PEDS EXAM 1 PRACTICE TEST BANK 2026
TESTED QUESTIONS AND ANSWERS
GRADED A+
⩥ A 3 month old infant is seen in the clinic with the following
symptoms: irritability, crying, refusal to nurse for more than 2-3min,
rhinitis, and a rectal temperature of 101.8F (38.8). The labor, delivery
and postpartum history for this term infant is unremarkable. The nurse
anticipates a diagnosis of:
a. Acute Otitis Media
b. Otitis Media with effusion (OME)
c. Otitis externa
d. Respiratory syncitial virus (RSV). Answer: a.
⩥ A child with Croup is placed in a cool mist tent. The mother becomes
concerned because the child is frightened, consistently crying and trying
to climb out of the tent. Which is the most appropriate nursing action?
1. Tell the mother that the child must stay in the tent.
2. Place a toy in the tent to make the child feel more comfortable
3. Call the health care provider and obtain a prescription for a mild
sedative
4. Let the mother gold the child and direct the cool mist over the child's
face. Answer: 4.
,⩥ The mother of a hospitalized 2 year old child with Croup asks the
nurse why the health care provider did not prescribe antibiotics. Which
response should the nurse make?
1. The child may be allergic to antibiotics
2. The child is too young to receive antibiotics
3. Antibiotics are not indicated unless a bacterial infection is present
4. The child still has the maternal antibodies from birth and does not
need antibiotics.. Answer: 3.
⩥ An infant has just returned to the nursing unit after surgical repair of a
cleft lip on the right side. The nurse should place the infant in which best
position at this time?
1. Prone position
2. On the stomach
3. Left lateral position
4. Right lateral position. Answer: 3.
⩥ Which of the following statements about the inheritance of CF is most
accurate?
1. CF is an autosomal-dominant trait that is passed on from the child's
mother.
2. CF is an autosomal-dominant trait that is passed on from the child's
father.
,3. The child of parents who are both carriers of the gene for CF has a
50% chance of acquiring CF.
4. The child of a mother who has CF and a father who is a carrier of the
gene for CF has a 50% chance of acquiring CF. Answer: 4. If the child is
born to a mother with CF and a father who is a carrier, the child has a
50% chance of acquiring the disease and a 50% chance of being a carrier
of the disease.
⩥ The parent of a 4-month-old with CF asks the nurse what time to
begin the child's first CPT each day. Which is the nurse's best response?
1. "You should do the first CPT 30 minutes before feeding the child
breakfast."
2. "You should do the first CPT after deep-suctioning the child each
morning."
3. "You should do the first CPT 30 minutes after feeding the child
breakfast."
4. "You should do the first CPT only when the child has congestion or
coughing.". Answer: 1. CPT should be done in the morning prior to
feeding to avoid the risk of the child vomiting
⩥ The parent of a 10-month-old with CF asks the nurse how to meet the
child's increased nutritional needs. Which is the nurse's best suggestion?
1. "You may need to increase the number of fresh fruits and vegetables
you give your child each day."
2. "You may need to advance your child's diet to whole cow's milk
because it is higher in fat than formula."
, 3. "You may need to change your child to a higher-calorie formula."
4. "You may need to increase your child's carbohydrate intake each
day.". Answer: 3. Often infants with CF need to have a higher-calorie
formula to meet their nutritional needs. Infants may also be placed on
hydrolysate formulas that contain added medium-chain triglycerides.
⩥ The parent of an 18-year-old with CF is excited about the possibility
of the child receiving a double lung transplant. What should the parent
understand?
1. The transplant will cure the child of CF and allow the child to lead a
long and healthy life.
2. The transplant will not cure the child of CF but will allow the child to
have a longer life.
3. The transplant will help to reverse the multisystem damage that has
already been caused by CF.
4. The transplant will be the child's only chance at surviving long
enough to graduate college.. Answer: 2. A lung transplant does not cure
CF, but it does offer the patient an opportunity to live a longer life. The
concerns are that, after the lung transplant, the child is at risk for
rejection of the new organ and for development of secondary infections
because of the immunosuppressive therapy.
⩥ A 2-year-old has just been diagnosed with CF. The parents ask the
nurse what early respiratory symptoms 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."
TESTED QUESTIONS AND ANSWERS
GRADED A+
⩥ A 3 month old infant is seen in the clinic with the following
symptoms: irritability, crying, refusal to nurse for more than 2-3min,
rhinitis, and a rectal temperature of 101.8F (38.8). The labor, delivery
and postpartum history for this term infant is unremarkable. The nurse
anticipates a diagnosis of:
a. Acute Otitis Media
b. Otitis Media with effusion (OME)
c. Otitis externa
d. Respiratory syncitial virus (RSV). Answer: a.
⩥ A child with Croup is placed in a cool mist tent. The mother becomes
concerned because the child is frightened, consistently crying and trying
to climb out of the tent. Which is the most appropriate nursing action?
1. Tell the mother that the child must stay in the tent.
2. Place a toy in the tent to make the child feel more comfortable
3. Call the health care provider and obtain a prescription for a mild
sedative
4. Let the mother gold the child and direct the cool mist over the child's
face. Answer: 4.
,⩥ The mother of a hospitalized 2 year old child with Croup asks the
nurse why the health care provider did not prescribe antibiotics. Which
response should the nurse make?
1. The child may be allergic to antibiotics
2. The child is too young to receive antibiotics
3. Antibiotics are not indicated unless a bacterial infection is present
4. The child still has the maternal antibodies from birth and does not
need antibiotics.. Answer: 3.
⩥ An infant has just returned to the nursing unit after surgical repair of a
cleft lip on the right side. The nurse should place the infant in which best
position at this time?
1. Prone position
2. On the stomach
3. Left lateral position
4. Right lateral position. Answer: 3.
⩥ Which of the following statements about the inheritance of CF is most
accurate?
1. CF is an autosomal-dominant trait that is passed on from the child's
mother.
2. CF is an autosomal-dominant trait that is passed on from the child's
father.
,3. The child of parents who are both carriers of the gene for CF has a
50% chance of acquiring CF.
4. The child of a mother who has CF and a father who is a carrier of the
gene for CF has a 50% chance of acquiring CF. Answer: 4. If the child is
born to a mother with CF and a father who is a carrier, the child has a
50% chance of acquiring the disease and a 50% chance of being a carrier
of the disease.
⩥ The parent of a 4-month-old with CF asks the nurse what time to
begin the child's first CPT each day. Which is the nurse's best response?
1. "You should do the first CPT 30 minutes before feeding the child
breakfast."
2. "You should do the first CPT after deep-suctioning the child each
morning."
3. "You should do the first CPT 30 minutes after feeding the child
breakfast."
4. "You should do the first CPT only when the child has congestion or
coughing.". Answer: 1. CPT should be done in the morning prior to
feeding to avoid the risk of the child vomiting
⩥ The parent of a 10-month-old with CF asks the nurse how to meet the
child's increased nutritional needs. Which is the nurse's best suggestion?
1. "You may need to increase the number of fresh fruits and vegetables
you give your child each day."
2. "You may need to advance your child's diet to whole cow's milk
because it is higher in fat than formula."
, 3. "You may need to change your child to a higher-calorie formula."
4. "You may need to increase your child's carbohydrate intake each
day.". Answer: 3. Often infants with CF need to have a higher-calorie
formula to meet their nutritional needs. Infants may also be placed on
hydrolysate formulas that contain added medium-chain triglycerides.
⩥ The parent of an 18-year-old with CF is excited about the possibility
of the child receiving a double lung transplant. What should the parent
understand?
1. The transplant will cure the child of CF and allow the child to lead a
long and healthy life.
2. The transplant will not cure the child of CF but will allow the child to
have a longer life.
3. The transplant will help to reverse the multisystem damage that has
already been caused by CF.
4. The transplant will be the child's only chance at surviving long
enough to graduate college.. Answer: 2. A lung transplant does not cure
CF, but it does offer the patient an opportunity to live a longer life. The
concerns are that, after the lung transplant, the child is at risk for
rejection of the new organ and for development of secondary infections
because of the immunosuppressive therapy.
⩥ A 2-year-old has just been diagnosed with CF. The parents ask the
nurse what early respiratory symptoms 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."
