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PN PEDIATRIC NURSING PRACTICE
UPDATED EXAM SCRIPT 2026 TEST
PAPER QUESTIONS AND SOLUTIONS
GRADED A+
◉ A nurse is collecting data from an 18-month-old toddler who has just
presented to the urgent care clinic. Which of the following data should
the nurse investigate further?
Answer: Blood pressure 120/80 mm Hg


◉ A nurse is collecting data from a school-age child. The nurse should
identify that which of the following findings is a manifestation of
physical abuse?
Answer: Bruises at various stages of healing


◉ A nurse is reinforcing teaching with the parents of a 7-year-old child
about behavioral expectations. Which of the following behaviors should
the nurse include in the teaching?
Answer: Spends a lot of time by themselves


◉ A nurse is reinforcing teaching about liquid oral iron supplements
with the guardian of a school age child who has iron deficiency anemia.
Which of the following statements by the guardian indicates an
understanding of the teaching?
Answer: I will give this medication with a straw, this prevents staining
of the teeth, iron supplements should be taken with vitamin c

,◉ A nurse in a pediatric clinic is caring for an infant who has heart
failure and a prescription for digoxin. which of the following statements
by the parent indicates the desired therapeutic effect of the medication?
Answer: My baby is breathing easier than she used to


Digoxin is used to increase cardiac output and decrease venous pressure
and pulmonary edema.


◉ a nurse is preparing to administer ophthalmic drops to a child. which
of the following actions shoudl the nurse take?
Answer: Apply pressure to the lacrimal punctum for 1 min following
administration


◉ a nurse is preparing to administer furosemide to a toddler who has
heart defect. which of the following actions should the nurse take to
identify to toddler?
Answer: Ask the guardian to verify the child's name , check wrist band


◉ a nurse is assisting with the care of a child who is receiving a blood
transfusion. Which of the folllowing findings indicates the child is
having a hemolytic reactions?
Answer: chills and flank pain


◉ a nurse is assisting in the care of a school-age child who has been
admitted to the facility in sickle cell crisis. the nurse is measuring the

, child's oral intake for the shift. the child consumed 4 oz of juice at
breakfast. for lunch, the child consumed 6 oz of milk, 6 oz of gelatin,
and drank 7 oz of water. what is the child's oral intake for this shift in
milliters? (round the answer to the nearest whole number. use a leading
zero if it applies. do not use a trailing zero.)
Answer: 690 mL


◉ a nurse in a provider's office is assisting in the care of a preschooler
who has findings of croup. which of the following statements by the
parent requires immedicate intervention by the nurse?
Answer: my child has refused to drink any fluids for the past 8 hours


◉ a nurse in a clinic is collecting data from an adolescent who has
received all recommended immunizations through the are of 6 years.
which of the following immunizations should the nurse plan to
administer?
Answer: tetanus, diphtheria toxoids, and acellular pertussis (Tdap)


◉ A nurse is assisting in the care of a preschooler who is suspected to
have a Wilms tumor. Which of the following findings should the nurse
expect?
Answer: A decreased Hgb level


◉ A nurse is assisting with the admission of a toddler who has bacterial
meningitis caused by Haemophilus influenza type B. Which of the
following isolation guidelines should the nurse plan to initiate?
Answer: Droplet precautions

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