Pediatric Nursing NCLEX Challenge
Exam Questions and Verified Answers
100% Accurate |Graded A+
1. 1. Question
Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When
obtaining the child’s history, the nurse considers which information to
be most important?
A. A fever that started 3 days ago
B. Lack of interest in food
C. A recent episode of pharyngitis
D. Vomiting for 2 days
Correct Answer: C. A recent episode of pharyngitis
A recent episode of pharyngitis is the most important factor in establishing the
diagnosis of rheumatic fever. Activation of the innate immune system begins with
a pharyngeal infection that leads to the presentation of S. pyogenes antigens to T
and B cells. CD4+ T cells are activated and production of specific IgG and IgM
antibodies by B cells ensues (Cunningham, Pathogenesis of group A
streptococcal infections, 2000).
2. 2. Question
The nurse is aware that the most common assessment finding in a child with
ulcerative colitis is:
A. Intense abdominal cramps
B. Profuse diarrhea
C. Anal fissures
D. Abdominal distention
Correct Answer: B. Profuse diarrhea
Page 1 of 46
, The most common assessment finding in a child with ulcerative colitis is profuse
diarrhea. The main symptom of ulcerative colitis is bloody diarrhea, with or
without mucus. Other symptoms include blood in the toilet, on toilet paper, or in
the stool. Characteristically, it involves inflammation restricted to the mucosa and
submucosa of the colon. Typically, the disease starts in the rectum and extends
proximally in a continuous manner.
3. 3. Question
When developing a plan of care for a hospitalized child, nurse Mary knows that
children in which age group is most likely to view illness as a punishment for
misdeeds?
A. Infancy
B. Preschool age
Correct answer
C. School age
D. Adolescence
Correct Answer: B. Preschool age
Preschool-age children are most likely to view illness as a punishment for
misdeeds. When children in this age group become seriously ill, they may think
it’s punishment for something they did or thought about. They don’t understand
how their parents could not have protected them from this illness.
4. 4. Question
A female child, age 6, is brought to the health clinic for a routine checkup. To
assess the child’s vision, the nurse should ask:
A. “Do you have any problems seeing different colors?”
B. “Do you have trouble seeing at night?”
C. “Do you have problems with glare?”
D. “How are you doing in school?”
Correct Answer: D. “How are you doing in school?”
A child’s poor progress in school may indicate a visual disturbance. Most children
do not have 20/20 vision until after six years of age, but at any age, visual acuity
Page 2 of 46
, should be approximately equal between the eyes. The Multi-Ethnic Pediatric Eye
Disease Study provided updated norms for visual acuity in children two and a half
to six years of age.
5. 5. Question
Hannah, age 12, is 7 months pregnant. When teaching parenting skills to an
adolescent, the nurse knows that which teaching strategy is least effective?
A. Providing a one-on-one demonstration and requesting a return
demonstration, using a live infant model
B. Initiating a teenage parent support group with first and second-time
mothers
C. Using audiovisual aids that show discussions of feelings and skills
D. Providing age-appropriate reading materials
Correct Answer: D. Providing age-appropriate reading materials.
Because adolescents absorb less information through reading, providing age-
appropriate reading materials is the least effective way to teach parenting skills to
an adolescent. The Adolescent Family Life (AFL) demonstration projects,
organized through the Office of Adolescent Pregnancy Programs (OAPP), are
aimed to support young families through social support and medical care.
6. 6. Question
A 5-year-old girl Hannah is recently diagnosed with Kawasaki disease. Apart from
the identified symptoms of the disease, she may also likely develop which of the
following?
A. Sepsis
B. Meningitis
C. Mitral valve disease
D. Aneurysm formation
Correct Answer: D. Aneurysm formation
Kawasaki disease is a rare childhood illness that affects the blood vessels. 20% to
25% of children can develop aneurysm formation if not intervened. Treatment
depends on the degree of the disease but is often immediate treatment with IV
Page 3 of 46
, gamma globulin or aspirin. Corticosteroids can sometimes lessen impending
complications. Children who experience the disease usually need lifelong follow-
up appointments to keep an eye on heart health.
7. 7. Question
When creating a teaching program for the parents of Jessica who is diagnosed
with pulmonic stenosis (PS), Nurse Alex would keep in mind that this disorder
involves which of the following?
A. A single vessel arising from both ventricles
B. Obstruction of blood flow from the left ventricle
C. Obstruction of blood flow from the right ventricle
Correct answer
D. Return of blood to the heart without entry to the left atrium
Correct Answer: C. Obstruction of blood flow from the right ventricle.
PS refers to an obstruction of blood flow from the right ventricle. Pulmonic
stenosis is a defect of the pulmonic valve in which the valve is stiffened, causing
an obstruction to flow. This disease is typically congenital, benign, and diagnosed
in pediatric patients with potentially curative treatments.
8. 8. Question
Which of the following would Nurse Tony supposed to regard as a cardinal
manifestation or symptom of digoxin toxicity to his patient Clay diagnosed with
heart failure?
A. Headache
B. Respiratory distress
C. Extreme bradycardia
Correct answer
D. Constipation
Correct Answer: C. Extreme bradycardia
Extreme bradycardia is a cardinal sign of digoxin toxicity. Increased intracellular
calcium from the poisoning of the Na-K transporter and AV nodal blockade from
Page 4 of 46
Exam Questions and Verified Answers
100% Accurate |Graded A+
1. 1. Question
Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When
obtaining the child’s history, the nurse considers which information to
be most important?
A. A fever that started 3 days ago
B. Lack of interest in food
C. A recent episode of pharyngitis
D. Vomiting for 2 days
Correct Answer: C. A recent episode of pharyngitis
A recent episode of pharyngitis is the most important factor in establishing the
diagnosis of rheumatic fever. Activation of the innate immune system begins with
a pharyngeal infection that leads to the presentation of S. pyogenes antigens to T
and B cells. CD4+ T cells are activated and production of specific IgG and IgM
antibodies by B cells ensues (Cunningham, Pathogenesis of group A
streptococcal infections, 2000).
2. 2. Question
The nurse is aware that the most common assessment finding in a child with
ulcerative colitis is:
A. Intense abdominal cramps
B. Profuse diarrhea
C. Anal fissures
D. Abdominal distention
Correct Answer: B. Profuse diarrhea
Page 1 of 46
, The most common assessment finding in a child with ulcerative colitis is profuse
diarrhea. The main symptom of ulcerative colitis is bloody diarrhea, with or
without mucus. Other symptoms include blood in the toilet, on toilet paper, or in
the stool. Characteristically, it involves inflammation restricted to the mucosa and
submucosa of the colon. Typically, the disease starts in the rectum and extends
proximally in a continuous manner.
3. 3. Question
When developing a plan of care for a hospitalized child, nurse Mary knows that
children in which age group is most likely to view illness as a punishment for
misdeeds?
A. Infancy
B. Preschool age
Correct answer
C. School age
D. Adolescence
Correct Answer: B. Preschool age
Preschool-age children are most likely to view illness as a punishment for
misdeeds. When children in this age group become seriously ill, they may think
it’s punishment for something they did or thought about. They don’t understand
how their parents could not have protected them from this illness.
4. 4. Question
A female child, age 6, is brought to the health clinic for a routine checkup. To
assess the child’s vision, the nurse should ask:
A. “Do you have any problems seeing different colors?”
B. “Do you have trouble seeing at night?”
C. “Do you have problems with glare?”
D. “How are you doing in school?”
Correct Answer: D. “How are you doing in school?”
A child’s poor progress in school may indicate a visual disturbance. Most children
do not have 20/20 vision until after six years of age, but at any age, visual acuity
Page 2 of 46
, should be approximately equal between the eyes. The Multi-Ethnic Pediatric Eye
Disease Study provided updated norms for visual acuity in children two and a half
to six years of age.
5. 5. Question
Hannah, age 12, is 7 months pregnant. When teaching parenting skills to an
adolescent, the nurse knows that which teaching strategy is least effective?
A. Providing a one-on-one demonstration and requesting a return
demonstration, using a live infant model
B. Initiating a teenage parent support group with first and second-time
mothers
C. Using audiovisual aids that show discussions of feelings and skills
D. Providing age-appropriate reading materials
Correct Answer: D. Providing age-appropriate reading materials.
Because adolescents absorb less information through reading, providing age-
appropriate reading materials is the least effective way to teach parenting skills to
an adolescent. The Adolescent Family Life (AFL) demonstration projects,
organized through the Office of Adolescent Pregnancy Programs (OAPP), are
aimed to support young families through social support and medical care.
6. 6. Question
A 5-year-old girl Hannah is recently diagnosed with Kawasaki disease. Apart from
the identified symptoms of the disease, she may also likely develop which of the
following?
A. Sepsis
B. Meningitis
C. Mitral valve disease
D. Aneurysm formation
Correct Answer: D. Aneurysm formation
Kawasaki disease is a rare childhood illness that affects the blood vessels. 20% to
25% of children can develop aneurysm formation if not intervened. Treatment
depends on the degree of the disease but is often immediate treatment with IV
Page 3 of 46
, gamma globulin or aspirin. Corticosteroids can sometimes lessen impending
complications. Children who experience the disease usually need lifelong follow-
up appointments to keep an eye on heart health.
7. 7. Question
When creating a teaching program for the parents of Jessica who is diagnosed
with pulmonic stenosis (PS), Nurse Alex would keep in mind that this disorder
involves which of the following?
A. A single vessel arising from both ventricles
B. Obstruction of blood flow from the left ventricle
C. Obstruction of blood flow from the right ventricle
Correct answer
D. Return of blood to the heart without entry to the left atrium
Correct Answer: C. Obstruction of blood flow from the right ventricle.
PS refers to an obstruction of blood flow from the right ventricle. Pulmonic
stenosis is a defect of the pulmonic valve in which the valve is stiffened, causing
an obstruction to flow. This disease is typically congenital, benign, and diagnosed
in pediatric patients with potentially curative treatments.
8. 8. Question
Which of the following would Nurse Tony supposed to regard as a cardinal
manifestation or symptom of digoxin toxicity to his patient Clay diagnosed with
heart failure?
A. Headache
B. Respiratory distress
C. Extreme bradycardia
Correct answer
D. Constipation
Correct Answer: C. Extreme bradycardia
Extreme bradycardia is a cardinal sign of digoxin toxicity. Increased intracellular
calcium from the poisoning of the Na-K transporter and AV nodal blockade from
Page 4 of 46
