PEDS EXAM 1 QUESTIONS AND
ANSWERS. VERIFIED 2025/2026.
Which assessment tool, either individually or in addition to another method, can be used to
determine placement of a nasogastric feeding tube?
1.Radiographic image
2.Assessment of stomach aspirate color
3.Visual estimate
4.Assessment of stomach aspirate pH
5.Auscultation - ANS 1,2,4,5,
Which statement by the newly-graduated health care provider indicates understanding of a
gavage feeding?
1. "Using gravity, the lower I place the syringe, the faster the flow of formula into the stomach."
2. "Using gravity, the higher I hold the syringe, the faster the formula will flow into the
stomach."
3. "Gravity does not influence the flow of formula into the stomach."
4. "The flow of formula into the stomach is dependent on the previous amount of residual
stomach contents." - ANS 2
Which nursing action is important to remember when feeding an infant with a nasoduodenal or
nasojejunal tube?
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,1. Continuous feeds are contraindicated.
2. Bolus feeds are preferred, but one can use continuous feeds if better tolerated.
3. Continuous feeds are preferred, but one can use bolus feeds if better tolerated.
4. Bolus feeds are contraindicated. - ANS 4
When giving an enema to a 4-year-old child, the appropriate insertion distance (in inches) of the
enema is - ANS 3
Which position is appropriate for the 2-year-old patient receiving an enema?
1. Sitting upright on the toilet
2. Side-lying
3. Prone
4. Supine - ANS 2
Which referral is appropriate for the 17-year-old patient with Crohn's disease who had an
ostomy placed earlier that day?
1. Referral to physical therapist
2. Referral to immunologist
3. Referral to psychologist
4. Referral to wound-care specialist - ANS 3
Which statement by the health care provider indicates understanding of how a nasogastric tube
(NG) is measured for appropriate placement in an infant or child?
1. "Measuring from the nose to ear to mid-xiphoid is not easy to do in the clinical setting."
2. "The nose-ear-xiphoid is more accurate than the age predictor based on height."
3. "Measuring from the nose to the ear to the mid-xiphoid umbilicus can predict the correct
length."
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,4. "The correct length of the NG tube cannot be measured at the bedside and must be done
under fluoroscopy." - ANS 3
The nurse is caring for a 36-week-old premature infant who recently started enteral feeds
through a nasojejunal (NJ) tube. The infant has had two episodes of emesis in the past 30
minutes. After notifying the provider, which prescription can the nurse anticipate receiving first?
1. Pulling back of the NJ tube 3 cm Since vomiting episodes could indicate displacement of the
nasojejunal (NJ) tube, the nurse should anticipate receiving an abdominal x-ray prescription to
verify placement of the tube. Pulling back on the tube 3 cm is not the appropriate action.
2. X-ray of abdomen Since vomiting episodes could indicate displacement of the NJ tube, the
nurse should anticipate receiving an abdominal x-ray prescription to verify placement of the
tube.
3. Lab work to assess for dehydration Since vomiting episodes could indicate displacement of
the NJ tube, the nurse should anticipate receiving an abdominal x-ray prescription t - ANS 2
Which statements concerning a gastronomy procedure are correct?
1. A gastrostomy tube (G-tube) is only inserted during surgery with the patient under
anesthesia.A gastrostomy tube (G-tube) is not only inserted during surgery with the patient
under anesthesia; it can also be inserted endoscopically with sedation and local anesthetic.
2. Granulation tissue can grow around the stomal site and is an indication of an
infection.Granulation tissue can grow around the stomal site, but it is not an indication of an
infection.
3. G-tubes, used for children who need prolonged tube feeding, prevent nasal irritation
associated with nasogastric (NG) tubes.G-tubes are used for children who need prolonged tube
feeding to prevent nasal irritation associated with nasogastric (NG) tubes.
4. The G-tube is directly inserted through the abdomen into the stomach.The G-tube is directly
inserted through the abdomen.
5. Gastric secretions are - ANS 3,4,5
Which solutions are the most appropriate for use as an enema in a child?
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, 1. 1 tsp salt in 500 mL tap water1 tsp of table salt dissolved into 500 mL of tap water would
create an isotonic solution, which would be appropriate to use as a pediatric enema solution.
2. Pediatric Fleet enemaPediatric Fleet enema ingredients are harsh and should not be used in a
child.
3. Hypotonic solution A hypotonic solution would not be appropriate to use as a pediatric
enema, as it can cause rapid fluid shifts and fluid overload in a child.
4. Tap water Water is a hypotonic solution and would not be appropriate to use as a pediatric
enema, as it can cause rapid fluid shifts and fluid overload in a child.
5. Isotonic solution An isotonic solution would be appropriate to use as a pediatric enema
solution. - ANS 1, 5
Which statement by the parent indicates an understanding of discharge instructions on giving
an enema at home for a 2-year-old child?
1. "If I choose not to make my own enema solution, I can just buy a pediatric Fleet's enema
from the local drugstore."Fleet's enemas should be avoided due to the harshness of the
ingredients. This statement does not indicate understanding by the parent.
2. "Tap water should not be used as an enema solution because it can cause rapid fluid shifts
and fluid overload."Tap water should not be used as an enema solution because it can cause
rapid fluid shifts and fluid overload. This statement indicates understanding by the parent.
3. "My child should be able to retain the fluid in the enema."Adolescents and teens may be able
to retain enema solution as instructed but not a 2-year-old child. This statement does not
indicate understanding by the parent.
Incorrect
4. "To create an isotonic sol - ANS 2
Which teaching instructions would be included for the parents of a 5-year-old with a newly-
placed ostomy?
1. Change the pouches on a routine basis.Changing the pouch on a routine basis is a correct
statement and should be included in the teaching instructions.
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
ANSWERS. VERIFIED 2025/2026.
Which assessment tool, either individually or in addition to another method, can be used to
determine placement of a nasogastric feeding tube?
1.Radiographic image
2.Assessment of stomach aspirate color
3.Visual estimate
4.Assessment of stomach aspirate pH
5.Auscultation - ANS 1,2,4,5,
Which statement by the newly-graduated health care provider indicates understanding of a
gavage feeding?
1. "Using gravity, the lower I place the syringe, the faster the flow of formula into the stomach."
2. "Using gravity, the higher I hold the syringe, the faster the formula will flow into the
stomach."
3. "Gravity does not influence the flow of formula into the stomach."
4. "The flow of formula into the stomach is dependent on the previous amount of residual
stomach contents." - ANS 2
Which nursing action is important to remember when feeding an infant with a nasoduodenal or
nasojejunal tube?
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,1. Continuous feeds are contraindicated.
2. Bolus feeds are preferred, but one can use continuous feeds if better tolerated.
3. Continuous feeds are preferred, but one can use bolus feeds if better tolerated.
4. Bolus feeds are contraindicated. - ANS 4
When giving an enema to a 4-year-old child, the appropriate insertion distance (in inches) of the
enema is - ANS 3
Which position is appropriate for the 2-year-old patient receiving an enema?
1. Sitting upright on the toilet
2. Side-lying
3. Prone
4. Supine - ANS 2
Which referral is appropriate for the 17-year-old patient with Crohn's disease who had an
ostomy placed earlier that day?
1. Referral to physical therapist
2. Referral to immunologist
3. Referral to psychologist
4. Referral to wound-care specialist - ANS 3
Which statement by the health care provider indicates understanding of how a nasogastric tube
(NG) is measured for appropriate placement in an infant or child?
1. "Measuring from the nose to ear to mid-xiphoid is not easy to do in the clinical setting."
2. "The nose-ear-xiphoid is more accurate than the age predictor based on height."
3. "Measuring from the nose to the ear to the mid-xiphoid umbilicus can predict the correct
length."
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,4. "The correct length of the NG tube cannot be measured at the bedside and must be done
under fluoroscopy." - ANS 3
The nurse is caring for a 36-week-old premature infant who recently started enteral feeds
through a nasojejunal (NJ) tube. The infant has had two episodes of emesis in the past 30
minutes. After notifying the provider, which prescription can the nurse anticipate receiving first?
1. Pulling back of the NJ tube 3 cm Since vomiting episodes could indicate displacement of the
nasojejunal (NJ) tube, the nurse should anticipate receiving an abdominal x-ray prescription to
verify placement of the tube. Pulling back on the tube 3 cm is not the appropriate action.
2. X-ray of abdomen Since vomiting episodes could indicate displacement of the NJ tube, the
nurse should anticipate receiving an abdominal x-ray prescription to verify placement of the
tube.
3. Lab work to assess for dehydration Since vomiting episodes could indicate displacement of
the NJ tube, the nurse should anticipate receiving an abdominal x-ray prescription t - ANS 2
Which statements concerning a gastronomy procedure are correct?
1. A gastrostomy tube (G-tube) is only inserted during surgery with the patient under
anesthesia.A gastrostomy tube (G-tube) is not only inserted during surgery with the patient
under anesthesia; it can also be inserted endoscopically with sedation and local anesthetic.
2. Granulation tissue can grow around the stomal site and is an indication of an
infection.Granulation tissue can grow around the stomal site, but it is not an indication of an
infection.
3. G-tubes, used for children who need prolonged tube feeding, prevent nasal irritation
associated with nasogastric (NG) tubes.G-tubes are used for children who need prolonged tube
feeding to prevent nasal irritation associated with nasogastric (NG) tubes.
4. The G-tube is directly inserted through the abdomen into the stomach.The G-tube is directly
inserted through the abdomen.
5. Gastric secretions are - ANS 3,4,5
Which solutions are the most appropriate for use as an enema in a child?
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, 1. 1 tsp salt in 500 mL tap water1 tsp of table salt dissolved into 500 mL of tap water would
create an isotonic solution, which would be appropriate to use as a pediatric enema solution.
2. Pediatric Fleet enemaPediatric Fleet enema ingredients are harsh and should not be used in a
child.
3. Hypotonic solution A hypotonic solution would not be appropriate to use as a pediatric
enema, as it can cause rapid fluid shifts and fluid overload in a child.
4. Tap water Water is a hypotonic solution and would not be appropriate to use as a pediatric
enema, as it can cause rapid fluid shifts and fluid overload in a child.
5. Isotonic solution An isotonic solution would be appropriate to use as a pediatric enema
solution. - ANS 1, 5
Which statement by the parent indicates an understanding of discharge instructions on giving
an enema at home for a 2-year-old child?
1. "If I choose not to make my own enema solution, I can just buy a pediatric Fleet's enema
from the local drugstore."Fleet's enemas should be avoided due to the harshness of the
ingredients. This statement does not indicate understanding by the parent.
2. "Tap water should not be used as an enema solution because it can cause rapid fluid shifts
and fluid overload."Tap water should not be used as an enema solution because it can cause
rapid fluid shifts and fluid overload. This statement indicates understanding by the parent.
3. "My child should be able to retain the fluid in the enema."Adolescents and teens may be able
to retain enema solution as instructed but not a 2-year-old child. This statement does not
indicate understanding by the parent.
Incorrect
4. "To create an isotonic sol - ANS 2
Which teaching instructions would be included for the parents of a 5-year-old with a newly-
placed ostomy?
1. Change the pouches on a routine basis.Changing the pouch on a routine basis is a correct
statement and should be included in the teaching instructions.
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
