PEDIATRICS EXAM LATEST 2026 REAL EXAM ALL
155 QUESTIONS AND CORRECT
ANSWERS|ALREADY GRADED A+
A 6-month-old infant with Apical heart rate of 60.
congestive heart failure
(CHF) is receiving digoxin A heart rate of 60 (A) is much lower than normal for a 6-month-old
elixir. Which observation by and warrants immediate intervention.
the nurse warrants The normal heart rate for a 6-month-old is 80 to 150 BPM
immediate intervention? when awake, and a rate of 70 while sleeping is considered
within normal limits. (B and C) are expected symptoms of
Apical heart rate of 60.
heart failure in an infant. (D) is within normal limits for an
Sweating across the infant.
forehead.
Doesn't suck well.
Respiratory rate of 30
breaths per minute.
,The nurse is teaching the Administer aerosol therapy followed by postural drainage before
parents of a 5-year-old with meals.
cystic fibrosis about
respiratory treatments. Postural drainage for a child with cystic fibrosis is most
Which statement indicates to effective when performed after nebulization and before
meals (C) or at least 1 hour after eating to prevent nausea
the nurse that the parents
and vomiting. Postural drainage uses gravity to promote
understand? Perform mucous removal after nebulization (A) treatments which
postural drainage before open the airways. Pulmonary toileting or respiratory
starting aerosol therapy. treatments should be given 3 to 4 times daily, not
episodically (B and D).
Give respiratory treatments
when the child is coughing a
lot. Administer aerosol
therapy followed by postural
drainage before meals.
Ensure respiratory therapy is
done daily during any
respiratory infection.
, Use sunscreen when lying by the pool.
A female teenager is taking
oral tetracycline HCL
Photosensitivity is a common side effect of tetracycline HCL
(Achromycin V) for acne
(Achromycin V) therapy. Severe sunburn can occur with
vulgaris. What is the most minimal sun exposure and clients should be instructed to
important instruction for the avoid sunlight and to use sunscreen (A). (B and D) are not
nurse to include in this related to tetracycline HCL (Achromycin V) therapy. (C)
should be avoided because dairy products interfere with the
client's teaching plan? Use
absorption of tetracyclines.
sunscreen when lying by the
pool.
Cleanse the skin at least 4
times a day.
Take the medication with a
glass of milk.
Menstrual periods may
become irregular.
What preoperative nursing Observe for projectile vomiting.
intervention should be
included in the plan of care Projectile vomiting (D), which contributes to metabolic
for an infant with pyloric alkalosis (A), is the classic sign of pyloric stenosis. (B) is not
indicated. (C) is dangerous, due to the potential for
stenosis? Monitor for signs of
aspiration with frequent vomiting.
metabolic acidosis. Estimate
the quantity of diarrhea
stools.
Place in a supine position
after feeding.
Observe for projectile
vomiting.
, Prevent the return of oxygenated blood to the lungs.
An infant is born with a Closure of VSDs stops oxygenated blood from being shunted
ventricular septal defect from the left ventricle to the right ventricle (C). VSDs are
acyanotic defects, which means that no unoxygenated blood
(VSD) and surgery is planned
enters the systemic circulation (A and B). (D) is common
to correct the defect. The with Tetrology of Fallot, which is a cyanotic defect.
nurse recognizes that surgical
correction is designed to
achieve which outcome?
Stop the flow of
unoxygenated blood into
systemic circulation. Increase
the flow of unoxygenated
blood to the lungs.
Prevent the return of
oxygenated blood to the
lungs.
Reduce peripheral tissue
hypoxia and nailbed clubbing