Pediatric Nursing Exam 09/28/2026
Pediatric Nursing Exam (NUR 230):
Comprehensive Assessment of Gastrointestinal,
Genitourinary, Respiratory, Cardiac, and
Developmental Concepts in Pediatric Care
An adolescent female's susceptibility to vulvitis is most likely related to which causative factor?
A. Contact with fabric dyes.
B. Frequent sexual activity.
C. Urinary incontinence.
D. Menarche. - Correct Answer :A. Contact with fabric dyes.
JOYCEWWALES 1
, Pediatric Nursing Exam 09/28/2026
The parents of a 14-year-old girl tell the nurse that their daughter dresses as a tomboy and plays baseball one day
and the next day dresses in feminine clothes and becomes a teenage "drama queen." What information should the
nurse use to respond to the parents?
A. Teenagers need a strong role mode to emulate.
B. Adolescents try on different roles while seeking their identity.
C. Such erratic behavior needs further investigation.
D. Fourteen-year-olds often try to please parents with their role choices. - Correct Answer :B. Adolescents try on
different roles while seeking their identity.
What is the best action for the nurse to take when initiating contact with a toddler for the first time?
A. Ask the toddler to point to where it hurts.
B. Tell the child your name and that you are the nurse.
C. Call the child by name while picking up the toddler.
D. Kneel in front of the toddler and speak softly to the child. - Correct Answer :D. Kneel in front of the toddler and
speak softly to the child.
An infant weighs 7 lb (3.18kg)at birth. How much should the nurse expect the infant to weigh at age 6-months?
A. 12 lb (5.44kg).
B. 14 lb (6.35kg)
C. 17 lb (7.71kg).
D. 21 lb (9.53). - Correct Answer :B. 14 lb (6.35kg)
During the well-child assessment of an 18-month-old male toddler, the nurse determines the child does not walk
while holding on to furniture but prefers to crawl, rarely speaks, has a flat affect, and is small for his age. Which
nursing diagnosis should the nurse formulate?
A. Alteration in nutrition.
B. Alteration in parenting.
C. Delayed growth and development.
D. Alteration in health maintenance. - Correct Answer :C. Delayed growth and development.
JOYCEWWALES 2
, Pediatric Nursing Exam 09/28/2026
When caring for a child who has pertussis that is in the paroxysmal stage, which intervention should the nurse
implement to support the child's nutritional needs?
A. Provide small, frequent meals.
B. Increase protein intake.
C. Maintain a liquid diet.
D. Offer the child a regular diet. - Correct Answer :A. Provide small, frequent meals.
The nurse is assessing the coping behaviors of the parents whose child has been recently diagnosed with a chronic
illness. What reaction by the parents is a positive step in the ability to cope with this new situation?
A. Endowing the illness with meaning.
B. Refusing to believe the child is ill.
C. Entertaining an unrealistic future plan for the child.
D. Placing complete faith in religion to the point of relinquishing own responsibility. - Correct Answer :A. Endowing
the illness with meaning.
A 2-year-old is receiving care in the emergency department (ED) for a deep laceration on the head. What action
should the nurse implement to facilitate the child's cooperation?
A. Allow the child to hold a favorite toy or blanket.
B. Direct the parents to remain outside the treatment room.
C. Keep the child physically restrained during nursing care.
D. Let the child decide whether to sit up or lie down for procedures. - Correct Answer :A. Allow the child to hold a
favorite toy or blanket.
When conducting a hygiene class for adolescent girls, it is important for the nurse to include which instruction about
preventing toxic shock syndrome?
A. Wash your hands before inserting a tampon.
B. Use super absorbent tampons.
C. Wear cotton underwear.
D. Douche every month following menstruation. - Correct Answer :A. Wash your hands before inserting a tampon.
JOYCEWWALES 3
, Pediatric Nursing Exam 09/28/2026
The mother of a 2-month-old reports that she often lets the baby cry in the middle of the night instead of going to
pick up or sooth the infant. What information should the nurse provide the mother?
A. Picking up the infant in the middle of the night fosters dependency on the mother.
B. A sense of trust is developed in an infant when others respond to the infant's cry.
C. An infant is learning to manipulate others when the infant is picked up unnecessarily.
D. A 2-month-old who does not sleep through the night should be evaluated further. - Correct Answer :B. A sense of
trust is developed in an infant when others respond to the infant's cry.
A Spanish-speaking 5-year-old child starts kindergarten in an English-speaking school. The child cries most of the
time, appears helpless and unable to function in the new situation. After assessing the child, how should the school
nurse document the situation?
A. Experiencing culture shock.
B. Lacks the maturity needed in school.
C. Refuses to participate in school activities.
D. Going through minority group discrimination. - Correct Answer :A. Experiencing culture shock.
A child is brought to the emergency department with sweating, chills, and snake fang-like puncture marks on the
calf. What action should the nurse implement after the type of snake is identified?
A. Secure the antivenin.
B. Ambulate the child.
C. Apply a tourniquet to the leg.
D. Reassure the child and parent. - Correct Answer :A. Secure the antivenin.
How should the nurse measure the length of a 14-month-old child ?
A. Standing height.
B. Prone recumbent position.
C. Supine recumbent position.
D. Side-lying position. - Correct Answer :C. Supine recumbent position.
JOYCEWWALES 4
Pediatric Nursing Exam (NUR 230):
Comprehensive Assessment of Gastrointestinal,
Genitourinary, Respiratory, Cardiac, and
Developmental Concepts in Pediatric Care
An adolescent female's susceptibility to vulvitis is most likely related to which causative factor?
A. Contact with fabric dyes.
B. Frequent sexual activity.
C. Urinary incontinence.
D. Menarche. - Correct Answer :A. Contact with fabric dyes.
JOYCEWWALES 1
, Pediatric Nursing Exam 09/28/2026
The parents of a 14-year-old girl tell the nurse that their daughter dresses as a tomboy and plays baseball one day
and the next day dresses in feminine clothes and becomes a teenage "drama queen." What information should the
nurse use to respond to the parents?
A. Teenagers need a strong role mode to emulate.
B. Adolescents try on different roles while seeking their identity.
C. Such erratic behavior needs further investigation.
D. Fourteen-year-olds often try to please parents with their role choices. - Correct Answer :B. Adolescents try on
different roles while seeking their identity.
What is the best action for the nurse to take when initiating contact with a toddler for the first time?
A. Ask the toddler to point to where it hurts.
B. Tell the child your name and that you are the nurse.
C. Call the child by name while picking up the toddler.
D. Kneel in front of the toddler and speak softly to the child. - Correct Answer :D. Kneel in front of the toddler and
speak softly to the child.
An infant weighs 7 lb (3.18kg)at birth. How much should the nurse expect the infant to weigh at age 6-months?
A. 12 lb (5.44kg).
B. 14 lb (6.35kg)
C. 17 lb (7.71kg).
D. 21 lb (9.53). - Correct Answer :B. 14 lb (6.35kg)
During the well-child assessment of an 18-month-old male toddler, the nurse determines the child does not walk
while holding on to furniture but prefers to crawl, rarely speaks, has a flat affect, and is small for his age. Which
nursing diagnosis should the nurse formulate?
A. Alteration in nutrition.
B. Alteration in parenting.
C. Delayed growth and development.
D. Alteration in health maintenance. - Correct Answer :C. Delayed growth and development.
JOYCEWWALES 2
, Pediatric Nursing Exam 09/28/2026
When caring for a child who has pertussis that is in the paroxysmal stage, which intervention should the nurse
implement to support the child's nutritional needs?
A. Provide small, frequent meals.
B. Increase protein intake.
C. Maintain a liquid diet.
D. Offer the child a regular diet. - Correct Answer :A. Provide small, frequent meals.
The nurse is assessing the coping behaviors of the parents whose child has been recently diagnosed with a chronic
illness. What reaction by the parents is a positive step in the ability to cope with this new situation?
A. Endowing the illness with meaning.
B. Refusing to believe the child is ill.
C. Entertaining an unrealistic future plan for the child.
D. Placing complete faith in religion to the point of relinquishing own responsibility. - Correct Answer :A. Endowing
the illness with meaning.
A 2-year-old is receiving care in the emergency department (ED) for a deep laceration on the head. What action
should the nurse implement to facilitate the child's cooperation?
A. Allow the child to hold a favorite toy or blanket.
B. Direct the parents to remain outside the treatment room.
C. Keep the child physically restrained during nursing care.
D. Let the child decide whether to sit up or lie down for procedures. - Correct Answer :A. Allow the child to hold a
favorite toy or blanket.
When conducting a hygiene class for adolescent girls, it is important for the nurse to include which instruction about
preventing toxic shock syndrome?
A. Wash your hands before inserting a tampon.
B. Use super absorbent tampons.
C. Wear cotton underwear.
D. Douche every month following menstruation. - Correct Answer :A. Wash your hands before inserting a tampon.
JOYCEWWALES 3
, Pediatric Nursing Exam 09/28/2026
The mother of a 2-month-old reports that she often lets the baby cry in the middle of the night instead of going to
pick up or sooth the infant. What information should the nurse provide the mother?
A. Picking up the infant in the middle of the night fosters dependency on the mother.
B. A sense of trust is developed in an infant when others respond to the infant's cry.
C. An infant is learning to manipulate others when the infant is picked up unnecessarily.
D. A 2-month-old who does not sleep through the night should be evaluated further. - Correct Answer :B. A sense of
trust is developed in an infant when others respond to the infant's cry.
A Spanish-speaking 5-year-old child starts kindergarten in an English-speaking school. The child cries most of the
time, appears helpless and unable to function in the new situation. After assessing the child, how should the school
nurse document the situation?
A. Experiencing culture shock.
B. Lacks the maturity needed in school.
C. Refuses to participate in school activities.
D. Going through minority group discrimination. - Correct Answer :A. Experiencing culture shock.
A child is brought to the emergency department with sweating, chills, and snake fang-like puncture marks on the
calf. What action should the nurse implement after the type of snake is identified?
A. Secure the antivenin.
B. Ambulate the child.
C. Apply a tourniquet to the leg.
D. Reassure the child and parent. - Correct Answer :A. Secure the antivenin.
How should the nurse measure the length of a 14-month-old child ?
A. Standing height.
B. Prone recumbent position.
C. Supine recumbent position.
D. Side-lying position. - Correct Answer :C. Supine recumbent position.
JOYCEWWALES 4
