PEDS NURSING COMPREHENSIVE EXAM 2025/2026
QUESTIONS WITH ANSWERS MARKED A+
✔✔When performing a physical examination on an infant, the nurse in charge notes
abnormally low-set ears. This finding is associated with:
A. Otogenous tetanus
B. Tracheoesophageal fistula
C. Congenital heart defects
D. Renal anomalies - ✔✔D. Renal anomalies
✔✔Nurse Walter should expect a 3-year-old child to be able to perform which action?
A. Ride a tricycle
B. Tle the shoelaces
C. Roller-skates
D. Jump rope - ✔✔A. Ride a tricycle
✔✔Nurse Kim is teaching a group of parents about otitis media. When discussing why
children are predisposed to this disorder, the nurse should mention the significance of
which anatomical feature?
A. Eustachian tubes
B. Nasopharynx
C. Tympanic membrane
D. External ear canal - ✔✔A. Eustachian tubes
✔✔The nurse is evaluating a female child with acute post streptococcal
glomerulonephritis for signs of improvement. Which finding typically is the earliest sign
of improvement?
A. Increased urine output
B. Increased appetite
C. Increased energy level
D. Decreased diarrhea - ✔✔A. Increased urine output
✔✔Dr. Jones prescribes corticosteroids for a child with nephritic syndrome. What is the
primary purpose of administering corticosteroids to this child?
A. To increase blood pressure
B. To reduce inflammation
C. To decrease proteinuria
D. To prevent infection - ✔✔C. To decrease proteinuria
✔✔Parents bring their infant to the clinic, seeking treatment for vomiting and diarrhea
that has lasted for 2 days. On assessment, the nurse in charge detects dry mucous
membranes and lethargy. What other findings suggests a fluid volume deficit?
A. A sunken fontanel
B. Decreased pulse rate
C. Increased blood pressure
, D. Low urine specific gravity - ✔✔A. A sunken fontanel
✔✔How should the nurse prepare a suspension before administration?
A. By diluting it with normal saline solution
B. By diluting it with 5% dextrose solution
C. By shaking it so that all the drug particles are dispersed uniformly
D. By crushing remaining particles with a mortar and pestle - ✔✔C. By shaking it so that
all the drug particles are dispersed uniformly
✔✔What should be the initial bolus of crystalloid fluid replacement for a pediatric patient
in shock?
A 20 ml/kg
B. 10 ml/kg
C. 30 ml/kg
D. 15 ml/kg - ✔✔A 20 ml/kg
✔✔Lily, age 5, with an intelligence quotient of 65 is admitted to the hospital for
evaluation. When planning care, the nurse should keep in mind that this child is:
A. Within the lower range of normal intelligence
B. Mildly retarded but educable
C. Moderately retarded but trainable
D. Completely dependent on others for care - ✔✔B. Mildly retarded but educable
✔✔Mandy, age 12, is brought to the clinic for evaluation for a suspected eating
disorder. To best assess the effects of role and relationship patterns on the child's
nutritional intake, the nurse should ask:
A. "What activities do you engage in during the day?
B. "Do you have any allergies to foods?
C. "Do you like yourself physically?"
D. "What kinds of food do you like to eat?" - ✔✔C. "Do you like yourself physically?"
✔✔Sudden infant death syndrome (SIDS) is one of the most common causes of death
in infants. At what age is the diagnosis of SIDS most likely?
A. 1 to 2 years of age
B. At I week to 1 year of age, peaking at 2 to 4 months
C. At months to 1 year of age, peaking at 10 months
D. At 6 to 8 weeks of age - ✔✔B. At I week to 1 year of age, peaking at 2 to 4 months
✔✔When evaluating a severely knows that one indicator of a high risk for suicide is
depressed adolescent, the nurse
A Depression
B. Excessive sleepiness
C.A history of cocaine use
D. A preoccupation with death - ✔✔D. A preoccupation with death
QUESTIONS WITH ANSWERS MARKED A+
✔✔When performing a physical examination on an infant, the nurse in charge notes
abnormally low-set ears. This finding is associated with:
A. Otogenous tetanus
B. Tracheoesophageal fistula
C. Congenital heart defects
D. Renal anomalies - ✔✔D. Renal anomalies
✔✔Nurse Walter should expect a 3-year-old child to be able to perform which action?
A. Ride a tricycle
B. Tle the shoelaces
C. Roller-skates
D. Jump rope - ✔✔A. Ride a tricycle
✔✔Nurse Kim is teaching a group of parents about otitis media. When discussing why
children are predisposed to this disorder, the nurse should mention the significance of
which anatomical feature?
A. Eustachian tubes
B. Nasopharynx
C. Tympanic membrane
D. External ear canal - ✔✔A. Eustachian tubes
✔✔The nurse is evaluating a female child with acute post streptococcal
glomerulonephritis for signs of improvement. Which finding typically is the earliest sign
of improvement?
A. Increased urine output
B. Increased appetite
C. Increased energy level
D. Decreased diarrhea - ✔✔A. Increased urine output
✔✔Dr. Jones prescribes corticosteroids for a child with nephritic syndrome. What is the
primary purpose of administering corticosteroids to this child?
A. To increase blood pressure
B. To reduce inflammation
C. To decrease proteinuria
D. To prevent infection - ✔✔C. To decrease proteinuria
✔✔Parents bring their infant to the clinic, seeking treatment for vomiting and diarrhea
that has lasted for 2 days. On assessment, the nurse in charge detects dry mucous
membranes and lethargy. What other findings suggests a fluid volume deficit?
A. A sunken fontanel
B. Decreased pulse rate
C. Increased blood pressure
, D. Low urine specific gravity - ✔✔A. A sunken fontanel
✔✔How should the nurse prepare a suspension before administration?
A. By diluting it with normal saline solution
B. By diluting it with 5% dextrose solution
C. By shaking it so that all the drug particles are dispersed uniformly
D. By crushing remaining particles with a mortar and pestle - ✔✔C. By shaking it so that
all the drug particles are dispersed uniformly
✔✔What should be the initial bolus of crystalloid fluid replacement for a pediatric patient
in shock?
A 20 ml/kg
B. 10 ml/kg
C. 30 ml/kg
D. 15 ml/kg - ✔✔A 20 ml/kg
✔✔Lily, age 5, with an intelligence quotient of 65 is admitted to the hospital for
evaluation. When planning care, the nurse should keep in mind that this child is:
A. Within the lower range of normal intelligence
B. Mildly retarded but educable
C. Moderately retarded but trainable
D. Completely dependent on others for care - ✔✔B. Mildly retarded but educable
✔✔Mandy, age 12, is brought to the clinic for evaluation for a suspected eating
disorder. To best assess the effects of role and relationship patterns on the child's
nutritional intake, the nurse should ask:
A. "What activities do you engage in during the day?
B. "Do you have any allergies to foods?
C. "Do you like yourself physically?"
D. "What kinds of food do you like to eat?" - ✔✔C. "Do you like yourself physically?"
✔✔Sudden infant death syndrome (SIDS) is one of the most common causes of death
in infants. At what age is the diagnosis of SIDS most likely?
A. 1 to 2 years of age
B. At I week to 1 year of age, peaking at 2 to 4 months
C. At months to 1 year of age, peaking at 10 months
D. At 6 to 8 weeks of age - ✔✔B. At I week to 1 year of age, peaking at 2 to 4 months
✔✔When evaluating a severely knows that one indicator of a high risk for suicide is
depressed adolescent, the nurse
A Depression
B. Excessive sleepiness
C.A history of cocaine use
D. A preoccupation with death - ✔✔D. A preoccupation with death
