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NSG 1211 RN Pediatric Nursing Online Practice Exam
2026-2027 BANK QUESTIONS WITH DETAILED
VERIFIED ANSWERS EXAM QUESTIONS WILL
COME FROM HERE (100% Latest Already Graded A+
Question 1
A four-year-old child is admitted to the pediatric unit with a diagnosis
of bacterial meningitis. The nurse assesses the child and notes nuchal
rigidity, a high-pitched cry, and bulging fontanels. Which of the
following is the priority nursing intervention?
A) Administering broad-spectrum antibiotics as prescribed
B) Placing the child in a darkened, quiet room
C) Performing a neurological assessment every four hours
D) Maintaining strict intake and output records
Answer: A) Administering broad-spectrum antibiotics as prescribed
Explanation: Bacterial meningitis is a medical emergency requiring
immediate antibiotic therapy to reduce mortality and prevent severe
neurological sequelae. While environmental modifications and
monitoring are important, antibiotic administration is the priority
because it directly treats the underlying infection. Delays in antibiotic
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therapy are associated with poorer outcomes, including increased risk
of brain damage or death.
Question 2
A nurse is caring for a six-month-old infant with respiratory syncytial
virus (RSV) bronchiolitis. Which assessment finding would indicate that
the infant's condition is deteriorating?
A) Nasal flaring and intercostal retractions
B) Respiratory rate of 40 breaths per minute
C) Oxygen saturation of 94% on room air
D) Grunting respirations and lethargy
Answer: D) Grunting respirations and lethargy
Explanation: Grunting respirations indicate the infant is using expiratory
grunting to maintain functional residual capacity and prevent alveolar
collapse, which suggests respiratory distress. Lethargy in an infant with
RSV is a concerning sign of possible hypoxia, hypercapnia, or impending
respiratory failure. Nasal flaring and retractions are signs of respiratory
distress but are expected findings in RSV bronchiolitis. A respiratory rate
of 40 breaths per minute is within the normal range for an infant, and
an oxygen saturation of 94% is mildly low but not immediately critical.
Question 3
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The nurse is providing discharge teaching to the parents of a child who
has undergone a tonsillectomy. Which instruction is most important to
include?
A) Encourage the child to gargle with salt water three times daily
B) Offer cold fluids and soft foods for the first 24 hours
C) Administer aspirin for pain relief as needed
D) Keep the child on bed rest for one week
Answer: B) Offer cold fluids and soft foods for the first 24 hours
Explanation: Cold fluids and soft foods help soothe the surgical site and
reduce the risk of hemorrhage by promoting vasoconstriction. Gargling
should be avoided because it can irritate the surgical site and increase
bleeding risk. Aspirin is contraindicated in children following
tonsillectomy due to the risk of Reye's syndrome and increased bleeding
potential. Bed rest is not required for a full week; activity should be
restricted but gradual return to normal activity is acceptable.
Question 4
A two-year-old child is brought to the emergency department with a
history of coughing and wheezing. The parents report that the child
may have ingested a small toy. Which diagnostic test should the nurse
anticipate as the priority?
A) Chest radiograph
B) Complete blood count
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C) Arterial blood gas analysis
D) Pulmonary function tests
Answer: A) Chest radiograph
Explanation: A chest radiograph is the priority diagnostic test to identify
the presence and location of a foreign body in the airway. In children,
aspiration of small objects is common and can cause partial or complete
airway obstruction. A chest X-ray can reveal hyperinflation, atelectasis,
or radiopaque foreign bodies. Complete blood count and arterial blood
gas analysis are not specific for foreign body aspiration. Pulmonary
function tests are not feasible in a two-year-old and would not be the
initial diagnostic approach.
Question 5
The nurse is assessing a school-age child with newly diagnosed type 1
diabetes mellitus. Which symptom is most consistent with this
diagnosis?
A) Polyuria, polydipsia, and polyphagia
B) Weight gain and excessive sleepiness
C) Constipation and abdominal pain
D) Bradycardia and hypotension
Answer: A) Polyuria, polydipsia, and polyphagia
NSG 1211 RN Pediatric Nursing Online Practice Exam
2026-2027 BANK QUESTIONS WITH DETAILED
VERIFIED ANSWERS EXAM QUESTIONS WILL
COME FROM HERE (100% Latest Already Graded A+
Question 1
A four-year-old child is admitted to the pediatric unit with a diagnosis
of bacterial meningitis. The nurse assesses the child and notes nuchal
rigidity, a high-pitched cry, and bulging fontanels. Which of the
following is the priority nursing intervention?
A) Administering broad-spectrum antibiotics as prescribed
B) Placing the child in a darkened, quiet room
C) Performing a neurological assessment every four hours
D) Maintaining strict intake and output records
Answer: A) Administering broad-spectrum antibiotics as prescribed
Explanation: Bacterial meningitis is a medical emergency requiring
immediate antibiotic therapy to reduce mortality and prevent severe
neurological sequelae. While environmental modifications and
monitoring are important, antibiotic administration is the priority
because it directly treats the underlying infection. Delays in antibiotic
,2|Page
therapy are associated with poorer outcomes, including increased risk
of brain damage or death.
Question 2
A nurse is caring for a six-month-old infant with respiratory syncytial
virus (RSV) bronchiolitis. Which assessment finding would indicate that
the infant's condition is deteriorating?
A) Nasal flaring and intercostal retractions
B) Respiratory rate of 40 breaths per minute
C) Oxygen saturation of 94% on room air
D) Grunting respirations and lethargy
Answer: D) Grunting respirations and lethargy
Explanation: Grunting respirations indicate the infant is using expiratory
grunting to maintain functional residual capacity and prevent alveolar
collapse, which suggests respiratory distress. Lethargy in an infant with
RSV is a concerning sign of possible hypoxia, hypercapnia, or impending
respiratory failure. Nasal flaring and retractions are signs of respiratory
distress but are expected findings in RSV bronchiolitis. A respiratory rate
of 40 breaths per minute is within the normal range for an infant, and
an oxygen saturation of 94% is mildly low but not immediately critical.
Question 3
,3|Page
The nurse is providing discharge teaching to the parents of a child who
has undergone a tonsillectomy. Which instruction is most important to
include?
A) Encourage the child to gargle with salt water three times daily
B) Offer cold fluids and soft foods for the first 24 hours
C) Administer aspirin for pain relief as needed
D) Keep the child on bed rest for one week
Answer: B) Offer cold fluids and soft foods for the first 24 hours
Explanation: Cold fluids and soft foods help soothe the surgical site and
reduce the risk of hemorrhage by promoting vasoconstriction. Gargling
should be avoided because it can irritate the surgical site and increase
bleeding risk. Aspirin is contraindicated in children following
tonsillectomy due to the risk of Reye's syndrome and increased bleeding
potential. Bed rest is not required for a full week; activity should be
restricted but gradual return to normal activity is acceptable.
Question 4
A two-year-old child is brought to the emergency department with a
history of coughing and wheezing. The parents report that the child
may have ingested a small toy. Which diagnostic test should the nurse
anticipate as the priority?
A) Chest radiograph
B) Complete blood count
, 4|Page
C) Arterial blood gas analysis
D) Pulmonary function tests
Answer: A) Chest radiograph
Explanation: A chest radiograph is the priority diagnostic test to identify
the presence and location of a foreign body in the airway. In children,
aspiration of small objects is common and can cause partial or complete
airway obstruction. A chest X-ray can reveal hyperinflation, atelectasis,
or radiopaque foreign bodies. Complete blood count and arterial blood
gas analysis are not specific for foreign body aspiration. Pulmonary
function tests are not feasible in a two-year-old and would not be the
initial diagnostic approach.
Question 5
The nurse is assessing a school-age child with newly diagnosed type 1
diabetes mellitus. Which symptom is most consistent with this
diagnosis?
A) Polyuria, polydipsia, and polyphagia
B) Weight gain and excessive sleepiness
C) Constipation and abdominal pain
D) Bradycardia and hypotension
Answer: A) Polyuria, polydipsia, and polyphagia
