Pediatric Nursing Practice Questions
What is the recommended serving size of vegetables for a toddler?
a. 1 tablespoon.
b. 1 teaspoon.
c. 1/2 teaspoon.
d. 1/2 tablespoon. - (correct Answer) - a
The nurse is providing emergency care for an unconscious child who presents with a head injury
sustained in a fall. Which is the highest nursing priority?
a. Establish an airway.
b. Assess neurological status.
c. Stabilize the spine.
d. Obtain vital signs. - (correct Answer) - a
he vital signs of a 4-year-old child with polyuria are: BP 80/40, Pulse 118, and Respirations 24. The child's
pedal pulses are present with a volume of +1, and no edema is observed. What action should the nurse
implement first?
a. Insert an indwelling urinary catheter.
b. Start an IV infusion of normal saline.
,c. Send a specimen to the lab for urinalysis.
d. Document the child's vital signs and pulses. - (correct Answer) - b
The nurse is assessing a 2-year-old child. What behavior indicates that the child's language development
is within normal limits?
a. Is able to name four colors.
b. Can count five blocks.
c. Is capable of making a three word sentence.
d. Half of child's speech is understandable. - (correct Answer) - c
At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a female adolescent
client with acute glomerulonephritis has a blood pressure of 210/110. The 4 a.m. blood pressure reading
was 170/88. The client reports to the UAP that she is upset because her boyfriend did not visit last night.
What action should the nurse take first?
a. Give the client her 9 a.m. prescription for an oral diuretic early.
b. Administer PRN prescription of nifedipine (Procardia) sublingually.
c. Notify the healthcare provider and inform the nursing supervisor of the client's condition.
d. Attempt to calm the client and retake the blood pressure in thirty minutes. - (correct Answer) - b
During administration of a blood transfusion, a child complains of chills, headache, and nausea. Which
action should the nurse implement?
,a. Start another IV of dextrose solution and stay with the child.
b. Continue the transfusion and monitor the child's vital signs.
c. Stop the infusion immediately and notify the healthcare provider.
d. Slow the transfusion and assess for cessation of symptoms. - (correct Answer) - c
The nurse is preparing a health teaching program for parents of toddlers and preschoolers and plans to
include information about prevention of accidental poisonings. It is most important for the nurse to
include which instruction?
a. Tell children they should not taste anything but food.
b. Store all toxic agents and medicines in locked cabinets.
c. Provide special play areas in the house and restrict play in other areas.
d. Punish children if they open cabinets that contain household chemicals. - (correct Answer) - b
What preoperative nursing intervention should be included in the plan of care for an infant with pyloric
stenosis?
a. Monitor for signs of metabolic acidosis.
b. Estimate the quantity of diarrhea stools.
c. Place in a supine position after feeding.
d. Observe for projectile vomiting. - (correct Answer) - d
, Which measurements should be used to accurately calculate a pediatric medication dosage? Select all
that apply.
a. Child's height and weight.
b. Adult dosage of medication.
c. Body surface area of child.
d. Average adult's body surface area.
e. Average pediatric dosage of medication.
f. Nomogram determined mathematical constant. - (correct Answer) - a,c,f
The nurse is assessing the neurovascular status of a child in Russell's traction. Which finding should the
nurse report to the healthcare provider?
a. Pale bluish coloration of the toes.
b. Skin is warm and dry to the touch.
c. Toes are wiggled upon command.
d. Capillary refill less than 3 seconds. - (correct Answer) - a
The mother of a preschool-aged child asks the nurse if it is all right to administer bismuth subsalicylate
(Pepto Bismol, Bismylate) to her son when he "has a tummy ache." After reminding the mother to check
the label of all over-the-counter drugs for the presence of aspirin, which instruction should the nurse
include when replying to this mother's question?
What is the recommended serving size of vegetables for a toddler?
a. 1 tablespoon.
b. 1 teaspoon.
c. 1/2 teaspoon.
d. 1/2 tablespoon. - (correct Answer) - a
The nurse is providing emergency care for an unconscious child who presents with a head injury
sustained in a fall. Which is the highest nursing priority?
a. Establish an airway.
b. Assess neurological status.
c. Stabilize the spine.
d. Obtain vital signs. - (correct Answer) - a
he vital signs of a 4-year-old child with polyuria are: BP 80/40, Pulse 118, and Respirations 24. The child's
pedal pulses are present with a volume of +1, and no edema is observed. What action should the nurse
implement first?
a. Insert an indwelling urinary catheter.
b. Start an IV infusion of normal saline.
,c. Send a specimen to the lab for urinalysis.
d. Document the child's vital signs and pulses. - (correct Answer) - b
The nurse is assessing a 2-year-old child. What behavior indicates that the child's language development
is within normal limits?
a. Is able to name four colors.
b. Can count five blocks.
c. Is capable of making a three word sentence.
d. Half of child's speech is understandable. - (correct Answer) - c
At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a female adolescent
client with acute glomerulonephritis has a blood pressure of 210/110. The 4 a.m. blood pressure reading
was 170/88. The client reports to the UAP that she is upset because her boyfriend did not visit last night.
What action should the nurse take first?
a. Give the client her 9 a.m. prescription for an oral diuretic early.
b. Administer PRN prescription of nifedipine (Procardia) sublingually.
c. Notify the healthcare provider and inform the nursing supervisor of the client's condition.
d. Attempt to calm the client and retake the blood pressure in thirty minutes. - (correct Answer) - b
During administration of a blood transfusion, a child complains of chills, headache, and nausea. Which
action should the nurse implement?
,a. Start another IV of dextrose solution and stay with the child.
b. Continue the transfusion and monitor the child's vital signs.
c. Stop the infusion immediately and notify the healthcare provider.
d. Slow the transfusion and assess for cessation of symptoms. - (correct Answer) - c
The nurse is preparing a health teaching program for parents of toddlers and preschoolers and plans to
include information about prevention of accidental poisonings. It is most important for the nurse to
include which instruction?
a. Tell children they should not taste anything but food.
b. Store all toxic agents and medicines in locked cabinets.
c. Provide special play areas in the house and restrict play in other areas.
d. Punish children if they open cabinets that contain household chemicals. - (correct Answer) - b
What preoperative nursing intervention should be included in the plan of care for an infant with pyloric
stenosis?
a. Monitor for signs of metabolic acidosis.
b. Estimate the quantity of diarrhea stools.
c. Place in a supine position after feeding.
d. Observe for projectile vomiting. - (correct Answer) - d
, Which measurements should be used to accurately calculate a pediatric medication dosage? Select all
that apply.
a. Child's height and weight.
b. Adult dosage of medication.
c. Body surface area of child.
d. Average adult's body surface area.
e. Average pediatric dosage of medication.
f. Nomogram determined mathematical constant. - (correct Answer) - a,c,f
The nurse is assessing the neurovascular status of a child in Russell's traction. Which finding should the
nurse report to the healthcare provider?
a. Pale bluish coloration of the toes.
b. Skin is warm and dry to the touch.
c. Toes are wiggled upon command.
d. Capillary refill less than 3 seconds. - (correct Answer) - a
The mother of a preschool-aged child asks the nurse if it is all right to administer bismuth subsalicylate
(Pepto Bismol, Bismylate) to her son when he "has a tummy ache." After reminding the mother to check
the label of all over-the-counter drugs for the presence of aspirin, which instruction should the nurse
include when replying to this mother's question?
