Pediatric Nursing Exam Questions
And Answers A+
1. An infant arrives at the clinic with a persistent cough. Mother reports the
infant has not been feeding well for the past day. What nursing interventions
would be appropriate?
A. Provide oxygen to the infant via cannula
B. Undress the infant to do a complete assessment
C. Suction the infant's nose with a bulb syringe
D. Start an IV: C. Suction the infant's nose with a bulb syringe
Cough & hasn't been eating well = prodromal symptom
Think about 1st priority ’C would be the answer b/c of airway
Bulb syringe before Mom puts baby to breast or bottle b/c if they can't breathe, they're not going to be able to feed
Don't give O2 until we have a provider's order ’considered a med
2. A nurse is assessing an infant who has manifestations of acute otitis media
(AOM). Which of the following assessment data should the nurse identify as
risk factors for otitis media?
Select all that apply.
A. Breastfeeds without formula supplementation.
B. Attends day care 4 days per week.
C. Immunizations are up to date.
D. History of a cleft palate repair.
E. Parents smoke cigarettes outside.: B. Attends day care 4 days per week.
D. History of a cleft palate repair.
E. Parents smoke cigarettes outside.
When recognizing cues during the care of an infant who has manifestation of acute otitis media, the nurse should
identify that attending daycare, having a history of cleft palate repair, and living with parents who smoke are risk factors
for acute otitis media. Attending daycare increases the risk due to exposure to multiple children. Children who have
,had a cleft palate repair are more prone to AOM because micro-organisms can easily enter the Eustachian tubes.
Children who live with parents who smoke cigarettes, even outside, are at a greater risk due to exposure to secondhand
,smoke. Breastfeeding helps to protect against AOM because breast milk contains secretory immunoglobulin A. The
pneumococcal conjugate vaccine decreases the incidence of OM.
3. A nurse is assessing an infant who has presented for a well-baby check-up.
Which of the following findings should the nurse identify as clinical manifesta-
tions of acute otitis media?
Select all that apply.
A. Decreased pain in the supine position
B. Rolling head side to side
C. Loss of appetite
D. Increased sensitivity to sound
E. Crying: B. Rolling head side to side
C. Loss of appetite
E. Crying
When recognizing cues during the assessment of an infant, the nurse should recognize that rolling the head side to
side, loss of appetite, and crying are manifestations of acute otitis media. Infants who have acute otitis media will have
an increase in pain in the supine position from the fluid and pressure in the ear. Infants who have acute otitis media
have a decreased sensitivity to sound from the fluid and pressure in the ear.
4. A nurse is caring for a toddler who has had rhinitis, cough, and diarrhea for 2
days. Upon assessment, it is noted that the tympanic membrane has an orange
discoloration and decreased movement. Which of the following statements
should the nurse make to the caregiver?
A. "Your child has an ear infection that requires antibiotics."
B. "Your child may have transient hearing loss."
C. "Your child will need a decongestant until this condition clears."
D. "Your child will need to have a myringotomy.": B. "Your child may have transient hearing
loss."
When analyzing cues during the care of a toddler who has had rhinitis, cough, and diarrhea for 2 days that is
accompanied by a tympanic membrane with an orange discoloration and decreased movement, the nurse should
identify that the toddler has manifestations of otitis media ettusion (OME). Transient hearing loss is a complication of
OME; therefore, the nurse should inform the guardians that the child may have transient hearing loss. Antibiotics are
, not recommended for OME. Decongestants are not recommended for OME. Myringotomy is recommended for clients
who have chronic OME. NCLEX Connection: Physiological Adaptation, Unexpected Response to Therapies
5. A nurse is caring for a toddler who has acute otitis media. Which of the
following is the priority action for the nurse to take?
A. Provide emotional support to the family.
B. Educate the family on care of the child.
C. Provide a diversional activity.
D. Administer analgesics.: D. Administer analgesics
When using Maslow's hierarchy of needs to prioritize hypothesis during the care of a toddler who has acute otitis
media, the nurse should identify that the administration of analgesics can meet the toddlers physiologic need for pain
relief. Therefore, this is the priority action to take. Providing emotional support to the family will promote psychological
well-being. However, it is not the priority action. Educating the family on the care of the child will promote recovery from
illness. However, it is not the priority action. Providing a diversional activity for the toddler will help provide normalcy
during care. However, it is not the priority action. NCLEX Connection: Physiological Adaptation, Illness Management
6. A nurse is caring for a toddler who has had three ear infections in the past
5 months. The nurse should identify that the toddler is at risk for developing
which of the following long-term complications?
A. Balance difficulties
B. Rash
C. Speech delays
D. Mastoiditis: C. Speech delays
When analyzing cues during the care of a toddler who has had three ear infections in the past five months, the nurse
should identify that the toddler is at risk for speech delays as a complication of recurrent otitis media. Balance diflculties
can be present with otitis media. However, it is not a long-term complication. Although rash can indicate antibiotic
sensitivity, it is not a long-term complication of otitis media. Mastoiditis can be a result of otitis media. However, it is
not a long-term complication. NCLEX Connection: Physiological Adaptation, Pathophysiology
7. A nurse is assessing a child who has a rotavirus infection. Which of the
following findings should the nurse expect?
Select all that apply.
A. Fever
And Answers A+
1. An infant arrives at the clinic with a persistent cough. Mother reports the
infant has not been feeding well for the past day. What nursing interventions
would be appropriate?
A. Provide oxygen to the infant via cannula
B. Undress the infant to do a complete assessment
C. Suction the infant's nose with a bulb syringe
D. Start an IV: C. Suction the infant's nose with a bulb syringe
Cough & hasn't been eating well = prodromal symptom
Think about 1st priority ’C would be the answer b/c of airway
Bulb syringe before Mom puts baby to breast or bottle b/c if they can't breathe, they're not going to be able to feed
Don't give O2 until we have a provider's order ’considered a med
2. A nurse is assessing an infant who has manifestations of acute otitis media
(AOM). Which of the following assessment data should the nurse identify as
risk factors for otitis media?
Select all that apply.
A. Breastfeeds without formula supplementation.
B. Attends day care 4 days per week.
C. Immunizations are up to date.
D. History of a cleft palate repair.
E. Parents smoke cigarettes outside.: B. Attends day care 4 days per week.
D. History of a cleft palate repair.
E. Parents smoke cigarettes outside.
When recognizing cues during the care of an infant who has manifestation of acute otitis media, the nurse should
identify that attending daycare, having a history of cleft palate repair, and living with parents who smoke are risk factors
for acute otitis media. Attending daycare increases the risk due to exposure to multiple children. Children who have
,had a cleft palate repair are more prone to AOM because micro-organisms can easily enter the Eustachian tubes.
Children who live with parents who smoke cigarettes, even outside, are at a greater risk due to exposure to secondhand
,smoke. Breastfeeding helps to protect against AOM because breast milk contains secretory immunoglobulin A. The
pneumococcal conjugate vaccine decreases the incidence of OM.
3. A nurse is assessing an infant who has presented for a well-baby check-up.
Which of the following findings should the nurse identify as clinical manifesta-
tions of acute otitis media?
Select all that apply.
A. Decreased pain in the supine position
B. Rolling head side to side
C. Loss of appetite
D. Increased sensitivity to sound
E. Crying: B. Rolling head side to side
C. Loss of appetite
E. Crying
When recognizing cues during the assessment of an infant, the nurse should recognize that rolling the head side to
side, loss of appetite, and crying are manifestations of acute otitis media. Infants who have acute otitis media will have
an increase in pain in the supine position from the fluid and pressure in the ear. Infants who have acute otitis media
have a decreased sensitivity to sound from the fluid and pressure in the ear.
4. A nurse is caring for a toddler who has had rhinitis, cough, and diarrhea for 2
days. Upon assessment, it is noted that the tympanic membrane has an orange
discoloration and decreased movement. Which of the following statements
should the nurse make to the caregiver?
A. "Your child has an ear infection that requires antibiotics."
B. "Your child may have transient hearing loss."
C. "Your child will need a decongestant until this condition clears."
D. "Your child will need to have a myringotomy.": B. "Your child may have transient hearing
loss."
When analyzing cues during the care of a toddler who has had rhinitis, cough, and diarrhea for 2 days that is
accompanied by a tympanic membrane with an orange discoloration and decreased movement, the nurse should
identify that the toddler has manifestations of otitis media ettusion (OME). Transient hearing loss is a complication of
OME; therefore, the nurse should inform the guardians that the child may have transient hearing loss. Antibiotics are
, not recommended for OME. Decongestants are not recommended for OME. Myringotomy is recommended for clients
who have chronic OME. NCLEX Connection: Physiological Adaptation, Unexpected Response to Therapies
5. A nurse is caring for a toddler who has acute otitis media. Which of the
following is the priority action for the nurse to take?
A. Provide emotional support to the family.
B. Educate the family on care of the child.
C. Provide a diversional activity.
D. Administer analgesics.: D. Administer analgesics
When using Maslow's hierarchy of needs to prioritize hypothesis during the care of a toddler who has acute otitis
media, the nurse should identify that the administration of analgesics can meet the toddlers physiologic need for pain
relief. Therefore, this is the priority action to take. Providing emotional support to the family will promote psychological
well-being. However, it is not the priority action. Educating the family on the care of the child will promote recovery from
illness. However, it is not the priority action. Providing a diversional activity for the toddler will help provide normalcy
during care. However, it is not the priority action. NCLEX Connection: Physiological Adaptation, Illness Management
6. A nurse is caring for a toddler who has had three ear infections in the past
5 months. The nurse should identify that the toddler is at risk for developing
which of the following long-term complications?
A. Balance difficulties
B. Rash
C. Speech delays
D. Mastoiditis: C. Speech delays
When analyzing cues during the care of a toddler who has had three ear infections in the past five months, the nurse
should identify that the toddler is at risk for speech delays as a complication of recurrent otitis media. Balance diflculties
can be present with otitis media. However, it is not a long-term complication. Although rash can indicate antibiotic
sensitivity, it is not a long-term complication of otitis media. Mastoiditis can be a result of otitis media. However, it is
not a long-term complication. NCLEX Connection: Physiological Adaptation, Pathophysiology
7. A nurse is assessing a child who has a rotavirus infection. Which of the
following findings should the nurse expect?
Select all that apply.
A. Fever
