PEDS NR328 ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◉A nurse is reinforcing teaching a parent of a child who has a fracture
of the epiphyseal plate. Which of the following is an appropriate
statement by the nurse?
"The blood supply to the bone is disrupted."
"Normal bone growth can be affected."
"Bone marrow can be lost though the fracture."
"The healing process will take longer." . Answer: "Normal bone growth
can be affected."
◉A nurse is planning to speak to a group of adolescents about toxic
shock syndrome (TSS). The nurse knows that TSS is commonly
associated with which of the following?
High-absorbency tampons
Mosquito bitesRationale:
International travel
Multiple sexual partners . Answer: High-absorbency tampons
◉A nurse is collecting data from an infant. Which of the following is a
clinical manifestation of pyloric stenosis?
,Absent bowel sounds
Increased sodium level
Projectile vomiting after feedings
Golf ball-sized mass over the left quadrant . Answer: Projectile vomiting
after feedings
◉A nurse is planning care for a child who has juvenile rheumatoid
arthritis. Which of the following is an appropriate action for the nurse to
take?
Administer opioids on a schedule.
Schedule prolonged periods of complete joint immobilization daily.
Apply cool compresses for 20 minutes every hour.
Maintain night splints to the affected joint. . Answer: Maintain night
splints to the affected joint.
◉A nurse is caring for a school-age child who has mild persistent
asthma. Which of the following is an expected finding? (Select all that
apply.)
Symptoms are continuous throughout the day.
Daytime symptoms occur more than twice a week.
Nighttime symptoms occur approximately twice a month.
Minor limitations occur with normal activity.
,Peak expiratory flow (PEF) is greater than or equal to 80% of the
predicted value. . Answer: Daytime symptoms occur more than twice a
week.
Minor limitations occur with normal activity.
Peak expiratory flow (PEF) is greater than or equal to 80% of the
predicted value.
◉A nurse working in a pediatric clinic is collecting data on a preschool-
age child who has a rash on his arm. The mother reports that the child
was recently exposed to impetigo contagiosa. Which of the following
manifestations should the nurse expect to find with this skin infection?
Scaling patches that are clear in the center.
Honey-colored crusts caused by dried exudate.
Firm papules with a roughened, finely papillomatous texture.
Lines of small blisters surrounding one large blister. . Answer: Honey-
colored crusts caused by dried exudate.
◉During a routine well child check-up, a nurse is reinforcing teaching to
a parent who reports having difficulty getting a preschool-age child to go
to bed. Which of the following statements indicates to the nurse that the
parent understands how to foster a consistent bedtime for the
preschooler?
"I will allow my child to cry himself to sleep each night."
"I will let my child fall asleep with me, and then move him to his own
bed."
, "I will make sure the room is dark when placing my child in bed."
"I will encourage my child to fall sleep with his favorite toy." . Answer:
"I will encourage my child to fall sleep with his favorite toy."
◉A nurse is collecting data about a 6-year-old client. Which statement
by the client's parent should concern the nurse?
"The teacher says my child has to squint to see the board."
"My child has recently lost both front top teeth."
"My child often cheats when we play board games."
"Sometimes my child acts bossy with his friends." . Answer: "The
teacher says my child has to squint to see the board."
◉A nurse working at a clinic speaks on the telephone with the parent of
a 2-month-old infant. The parent tells the nurse that the infant has
projectile vomiting followed by hunger after meals. Which of the
following responses by the nurse is appropriate?
"Bring your infant into the clinic today to be seen."
"Burp your child more frequently during feedings."
"Give your infant an oral rehydrating solution."
"You might want to try switching to different formula." . Answer: "Bring
your infant into the clinic today to be seen."
QUESTIONS WITH ANSWERS GRADED A+
◉A nurse is reinforcing teaching a parent of a child who has a fracture
of the epiphyseal plate. Which of the following is an appropriate
statement by the nurse?
"The blood supply to the bone is disrupted."
"Normal bone growth can be affected."
"Bone marrow can be lost though the fracture."
"The healing process will take longer." . Answer: "Normal bone growth
can be affected."
◉A nurse is planning to speak to a group of adolescents about toxic
shock syndrome (TSS). The nurse knows that TSS is commonly
associated with which of the following?
High-absorbency tampons
Mosquito bitesRationale:
International travel
Multiple sexual partners . Answer: High-absorbency tampons
◉A nurse is collecting data from an infant. Which of the following is a
clinical manifestation of pyloric stenosis?
,Absent bowel sounds
Increased sodium level
Projectile vomiting after feedings
Golf ball-sized mass over the left quadrant . Answer: Projectile vomiting
after feedings
◉A nurse is planning care for a child who has juvenile rheumatoid
arthritis. Which of the following is an appropriate action for the nurse to
take?
Administer opioids on a schedule.
Schedule prolonged periods of complete joint immobilization daily.
Apply cool compresses for 20 minutes every hour.
Maintain night splints to the affected joint. . Answer: Maintain night
splints to the affected joint.
◉A nurse is caring for a school-age child who has mild persistent
asthma. Which of the following is an expected finding? (Select all that
apply.)
Symptoms are continuous throughout the day.
Daytime symptoms occur more than twice a week.
Nighttime symptoms occur approximately twice a month.
Minor limitations occur with normal activity.
,Peak expiratory flow (PEF) is greater than or equal to 80% of the
predicted value. . Answer: Daytime symptoms occur more than twice a
week.
Minor limitations occur with normal activity.
Peak expiratory flow (PEF) is greater than or equal to 80% of the
predicted value.
◉A nurse working in a pediatric clinic is collecting data on a preschool-
age child who has a rash on his arm. The mother reports that the child
was recently exposed to impetigo contagiosa. Which of the following
manifestations should the nurse expect to find with this skin infection?
Scaling patches that are clear in the center.
Honey-colored crusts caused by dried exudate.
Firm papules with a roughened, finely papillomatous texture.
Lines of small blisters surrounding one large blister. . Answer: Honey-
colored crusts caused by dried exudate.
◉During a routine well child check-up, a nurse is reinforcing teaching to
a parent who reports having difficulty getting a preschool-age child to go
to bed. Which of the following statements indicates to the nurse that the
parent understands how to foster a consistent bedtime for the
preschooler?
"I will allow my child to cry himself to sleep each night."
"I will let my child fall asleep with me, and then move him to his own
bed."
, "I will make sure the room is dark when placing my child in bed."
"I will encourage my child to fall sleep with his favorite toy." . Answer:
"I will encourage my child to fall sleep with his favorite toy."
◉A nurse is collecting data about a 6-year-old client. Which statement
by the client's parent should concern the nurse?
"The teacher says my child has to squint to see the board."
"My child has recently lost both front top teeth."
"My child often cheats when we play board games."
"Sometimes my child acts bossy with his friends." . Answer: "The
teacher says my child has to squint to see the board."
◉A nurse working at a clinic speaks on the telephone with the parent of
a 2-month-old infant. The parent tells the nurse that the infant has
projectile vomiting followed by hunger after meals. Which of the
following responses by the nurse is appropriate?
"Bring your infant into the clinic today to be seen."
"Burp your child more frequently during feedings."
"Give your infant an oral rehydrating solution."
"You might want to try switching to different formula." . Answer: "Bring
your infant into the clinic today to be seen."
