NURS PEDS EXAM QUESTIONS WITH ANSWERS 2023 A+ GUARANTEED SUCCESS
100%
NURS PEDS EXAM QUESTIONS
WITH ANSWERS 2023 A+
GUARANTEED SUCCESS
1. The nurse is teaching an 8-year-old child and his family how to manage cancer pain using
nonpharmacologic methods. Which parent statement signifies successful child teaching?
A) 'I will avoid using descriptive words like pinching, pulling, or heat.'
B) 'I will not use positive reinforcement until the technique is perfected.'
C) 'I will begin using the technique before he experiences pain.'
D) 'I will be honest and tell him that the procedure will hurt a lot.' Ans:
C
Feedback:
The parents should begin using the technique chosen before the child experiences pain or when
the child first indicates he is anxious about, or beginning to experience, pain. The parents
should use descriptive terms like pushing, pulling, pinching, or heat and avoid overly descriptive
or judgmental statements such as, "This will really hurt a lot" or "This will be terrible." They
should offer praise, positive reinforcement, hugs, and support for using the technique even
when it was not effective.
Origin: Chapter 14, 18
2. For which child would nonopioid analgesics be recommended?
A) A child with juvenile arthritis
B) A child with end-stage cancer
C) A child with a broken arm
D) A child with severe postoperative pain
Ans: A
Feedback:
Nonopioid analgesics may be used to treat mild to moderate pain, often for conditions such as
arthritis; joint, bone, and muscle pain; headache; dental pain; and menstrual pain. Opioid
analgesics are typically used for moderate to severe pain as can occur with cancer, broken
bones, and postoperative healing.
Origin: Chapter 14, 19
3. Prior to administering morphine to a 10-year-old child, the nurse reviews the adverse effects of
the drug. Which system is primarily affected by the drug, causing most of the adverse effects?
A) Central nervous system
Page 1
,NURS PEDS EXAM QUESTIONS WITH ANSWERS 2023 A+ GUARANTEED SUCCESS
100%
B) Peripheral nervous system
C) Digestive system
Page 2
,NURS PEDS EXAM QUESTIONS WITH ANSWERS 2023 A+ GUARANTEED SUCCESS
100%
D) Musculoskeletal system
Ans: A
Feedback:
Opioid agonists, such as morphine, are associated with numerous adverse effects, resulting
primarily from their depressant action on the central nervous system.
Origin: Chapter 14, 20
4. The nurse is administering pain medication for a child with continuous pain from internal
injuries. Which method would be ordered to dispense the medication?
A) Administer the medication PRN (as needed).
B) Administer the mediation when pain has peaked.
C) Administer the medication around the clock at timed intervals.
D) Administer the medication when the child complains of pain. Ans:
C
Feedback:
With any medication administered for pain management, the timing of administration is vital.
Timing depends on the type of pain. For continuous pain, the current recommendation is to
administer analgesia around the clock at scheduled intervals to achieve the necessary effect.
As-needed or PRN dosing is not recommended for continuous pain. This method can lead to
inadequate pain relief because of the delay before the drug reaches its peak effectiveness. For
pain that can be predicted or considered temporary, such as with a procedure, analgesia is
administered so that the peak action of the drug matches the time of the painful event. It is not
recommended to wait until the child complains of pain because therapeutic levels will be
difficult to reach at this point.
Origin: Chapter 14, 21
5. The nurse has applied EMLA cream as ordered. How does the nurse assess that the cream
has achieved its purpose?
A) Assess the skin for redness.
B) Note any blanching of skin.
C) Lightly tap the area where the cream is.
D) Gently poke the child with a needle.
Ans: C
Page 3
, NURS PEDS EXAM QUESTIONS WITH ANSWERS 2023 A+ GUARANTEED SUCCESS
100%
Feedback:
The nurse should verify that sensation is absent by lightly tapping or scratching the area.
Blanching or redness indicates that the medication has penetrated the skin adequately but does
not indicate that sensation is absent. Using a needle to poke the skin would likely frighten the
child.
Origin: Chapter 14, 22
6. The nurse is preparing to administer a topical anesthetic for a 10-year-old girl with a chin
laceration. The nurse would expect to apply what as ordered in preparation for sutures?
A) TAC (tetracaine, epinephrine, cocaine)
B) Iontophoretic lidocaine
C) EMLA
D) Vapocoolant spray
Ans: A
Feedback:
TAC (tetracaine, epinephrine, cocaine) is commonly used for lacerations that require suturing.
The agent can be applied directly to the wound with a cotton ball or swab for 20 to 30 minutes
until the area is numb. EMLA and iontophoretic lidocaine are applied to intact skin, not to open
wounds or lacerations. A vapocoolant spray, which should not be applied over a wound, is only
effective for 1 to 2 minutes.
Origin: Chapter 14, 23
7. The nurse is caring for a child who reports chronic pain. What is the priority nursing
assessment?
A) How the pain impacts the child's and family's stress level
B) The pain's history, onset, intensity, duration, and location
C) The child's and parents' feeling of anxiety and depression
D) The child's cognitive level and emotional response Ans:
B
Feedback:
Assessment of the child's pain is key; it is the priority assessment and is the only answer that
focuses on the child's physiologic need. Assessment of how the pain impacts the child's and
family's stress, feelings of anxiety, hopelessness, and depression, as well as the child's
cognitive level and emotional response, are secondary after the pain is explored.
Page 4
100%
NURS PEDS EXAM QUESTIONS
WITH ANSWERS 2023 A+
GUARANTEED SUCCESS
1. The nurse is teaching an 8-year-old child and his family how to manage cancer pain using
nonpharmacologic methods. Which parent statement signifies successful child teaching?
A) 'I will avoid using descriptive words like pinching, pulling, or heat.'
B) 'I will not use positive reinforcement until the technique is perfected.'
C) 'I will begin using the technique before he experiences pain.'
D) 'I will be honest and tell him that the procedure will hurt a lot.' Ans:
C
Feedback:
The parents should begin using the technique chosen before the child experiences pain or when
the child first indicates he is anxious about, or beginning to experience, pain. The parents
should use descriptive terms like pushing, pulling, pinching, or heat and avoid overly descriptive
or judgmental statements such as, "This will really hurt a lot" or "This will be terrible." They
should offer praise, positive reinforcement, hugs, and support for using the technique even
when it was not effective.
Origin: Chapter 14, 18
2. For which child would nonopioid analgesics be recommended?
A) A child with juvenile arthritis
B) A child with end-stage cancer
C) A child with a broken arm
D) A child with severe postoperative pain
Ans: A
Feedback:
Nonopioid analgesics may be used to treat mild to moderate pain, often for conditions such as
arthritis; joint, bone, and muscle pain; headache; dental pain; and menstrual pain. Opioid
analgesics are typically used for moderate to severe pain as can occur with cancer, broken
bones, and postoperative healing.
Origin: Chapter 14, 19
3. Prior to administering morphine to a 10-year-old child, the nurse reviews the adverse effects of
the drug. Which system is primarily affected by the drug, causing most of the adverse effects?
A) Central nervous system
Page 1
,NURS PEDS EXAM QUESTIONS WITH ANSWERS 2023 A+ GUARANTEED SUCCESS
100%
B) Peripheral nervous system
C) Digestive system
Page 2
,NURS PEDS EXAM QUESTIONS WITH ANSWERS 2023 A+ GUARANTEED SUCCESS
100%
D) Musculoskeletal system
Ans: A
Feedback:
Opioid agonists, such as morphine, are associated with numerous adverse effects, resulting
primarily from their depressant action on the central nervous system.
Origin: Chapter 14, 20
4. The nurse is administering pain medication for a child with continuous pain from internal
injuries. Which method would be ordered to dispense the medication?
A) Administer the medication PRN (as needed).
B) Administer the mediation when pain has peaked.
C) Administer the medication around the clock at timed intervals.
D) Administer the medication when the child complains of pain. Ans:
C
Feedback:
With any medication administered for pain management, the timing of administration is vital.
Timing depends on the type of pain. For continuous pain, the current recommendation is to
administer analgesia around the clock at scheduled intervals to achieve the necessary effect.
As-needed or PRN dosing is not recommended for continuous pain. This method can lead to
inadequate pain relief because of the delay before the drug reaches its peak effectiveness. For
pain that can be predicted or considered temporary, such as with a procedure, analgesia is
administered so that the peak action of the drug matches the time of the painful event. It is not
recommended to wait until the child complains of pain because therapeutic levels will be
difficult to reach at this point.
Origin: Chapter 14, 21
5. The nurse has applied EMLA cream as ordered. How does the nurse assess that the cream
has achieved its purpose?
A) Assess the skin for redness.
B) Note any blanching of skin.
C) Lightly tap the area where the cream is.
D) Gently poke the child with a needle.
Ans: C
Page 3
, NURS PEDS EXAM QUESTIONS WITH ANSWERS 2023 A+ GUARANTEED SUCCESS
100%
Feedback:
The nurse should verify that sensation is absent by lightly tapping or scratching the area.
Blanching or redness indicates that the medication has penetrated the skin adequately but does
not indicate that sensation is absent. Using a needle to poke the skin would likely frighten the
child.
Origin: Chapter 14, 22
6. The nurse is preparing to administer a topical anesthetic for a 10-year-old girl with a chin
laceration. The nurse would expect to apply what as ordered in preparation for sutures?
A) TAC (tetracaine, epinephrine, cocaine)
B) Iontophoretic lidocaine
C) EMLA
D) Vapocoolant spray
Ans: A
Feedback:
TAC (tetracaine, epinephrine, cocaine) is commonly used for lacerations that require suturing.
The agent can be applied directly to the wound with a cotton ball or swab for 20 to 30 minutes
until the area is numb. EMLA and iontophoretic lidocaine are applied to intact skin, not to open
wounds or lacerations. A vapocoolant spray, which should not be applied over a wound, is only
effective for 1 to 2 minutes.
Origin: Chapter 14, 23
7. The nurse is caring for a child who reports chronic pain. What is the priority nursing
assessment?
A) How the pain impacts the child's and family's stress level
B) The pain's history, onset, intensity, duration, and location
C) The child's and parents' feeling of anxiety and depression
D) The child's cognitive level and emotional response Ans:
B
Feedback:
Assessment of the child's pain is key; it is the priority assessment and is the only answer that
focuses on the child's physiologic need. Assessment of how the pain impacts the child's and
family's stress, feelings of anxiety, hopelessness, and depression, as well as the child's
cognitive level and emotional response, are secondary after the pain is explored.
Page 4
