Page 1 of 68
“PEDS PRACTICE TEST QUIZZES EXAM 1 “ NEWEST UPDATED EXAM 2025 – 2026
SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED AND HIGHLY RECOMMENDALE
Which diagnostic test confirms the presence of a tracheoesophageal fistula?
A. Barium swallow
B. Chest x-ray after nasogastric tube placement
C. Ultrasound of the abdomen
D. MRI
B. Chest x-ray after nasogastric tube placement.
The NG tube stops coiling in the upper esophageal pouch and shows on x-ray.
A – Barium studies are avoided due to aspiration risk.
C, D – Not diagnostic for TEF
Which nursing action should be included in the postoperative care plan for an
infant with TEF repair?
A. Maintain oral feedings to promote healing
B. Monitor for respiratory distress
C. Keep suction equipment away from the bedside
D. Encourage vigorous coughing
B. Monitor for respiratory distress.
Airway protection remains the top priority after repair.
A – NPO until healing verified.
C – Suction equipment must stay nearby.
D – Vigorous coughing could disrupt sutures.
Which finding in a newborn post-TEF repair should be reported to the provider
immediately?
, Page 2 of 68
A. Small amount of clear mucus
B. Mild abdominal distention
C. Increased drooling and coughing
D. Sleepiness after feeding
C. Increased drooling and coughing.
Indicates possible anastomotic leak or aspiration.
A – Normal secretion.
B – Common and usually temporary.
D – Normal newborn behavior.
What is the most appropriate feeding method immediately after TEF repair
once oral feeds begin?
A. Pacifier dipped in water
B. Breastfeeding
C. Gastrostomy tube feeding
D. Bottle feeding
C. Gastrostomy tube feeding.
Used initially until the esophageal anastomosis heals.
A – Oral stimulation avoided at first.
B, D – Oral feeds resume only when healing confirmed
A nurse teaching parents about home care after TEF repair should include
which instruction?
A. "Monitor for difficulty swallowing or coughing during feeding."
B. "Use a straw for all liquids."
C. "Give large feedings to meet calorie needs."
D. "Delay all solid foods until age 2."
A. Monitor for difficulty swallowing or coughing during feeding.
These are signs of possible stricture or leak.
B – Straws can increase air swallowing.
C – Small, frequent feeds preferred.
D – Solids are introduced as appropriate for age after healing.
, Page 3 of 68
Which statement by a parent indicates understanding of tracheoesophageal
fistula?
A. "My baby's problem was caused by the stomach not forming."
B. "My baby's windpipe and food tube were connected abnormally."
C. "This condition was due to swallowing too much amniotic fluid."
D. "The repair will affect my child's lungs permanently."
B. My baby’s windpipe and food tube were connected abnormally.
TEF = abnormal connection between the trachea and esophagus.
A – Incorrect anatomy.
C – Polyhydramnios is a result, not a cause.
D – Surgery typically allows normal lung function afterward
The nurse is assessing a 3-week-old infant with suspected pyloric stenosis.
Which finding is most characteristic?
A. Green, bilious vomiting after feeding
B. Projectile, non-bilious vomiting
C. Blood-streaked stools
D. Abdominal distention with diarrhea
B. Projectile, non-bilious vomiting.
Forceful vomiting occurs due to hypertrophy of the pyloric muscle obstructing gastric
outlet.
A – Bilious vomiting occurs in lower GI obstruction.
C and D – Not typical in pyloric stenosis.
During physical assessment, which finding is most indicative of pyloric
stenosis?
A. Olive-shaped mass in the right upper quadrant
B. Sausage-shaped mass in the left lower quadrant
C. Soft, non-distended abdomen
D. Distended abdomen with hypoactive bowel sounds
A. Olive-shaped mass in the right upper quadrant.
The hypertrophied pylorus feels like a small “olive” on palpation.
B – Classic of intussusception.
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C and D – Non-specific findings.
A nurse is reviewing lab results for an infant with pyloric stenosis. Which
finding is expected?
A. Metabolic acidosis
B. Hyperkalemia
C. Metabolic alkalosis
D. Hyponatremia and hyperchloremia
C. Metabolic alkalosis.
Repeated vomiting causes loss of hydrogen and chloride ions, leading to alkalosis.
A – Seen with diarrhea, not vomiting.
B – Potassium is typically low, not high.
D – Sodium and chloride are usually decreased.
Which nursing intervention is most appropriate preoperatively for an infant
with pyloric stenosis?
A. Feed the infant formula with a slow-flow nipple
B. Place the infant in a supine position after feeding
C. Maintain NPO and provide IV fluids
D. Administer oral electrolyte solution
C. Maintain NPO and provide IV fluids.
The stomach must be empty before surgery, and fluids correct dehydration.
A, B, D – Contraindicated before surgical correction.
A nurse notes visible peristaltic waves across the infant's abdomen. What
does this indicate?
A. Normal digestion
B. Impending bowel obstruction
C. Gastric contents attempting to move through the narrowed pylorus
D. Perforated bowel
C. Gastric contents attempting to move through the narrowed pylorus.
Waves are visible as the stomach tries to push food past the obstruction.
A, B, D – Incorrect or unrelated findings.
“PEDS PRACTICE TEST QUIZZES EXAM 1 “ NEWEST UPDATED EXAM 2025 – 2026
SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED AND HIGHLY RECOMMENDALE
Which diagnostic test confirms the presence of a tracheoesophageal fistula?
A. Barium swallow
B. Chest x-ray after nasogastric tube placement
C. Ultrasound of the abdomen
D. MRI
B. Chest x-ray after nasogastric tube placement.
The NG tube stops coiling in the upper esophageal pouch and shows on x-ray.
A – Barium studies are avoided due to aspiration risk.
C, D – Not diagnostic for TEF
Which nursing action should be included in the postoperative care plan for an
infant with TEF repair?
A. Maintain oral feedings to promote healing
B. Monitor for respiratory distress
C. Keep suction equipment away from the bedside
D. Encourage vigorous coughing
B. Monitor for respiratory distress.
Airway protection remains the top priority after repair.
A – NPO until healing verified.
C – Suction equipment must stay nearby.
D – Vigorous coughing could disrupt sutures.
Which finding in a newborn post-TEF repair should be reported to the provider
immediately?
, Page 2 of 68
A. Small amount of clear mucus
B. Mild abdominal distention
C. Increased drooling and coughing
D. Sleepiness after feeding
C. Increased drooling and coughing.
Indicates possible anastomotic leak or aspiration.
A – Normal secretion.
B – Common and usually temporary.
D – Normal newborn behavior.
What is the most appropriate feeding method immediately after TEF repair
once oral feeds begin?
A. Pacifier dipped in water
B. Breastfeeding
C. Gastrostomy tube feeding
D. Bottle feeding
C. Gastrostomy tube feeding.
Used initially until the esophageal anastomosis heals.
A – Oral stimulation avoided at first.
B, D – Oral feeds resume only when healing confirmed
A nurse teaching parents about home care after TEF repair should include
which instruction?
A. "Monitor for difficulty swallowing or coughing during feeding."
B. "Use a straw for all liquids."
C. "Give large feedings to meet calorie needs."
D. "Delay all solid foods until age 2."
A. Monitor for difficulty swallowing or coughing during feeding.
These are signs of possible stricture or leak.
B – Straws can increase air swallowing.
C – Small, frequent feeds preferred.
D – Solids are introduced as appropriate for age after healing.
, Page 3 of 68
Which statement by a parent indicates understanding of tracheoesophageal
fistula?
A. "My baby's problem was caused by the stomach not forming."
B. "My baby's windpipe and food tube were connected abnormally."
C. "This condition was due to swallowing too much amniotic fluid."
D. "The repair will affect my child's lungs permanently."
B. My baby’s windpipe and food tube were connected abnormally.
TEF = abnormal connection between the trachea and esophagus.
A – Incorrect anatomy.
C – Polyhydramnios is a result, not a cause.
D – Surgery typically allows normal lung function afterward
The nurse is assessing a 3-week-old infant with suspected pyloric stenosis.
Which finding is most characteristic?
A. Green, bilious vomiting after feeding
B. Projectile, non-bilious vomiting
C. Blood-streaked stools
D. Abdominal distention with diarrhea
B. Projectile, non-bilious vomiting.
Forceful vomiting occurs due to hypertrophy of the pyloric muscle obstructing gastric
outlet.
A – Bilious vomiting occurs in lower GI obstruction.
C and D – Not typical in pyloric stenosis.
During physical assessment, which finding is most indicative of pyloric
stenosis?
A. Olive-shaped mass in the right upper quadrant
B. Sausage-shaped mass in the left lower quadrant
C. Soft, non-distended abdomen
D. Distended abdomen with hypoactive bowel sounds
A. Olive-shaped mass in the right upper quadrant.
The hypertrophied pylorus feels like a small “olive” on palpation.
B – Classic of intussusception.
, Page 4 of 68
C and D – Non-specific findings.
A nurse is reviewing lab results for an infant with pyloric stenosis. Which
finding is expected?
A. Metabolic acidosis
B. Hyperkalemia
C. Metabolic alkalosis
D. Hyponatremia and hyperchloremia
C. Metabolic alkalosis.
Repeated vomiting causes loss of hydrogen and chloride ions, leading to alkalosis.
A – Seen with diarrhea, not vomiting.
B – Potassium is typically low, not high.
D – Sodium and chloride are usually decreased.
Which nursing intervention is most appropriate preoperatively for an infant
with pyloric stenosis?
A. Feed the infant formula with a slow-flow nipple
B. Place the infant in a supine position after feeding
C. Maintain NPO and provide IV fluids
D. Administer oral electrolyte solution
C. Maintain NPO and provide IV fluids.
The stomach must be empty before surgery, and fluids correct dehydration.
A, B, D – Contraindicated before surgical correction.
A nurse notes visible peristaltic waves across the infant's abdomen. What
does this indicate?
A. Normal digestion
B. Impending bowel obstruction
C. Gastric contents attempting to move through the narrowed pylorus
D. Perforated bowel
C. Gastric contents attempting to move through the narrowed pylorus.
Waves are visible as the stomach tries to push food past the obstruction.
A, B, D – Incorrect or unrelated findings.
