2025 PEDSI PROCTORED EXAM WITH
ACTUAL CORRECT ANSWERS.
A Nurse is teaching the parents of a school-aged child who has a new
diagnosis of osteomyelitis of the tibia. The nurse should identify that which
of the following statements by the parents indicates an understanding of
the teaching?
A- my child will have a cast until healing is complete.
B- My child will receive antibiotics for several weeks.
C- My child can return to playing sports once he is
discharged.
D- My child needs to be in contact
isolation. - CorreCt Answers -B- My child will receive antibiotics for several
weeks; The nurse should instruct the parent that the child will receive
antibiotic therapy for
at least 4weeks. Surgery might be indicated if the antibiotics are not
successful.
A nurse is auscultating the lungs of an adolescent who has asthma. The
nurse
should identify the sound as which of the following? Click the audio button
to listen.
A- Biots respiration
B- Chaney Stokes respiration
C- tachypnea
D - Bradypnea - CorreCt Answers -C- tachypnea; The nurse should identify
the sound heard during auscultation as tachypnea, which
,is a rapid, regular breathing pattern. This breathing pattern often occurs
with
anxiety, fever, metabolic acidosis, or severe anemia.
A nurse in an emergency department is caring for a school-age child who is
experiencing an anaphylactic reaction. Which of the following is the
priority action by the nurse?
A- Elevate the head of the child's bed
B- insert a large-bore IV catheter for the child
C- determine the allergen that caused the child's reaction
D- administer IM epinephrine to the
child - CorreCt Answers -D- administer IM epinephrine to the
child; When using the urgent vs no urgent approach to client care, the
nurse determines that
the priority action is administering IM epinephrine to the child. During an
anaphylactic reaction, histamine release causes bronchoconstriction and
vasodilation. This is an emergency becauseultimately it causes decreased
blood
return to the heart.
A nurse at an urgent care clinic is assessing an adolescent client who has an
upper respiratory tract infection. Which of the following findings should
the
nurse recognize as a manifestation of pertussis?
A- Inflamed throat with exudate
B- purulent eye drainage
,C- dry, hacking cough
D- koplik spots on buccal mucosa - CorreCt Answers -C- dry, hacking
cough; The nurse should recognize that a dry, hacking cough is a
manifestation of
pertussis. This disease usually begins with indications of an upper
respiratory
tract infection, which includes a dry, hacking cough that is sometimes more
severe at night.
A nurse is providing teaching about car seat use to the mother of a six-
monthold
infant. Which of the following statements by the mother indicates an
understanding of the teaching?
A- I should secure the car seat using lower
anchors and tethers instead of the seat belt
B- I should position the car seat harness one inch above my baby's
shoulders
C- I will make sure that the car seat is placed at a 90-degree angle
D- I will pad my baby's car seat with a blanket for traveling long distances -
CorreCt Answers -A- I should secure the car seat using lower
anchors and tethers instead of the seat belt; Lower anchors and tethers, or
the LATCH child safety seat system, should be
used to secure an infant's car seat in the vehicle. This system provides
anchors
between the front cushion and the back-rest for the car seat. Therefore, if
this
system is available, the seatbelt does not have to be used.
, A nurse is assessing the pain level of a three-year-old toddler. Which of the
following pain assessment scales should the nurse use?
A- FACES Pain rating scale
B- numeric pain rating scale
C- CRIES pain assessment scale
D- non communicating children's pain checklist - CorreCt Answers -A-
FACES Pain rating scale; The nurse should use the FACES pain rating scale
for pediatric clients who are 3
years old and older. This scale allows the toddler to point to the face that
depicts the
current level of pain. The nurse can then determine the need for pain
management.
A nurse is caring for a preschooler who is scheduled for hydrotherapy
treatment for wound debridement following a burn injury. Which of
the following actions should the nurse take prior to the procedure?
A- Apply topical antimicrobial ointment to the child wound
B- place a mesh gauze dressing over the child wound
C- administer an analgesic to the child
D- initiate prophylactic antibiotic therapy for the child - CorreCt Answers -
C- administer an analgesic to the child; Hydrotherapy for debridement of a
wound is an extremely painful procedure
which requires analgesia and/or sedation. When pain is controlled, it leads
to reduced physiological demands on the body caused by stress and
decreases the
ACTUAL CORRECT ANSWERS.
A Nurse is teaching the parents of a school-aged child who has a new
diagnosis of osteomyelitis of the tibia. The nurse should identify that which
of the following statements by the parents indicates an understanding of
the teaching?
A- my child will have a cast until healing is complete.
B- My child will receive antibiotics for several weeks.
C- My child can return to playing sports once he is
discharged.
D- My child needs to be in contact
isolation. - CorreCt Answers -B- My child will receive antibiotics for several
weeks; The nurse should instruct the parent that the child will receive
antibiotic therapy for
at least 4weeks. Surgery might be indicated if the antibiotics are not
successful.
A nurse is auscultating the lungs of an adolescent who has asthma. The
nurse
should identify the sound as which of the following? Click the audio button
to listen.
A- Biots respiration
B- Chaney Stokes respiration
C- tachypnea
D - Bradypnea - CorreCt Answers -C- tachypnea; The nurse should identify
the sound heard during auscultation as tachypnea, which
,is a rapid, regular breathing pattern. This breathing pattern often occurs
with
anxiety, fever, metabolic acidosis, or severe anemia.
A nurse in an emergency department is caring for a school-age child who is
experiencing an anaphylactic reaction. Which of the following is the
priority action by the nurse?
A- Elevate the head of the child's bed
B- insert a large-bore IV catheter for the child
C- determine the allergen that caused the child's reaction
D- administer IM epinephrine to the
child - CorreCt Answers -D- administer IM epinephrine to the
child; When using the urgent vs no urgent approach to client care, the
nurse determines that
the priority action is administering IM epinephrine to the child. During an
anaphylactic reaction, histamine release causes bronchoconstriction and
vasodilation. This is an emergency becauseultimately it causes decreased
blood
return to the heart.
A nurse at an urgent care clinic is assessing an adolescent client who has an
upper respiratory tract infection. Which of the following findings should
the
nurse recognize as a manifestation of pertussis?
A- Inflamed throat with exudate
B- purulent eye drainage
,C- dry, hacking cough
D- koplik spots on buccal mucosa - CorreCt Answers -C- dry, hacking
cough; The nurse should recognize that a dry, hacking cough is a
manifestation of
pertussis. This disease usually begins with indications of an upper
respiratory
tract infection, which includes a dry, hacking cough that is sometimes more
severe at night.
A nurse is providing teaching about car seat use to the mother of a six-
monthold
infant. Which of the following statements by the mother indicates an
understanding of the teaching?
A- I should secure the car seat using lower
anchors and tethers instead of the seat belt
B- I should position the car seat harness one inch above my baby's
shoulders
C- I will make sure that the car seat is placed at a 90-degree angle
D- I will pad my baby's car seat with a blanket for traveling long distances -
CorreCt Answers -A- I should secure the car seat using lower
anchors and tethers instead of the seat belt; Lower anchors and tethers, or
the LATCH child safety seat system, should be
used to secure an infant's car seat in the vehicle. This system provides
anchors
between the front cushion and the back-rest for the car seat. Therefore, if
this
system is available, the seatbelt does not have to be used.
, A nurse is assessing the pain level of a three-year-old toddler. Which of the
following pain assessment scales should the nurse use?
A- FACES Pain rating scale
B- numeric pain rating scale
C- CRIES pain assessment scale
D- non communicating children's pain checklist - CorreCt Answers -A-
FACES Pain rating scale; The nurse should use the FACES pain rating scale
for pediatric clients who are 3
years old and older. This scale allows the toddler to point to the face that
depicts the
current level of pain. The nurse can then determine the need for pain
management.
A nurse is caring for a preschooler who is scheduled for hydrotherapy
treatment for wound debridement following a burn injury. Which of
the following actions should the nurse take prior to the procedure?
A- Apply topical antimicrobial ointment to the child wound
B- place a mesh gauze dressing over the child wound
C- administer an analgesic to the child
D- initiate prophylactic antibiotic therapy for the child - CorreCt Answers -
C- administer an analgesic to the child; Hydrotherapy for debridement of a
wound is an extremely painful procedure
which requires analgesia and/or sedation. When pain is controlled, it leads
to reduced physiological demands on the body caused by stress and
decreases the
