Peds: Final Exam Test Bank, Pediatrics: Neuro
Questions, Pediatric Musculoskeletal Practice
Questions, Pediatric Neurological Practice
Questions, Peds Exam Neuro/Musculoskeletal,
PEDS 2026/2027 EXAM #3,
Peds Questions
1) A young child admitted to the pediatric unit has fever, irritability, and
vomiting with suspected bacterial meningitis. Which cerebrospinal fluid (CSF)
result should the nurse anticipate based on these data?
1. Decreased protein count
2. Clear, straw-colored fluid
3. Positive for red blood cells (RBCs)
4. Decreased glucose level - ANSWER-4. Decreased glucose level
2) Which is the priority nursing diagnosis when planning care for a pediatric
client who is diagnosed with bacterial meningitis?
1. Impaired Gas Exchange
2. Risk for Infection
3. Anxiety (parental)
4. Acute Pain - ANSWER-1. Impaired Gas Exchange
, 3) The nurse is caring for a 9-month-old infant who just returned from the
postanesthesia care unit (PACU) after a shunt placement for hydrocephalus.
Which healthcare provider prescription should the nurse question?
1. Vital signs and neurologic checks hourly
2. Small, frequent formula feedings
3. Elevate head of bed
4. Daily head circumference - ANSWER-3. Elevate head of bed
4) A neonate with a meningomyelocele is to have surgery in the morning.
Which nursing action is appropriate for this neonate?
1. Applying a diaper to prevent contamination of sac
2. Positioning the newborn in a side-lying position
3. Encouraging the mother to hold the newborn because she will not be able to
pick him up after surgery
4. Positioning the newborn in a prone position - ANSWER-4. Positioning the
newborn in a prone position
5) Which should the nurse include in the plan of care for a hospitalized
school-age child with meningomyelocele? Select all that apply.
1. Implementing interventions for a client of normal intelligence
2. Using latex precautions when providing client care
3. Allowing the client to self-catheterize
,4. Ensuring that the client has a low-fiber diet
5. Encouraging the client to shift positions hourly when in the wheelchair -
ANSWER-1. Implementing interventions for a client of normal intelligence
2. Using latex precautions when providing client care
3. Allowing the client to self-catheterize
5. Encouraging the client to shift positions hourly when in the wheelchair
6) Which side effect should the nurse include in the parent teaching for a
child who is prescribed a baclofen pump for cerebral palsy?
1. Diarrhea
2. Hypertonia
3. Hypotonia
4. Restlessness - ANSWER-3. Hypotonia
7) A 9-month-old infant who is not sitting independently has been
diagnosed with ataxic cerebral palsy (CP). Which clinical manifestations
would the nurse expect to see in the baby?
1. Hypotonia and muscle instability
2. Hypertonia and persistence primitive reflexes
3. Tremors and exaggerated posturing
4. Hemiplegia and hypertonia - ANSWER-1. Hypotonia and muscle instability
, 8) A pediatric client is admitted to the emergency department with a
traumatic brain injury (TBI) that caused a loss of consciousness. The last set of
vital signs showed heart rate 48, blood pressure (BP) 148/74 mmHg,
respiratory rate 28 and irregular. Which does the nurse suspect based on
these data?
1. Spinal cord injury
2. Increased intracranial pressure.
3. Typical for sleep
4. Improvement - ANSWER-2. Increased intracranial pressure.
9) Which assessment finding for a 4-month-old infant would require further
action by the nurse?
1. The posterior fontanel is open.
2. The infant has good head control when held upright.
3. The infant is able to roll only from abdomen to back.
4. The anterior fontanel is open and soft. - ANSWER-1. The posterior fontanel is
open.
10) The nurse is providing care for a pediatric client in the emergency
department (ED) with a diagnosis of decreased level of consciousness (LOC)
secondary to
increased intracranial pressure (ICP). Which healthcare provider order should the
nurse question?
1. Passive range-of-motion exercises to promote hip flexion
2. Oxygen at 2 L nasal cannula to keep saturation above 95%
Questions, Pediatric Musculoskeletal Practice
Questions, Pediatric Neurological Practice
Questions, Peds Exam Neuro/Musculoskeletal,
PEDS 2026/2027 EXAM #3,
Peds Questions
1) A young child admitted to the pediatric unit has fever, irritability, and
vomiting with suspected bacterial meningitis. Which cerebrospinal fluid (CSF)
result should the nurse anticipate based on these data?
1. Decreased protein count
2. Clear, straw-colored fluid
3. Positive for red blood cells (RBCs)
4. Decreased glucose level - ANSWER-4. Decreased glucose level
2) Which is the priority nursing diagnosis when planning care for a pediatric
client who is diagnosed with bacterial meningitis?
1. Impaired Gas Exchange
2. Risk for Infection
3. Anxiety (parental)
4. Acute Pain - ANSWER-1. Impaired Gas Exchange
, 3) The nurse is caring for a 9-month-old infant who just returned from the
postanesthesia care unit (PACU) after a shunt placement for hydrocephalus.
Which healthcare provider prescription should the nurse question?
1. Vital signs and neurologic checks hourly
2. Small, frequent formula feedings
3. Elevate head of bed
4. Daily head circumference - ANSWER-3. Elevate head of bed
4) A neonate with a meningomyelocele is to have surgery in the morning.
Which nursing action is appropriate for this neonate?
1. Applying a diaper to prevent contamination of sac
2. Positioning the newborn in a side-lying position
3. Encouraging the mother to hold the newborn because she will not be able to
pick him up after surgery
4. Positioning the newborn in a prone position - ANSWER-4. Positioning the
newborn in a prone position
5) Which should the nurse include in the plan of care for a hospitalized
school-age child with meningomyelocele? Select all that apply.
1. Implementing interventions for a client of normal intelligence
2. Using latex precautions when providing client care
3. Allowing the client to self-catheterize
,4. Ensuring that the client has a low-fiber diet
5. Encouraging the client to shift positions hourly when in the wheelchair -
ANSWER-1. Implementing interventions for a client of normal intelligence
2. Using latex precautions when providing client care
3. Allowing the client to self-catheterize
5. Encouraging the client to shift positions hourly when in the wheelchair
6) Which side effect should the nurse include in the parent teaching for a
child who is prescribed a baclofen pump for cerebral palsy?
1. Diarrhea
2. Hypertonia
3. Hypotonia
4. Restlessness - ANSWER-3. Hypotonia
7) A 9-month-old infant who is not sitting independently has been
diagnosed with ataxic cerebral palsy (CP). Which clinical manifestations
would the nurse expect to see in the baby?
1. Hypotonia and muscle instability
2. Hypertonia and persistence primitive reflexes
3. Tremors and exaggerated posturing
4. Hemiplegia and hypertonia - ANSWER-1. Hypotonia and muscle instability
, 8) A pediatric client is admitted to the emergency department with a
traumatic brain injury (TBI) that caused a loss of consciousness. The last set of
vital signs showed heart rate 48, blood pressure (BP) 148/74 mmHg,
respiratory rate 28 and irregular. Which does the nurse suspect based on
these data?
1. Spinal cord injury
2. Increased intracranial pressure.
3. Typical for sleep
4. Improvement - ANSWER-2. Increased intracranial pressure.
9) Which assessment finding for a 4-month-old infant would require further
action by the nurse?
1. The posterior fontanel is open.
2. The infant has good head control when held upright.
3. The infant is able to roll only from abdomen to back.
4. The anterior fontanel is open and soft. - ANSWER-1. The posterior fontanel is
open.
10) The nurse is providing care for a pediatric client in the emergency
department (ED) with a diagnosis of decreased level of consciousness (LOC)
secondary to
increased intracranial pressure (ICP). Which healthcare provider order should the
nurse question?
1. Passive range-of-motion exercises to promote hip flexion
2. Oxygen at 2 L nasal cannula to keep saturation above 95%
