Pediatric Nursing Practice Questions
2024/2025
A 10-year-old client was brought to the emergency department due to collapsing and
experiencing jerky motor movements after being hit in the forehead with a baseball. Upon
examination, the child's pupils appear widely dilated and reactive bilaterally. Based on this
finding, which condition should the nurse suspect the client experienced?
a. Seizure.
b. Nerve damage.
c. Hydrocephalus.
d. Subdural hematoma. -- Correct Answer --a
A 12-month-old boy is admitted with a respiratory infection and possible pneumonia. He is
placed in a mist tent with oxygen. Which nursing intervention has the greatest priority for this
infant?
a. Give small, frequent feedings of fluids.
b. Accurately chart observations regarding breath sounds.
c. Have a bulb syringe readily available to remove secretions.
d. Encourage older siblings to visit. -- Correct Answer --c
,A 12-month-old boy is admitted with a respiratory infection and possible pneumonia. He is
placed in a mist tent with oxygen. Which nursing intervention has the greatest priority for this
infant?
a. Give small, frequent feedings of fluids.
b. Accurately chart observations regarding breath sounds.
c. Have a bulb syringe readily available to remove secretions.
d. Encourage older siblings to visit. -- Correct Answer --c
A 12-month-old client is being discharged with a body spica cast. Which information should the
nurse include in the parents' discharge teaching plan?
a. Foul odor from cast may indicate infection or skin breakdown.
b. Pillows should not be placed under cast.
c. The child can be safely transported in a stroller.
d. Use pillows to elevate the child's head. -- Correct Answer --a
A 12-year-old athlete reports severe ankle pain and an audible "popping" sound in the ankle after
a fall at soccer practice. The nurse upon inspection observes moderate swelling, bruising, and
joint instability. Initial radiographs of the ankle appear normal. Which type of injury should the
nurse suspect?
,a. Strain.
b. Sprain.
c. Fracture.
d. Dislocation. -- Correct Answer --b
A 12-year-old client presents suddenly with signs of shock; weak and rapid pulse;
bronchoconstriction and laryngeal edema. What should the nurse suspect is the cause of this
presentation?
a. Bronchial asthma.
b. Anaphylaxis.
c. Bronchiolitis.
d. Respiratory distress syndrome. -- Correct Answer --b
A 14-year-old female client tells the nurse that she is concerned about the acne she has recently
developed. Which recommendation should the nurse provide?
a. Remove all blackheads and follow with an alcohol scrub.
b. Use medicated cosmetics only to help hide the blemishes.
c. Wash the hair and skin frequently with soap and hot water.
d. Encourage her to see a dermatologist as soon as possible. -- Correct Answer --c
, A 15-year-old girl tells the school nurse that all of her friends have started their periods and she
feels abnormal because she has not. Which response is best for the nurse provide?
a. Refer the adolescent to the healthcare provider for a pregnancy screen.
b. Schedule a conference with her parents to recommend hormone therapy.
c. Explain that menarche varies and occurs between the ages of 12 and 18 years.
d. Suggest that she use diversions to help her not worry about delayed menarche. -- Correct
Answer --c
A 16-year-old is brought to the Emergency Center with a crushed leg after falling off a horse.
The adolescent's last tetanus toxoid booster was received eight years ago. What action should the
nurse take?
a. Dispense a tetanus antitoxin.
b. Prepare human tetanus immune globulin.
c. Administer tetanus toxoid booster.
d. Delay the tetanus toxoid booster until due. -- Correct Answer --c
A 16-year-old is brought to the Emergency Center with a crushed leg after falling off a horse.
The adolescent's last tetanus toxoid booster was received eight years ago. What action should the
nurse take?
2024/2025
A 10-year-old client was brought to the emergency department due to collapsing and
experiencing jerky motor movements after being hit in the forehead with a baseball. Upon
examination, the child's pupils appear widely dilated and reactive bilaterally. Based on this
finding, which condition should the nurse suspect the client experienced?
a. Seizure.
b. Nerve damage.
c. Hydrocephalus.
d. Subdural hematoma. -- Correct Answer --a
A 12-month-old boy is admitted with a respiratory infection and possible pneumonia. He is
placed in a mist tent with oxygen. Which nursing intervention has the greatest priority for this
infant?
a. Give small, frequent feedings of fluids.
b. Accurately chart observations regarding breath sounds.
c. Have a bulb syringe readily available to remove secretions.
d. Encourage older siblings to visit. -- Correct Answer --c
,A 12-month-old boy is admitted with a respiratory infection and possible pneumonia. He is
placed in a mist tent with oxygen. Which nursing intervention has the greatest priority for this
infant?
a. Give small, frequent feedings of fluids.
b. Accurately chart observations regarding breath sounds.
c. Have a bulb syringe readily available to remove secretions.
d. Encourage older siblings to visit. -- Correct Answer --c
A 12-month-old client is being discharged with a body spica cast. Which information should the
nurse include in the parents' discharge teaching plan?
a. Foul odor from cast may indicate infection or skin breakdown.
b. Pillows should not be placed under cast.
c. The child can be safely transported in a stroller.
d. Use pillows to elevate the child's head. -- Correct Answer --a
A 12-year-old athlete reports severe ankle pain and an audible "popping" sound in the ankle after
a fall at soccer practice. The nurse upon inspection observes moderate swelling, bruising, and
joint instability. Initial radiographs of the ankle appear normal. Which type of injury should the
nurse suspect?
,a. Strain.
b. Sprain.
c. Fracture.
d. Dislocation. -- Correct Answer --b
A 12-year-old client presents suddenly with signs of shock; weak and rapid pulse;
bronchoconstriction and laryngeal edema. What should the nurse suspect is the cause of this
presentation?
a. Bronchial asthma.
b. Anaphylaxis.
c. Bronchiolitis.
d. Respiratory distress syndrome. -- Correct Answer --b
A 14-year-old female client tells the nurse that she is concerned about the acne she has recently
developed. Which recommendation should the nurse provide?
a. Remove all blackheads and follow with an alcohol scrub.
b. Use medicated cosmetics only to help hide the blemishes.
c. Wash the hair and skin frequently with soap and hot water.
d. Encourage her to see a dermatologist as soon as possible. -- Correct Answer --c
, A 15-year-old girl tells the school nurse that all of her friends have started their periods and she
feels abnormal because she has not. Which response is best for the nurse provide?
a. Refer the adolescent to the healthcare provider for a pregnancy screen.
b. Schedule a conference with her parents to recommend hormone therapy.
c. Explain that menarche varies and occurs between the ages of 12 and 18 years.
d. Suggest that she use diversions to help her not worry about delayed menarche. -- Correct
Answer --c
A 16-year-old is brought to the Emergency Center with a crushed leg after falling off a horse.
The adolescent's last tetanus toxoid booster was received eight years ago. What action should the
nurse take?
a. Dispense a tetanus antitoxin.
b. Prepare human tetanus immune globulin.
c. Administer tetanus toxoid booster.
d. Delay the tetanus toxoid booster until due. -- Correct Answer --c
A 16-year-old is brought to the Emergency Center with a crushed leg after falling off a horse.
The adolescent's last tetanus toxoid booster was received eight years ago. What action should the
nurse take?
