. Obtaining an accurate history
. In which section of the health history should the
nurse record that the parent brought the infant to
the clinic today because of frequent diarrhea?
,Page 2 of 110
- ANSWER-b. Chief complaint
The nurse assesses a child's oculomotor,
trochlear, and abducent nerves by using which
technique?
- ANSWER-a. Assessing the six cardinal gazes
The nurse is performing a comprehensive physical
examination on a young child in the hospital. At
what age can the nurse expect a child's head and
chest circumferences to be almost equal?
- ANSWER-c. 1 year
An 8-year-old girl asks the nurse how the blood
pressure apparatus works. The most appropriate
nursing action is to
- ANSWER-c. Explain in simple terms how it works.
Which chart should the nurse use to assess the
visual acuity of an 8-year-old child?
,Page 3 of 110
- ANSWER-b. Snellen chart
Which action is appropriate when the nurse is
assessing breath sounds of an 18-month-old
crying child?
- ANSWER-c. Encourage the child to play with the
stethoscope to distract and to calm down before
auscultating
The nurse is obtaining vital signs on a 1-year-old
child. What is the most appropriate site for
assessing the pulse rate?
- ANSWER-a. Apical
A nurse is reviewing pediatric physical assessment
techniques. Which statement about performing a
pediatric physical assessment is correct?
- ANSWER-a. Physical examinations proceed
systematically from head to toe unless
developmental considerations dictate otherwise.
, Page 4 of 110
What term should be used in the nurse's
documentation to describe auscultation of breath
sounds that are short, popping, and discontinuous
on inspiration?
- ANSWER-c. Crackles
Which strategy is the best approach when
initiating the physical examination of a 9-month-
old male infant?
- ANSWER-b. Have the parent hold the child on his
or her lap.
Which strategy is not always appropriate for
pediatric physical examination?
- ANSWER-b. Examine the child from head to toe.
Which assessment should the nurse perform last
when examining a 5-year-old child?
PEDIATRIC NURSING EXAM 3 — ADVANCED
PEDIATRIC CARE, GROWTH & DEVELOPMENT,
AND COMPLEX DISORDERS MASTERY/UPDATED
(2025–2026 COMPREHENSIVE REVIEW EDITION)
HIGH-YIELD CONCEPTS, CLINICAL JUDGMENT
STRATEGIES, AND EVIDENCE-BASED PRACTICE
FOR PEDIATRIC SUCCESS
The nurse percussing over an empty stomach
expects to hear which sound?
- ANSWER-A. Tympany
The nurse is admitting a toddler to the pediatric
infectious disease unit. What is the single most
important component of the child's physical
examination?
- ANSWER-d. Obtaining an accurate history
. In which section of the health history should the
nurse record that the parent brought the infant to
the clinic today because of frequent diarrhea?
,Page 2 of 110
- ANSWER-b. Chief complaint
The nurse assesses a child's oculomotor,
trochlear, and abducent nerves by using which
technique?
- ANSWER-a. Assessing the six cardinal gazes
The nurse is performing a comprehensive physical
examination on a young child in the hospital. At
what age can the nurse expect a child's head and
chest circumferences to be almost equal?
- ANSWER-c. 1 year
An 8-year-old girl asks the nurse how the blood
pressure apparatus works. The most appropriate
nursing action is to
- ANSWER-c. Explain in simple terms how it works.
Which chart should the nurse use to assess the
visual acuity of an 8-year-old child?
,Page 3 of 110
- ANSWER-b. Snellen chart
Which action is appropriate when the nurse is
assessing breath sounds of an 18-month-old
crying child?
- ANSWER-c. Encourage the child to play with the
stethoscope to distract and to calm down before
auscultating
The nurse is obtaining vital signs on a 1-year-old
child. What is the most appropriate site for
assessing the pulse rate?
- ANSWER-a. Apical
A nurse is reviewing pediatric physical assessment
techniques. Which statement about performing a
pediatric physical assessment is correct?
- ANSWER-a. Physical examinations proceed
systematically from head to toe unless
developmental considerations dictate otherwise.
, Page 4 of 110
What term should be used in the nurse's
documentation to describe auscultation of breath
sounds that are short, popping, and discontinuous
on inspiration?
- ANSWER-c. Crackles
Which strategy is the best approach when
initiating the physical examination of a 9-month-
old male infant?
- ANSWER-b. Have the parent hold the child on his
or her lap.
Which strategy is not always appropriate for
pediatric physical examination?
- ANSWER-b. Examine the child from head to toe.
Which assessment should the nurse perform last
when examining a 5-year-old child?
