Pediatric Nursing Practice Exam with
questions and answers 100%Correctly
verified answers latest update 2025/2026
RATED A+
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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS
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 ANSWERS 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 ANSWERS
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 ANSWERS 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 ANSWERS 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 ANSWERS 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?
a. If the child's tongue darkens, discontinue the Pepto Bismol immediately.
b. Do not give if the child has chickenpox, the flu, or any other viral illness.
c. Avoid the use of Pepto Bismol until the child is at least 16 years old.
d/ Pepto Bismol may cause a rebound hyperacidity, worsening the "tummy ache." - CORRECT ANSWERS
b
A 12-month-old boy is admitted with a respiratory infection and possible pneumonia. He is placed in a
mist tent with oxygen. Which nursing intervention has the greatest priority for this infant?
, a. Give small, frequent feedings of fluids.
b. Accurately chart observations regarding breath sounds.
c. Have a bulb syringe readily available to remove secretions.
d. Encourage older siblings to visit. - CORRECT ANSWERS c
The nurse is assessing a two-month-old in preparation for surgery for coarctation of the aorta repair.
Which best describes the pathophysiology of coarctation of the aorta?
a. Acyanotic defect, increased pulmonary blood flow.
b. Cyanotic defect, obstructed blood flow from ventricles.
c. Acyanotic defect, obstructed blood flow from ventricles.
d. Cyanotic defect, decreased pulmonary blood flow. - CORRECT ANSWERS c
The emergency department nurse is assessing a three-month-old infant suspected to be a victim of
"shaken baby syndrome". Which type of intracranial hemorrhage is caused by tearing of a meningeal
artery that causes an inward expansion of blood from the inner surface of the skull?
a. Subarachnoid.
b. Epidural.
c. Subdural.
d. Intracerebral. - CORRECT ANSWERS b
The nurse recognizes signs that a 9-month-old toddler may be living in an abusive home. Which action is
the priority for the nurse?
a. Encourage the child to speak freely.
b. Report the suspected abuse to local authorities.
c. Document from head to feet, the physical signs of abuse.
d. Test the child for sexually-transmitted diseases. - CORRECT ANSWERS b
The nurse is caring for a client with gastroesophageal reflux disease (GERD) who has not responded to
conventional medical treatments. The nurse should anticipate the need for which surgical intervention?
a. Nissen fundoplication.
b. Esophagectomy.
questions and answers 100%Correctly
verified answers latest update 2025/2026
RATED A+
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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS
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 ANSWERS 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 ANSWERS
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 ANSWERS 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 ANSWERS 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 ANSWERS 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?
a. If the child's tongue darkens, discontinue the Pepto Bismol immediately.
b. Do not give if the child has chickenpox, the flu, or any other viral illness.
c. Avoid the use of Pepto Bismol until the child is at least 16 years old.
d/ Pepto Bismol may cause a rebound hyperacidity, worsening the "tummy ache." - CORRECT ANSWERS
b
A 12-month-old boy is admitted with a respiratory infection and possible pneumonia. He is placed in a
mist tent with oxygen. Which nursing intervention has the greatest priority for this infant?
, a. Give small, frequent feedings of fluids.
b. Accurately chart observations regarding breath sounds.
c. Have a bulb syringe readily available to remove secretions.
d. Encourage older siblings to visit. - CORRECT ANSWERS c
The nurse is assessing a two-month-old in preparation for surgery for coarctation of the aorta repair.
Which best describes the pathophysiology of coarctation of the aorta?
a. Acyanotic defect, increased pulmonary blood flow.
b. Cyanotic defect, obstructed blood flow from ventricles.
c. Acyanotic defect, obstructed blood flow from ventricles.
d. Cyanotic defect, decreased pulmonary blood flow. - CORRECT ANSWERS c
The emergency department nurse is assessing a three-month-old infant suspected to be a victim of
"shaken baby syndrome". Which type of intracranial hemorrhage is caused by tearing of a meningeal
artery that causes an inward expansion of blood from the inner surface of the skull?
a. Subarachnoid.
b. Epidural.
c. Subdural.
d. Intracerebral. - CORRECT ANSWERS b
The nurse recognizes signs that a 9-month-old toddler may be living in an abusive home. Which action is
the priority for the nurse?
a. Encourage the child to speak freely.
b. Report the suspected abuse to local authorities.
c. Document from head to feet, the physical signs of abuse.
d. Test the child for sexually-transmitted diseases. - CORRECT ANSWERS b
The nurse is caring for a client with gastroesophageal reflux disease (GERD) who has not responded to
conventional medical treatments. The nurse should anticipate the need for which surgical intervention?
a. Nissen fundoplication.
b. Esophagectomy.
