Pediatric Nursing Exam 09/28/2026
Pediatric Nursing Exam 4 (NUR 230):
Comprehensive Assessment of Gastrointestinal,
Genitourinary, Respiratory, Cardiac, and
Developmental Concepts in Pediatric Care
A preschool child who was admitted to the hospital for a minor surgery develops a rash on the second day after
hospitalization and is diagnosed with chicken pox (varicella). The nurse should take which action to provide safety for
all children on the unit?
1.Place only the infected child in isolation.
2.Keep siblings from visiting the infected child.
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, Pediatric Nursing Exam 09/28/2026
3.Place the child and any other children who were exposed in isolation.
4.Place the infected child and any immunocompromised children in isolation. –
Correct Answer :4.Place the infected child and any immunocompromised children in isolation.
The period of communicability for chicken pox is 1 day before the eruption of vesicles to about 1 week when crusts
are formed. The infected child should be isolated until vesicles have dried, and other high-risk children
(immunocompromised) should be isolated from the infected client.
A mother brings her 15-month-old child to the primary health care provider's office with complaints that the child
has suddenly developed a bright red rash on her cheeks. She has no other symptoms and has been playing and
eating as usual. Based on the appearance of the child, the nurse might suspect that the child has which
communicable disease?
1.Rubella
2.Roseola
3.Fifth disease
4.Chickenpox - Correct Answer :3.Fifth disease
Fifth disease has the general appearance of "slapped cheeks." Many children do not have any symptoms before the
appearance of the reddened cheeks. This characteristic is not associated with the communicable diseases identified
in options 1, 2, or 4.
The nurse of a well-baby clinic prepares to administer an immunization to a child. The mother of the child tells the
nurse that the child has had a fever and is taking antibiotics. The nurse takes the child's temperature and notes that
it is 101.5° F rectally. The nurse plans to take which action?
1.Delay the immunization.
2.Administer the immunization.
3.Administer one of the three scheduled immunizations.
4.Administer one half of the prescribed dose of each scheduled immunization –
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, Pediatric Nursing Exam 09/28/2026
Correct Answer :1.Delay the immunization.
High fevers and severe illnesses are reasons to delay immunization, but only until the child has recovered from the
acute stage of the illness. Minor illnesses such as a cold, otitis media, or mild diarrhea without fever are not
contraindications to immunization
You're providing education to a group of nursing students about nephrotic syndrome. A student describes the signs
and symptoms of this condition. Which signs and symptoms verbalized by the student require you to re-educate the
student about this topic? Select-all-that-apply:*
A. Slight proteinuria
B. Hypoalbuminemia
C. Edema
D. Hyperlipidemia
E. Tea-colored urine
F. Hypertension –
Correct Answer :A. Slight proteinuria
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."
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."
JOYCEWWALES 3
, Pediatric Nursing Exam 09/28/2026
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.
2. Consumption of decreased amounts of protein and dairy products is advised.
3. High-protein and high-dairy products consumption must be maintained.
JOYCEWWALES 4
Pediatric Nursing Exam 4 (NUR 230):
Comprehensive Assessment of Gastrointestinal,
Genitourinary, Respiratory, Cardiac, and
Developmental Concepts in Pediatric Care
A preschool child who was admitted to the hospital for a minor surgery develops a rash on the second day after
hospitalization and is diagnosed with chicken pox (varicella). The nurse should take which action to provide safety for
all children on the unit?
1.Place only the infected child in isolation.
2.Keep siblings from visiting the infected child.
JOYCEWWALES 1
, Pediatric Nursing Exam 09/28/2026
3.Place the child and any other children who were exposed in isolation.
4.Place the infected child and any immunocompromised children in isolation. –
Correct Answer :4.Place the infected child and any immunocompromised children in isolation.
The period of communicability for chicken pox is 1 day before the eruption of vesicles to about 1 week when crusts
are formed. The infected child should be isolated until vesicles have dried, and other high-risk children
(immunocompromised) should be isolated from the infected client.
A mother brings her 15-month-old child to the primary health care provider's office with complaints that the child
has suddenly developed a bright red rash on her cheeks. She has no other symptoms and has been playing and
eating as usual. Based on the appearance of the child, the nurse might suspect that the child has which
communicable disease?
1.Rubella
2.Roseola
3.Fifth disease
4.Chickenpox - Correct Answer :3.Fifth disease
Fifth disease has the general appearance of "slapped cheeks." Many children do not have any symptoms before the
appearance of the reddened cheeks. This characteristic is not associated with the communicable diseases identified
in options 1, 2, or 4.
The nurse of a well-baby clinic prepares to administer an immunization to a child. The mother of the child tells the
nurse that the child has had a fever and is taking antibiotics. The nurse takes the child's temperature and notes that
it is 101.5° F rectally. The nurse plans to take which action?
1.Delay the immunization.
2.Administer the immunization.
3.Administer one of the three scheduled immunizations.
4.Administer one half of the prescribed dose of each scheduled immunization –
JOYCEWWALES 2
, Pediatric Nursing Exam 09/28/2026
Correct Answer :1.Delay the immunization.
High fevers and severe illnesses are reasons to delay immunization, but only until the child has recovered from the
acute stage of the illness. Minor illnesses such as a cold, otitis media, or mild diarrhea without fever are not
contraindications to immunization
You're providing education to a group of nursing students about nephrotic syndrome. A student describes the signs
and symptoms of this condition. Which signs and symptoms verbalized by the student require you to re-educate the
student about this topic? Select-all-that-apply:*
A. Slight proteinuria
B. Hypoalbuminemia
C. Edema
D. Hyperlipidemia
E. Tea-colored urine
F. Hypertension –
Correct Answer :A. Slight proteinuria
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."
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."
JOYCEWWALES 3
, Pediatric Nursing Exam 09/28/2026
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.
2. Consumption of decreased amounts of protein and dairy products is advised.
3. High-protein and high-dairy products consumption must be maintained.
JOYCEWWALES 4
