PEDIATRIC NURSING EXAM QUESTIONS,
ANSWERS AND KEY CONCEPTS
COMPREHENSIVE AND DETAILED GRADE
A+ GURANTEED PASS
What are expected findings for a school-age child with mild persistent
asthma? - ANSWER - Daytime symptoms occur more than twice per
week; minor limitations with normal activity; peak expiratory flow (PEF)
is greater than or equal to 80% of the predicted value.
What symptoms are NOT typical for mild persistent asthma? - ANSWER
- Continuous symptoms throughout the day and nighttime symptoms
occurring approximately twice per month.
,What is a common manifestation of Wilms's tumor? - ANSWER -
Abdominal mass and hematuria.
What is the expected urinary output for infants up to 1 year of age? -
ANSWER - 2 ml/kg/hr.
What condition is characterized by irritability in infants? - ANSWER -
Dehydration.
What does orthopnea indicate in a toddler? - ANSWER - Increased
venous return leading to pulmonary congestion.
What should a nurse monitor for after a tonsillectomy? - ANSWER -
Signs of hemorrhage such as frequent swallowing.
What immunization should a nurse question for a child with an egg
allergy? - ANSWER - Influenza, live attenuated (LAIV) vaccine.
What are common assessment findings for leukemia, sickle cell anemia,
and hemophilia? - ANSWER - Temperature: X (both leukemia and sickle
cell anemia); Bruising: X (both leukemia and hemophilia); WBC count: X
(both leukemia and sickle cell anemia); Pain: X (all three conditions).
,What weight loss percentage indicates severe dehydration in an infant?
- ANSWER - A weight loss greater than 10%.
What finding should a nurse expect in a dehydrated infant? - ANSWER -
Irritability.
What disorder should a nurse suspect in a 1-year-old with a large
abdominal mass and pink-tinged urine? - ANSWER - Wilms's tumor.
What is the most reliable indicator of fluid loss in infants? - ANSWER -
Body weight.
What urinary output indicates correction of fluid imbalance in a 6-
month-old infant? - ANSWER - 2 ml/kg/hr.
What finding indicates heart failure in a toddler? - ANSWER -
Orthopnea.
What is a manifestation of hemorrhage following a tonsillectomy? -
ANSWER - Frequent swallowing.
, What indicates effective treatment for a toddler with acute
laryngotracheobronchitis in a cool mist tent? - ANSWER - Decreased
stridor.
What is the primary purpose of a cool mist tent for a child with croup? -
ANSWER - To humidify inspired air and decrease respiratory effort.
What is a sign of effective treatment for laryngotracheobronchitis? -
ANSWER - Decreased stridor.
What does a peak expiratory flow (PEF) greater than or equal to 80%
indicate in asthma management? - ANSWER - Mild persistent asthma.
What is a significant finding in a child with sickle cell anemia? -
ANSWER - Pain due to vaso-occlusive crises.
What finding in a child with leukemia may indicate the need for further
assessment? - ANSWER - Bruising.
What is a common symptom of dehydration in infants? - ANSWER -
Irritability.
ANSWERS AND KEY CONCEPTS
COMPREHENSIVE AND DETAILED GRADE
A+ GURANTEED PASS
What are expected findings for a school-age child with mild persistent
asthma? - ANSWER - Daytime symptoms occur more than twice per
week; minor limitations with normal activity; peak expiratory flow (PEF)
is greater than or equal to 80% of the predicted value.
What symptoms are NOT typical for mild persistent asthma? - ANSWER
- Continuous symptoms throughout the day and nighttime symptoms
occurring approximately twice per month.
,What is a common manifestation of Wilms's tumor? - ANSWER -
Abdominal mass and hematuria.
What is the expected urinary output for infants up to 1 year of age? -
ANSWER - 2 ml/kg/hr.
What condition is characterized by irritability in infants? - ANSWER -
Dehydration.
What does orthopnea indicate in a toddler? - ANSWER - Increased
venous return leading to pulmonary congestion.
What should a nurse monitor for after a tonsillectomy? - ANSWER -
Signs of hemorrhage such as frequent swallowing.
What immunization should a nurse question for a child with an egg
allergy? - ANSWER - Influenza, live attenuated (LAIV) vaccine.
What are common assessment findings for leukemia, sickle cell anemia,
and hemophilia? - ANSWER - Temperature: X (both leukemia and sickle
cell anemia); Bruising: X (both leukemia and hemophilia); WBC count: X
(both leukemia and sickle cell anemia); Pain: X (all three conditions).
,What weight loss percentage indicates severe dehydration in an infant?
- ANSWER - A weight loss greater than 10%.
What finding should a nurse expect in a dehydrated infant? - ANSWER -
Irritability.
What disorder should a nurse suspect in a 1-year-old with a large
abdominal mass and pink-tinged urine? - ANSWER - Wilms's tumor.
What is the most reliable indicator of fluid loss in infants? - ANSWER -
Body weight.
What urinary output indicates correction of fluid imbalance in a 6-
month-old infant? - ANSWER - 2 ml/kg/hr.
What finding indicates heart failure in a toddler? - ANSWER -
Orthopnea.
What is a manifestation of hemorrhage following a tonsillectomy? -
ANSWER - Frequent swallowing.
, What indicates effective treatment for a toddler with acute
laryngotracheobronchitis in a cool mist tent? - ANSWER - Decreased
stridor.
What is the primary purpose of a cool mist tent for a child with croup? -
ANSWER - To humidify inspired air and decrease respiratory effort.
What is a sign of effective treatment for laryngotracheobronchitis? -
ANSWER - Decreased stridor.
What does a peak expiratory flow (PEF) greater than or equal to 80%
indicate in asthma management? - ANSWER - Mild persistent asthma.
What is a significant finding in a child with sickle cell anemia? -
ANSWER - Pain due to vaso-occlusive crises.
What finding in a child with leukemia may indicate the need for further
assessment? - ANSWER - Bruising.
What is a common symptom of dehydration in infants? - ANSWER -
Irritability.
