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Pediatric Nursing Exam – Comprehensive Study Guide and Practice Questions for Peds Assessment and Care

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This document contains preparation material for a pediatric nursing exam, designed to support nursing students studying child health and pediatric care. It includes structured review content and practice questions covering key concepts in pediatric nursing. The material focuses on growth and development, pediatric assessment, common childhood illnesses, medication safety in children, and family-centered care. It is intended to strengthen clinical understanding and improve performance on pediatric nursing exams and assessments.

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Peds Exam 1

1. The nurse administered a prescribed analgesic to a preschool child.
Which action should the nurse take to assess the effectiveness of this
medication?

Use the Wong-Baker pain scale



2. The nurse is caring for a child in middle school who is hospitalized.
When developing a plan of care, the nurse should consider that
children in this age group

Are anxious about missing interactions with friends



3. The nurse is caring for a group of toddlers and is developing a plan
for age-appropriate play activities during hospitalization. Which play
activity should the nurse include?

Offering each toddler a ball to roll around



4. Is working in an emergency triage area where a parent brings in a
child and states, “I think she got into my mother's medicine.” After
determining the medication the child ingested, which action should
the nurse perform next?

Contact poison control



5. This is performing an assessment on an adolescent client. Which
behavior suggests appropriate psychological development in this
client?

Thinks about peers opinions’ of them




6. This is performing a nutritional assessment on an adolescent client.
Which client statement best indicates that the client's diet is
healthy?




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My parents make sure I drink 8 glasses of water daily



7. 1st is educating new parents about immunizations and immunity. It
indicates the need for additional teaching if a parent states

Active immunity is what my child gets from me and is short term
protection.



8. This has attended a conference on immunizations. Which statement
by the nurse indicates that teaching has been effective?

Children who have a common cold may still receive an immunization



9. Nurse is on the playground with students and observes a child
watching a small group of children playing tag. The nurse recognizes
this type of play as

Onlooker



10. The nurse has provided discharge instructions to the parents of a
three-year-old who had a cardiac catheterization. Which statement by
the parents indicates a correct understanding of the teaching?

We will refrain from removing the adhesive bandage strip when we
get home



11. The nurse is performing a respiratory assessment of an infant. It is
necessary for the nurse to notify the PHCP if the nurse observes that
the infant

has nasal flaring



12. The nurse working in the pediatric cardiac unit is reviewing the
telemetry monitors for assigned clients. The nurse should initially
plan to assess the client who is a




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14-year-old adolescent is resting in bed watching TV and has a pulse
of 110



13. The nurse is caring for an infant who has cyanosis, a pulse of 210,
and a respiratory rate of 78. After placing the infant in a knee-chest
position, which action should the nurse perform next?

Suction nares and mouth for any secretions



14. The nurse is assessing an infant with patent ductus arteriosus. Which
finding should the nurse anticipate the infant will have?

Bounding pulses and a widened pulse pressure



15. The nurse is administering pancreatic enzymes to a client who has
cystic fibrosis. Which should the nurse include in the client education
concerning the administration of these enzymes?

Pancreatic enzymes can be sprinkled on a small amount of food
before eating



16. The nurse is caring for a child who had a tonsillectomy and
adenoidectomy 4 hours ago. Which action observed by the nurse
requires immediate intervention?

The child is eating ice cream with a spoon




17. The nurse is assessing a toddler who is suspected of having
epiglottitis. It is necessary for the nurse to immediately notify the
PHCP if the child

becomes agitated, is leaning forward with the mouth open, and is
drooling




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18. The nurse is providing home care instructions to the parents of a child
who has cystic fibrosis (CF). Which statement by the parent indicates
a need for further teaching?

My child will need to have postural drainage performed once every
week



19. The nurse is caring for an infant diagnosed with heart failure. It is
most important for the nurse to administer prescribed oxygen to the
infant if

the infant is crying



20. The nurse faculty is teaching a student nurse about heart defects.
Which statement, if made by the student nurse, indicates an
understanding of a ventricular septal defect?

Ventricular septal defects have a higher pulmonary pressure



21. The nurse is teaching the parent of an infant about ways to prevent
otitis media. Which parent statement indicates a need for follow-up
teaching

I will feed my infant in a supine position




22. The nurse is developing a discharge teaching plan for the parents of a
preschool child who has cystic fibrosis. Which should the nurse
include as the most important action to help prevent the child from
developing pulmonary infections?

Meticulous hand washing for all members of the household




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