2026 – COMPLETE CONCEPT REVIEW &
PRACTICE MATERIALS (LATEST EDITION)
1. What is the most reliable indicator of pain in infants?
Answer: Facial expression is the most reliable indicator of infant pain, including grimacing,
furrowed brows, and crying patterns. Physiologic signs (tachycardia, increased BP) also support
assessment but facial changes remain the most specific.
2. At what age does a child typically sit unsupported?
Answer: Around 6 months, infants gain sufficient trunk and neck control to sit without support
for short periods.
3. What is the first solid food recommended for infants?
Answer: Iron-fortified rice cereal at around 4–6 months to prevent iron deficiency.
4. What is the hallmark sign of epiglottitis?
Answer: Drooling, dysphagia, tripod positioning, and muffled speech. Immediate airway
management is required; do NOT use a tongue depressor.
5. What is the priority intervention for a child with an asthma attack?
Answer: Administer short-acting beta-agonist (albuterol) nebulizer to relieve bronchospasm.
6. What vaccine is contraindicated in immunocompromised children?
Answer: Live vaccines, including MMR, Varicella, and LAIV (nasal flu).
,7. What is the classic symptom of pyloric stenosis?
Answer: Projectile vomiting after feeding, accompanied by a palpable “olive-shaped” mass.
8. What oxygen delivery method provides the highest concentration for pediatrics?
Answer: Non-rebreather mask at 10–15 L/min.
9. What is the normal respiratory rate for toddlers?
Answer: About 20–30 breaths per minute.
10. What is a sign of increased intracranial pressure in infants?
Answer: Bulging fontanel, irritability, high-pitched cry, vomiting.
11. What condition presents with “currant jelly” stools?
Answer: Intussusception, caused by bowel telescoping.
12. What is the first sign of cystic fibrosis in newborns?
Answer: Meconium ileus, failure to pass thick, sticky meconium.
13. What is a characteristic sign of meningitis in children?
Answer: Nuchal rigidity, photophobia, headache, and positive Kernig/Brudzinski signs.
14. What is priority care for a child with sickle cell crisis?
Answer: Hydration, oxygen, and pain relief (opioids).
15. What test confirms rheumatic fever?
,Answer: Elevated ASO titer indicating recent strep infection.
16. When should infants be screened for anemia?
Answer: At 12 months.
17. What finding indicates dehydration in a child?
Answer: Decreased urine output, dry mucous membranes, sunken eyes, tachycardia.
18. What is a positive Barlow test indicative of?
Answer: Developmental dysplasia of the hip.
19. What is the priority in suspected child abuse?
Answer: Ensure the child’s safety and report to authorities (mandatory reporting).
20. What is the classic presentation of Kawasaki disease?
Answer: Strawberry tongue, high fever >5 days, rash, conjunctivitis, swollen hands/feet.
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, 21. What congenital heart defect causes “machine-like” murmur?
Answer: Patent Ductus Arteriosus (PDA) is characterized by a continuous, machinery-like
murmur.
22. What is the primary treatment for PDA?
Answer: Indomethacin helps close the ductus; surgical ligation if medication fails.
23. What position improves breathing in children with respiratory distress?
Answer: High Fowler or tripod position, which maximizes lung expansion.
24. What is the most serious complication of measles?
Answer: Pneumonia or encephalitis, especially in immunocompromised children.
25. What is the earliest sign of respiratory failure?
Answer: Restlessness and tachypnea, indicating inadequate oxygenation.
26. Which electrolyte imbalance is associated with diarrhea in children?
Answer: Metabolic acidosis due to loss of bicarbonate.
27. What is the expected effect of digoxin in pediatric heart failure?
Answer: Increases contractility and decreases heart rate.
28. What is a sign of digoxin toxicity in children?
Answer: Vomiting, often the earliest indicator.