Test Bank For Pediatric
Nursing A Case Based
Approach 1st Edition
1. Which of the following is the most appropriate method for assessing the heart
rate of an infant?
a) Palpating the carotid artery
b) Palpating the radial pulse
c) Counting the apical pulse for one full minute
d) Auscultating the heart with a stethoscope for 30 seconds
Answer: c) Counting the apical pulse for one full minute
,2. A 6-month-old infant is brought to the clinic for a well-child visit. Which of the
following developmental milestones should the nurse expect the infant to have
achieved?
a) Sits without support
b) Rolls from back to front
c) Crawls on hands and knees
d) Walks independently
Answer: b) Rolls from back to front
3. A nurse is teaching the parents of a 3-year-old child about safety measures. Which
of the following statements by the parent indicates the need for further teaching?
a) "I will install safety gates at the top and bottom of stairs."
b) "I will keep small objects, such as buttons and coins, out of reach."
c) "I will ensure that the child wears a helmet while riding a bike."
d) "I will leave cleaning products on the kitchen counter, but out of reach."
Answer: d) "I will leave cleaning products on the kitchen counter, but out of reach."
4. A 10-year-old child is diagnosed with asthma. The nurse is teaching the child and
family about using a peak flow meter. Which of the following instructions should the
nurse include?
a) "You should use the peak flow meter every time you feel short of breath."
b) "The peak flow meter measures how well you are breathing by testing your
airflow."
c) "You should avoid using the peak flow meter if you are feeling well."
d) "The peak flow meter should only be used when you experience an asthma
attack."
Answer: b) "The peak flow meter measures how well you are breathing by testing
your airflow."
,5. A nurse is assessing a 4-year-old child with a fever and rash. The child has Koplik
spots, which are small bluish-white lesions in the mouth. What is the most likely
diagnosis?
a) Measles (Rubeola)
b) Scarlet fever
c) Rubella
d) Chickenpox
Answer: a) Measles (Rubeola)
6. Which of the following is the best indication that a 2-year-old child is ready for
toilet training?
a) The child can walk independently.
b) The child shows interest in using the bathroom.
c) The child can sit quietly for long periods.
d) The child has no interest in the toilet.
Answer: b) The child shows interest in using the bathroom.
7. A nurse is caring for a 12-year-old child with type 1 diabetes mellitus. Which of the
following actions should the nurse take to prevent hypoglycemia after exercise?
a) Encourage the child to eat a large meal immediately after exercise.
b) Administer extra insulin to prevent hyperglycemia.
c) Have the child drink water to maintain hydration.
d) Have the child consume a small carbohydrate snack before exercise.
Answer: d) Have the child consume a small carbohydrate snack before exercise.
8. A nurse is teaching the parents of a 2-year-old child about the use of a car seat.
Which of the following statements by the parent indicates the need for further
teaching?
, a) "I will place my child in a rear-facing car seat in the back seat."
b) "I will use a forward-facing car seat with a harness for my child."
c) "I will use a booster seat for my child once they are 30 pounds."
d) "I will keep my child in a rear-facing car seat until they reach the age of 2."
Answer: c) "I will use a booster seat for my child once they are 30 pounds."
9. Which of the following is the primary purpose of the vaccine for Haemophilus
influenzae type b (Hib)?
a) Prevents respiratory infections caused by influenza.
b) Prevents bacterial meningitis, pneumonia, and epiglottitis.
c) Prevents gastrointestinal infections.
d) Prevents skin infections in infants.
Answer: b) Prevents bacterial meningitis, pneumonia, and epiglottitis.
10. A nurse is caring for a 3-month-old infant with gastroesophageal reflux disease
(GERD). Which of the following interventions is most appropriate for this infant?
a) Hold the infant in an upright position for 30 minutes after feeding.
b) Introduce solid foods to reduce reflux.
c) Offer the infant large feedings throughout the day.
d) Place the infant on their stomach after feeding to help digestion.
Answer: a) Hold the infant in an upright position for 30 minutes after feeding.11. A
nurse is assessing a 2-year-old child for signs of dehydration. Which of the following
is the most reliable indicator of dehydration in this child?
a) Dry mucous membranes
b) Decreased urinary output
c) Sunken fontanel
d) Increased crying
Answer: b) Decreased urinary output
Nursing A Case Based
Approach 1st Edition
1. Which of the following is the most appropriate method for assessing the heart
rate of an infant?
a) Palpating the carotid artery
b) Palpating the radial pulse
c) Counting the apical pulse for one full minute
d) Auscultating the heart with a stethoscope for 30 seconds
Answer: c) Counting the apical pulse for one full minute
,2. A 6-month-old infant is brought to the clinic for a well-child visit. Which of the
following developmental milestones should the nurse expect the infant to have
achieved?
a) Sits without support
b) Rolls from back to front
c) Crawls on hands and knees
d) Walks independently
Answer: b) Rolls from back to front
3. A nurse is teaching the parents of a 3-year-old child about safety measures. Which
of the following statements by the parent indicates the need for further teaching?
a) "I will install safety gates at the top and bottom of stairs."
b) "I will keep small objects, such as buttons and coins, out of reach."
c) "I will ensure that the child wears a helmet while riding a bike."
d) "I will leave cleaning products on the kitchen counter, but out of reach."
Answer: d) "I will leave cleaning products on the kitchen counter, but out of reach."
4. A 10-year-old child is diagnosed with asthma. The nurse is teaching the child and
family about using a peak flow meter. Which of the following instructions should the
nurse include?
a) "You should use the peak flow meter every time you feel short of breath."
b) "The peak flow meter measures how well you are breathing by testing your
airflow."
c) "You should avoid using the peak flow meter if you are feeling well."
d) "The peak flow meter should only be used when you experience an asthma
attack."
Answer: b) "The peak flow meter measures how well you are breathing by testing
your airflow."
,5. A nurse is assessing a 4-year-old child with a fever and rash. The child has Koplik
spots, which are small bluish-white lesions in the mouth. What is the most likely
diagnosis?
a) Measles (Rubeola)
b) Scarlet fever
c) Rubella
d) Chickenpox
Answer: a) Measles (Rubeola)
6. Which of the following is the best indication that a 2-year-old child is ready for
toilet training?
a) The child can walk independently.
b) The child shows interest in using the bathroom.
c) The child can sit quietly for long periods.
d) The child has no interest in the toilet.
Answer: b) The child shows interest in using the bathroom.
7. A nurse is caring for a 12-year-old child with type 1 diabetes mellitus. Which of the
following actions should the nurse take to prevent hypoglycemia after exercise?
a) Encourage the child to eat a large meal immediately after exercise.
b) Administer extra insulin to prevent hyperglycemia.
c) Have the child drink water to maintain hydration.
d) Have the child consume a small carbohydrate snack before exercise.
Answer: d) Have the child consume a small carbohydrate snack before exercise.
8. A nurse is teaching the parents of a 2-year-old child about the use of a car seat.
Which of the following statements by the parent indicates the need for further
teaching?
, a) "I will place my child in a rear-facing car seat in the back seat."
b) "I will use a forward-facing car seat with a harness for my child."
c) "I will use a booster seat for my child once they are 30 pounds."
d) "I will keep my child in a rear-facing car seat until they reach the age of 2."
Answer: c) "I will use a booster seat for my child once they are 30 pounds."
9. Which of the following is the primary purpose of the vaccine for Haemophilus
influenzae type b (Hib)?
a) Prevents respiratory infections caused by influenza.
b) Prevents bacterial meningitis, pneumonia, and epiglottitis.
c) Prevents gastrointestinal infections.
d) Prevents skin infections in infants.
Answer: b) Prevents bacterial meningitis, pneumonia, and epiglottitis.
10. A nurse is caring for a 3-month-old infant with gastroesophageal reflux disease
(GERD). Which of the following interventions is most appropriate for this infant?
a) Hold the infant in an upright position for 30 minutes after feeding.
b) Introduce solid foods to reduce reflux.
c) Offer the infant large feedings throughout the day.
d) Place the infant on their stomach after feeding to help digestion.
Answer: a) Hold the infant in an upright position for 30 minutes after feeding.11. A
nurse is assessing a 2-year-old child for signs of dehydration. Which of the following
is the most reliable indicator of dehydration in this child?
a) Dry mucous membranes
b) Decreased urinary output
c) Sunken fontanel
d) Increased crying
Answer: b) Decreased urinary output
