PEDS EVALUATION EXAM PRACTICE QUESTIONS AND
ANSWERS GRADED A+
✔✔Which drug is considered the most useful in treating childhood cardiac arrest?
A. Bretylium tosylate (Bretylium)
B. Lidocaine hydrochloride (Lidocaine)
C. Epinephrine hydrochloride (Adrenaline)
D. Naloxone (Narcan) - ✔✔C. Epinephrine hydrochloride (Adrenaline)
✔✔Effective lone-rescuer CPR on a 5-year-old child should include
A. Two breaths to every 30 chest compressions
B. Two breaths to every 15 chest compressions
C. Reassessment of child after 50 cycles of compression and ventilation.
D. Reassessment of child every 10 minutes that CPR continues - ✔✔A. Two breaths to
every 30 chest compressions
✔✔The Heimlich maneuver is recommended for airway obstruction in children older
than _____ year(s).
A. 1
B. 4
C. 8
D. 12 - ✔✔A. 1
✔✔A nurse is caring for a child in acute respiratory failure. Which blood gas analysis
indicates the child is still in respiratory acidosis?
A. pH 7.50, CO2 48
B. pH 7.30, CO2 30
C. pH 7.32, CO2 50
D. pH 7.48, CO2 33 - ✔✔C. pH 7.32, CO2 50
✔✔The nurse enters a room and finds a 6-year-old child who is unconscious. After
calling for help and before being able to use an automatic external defibrillator, which
steps should the nurse take.
a. Place on a hard surface
b. Administer 30 chest compressions with two breaths
c. Feel carotid pulse while maintaining head tilt with the other hand
d. Use the head tilt-chin lift maneuver and check for breathing
e. Place heel of one hand on lower half of sternum with other hand on top
f. Give two rescue breaths
A. c, a, f, d, e, b
B. I have no idea
C. a, d, f, c, e, b
D. f, a, c, e, b, d - ✔✔C. a, d, f, c, e, b
, ✔✔Non-pharmacological interventions/techniques that can be used for pain control in
the school-age child are? Select all that apply.
A. Guided imagery
B. Play therapy
C. Humor
D. Distraction - ✔✔C & D: Humor & Distraction
PENDING REVIEW
✔✔When assessing a child who complains of abdominal pain, what is the MOST
appropriate nursing action?
A. Palpate the most painful area first, to get it over with
B. Palpate around the tenderness
C. Avoid painful areas until the end of the assessment
D. Performs deep painful palpation for abdominal tenderness - ✔✔C. Avoid painful
areas until the end of the assessment
✔✔A client who is one (1) day post-op appendectomy refuses to get up and walk, has
an elevated blood pressure & increased heart rate. What is the BEST nursing
intervention?
A. Tell the child that walking will help with pain control
B. Check the MAR to see when the last pain medication was given and administer the
pain medication
C. The goal is to wean the client off of addicting narcotics
D. Give the child a developmentally appropriate toy/game in order to distract the client
from thinking about the pain - ✔✔B. Check the MAR to see when the last pain
medication was given and administer the pain medication.
✔✔You are caring for a two (2) year old infant diagnosed with biliary atresia who is
awaiting a liver transplant. A pain assessment is done every 4 hours, which pain
assessment tool would you utilize for this age group?
A. FACES
B. FLACC
C. N-PASS
D. Numeric scale of 1-10. - ✔✔B. FLACC
✔✔The nurse is caring for a 12-year-old, cerebral palsy patient who is unable to
communicate verbally or by pointing. Which of the following pain assessment tools is
the most appropriate?
A. Pain diary that the family records
B. FLACC scale
C. Numeric rating scale
D. FACES scale - ✔✔B. FLACC scale
ANSWERS GRADED A+
✔✔Which drug is considered the most useful in treating childhood cardiac arrest?
A. Bretylium tosylate (Bretylium)
B. Lidocaine hydrochloride (Lidocaine)
C. Epinephrine hydrochloride (Adrenaline)
D. Naloxone (Narcan) - ✔✔C. Epinephrine hydrochloride (Adrenaline)
✔✔Effective lone-rescuer CPR on a 5-year-old child should include
A. Two breaths to every 30 chest compressions
B. Two breaths to every 15 chest compressions
C. Reassessment of child after 50 cycles of compression and ventilation.
D. Reassessment of child every 10 minutes that CPR continues - ✔✔A. Two breaths to
every 30 chest compressions
✔✔The Heimlich maneuver is recommended for airway obstruction in children older
than _____ year(s).
A. 1
B. 4
C. 8
D. 12 - ✔✔A. 1
✔✔A nurse is caring for a child in acute respiratory failure. Which blood gas analysis
indicates the child is still in respiratory acidosis?
A. pH 7.50, CO2 48
B. pH 7.30, CO2 30
C. pH 7.32, CO2 50
D. pH 7.48, CO2 33 - ✔✔C. pH 7.32, CO2 50
✔✔The nurse enters a room and finds a 6-year-old child who is unconscious. After
calling for help and before being able to use an automatic external defibrillator, which
steps should the nurse take.
a. Place on a hard surface
b. Administer 30 chest compressions with two breaths
c. Feel carotid pulse while maintaining head tilt with the other hand
d. Use the head tilt-chin lift maneuver and check for breathing
e. Place heel of one hand on lower half of sternum with other hand on top
f. Give two rescue breaths
A. c, a, f, d, e, b
B. I have no idea
C. a, d, f, c, e, b
D. f, a, c, e, b, d - ✔✔C. a, d, f, c, e, b
, ✔✔Non-pharmacological interventions/techniques that can be used for pain control in
the school-age child are? Select all that apply.
A. Guided imagery
B. Play therapy
C. Humor
D. Distraction - ✔✔C & D: Humor & Distraction
PENDING REVIEW
✔✔When assessing a child who complains of abdominal pain, what is the MOST
appropriate nursing action?
A. Palpate the most painful area first, to get it over with
B. Palpate around the tenderness
C. Avoid painful areas until the end of the assessment
D. Performs deep painful palpation for abdominal tenderness - ✔✔C. Avoid painful
areas until the end of the assessment
✔✔A client who is one (1) day post-op appendectomy refuses to get up and walk, has
an elevated blood pressure & increased heart rate. What is the BEST nursing
intervention?
A. Tell the child that walking will help with pain control
B. Check the MAR to see when the last pain medication was given and administer the
pain medication
C. The goal is to wean the client off of addicting narcotics
D. Give the child a developmentally appropriate toy/game in order to distract the client
from thinking about the pain - ✔✔B. Check the MAR to see when the last pain
medication was given and administer the pain medication.
✔✔You are caring for a two (2) year old infant diagnosed with biliary atresia who is
awaiting a liver transplant. A pain assessment is done every 4 hours, which pain
assessment tool would you utilize for this age group?
A. FACES
B. FLACC
C. N-PASS
D. Numeric scale of 1-10. - ✔✔B. FLACC
✔✔The nurse is caring for a 12-year-old, cerebral palsy patient who is unable to
communicate verbally or by pointing. Which of the following pain assessment tools is
the most appropriate?
A. Pain diary that the family records
B. FLACC scale
C. Numeric rating scale
D. FACES scale - ✔✔B. FLACC scale
