INTRODUCTION TO MATERNITY AND
PEDIATRIC NURSING COMPREHENSIVE TEST
PAPER 2026 COMPLETE SOLUTIONS
◉ The nurse is caring for a preschooler with a head injury. Which
assessment would lead the nurse to report the probability of
increasing intracranial pressure (ICP)? Answer: Increase in blood
pressure with a decrease in pulse
◉ What will the nurse teach parents when giving instructions for
acute conjunctivitis? Answer: Clear the drainage from the inner to
the outer aspect of the eye.
◉ Which assessments would cause the pediatric nurse to suspect
the probability of an ear infection in a 15-month-old child. (Select all
that apply.) Answer: Pulling at ears
Irritability
Rolls head from side to side
Temperature of 39.4 C (103 F)
◉ Which assessment finding in a child with meningitis should be
reported immediately? Answer: Irregular respirations
,◉ What assessment made by the school nurse would lead to the
suspicion of strabismus? Answer: Child covers one eye to read the
chalkboard
◉ What does the nurse explain to parents of a child who
experienced a febrile seizure? Answer: They occur when the
temperature rises quickly.
◉ A child is brought to the emergency department after he fell and
hit his head on the ground. Which nursing assessment suggests the
child has a concussion? Answer: Cannot remember what happened
to him
◉ A parent reports that her child has begun to do poorly at school
and experiences episodes where he appears to be staring into space.
Of which type of seizure is this behavior a characteristic? Answer:
Absence
◉ Which situation would cause the nurse to suspect a hearing
impairment? Answer: 24-month-old toddler who communicates by
pointing
◉ What would the nurse include when planning postoperative
teaching for a child who has had a tympanostomy with insertion of
tubes? Answer: Avoiding getting water in the ears
, ◉ What is the best way to give an oral medication to an infant?
Answer: Per a small oral syringe
◉ What is the best pulse location for the nurse to use when
assessing the pulse rate on a 10-month-old infant? Answer: Apical
◉ Gentamicin ear drops are prescribed for a 4-year-old child. How
would the nurse position the auricle when administering the ear
drops? Answer: Up and back
◉ A 9-year-old child is being prepared for lumbar puncture. What
position will the nurse explain to the child for this procedure?
Answer: -"On your side with the knees bent and the head close to
the knees."
◉ What factor affects the infant's physiological response to
medications? Answer: Immature liver function
◉ The nurse preparing to administer medication to a 2-month-old
infant discovers there is no ID bracelet on the child. What should be
the next action by the nurse? Answer: Confirm the identity with the
charge nurse, make a new bracelet, and give the medicine
PEDIATRIC NURSING COMPREHENSIVE TEST
PAPER 2026 COMPLETE SOLUTIONS
◉ The nurse is caring for a preschooler with a head injury. Which
assessment would lead the nurse to report the probability of
increasing intracranial pressure (ICP)? Answer: Increase in blood
pressure with a decrease in pulse
◉ What will the nurse teach parents when giving instructions for
acute conjunctivitis? Answer: Clear the drainage from the inner to
the outer aspect of the eye.
◉ Which assessments would cause the pediatric nurse to suspect
the probability of an ear infection in a 15-month-old child. (Select all
that apply.) Answer: Pulling at ears
Irritability
Rolls head from side to side
Temperature of 39.4 C (103 F)
◉ Which assessment finding in a child with meningitis should be
reported immediately? Answer: Irregular respirations
,◉ What assessment made by the school nurse would lead to the
suspicion of strabismus? Answer: Child covers one eye to read the
chalkboard
◉ What does the nurse explain to parents of a child who
experienced a febrile seizure? Answer: They occur when the
temperature rises quickly.
◉ A child is brought to the emergency department after he fell and
hit his head on the ground. Which nursing assessment suggests the
child has a concussion? Answer: Cannot remember what happened
to him
◉ A parent reports that her child has begun to do poorly at school
and experiences episodes where he appears to be staring into space.
Of which type of seizure is this behavior a characteristic? Answer:
Absence
◉ Which situation would cause the nurse to suspect a hearing
impairment? Answer: 24-month-old toddler who communicates by
pointing
◉ What would the nurse include when planning postoperative
teaching for a child who has had a tympanostomy with insertion of
tubes? Answer: Avoiding getting water in the ears
, ◉ What is the best way to give an oral medication to an infant?
Answer: Per a small oral syringe
◉ What is the best pulse location for the nurse to use when
assessing the pulse rate on a 10-month-old infant? Answer: Apical
◉ Gentamicin ear drops are prescribed for a 4-year-old child. How
would the nurse position the auricle when administering the ear
drops? Answer: Up and back
◉ A 9-year-old child is being prepared for lumbar puncture. What
position will the nurse explain to the child for this procedure?
Answer: -"On your side with the knees bent and the head close to
the knees."
◉ What factor affects the infant's physiological response to
medications? Answer: Immature liver function
◉ The nurse preparing to administer medication to a 2-month-old
infant discovers there is no ID bracelet on the child. What should be
the next action by the nurse? Answer: Confirm the identity with the
charge nurse, make a new bracelet, and give the medicine
