Pediatric Nursing Exam 09/28/2026
Pediatric Nursing Exam 3 (NUR 230):
Comprehensive Assessment of Gastrointestinal,
Genitourinary, Respiratory, Cardiac, and
Developmental Concepts in Pediatric Care
The parents of a 12-month-old with HIV are concerned about his receiving routine immunizations. What will the
nurse tell them about immunizations?
1. "Your child will not receive routine immunizations today."
2. "You child will receive the recommended vaccines today."
3. "Your child is not severely immunocompromised, but I would still be concerned about his receiving them."
JOYCEWWALES 1
, Pediatric Nursing Exam 09/28/2026
4. "You child may develop infections if he gets his routine immunizations. Your child will not be immunized today." -
Correct Answer :1. "Your child will not receive routine immunizations today."
Rationale: The nurse acknowledges a client's fears and then discusses the concerns to clarify any misconceptions.
Immunizations and influenza vaccine are recommended to prevent infection. Immunocompromised HIV-infected
children should not receive the varicella and MMR live vaccines.
After airway, breathing, and circulation have been assessed and stabilized, which intervention should the nurse
implement for a child diagnosed with encephalitis?
1. Assist with a lumbar puncture, and give reassurance.
2. Obtain a throat culture, then begin antibiotics.
3. Perform initial and serial neurological assessments.
4. Administer antibiotics and antipyretics. - Correct Answer :3. Perform initial and serial neurological assessments.
Expected nursing assessments of a newborn with suspected cystic fibrosis would include:
1. Observe frequency and nature of stools.
2. Provide chest physiotherapy.
3. Observe for weight gain.
4. Assess parent's compliance with fluid restrictions. - Correct Answer :1. Observe frequency and nature of stools.
Which treatment would the nurse anticipate for a 2-week-old boy diagnosed with PKU?
1. There is no treatment or special diet.
2. A high-phenylalanine diet.
3. A low-phenylalanine diet.
4. The mother would be advised not to breastfeed the infant. - Correct Answer :3. A low-phenylalanine diet.
Rationale: PKU is inherited as an autosomal-recessive trait. The enzyme phenylalanine hydroxylase controlling the
conversion of phenylalanine to tyrosine is missing. A low-phenylalanine diet is the treatment to prevent brain
damage.
Which teaching would be important to discuss with the family of a newborn with PKU?
1. Studies have shown that children with PKU outgrow the disease.
JOYCEWWALES 2
, Pediatric Nursing Exam 09/28/2026
2. Consumption of decreased amounts of protein and dairy products is advised.
3. High-protein and high-dairy products consumption must be maintained.
4. Exclusive breastfeeding is encouraged for maximal nutrition for the child. - Correct Answer :2. Consumption of
decreased amounts of protein and dairy products is advised.
Rationale: Many high-protein foods such as meats and dairy products are restricted or eliminated from the diet due
to the high phenylalanine content.
Which teaching is most important for a child with PKU?
1. The child is able to eat a quarter-pound hamburger and drink a milkshake daily.
2. If the child wants soda, diet soda is preferred over milk or dairy products.
3. The child may have ice cream in an unlimited quantity once a week.
4. Diet soda or anything with the sweetener aspartame should be avoided. - Correct Answer :4. Diet soda or
anything with the sweetener aspartame should be avoided.
Rationale: The artificial aspartame should be avoided because it is converted to phenylalanine in the body.
Which intervention should the nurse implement for a newborn diagnosed with galactosemia?
1. Eliminate all milk and lactose-containing foods.
2. Encourage breastfeeding as long as possible.
3. Encourage lactose-containing formulas.
4. Avoid feeding soy-protein formula to the newborn. - Correct Answer :1. Eliminate all milk and lactose-containing
foods.
Which statement by the parent of a newborn diagnosed with galactosemia demonstrates successful teaching?
1. "This is a rare disorder that usually does not affect future children."
2. "Our newborn looks normal; he may not have galactosemia."
3. "Our newborn may need to take penicillin and other medications to prevent infection."
4. "Penicillin and other drugs that contain lactose as fillers need to be avoided." - Correct Answer :4. "Penicillin and
other drugs that contain lactose as fillers need to be avoided."
Which families would be appropriate to refer for genetic counseling?
JOYCEWWALES 3
, Pediatric Nursing Exam 09/28/2026
1. Parents with a macrososmic infant.
2. Parents with a neonatal abstinence syndrome infant.
3. Couple with a history of planned abortions.
4. Couple with a history of multiple miscarriages. - Correct Answer :4. Couple with a history of multiple miscarriages.
Which statement from parents of a newborn diagnosed with Tay-Sachs disease indicates successful understanding of
the long-term prognosis?
1. "If we give our baby a proper diet, early intervention, and physical therapy, he can live to adulthood."
2. "He will have normal development for about 6 months before progressive developmental delays occur."
3. "With intense physical therapy and early intervention, we can prevent developmental delays."
4. "If we give our baby a lactose-free diet for life, we can minimize developmental delays and learning disabilities." -
Correct Answer :2. "He will have normal development for about 6 months before progressive developmental delays
occur."
Rationale: Tay-Sachs disease is a genetic disorder in which the infant has normal development for the first 6 months.
After 6 months, developmental delays and neurological worsening occur. Dietary restriction or providing physical
therapy does not change the outcome.
Which intervention might the nurse anticipate in a 2-day-old infant diagnosed with maple syrup urine disease?
1. High-protein, high-amino-acid diet.
2. Low-protein, low-amino-acid diet.
3. Low-protein, low-sodium diet.
4. Phenylalanine-restricted diet. - Correct Answer :2. Low-protein, low-amino-acid diet.
What would be the priority nursing action on finding the varicella vaccine at room temperature on the shelf in the
medication room?
1. Ensure the varicella vaccine's integrity is intact; if intact, follow the five eights of medication administration.
2. Do not administer this batch of vaccine.
3. Ensure the varicella vaccine's integrity is intact; if intact, give the vaccine after verifying proper physician orders.
4. Ask the mother if the child has had any proper reactions to varicella. - Correct Answer :2. Do not administer this
batch of vaccine.
JOYCEWWALES 4
Pediatric Nursing Exam 3 (NUR 230):
Comprehensive Assessment of Gastrointestinal,
Genitourinary, Respiratory, Cardiac, and
Developmental Concepts in Pediatric Care
The parents of a 12-month-old with HIV are concerned about his receiving routine immunizations. What will the
nurse tell them about immunizations?
1. "Your child will not receive routine immunizations today."
2. "You child will receive the recommended vaccines today."
3. "Your child is not severely immunocompromised, but I would still be concerned about his receiving them."
JOYCEWWALES 1
, Pediatric Nursing Exam 09/28/2026
4. "You child may develop infections if he gets his routine immunizations. Your child will not be immunized today." -
Correct Answer :1. "Your child will not receive routine immunizations today."
Rationale: The nurse acknowledges a client's fears and then discusses the concerns to clarify any misconceptions.
Immunizations and influenza vaccine are recommended to prevent infection. Immunocompromised HIV-infected
children should not receive the varicella and MMR live vaccines.
After airway, breathing, and circulation have been assessed and stabilized, which intervention should the nurse
implement for a child diagnosed with encephalitis?
1. Assist with a lumbar puncture, and give reassurance.
2. Obtain a throat culture, then begin antibiotics.
3. Perform initial and serial neurological assessments.
4. Administer antibiotics and antipyretics. - Correct Answer :3. Perform initial and serial neurological assessments.
Expected nursing assessments of a newborn with suspected cystic fibrosis would include:
1. Observe frequency and nature of stools.
2. Provide chest physiotherapy.
3. Observe for weight gain.
4. Assess parent's compliance with fluid restrictions. - Correct Answer :1. Observe frequency and nature of stools.
Which treatment would the nurse anticipate for a 2-week-old boy diagnosed with PKU?
1. There is no treatment or special diet.
2. A high-phenylalanine diet.
3. A low-phenylalanine diet.
4. The mother would be advised not to breastfeed the infant. - Correct Answer :3. A low-phenylalanine diet.
Rationale: PKU is inherited as an autosomal-recessive trait. The enzyme phenylalanine hydroxylase controlling the
conversion of phenylalanine to tyrosine is missing. A low-phenylalanine diet is the treatment to prevent brain
damage.
Which teaching would be important to discuss with the family of a newborn with PKU?
1. Studies have shown that children with PKU outgrow the disease.
JOYCEWWALES 2
, Pediatric Nursing Exam 09/28/2026
2. Consumption of decreased amounts of protein and dairy products is advised.
3. High-protein and high-dairy products consumption must be maintained.
4. Exclusive breastfeeding is encouraged for maximal nutrition for the child. - Correct Answer :2. Consumption of
decreased amounts of protein and dairy products is advised.
Rationale: Many high-protein foods such as meats and dairy products are restricted or eliminated from the diet due
to the high phenylalanine content.
Which teaching is most important for a child with PKU?
1. The child is able to eat a quarter-pound hamburger and drink a milkshake daily.
2. If the child wants soda, diet soda is preferred over milk or dairy products.
3. The child may have ice cream in an unlimited quantity once a week.
4. Diet soda or anything with the sweetener aspartame should be avoided. - Correct Answer :4. Diet soda or
anything with the sweetener aspartame should be avoided.
Rationale: The artificial aspartame should be avoided because it is converted to phenylalanine in the body.
Which intervention should the nurse implement for a newborn diagnosed with galactosemia?
1. Eliminate all milk and lactose-containing foods.
2. Encourage breastfeeding as long as possible.
3. Encourage lactose-containing formulas.
4. Avoid feeding soy-protein formula to the newborn. - Correct Answer :1. Eliminate all milk and lactose-containing
foods.
Which statement by the parent of a newborn diagnosed with galactosemia demonstrates successful teaching?
1. "This is a rare disorder that usually does not affect future children."
2. "Our newborn looks normal; he may not have galactosemia."
3. "Our newborn may need to take penicillin and other medications to prevent infection."
4. "Penicillin and other drugs that contain lactose as fillers need to be avoided." - Correct Answer :4. "Penicillin and
other drugs that contain lactose as fillers need to be avoided."
Which families would be appropriate to refer for genetic counseling?
JOYCEWWALES 3
, Pediatric Nursing Exam 09/28/2026
1. Parents with a macrososmic infant.
2. Parents with a neonatal abstinence syndrome infant.
3. Couple with a history of planned abortions.
4. Couple with a history of multiple miscarriages. - Correct Answer :4. Couple with a history of multiple miscarriages.
Which statement from parents of a newborn diagnosed with Tay-Sachs disease indicates successful understanding of
the long-term prognosis?
1. "If we give our baby a proper diet, early intervention, and physical therapy, he can live to adulthood."
2. "He will have normal development for about 6 months before progressive developmental delays occur."
3. "With intense physical therapy and early intervention, we can prevent developmental delays."
4. "If we give our baby a lactose-free diet for life, we can minimize developmental delays and learning disabilities." -
Correct Answer :2. "He will have normal development for about 6 months before progressive developmental delays
occur."
Rationale: Tay-Sachs disease is a genetic disorder in which the infant has normal development for the first 6 months.
After 6 months, developmental delays and neurological worsening occur. Dietary restriction or providing physical
therapy does not change the outcome.
Which intervention might the nurse anticipate in a 2-day-old infant diagnosed with maple syrup urine disease?
1. High-protein, high-amino-acid diet.
2. Low-protein, low-amino-acid diet.
3. Low-protein, low-sodium diet.
4. Phenylalanine-restricted diet. - Correct Answer :2. Low-protein, low-amino-acid diet.
What would be the priority nursing action on finding the varicella vaccine at room temperature on the shelf in the
medication room?
1. Ensure the varicella vaccine's integrity is intact; if intact, follow the five eights of medication administration.
2. Do not administer this batch of vaccine.
3. Ensure the varicella vaccine's integrity is intact; if intact, give the vaccine after verifying proper physician orders.
4. Ask the mother if the child has had any proper reactions to varicella. - Correct Answer :2. Do not administer this
batch of vaccine.
JOYCEWWALES 4
