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Exam (elaborations)

RN Pediatric Nursing 2026v1

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RN Pediatric Nursing 2026v1

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RN Pediatric Nursing 2026




Question 1

A nurse is assessing a 6-month-old infant during a well-child visit. Which developmental
milestone should the nurse expect?

A. Walks independently across the room
B. Rolls from front to back and sits with support
C. Uses two-word phrases consistently
D. Draws a circle with a crayon

Correct Answer: B

Rationale: By 6 months of age, infants typically roll over, sit with support, transfer objects
between hands, and begin babbling.

,Question 2

A nurse is caring for a child admitted with epiglottitis. Which nursing action is the priority?

A. Obtain a throat culture immediately.
B. Inspect the throat with a tongue blade.
C. Prepare for possible endotracheal intubation.
D. Encourage oral fluids every hour.

Correct Answer: C

Rationale: Epiglottitis can rapidly obstruct the airway. Maintaining a patent airway is the
priority, and emergency intubation equipment should be readily available.

,Question 3

A nurse is assessing a 2-year-old child with dehydration caused by gastroenteritis. Which finding
indicates moderate dehydration?

A. Moist mucous membranes and normal urine output
B. Sunken eyes and decreased urine output
C. Bounding pulses and increased tears
D. Bradycardia and generalized edema

Correct Answer: B

Rationale: Moderate dehydration commonly presents with sunken eyes, dry mucous
membranes, decreased urine output, and delayed capillary refill.

, Question 4

A nurse is caring for a child experiencing an acute asthma exacerbation. Which medication
should the nurse administer first?

A. Fluticasone inhaler
B. Montelukast tablet
C. Albuterol nebulizer
D. Prednisone tablet

Correct Answer: C

Rationale: Albuterol is a short-acting beta₂-agonist that provides rapid bronchodilation during
an acute asthma attack.

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