Pediatric Nursing Exam 2025 Questions And Answers
100% Accurate
16. Which laboratory result will provide the most important information regarding the respiratory
status of a child with an acute asthma exacerbation?
1. CBC.
2. ABG.
3. BUN.
4. PTT. -- Correct Answer --2. ABG.
9. A 7-month-old has a low-grade fever, nasal congestion, and a mild cough. What should the
nursing care management of this child include?
1. Maintaining strict bedrest.
2. Avoiding contact with family members.
3. Instilling saline nose drops and bulb suctioning.
4. Keeping the head of the bed flat. -- Correct Answer --3. Instilling saline nose drops and bulb
suctioning.
A 10-month-old is carried into the emergency department by her parent after she fell down 15
stairs in her walker. Which would be your highest priority nursing intervention?
1. Assess airway while simultaneously maintaining cervical spine precautions.
,2. Assess airway, breathing, and circulation simultaneously.
3. Prepare for diagnostic radiological testing to check for any injuries.
4. Obtain venous access and draw blood for testing. -- Correct Answer --1. Assess airway while
simultaneously maintaining cervical spine precautions.
A 12-month-old boy weighed 8 lb 2 oz at birth. Understanding developmental milestones, what
should the nurse caring for the child expect the current weight to be?
1. 16 lb 4 oz
2. 20 lb 5 oz
3. 24 lb 6 oz
4. 32 lb 8 oz -- Correct Answer --3. 24 lb 6 oz
A 13-year-old boy is hospitalized for a femur fracture. He was hit by a car while he and his
friends were racing bikes near a major intersection. The child's parents are concerned about his
judgement. The nurse should tell the parents that the behavior is:
1. Typical of young teens.
2. Related to hormonal surges during adolescence.
3. An isolated incident and will not likely happen again.
4. Related to teen rebellion. -- Correct Answer --1. Typical of young teens.
Rationale: The brains of young teens are not completely developed, which often leads to poor
judgement and impulse control.
,A 13-year-old tells the nurse that he is worried because his breasts are growing. They hurt, and
he is embarrassed to take his shirt off during gym class. What should the nurse tell him?
1. "The pediatrician will draw some blood to find out why your breasts are growing."
2. "It is just a slight hormonal imbalance that can be easily corrected with medication."
3. "This is a normal condition of puberty that will resolve within a year or two."
4. "This is a rare finding that occurs in about 5% of boys during puberty." -- Correct Answer --3.
"This is a normal condition of puberty that will resolve within a year or two."
Rationale: Gynecomastia and breast tenderness are common for about a third of boys during
middle puberty. Gynecomastia usually resolves in 2 years.
A 16-year-old is having a discussion with the nurse about the teen's recent diagnosis of lupus. In
explaining the child's prognosis, the nurse uses the knowledge that adolescents are:
1. Preoccupied with thoughts to the here and now.
2. Able to understand and imagine possibilities for the future.
3. Capable of thinking only in concrete terms.
4. Overly concerned with past events and relationships. -- Correct Answer --2. Able to
understand and imagine possibilities for the future.
Rationale: Adolescents are becoming abstract thinkers and are able to imagine possibilities for
the future.
, A 16-year-old male is hospitalized for cystic fibrosis. He will be an inpatient for 2 weeks while
he receives IV antibiotics. Which action taken by the nurse will most enhance his psychosocial
development?
1. Fax the teen's teacher, and have her send his homework.
2. Encourage the teen's friends to visit him while in the hospital.
3. Encourage the teen's grandparents to visit him frequently.
4. Tell the teen he is free to use his phone to call or text his friends. -- Correct Answer --2.
Encourage the teen's friends to visit him while in the hospital.
Rationale: Teens are most concerned about being like their peers. Having the teen's friends visit
will help him feel he is still part of the school and social environment.
A 2-year old has just been diagnosed with CF. The parents ask the nurse what early respiratory
systems they should expect to see in their child. Which is the nurse's best response?
1. "You can expect your child to develop a barrel-shaped chest."
2. "You can expect your child to develop a chronic productive cough."
3. "You can expect your child to develop bronchiectasis."
4. "You can expect your child to develop wheezing respirations." -- Correct Answer --4. "You
can expect your child to develop wheezing respirations."
Rationale: Wheezing respirations and a dry, nonproductive cough are commonly early symptoms
in CF.
100% Accurate
16. Which laboratory result will provide the most important information regarding the respiratory
status of a child with an acute asthma exacerbation?
1. CBC.
2. ABG.
3. BUN.
4. PTT. -- Correct Answer --2. ABG.
9. A 7-month-old has a low-grade fever, nasal congestion, and a mild cough. What should the
nursing care management of this child include?
1. Maintaining strict bedrest.
2. Avoiding contact with family members.
3. Instilling saline nose drops and bulb suctioning.
4. Keeping the head of the bed flat. -- Correct Answer --3. Instilling saline nose drops and bulb
suctioning.
A 10-month-old is carried into the emergency department by her parent after she fell down 15
stairs in her walker. Which would be your highest priority nursing intervention?
1. Assess airway while simultaneously maintaining cervical spine precautions.
,2. Assess airway, breathing, and circulation simultaneously.
3. Prepare for diagnostic radiological testing to check for any injuries.
4. Obtain venous access and draw blood for testing. -- Correct Answer --1. Assess airway while
simultaneously maintaining cervical spine precautions.
A 12-month-old boy weighed 8 lb 2 oz at birth. Understanding developmental milestones, what
should the nurse caring for the child expect the current weight to be?
1. 16 lb 4 oz
2. 20 lb 5 oz
3. 24 lb 6 oz
4. 32 lb 8 oz -- Correct Answer --3. 24 lb 6 oz
A 13-year-old boy is hospitalized for a femur fracture. He was hit by a car while he and his
friends were racing bikes near a major intersection. The child's parents are concerned about his
judgement. The nurse should tell the parents that the behavior is:
1. Typical of young teens.
2. Related to hormonal surges during adolescence.
3. An isolated incident and will not likely happen again.
4. Related to teen rebellion. -- Correct Answer --1. Typical of young teens.
Rationale: The brains of young teens are not completely developed, which often leads to poor
judgement and impulse control.
,A 13-year-old tells the nurse that he is worried because his breasts are growing. They hurt, and
he is embarrassed to take his shirt off during gym class. What should the nurse tell him?
1. "The pediatrician will draw some blood to find out why your breasts are growing."
2. "It is just a slight hormonal imbalance that can be easily corrected with medication."
3. "This is a normal condition of puberty that will resolve within a year or two."
4. "This is a rare finding that occurs in about 5% of boys during puberty." -- Correct Answer --3.
"This is a normal condition of puberty that will resolve within a year or two."
Rationale: Gynecomastia and breast tenderness are common for about a third of boys during
middle puberty. Gynecomastia usually resolves in 2 years.
A 16-year-old is having a discussion with the nurse about the teen's recent diagnosis of lupus. In
explaining the child's prognosis, the nurse uses the knowledge that adolescents are:
1. Preoccupied with thoughts to the here and now.
2. Able to understand and imagine possibilities for the future.
3. Capable of thinking only in concrete terms.
4. Overly concerned with past events and relationships. -- Correct Answer --2. Able to
understand and imagine possibilities for the future.
Rationale: Adolescents are becoming abstract thinkers and are able to imagine possibilities for
the future.
, A 16-year-old male is hospitalized for cystic fibrosis. He will be an inpatient for 2 weeks while
he receives IV antibiotics. Which action taken by the nurse will most enhance his psychosocial
development?
1. Fax the teen's teacher, and have her send his homework.
2. Encourage the teen's friends to visit him while in the hospital.
3. Encourage the teen's grandparents to visit him frequently.
4. Tell the teen he is free to use his phone to call or text his friends. -- Correct Answer --2.
Encourage the teen's friends to visit him while in the hospital.
Rationale: Teens are most concerned about being like their peers. Having the teen's friends visit
will help him feel he is still part of the school and social environment.
A 2-year old has just been diagnosed with CF. The parents ask the nurse what early respiratory
systems they should expect to see in their child. Which is the nurse's best response?
1. "You can expect your child to develop a barrel-shaped chest."
2. "You can expect your child to develop a chronic productive cough."
3. "You can expect your child to develop bronchiectasis."
4. "You can expect your child to develop wheezing respirations." -- Correct Answer --4. "You
can expect your child to develop wheezing respirations."
Rationale: Wheezing respirations and a dry, nonproductive cough are commonly early symptoms
in CF.
