PEDIATRIC NURSING CERTIFICATION
EVALUATION EXAMS 2026 TESTED QUESTIONS
SOLVED
◉ The parents of a 6 year old who has a new diagnosis of asthma ask
the nurse what to do to make their home more allergy-free
environment. Which is the nurse's best response?
1. use a humidifier in your child's room.
2. Have your carpet cleaned chemically once a month.
3. Wash household pets weekly.
4. Avoid purchasing upholstered furniture. Answer: 4. Leather
furniture is recommended rather than upholstered furniture.
Upholstered furniture can harbor large amounts of dust, whereas
leather may be wiped off regularly with a damp cloth.
household pets are not recommended for patient's with asthma.
Humidifiers are not recommended because they may harbor mold if
not cleaned properly.
◉ Frog Like Croaking indicates. Answer: Epiglottitis, a medical
emergency.
◉ How to test for RSV. Answer: Nasal Swab
,◉ What would confirm Epiglottis. Answer: Xray. A CBC would only
show elevated WBC count, it is non-confirmatory.
◉ What should be the nurse's first action with action with a child
who has a high fever, dysphagia, drooling, tachypnea, tachycardia,
and tachypnea?
1. Immediate IV placement
2. Immediate respiratory treatment
3. Thorough physical exam
4. Lateral neck radiograph.. Answer: 4.
Immediate respiratory treatment may agitate the child and progress
the inflammation, increasing risks.
◉ The parent of a young child with croup tells the nurse that her
other child just had croup and it cleared up in a couple of days
without intervention. She asks the nurse why this child is exhibiting
worse symptoms and needs to be hospitalized. Which is the nurse's
best response?
1. Some children just react differently to viruses. It is best to treat
each child as an individual.
,2. younger children have wider airways that make it easier for
bacteria to enter and colonize.
3. Younger children have short and wide Eustachian tubes, making
them more susceptible to respiratory infections.
4. Children younger than 3 years usually exhibit worse symptoms
because their immune systems are not well developed.. Answer: 4.
Patient's should be treated as individuals. However, most children
exhibit similar symptoms when they have the same diagnosis.
Younger children have worse symptoms than older children because
their immune systems are less developed.
◉ Are cough suppressants given in children?. Answer: No. Coughing
is a protective mechanism so do not try to protect it with a
suppressant.
◉ Is exercise prohibited in patient's with CF?. Answer: Exercise is
effective in helping CF patient's clear secretions.
◉ What chloride level is definitive of CF?. Answer: The definitive
diagnosis of C is made when the child has a sweat test level of 60
mEq/L or greater. A normal chloride level is <40mEq/L.
◉ What pediatric GI Disorder may have chest tubes placed post-
operatively. Answer: Tracheal Esophageal Fistula
, ◉ Most common age for Hirschsprung's Disease. Answer: Usually
occurs younger (infant fails to pass meconium in the first 48 hours
of life). but can occur at any age.
◉ What is Hirschsprung disease. Answer: A disorder related to the
absence of ganglion cells that results in decreased motility; A
condition that affects the large intestine (colon) and causes
problems with passing stool.
◉ Complication of Hirschsprung disease. Answer: enterocolitis-
inflammation of colon can leadd to sepsis and death
fever, explosive, foul smelling diarrhea
worsening abd distension
◉ Pain Scale for gastroschisis, omphalocele, mal-rotation/valvulus.
Answer: NIPS (occurs most often in the first month of life [first 28
days]) PIPS for premature infants.
◉ A laxative is ordered for a child for Hirschsprung disease. Why
should the nurse question this order?. Answer: Giving a laxative to a
child with Hirschsprung disease can cause perforation or rupture of
the colon /large intestine, leading to peritonitis and shock.
◉ Symptomatic & Treatment difference between Intussusception
and Mal-Rotation/Valvolus is. Answer: Green-Bilious Vomit is only
EVALUATION EXAMS 2026 TESTED QUESTIONS
SOLVED
◉ The parents of a 6 year old who has a new diagnosis of asthma ask
the nurse what to do to make their home more allergy-free
environment. Which is the nurse's best response?
1. use a humidifier in your child's room.
2. Have your carpet cleaned chemically once a month.
3. Wash household pets weekly.
4. Avoid purchasing upholstered furniture. Answer: 4. Leather
furniture is recommended rather than upholstered furniture.
Upholstered furniture can harbor large amounts of dust, whereas
leather may be wiped off regularly with a damp cloth.
household pets are not recommended for patient's with asthma.
Humidifiers are not recommended because they may harbor mold if
not cleaned properly.
◉ Frog Like Croaking indicates. Answer: Epiglottitis, a medical
emergency.
◉ How to test for RSV. Answer: Nasal Swab
,◉ What would confirm Epiglottis. Answer: Xray. A CBC would only
show elevated WBC count, it is non-confirmatory.
◉ What should be the nurse's first action with action with a child
who has a high fever, dysphagia, drooling, tachypnea, tachycardia,
and tachypnea?
1. Immediate IV placement
2. Immediate respiratory treatment
3. Thorough physical exam
4. Lateral neck radiograph.. Answer: 4.
Immediate respiratory treatment may agitate the child and progress
the inflammation, increasing risks.
◉ The parent of a young child with croup tells the nurse that her
other child just had croup and it cleared up in a couple of days
without intervention. She asks the nurse why this child is exhibiting
worse symptoms and needs to be hospitalized. Which is the nurse's
best response?
1. Some children just react differently to viruses. It is best to treat
each child as an individual.
,2. younger children have wider airways that make it easier for
bacteria to enter and colonize.
3. Younger children have short and wide Eustachian tubes, making
them more susceptible to respiratory infections.
4. Children younger than 3 years usually exhibit worse symptoms
because their immune systems are not well developed.. Answer: 4.
Patient's should be treated as individuals. However, most children
exhibit similar symptoms when they have the same diagnosis.
Younger children have worse symptoms than older children because
their immune systems are less developed.
◉ Are cough suppressants given in children?. Answer: No. Coughing
is a protective mechanism so do not try to protect it with a
suppressant.
◉ Is exercise prohibited in patient's with CF?. Answer: Exercise is
effective in helping CF patient's clear secretions.
◉ What chloride level is definitive of CF?. Answer: The definitive
diagnosis of C is made when the child has a sweat test level of 60
mEq/L or greater. A normal chloride level is <40mEq/L.
◉ What pediatric GI Disorder may have chest tubes placed post-
operatively. Answer: Tracheal Esophageal Fistula
, ◉ Most common age for Hirschsprung's Disease. Answer: Usually
occurs younger (infant fails to pass meconium in the first 48 hours
of life). but can occur at any age.
◉ What is Hirschsprung disease. Answer: A disorder related to the
absence of ganglion cells that results in decreased motility; A
condition that affects the large intestine (colon) and causes
problems with passing stool.
◉ Complication of Hirschsprung disease. Answer: enterocolitis-
inflammation of colon can leadd to sepsis and death
fever, explosive, foul smelling diarrhea
worsening abd distension
◉ Pain Scale for gastroschisis, omphalocele, mal-rotation/valvulus.
Answer: NIPS (occurs most often in the first month of life [first 28
days]) PIPS for premature infants.
◉ A laxative is ordered for a child for Hirschsprung disease. Why
should the nurse question this order?. Answer: Giving a laxative to a
child with Hirschsprung disease can cause perforation or rupture of
the colon /large intestine, leading to peritonitis and shock.
◉ Symptomatic & Treatment difference between Intussusception
and Mal-Rotation/Valvolus is. Answer: Green-Bilious Vomit is only
