PEDIATRIC NURSING EXAM 3 (NUR 230):
COMPREHENSIVE ASSESSMENT OF
GASTROINTESTINAL, GENITOURINARY,
RESPIRATORY, CARDIAC, AND
DEVELOPMENTAL CONCEPTS IN
PEDIATRIC CARE QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
Core Domains
Gastrointestinal Disorders in Pediatrics
Genitourinary and Renal Disorders
Respiratory Disorders and Airway Management
Cardiac Disorders and Congenital Heart Defects
Growth and Developmental Milestones
Pediatric Pharmacology and Medication Safety
Fluid, Electrolyte, and Nutritional Management
Family-Centered Care and Ethics
Infection Control and Immunizations
Emergency and Critical Care Pediatrics
Introduction
This comprehensive pediatric nursing assessment evaluates the
candidate's ability to apply evidence-based knowledge in the care of
infants, children, and adolescents. The examination covers
,gastrointestinal, genitourinary, respiratory, cardiac, and
developmental concepts essential for safe pediatric practice. Through
multiple-choice and scenario-based questions, candidates
demonstrate clinical judgment, prioritization, medication safety,
family-centered communication, and ethical decision-making. The
assessment emphasizes real-world application, recognizing subtle
changes in pediatric patients, preventing complications, and
coordinating interdisciplinary care. It is designed to prepare nurses
for exam success and professional practice.
SECTION ONE: QUESTIONS 1–100
1. A 6-month-old infant has projectile vomiting after feeding, a
palpable olive-shaped mass, and hypochloremic metabolic
alkalosis. Which condition is most likely?
A. Gastroenteritis
B. Pyloric stenosis
C. Intussusception
D. GERD
Correct answer: B
RATIONALE: Projectile vomiting, an olive-shaped mass, and
hypochloremic metabolic alkalosis are classic signs of pyloric
stenosis.
2. A toddler presents with currant-jelly stool, intermittent
abdominal pain, and a sausage-shaped mass. Which nursing
action is the priority?
A. Administer oral rehydration
B. Prepare for air enema
,C. Place in Trendelenburg position
D. Start antibiotics
Correct answer: B
RATIONALE: Air enema is the primary non-surgical treatment
for intussusception and should be prepared promptly.
3. A child with Hirschsprung disease is expected to have which
finding?
A. Ribbon-like stools and abdominal distention
B. Currant-jelly stools
C. Projectile vomiting
D. Fatty stools
Correct answer: A
RATIONALE: Hirschsprung disease causes absent peristalsis in
the aganglionic segment, leading to ribbon-like stools and
distention.
4. Which dietary instruction is essential for a child with celiac
disease?
A. Avoid all carbohydrates
B. Gluten-free diet for life
C. High-protein only
D. Lactose-free diet
Correct answer: B
RATIONALE: Celiac disease requires lifelong avoidance of
gluten to prevent intestinal damage.
, 5. A child with appendicitis reports sudden relief of pain
followed by generalized abdominal pain. Which complication
should the nurse suspect?
A. Rupture
B. Constipation
C. Gastroenteritis
D. UTI
Correct answer: A
RATIONALE: Sudden relief followed by diffuse pain suggests
appendix rupture and peritoneal irritation.
6. Which nursing priority is correct after cleft lip repair?
A. Keep infant prone
B. Protect suture line from tension and trauma
C. Feed with regular bottle
D. Suction orally
Correct answer: B
RATIONALE: Protecting the suture line prevents dehiscence
and promotes healing.
7. What is the best initial nursing assessment for failure to
thrive?
A. Obtain accurate growth measurements and feeding history
B. Start iron supplements
C. Restrict calories
D. Refer for surgery
COMPREHENSIVE ASSESSMENT OF
GASTROINTESTINAL, GENITOURINARY,
RESPIRATORY, CARDIAC, AND
DEVELOPMENTAL CONCEPTS IN
PEDIATRIC CARE QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
Core Domains
Gastrointestinal Disorders in Pediatrics
Genitourinary and Renal Disorders
Respiratory Disorders and Airway Management
Cardiac Disorders and Congenital Heart Defects
Growth and Developmental Milestones
Pediatric Pharmacology and Medication Safety
Fluid, Electrolyte, and Nutritional Management
Family-Centered Care and Ethics
Infection Control and Immunizations
Emergency and Critical Care Pediatrics
Introduction
This comprehensive pediatric nursing assessment evaluates the
candidate's ability to apply evidence-based knowledge in the care of
infants, children, and adolescents. The examination covers
,gastrointestinal, genitourinary, respiratory, cardiac, and
developmental concepts essential for safe pediatric practice. Through
multiple-choice and scenario-based questions, candidates
demonstrate clinical judgment, prioritization, medication safety,
family-centered communication, and ethical decision-making. The
assessment emphasizes real-world application, recognizing subtle
changes in pediatric patients, preventing complications, and
coordinating interdisciplinary care. It is designed to prepare nurses
for exam success and professional practice.
SECTION ONE: QUESTIONS 1–100
1. A 6-month-old infant has projectile vomiting after feeding, a
palpable olive-shaped mass, and hypochloremic metabolic
alkalosis. Which condition is most likely?
A. Gastroenteritis
B. Pyloric stenosis
C. Intussusception
D. GERD
Correct answer: B
RATIONALE: Projectile vomiting, an olive-shaped mass, and
hypochloremic metabolic alkalosis are classic signs of pyloric
stenosis.
2. A toddler presents with currant-jelly stool, intermittent
abdominal pain, and a sausage-shaped mass. Which nursing
action is the priority?
A. Administer oral rehydration
B. Prepare for air enema
,C. Place in Trendelenburg position
D. Start antibiotics
Correct answer: B
RATIONALE: Air enema is the primary non-surgical treatment
for intussusception and should be prepared promptly.
3. A child with Hirschsprung disease is expected to have which
finding?
A. Ribbon-like stools and abdominal distention
B. Currant-jelly stools
C. Projectile vomiting
D. Fatty stools
Correct answer: A
RATIONALE: Hirschsprung disease causes absent peristalsis in
the aganglionic segment, leading to ribbon-like stools and
distention.
4. Which dietary instruction is essential for a child with celiac
disease?
A. Avoid all carbohydrates
B. Gluten-free diet for life
C. High-protein only
D. Lactose-free diet
Correct answer: B
RATIONALE: Celiac disease requires lifelong avoidance of
gluten to prevent intestinal damage.
, 5. A child with appendicitis reports sudden relief of pain
followed by generalized abdominal pain. Which complication
should the nurse suspect?
A. Rupture
B. Constipation
C. Gastroenteritis
D. UTI
Correct answer: A
RATIONALE: Sudden relief followed by diffuse pain suggests
appendix rupture and peritoneal irritation.
6. Which nursing priority is correct after cleft lip repair?
A. Keep infant prone
B. Protect suture line from tension and trauma
C. Feed with regular bottle
D. Suction orally
Correct answer: B
RATIONALE: Protecting the suture line prevents dehiscence
and promotes healing.
7. What is the best initial nursing assessment for failure to
thrive?
A. Obtain accurate growth measurements and feeding history
B. Start iron supplements
C. Restrict calories
D. Refer for surgery
