EXAM
Exam Solution +t
Pediatric Nursing Exam #2 2026 A+ GRADE ASSURED C +t +t +t +t +t +t +t +t
OMPLETE SOLUTIONS AND VERIFIED ANSWERS (10B34 +t +t +t +t +t
)
QUESTION 1 +t
An infant arrives at the clinic with a persistent cough. Mother reports the infant has not
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
been feeding well for the past day. What nursing interventions would be appropriate?
+t +t +t +t +t +t +t +t +t +t +t +t
A. Provide oxygen to the infant via cannula
+t +t +t +t +t +t +t
B. Undress the infant to do a complete assessment
+t +t +t +t +t +t +t +t
C. Suction the infant's nose with a bulb syringe
+t +t +t +t +t +t +t +t
D. Start an IV
+t +t +t
ANSWER
C. Suction the infant's nose with a bulb syringe Cough & hasn't been eating well = prodromal symptom
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
Think about 1st priority → C would be the answer b/c of airway Bulb syringe before Mom puts baby to
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
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 hav
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
e a provider's order → considered a med
+t +t +t +t +t +t +t
QUESTION 2 +t
A nurse is assessing an infant who has presented for a well-baby check-
+t +t +t +t +t +t +t +t +t +t +t +t
up. Which of the following findings should the nurse identify as clinical manifestations of
+t +t +t +t +t +t +t +t +t +t +t +t +t
acute otitis media? Select all that apply.
+t +t +t +t +t +t +t
A. Decreased pain in the supine position
+t +t +t +t +t +t
B. Rolling head side to side
+t +t +t +t +t
C. Loss of appetite
+t +t +t
D. Increased sensitivity to sound
+t +t +t +t
E. Crying +t
ANSWER
B. Rolling head side to side
+t +t +t +t +t
C. Loss of appetite
+t +t +t
E. Crying When recognizing cues during the assessment of an infant, the nurse should recognize that rol
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
ling the head side to side, loss of appetite, and crying are manifestations of acute otitis media. Infants w
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
ho have acute otitis media will have an increase in pain in the supine position from the fluid and pressu
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
,re in the ear. Infants who have acute otitis media have a decreased sensitivity to sound from the fluid a
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
nd pressure in the ear.
+t +t +t +t
QUESTION 3 +t
A nurse is caring for a toddler who has acute otitis media. Which of the following is the p
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
riority action for the nurse to take?
+t +t +t +t +t +t
A. Provide emotional support to the family.
+t +t +t +t +t +t
B. Educate the family on care of the child.
+t +t +t +t +t +t +t +t
C. Provide a diversional activity.
+t +t +t +t
D. Administer analgesics.
+t +t
ANSWER
D. Administer analgesics When using Maslow's hierarchy of needs to prioritize hypothesis during the ca
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
re of a toddler who has acute otitis media, the nurse should identify that the administration of analgesic
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
s can meet the toddlers physiologic need for pain relief. Therefore, this is the priority action to take. Pr
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
oviding emotional support to the family will promote psychological well-
+t +t +t +t +t +t +t +t +t
being. However, it is not the priority action. Educating the family on the care of the child will promote r
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
ecovery from illness. However, it is not the priority action. Providing a diversional activity for the toddl
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
er will help provide normalcy during care. However, it is not the priority action. NCLEX Connection: Ph
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
ysiological Adaptation, Illness Management +t +t +t
QUESTION 4 +t
A nurse is caring for a toddler who has had three ear infections in the past 5 months. Th
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
e nurse should identify that the toddler is at risk for developing which of the following l
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
ong-term complications? +t
A. Balance difficulties
+t +t
B. Rash+t
C. Speech delays
+t +t
D. Mastoiditis
+t
ANSWER
C. Speech delays When analyzing cues during the care of a toddler who has had three ear infections in t
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
he past five months, the nurse should identify that the toddler is at risk for speech delays as a complica
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
tion of recurrent otitis media. Balance difficulties can be present with otitis media. However, it is not a l
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
ong-term complication. Although rash can indicate antibiotic sensitivity, it is not a long-
+t +t +t +t +t +t +t +t +t +t +t +t
term complication of otitis media. Mastoiditis can be a result of otitis media. However, it is not a long-
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
term complication. NCLEX Connection: Physiological Adaptation, Pathophysiology
+t +t +t +t +t +t
QUESTION 5 +t
A nurse is assessing a child who has a rotavirus infection. Which of the following finding
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
s should the nurse expect? Select all that apply.
+t +t +t +t +t +t +t +t
A. Fever
+t
B. Vomiting
+t
,C. Watery stools
+t +t
D. Bloody stools
+t +t
E. Confusion
+t
ANSWER
A. Fever
+t
B. Vomiting
+t
C. Watery stools
+t +t
QUESTION 6 +t
A nurse is teaching a group of parents about Salmonella. Which of the following informat
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
ion should the nurse include in the teaching? Select all that apply.
+t +t +t +t +t +t +t +t +t +t +t
A. Incubation period is nonspecific.
+t +t +t +t
B. It is a bacterial infection.
+t +t +t +t +t
C. Bloody diarrhea is common.
+t +t +t +t
D. Transmission can be from house pets.
+t +t +t +t +t +t
E. Antibiotics are used for treatment.
+t +t +t +t +t
ANSWER
B. It is a bacterial infection.
+t +t +t +t +t
C. Bloody diarrhea is common.
+t +t +t +t
D. Transmission can be from house pets.
+t +t +t +t +t +t
QUESTION 7 +t
A nurse is teaching a group of caregivers about tion should the nurse include in the teac
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
hing? Select all that apply.
+t +t +t +t
E. Antibiotics are given for treatment.
+t +t +t +t +t
A. Severe abdominal cramping occurs.
+t +t +t +t
B. Watery diarrhea is present for more than 5 days.
+t +t +t +t +t +t +t +t +t
C. It can lead to hemolytic uremic syndrome.
+t +t +t +t +t +t +t
D. It is a foodborne pathogen.
+t +t +t +t +t
ANSWER
A. Severe abdominal cramping occurs.
+t +t +t +t
C. It can lead to hemolytic uremic syndrome.
+t +t +t +t +t +t +t
D. It is a foodborne pathogen.
+t +t +t +t +t
QUESTION 8 +t
A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
the following actions should the nurse take?
+t +t +t +t +t +t
A. Perform a tape test.
+t +t +t +t
B. Collect stool specimen for culture.
+t +t +t +t +t
, C. Test the stool for occult blood.
+t +t +t +t +t +t
D. Initiate IV fluids
+t +t +t
ANSWER
A. Perform a tape test.
+t +t +t +t
QUESTION 9 +t
A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of t
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
he following actions should the nurse take?
+t +t +t +t +t +t
A. Offer chicken broth.
+t +t +t
B. Initiate oral rehydration therapy.
+t +t +t +t
C. Start hypertonic IV solution.
+t +t +t +t
D. Keep NPO until the diarrhea subsides.
+t +t +t +t +t +t
ANSWER
B. Initiate oral rehydration therapy When taking action during the care of a child who has had watery d
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
iarrhea for the past 3 days, the nurse should initiate oral rehydration therapy to replace lost electrolyte
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
s. NCLEX Connection: Physiological Adaptation, Fluid and Electrolyte Imbalances
+t +t +t +t +t +t +t +t
QUESTION 10 +t
A nurse is caring for an infant who has just returned from the PACU following cleft lip an
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
d palate repair. Which of the following actions should the nurse take?
+t +t +t +t +t +t +t +t +t +t +t
A. Remove the packing in the mouth.
+t +t +t +t +t +t
B. Place the infant in a side-lying position.
+t +t +t +t +t +t +t
C. Offer a pacifier with sucrose.
+t +t +t +t +t
D. Assess the mouth with a tongue blade.
+t +t +t +t +t +t +t
ANSWER
B. Place the infant in a side-
+t +t +t +t +t +t
lying position. When taking action during the care of an infant who has just returned from the PACU fol
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
lowing a cleft lip and palate repair, the nurse should place the infant in a side-
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
lying position to facilitate drainage and prevent aspiration
+t +t +t +t +t +t +t
QUESTION 11 +t
A nurse is teaching a parent of an infant who has gastrointestinal reflux disease. Which o
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
f the following should the nurse include in the teaching? Select all that apply.
+t +t +t +t +t +t +t +t +t +t +t +t +t
A. Offer frequent feedings.
+t +t +t
B. Thicken formula with rice cereal.
+t +t +t +t +t
C. Use a bottle with a one-way valve.
+t +t +t +t +t +t +t
D. Position infant upright after feedings
+t +t +t +t +t
E. Use a wide-based nipple for feedings.
+t +t +t +t +t +t
Exam Solution +t
Pediatric Nursing Exam #2 2026 A+ GRADE ASSURED C +t +t +t +t +t +t +t +t
OMPLETE SOLUTIONS AND VERIFIED ANSWERS (10B34 +t +t +t +t +t
)
QUESTION 1 +t
An infant arrives at the clinic with a persistent cough. Mother reports the infant has not
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
been feeding well for the past day. What nursing interventions would be appropriate?
+t +t +t +t +t +t +t +t +t +t +t +t
A. Provide oxygen to the infant via cannula
+t +t +t +t +t +t +t
B. Undress the infant to do a complete assessment
+t +t +t +t +t +t +t +t
C. Suction the infant's nose with a bulb syringe
+t +t +t +t +t +t +t +t
D. Start an IV
+t +t +t
ANSWER
C. Suction the infant's nose with a bulb syringe Cough & hasn't been eating well = prodromal symptom
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
Think about 1st priority → C would be the answer b/c of airway Bulb syringe before Mom puts baby to
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
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 hav
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
e a provider's order → considered a med
+t +t +t +t +t +t +t
QUESTION 2 +t
A nurse is assessing an infant who has presented for a well-baby check-
+t +t +t +t +t +t +t +t +t +t +t +t
up. Which of the following findings should the nurse identify as clinical manifestations of
+t +t +t +t +t +t +t +t +t +t +t +t +t
acute otitis media? Select all that apply.
+t +t +t +t +t +t +t
A. Decreased pain in the supine position
+t +t +t +t +t +t
B. Rolling head side to side
+t +t +t +t +t
C. Loss of appetite
+t +t +t
D. Increased sensitivity to sound
+t +t +t +t
E. Crying +t
ANSWER
B. Rolling head side to side
+t +t +t +t +t
C. Loss of appetite
+t +t +t
E. Crying When recognizing cues during the assessment of an infant, the nurse should recognize that rol
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
ling the head side to side, loss of appetite, and crying are manifestations of acute otitis media. Infants w
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
ho have acute otitis media will have an increase in pain in the supine position from the fluid and pressu
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
,re in the ear. Infants who have acute otitis media have a decreased sensitivity to sound from the fluid a
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
nd pressure in the ear.
+t +t +t +t
QUESTION 3 +t
A nurse is caring for a toddler who has acute otitis media. Which of the following is the p
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
riority action for the nurse to take?
+t +t +t +t +t +t
A. Provide emotional support to the family.
+t +t +t +t +t +t
B. Educate the family on care of the child.
+t +t +t +t +t +t +t +t
C. Provide a diversional activity.
+t +t +t +t
D. Administer analgesics.
+t +t
ANSWER
D. Administer analgesics When using Maslow's hierarchy of needs to prioritize hypothesis during the ca
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
re of a toddler who has acute otitis media, the nurse should identify that the administration of analgesic
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
s can meet the toddlers physiologic need for pain relief. Therefore, this is the priority action to take. Pr
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
oviding emotional support to the family will promote psychological well-
+t +t +t +t +t +t +t +t +t
being. However, it is not the priority action. Educating the family on the care of the child will promote r
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
ecovery from illness. However, it is not the priority action. Providing a diversional activity for the toddl
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
er will help provide normalcy during care. However, it is not the priority action. NCLEX Connection: Ph
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
ysiological Adaptation, Illness Management +t +t +t
QUESTION 4 +t
A nurse is caring for a toddler who has had three ear infections in the past 5 months. Th
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
e nurse should identify that the toddler is at risk for developing which of the following l
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
ong-term complications? +t
A. Balance difficulties
+t +t
B. Rash+t
C. Speech delays
+t +t
D. Mastoiditis
+t
ANSWER
C. Speech delays When analyzing cues during the care of a toddler who has had three ear infections in t
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
he past five months, the nurse should identify that the toddler is at risk for speech delays as a complica
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
tion of recurrent otitis media. Balance difficulties can be present with otitis media. However, it is not a l
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
ong-term complication. Although rash can indicate antibiotic sensitivity, it is not a long-
+t +t +t +t +t +t +t +t +t +t +t +t
term complication of otitis media. Mastoiditis can be a result of otitis media. However, it is not a long-
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
term complication. NCLEX Connection: Physiological Adaptation, Pathophysiology
+t +t +t +t +t +t
QUESTION 5 +t
A nurse is assessing a child who has a rotavirus infection. Which of the following finding
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
s should the nurse expect? Select all that apply.
+t +t +t +t +t +t +t +t
A. Fever
+t
B. Vomiting
+t
,C. Watery stools
+t +t
D. Bloody stools
+t +t
E. Confusion
+t
ANSWER
A. Fever
+t
B. Vomiting
+t
C. Watery stools
+t +t
QUESTION 6 +t
A nurse is teaching a group of parents about Salmonella. Which of the following informat
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
ion should the nurse include in the teaching? Select all that apply.
+t +t +t +t +t +t +t +t +t +t +t
A. Incubation period is nonspecific.
+t +t +t +t
B. It is a bacterial infection.
+t +t +t +t +t
C. Bloody diarrhea is common.
+t +t +t +t
D. Transmission can be from house pets.
+t +t +t +t +t +t
E. Antibiotics are used for treatment.
+t +t +t +t +t
ANSWER
B. It is a bacterial infection.
+t +t +t +t +t
C. Bloody diarrhea is common.
+t +t +t +t
D. Transmission can be from house pets.
+t +t +t +t +t +t
QUESTION 7 +t
A nurse is teaching a group of caregivers about tion should the nurse include in the teac
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
hing? Select all that apply.
+t +t +t +t
E. Antibiotics are given for treatment.
+t +t +t +t +t
A. Severe abdominal cramping occurs.
+t +t +t +t
B. Watery diarrhea is present for more than 5 days.
+t +t +t +t +t +t +t +t +t
C. It can lead to hemolytic uremic syndrome.
+t +t +t +t +t +t +t
D. It is a foodborne pathogen.
+t +t +t +t +t
ANSWER
A. Severe abdominal cramping occurs.
+t +t +t +t
C. It can lead to hemolytic uremic syndrome.
+t +t +t +t +t +t +t
D. It is a foodborne pathogen.
+t +t +t +t +t
QUESTION 8 +t
A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
the following actions should the nurse take?
+t +t +t +t +t +t
A. Perform a tape test.
+t +t +t +t
B. Collect stool specimen for culture.
+t +t +t +t +t
, C. Test the stool for occult blood.
+t +t +t +t +t +t
D. Initiate IV fluids
+t +t +t
ANSWER
A. Perform a tape test.
+t +t +t +t
QUESTION 9 +t
A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of t
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
he following actions should the nurse take?
+t +t +t +t +t +t
A. Offer chicken broth.
+t +t +t
B. Initiate oral rehydration therapy.
+t +t +t +t
C. Start hypertonic IV solution.
+t +t +t +t
D. Keep NPO until the diarrhea subsides.
+t +t +t +t +t +t
ANSWER
B. Initiate oral rehydration therapy When taking action during the care of a child who has had watery d
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
iarrhea for the past 3 days, the nurse should initiate oral rehydration therapy to replace lost electrolyte
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
s. NCLEX Connection: Physiological Adaptation, Fluid and Electrolyte Imbalances
+t +t +t +t +t +t +t +t
QUESTION 10 +t
A nurse is caring for an infant who has just returned from the PACU following cleft lip an
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
d palate repair. Which of the following actions should the nurse take?
+t +t +t +t +t +t +t +t +t +t +t
A. Remove the packing in the mouth.
+t +t +t +t +t +t
B. Place the infant in a side-lying position.
+t +t +t +t +t +t +t
C. Offer a pacifier with sucrose.
+t +t +t +t +t
D. Assess the mouth with a tongue blade.
+t +t +t +t +t +t +t
ANSWER
B. Place the infant in a side-
+t +t +t +t +t +t
lying position. When taking action during the care of an infant who has just returned from the PACU fol
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
lowing a cleft lip and palate repair, the nurse should place the infant in a side-
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
lying position to facilitate drainage and prevent aspiration
+t +t +t +t +t +t +t
QUESTION 11 +t
A nurse is teaching a parent of an infant who has gastrointestinal reflux disease. Which o
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
f the following should the nurse include in the teaching? Select all that apply.
+t +t +t +t +t +t +t +t +t +t +t +t +t
A. Offer frequent feedings.
+t +t +t
B. Thicken formula with rice cereal.
+t +t +t +t +t
C. Use a bottle with a one-way valve.
+t +t +t +t +t +t +t
D. Position infant upright after feedings
+t +t +t +t +t
E. Use a wide-based nipple for feedings.
+t +t +t +t +t +t
