EDIATRIC NURSING NCLEX FINAL EXAM LATEST
REVIEWED STUDY GUIDE 2026 WITH QUESTIONS AND
CORRECT ANSWERS RATED A+
Which of the following positions does the nurse use for the child who has just returned to
the room from a tonsillectomy?
A. elevated head and legs
B. on the abdomen or side
C. on the back and flat
D. on the back or sitting up
ANSWER⬛
✓
B
Compared to children or adults, adolescents' gender attitudes and behavior are found to be:
A. about the same
B. far more liberal
C. somewhat more liberal
D. more traditional
ANSWER⬛
✓
⬛
D
As a nurse you must explore your beliefs about medication for infants and children because
research has shown which of the following?
A. nurses are likely to overmedication and undermedicate children under their care
B. nurses tend to believe that medication will harm children more than help them
C. it takes a lo of exploration of beliefs before a nurse can be consistent in the administration
of pain medication regardless of race, gender, religion or social status
D. Education level, personal pain experience and number of years in practice influence the
nurse in the decision to medication or not medicate a child in pain
1
,AN SWER⬛
✓
D
The nurse is caring for a small child who puts his arm through the side rail just as the nurse is
lowering the side rail. The child gets big bruise. The housekeeper asks the nurse what hap-
pened. The nurse should:
A. tell the housekeeper, since the housekeeper is part of the healthcare team
B. restrict information to general statements such as "it was an accident."
C. suggest the housekeeper ask the head nurse
D. Avoid discussing the accident with the housekeeper
ANSWER⬛
⬛
✓
D
If burns are severe enough, the child will require fluid replacement. Whcih of the following
fluids is most often used as a replacement?
A. d5% in water
B. 1/2 NS
C. NS
D. LR
ANSWER⬛
⬛
✓
D
When caregivers of a child with a chronic health care condition look for meaning in their sit-
uation, they most often:
A. feel small, helpless and hopeless in the face of such a long-term responsibility
B. find they have little or nothing to be thankful for and drop out of their religion
C. give up and adopt a martyr-like existence because any meaning is depression or demean-
ing
2
,D. find positive outcomes, such as family relationships being strengthened due to working
together
AN SWER⬛
✓
D
The nurse assessing an infant for intusseception will look for 3 classic signs and symptoms:
colicky intermittent abdominal pain, vomiting, and which kind of stool?
A. mustard or clay-colored
B. frothy stools that float
C. currant jelly like stools
D. black tar colored stools
ANSWER⬛
✓
⬛
C
Which of the following infants is at greatest rick of sudden infant death syndrome?
A. male full-term, 7 months old
B. female, full-term, 8 month old
C. male twin, premature, 4 month old
D. female, single birth, 4 month old
ANSWER⬛
✓
C
You are the nurse working with parents and their newborns on a postpartum unit there the
newborns room with the mother. The parents of one of the babies learns that their newborn
has mental retardation. You notice these parents going through the stage of denial and then
demonstrating anxiety. You realize anxiety :
A. must be reduced as soon as possible and you need to calm the family immediately
B. serves a purpose in alerting the family that something is amiss and in generating needed
energy to deal with the situation
3
, C. will keep the family from completing the stages of adjusting to the child having mental re-
tardation
D. is related to the loss of their dream of a perfect child and how other people will be disap-
pointed in them
AN SWER⬛
✓
B
The nurse places a unique cartoon character on the outside and inside of a child's door. The
hospital has a picture of a different animal fro each floor of the hospital and these pictures
are posted in the elevators. Each section of the pediatric unit has a different theme and walls
of a different color. These actions on the part of the nurse and the hospital are designed to:
A. reduce anxiety and help children and others feel secure that they will not get lose and
that they have a place of their own
B. remind everyone that this is a pediatric unit for children who have special needs and is
not a unit for adults
C. cheer the children up and help them laugh to reduce tension in their lives
D. help establish a personality for the hospital. the floors. the unit. and the room of the child
who is hospitalized
AN SWER⬛
✓
A
Which of the following practices is used by a large number of cultural groups to provide
comfort and security to a child?
A. burying a rock near a large shade tree
B. taping a coin to the umbilical cord
C. wrapping the infant snugly in a soft blanket
D. boiling an egg and keeping it close to the child
ANSWER⬛
✓
C
4
REVIEWED STUDY GUIDE 2026 WITH QUESTIONS AND
CORRECT ANSWERS RATED A+
Which of the following positions does the nurse use for the child who has just returned to
the room from a tonsillectomy?
A. elevated head and legs
B. on the abdomen or side
C. on the back and flat
D. on the back or sitting up
ANSWER⬛
✓
B
Compared to children or adults, adolescents' gender attitudes and behavior are found to be:
A. about the same
B. far more liberal
C. somewhat more liberal
D. more traditional
ANSWER⬛
✓
⬛
D
As a nurse you must explore your beliefs about medication for infants and children because
research has shown which of the following?
A. nurses are likely to overmedication and undermedicate children under their care
B. nurses tend to believe that medication will harm children more than help them
C. it takes a lo of exploration of beliefs before a nurse can be consistent in the administration
of pain medication regardless of race, gender, religion or social status
D. Education level, personal pain experience and number of years in practice influence the
nurse in the decision to medication or not medicate a child in pain
1
,AN SWER⬛
✓
D
The nurse is caring for a small child who puts his arm through the side rail just as the nurse is
lowering the side rail. The child gets big bruise. The housekeeper asks the nurse what hap-
pened. The nurse should:
A. tell the housekeeper, since the housekeeper is part of the healthcare team
B. restrict information to general statements such as "it was an accident."
C. suggest the housekeeper ask the head nurse
D. Avoid discussing the accident with the housekeeper
ANSWER⬛
⬛
✓
D
If burns are severe enough, the child will require fluid replacement. Whcih of the following
fluids is most often used as a replacement?
A. d5% in water
B. 1/2 NS
C. NS
D. LR
ANSWER⬛
⬛
✓
D
When caregivers of a child with a chronic health care condition look for meaning in their sit-
uation, they most often:
A. feel small, helpless and hopeless in the face of such a long-term responsibility
B. find they have little or nothing to be thankful for and drop out of their religion
C. give up and adopt a martyr-like existence because any meaning is depression or demean-
ing
2
,D. find positive outcomes, such as family relationships being strengthened due to working
together
AN SWER⬛
✓
D
The nurse assessing an infant for intusseception will look for 3 classic signs and symptoms:
colicky intermittent abdominal pain, vomiting, and which kind of stool?
A. mustard or clay-colored
B. frothy stools that float
C. currant jelly like stools
D. black tar colored stools
ANSWER⬛
✓
⬛
C
Which of the following infants is at greatest rick of sudden infant death syndrome?
A. male full-term, 7 months old
B. female, full-term, 8 month old
C. male twin, premature, 4 month old
D. female, single birth, 4 month old
ANSWER⬛
✓
C
You are the nurse working with parents and their newborns on a postpartum unit there the
newborns room with the mother. The parents of one of the babies learns that their newborn
has mental retardation. You notice these parents going through the stage of denial and then
demonstrating anxiety. You realize anxiety :
A. must be reduced as soon as possible and you need to calm the family immediately
B. serves a purpose in alerting the family that something is amiss and in generating needed
energy to deal with the situation
3
, C. will keep the family from completing the stages of adjusting to the child having mental re-
tardation
D. is related to the loss of their dream of a perfect child and how other people will be disap-
pointed in them
AN SWER⬛
✓
B
The nurse places a unique cartoon character on the outside and inside of a child's door. The
hospital has a picture of a different animal fro each floor of the hospital and these pictures
are posted in the elevators. Each section of the pediatric unit has a different theme and walls
of a different color. These actions on the part of the nurse and the hospital are designed to:
A. reduce anxiety and help children and others feel secure that they will not get lose and
that they have a place of their own
B. remind everyone that this is a pediatric unit for children who have special needs and is
not a unit for adults
C. cheer the children up and help them laugh to reduce tension in their lives
D. help establish a personality for the hospital. the floors. the unit. and the room of the child
who is hospitalized
AN SWER⬛
✓
A
Which of the following practices is used by a large number of cultural groups to provide
comfort and security to a child?
A. burying a rock near a large shade tree
B. taping a coin to the umbilical cord
C. wrapping the infant snugly in a soft blanket
D. boiling an egg and keeping it close to the child
ANSWER⬛
✓
C
4
