PEDIATRICS NURSING FINAL EXAM QUESTIONS AND ANSWERS
GRADED A+ 2025
A nurse is caring for a 3 month old infant diagnosed with respiratory syncytial virus (RSV). Which of the
following manifestations concerns the nurse the most? Select all that apply
A. congested moist cough.
B. expiratory wheezing than decreased air moment
C. respiratory rate of 34
D. respiratory grunting.
B. expiratory wheezing than decreased air moment
D. respiratory grunting.
Which of the following manifestations distinguishes croup from other respiratory disorders?
A. barking cough and stridor.
B. cough and nasal drainage.
C. nasal flaring and grunting.
D. wheezing and retracting.
A. barking cough and stridor
A 5 month old infant is admitted for treatment of respiratory syncytial virus (RSV). Which of the
following alerts the nurse to EARLY signs of increasing distress?
Rales
oxygen saturation of 94% on room air.
respiratory rate 62
,Slight wheezes clear with cough
respiratory rate 62
A nurse is caring for a 3 month old infant diagnosed with respiratory syncytial virus (RSV). Which of the
following manifestations concerns the nurse the most?
A. congested moist cough.
B. expiratory wheezing than decreased air moment
C. intercostal space retractions.
D. respiratory grunting.
B. expiratory wheezing than decreased air moment
D. respiratory grunting.
A 20 month-old presents for treatment of stridor associated with croup. The nurse anticipates a STAT
order from the physician for
acetaminophen (Tylenol)
levalbuterol (Xopenex)
prednisone (Prelone)
racemic epinephrine (Vaponephrine)
racemic epinephrine (Vaponephrine)
A child with epiglottitis is worsening the nurse would do which of the following ?
A. Administer antibiotics STAT
B. Notify the most experienced provider for intubation
,C. Exam the child's throat and get a culture
D. Give the patient a stat albuterol treatment
B. Notify the most experienced provider for intubation
A mom is concerned that that her child with a upper respiratory infection is not eating very well for 2
days .Which is the nurses best response?
A. Don't worry he is fine
B. Give them their favorite foods
C. Make sure they are getting adequate amounts of fluid
D. Force them to eat
C. Make sure they are getting adequate amounts of fluid
A 8 year old post tonsillectomy patient is complaining of pain . During the assessment the nurse is very
concerned about which finding?
A. The child is saying his throat hurts
B. The child is swallowing excessively and spitting up copious amounts of bright red blood
C. The child is asking for food
D. The child’s heart rate is elevated
B. The child is swallowing excessively and spitting up copious amounts of bright red blood
Which laboratory result would be the most important piece of information regarding respiratory status?
PH 7.21
WBC 6.0
, HCT 39
BUN 16
PH 7.21
Which physical sign is indicating respiratory failure in a child with RSV?
Tachypnea
Rales
Wheezing
Grunting
Grunting
What advice would the nurse give a mother with a child that has a barky cough?
Take the child outside to the cool air
Go to the ER
Give the child some adult cough medicine
give them some hot tea
Take the child outside to the cool air
The mother of an infant who has had a series of hospitalizations related to bronchiolitis asks the
healthcare provider why her infant seems to be prone to respiratory infections. Which of these provide
the most accurate information about the respiratory systems of infants and young children? Select all
that apply
A. Respiratory airways of infants and young children are more narrow so they are easily obstructed.
GRADED A+ 2025
A nurse is caring for a 3 month old infant diagnosed with respiratory syncytial virus (RSV). Which of the
following manifestations concerns the nurse the most? Select all that apply
A. congested moist cough.
B. expiratory wheezing than decreased air moment
C. respiratory rate of 34
D. respiratory grunting.
B. expiratory wheezing than decreased air moment
D. respiratory grunting.
Which of the following manifestations distinguishes croup from other respiratory disorders?
A. barking cough and stridor.
B. cough and nasal drainage.
C. nasal flaring and grunting.
D. wheezing and retracting.
A. barking cough and stridor
A 5 month old infant is admitted for treatment of respiratory syncytial virus (RSV). Which of the
following alerts the nurse to EARLY signs of increasing distress?
Rales
oxygen saturation of 94% on room air.
respiratory rate 62
,Slight wheezes clear with cough
respiratory rate 62
A nurse is caring for a 3 month old infant diagnosed with respiratory syncytial virus (RSV). Which of the
following manifestations concerns the nurse the most?
A. congested moist cough.
B. expiratory wheezing than decreased air moment
C. intercostal space retractions.
D. respiratory grunting.
B. expiratory wheezing than decreased air moment
D. respiratory grunting.
A 20 month-old presents for treatment of stridor associated with croup. The nurse anticipates a STAT
order from the physician for
acetaminophen (Tylenol)
levalbuterol (Xopenex)
prednisone (Prelone)
racemic epinephrine (Vaponephrine)
racemic epinephrine (Vaponephrine)
A child with epiglottitis is worsening the nurse would do which of the following ?
A. Administer antibiotics STAT
B. Notify the most experienced provider for intubation
,C. Exam the child's throat and get a culture
D. Give the patient a stat albuterol treatment
B. Notify the most experienced provider for intubation
A mom is concerned that that her child with a upper respiratory infection is not eating very well for 2
days .Which is the nurses best response?
A. Don't worry he is fine
B. Give them their favorite foods
C. Make sure they are getting adequate amounts of fluid
D. Force them to eat
C. Make sure they are getting adequate amounts of fluid
A 8 year old post tonsillectomy patient is complaining of pain . During the assessment the nurse is very
concerned about which finding?
A. The child is saying his throat hurts
B. The child is swallowing excessively and spitting up copious amounts of bright red blood
C. The child is asking for food
D. The child’s heart rate is elevated
B. The child is swallowing excessively and spitting up copious amounts of bright red blood
Which laboratory result would be the most important piece of information regarding respiratory status?
PH 7.21
WBC 6.0
, HCT 39
BUN 16
PH 7.21
Which physical sign is indicating respiratory failure in a child with RSV?
Tachypnea
Rales
Wheezing
Grunting
Grunting
What advice would the nurse give a mother with a child that has a barky cough?
Take the child outside to the cool air
Go to the ER
Give the child some adult cough medicine
give them some hot tea
Take the child outside to the cool air
The mother of an infant who has had a series of hospitalizations related to bronchiolitis asks the
healthcare provider why her infant seems to be prone to respiratory infections. Which of these provide
the most accurate information about the respiratory systems of infants and young children? Select all
that apply
A. Respiratory airways of infants and young children are more narrow so they are easily obstructed.
