Pediatric Nursing Exam 09/28/2026
Pediatric Nursing Exam NUR 230): Comprehensive
Assessment of Gastrointestinal, Genitourinary,
Respiratory, Cardiac, and Developmental Concepts
in Pediatric Care
The nurse is assessing the growth and development of a 3-year-old child.
Which speech and language skills should the nurse identify as normal developmental milestones for this child?
A. Speaks in simple sentences with four or more words.
B. Recognizes most letters and numbers.
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, Pediatric Nursing Exam 09/28/2026
C. Uses gestures with 1-to-2-word sentences.
D. Uses 1-word sentences.
Correct Answer : A
At the age of 3, children should be able to speak in simple sentences with a minimum of four words. This is a normal
developmental milestone for this age group. Choices B, C, and D are not appropriate developmental milestones for
speech and language skills for a 3-year-old child.
The nurse is giving an intramuscular injection of an antibiotic to a 16-month-old toddler with pneumonia. The
toddler does not have any known allergies and has been walking without assistance for one month.
Which technique should the nurse select for administration?
A. Give in the arm, one to 2 inches (2.5 to 5.0 cm) below the acromion process.
B. Use a needle length of 1/2 inch (1.25 cm) to avoid deep tissue damage.
C. Administer the injection into the middle of the lateral aspect of the thigh.
D. Divide the gluteal area into quarters and give IM into the upper outer quadrant.
Correct Answer : C
Administer the injection into the middle of the lateral aspect of the thigh is the correct choice. This is the
recommended site for intramuscular injection in toddlers who have been walking for at least one month, as it is a
large muscle with minimal nerves and blood vessels. Choices A, B, and D are not appropriate techniques for
administering an intramuscular injection to a toddler with pneumonia.
The nurse is assessing the lung sounds of a preschooler. Which action should the nurse implement to ensure the
child's cooperation?
A. Have the child blow a cotton ball and have the parent catch it.
B. Place a toy in the child's hands while listening to the breath sounds.
C. Offer the child bubbles before the stethoscope is placed.
D. Allow the child to use a stethoscope on a stuffed animal.
Correct Answer : D
To ensure the cooperation of a preschooler during an assessment of lung sounds, the nurse can allow the child to
use a stethoscope on a stuffed animal. This helps the child understand what is happening and feel more comfortable
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, Pediatric Nursing Exam 09/28/2026
with the procedure. Having the child blow a cotton ball (A), placing a toy in the child's hands (B), and offering
bubbles (C ) may distract the child but do not directly involve them in the procedure.
The nurse is caring for an infant who was recently diagnosed with a congenital heart defect.
Which assessment finding is most important for the nurse to report to the healthcare provider?
A. Audible heart murmur.
B. Heart rate of 162 beats/minute.
C. Poor oral intake and suckling effort.
D. Weight gain of 2.2 lbs. (1 kg) in the last 48 hours.
C
Infants with congenital heart defects may have difficulty with feeding due to increased effort required to breathe and
feed at the same time. This can lead to poor weight gain and dehydration. Thus, it is important for the nurse to
report any signs of poor feeding or oral intake to the healthcare provider.
The nurse is preparing to administer medications for an eight-month-old infant with heart failure. The infant has a
blood pressure of 114/66 mm Hg, apical pulse of 88 beats/minute, and respirations of 30 breaths/minute.
Which medication should the nurse withhold until the healthcare provider is notified?
A. Digoxin.
B. Furosemide.
C. Hydralazine.
D. Enalapril.
Correct Answer : A
For an eight-month-old infant with heart failure, the nurse should withhold digoxin if the infant's apical pulse is less
than 90 beats/minute and notify the healthcare provider. In this case, the infant's apical pulse is 88 beats/minute, so
the nurse should withhold the digoxin and notify the healthcare provider.
Furosemide ( B), hydralazine (C), and enalapril (D) do not have specific parameters for withholding based on the
infant's vital signs.
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, Pediatric Nursing Exam 09/28/2026
A child who weighs 18 pounds receives a prescription for amoxicillin 25 mg/kg/day by mouth in divided doses every
12 hours. The bottle is labelled, "Amoxicillin for Oral Suspension, USP 400 mg per 5 mL." How many mL should the
nurse administer with each dose?
(Enter numerical value only. If rounding is required, round to the nearest tenth.)
1.3
Which snack selected by a school-aged child with gastroesophageal reflux indicates to the nurse that the child
understands the dietary restrictions?
A. Sugar cookies.
B. Pizza.
C. Tacos.
D. Chocolate milkshake.
Correct Answer : A
The child with gastroesophageal reflux should avoid acidic and spicy foods, as well as high-fat and high- sugar foods.
Sugar cookies are a low-fat and low-sugar snack, which indicates that the child understands the dietary restrictions.
Choices B, C, and D are high in fat, sugar, or acid and may exacerbate gastroesophageal reflux symptoms
During her sports physical examination, 15-year-old female requests oral contraceptives. She explains that she is
sexually active and does not want her parents to know. Which action should the nurse take?
A. Encourage the client to discuss her need for contraceptives with her parents.
B. Counsel the client about the risks and benefits of using oral contraceptives.
C. Explain that she needs parental approval to receive contraceptives.
D. Tell the client how to receive a variety of free oral contraceptives from the clinic.
B
(B) Counsel the client about the risks and benefits of using oral contraceptives: Providing counseling about the risks
and benefits of oral contraceptives is the most appropriate action. It ensures the client is informed and able to make
a decision that is right for her health and circumstances. The nurse can also discuss other contraceptive options and
provide education on safe sex practices. This approach respects the client's autonomy and privacy while ensuring she
receives the necessary information to make an informed choice.
The nurse is monitoring a child with hydrocephalus who received a repeat ventriculoperitoneal (VP) shunt yesterday.
Which assessment finding indicates to the nurse that the shunt is functioning normally?
A. The child has grown in height since the previous shunt placement.
JOYCEWWALES 4
Pediatric Nursing Exam NUR 230): Comprehensive
Assessment of Gastrointestinal, Genitourinary,
Respiratory, Cardiac, and Developmental Concepts
in Pediatric Care
The nurse is assessing the growth and development of a 3-year-old child.
Which speech and language skills should the nurse identify as normal developmental milestones for this child?
A. Speaks in simple sentences with four or more words.
B. Recognizes most letters and numbers.
JOYCEWWALES 1
, Pediatric Nursing Exam 09/28/2026
C. Uses gestures with 1-to-2-word sentences.
D. Uses 1-word sentences.
Correct Answer : A
At the age of 3, children should be able to speak in simple sentences with a minimum of four words. This is a normal
developmental milestone for this age group. Choices B, C, and D are not appropriate developmental milestones for
speech and language skills for a 3-year-old child.
The nurse is giving an intramuscular injection of an antibiotic to a 16-month-old toddler with pneumonia. The
toddler does not have any known allergies and has been walking without assistance for one month.
Which technique should the nurse select for administration?
A. Give in the arm, one to 2 inches (2.5 to 5.0 cm) below the acromion process.
B. Use a needle length of 1/2 inch (1.25 cm) to avoid deep tissue damage.
C. Administer the injection into the middle of the lateral aspect of the thigh.
D. Divide the gluteal area into quarters and give IM into the upper outer quadrant.
Correct Answer : C
Administer the injection into the middle of the lateral aspect of the thigh is the correct choice. This is the
recommended site for intramuscular injection in toddlers who have been walking for at least one month, as it is a
large muscle with minimal nerves and blood vessels. Choices A, B, and D are not appropriate techniques for
administering an intramuscular injection to a toddler with pneumonia.
The nurse is assessing the lung sounds of a preschooler. Which action should the nurse implement to ensure the
child's cooperation?
A. Have the child blow a cotton ball and have the parent catch it.
B. Place a toy in the child's hands while listening to the breath sounds.
C. Offer the child bubbles before the stethoscope is placed.
D. Allow the child to use a stethoscope on a stuffed animal.
Correct Answer : D
To ensure the cooperation of a preschooler during an assessment of lung sounds, the nurse can allow the child to
use a stethoscope on a stuffed animal. This helps the child understand what is happening and feel more comfortable
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, Pediatric Nursing Exam 09/28/2026
with the procedure. Having the child blow a cotton ball (A), placing a toy in the child's hands (B), and offering
bubbles (C ) may distract the child but do not directly involve them in the procedure.
The nurse is caring for an infant who was recently diagnosed with a congenital heart defect.
Which assessment finding is most important for the nurse to report to the healthcare provider?
A. Audible heart murmur.
B. Heart rate of 162 beats/minute.
C. Poor oral intake and suckling effort.
D. Weight gain of 2.2 lbs. (1 kg) in the last 48 hours.
C
Infants with congenital heart defects may have difficulty with feeding due to increased effort required to breathe and
feed at the same time. This can lead to poor weight gain and dehydration. Thus, it is important for the nurse to
report any signs of poor feeding or oral intake to the healthcare provider.
The nurse is preparing to administer medications for an eight-month-old infant with heart failure. The infant has a
blood pressure of 114/66 mm Hg, apical pulse of 88 beats/minute, and respirations of 30 breaths/minute.
Which medication should the nurse withhold until the healthcare provider is notified?
A. Digoxin.
B. Furosemide.
C. Hydralazine.
D. Enalapril.
Correct Answer : A
For an eight-month-old infant with heart failure, the nurse should withhold digoxin if the infant's apical pulse is less
than 90 beats/minute and notify the healthcare provider. In this case, the infant's apical pulse is 88 beats/minute, so
the nurse should withhold the digoxin and notify the healthcare provider.
Furosemide ( B), hydralazine (C), and enalapril (D) do not have specific parameters for withholding based on the
infant's vital signs.
JOYCEWWALES 3
, Pediatric Nursing Exam 09/28/2026
A child who weighs 18 pounds receives a prescription for amoxicillin 25 mg/kg/day by mouth in divided doses every
12 hours. The bottle is labelled, "Amoxicillin for Oral Suspension, USP 400 mg per 5 mL." How many mL should the
nurse administer with each dose?
(Enter numerical value only. If rounding is required, round to the nearest tenth.)
1.3
Which snack selected by a school-aged child with gastroesophageal reflux indicates to the nurse that the child
understands the dietary restrictions?
A. Sugar cookies.
B. Pizza.
C. Tacos.
D. Chocolate milkshake.
Correct Answer : A
The child with gastroesophageal reflux should avoid acidic and spicy foods, as well as high-fat and high- sugar foods.
Sugar cookies are a low-fat and low-sugar snack, which indicates that the child understands the dietary restrictions.
Choices B, C, and D are high in fat, sugar, or acid and may exacerbate gastroesophageal reflux symptoms
During her sports physical examination, 15-year-old female requests oral contraceptives. She explains that she is
sexually active and does not want her parents to know. Which action should the nurse take?
A. Encourage the client to discuss her need for contraceptives with her parents.
B. Counsel the client about the risks and benefits of using oral contraceptives.
C. Explain that she needs parental approval to receive contraceptives.
D. Tell the client how to receive a variety of free oral contraceptives from the clinic.
B
(B) Counsel the client about the risks and benefits of using oral contraceptives: Providing counseling about the risks
and benefits of oral contraceptives is the most appropriate action. It ensures the client is informed and able to make
a decision that is right for her health and circumstances. The nurse can also discuss other contraceptive options and
provide education on safe sex practices. This approach respects the client's autonomy and privacy while ensuring she
receives the necessary information to make an informed choice.
The nurse is monitoring a child with hydrocephalus who received a repeat ventriculoperitoneal (VP) shunt yesterday.
Which assessment finding indicates to the nurse that the shunt is functioning normally?
A. The child has grown in height since the previous shunt placement.
JOYCEWWALES 4
