Peds Exam 3 Practice Questions and
answers 2026\2027 A+ Grade
SATA: Which signs best indicate increased ICP in a infant?
A. sunken anterior fontanel
B. complaints of blurred vision
C. high pitched cry
D. increased appetite
E. sleeping more than usual
- correct answer C, E
You are caring for a patient with hydrocephalus who is post-op from a shunt revision. Which assessment
finding is your priority for increased ICP?
A. nausea and refusal to eat post-operatively
B. complaint of a HA
C. irritability and wanting to sleep
D. decrease in HR over the last hour
- correct answer D
A child with a VP shunt complains of HA and blurry vision and now experiences irritability and sleeping
more than usual. The parent ask the nurse what they should do. Select the nurse's best response.
A. Give her some acetaminophen, and see if her symptoms improve. If they do not improve, bring her
into the ped office.
B. It is common for girls to have these symptoms, especially prior to beginning their menstrual cycle.
Give her a few days and see if she improves.
C. You are probably worried that she is having a problem with her shunt. This is very unlikely as it has
been working well for 9 years.
D. You should immediately take her to the ED as these may be symptoms of a shunt malfunction.
- correct answer D
, A child is being admitted for meningitis. Which procedure should the nurse do first?
A. administration of IV antibiotics
B. administration of maintenance IV fluids
C. placement of foley
D. send spinal fluid and blood samples to the lab for culture
E. Place child in isolation
- correct answer E
Which order should a nurse question for a child just admitted with diagnosis of bacterial meningitis?
A. maintain isolation precautions until 24hrs after receiving IV antibiotics
B. IV fluids at 1.5 regular maintenance
C. Neuro checks q 1hr
D. Administer tylenol for temps higher than 100.4
- correct answer B
Which position initially is most beneficial for an infant who has just returned from having a VP shunt
placed?
A. semi-Fowler in an infant seat
B. flat in crib
C. trendelenburg
D. in the crib with head elevated 90 degrees
- correct answer B
A child is admitted with possible Reye Syndrome. Which of the following findings would the nurse
expect to see? SATA.
A. child has had vomiting episodes for past 24 hours
B. child's ammonia levels are lower than normal
C. child was administered ibuprofen when the child had the flu
D. child is unusually argumentative and aggressive
answers 2026\2027 A+ Grade
SATA: Which signs best indicate increased ICP in a infant?
A. sunken anterior fontanel
B. complaints of blurred vision
C. high pitched cry
D. increased appetite
E. sleeping more than usual
- correct answer C, E
You are caring for a patient with hydrocephalus who is post-op from a shunt revision. Which assessment
finding is your priority for increased ICP?
A. nausea and refusal to eat post-operatively
B. complaint of a HA
C. irritability and wanting to sleep
D. decrease in HR over the last hour
- correct answer D
A child with a VP shunt complains of HA and blurry vision and now experiences irritability and sleeping
more than usual. The parent ask the nurse what they should do. Select the nurse's best response.
A. Give her some acetaminophen, and see if her symptoms improve. If they do not improve, bring her
into the ped office.
B. It is common for girls to have these symptoms, especially prior to beginning their menstrual cycle.
Give her a few days and see if she improves.
C. You are probably worried that she is having a problem with her shunt. This is very unlikely as it has
been working well for 9 years.
D. You should immediately take her to the ED as these may be symptoms of a shunt malfunction.
- correct answer D
, A child is being admitted for meningitis. Which procedure should the nurse do first?
A. administration of IV antibiotics
B. administration of maintenance IV fluids
C. placement of foley
D. send spinal fluid and blood samples to the lab for culture
E. Place child in isolation
- correct answer E
Which order should a nurse question for a child just admitted with diagnosis of bacterial meningitis?
A. maintain isolation precautions until 24hrs after receiving IV antibiotics
B. IV fluids at 1.5 regular maintenance
C. Neuro checks q 1hr
D. Administer tylenol for temps higher than 100.4
- correct answer B
Which position initially is most beneficial for an infant who has just returned from having a VP shunt
placed?
A. semi-Fowler in an infant seat
B. flat in crib
C. trendelenburg
D. in the crib with head elevated 90 degrees
- correct answer B
A child is admitted with possible Reye Syndrome. Which of the following findings would the nurse
expect to see? SATA.
A. child has had vomiting episodes for past 24 hours
B. child's ammonia levels are lower than normal
C. child was administered ibuprofen when the child had the flu
D. child is unusually argumentative and aggressive
