Peds Final Exam NCLEX (all) questions and
answers 2026\2027 A+ Grade
166. The nurse is preparing to care for a 5-year-old who has been placed in traction following a fracture
of the femur. The nurse plans care, knowing that which is the most appropriate activity for this child?
1. A radio
2. A sports video
3. Large picture books
4. Crayons and a coloring book
- correct answer 4. Crayons and a coloring book
393. A child has a right femur fracture caused by a motor vehicle crash and is placed in skin traction
temporarily until surgery can be performed. During assessment, the nurse notes that the dorsalis pedis
pulse is absent on the right foot. Which action should the nurse take?
1. Administer an analgesic.
2. Release the skin traction.
3. Apply ice to the extremity.
4. Notify the primary health care provider (PHCP).
- correct answer 4. Notify the primary health care provider (PHCP). (sign of compartment syndrome;
immediately needs to be reported to provider to confirm, then surgery)
394. A child is placed in skeletal traction for treatment of a fractured femur. The nurse creates a plan of
care and should include which intervention?
1. Ensure that all ropes are outside the pulleys.
2. Ensure that the weights are resting lightly on the floor.
3. Restrict diversional and play activities until the child is out of traction.
4. Check the primary health care provider's (PHCP's) prescriptions for the amount of weight to be
applied.
- correct answer 4. Check the primary health care provider's (PHCP's) prescriptions for the amount of
weight to be applied.
,395. A 4-year-old child sustains a fall at home. After an x-ray examination, the child is determined to
have a fractured arm and a plaster cast is applied. The nurse provides instructions to the parents
regarding care for the child's cast. Which statement by the parents indicates a need for further
instruction?
1. "The cast may feel warm as the cast dries."
2. "I can use lotion or powder around the cast edges to relieve itching."
3. "A small amount of white shoe polish can touch up a soiled white cast."
4. "If the cast becomes wet, a blow drier set on the cool setting may be used to dry the cast."
- correct answer 2. "I can use lotion or powder around the cast edges to relieve itching."
(lotions and powders should NOT be used bc they can become caked, leading to further irritation and
skin breakdown)
397. A child who has undergone spinal fusion for scoliosis complains of abdominal discomfort and
begins to have episodes of vomiting. On further assessment, the nurse notes abdominal distention. On
the basis of these findings, the nurse should take which action?
1. Administer an antiemetic.
2. Increase the intravenous fluids.
3. Place the child in a Sims' position.
4. Notify the primary health care provider (PHCP).
- correct answer 4. Notify the primary health care provider (PHCP).
(Postoperative vomiting in children with body casts or children who have undergone spinal fusion
warrants attention because of the possibility of superior mesenteric artery syndrome.)
398. The nurse is providing instructions to the parents of a child with scoliosis regarding the use of a
brace. Which statement by the parents indicates a need for further instruction?
1. "I will encourage my child to perform prescribed exercises."
2. "I will have my child wear soft fabric clothing under the brace."
3. "I should apply lotion under the brace to prevent skin breakdown." 4. "I should avoid the use of
powder because it will cake under the brace."
- correct answer 3. "I should apply lotion under the brace to prevent skin breakdown."
,402. The nurse prepares a list of home care instructions for the parents of a child who has a plaster cast
applied to the left forearm. Which instructions should be included on the list? Select all that apply.
1. Use the fingertips to lift the cast while it is drying.
2. Keep small toys and sharp objects away from the cast.
3. Use a padded ruler or another padded object to scratch the skin under the cast if it itches.
4. Place a heating pad on the lower end of the cast and over the fingers if the fingers feel cold.
5. Elevate the extremity on pillows for the first 24 to 48 hours after casting to prevent swelling.
6. Contact the primary health care provider (PHCP) if the child complains of numbness or tingling in the
extremity.
- correct answer 2, 5, 6
294. The nurse is monitoring a child with burns during treatment. Which assessment provides the most
accurate guide to determine the adequacy of fluid resuscitation?
1. Skin turgor
2. Level of edema at burn site
3. Adequacy of capillary filling
4. Amount of fluid tolerated in 24 hours
- correct answer 3. Adequacy of capillary filling
295. The mother of a 3-year-old child arrives at a clinic and tells the nurse that the child has been
scratching the skin continuously and has developed a rash. The nurse assesses the child and suspects the
presence of scabies. The nurse bases this suspicion on which finding noted on assessment of the child's
skin?
1. Fine grayish red lines
2. Purple-colored lesions
3. Thick, honey-colored crusts
4. Clusters of fluid-filled vesicles
- correct answer 1. Fine grayish red lines
297. The school nurse has provided an instructional session about impetigo to parents of the children
attending the school. Which statement, if made by a parent, indicates a need for further instruction?
1. "It is extremely contagious."
, 2. "It is most common in humid weather."
3. "Lesions most often are located on the arms and chest."
4. "It might show up in an area of broken skin, such as an insect bite."
- correct answer 3. "Lesions most often are located on the arms and chest."
(Impetigo is a contagious bacterial infection of the skin caused by βhemolytic streptococci or
staphylococci, or both. Impetigo is most common during hot, humid summer months. Impetigo may
begin in an area of broken skin, such as an insect bite or atopic dermatitis. Impetigo is extremely
contagious. Lesions usually are located around the mouth and nose but may be present on the hands
and extremities.)
367. The clinic nurse reviews the record of a child just seen by the pediatrician and diagnosed with
suspected aortic stenosis. The nurse expects to note documentation of which clinical manifestation
specifically found in this disorder?
1. Pallor
2. Hyperactivity
3. Activity intolerance
4. Gastrointestinal disturbances
- correct answer 3. Activity intolerance
(Aortic stenosis is a narrowing or stricture of the aortic valve, causing resistance to blood flow in the left
ventricle, decreased cardiac output, left ventricular hypertrophy, and pulmonary vascular congestion. A
child with aortic stenosis shows signs of activity intolerance, chest pain, and dizziness when standing for
long periods. Pallor may be noted but is not specific to this type of disorder alone)
368. The nurse has provided home care instructions to the parents of a child who is being discharged
after cardiac surgery. Which statement made by the parents indicates a need for further instruction?
1. "A balance of rest and activity is important."
2. "I can apply lotion or powder to the incision if it is itchy."
3. "Activities in which my child could fall need to be avoided for 2 to 4 weeks."
4. "Large crowds of people need to be avoided for at least 2 weeks after surgery."
- correct answer 2. "I can apply lotion or powder to the incision if it is itchy."
answers 2026\2027 A+ Grade
166. The nurse is preparing to care for a 5-year-old who has been placed in traction following a fracture
of the femur. The nurse plans care, knowing that which is the most appropriate activity for this child?
1. A radio
2. A sports video
3. Large picture books
4. Crayons and a coloring book
- correct answer 4. Crayons and a coloring book
393. A child has a right femur fracture caused by a motor vehicle crash and is placed in skin traction
temporarily until surgery can be performed. During assessment, the nurse notes that the dorsalis pedis
pulse is absent on the right foot. Which action should the nurse take?
1. Administer an analgesic.
2. Release the skin traction.
3. Apply ice to the extremity.
4. Notify the primary health care provider (PHCP).
- correct answer 4. Notify the primary health care provider (PHCP). (sign of compartment syndrome;
immediately needs to be reported to provider to confirm, then surgery)
394. A child is placed in skeletal traction for treatment of a fractured femur. The nurse creates a plan of
care and should include which intervention?
1. Ensure that all ropes are outside the pulleys.
2. Ensure that the weights are resting lightly on the floor.
3. Restrict diversional and play activities until the child is out of traction.
4. Check the primary health care provider's (PHCP's) prescriptions for the amount of weight to be
applied.
- correct answer 4. Check the primary health care provider's (PHCP's) prescriptions for the amount of
weight to be applied.
,395. A 4-year-old child sustains a fall at home. After an x-ray examination, the child is determined to
have a fractured arm and a plaster cast is applied. The nurse provides instructions to the parents
regarding care for the child's cast. Which statement by the parents indicates a need for further
instruction?
1. "The cast may feel warm as the cast dries."
2. "I can use lotion or powder around the cast edges to relieve itching."
3. "A small amount of white shoe polish can touch up a soiled white cast."
4. "If the cast becomes wet, a blow drier set on the cool setting may be used to dry the cast."
- correct answer 2. "I can use lotion or powder around the cast edges to relieve itching."
(lotions and powders should NOT be used bc they can become caked, leading to further irritation and
skin breakdown)
397. A child who has undergone spinal fusion for scoliosis complains of abdominal discomfort and
begins to have episodes of vomiting. On further assessment, the nurse notes abdominal distention. On
the basis of these findings, the nurse should take which action?
1. Administer an antiemetic.
2. Increase the intravenous fluids.
3. Place the child in a Sims' position.
4. Notify the primary health care provider (PHCP).
- correct answer 4. Notify the primary health care provider (PHCP).
(Postoperative vomiting in children with body casts or children who have undergone spinal fusion
warrants attention because of the possibility of superior mesenteric artery syndrome.)
398. The nurse is providing instructions to the parents of a child with scoliosis regarding the use of a
brace. Which statement by the parents indicates a need for further instruction?
1. "I will encourage my child to perform prescribed exercises."
2. "I will have my child wear soft fabric clothing under the brace."
3. "I should apply lotion under the brace to prevent skin breakdown." 4. "I should avoid the use of
powder because it will cake under the brace."
- correct answer 3. "I should apply lotion under the brace to prevent skin breakdown."
,402. The nurse prepares a list of home care instructions for the parents of a child who has a plaster cast
applied to the left forearm. Which instructions should be included on the list? Select all that apply.
1. Use the fingertips to lift the cast while it is drying.
2. Keep small toys and sharp objects away from the cast.
3. Use a padded ruler or another padded object to scratch the skin under the cast if it itches.
4. Place a heating pad on the lower end of the cast and over the fingers if the fingers feel cold.
5. Elevate the extremity on pillows for the first 24 to 48 hours after casting to prevent swelling.
6. Contact the primary health care provider (PHCP) if the child complains of numbness or tingling in the
extremity.
- correct answer 2, 5, 6
294. The nurse is monitoring a child with burns during treatment. Which assessment provides the most
accurate guide to determine the adequacy of fluid resuscitation?
1. Skin turgor
2. Level of edema at burn site
3. Adequacy of capillary filling
4. Amount of fluid tolerated in 24 hours
- correct answer 3. Adequacy of capillary filling
295. The mother of a 3-year-old child arrives at a clinic and tells the nurse that the child has been
scratching the skin continuously and has developed a rash. The nurse assesses the child and suspects the
presence of scabies. The nurse bases this suspicion on which finding noted on assessment of the child's
skin?
1. Fine grayish red lines
2. Purple-colored lesions
3. Thick, honey-colored crusts
4. Clusters of fluid-filled vesicles
- correct answer 1. Fine grayish red lines
297. The school nurse has provided an instructional session about impetigo to parents of the children
attending the school. Which statement, if made by a parent, indicates a need for further instruction?
1. "It is extremely contagious."
, 2. "It is most common in humid weather."
3. "Lesions most often are located on the arms and chest."
4. "It might show up in an area of broken skin, such as an insect bite."
- correct answer 3. "Lesions most often are located on the arms and chest."
(Impetigo is a contagious bacterial infection of the skin caused by βhemolytic streptococci or
staphylococci, or both. Impetigo is most common during hot, humid summer months. Impetigo may
begin in an area of broken skin, such as an insect bite or atopic dermatitis. Impetigo is extremely
contagious. Lesions usually are located around the mouth and nose but may be present on the hands
and extremities.)
367. The clinic nurse reviews the record of a child just seen by the pediatrician and diagnosed with
suspected aortic stenosis. The nurse expects to note documentation of which clinical manifestation
specifically found in this disorder?
1. Pallor
2. Hyperactivity
3. Activity intolerance
4. Gastrointestinal disturbances
- correct answer 3. Activity intolerance
(Aortic stenosis is a narrowing or stricture of the aortic valve, causing resistance to blood flow in the left
ventricle, decreased cardiac output, left ventricular hypertrophy, and pulmonary vascular congestion. A
child with aortic stenosis shows signs of activity intolerance, chest pain, and dizziness when standing for
long periods. Pallor may be noted but is not specific to this type of disorder alone)
368. The nurse has provided home care instructions to the parents of a child who is being discharged
after cardiac surgery. Which statement made by the parents indicates a need for further instruction?
1. "A balance of rest and activity is important."
2. "I can apply lotion or powder to the incision if it is itchy."
3. "Activities in which my child could fall need to be avoided for 2 to 4 weeks."
4. "Large crowds of people need to be avoided for at least 2 weeks after surgery."
- correct answer 2. "I can apply lotion or powder to the incision if it is itchy."
