Pediatric Nursing Exam
#2 Questions and
Answers Updated 2026
AnBinfantBarrivesBatBtheBclinicBwithBaBpersistentBcough.BMotherBreportsBtheBinfantBhasBnotB
beenBfeedingBwellBforBtheBpastBday.BWhatBnursingBinterventionsBwouldBbeBappropriate?
A.BProvideBoxygenBtoBtheBinfantBviaBcannula
B.BUndressBtheBinfantBtoBdoBaBcompleteBassessment
C.BSuctionBtheBinfant'sBnoseBwithBaBbulbBsyringe
D.BStartBanBIVB-BAnswerC.BSuctionBtheBinfant'sBnoseBwithBaBbulbBsyringe
CoughB&Bhasn'tBbeenBeatingBwellB=BprodromalBsymptom
ThinkBaboutB1stBpriorityB→BCBwouldBbeBtheBanswerBb/cBofBairway
BulbBsyringeBbeforeBMomBputsBbabyBtoBbreastBorBbottleBb/cBifBtheyBcan'tBbreathe,Bthey'reB
notBgoingBtoBbeBableBtoBfeed
Don'tBgiveBO2BuntilBweBhaveBaBprovider'sBorderB→BconsideredBaBmed
ABnurseBisBassessingBanBinfantBwhoBhasBmanifestationsBofBacuteBotitisBmediaB(AOM).BWhich
BofBtheBfollowingBassessmentBdataBshouldBtheBnurseBidentifyBasBriskBfactorsBforBotitisBmedia
?
SelectBallBthatBapply.
A.BBreastfeedsBwithoutBformulaBsupplementation.
B.BAttendsBdayBcareB4BdaysBperBweek.
C.BImmunizationsBareBupBtoBdate.
D.BHistoryBofBaBcleftBpalateBrepair.
E.BParentsBsmokeBcigarettesBoutside.B-BAnswerB.BAttendsBdayBcareB4BdaysBperBweek.
D.BHistoryBofBaBcleftBpalateBrepair.
E.BParentsBsmokeBcigarettesBoutside.
,WhenBrecognizingBcuesBduringBtheBcareBofBanBinfantBwhoBhasBmanifestationBofBacuteBotitisB
media,BtheBnurseBshouldBidentifyBthatBattendingBdaycare,BhavingBaBhistoryBofBcleftBpalateBre
pair,BandBlivingBwithBparentsBwhoBsmokeBareBriskBfactorsBforBacuteBotitisBmedia.BAttendingB
daycareBincreasesBtheBriskBdueBtoBexposureBtoBmultipleBchildren.BChildrenBwhoBhaveBhadBaB
cleftBpalateBrepairBareBmoreBproneBtoBAOMBbecauseBmicro-
organismsBcanBeasilyBenterBtheBEustachianBtubes.BChildrenBwhoBliveBwithBparentsBwhoBsmok
eBcigarettes,BevenBoutside,BareBatBaBgreaterBriskBdueBtoBexposureBtoBsecondhandBsmoke.BBr
eastfeedingBhelpsBtoBprotectBagainstBAOMBbecauseBbreastBmilkBcontainsBsecretoryBimmunogl
obulinBA.BTheBpneumococcalBconjugateBvaccineBdecreasesBtheBincidenceBofBOM.
ABnurseBisBassessingBanBinfantBwhoBhasBpresentedBforBaBwell-babyBcheck-
up.BWhichBofBtheBfollowingBfindingsBshouldBtheBnurseBidentifyBasBclinicalBmanifestationsBofBa
cuteBotitisBmedia?
SelectBallBthatBapply.
A.BDecreasedBpainBinBtheBsupineBposition
B.BRollingBheadBsideBtoBside
C.BLossBofBappetite
D.BIncreasedBsensitivityBtoBsound
E.BCryingB-BAnswerB.BRollingBheadBsideBtoBside
C.BLossBofBappetite
E.BCrying
WhenBrecognizingBcuesBduringBtheBassessmentBofBanBinfant,BtheBnurseBshouldBrecognizeBthat
BrollingBtheBheadBsideBtoBside,BlossBofBappetite,BandBcryingBareBmanifestationsBofBacuteBotit
isBmedia.BInfantsBwhoBhaveBacuteBotitisBmediaBwillBhaveBanBincreaseBinBpainBinBtheBsupineB
positionBfromBtheBfluidBandBpressureBinBtheBear.BInfantsBwhoBhaveBacuteBotitisBmediaBhaveB
aBdecreasedBsensitivityBtoBsoundBfromBtheBfluidBandBpressureBinBtheBear.
ABnurseBisBcaringBforBaBtoddlerBwhoBhasBhadBrhinitis,Bcough,BandBdiarrheaBforB2Bdays.BUpo
nBassessment,BitBisBnotedBthatBtheBtympanicBmembraneBhasBanBorangeBdiscolorationBandBde
creasedBmovement.BWhichBofBtheBfollowingBstatementsBshouldBtheBnurseBmakeBtoBtheBcareg
iver?
A.B"YourBchildBhasBanBearBinfectionBthatBrequiresBantibiotics."
B.B"YourBchildBmayBhaveBtransientBhearingBloss."
C.B"YourBchildBwillBneedBaBdecongestantBuntilBthisBconditionBclears."
D.B"YourBchildBwillBneedBtoBhaveBaBmyringotomy."B-
BAnswerB.B"YourBchildBmayBhaveBtransientBhearingBloss."
,WhenBanalyzingBcuesBduringBtheBcareBofBaBtoddlerBwhoBhasBhadBrhinitis,Bcough,BandBdiarrh
eaBforB2BdaysBthatBisBaccompaniedBbyBaBtympanicBmembraneBwithBanBorangeBdiscolorationB
andBdecreasedBmovement,BtheBnurseBshouldBidentifyBthatBtheBtoddlerBhasBmanifestationsBof
BotitisBmediaBeffusionB(OME).BTransientBhearingBlossBisBaBcomplicationBofBOME;Btherefore,Bth
eBnurseBshouldBinformBtheBguardiansBthatBtheBchildBmayBhaveBtransientBhearingBloss.BAntibi
oticsBareBnotBrecommendedBforBOME.BDecongestantsBareBnotBrecommendedBforBOME.BMyrin
gotomyBisBrecommendedBforBclientsBwhoBhaveBchronicBOME.BNCLEXBConnection:BPhysiologica
lBAdaptation,BUnexpectedBResponseBtoBTherapies
ABnurseBisBcaringBforBaBtoddlerBwhoBhasBacuteBotitisBmedia.BWhichBofBtheBfollowingBisBtheB
priorityBactionBforBtheBnurseBtoBtake?
A.BProvideBemotionalBsupportBtoBtheBfamily.
B.BEducateBtheBfamilyBonBcareBofBtheBchild.
C.BProvideBaBdiversionalBactivity.
D.BAdministerBanalgesics.B-BAnswerD.BAdministerBanalgesics
WhenBusingBMaslow'sBhierarchyBofBneedsBtoBprioritizeBhypothesisBduringBtheBcareBofBaBtodd
lerBwhoBhasBacuteBotitisBmedia,BtheBnurseBshouldBidentifyBthatBtheBadministrationBofBanalge
sicsBcanBmeetBtheBtoddlersBphysiologicBneedBforBpainBrelief.BTherefore,BthisBisBtheBpriorityBa
ctionBtoBtake.BProvidingBemotionalBsupportBtoBtheBfamilyBwillBpromoteBpsychologicalBwell-
being.BHowever,BitBisBnotBtheBpriorityBaction.BEducatingBtheBfamilyBonBtheBcareBofBtheBchild
BwillBpromoteBrecoveryBfromBillness.BHowever,BitBisBnotBtheBpriorityBaction.BProvidingBaBdive
rsionalBactivityBforBtheBtoddlerBwillBhelpBprovideBnormalcyBduringBcare.BHowever,BitBisBnotBt
heBpriorityBaction.BNCLEXBConnection:BPhysiologicalBAdaptation,BIllnessBManagement
ABnurseBisBcaringBforBaBtoddlerBwhoBhasBhadBthreeBearBinfectionsBinBtheBpastB5Bmonths.BT
heBnurseBshouldBidentifyBthatBtheBtoddlerBisBatBriskBforBdevelopingBwhichBofBtheBfollowingBl
ong-termBcomplications?
A.BBalanceBdifficulties
B.BRash
C.BSpeechBdelays
D.BMastoiditisB-BAnswerC.BSpeechBdelays
WhenBanalyzingBcuesBduringBtheBcareBofBaBtoddlerBwhoBhasBhadBthreeBearBinfectionsBinBthe
BpastBfiveBmonths,BtheBnurseBshouldBidentifyBthatBtheBtoddlerBisBatBriskBforBspeechBdelaysB
asBaBcomplicationBofBrecurrentBotitisBmedia.BBalanceBdifficultiesBcanBbeBpresentBwithBotitisB
media.BHowever,BitBisBnotBaBlong-
, termBcomplication.BAlthoughBrashBcanBindicateBantibioticBsensitivity,BitBisBnotBaBlong-
termBcomplicationBofBotitisBmedia.BMastoiditisBcanBbeBaBresultBofBotitisBmedia.BHowever,BitBi
sBnotBaBlong-termBcomplication.BNCLEXBConnection:BPhysiologicalBAdaptation,BPathophysiology
ABnurseBisBassessingBaBchildBwhoBhasBaBrotavirusBinfection.BWhichBofBtheBfollowingBfindings
BshouldBtheBnurseBexpect?
SelectBallBthatBapply.
A.BFever
B.BVomiting
C.BWateryBstools
D.BBloodyBstools
E.BConfusionB-BAnswerA.BFever
B.BVomiting
C.BWateryBstools
ABnurseBisBteachingBaBgroupBofBparentsBaboutBSalmonella.BWhichBofBtheBfollowingBinformati
onBshouldBtheBnurseBincludeBinBtheBteaching?
SelectBallBthatBapply.
A.BIncubationBperiodBisBnonspecific.
B.BItBisBaBbacterialBinfection.
C.BBloodyBdiarrheaBisBcommon.
D.BTransmissionBcanBbeBfromBhouseBpets.
E.BAntibioticsBareBusedBforBtreatment.B-BAnswerB.BItBisBaBbacterialBinfection.
C.BBloodyBdiarrheaBisBcommon.
D.BTransmissionBcanBbeBfromBhouseBpets.
ABnurseBisBteachingBaBgroupBofBcaregiversBaboutBE.Bcoli.BWhichBofBtheBfollowingBinformation
BshouldBtheBnurseBincludeBinBtheBteaching?
SelectBallBthatBapply.
A.BSevereBabdominalBcrampingBoccurs.
B.BWateryBdiarrheaBisBpresentBforBmoreBthanB5Bdays.
C.BItBcanBleadBtoBhemolyticBuremicBsyndrome.
D.BItBisBaBfoodborneBpathogen.
#2 Questions and
Answers Updated 2026
AnBinfantBarrivesBatBtheBclinicBwithBaBpersistentBcough.BMotherBreportsBtheBinfantBhasBnotB
beenBfeedingBwellBforBtheBpastBday.BWhatBnursingBinterventionsBwouldBbeBappropriate?
A.BProvideBoxygenBtoBtheBinfantBviaBcannula
B.BUndressBtheBinfantBtoBdoBaBcompleteBassessment
C.BSuctionBtheBinfant'sBnoseBwithBaBbulbBsyringe
D.BStartBanBIVB-BAnswerC.BSuctionBtheBinfant'sBnoseBwithBaBbulbBsyringe
CoughB&Bhasn'tBbeenBeatingBwellB=BprodromalBsymptom
ThinkBaboutB1stBpriorityB→BCBwouldBbeBtheBanswerBb/cBofBairway
BulbBsyringeBbeforeBMomBputsBbabyBtoBbreastBorBbottleBb/cBifBtheyBcan'tBbreathe,Bthey'reB
notBgoingBtoBbeBableBtoBfeed
Don'tBgiveBO2BuntilBweBhaveBaBprovider'sBorderB→BconsideredBaBmed
ABnurseBisBassessingBanBinfantBwhoBhasBmanifestationsBofBacuteBotitisBmediaB(AOM).BWhich
BofBtheBfollowingBassessmentBdataBshouldBtheBnurseBidentifyBasBriskBfactorsBforBotitisBmedia
?
SelectBallBthatBapply.
A.BBreastfeedsBwithoutBformulaBsupplementation.
B.BAttendsBdayBcareB4BdaysBperBweek.
C.BImmunizationsBareBupBtoBdate.
D.BHistoryBofBaBcleftBpalateBrepair.
E.BParentsBsmokeBcigarettesBoutside.B-BAnswerB.BAttendsBdayBcareB4BdaysBperBweek.
D.BHistoryBofBaBcleftBpalateBrepair.
E.BParentsBsmokeBcigarettesBoutside.
,WhenBrecognizingBcuesBduringBtheBcareBofBanBinfantBwhoBhasBmanifestationBofBacuteBotitisB
media,BtheBnurseBshouldBidentifyBthatBattendingBdaycare,BhavingBaBhistoryBofBcleftBpalateBre
pair,BandBlivingBwithBparentsBwhoBsmokeBareBriskBfactorsBforBacuteBotitisBmedia.BAttendingB
daycareBincreasesBtheBriskBdueBtoBexposureBtoBmultipleBchildren.BChildrenBwhoBhaveBhadBaB
cleftBpalateBrepairBareBmoreBproneBtoBAOMBbecauseBmicro-
organismsBcanBeasilyBenterBtheBEustachianBtubes.BChildrenBwhoBliveBwithBparentsBwhoBsmok
eBcigarettes,BevenBoutside,BareBatBaBgreaterBriskBdueBtoBexposureBtoBsecondhandBsmoke.BBr
eastfeedingBhelpsBtoBprotectBagainstBAOMBbecauseBbreastBmilkBcontainsBsecretoryBimmunogl
obulinBA.BTheBpneumococcalBconjugateBvaccineBdecreasesBtheBincidenceBofBOM.
ABnurseBisBassessingBanBinfantBwhoBhasBpresentedBforBaBwell-babyBcheck-
up.BWhichBofBtheBfollowingBfindingsBshouldBtheBnurseBidentifyBasBclinicalBmanifestationsBofBa
cuteBotitisBmedia?
SelectBallBthatBapply.
A.BDecreasedBpainBinBtheBsupineBposition
B.BRollingBheadBsideBtoBside
C.BLossBofBappetite
D.BIncreasedBsensitivityBtoBsound
E.BCryingB-BAnswerB.BRollingBheadBsideBtoBside
C.BLossBofBappetite
E.BCrying
WhenBrecognizingBcuesBduringBtheBassessmentBofBanBinfant,BtheBnurseBshouldBrecognizeBthat
BrollingBtheBheadBsideBtoBside,BlossBofBappetite,BandBcryingBareBmanifestationsBofBacuteBotit
isBmedia.BInfantsBwhoBhaveBacuteBotitisBmediaBwillBhaveBanBincreaseBinBpainBinBtheBsupineB
positionBfromBtheBfluidBandBpressureBinBtheBear.BInfantsBwhoBhaveBacuteBotitisBmediaBhaveB
aBdecreasedBsensitivityBtoBsoundBfromBtheBfluidBandBpressureBinBtheBear.
ABnurseBisBcaringBforBaBtoddlerBwhoBhasBhadBrhinitis,Bcough,BandBdiarrheaBforB2Bdays.BUpo
nBassessment,BitBisBnotedBthatBtheBtympanicBmembraneBhasBanBorangeBdiscolorationBandBde
creasedBmovement.BWhichBofBtheBfollowingBstatementsBshouldBtheBnurseBmakeBtoBtheBcareg
iver?
A.B"YourBchildBhasBanBearBinfectionBthatBrequiresBantibiotics."
B.B"YourBchildBmayBhaveBtransientBhearingBloss."
C.B"YourBchildBwillBneedBaBdecongestantBuntilBthisBconditionBclears."
D.B"YourBchildBwillBneedBtoBhaveBaBmyringotomy."B-
BAnswerB.B"YourBchildBmayBhaveBtransientBhearingBloss."
,WhenBanalyzingBcuesBduringBtheBcareBofBaBtoddlerBwhoBhasBhadBrhinitis,Bcough,BandBdiarrh
eaBforB2BdaysBthatBisBaccompaniedBbyBaBtympanicBmembraneBwithBanBorangeBdiscolorationB
andBdecreasedBmovement,BtheBnurseBshouldBidentifyBthatBtheBtoddlerBhasBmanifestationsBof
BotitisBmediaBeffusionB(OME).BTransientBhearingBlossBisBaBcomplicationBofBOME;Btherefore,Bth
eBnurseBshouldBinformBtheBguardiansBthatBtheBchildBmayBhaveBtransientBhearingBloss.BAntibi
oticsBareBnotBrecommendedBforBOME.BDecongestantsBareBnotBrecommendedBforBOME.BMyrin
gotomyBisBrecommendedBforBclientsBwhoBhaveBchronicBOME.BNCLEXBConnection:BPhysiologica
lBAdaptation,BUnexpectedBResponseBtoBTherapies
ABnurseBisBcaringBforBaBtoddlerBwhoBhasBacuteBotitisBmedia.BWhichBofBtheBfollowingBisBtheB
priorityBactionBforBtheBnurseBtoBtake?
A.BProvideBemotionalBsupportBtoBtheBfamily.
B.BEducateBtheBfamilyBonBcareBofBtheBchild.
C.BProvideBaBdiversionalBactivity.
D.BAdministerBanalgesics.B-BAnswerD.BAdministerBanalgesics
WhenBusingBMaslow'sBhierarchyBofBneedsBtoBprioritizeBhypothesisBduringBtheBcareBofBaBtodd
lerBwhoBhasBacuteBotitisBmedia,BtheBnurseBshouldBidentifyBthatBtheBadministrationBofBanalge
sicsBcanBmeetBtheBtoddlersBphysiologicBneedBforBpainBrelief.BTherefore,BthisBisBtheBpriorityBa
ctionBtoBtake.BProvidingBemotionalBsupportBtoBtheBfamilyBwillBpromoteBpsychologicalBwell-
being.BHowever,BitBisBnotBtheBpriorityBaction.BEducatingBtheBfamilyBonBtheBcareBofBtheBchild
BwillBpromoteBrecoveryBfromBillness.BHowever,BitBisBnotBtheBpriorityBaction.BProvidingBaBdive
rsionalBactivityBforBtheBtoddlerBwillBhelpBprovideBnormalcyBduringBcare.BHowever,BitBisBnotBt
heBpriorityBaction.BNCLEXBConnection:BPhysiologicalBAdaptation,BIllnessBManagement
ABnurseBisBcaringBforBaBtoddlerBwhoBhasBhadBthreeBearBinfectionsBinBtheBpastB5Bmonths.BT
heBnurseBshouldBidentifyBthatBtheBtoddlerBisBatBriskBforBdevelopingBwhichBofBtheBfollowingBl
ong-termBcomplications?
A.BBalanceBdifficulties
B.BRash
C.BSpeechBdelays
D.BMastoiditisB-BAnswerC.BSpeechBdelays
WhenBanalyzingBcuesBduringBtheBcareBofBaBtoddlerBwhoBhasBhadBthreeBearBinfectionsBinBthe
BpastBfiveBmonths,BtheBnurseBshouldBidentifyBthatBtheBtoddlerBisBatBriskBforBspeechBdelaysB
asBaBcomplicationBofBrecurrentBotitisBmedia.BBalanceBdifficultiesBcanBbeBpresentBwithBotitisB
media.BHowever,BitBisBnotBaBlong-
, termBcomplication.BAlthoughBrashBcanBindicateBantibioticBsensitivity,BitBisBnotBaBlong-
termBcomplicationBofBotitisBmedia.BMastoiditisBcanBbeBaBresultBofBotitisBmedia.BHowever,BitBi
sBnotBaBlong-termBcomplication.BNCLEXBConnection:BPhysiologicalBAdaptation,BPathophysiology
ABnurseBisBassessingBaBchildBwhoBhasBaBrotavirusBinfection.BWhichBofBtheBfollowingBfindings
BshouldBtheBnurseBexpect?
SelectBallBthatBapply.
A.BFever
B.BVomiting
C.BWateryBstools
D.BBloodyBstools
E.BConfusionB-BAnswerA.BFever
B.BVomiting
C.BWateryBstools
ABnurseBisBteachingBaBgroupBofBparentsBaboutBSalmonella.BWhichBofBtheBfollowingBinformati
onBshouldBtheBnurseBincludeBinBtheBteaching?
SelectBallBthatBapply.
A.BIncubationBperiodBisBnonspecific.
B.BItBisBaBbacterialBinfection.
C.BBloodyBdiarrheaBisBcommon.
D.BTransmissionBcanBbeBfromBhouseBpets.
E.BAntibioticsBareBusedBforBtreatment.B-BAnswerB.BItBisBaBbacterialBinfection.
C.BBloodyBdiarrheaBisBcommon.
D.BTransmissionBcanBbeBfromBhouseBpets.
ABnurseBisBteachingBaBgroupBofBcaregiversBaboutBE.Bcoli.BWhichBofBtheBfollowingBinformation
BshouldBtheBnurseBincludeBinBtheBteaching?
SelectBallBthatBapply.
A.BSevereBabdominalBcrampingBoccurs.
B.BWateryBdiarrheaBisBpresentBforBmoreBthanB5Bdays.
C.BItBcanBleadBtoBhemolyticBuremicBsyndrome.
D.BItBisBaBfoodborneBpathogen.