Pediatric Test 1 Practice EXAM 2026\NEWEST
VERSION 2025-2026 \LATEST UPDATE
COMPLETE 50 QUESTIONS AND ACCURATE
DETAILED ANSWERS\ASSURED PASS
(RATIONALES)
A child with RSV ✅ Answer: BRationale: RR > 60 = severe distress → risk for apnea
and hypoxia.
bronchiolitis has
respirations of 72/min and
nasal flaring. What is the
priority action?A. Suction the
naresB. Notify the provider
immediatelyC. Offer oral
fluidsD. Administer cough
syrup
Which sign is most ✅ Answer: BRationale: "Barking cough" + nighttime awakening =
hallmark of croup.
characteristic of spasmodic
laryngitis (croup)?A.
Wheezing and ralesB.
Barking cough at nightC.
Productive coughD. Harsh
dry cough only in daytime
,The nurse suspects ✅ Answer: BRationale: High fever, respiratory distress,
pneumonia in a 4- year- cyanosis → bacterial pneumonia.
old. Which symptom
supports this diagnosis?A.
Clear watery nasal
drainageB. Rapid
temperature rise to 104°FC.
Barking coughD. Drooling
with stridor
The parent of a child with ✅ Answer: CRationale: Albuterol is a short-acting bronchodilator
for acute attacks.
asthma asks what the
rescue inhaler is used for.
The nurse replies:A. To
prevent inflammation long-
termB. For daily control of
asthmaC. To relieve acute
bronchospasmD. To thin
mucus production
Which finding in a child ✅ Answer: BRationale: Airway obstruction and infection
with cystic fibrosis requires risk are priority in CF management.
priority attention?A. Thick,
sticky stoolB. Persistent
cough with wheezingC.
Weight gain of 2 lb in a
weekD. Oily, foul-smelling
stool
For a child with CF, which ✅ Answer: CRationale: CF = malabsorption → needs
diet is most appropriate?A. high calorie/protein diet with pancreatic enzymes and
Low protein, low sodiumB. fat-soluble vitamins (A, D, E, K).
High carb, high protein, no
fatC. High protein, high
calorie, unrestricted fatD.
High fiber, low fat
. The nurse identifies which ✅ Answer: ARationale: Classic signs = irritability,
finding as a sign of bulging fontanel, poor feeding, lethargy.
meningitis in an infant?A.
, High- pitched cry, bulging
fontanel, lethargyB. Dry
cough and nasal
drainageC. Barking
coughD. Pink conjunctiva and
rash on trunk
Which child should be ✅ Answer: CRationale: Pain + nausea = increased
assessed first after eye intraocular pressure → report immediately.
surgery for congenital
glaucoma?
A. Complains of mild
itchingB. Has tearing and
photophobiaC. Reports
severe pain and nauseaD.
Is sleepy but easily
arousable
The nurse teaches parents ✅ Answer: BRationale: Upright feeding prevents
about otitis media eustachian tube reflux and infection.
prevention. Which statement
shows understanding?A.
"We'll prop the bottle in the
crib."B. "We'll feed our
baby in an upright
position."C. "We'll use cotton
swabs to clean his ears."D.
"We'll give antibiotics for
every cold."
Which finding requires ✅ Answer: CRationale: Shouting distorts sounds and lip
further teaching for a child reading; use clear, calm speech.
with hearing
impairment?A. Sitting at
eye level when speakingB.
Talking slowly in a normal
toneC. Shouting to ensure
understandingD. Using
visual aids
VERSION 2025-2026 \LATEST UPDATE
COMPLETE 50 QUESTIONS AND ACCURATE
DETAILED ANSWERS\ASSURED PASS
(RATIONALES)
A child with RSV ✅ Answer: BRationale: RR > 60 = severe distress → risk for apnea
and hypoxia.
bronchiolitis has
respirations of 72/min and
nasal flaring. What is the
priority action?A. Suction the
naresB. Notify the provider
immediatelyC. Offer oral
fluidsD. Administer cough
syrup
Which sign is most ✅ Answer: BRationale: "Barking cough" + nighttime awakening =
hallmark of croup.
characteristic of spasmodic
laryngitis (croup)?A.
Wheezing and ralesB.
Barking cough at nightC.
Productive coughD. Harsh
dry cough only in daytime
,The nurse suspects ✅ Answer: BRationale: High fever, respiratory distress,
pneumonia in a 4- year- cyanosis → bacterial pneumonia.
old. Which symptom
supports this diagnosis?A.
Clear watery nasal
drainageB. Rapid
temperature rise to 104°FC.
Barking coughD. Drooling
with stridor
The parent of a child with ✅ Answer: CRationale: Albuterol is a short-acting bronchodilator
for acute attacks.
asthma asks what the
rescue inhaler is used for.
The nurse replies:A. To
prevent inflammation long-
termB. For daily control of
asthmaC. To relieve acute
bronchospasmD. To thin
mucus production
Which finding in a child ✅ Answer: BRationale: Airway obstruction and infection
with cystic fibrosis requires risk are priority in CF management.
priority attention?A. Thick,
sticky stoolB. Persistent
cough with wheezingC.
Weight gain of 2 lb in a
weekD. Oily, foul-smelling
stool
For a child with CF, which ✅ Answer: CRationale: CF = malabsorption → needs
diet is most appropriate?A. high calorie/protein diet with pancreatic enzymes and
Low protein, low sodiumB. fat-soluble vitamins (A, D, E, K).
High carb, high protein, no
fatC. High protein, high
calorie, unrestricted fatD.
High fiber, low fat
. The nurse identifies which ✅ Answer: ARationale: Classic signs = irritability,
finding as a sign of bulging fontanel, poor feeding, lethargy.
meningitis in an infant?A.
, High- pitched cry, bulging
fontanel, lethargyB. Dry
cough and nasal
drainageC. Barking
coughD. Pink conjunctiva and
rash on trunk
Which child should be ✅ Answer: CRationale: Pain + nausea = increased
assessed first after eye intraocular pressure → report immediately.
surgery for congenital
glaucoma?
A. Complains of mild
itchingB. Has tearing and
photophobiaC. Reports
severe pain and nauseaD.
Is sleepy but easily
arousable
The nurse teaches parents ✅ Answer: BRationale: Upright feeding prevents
about otitis media eustachian tube reflux and infection.
prevention. Which statement
shows understanding?A.
"We'll prop the bottle in the
crib."B. "We'll feed our
baby in an upright
position."C. "We'll use cotton
swabs to clean his ears."D.
"We'll give antibiotics for
every cold."
Which finding requires ✅ Answer: CRationale: Shouting distorts sounds and lip
further teaching for a child reading; use clear, calm speech.
with hearing
impairment?A. Sitting at
eye level when speakingB.
Talking slowly in a normal
toneC. Shouting to ensure
understandingD. Using
visual aids
