NURS 3511 WEEK 2 | 135 QUESTIONS AND ANSWERS |
2026 UPDATE | ALREADY PASSED.
What are the three components of the Paediatric Assessment Triangle?
A) Appearance, breathing, circulation
B) Heart rate, respiratory rate, oxygen saturation
C) Blood pressure, temperature, skin color
D) Reflexes, muscle strength, pupil reaction Answer - A) Appearance,
breathing, circulation
The Pediatric Assessment Triangle is conducted as a(n):
A) Hands-on physical examination
B) Cross-the-room assessment
C) Laboratory test for pediatric patients
D) Detailed neurological evaluation Answer - B) Cross-the-room assessment
Look and listen
What is the primary purpose of the Paediatric Assessment Triangle?
A) To determine if a child needs immediate intervention
B) To establish a definitive diagnosis
C) To measure vital signs accurately
D) To perform a detailed cardiovascular examination Answer - A) To determine
if a child needs immediate intervention
,Which of the following is NOT a component of the "general appearance"
assessment?
A) Tone
B) Interactiveness
C) Blood pressure
D) Consolability Answer - C) Blood pressure
Match each aspect of general appearance to the correct description.
1. Tone
2. Interactiveness
3. Consolability
4. Look/gaze
5. Speech/cry
A) Appears alert and engaged with clinician or caregiver, interacts with people
and environment, reaches for toys, objects
B) Makes eye contact with clinician, tracks visually
C) Moves spontaneously, resists examination, sits/stands (age appropriate)
D) Has strong cry, uses age-appropriate speech
E) Stops crying when held and comforted by caregiver, has differential response
to caregiver vs examiner Answer - 1. C
2. A
3. E
4. B
5. D
Which of the following describes normal spontaneous breathing?
,A) Increased work of breathing
B) Effortless respirations
C) Tripoding posture
D) Presence of abnormal airway sounds Answer - B) Effortless respirations
Which of the following is NOT a sign of increased work of breathing?
A) Supraclavicular retractions
B) Head bobbing in infants
C) Effortless respirations
D) Nasal flaring Answer - C) Effortless respirations
Which assessment finding suggests respiratory distress in an infant?
A) Absence of retractions
B) Head bobbing
C) Strong cry
D) Effortless breathing Answer - B) Head bobbing
Where can retractions be felt in a child with increased work of breathing?
A) Over the scapula
B) On the side of the neck
C) At the base of the spine
D) In the upper arms Answer - B) On the side of the neck
Scalene muscle
Nasal flaring during inspiration is an indication of:
A) Increased respiratory effort
, B) Decreased respiratory effort
C) Normal spontaneous breathing
D) Cardiac arrest Answer - A) Increased respiratory effort
Which of the following is not considered an abnormal airway sound?
A) Stridor
B) Grunting
C) Wheezing
D) Strong cry
E) Snoring
F) Muffled or hoarse speech Answer - D) Strong cry
Which body positions may indicate respiratory distress? (SATA)
A) Sniffing position
B) Tripoding
C) Preference for seated posture
D) Supine position
E) Side-lying position Answer - A, B, C
What does pallor indicate in a pediatric patient?
A) Normal skin perfusion
B) Vasodilation and increased blood flow
C) Pale skin or mucous membranes due to poor circulation
D) Increased oxygenation Answer - C) Pale skin or mucous membranes due to
poor circulation
Mottling of the skin is caused by:
2026 UPDATE | ALREADY PASSED.
What are the three components of the Paediatric Assessment Triangle?
A) Appearance, breathing, circulation
B) Heart rate, respiratory rate, oxygen saturation
C) Blood pressure, temperature, skin color
D) Reflexes, muscle strength, pupil reaction Answer - A) Appearance,
breathing, circulation
The Pediatric Assessment Triangle is conducted as a(n):
A) Hands-on physical examination
B) Cross-the-room assessment
C) Laboratory test for pediatric patients
D) Detailed neurological evaluation Answer - B) Cross-the-room assessment
Look and listen
What is the primary purpose of the Paediatric Assessment Triangle?
A) To determine if a child needs immediate intervention
B) To establish a definitive diagnosis
C) To measure vital signs accurately
D) To perform a detailed cardiovascular examination Answer - A) To determine
if a child needs immediate intervention
,Which of the following is NOT a component of the "general appearance"
assessment?
A) Tone
B) Interactiveness
C) Blood pressure
D) Consolability Answer - C) Blood pressure
Match each aspect of general appearance to the correct description.
1. Tone
2. Interactiveness
3. Consolability
4. Look/gaze
5. Speech/cry
A) Appears alert and engaged with clinician or caregiver, interacts with people
and environment, reaches for toys, objects
B) Makes eye contact with clinician, tracks visually
C) Moves spontaneously, resists examination, sits/stands (age appropriate)
D) Has strong cry, uses age-appropriate speech
E) Stops crying when held and comforted by caregiver, has differential response
to caregiver vs examiner Answer - 1. C
2. A
3. E
4. B
5. D
Which of the following describes normal spontaneous breathing?
,A) Increased work of breathing
B) Effortless respirations
C) Tripoding posture
D) Presence of abnormal airway sounds Answer - B) Effortless respirations
Which of the following is NOT a sign of increased work of breathing?
A) Supraclavicular retractions
B) Head bobbing in infants
C) Effortless respirations
D) Nasal flaring Answer - C) Effortless respirations
Which assessment finding suggests respiratory distress in an infant?
A) Absence of retractions
B) Head bobbing
C) Strong cry
D) Effortless breathing Answer - B) Head bobbing
Where can retractions be felt in a child with increased work of breathing?
A) Over the scapula
B) On the side of the neck
C) At the base of the spine
D) In the upper arms Answer - B) On the side of the neck
Scalene muscle
Nasal flaring during inspiration is an indication of:
A) Increased respiratory effort
, B) Decreased respiratory effort
C) Normal spontaneous breathing
D) Cardiac arrest Answer - A) Increased respiratory effort
Which of the following is not considered an abnormal airway sound?
A) Stridor
B) Grunting
C) Wheezing
D) Strong cry
E) Snoring
F) Muffled or hoarse speech Answer - D) Strong cry
Which body positions may indicate respiratory distress? (SATA)
A) Sniffing position
B) Tripoding
C) Preference for seated posture
D) Supine position
E) Side-lying position Answer - A, B, C
What does pallor indicate in a pediatric patient?
A) Normal skin perfusion
B) Vasodilation and increased blood flow
C) Pale skin or mucous membranes due to poor circulation
D) Increased oxygenation Answer - C) Pale skin or mucous membranes due to
poor circulation
Mottling of the skin is caused by:
