• PEDIATRIC 09/13/2026
ARDMS EXAM
PEDIATRIC ARDMS EXAM 1 PRACTICE EXAM
NEWEST 2026/ 2027 TEST BANK| PEDIATRIC
ARDMS EXAM REVIEW WITH COMPLETE 350
REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+
(MOST RECENT!!)
The nurse is teaching the parents of a 5-year-old with cystic fibrosis about respiratory treatments. Which
statement indicates to the nurse that the parents understand?
Perform postural drainage before starting aerosol therapy.
Give respiratory treatments when the child is coughing a lot.
Administer aerosol therapy followed by postural drainage before meals.
P 1
, • PEDIATRIC 09/13/2026
ARDMS EXAM
Ensure respiratory therapy is done daily during any respiratory infection. - Correct Answer :Administer aerosol
therapy followed by postural drainage before meals.
Postural drainage for a child with cystic fibrosis is most effective when performed after nebulization and before
meals (C) or at least 1 hour after eating to prevent nausea and vomiting. Postural drainage uses gravity to
promote mucous removal after nebulization (A) treatments which open the airways. Pulmonary toileting or
respiratory treatments should be given 3 to 4 times daily, not episodically (B and D).
A female teenager is taking oral tetracycline HCL (Achromycin V) for acne vulgaris. What is the most important
instruction for the nurse to include in this client's teaching plan?
Use sunscreen when lying by the pool.
Cleanse the skin at least 4 times a day.
Take the medication with a glass of milk.
Menstrual periods may become irregular. - Correct Answer :Use sunscreen when lying by the pool.
Photosensitivity is a common side effect of tetracycline HCL (Achromycin V) therapy. Severe sunburn can occur
with minimal sun exposure and clients should be instructed to avoid sunlight and to use sunscreen (A). (B and D)
are not related to tetracycline HCL (Achromycin V) therapy. (C) should be avoided because dairy products
interfere with the absorption of tetracyclines.
What preoperative nursing intervention should be included in the plan of care for an infant with pyloric stenosis?
Monitor for signs of metabolic acidosis.
Estimate the quantity of diarrhea stools.
Place in a supine position after feeding.
Observe for projectile vomiting. - Correct Answer :Observe for projectile vomiting.
Projectile vomiting (D), which contributes to metabolic alkalosis (A), is the classic sign of pyloric stenosis. (B) is
not indicated. (C) is dangerous, due to the potential for aspiration with frequent vomiting.
An infant is born with a ventricular septal defect (VSD) and surgery is planned to correct the defect. The nurse
recognizes that surgical correction is designed to achieve which outcome?
P 2
, • PEDIATRIC 09/13/2026
ARDMS EXAM
Stop the flow of unoxygenated blood into systemic circulation.
Increase the flow of unoxygenated blood to the lungs.
Prevent the return of oxygenated blood to the lungs.
Reduce peripheral tissue hypoxia and nailbed clubbing - Correct Answer :Prevent the return of oxygenated
blood to the lungs.
Closure of VSDs stops oxygenated blood from being shunted from the left ventricle to the right ventricle (C).
VSDs are acyanotic defects, which means that no unoxygenated blood enters the systemic circulation (A and B).
(D) is common with Tetrology of Fallot, which is a cyanotic defect.
A 3-week-old newborn is brought to the clinic for follow-up after a home birth. The mother reports that her child
bottle feeds for 5 minutes only and then falls asleep. The nurse auscultates a loud murmur characteristic of a
ventricular septal defect (VSD), and finds the newborn is acyanotic with a respiratory rate of 64 breaths per
minute. What instruction should the nurse provide the mother to ensure the infant is receiving adequate intake?
(Select all that apply.)
A. Monitor the the infant's weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
C. Mix the dose of prophylactic antibiotic in a full bottle of formula.
D. Allow the infant to rest and refeed on demand or every 2 hours.
E. Use a softer nipple or increase the size of the nipple opening. - Correct Answer :A. Monitor the the infant's
weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
D. Allow the infant to rest and refeed on demand or every 2 hours.
E. Use a softer nipple or increase the size of the nipple opening.
Antibiotic prophylaxis is recommended for infants with VSDs, but should not be mixed in a bottle of formula (C)
because it is difficult to ensure that the total dose is consumed.
They should be monitored for weight gain and at least 6 wet diapers per day (A). A one-month old infant should
ingest 2 to 4 ounces of formula per feeding and progress to about 30 ounces per day by 4-months of age (B)
P 3
, • PEDIATRIC 09/13/2026
ARDMS EXAM
Preoperative nursing care for a child with Wilms' tumor should include which intervention?
Gently percuss the abdomen for evidence of trapped air.
Observe the abdomen for any noticeable discolorations.
Apply cold compresses to the abdomen to reduce edema.
Put a sign on the bed reading, "DO NOT PALPATE ABDOMEN." - Correct Answer :Put a sign on the bed reading,
"DO NOT PALPATE ABDOMEN."
Prevention of abdominal palpation (D) minimizes the risk of rupturing the encapsulated tumor and subsequent
metastasis. (A) is unnecessary, and this action could traumatize the tumor in the same manner as palpation. (B
and C) are incorrect since the abdomen is not discolored and cold compresses are not indicated.
At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a female adolescent client with
acute glomerulonephritis has a blood pressure of 210/110. The 4 a.m. blood pressure reading was 170/88. The
client reports to the UAP that she is upset because her boyfriend did not visit last night. What action should the
nurse take first?
Give the client her 9 a.m. prescription for an oral diuretic early.
Administer PRN prescription of nifedipine (Procardia) sublingually.
Notify the healthcare provider and inform the nursing supervisor of the client's condition.
Attempt to calm the client and retake the blood pressure in thirty minutes. - Correct Answer :Administer PRN
prescription of nifedipine (Procardia) sublingually.
Sublingual Procardia (B) lowers blood pressure very quickly, and this should be done first. (A) may also be done,
but oral diuretics do not work as rapidly as the sublingual antihypertensive. When notifying the healthcare
provider, the first thing he/she will want to know is if the PRN antihypertensive has been administered (C). (D)
does not consider the seriousness of this finding. The nurse should stay with the client until the blood pressure is
reduced.
The nurse is assessing an 8-month-old child who has a medical diagnosis of Tetrology of Fallot. Which symptom is
this client most likely to exhibit?
Bradycardia.
Machinery murmur.
Weak pedal pulses.
P 4
ARDMS EXAM
PEDIATRIC ARDMS EXAM 1 PRACTICE EXAM
NEWEST 2026/ 2027 TEST BANK| PEDIATRIC
ARDMS EXAM REVIEW WITH COMPLETE 350
REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+
(MOST RECENT!!)
The nurse is teaching the parents of a 5-year-old with cystic fibrosis about respiratory treatments. Which
statement indicates to the nurse that the parents understand?
Perform postural drainage before starting aerosol therapy.
Give respiratory treatments when the child is coughing a lot.
Administer aerosol therapy followed by postural drainage before meals.
P 1
, • PEDIATRIC 09/13/2026
ARDMS EXAM
Ensure respiratory therapy is done daily during any respiratory infection. - Correct Answer :Administer aerosol
therapy followed by postural drainage before meals.
Postural drainage for a child with cystic fibrosis is most effective when performed after nebulization and before
meals (C) or at least 1 hour after eating to prevent nausea and vomiting. Postural drainage uses gravity to
promote mucous removal after nebulization (A) treatments which open the airways. Pulmonary toileting or
respiratory treatments should be given 3 to 4 times daily, not episodically (B and D).
A female teenager is taking oral tetracycline HCL (Achromycin V) for acne vulgaris. What is the most important
instruction for the nurse to include in this client's teaching plan?
Use sunscreen when lying by the pool.
Cleanse the skin at least 4 times a day.
Take the medication with a glass of milk.
Menstrual periods may become irregular. - Correct Answer :Use sunscreen when lying by the pool.
Photosensitivity is a common side effect of tetracycline HCL (Achromycin V) therapy. Severe sunburn can occur
with minimal sun exposure and clients should be instructed to avoid sunlight and to use sunscreen (A). (B and D)
are not related to tetracycline HCL (Achromycin V) therapy. (C) should be avoided because dairy products
interfere with the absorption of tetracyclines.
What preoperative nursing intervention should be included in the plan of care for an infant with pyloric stenosis?
Monitor for signs of metabolic acidosis.
Estimate the quantity of diarrhea stools.
Place in a supine position after feeding.
Observe for projectile vomiting. - Correct Answer :Observe for projectile vomiting.
Projectile vomiting (D), which contributes to metabolic alkalosis (A), is the classic sign of pyloric stenosis. (B) is
not indicated. (C) is dangerous, due to the potential for aspiration with frequent vomiting.
An infant is born with a ventricular septal defect (VSD) and surgery is planned to correct the defect. The nurse
recognizes that surgical correction is designed to achieve which outcome?
P 2
, • PEDIATRIC 09/13/2026
ARDMS EXAM
Stop the flow of unoxygenated blood into systemic circulation.
Increase the flow of unoxygenated blood to the lungs.
Prevent the return of oxygenated blood to the lungs.
Reduce peripheral tissue hypoxia and nailbed clubbing - Correct Answer :Prevent the return of oxygenated
blood to the lungs.
Closure of VSDs stops oxygenated blood from being shunted from the left ventricle to the right ventricle (C).
VSDs are acyanotic defects, which means that no unoxygenated blood enters the systemic circulation (A and B).
(D) is common with Tetrology of Fallot, which is a cyanotic defect.
A 3-week-old newborn is brought to the clinic for follow-up after a home birth. The mother reports that her child
bottle feeds for 5 minutes only and then falls asleep. The nurse auscultates a loud murmur characteristic of a
ventricular septal defect (VSD), and finds the newborn is acyanotic with a respiratory rate of 64 breaths per
minute. What instruction should the nurse provide the mother to ensure the infant is receiving adequate intake?
(Select all that apply.)
A. Monitor the the infant's weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
C. Mix the dose of prophylactic antibiotic in a full bottle of formula.
D. Allow the infant to rest and refeed on demand or every 2 hours.
E. Use a softer nipple or increase the size of the nipple opening. - Correct Answer :A. Monitor the the infant's
weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
D. Allow the infant to rest and refeed on demand or every 2 hours.
E. Use a softer nipple or increase the size of the nipple opening.
Antibiotic prophylaxis is recommended for infants with VSDs, but should not be mixed in a bottle of formula (C)
because it is difficult to ensure that the total dose is consumed.
They should be monitored for weight gain and at least 6 wet diapers per day (A). A one-month old infant should
ingest 2 to 4 ounces of formula per feeding and progress to about 30 ounces per day by 4-months of age (B)
P 3
, • PEDIATRIC 09/13/2026
ARDMS EXAM
Preoperative nursing care for a child with Wilms' tumor should include which intervention?
Gently percuss the abdomen for evidence of trapped air.
Observe the abdomen for any noticeable discolorations.
Apply cold compresses to the abdomen to reduce edema.
Put a sign on the bed reading, "DO NOT PALPATE ABDOMEN." - Correct Answer :Put a sign on the bed reading,
"DO NOT PALPATE ABDOMEN."
Prevention of abdominal palpation (D) minimizes the risk of rupturing the encapsulated tumor and subsequent
metastasis. (A) is unnecessary, and this action could traumatize the tumor in the same manner as palpation. (B
and C) are incorrect since the abdomen is not discolored and cold compresses are not indicated.
At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a female adolescent client with
acute glomerulonephritis has a blood pressure of 210/110. The 4 a.m. blood pressure reading was 170/88. The
client reports to the UAP that she is upset because her boyfriend did not visit last night. What action should the
nurse take first?
Give the client her 9 a.m. prescription for an oral diuretic early.
Administer PRN prescription of nifedipine (Procardia) sublingually.
Notify the healthcare provider and inform the nursing supervisor of the client's condition.
Attempt to calm the client and retake the blood pressure in thirty minutes. - Correct Answer :Administer PRN
prescription of nifedipine (Procardia) sublingually.
Sublingual Procardia (B) lowers blood pressure very quickly, and this should be done first. (A) may also be done,
but oral diuretics do not work as rapidly as the sublingual antihypertensive. When notifying the healthcare
provider, the first thing he/she will want to know is if the PRN antihypertensive has been administered (C). (D)
does not consider the seriousness of this finding. The nurse should stay with the client until the blood pressure is
reduced.
The nurse is assessing an 8-month-old child who has a medical diagnosis of Tetrology of Fallot. Which symptom is
this client most likely to exhibit?
Bradycardia.
Machinery murmur.
Weak pedal pulses.
P 4
