Peds Proctored Exam Prep Test Bank with 200 Questions
and Correct Answers // Pediatrics Proctored Exam 2025-
2026 Practice Questions and Correct Answers
1. The nurse is using the C.R.I.E.S. pain assessment tool on a preterm infant in the
neonatal intensive care unit. A component of this tool is:
A. Color.
B. Reflex.
C. Oxygen saturation.
D. Posture of arms and legs. - Correct Answer: C
Your Response:
2. A child who is terminally ill with bone cancer is in severe pain. Nursing
interventions should be based on knowledge that:
A. Children tend to be overmedicated for pain.
B. Giving large doses of opioids causes euthanasia.
C. Narcotic addiction is common in terminally ill children.
D. Large doses of opioids are justified when there are no other treatment options. -
Correct Answer: D
Your Response:
3. The most consistent indicator of pain in infants is:
A. Increased respirations.
B. Increased heart rate.
C. Clenching the teeth and lips.
D. Facial expression of discomfort. - Correct Answer: D
pg. 1
,Your Response:
4. The nurse is starting an intravenous (IV) line on a school-age child with cancer.
The child says, "I have had a million IVs. They hurt." The nurse's response should
be based on the knowledge that:
A. Children tolerate pain better than adults.
B. Children become accustomed to painful procedures.
C. Children often lie about experiencing pain.
D. Children often demonstrate increased behavioral signs of discomfort with
repeated painful procedures. - Correct Answer: D
Your Response:
5. An important consideration when using the FACES Pain Rating Scale with
children is:
A. Children color the face with the color they choose to best describe their pain.
B. The scale can be used with most children as young as 3 years of age.
C. The scale is not appropriate for use with adolescents.
D. The scale is useful in pain assessment but is not as accurate when assessing
physiologic responses. - Correct Answer: B
Your Response:
6. Nonpharmacologic strategies for pain management:
A. May reduce pain perception.
B. Make pharmacologic strategies unnecessary.
C. Usually take too long to implement.
D. Trick children into believing that they do not have pain. - Correct Answer: A
Your Response:
pg. 2
,7. The nurses caring for a child are concerned about the child's frequent requests
for pain medication. During a team conference a nurse suggests that they consider
administering a placebo instead of the usual pain medication. This decision should
be based on knowledge that:
A. This practice is unjustified and unethical.
B. This practice is effective in determining whether a child's pain is real.
C. The absence of a response to a placebo means the child's pain has an organic
basis.
D. A positive response to a placebo will not occur if the child's pain has an organic
basis. - Correct Answer: A
Your Response:
8. A child who has been receiving morphine intravenously will now start receiving
it orally. The nurse should anticipate that, to achieve equianalgesia (equal analgesic
effect), the oral dose will be:
A. The same as the intravenous (IV) dose.
B. Greater than the IV dose.
C. One half of the IV dose.
D. One fourth of the IV dose. - Correct Answer: B
Your Response:
9. Transdermal fentanyl (Duragesic) is being used for an adolescent with cancer
who is in hospice care. The adolescent has been comfortable for several hours but
now complains of severe pain. The most appropriate nursing action is to:
A. Administer meperidine (Demerol) intramuscularly (IM).
B. Administer morphine sulfate immediate release (MSIR) intravenously (IV).
C. Use a nonpharmacologic strategy.
pg. 3
, D. Place another fentanyl patch on the adolescent. - Correct Answer: B
Your Response:
10. The nurse is caring postoperatively for an 8-year-old child with multiple
fractures and other trauma resulting from a motor vehicle injury. The child is
experiencing severe pain. An important consideration in managing the child's pain
is to:
A. Give only an opioid analgesic at this time.
B. Increase the dosage of analgesic until the child is adequately sedated.
C. Plan a preventive schedule of pain medication around the clock.
D. Give the child a clock and explain when he or she can have pain medications. -
Correct Answer: C
Your Response:
1. Kyle, age 6 months, is brought to the clinic. His parent says, "I think he hurts.
He cries and rolls his head from side to side a lot." This most likely suggests which
feature of pain?
a. Type
b. Severity
c. Duration
d. Location - ANS: D
The child is displaying a local sign of pain. Rolling the head from side to side and
pulling at ears indicate pain in the ear. The child's behavior indicates the location
of the pain. The behavior does not provide information about the type, severity, or
duration.
2. Physiologic measurements in children's pain assessment are:
a. The best indicator of pain in children of all ages.
pg. 4
and Correct Answers // Pediatrics Proctored Exam 2025-
2026 Practice Questions and Correct Answers
1. The nurse is using the C.R.I.E.S. pain assessment tool on a preterm infant in the
neonatal intensive care unit. A component of this tool is:
A. Color.
B. Reflex.
C. Oxygen saturation.
D. Posture of arms and legs. - Correct Answer: C
Your Response:
2. A child who is terminally ill with bone cancer is in severe pain. Nursing
interventions should be based on knowledge that:
A. Children tend to be overmedicated for pain.
B. Giving large doses of opioids causes euthanasia.
C. Narcotic addiction is common in terminally ill children.
D. Large doses of opioids are justified when there are no other treatment options. -
Correct Answer: D
Your Response:
3. The most consistent indicator of pain in infants is:
A. Increased respirations.
B. Increased heart rate.
C. Clenching the teeth and lips.
D. Facial expression of discomfort. - Correct Answer: D
pg. 1
,Your Response:
4. The nurse is starting an intravenous (IV) line on a school-age child with cancer.
The child says, "I have had a million IVs. They hurt." The nurse's response should
be based on the knowledge that:
A. Children tolerate pain better than adults.
B. Children become accustomed to painful procedures.
C. Children often lie about experiencing pain.
D. Children often demonstrate increased behavioral signs of discomfort with
repeated painful procedures. - Correct Answer: D
Your Response:
5. An important consideration when using the FACES Pain Rating Scale with
children is:
A. Children color the face with the color they choose to best describe their pain.
B. The scale can be used with most children as young as 3 years of age.
C. The scale is not appropriate for use with adolescents.
D. The scale is useful in pain assessment but is not as accurate when assessing
physiologic responses. - Correct Answer: B
Your Response:
6. Nonpharmacologic strategies for pain management:
A. May reduce pain perception.
B. Make pharmacologic strategies unnecessary.
C. Usually take too long to implement.
D. Trick children into believing that they do not have pain. - Correct Answer: A
Your Response:
pg. 2
,7. The nurses caring for a child are concerned about the child's frequent requests
for pain medication. During a team conference a nurse suggests that they consider
administering a placebo instead of the usual pain medication. This decision should
be based on knowledge that:
A. This practice is unjustified and unethical.
B. This practice is effective in determining whether a child's pain is real.
C. The absence of a response to a placebo means the child's pain has an organic
basis.
D. A positive response to a placebo will not occur if the child's pain has an organic
basis. - Correct Answer: A
Your Response:
8. A child who has been receiving morphine intravenously will now start receiving
it orally. The nurse should anticipate that, to achieve equianalgesia (equal analgesic
effect), the oral dose will be:
A. The same as the intravenous (IV) dose.
B. Greater than the IV dose.
C. One half of the IV dose.
D. One fourth of the IV dose. - Correct Answer: B
Your Response:
9. Transdermal fentanyl (Duragesic) is being used for an adolescent with cancer
who is in hospice care. The adolescent has been comfortable for several hours but
now complains of severe pain. The most appropriate nursing action is to:
A. Administer meperidine (Demerol) intramuscularly (IM).
B. Administer morphine sulfate immediate release (MSIR) intravenously (IV).
C. Use a nonpharmacologic strategy.
pg. 3
, D. Place another fentanyl patch on the adolescent. - Correct Answer: B
Your Response:
10. The nurse is caring postoperatively for an 8-year-old child with multiple
fractures and other trauma resulting from a motor vehicle injury. The child is
experiencing severe pain. An important consideration in managing the child's pain
is to:
A. Give only an opioid analgesic at this time.
B. Increase the dosage of analgesic until the child is adequately sedated.
C. Plan a preventive schedule of pain medication around the clock.
D. Give the child a clock and explain when he or she can have pain medications. -
Correct Answer: C
Your Response:
1. Kyle, age 6 months, is brought to the clinic. His parent says, "I think he hurts.
He cries and rolls his head from side to side a lot." This most likely suggests which
feature of pain?
a. Type
b. Severity
c. Duration
d. Location - ANS: D
The child is displaying a local sign of pain. Rolling the head from side to side and
pulling at ears indicate pain in the ear. The child's behavior indicates the location
of the pain. The behavior does not provide information about the type, severity, or
duration.
2. Physiologic measurements in children's pain assessment are:
a. The best indicator of pain in children of all ages.
pg. 4
