LPN-ADN Bridge Week 9: Pediatrics and Mental Health Quiz 2026
Galen College
1. A 2-month-old infant is brought to the clinic for a routine checkup. Which
developmental milestone should the nurse expect to see?
A. Social smile and cooing
B. Rolling over from back to front
C. Sitting with support
D. Transferring objects from hand to hand
Answer: A
Rationale: By 2 months, infants typically begin to socially smile and coo. Rolling over
usually occurs around 4-5 months, sitting with support at 6 months, and transferring
objects at 7 months.
2. The nurse is caring for a child with suspected pyloric stenosis. Which clinical
manifestation is most characteristic of this condition?
A. Currant jelly-like stools
B. Ribbon-like stools
C. Severe abdominal distention
D. Projectile vomiting after feeding
Answer: D
Rationale: Projectile vomiting after feeding is a classic sign of hypertrophic pyloric
stenosis due to the obstruction of the gastric outlet.
,3. A child is admitted with a diagnosis of intussusception. Which stool
characteristic should the nurse expect to observe?
A. Steatorrhea
B. Clay-colored stools
C. Hard, marble-like stools
D. Stools mixed with blood and mucus (currant jelly)
Answer: D
Rationale: Intussusception causes bowel obstruction and ischemia, leading to stools that
appear like ‘currant jelly’ due to the mixture of blood and mucus.
4. Which Erikson’s stage of psychosocial development is characteristic of a 4-
year-old child?
A. Trust vs. Mistrust
B. Initiative vs. Guilt
C. Industry vs. Inferiority
D. Autonomy vs. Shame and Doubt
Answer: B
Rationale: Preschoolers (ages 3-6) are in the stage of Initiative vs. Guilt, where they begin
to assert power and control through play and social interactions.
5. The nurse is assessing a child with Tetralogy of Fallot who suddenly becomes
cyanotic and dyspneic. Which action should the nurse take first?
A. Administer oxygen via face mask
B. Prepare for immediate intubation
C. Place the child in a knee-chest position
D. Administer intravenous morphine
Answer: C
Rationale: The knee-chest position increases systemic vascular resistance, which helps
reduce the right-to-left shunt and improves oxygenation during a ‘tet spell’.
, 6. A nurse is educating the parents of a child with Celiac disease. Which food
should the nurse instruct them to avoid?
A. Rice cereals
B. Corn tortillas
C. Fresh fruit
D. Wheat bread
Answer: D
Rationale: Celiac disease is a gluten-sensitive enteropathy. Gluten is found in wheat,
barley, rye, and oats. Wheat bread must be avoided.
7. Which assessment finding is a hallmark sign of Nephrotic Syndrome in
children?
A. Gross hematuria
B. Low serum cholesterol
C. Elevated blood pressure
D. Severe generalized edema (anasarca)
Answer: D
Rationale: Nephrotic syndrome is characterized by massive proteinuria,
hypoalbuminemia, and severe generalized edema. Hematuria and hypertension are more
common in glomerulonephritis.
8. The nurse is assessing a 10-year-old for scoliosis. Which instruction should the
nurse provide to the child?
A. Sit upright and look straight ahead
B. Lie prone on the exam table
C. Bend forward at the waist with arms hanging freely
D. Walk across the room and back
Answer: C
Galen College
1. A 2-month-old infant is brought to the clinic for a routine checkup. Which
developmental milestone should the nurse expect to see?
A. Social smile and cooing
B. Rolling over from back to front
C. Sitting with support
D. Transferring objects from hand to hand
Answer: A
Rationale: By 2 months, infants typically begin to socially smile and coo. Rolling over
usually occurs around 4-5 months, sitting with support at 6 months, and transferring
objects at 7 months.
2. The nurse is caring for a child with suspected pyloric stenosis. Which clinical
manifestation is most characteristic of this condition?
A. Currant jelly-like stools
B. Ribbon-like stools
C. Severe abdominal distention
D. Projectile vomiting after feeding
Answer: D
Rationale: Projectile vomiting after feeding is a classic sign of hypertrophic pyloric
stenosis due to the obstruction of the gastric outlet.
,3. A child is admitted with a diagnosis of intussusception. Which stool
characteristic should the nurse expect to observe?
A. Steatorrhea
B. Clay-colored stools
C. Hard, marble-like stools
D. Stools mixed with blood and mucus (currant jelly)
Answer: D
Rationale: Intussusception causes bowel obstruction and ischemia, leading to stools that
appear like ‘currant jelly’ due to the mixture of blood and mucus.
4. Which Erikson’s stage of psychosocial development is characteristic of a 4-
year-old child?
A. Trust vs. Mistrust
B. Initiative vs. Guilt
C. Industry vs. Inferiority
D. Autonomy vs. Shame and Doubt
Answer: B
Rationale: Preschoolers (ages 3-6) are in the stage of Initiative vs. Guilt, where they begin
to assert power and control through play and social interactions.
5. The nurse is assessing a child with Tetralogy of Fallot who suddenly becomes
cyanotic and dyspneic. Which action should the nurse take first?
A. Administer oxygen via face mask
B. Prepare for immediate intubation
C. Place the child in a knee-chest position
D. Administer intravenous morphine
Answer: C
Rationale: The knee-chest position increases systemic vascular resistance, which helps
reduce the right-to-left shunt and improves oxygenation during a ‘tet spell’.
, 6. A nurse is educating the parents of a child with Celiac disease. Which food
should the nurse instruct them to avoid?
A. Rice cereals
B. Corn tortillas
C. Fresh fruit
D. Wheat bread
Answer: D
Rationale: Celiac disease is a gluten-sensitive enteropathy. Gluten is found in wheat,
barley, rye, and oats. Wheat bread must be avoided.
7. Which assessment finding is a hallmark sign of Nephrotic Syndrome in
children?
A. Gross hematuria
B. Low serum cholesterol
C. Elevated blood pressure
D. Severe generalized edema (anasarca)
Answer: D
Rationale: Nephrotic syndrome is characterized by massive proteinuria,
hypoalbuminemia, and severe generalized edema. Hematuria and hypertension are more
common in glomerulonephritis.
8. The nurse is assessing a 10-year-old for scoliosis. Which instruction should the
nurse provide to the child?
A. Sit upright and look straight ahead
B. Lie prone on the exam table
C. Bend forward at the waist with arms hanging freely
D. Walk across the room and back
Answer: C
