Pediatric Nursing Exam 09/28/2026
Pediatric Nursing Exam 2 (NUR 230):
Comprehensive Assessment of Gastrointestinal,
Genitourinary, Respiratory, Cardiac, and
Developmental Concepts in Pediatric Care
The nurse is providing treatment education to the caregiver of a school-age child recently diagnosed with atention-
deficit/hyperactivity disorder (ADHD). Which statement(s) made by the caregiver demonstrate an understanding of
the education?
Select all that apply.
A. Understanding that nonstimulant medications show litle benefit in treatment.
B. Designating an established area for study.
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, Pediatric Nursing Exam 09/28/2026
C. Anticipating being automatically entered into a specialized education plan.
D. Knowing that medication is not always the best approach to treatment.
F. Maintaining a consistent home schedule.
Answer: B, D, F
B) Designating an established area for study: Creating a dedicated study space can help a child with ADHD focus on
tasks and minimize distractions, which is beneficial for completing homework and improving concentration in a
structured environment.
D) Knowing that medication is not always the best approach to treatment: Recognizing that treatment can involve
behavioral interventions, counseling, and environmental adjustments, in addition to or instead of medication,
reflects a balanced understanding of ADHD management.
F) Maintaining a consistent home schedule: Consistent routines help children with ADHD manage expectations and
reduce stress, enhancing their ability to focus and transition smoothly between activities.
The nurse is caring for a child with sickle cell disease who is experiencing a sickle cell crisis. Which finding should the
nurse report to the healthcare provider immediately?
A. Swelling in the hands or feet.
B. Ulcers on the legs.
C. Chest pain.
D. Jaundice.
Correct Answer : C
The nurse should report chest pain to the healthcare provider immediately when caring for a child with sickle cell
disease who is experiencing a sickle cell crisis. Chest pain can be a sign of acute chest syndrome, a potentially life-
threatening complication of sickle cell disease that requires prompt treatment.
Swelling in the hands or feet, ulcers on the legs, and jaundice are common symptoms of sickle cell disease and do
not require immediate reporting to the healthcare provider.
The parent of an infant asks when the baby's first immunization for measles, mumps, and rubella (MMR) should be
given.
Which age should the nurse provide the parent?
A. 6 months.
B. 12 months.
C. 24 months.
D. 2 months.
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, Pediatric Nursing Exam 09/28/2026
B
The American Academy of Pediatrics (AAP) and the Centers for Disease Control and Prevention (CDC) recommend
that the first dose of MMR vaccine be given at 12-15 months of age.
The nurse is assessing a 2-week-old male infant in a community health clinic and notes that his sclera appear slightly
yellow. Additionally, urine in his diaper appears tea-colored.
This child should receive follow- up assessment for what condition?
A. Intussusception.
B. Biliary atresia.
C. Hirschsprung's disease.
D. Huntington's disease.
B
B) Biliary atresia is a condition that can cause jaundice in newborns and infants, and it can also lead to tea-colored
urine due to the presence of bilirubin in the urine. Infants with biliary atresia require further assessment and
treatment, including possible surgery, to prevent liver damage and other complications.
The nurse is providing education to parents about preventing otitis media recurrence in their infant. Which
instruction should the nurse include?
A. Avoid smoke exposure.
B. Inspect the infant's ears daily.
C. Position prone after feeding.
D. Breastfeed frequently.
A
To prevent recurrence of otitis media in their infant. Exposure to secondhand smoke has been identified as a risk
factor for recurrent otitis media.
The nurse is teaching the parents about important dietary changes for their child who is newly diagnosed with celiac
disease.
Which foods should the nurse include in the list of allowed foods for this child?
A. Rye.
B. Rice.
C. Oats.
D. Barley.
B
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, Pediatric Nursing Exam 09/28/2026
The nurse should include rice in the list of allowed foods for a child who is newly diagnosed with celiac disease. Rice
is a gluten-free grain and is safe for individuals with celiac disease to consume. Rye, oats, and barley all contain
gluten and should be avoided by individuals with celiac disease. However, some individuals with celiac disease may
be able to tolerate oats that are certified gluten-free and not contaminated with other gluten-containing grains.
The parents of a 14-month-old child who is hospitalized due to febrile seizures tell the nurse that they fear their
child will have lifelong seizures. Which information should the nurse convey to these parents?
A. Ibuprofen should be used prophylactically to prevent febrile seizures.
B. Provide the child with a sponge bath for temperatures over 100.6°F (38.1°
C. Reassure the parents that febrile seizures decrease as the child grows older.
D. Avoid excessive visual stimuli because it can precipitate seizure activity.
C
The nurse should reassure the parents that febrile seizures typically decrease in frequency as the child grows older.
Most children outgrow febrile seizures by the age of 5 years.
The nurse is caring for an adolescent with scoliosis who is recovering after a surgical spinal instrumentation.
Which technique should the nurse use when moving this client?
A. Cross the arms and legs.
B. Perform a log roll.
C. Raise the hips.
D. Flex the knees.
B
When moving an adolescent with scoliosis who is recovering after a surgical spinal instrumentation, the nurse should
use the log roll technique. This technique involves keeping the spine in alignment while turning the client onto their
side. Crossing the arms and legs, raising the hips, and flexing the knees are not appropriate techniques for moving a
client with spinal instrumentation.
The nurse is caring for a 5-week-old infant presenting with a history of projectile vomiting after feedings.
Which additional finding should the nurse expect to assess?
A. Rebound tenderness in the left lower abdominal quadrant.
B. Stool that consists of mucus and blood.
C. Olive-size mass in the epigastric area.
D. Frequent burping accompanied by poor feeding.
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Pediatric Nursing Exam 2 (NUR 230):
Comprehensive Assessment of Gastrointestinal,
Genitourinary, Respiratory, Cardiac, and
Developmental Concepts in Pediatric Care
The nurse is providing treatment education to the caregiver of a school-age child recently diagnosed with atention-
deficit/hyperactivity disorder (ADHD). Which statement(s) made by the caregiver demonstrate an understanding of
the education?
Select all that apply.
A. Understanding that nonstimulant medications show litle benefit in treatment.
B. Designating an established area for study.
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, Pediatric Nursing Exam 09/28/2026
C. Anticipating being automatically entered into a specialized education plan.
D. Knowing that medication is not always the best approach to treatment.
F. Maintaining a consistent home schedule.
Answer: B, D, F
B) Designating an established area for study: Creating a dedicated study space can help a child with ADHD focus on
tasks and minimize distractions, which is beneficial for completing homework and improving concentration in a
structured environment.
D) Knowing that medication is not always the best approach to treatment: Recognizing that treatment can involve
behavioral interventions, counseling, and environmental adjustments, in addition to or instead of medication,
reflects a balanced understanding of ADHD management.
F) Maintaining a consistent home schedule: Consistent routines help children with ADHD manage expectations and
reduce stress, enhancing their ability to focus and transition smoothly between activities.
The nurse is caring for a child with sickle cell disease who is experiencing a sickle cell crisis. Which finding should the
nurse report to the healthcare provider immediately?
A. Swelling in the hands or feet.
B. Ulcers on the legs.
C. Chest pain.
D. Jaundice.
Correct Answer : C
The nurse should report chest pain to the healthcare provider immediately when caring for a child with sickle cell
disease who is experiencing a sickle cell crisis. Chest pain can be a sign of acute chest syndrome, a potentially life-
threatening complication of sickle cell disease that requires prompt treatment.
Swelling in the hands or feet, ulcers on the legs, and jaundice are common symptoms of sickle cell disease and do
not require immediate reporting to the healthcare provider.
The parent of an infant asks when the baby's first immunization for measles, mumps, and rubella (MMR) should be
given.
Which age should the nurse provide the parent?
A. 6 months.
B. 12 months.
C. 24 months.
D. 2 months.
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, Pediatric Nursing Exam 09/28/2026
B
The American Academy of Pediatrics (AAP) and the Centers for Disease Control and Prevention (CDC) recommend
that the first dose of MMR vaccine be given at 12-15 months of age.
The nurse is assessing a 2-week-old male infant in a community health clinic and notes that his sclera appear slightly
yellow. Additionally, urine in his diaper appears tea-colored.
This child should receive follow- up assessment for what condition?
A. Intussusception.
B. Biliary atresia.
C. Hirschsprung's disease.
D. Huntington's disease.
B
B) Biliary atresia is a condition that can cause jaundice in newborns and infants, and it can also lead to tea-colored
urine due to the presence of bilirubin in the urine. Infants with biliary atresia require further assessment and
treatment, including possible surgery, to prevent liver damage and other complications.
The nurse is providing education to parents about preventing otitis media recurrence in their infant. Which
instruction should the nurse include?
A. Avoid smoke exposure.
B. Inspect the infant's ears daily.
C. Position prone after feeding.
D. Breastfeed frequently.
A
To prevent recurrence of otitis media in their infant. Exposure to secondhand smoke has been identified as a risk
factor for recurrent otitis media.
The nurse is teaching the parents about important dietary changes for their child who is newly diagnosed with celiac
disease.
Which foods should the nurse include in the list of allowed foods for this child?
A. Rye.
B. Rice.
C. Oats.
D. Barley.
B
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, Pediatric Nursing Exam 09/28/2026
The nurse should include rice in the list of allowed foods for a child who is newly diagnosed with celiac disease. Rice
is a gluten-free grain and is safe for individuals with celiac disease to consume. Rye, oats, and barley all contain
gluten and should be avoided by individuals with celiac disease. However, some individuals with celiac disease may
be able to tolerate oats that are certified gluten-free and not contaminated with other gluten-containing grains.
The parents of a 14-month-old child who is hospitalized due to febrile seizures tell the nurse that they fear their
child will have lifelong seizures. Which information should the nurse convey to these parents?
A. Ibuprofen should be used prophylactically to prevent febrile seizures.
B. Provide the child with a sponge bath for temperatures over 100.6°F (38.1°
C. Reassure the parents that febrile seizures decrease as the child grows older.
D. Avoid excessive visual stimuli because it can precipitate seizure activity.
C
The nurse should reassure the parents that febrile seizures typically decrease in frequency as the child grows older.
Most children outgrow febrile seizures by the age of 5 years.
The nurse is caring for an adolescent with scoliosis who is recovering after a surgical spinal instrumentation.
Which technique should the nurse use when moving this client?
A. Cross the arms and legs.
B. Perform a log roll.
C. Raise the hips.
D. Flex the knees.
B
When moving an adolescent with scoliosis who is recovering after a surgical spinal instrumentation, the nurse should
use the log roll technique. This technique involves keeping the spine in alignment while turning the client onto their
side. Crossing the arms and legs, raising the hips, and flexing the knees are not appropriate techniques for moving a
client with spinal instrumentation.
The nurse is caring for a 5-week-old infant presenting with a history of projectile vomiting after feedings.
Which additional finding should the nurse expect to assess?
A. Rebound tenderness in the left lower abdominal quadrant.
B. Stool that consists of mucus and blood.
C. Olive-size mass in the epigastric area.
D. Frequent burping accompanied by poor feeding.
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