PEDS COMPREHENSIVE EXAM UPDATED QUESTIONS AND
ANSWERS GRADED A+
✔✔A nurse is providing discharge teaching to the parent of a school age child who has
moderate persistent asthma. Which of the following instructions should the nurse
include?
a. "you should give your child their salmeterol inhaler every 4 hours when they are
having an acute episode of wheezing."
b. "you should monitor your child's weight weekly while they are receiving inhaled
corticosteroids therapy."
c. "pulmonary function tests will be performed every 12-24 months to evaluate how your
child is responding to therapy."
d. "when using the peak expiratory flow meter, record your child's average of three
readings." - ✔✔C
✔✔A nurse is assessing an adolescent who received a sodium polystyrene sulfonate
enema. Which of the following findings indicates effectiveness of the medication?
a. reports an absence of nausea and vomiting
b. reports experiencing an onset of loose stools within 15 minutes of administration
c. serum potassium level 4.1 mEq/L
d. blood pressure 86/52 mm Hg - ✔✔C
✔✔A nurse is assessing an infant who has pneumonia. Which of the following findings
is the priority for the nurse to report the provider?
a. nasal flaring
b. WBC count 11,300/mm^3
c. diarrhea
d. abdominal distension - ✔✔A
✔✔A nurse is providing discharge teaching to the guardian of a school age child who
has undergone a tonsillectomy. Which of the following statements by the guardian
indicates an understanding the teaching?
a. "my child can resume usual activities since this year just an outpatient surgery."
b. "my child will be able to drink the chocolate milkshake I promised to get for them
tonight."
c. "I will notify the doctor if I notice that my child is swallowing frequently."
d. "I will have my child gargle with warm salt water to relieve their sore throat." - ✔✔C
✔✔A nurse is discussing organ donation with the parents of a school age child who has
sustained brain death due to a bicycle crash. Which of the following actions should the
nurse take first?
, a. inform the parents that written consent is required prior to organ donation
b. provide written information to the parents about organ donation
c. ask the provider to explain misconceptions of organ donation to the parents.
d. explore the parents feelings and wishes regarding organ donation - ✔✔D
✔✔A nurse is caring for a newly admitted school age child who has hypopituitarism.
Which of the following medications should the nurse expect the provider to prescribe?
a. Desmopressin
b. Luteinizing hormone-releasing hormone
c. Recombinant growth hormone
d. Levothyroxine - ✔✔C
✔✔A nurse is providing discharge teaching to he parents of a 3 month old infant
following a cheiloplasty. Which of the following instructions should the nurse include?
a. "clean your baby's sutures daily with a mixture of chlorhexidine and water."
b. "expect your baby to swallow more than usual over the next few days."
c. "inspect your baby's tongue for white patches using a tongue depressor every 8
hours."
d. "apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3
days." - ✔✔D
✔✔A nurse is caring for a school age child who has peripheral edema. The nurse
should identify that which of the following assessments should be performed to confirm
peripheral edema?
a. palpate the dorsum of the child's feet
b. weigh the child daily using the same scale
c. assess the child's skin turgor
d. observe the child for periorbital swelling - ✔✔A
✔✔A nurse is caring for a 10 year old child following a head injury. Which of the
following findings should the nurse identify as an indication that the child is developing
diabetes incipidus?
a. urine specific gravity 1.045
b. sodium 155 mEq/L
c. blood glucose 45 mg/dL
d. urine output 35 mL/hr - ✔✔B
✔✔A school nurse is providing an in service for faculty about improving education for
students who have ADHD. Which of the following statements by a faculty member
indicates an understanding of the teaching?
ANSWERS GRADED A+
✔✔A nurse is providing discharge teaching to the parent of a school age child who has
moderate persistent asthma. Which of the following instructions should the nurse
include?
a. "you should give your child their salmeterol inhaler every 4 hours when they are
having an acute episode of wheezing."
b. "you should monitor your child's weight weekly while they are receiving inhaled
corticosteroids therapy."
c. "pulmonary function tests will be performed every 12-24 months to evaluate how your
child is responding to therapy."
d. "when using the peak expiratory flow meter, record your child's average of three
readings." - ✔✔C
✔✔A nurse is assessing an adolescent who received a sodium polystyrene sulfonate
enema. Which of the following findings indicates effectiveness of the medication?
a. reports an absence of nausea and vomiting
b. reports experiencing an onset of loose stools within 15 minutes of administration
c. serum potassium level 4.1 mEq/L
d. blood pressure 86/52 mm Hg - ✔✔C
✔✔A nurse is assessing an infant who has pneumonia. Which of the following findings
is the priority for the nurse to report the provider?
a. nasal flaring
b. WBC count 11,300/mm^3
c. diarrhea
d. abdominal distension - ✔✔A
✔✔A nurse is providing discharge teaching to the guardian of a school age child who
has undergone a tonsillectomy. Which of the following statements by the guardian
indicates an understanding the teaching?
a. "my child can resume usual activities since this year just an outpatient surgery."
b. "my child will be able to drink the chocolate milkshake I promised to get for them
tonight."
c. "I will notify the doctor if I notice that my child is swallowing frequently."
d. "I will have my child gargle with warm salt water to relieve their sore throat." - ✔✔C
✔✔A nurse is discussing organ donation with the parents of a school age child who has
sustained brain death due to a bicycle crash. Which of the following actions should the
nurse take first?
, a. inform the parents that written consent is required prior to organ donation
b. provide written information to the parents about organ donation
c. ask the provider to explain misconceptions of organ donation to the parents.
d. explore the parents feelings and wishes regarding organ donation - ✔✔D
✔✔A nurse is caring for a newly admitted school age child who has hypopituitarism.
Which of the following medications should the nurse expect the provider to prescribe?
a. Desmopressin
b. Luteinizing hormone-releasing hormone
c. Recombinant growth hormone
d. Levothyroxine - ✔✔C
✔✔A nurse is providing discharge teaching to he parents of a 3 month old infant
following a cheiloplasty. Which of the following instructions should the nurse include?
a. "clean your baby's sutures daily with a mixture of chlorhexidine and water."
b. "expect your baby to swallow more than usual over the next few days."
c. "inspect your baby's tongue for white patches using a tongue depressor every 8
hours."
d. "apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3
days." - ✔✔D
✔✔A nurse is caring for a school age child who has peripheral edema. The nurse
should identify that which of the following assessments should be performed to confirm
peripheral edema?
a. palpate the dorsum of the child's feet
b. weigh the child daily using the same scale
c. assess the child's skin turgor
d. observe the child for periorbital swelling - ✔✔A
✔✔A nurse is caring for a 10 year old child following a head injury. Which of the
following findings should the nurse identify as an indication that the child is developing
diabetes incipidus?
a. urine specific gravity 1.045
b. sodium 155 mEq/L
c. blood glucose 45 mg/dL
d. urine output 35 mL/hr - ✔✔B
✔✔A school nurse is providing an in service for faculty about improving education for
students who have ADHD. Which of the following statements by a faculty member
indicates an understanding of the teaching?
