• PEDIATRIC 09/13/2026
ARDMS EXAM
PEDIATRIC ARDMS EXAM 3 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!!)
A 6-year-old child is brought to the emergency department with a systolic blood pressure of 58 mmHg. What
action should the nurse take first?
-Comfort the child.
-Assess responsiveness.
-Alert the healthcare provider.
P 1
, • PEDIATRIC 09/13/2026
ARDMS EXAM
-Initiate IV fluid replacement. - Correct Answer :Alert the healthcare provider.
The lower limit for systolic blood pressure for a child older than 1 year of age is 70 mmHg plus 2 times the child's
age in years. The healthcare provider should be notified immediately of the child's hypotension and anticipate a
prescription for IV fluids.
A mother expresses concern to the nurse about the behavior of her 15-year-old who is frequently finding fault
and criticizing her. What information should the nurse provide?
-The family value system may need to be changed to meet the teen's changing needs.
-Teens create psychological distance from parents in order to separate from them.
-Parents should relinquish their relationship with their teen to the teen's peers.
-Conflicts in the parent-teen relationship are to be expected during adolescence. –
Correct Answer :Teens create psychological distance from parents in order to separate from them.
Although a mutually respectful parent-adolescent relationship is important, an adolescent may use critical and
fault-finding behavior as a mechanism to separate from the parent. Between the ages of 15 to 17 years,
adolescents tend to have conflicts with their parents as they struggle with issues of independence and control,
and mature towards late adolescence of 18 to 20 years of age.
When plotting a 20-week-old infant's weight on a standardized growth chart, the nurse determines that the
child's weight is between the 2nd and 3rd percentiles. Based on this finding, which action should the nurse take?
-Teach the parents about interventions for failure to thrive syndrome.
-Compare this weight with previous weights recorded in the child's record.
-Evaluate the parent's body build in relation to the infant's weight.
-Obtain a 24-hour nutritional history before making any conclusions.
- Correct Answer :Compare this weight with previous weights recorded in the child's record.
P 2
, • PEDIATRIC 09/13/2026
ARDMS EXAM
Evaluation of weight using a growth chart requires comparison of current weight with previous weight
measurements. An infant is defined as having "failure to thrive" if their height or weight falls below the 3rd
percentile, but first the nurse should review the infant's health record to assess the infant's weight history.
The nurse notices that the skirt hem on a preadolescent girl is uneven. What procedure should the nurse follow
to examine the girl for scoliosis? (Arrange the examination process from the first step to the last step.)
-Ask the girl to remove her shirt but leave on her bra or swimsuit top.
-Instruct the girl to bend at the waist so her back is parallel to the floor.
-Examine for scapular prominence.
-Look for asymmetry in the hip area.
- Correct Answer :1. Ask the girl to remove her shirt but leave on her bra or swimsuit top.
2. Look for asymmetry in the hip area.
3. Instruct the girl to bend at the waist so her back is parallel to the floor.
4. Examine for scapular prominence
To screen for scoliosis, the girl should first be asked to remove her shirt and wear her bra or a swimsuit top.
Then, as she stands erect, observe for asymmetry of the shoulders, back, and hips while standing behind the girl.
Next, ask her to bend forward so that her back is parallel to the floor. Finally observe her from the side and the
back, noting asymmetry or prominence of the rib cage and scapulae.
A nurse reviews the methods for preventing recurring urinary tract infections (UTI) with the parent of a female
child. Which response by the parent indicates that further teaching is needed in caring for the child?
-States they will buy the child only nylon underclothes.
-Increases oral fluids and encourages the child to void frequently.
-Provides the child with cotton underwear for daily use.
-Teaches the child to cleanse the perineal area from front to back. –
Correct Answer :States they will buy the child only nylon underclothes.
P 3
, • PEDIATRIC 09/13/2026
ARDMS EXAM
Nylon underwear traps moisture and can contribute to bacterial growth, thus the parent's statement indicates
the need for further teaching.
A 14-year-old returns to the pediatric unit after corrective surgery for scoliosis. In the immediate postoperative
period, the nurse should include which action in this client's plan of care? (Select all that apply.)
Select all that apply
-Record intake and output every 8 hours.
-Elevate the head of the bed 30 degrees.
-Assess bowel sounds every 4 hours.
-Initiate a logrolling schedule every 2 hours.
-Ambulate for 5 minutes, 12 hours postoperative.
-Give morphine sulfate, 2 mg IV every 4 hours PRN. –
Correct Answer :Record intake and output every 8 hours.
Initiate a logrolling schedule every 2 hours.
Give morphine sulfate, 2 mg IV every 4 hours PRN.
Recording intake and output and assessing bowel sounds are critical when determining if the body systems are
recovering from the effects of anesthesia. Using a logrolling technique to turn the client maintains spinal
alignment postoperatively and prevents complications of immobility. Since this is a painful surgery, the nurse
should maintain pain control as prescribed. The pain associated is not just due to the incisions of surgery, but
also to the manipulation and placement of the spinal hardware and muscular pain as the involved muscles adjust
to the corrective realignment of the spine. Following corrective surgery for scoliosis, a client should be
immobilized without spinal flexion for 24 to 48 hours, and then ambulated by the physical therapist.
An adolescent female's susceptibility to vaginitis could be related to which causative factor?
-Swimming pool chlorine.
-Sexual activity.
P 4
ARDMS EXAM
PEDIATRIC ARDMS EXAM 3 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!!)
A 6-year-old child is brought to the emergency department with a systolic blood pressure of 58 mmHg. What
action should the nurse take first?
-Comfort the child.
-Assess responsiveness.
-Alert the healthcare provider.
P 1
, • PEDIATRIC 09/13/2026
ARDMS EXAM
-Initiate IV fluid replacement. - Correct Answer :Alert the healthcare provider.
The lower limit for systolic blood pressure for a child older than 1 year of age is 70 mmHg plus 2 times the child's
age in years. The healthcare provider should be notified immediately of the child's hypotension and anticipate a
prescription for IV fluids.
A mother expresses concern to the nurse about the behavior of her 15-year-old who is frequently finding fault
and criticizing her. What information should the nurse provide?
-The family value system may need to be changed to meet the teen's changing needs.
-Teens create psychological distance from parents in order to separate from them.
-Parents should relinquish their relationship with their teen to the teen's peers.
-Conflicts in the parent-teen relationship are to be expected during adolescence. –
Correct Answer :Teens create psychological distance from parents in order to separate from them.
Although a mutually respectful parent-adolescent relationship is important, an adolescent may use critical and
fault-finding behavior as a mechanism to separate from the parent. Between the ages of 15 to 17 years,
adolescents tend to have conflicts with their parents as they struggle with issues of independence and control,
and mature towards late adolescence of 18 to 20 years of age.
When plotting a 20-week-old infant's weight on a standardized growth chart, the nurse determines that the
child's weight is between the 2nd and 3rd percentiles. Based on this finding, which action should the nurse take?
-Teach the parents about interventions for failure to thrive syndrome.
-Compare this weight with previous weights recorded in the child's record.
-Evaluate the parent's body build in relation to the infant's weight.
-Obtain a 24-hour nutritional history before making any conclusions.
- Correct Answer :Compare this weight with previous weights recorded in the child's record.
P 2
, • PEDIATRIC 09/13/2026
ARDMS EXAM
Evaluation of weight using a growth chart requires comparison of current weight with previous weight
measurements. An infant is defined as having "failure to thrive" if their height or weight falls below the 3rd
percentile, but first the nurse should review the infant's health record to assess the infant's weight history.
The nurse notices that the skirt hem on a preadolescent girl is uneven. What procedure should the nurse follow
to examine the girl for scoliosis? (Arrange the examination process from the first step to the last step.)
-Ask the girl to remove her shirt but leave on her bra or swimsuit top.
-Instruct the girl to bend at the waist so her back is parallel to the floor.
-Examine for scapular prominence.
-Look for asymmetry in the hip area.
- Correct Answer :1. Ask the girl to remove her shirt but leave on her bra or swimsuit top.
2. Look for asymmetry in the hip area.
3. Instruct the girl to bend at the waist so her back is parallel to the floor.
4. Examine for scapular prominence
To screen for scoliosis, the girl should first be asked to remove her shirt and wear her bra or a swimsuit top.
Then, as she stands erect, observe for asymmetry of the shoulders, back, and hips while standing behind the girl.
Next, ask her to bend forward so that her back is parallel to the floor. Finally observe her from the side and the
back, noting asymmetry or prominence of the rib cage and scapulae.
A nurse reviews the methods for preventing recurring urinary tract infections (UTI) with the parent of a female
child. Which response by the parent indicates that further teaching is needed in caring for the child?
-States they will buy the child only nylon underclothes.
-Increases oral fluids and encourages the child to void frequently.
-Provides the child with cotton underwear for daily use.
-Teaches the child to cleanse the perineal area from front to back. –
Correct Answer :States they will buy the child only nylon underclothes.
P 3
, • PEDIATRIC 09/13/2026
ARDMS EXAM
Nylon underwear traps moisture and can contribute to bacterial growth, thus the parent's statement indicates
the need for further teaching.
A 14-year-old returns to the pediatric unit after corrective surgery for scoliosis. In the immediate postoperative
period, the nurse should include which action in this client's plan of care? (Select all that apply.)
Select all that apply
-Record intake and output every 8 hours.
-Elevate the head of the bed 30 degrees.
-Assess bowel sounds every 4 hours.
-Initiate a logrolling schedule every 2 hours.
-Ambulate for 5 minutes, 12 hours postoperative.
-Give morphine sulfate, 2 mg IV every 4 hours PRN. –
Correct Answer :Record intake and output every 8 hours.
Initiate a logrolling schedule every 2 hours.
Give morphine sulfate, 2 mg IV every 4 hours PRN.
Recording intake and output and assessing bowel sounds are critical when determining if the body systems are
recovering from the effects of anesthesia. Using a logrolling technique to turn the client maintains spinal
alignment postoperatively and prevents complications of immobility. Since this is a painful surgery, the nurse
should maintain pain control as prescribed. The pain associated is not just due to the incisions of surgery, but
also to the manipulation and placement of the spinal hardware and muscular pain as the involved muscles adjust
to the corrective realignment of the spine. Following corrective surgery for scoliosis, a client should be
immobilized without spinal flexion for 24 to 48 hours, and then ambulated by the physical therapist.
An adolescent female's susceptibility to vaginitis could be related to which causative factor?
-Swimming pool chlorine.
-Sexual activity.
P 4
