Pediatrics Assignment Practice Exam

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• A child with suspected celiac disease shows which serologic marker for screening?
• A 15-year-old tells the school nurse that she wants to have a baby. Which nurse response best facilitates discussion of future life implications?
• Which statement best describes adolescent identity development?
• At about 24 months, which milestone is typically achieved?
• In a child with new-onset nephrotic syndrome, what initial treatment is typically given?
• The first dose of MMR is recommended at what age?
• Which vaccine is routinely given at birth?
• Which statement best describes the initial management for suspected appendicitis?
• In moderate to severe pediatric croup, what additional therapy may be considered along with dexamethasone?
• What intervention should the nurse implement to help keep a 6-month-old infant calm during a physical assessment?
• A newborn screen for phenylketonuria (PKU) is collected from the baby’s blood. When should the sample be obtained?
• In the immediate postoperative period after scoliosis correction, which action is most important to protect spinal alignment?
• Which developmental milestone is demonstrated by looking for a hidden object after it is covered?
• A mother expresses concern to the nurse about the behavior of her 15-year-old adolescent who is frequently finding fault and criticizing her. What information should the nurse provide?
• A crying toddler has a blood pressure reading of 120/70 mm Hg. What action should the nurse take?
• How does dexamethasone help in pediatric croup?
• When assessing the breath sounds of an 18-month-old who is crying, what should the nurse do?
• Kawasaki disease requires urgent treatment to prevent which complication?
• What is the correct rationale for applying a Fox shield in penetrating eye injuries?
• Which measurement helps assess risk of unconjugated hyperbilirubinemia in a jaundiced newborn?
• When assessing a preschooler, which finding warrants further assessment by the nurse?
• What sign of malignant hyperthermia should the nurse assess for during the perioperative period in a child receiving general anesthesia?
• A 5-year-old child who is one day postoperative has bilateral eye patches in place and should be out of bed. What nursing intervention should be implemented first before leaving the bedside?
• A 13-year-old's irregular apical pulse that is phasic with respiration; this finding most likely represents which normal phenomenon?
• The nurse is caring for a female client with scoliosis who had a posterior spinal fusion and is in a body jacket cast. Which assessment finding indicates to the nurse the client is developing cast syndrome?
• Which vaccine series is administered at 2, 4, and 6 months?
• The nurse plans to mix a medication with food to make it more palatable for a pediatric client. Which base should the nurse choose?
• In suspected appendicitis, which imaging modality is typically used first?
• An 18-month-old presents at a well-child visit with a rounded 'pot-belly' abdomen, marked lordosis, short bowed legs, and a large head. Which action should the nurse implement?
• What action best supports maintaining a neutral thermal environment for a low-birth-weight infant?
• The nurse is developing the plan of care for a school-aged boy with a chronic disability. The child frequently cries about being different from his siblings and wants others to do things for him that he is capable of doing for himself. To assist the family in coping with this child's chronic illness, which intervention is most important for the nurse to implement?
• In a snakebite case, after identifying the type of snake, what should the nurse implement?
• A 5-year-old with pallor and fatigue is found to have microcytic anemia. What is the most likely diagnosis?
• Which statement about infancy growth spurts is true?
• Which statement explains why broad-spectrum antibiotics should be started before culture results in suspected meningitis?
• What is first-line treatment for mild croup?
• In children with type 1 diabetes presenting with polyuria and weight loss, what is initial management in the ED if DKA is suspected?
• Which organism is a common cause of pediatric acute otitis media?
• In management of suspected minimal change nephrotic syndrome in children, what is the first-line pharmacologic treatment?
• A 4-month-old breastfeeding infant is at the 10th percentile for weight and the 75th percentile for height. How should the nurse interpret this finding?
• What is the hallmark feature of nephrotic syndrome in a child?
• The first dose of MMR is recommended at what age?
• In a child wearing a Pavlik harness, which practice demonstrates proper skin assessment?
• Which feature is more characteristic of Asperger's disorder than autism?
• How does fever without a local source typically differ from fever with a source in pediatric patients?
• What is the most common nephrotic syndrome in children?
• What is the primary strategy for preventing overweight and obesity in preschool children?
• What is the first-line treatment for an acute asthma attack in a child?
• Which analgesic plan is appropriate after scoliosis surgery?
• What immunizations are recommended for adolescents around ages 11–12?
• For a newborn with a colostomy after anal agenesis who has had three loose stools since surgery yesterday, which nursing diagnosis has the highest priority?
• In planning care for a child with a chronic disability, which approach best supports family coping by promoting realistic expectations?
• Which virus is the most common cause of bronchiolitis in infants?
• What is the best action when initiating contact with a toddler for the first time?
• Besides fatigue and pallor, which symptom may accompany iron deficiency anemia in children?
• During a well-baby check, the baby hides a block under a blanket and looks for the block. Which normal growth and development milestone is demonstrated?
• What is the first-line antibiotic for uncomplicated acute otitis media in children aged 2–12 years?
• The nurse is assessing a child for neurological soft signs. Which finding is most likely demonstrated in the child's behavior?
• A bulimic adolescent with a low potassium level is at risk for which medical problem?
• In suspected meningitis, which timing for antibiotic initiation is correct?
• In a 6-year-old with a systolic blood pressure of 58 mm Hg, what action should the nurse take first?
• Which statement about fever without local source is true?
• A Spanish-speaking 5-year-old child starts kindergarten in an English-speaking school. The child cries most of the time, appears helpless and unable to function in the new situation. After assessing the child, how should the school nurse document the situation?
• During the paroxysmal stage of pertussis, which intervention supports hydration and energy?
• A 12-year-old boy is happy to be taking growth hormone injections because he thinks he will grow tall. What response is best for the nurse to provide?
• How should the nurse interact with a 14-year-old in the emergency department to support cooperation?
• Lead screening in children commonly occurs at which ages?
• What delivery method is recommended to optimize inhaled beta-agonist therapy during a pediatric acute asthma attack?
• Which sign would most indicate increased intracranial pressure in a child with meningitis?
• Which description best captures a normal adolescent's dress and mood changes?
• If Kawasaki disease is left untreated, a major vascular complication can occur. Which is it?
• When starting solids for a 6-month-old, which choice is commonly introduced first?
• What is a priority nursing diagnosis for the subacute stage of Kawasaki disease?
• Which practice is NOT recommended for preventing toxic shock syndrome?
• Name a red flag suggesting child abuse or neglect during a pediatric exam.
• Which pain-assessment tool is appropriate to use for a 4-year-old in the emergency department?
• What is first-line management for mild dehydration due to gastroenteritis in a child?
• What are the core features of autism spectrum disorder that require early evaluation?
• Which statement best describes how vesicoureteral reflux is typically managed in children?
• At what age is formal vision screening recommended for children?
• Which statement best describes the association with parvovirus B19 infection?
• When administering a gavage feeding to a school-age child, which action should the nurse implement?
• Which practice is not recommended to prevent recurrent UTIs in a female child?
• Which statement best describes private speech in preschool children?
• By six months of age, birth weight is typically what?
• An infant born weighing 7 lb (3.18 kg) is expected to weigh approximately how much at 6 months?
• During infancy, the emergence of object permanence is best described as the understanding that:
• A six-month-old infant weighs 15 pounds. If daily energy requirement is 108 kcal/kg/day, how many calories should the infant receive per day (rounded to the nearest whole number)?
• The nurse is assessing a child's skin turgor and grasps the skin on the abdomen between the thumb and index finger, pulls it taut, and quickly releases it. The tissue remains suspended and tented for a few seconds, then slowly falls back on the abdomen. How should the nurse document this finding?
• Excessive fluoride exposure during tooth development most commonly results in which outcome?
• The nurse is preparing to catheterize an 8-year-old child. Before starting the procedure, which action should the nurse take first?
• Which vaccine is not routinely given by the time of a 6-month well-child visit?
• Which vaccine is commonly administered to adolescents to prevent HPV infection?
• A nurse reviews the methods for preventing recurring urinary tract infections (UTIs) with the parent of a female child. Which response by the parent indicates that further teaching is needed in caring for the child?
• In a child with persistent asthma symptoms despite using a short-acting beta-agonist, what is a common next step in therapy?
• What age do most children typically say their first two-word phrases?
• A 9-month-old can typically perform which fine motor milestone?
• An 8-year-old boy recently diagnosed with diabetes mellitus is admitted to the intensive care unit with diabetic ketoacidosis. Which nursing action has the highest priority?
• The nurse is triaging a child with a fever brought to the emergency department by the parents. Which finding requires the nurse's immediate intervention?
• Which research finding provides evidence-based practice for an infant's risk for sudden infant death syndrome (SIDS)?
• What should the nurse assess last when examining a 5-year-old child?
• The parents of a child with Asperger's disorder asks the nurse to explain the differences between Asperger's and autism. Which information should the nurse share with the parents about Asperger's disorder that is not characteristic in autism?
• Which of the following is a common sign of heart failure in infants?
• For low-grade vesicoureteral reflux without recurrent infections, what is the typical management?
• In the event of a penetrating eye injury, which initial action is appropriate before professional care?
• Which sign would most indicate dehydration in an infant with a recent surgical procedure (colostomy)?
• When screening for celiac disease using tissue transglutaminase IgA antibodies, why is total IgA measured?
• In suspected pediatric DKA, which initial laboratory tests should be obtained?
• In the presence of inflammation, ferritin interpretation may be affected. which statement is true?
• The low-birth-weight infant requires a neutral thermal environment. What action should the nurse implement?
• Which of the following is NOT an absolute contraindication to vaccination?
• Which clue in the evaluation of pediatric trauma would most strongly suggest abuse rather than an accidental injury?
• Which thyroid condition is most commonly autoimmune in children?
• By around 12 months, which language milestone is expected?
• For a 2-year-old with a head laceration, which action helps facilitate cooperation during care?
• Which statement about newborn hearing screening programs is true?
• Which are the most common pathogens causing pediatric acute otitis media?
• In caring for an infant in a Pavlik harness, which instruction should the nurse include in the teaching plan?
• Which postoperative action is commonly included in the plan to monitor a patient after spinal surgery?
• The nurse is examining a neonate at age 10 minutes. Which site should the nurse expect to see nonpathologic cyanosis?
• Using the 70 + 2x age formula, what is the lower limit of systolic blood pressure for a 4-year-old?
• In nonorganic failure to thrive, which action by the nurse is most directly related to promoting growth?
• In suspected pediatric appendicitis, what is the initial management plan?
• Which instruction best helps prevent toxic shock syndrome in adolescents using tampons?
• In a seven-month old infant admitted with nonorganic failure to thrive (NFTT), which intervention is most important for the nurse to implement?
• Which statement about infant soothing and bonding is correct?
• In suspected meningitis, which finding indicates urgent imaging prior to lumbar puncture?
• Which of the following is NOT a principal feature of Kawasaki disease?
• Which condition is commonly associated with cow's milk ingestion in toddlers and presents with vomiting and diarrhea?
• During abdominal examination of a 6-year-old who squirmed, which technique should the nurse use to facilitate palpation?
• Which statement would be considered an early sign of dehydration in an infant with diarrhea?
• After the first DTaP vaccination, what is the best information to provide to a parent about possible reactions?
• Which finding should the nurse in the emergency department identify as an indicator that a 3-year-old child has been mistreated?
• In the emergency department, which finding requires immediate intervention?
• Which infection is described by a 'slapped cheek' rash pattern in children?
• In the context of galactosemia as described, which enzyme deficiency is cited as absent?
• A 9-year-old boy discusses sex with accurate vocabulary. What is the appropriate nursing response?
• Which ferritin level is most indicative of iron deficiency anemia in children?
• The nurse is assessing an infant with diarrhea and lethargy. Which finding should the nurse identify that is consistent with early dehydration?
• The nurse observes the interactions of a 2-year-old child who says, 'No,' even when 'Yes' is what the child really wants to say. The parent asks why the child is negative. How should the nurse respond?
• A 12-year-old male is happy about starting growth hormone therapy to be as tall as friends. Which response is best for the nurse to provide?
• Which statement best reflects typical parent-teen dynamics during adolescence?
• During a well-child assessment of an 18-month-old male, which nursing diagnosis should be formulated given limited speech and flat affect with small size for age?
• Which statement best supports a preteen starting growth hormone injections as part of a plan to address height concerns?
• When discussing childcare options with a mother of a 6-month-old, what is the best response?
• Lead screening is most commonly performed at which ages for at-risk populations?
• The nurse calculates a 4 ml dose of prescribed digoxin for a 9-month-old infant. What action should the nurse implement?
• The parents of an adolescent male with Ewing sarcoma ask the nurse what is the most significant factor contributing to their son's prognosis. Which factor should the nurse include when answering the parent's concern?
• A 4-year-old is brought to the emergency room for a laceration on the right foot. Which action should the nurse implement to help the child cope with the experience?
• What daily iron dose is commonly used to treat pediatric iron deficiency anemia?
• What rash is characteristic of varicella (chickenpox) in children?
• In suspected pediatric DKA, what is the recommended initial fluid regimen?
• The nurse is assessing the coping behaviors of the parents whose child has been recently diagnosed with a chronic illness. What reaction by the parents is a positive step in the ability to cope with this new situation?
• The nurse is caring for an irritable, lethargic 18-month-old child who swallowed several over-the-counter (OTC) antihistamine tablets an hour ago. What intervention should the nurse implement?
• What is the purpose of antivenin therapy in snakebite management?
• Which statement best describes how adolescents typically approach identity during puberty?
• Which of the following is a daily controller therapy for persistent pediatric asthma?
• A 15-year-old girl tells the school nurse that she wants to have a baby. How should the nurse respond?
• While assessing the apical pulse of a 13-year-old, the rate is 88 beats/minute, and the rhythm is irregular. The heart rate is phasic with respirations, increasing during inspiration and decreasing with expiration. What action should the nurse take?
• When caring for a child who has pertussis that is in the paroxysmal stage, which intervention should the nurse implement to support the child's nutritional needs?
• Which of the following is NOT an expected preschool milestone?
• A child with a penetrating eye injury comes to the school clinic. Which action should the nurse implement?
• By about one year of age, birth weight is typically how many times the birth weight?
• Arrange the examination process for scoliosis screening from first to last.
• Which position is used to obtain accurate length measurements in a 14-month-old child?
• Which neurological test best assesses cerebellar function in a young child?
• A 3-year-old boy is brought to the emergency room because of a possible diazepam (Valium) overdose. He is lethargic and confused. Which nursing intervention has the highest priority?
• In suspected neonatal sepsis, which statement is true about initial management?
• An adolescent female's vulvitis is most likely related to which causative factor?
• A parent reports a 16-month-old drank 2 ounces of acetaminophen. What action should the nurse recommend?
• Which statement about development in an 18-month-old is most indicative of delay?
• After discussing the introduction of solid foods with the mother of a 6-month-old infant, the nurse determines that the mother understands the information when she states that the first food is from which food group?
• Which age group is most likely to experience feelings of punishment or responsibility for their parents' divorce?
• The nurse is developing a plan of care for a 10-year-old who is scheduled for a cardiac catheterization. Which intervention should the nurse implement to prepare the child for the procedure?
• When a 20-week-old infant's weight is between the 2nd and 3rd percentile, what is the appropriate next action?
• Which statement about infant car safety is correct?
• The nurse at the well-child clinic is advising the parents of an 8-month-old child about health and safety. What information should the nurse provide?
• A newborn with jaundice on day of life 1 requires evaluation for what conditions?
• A newborn who is breastfeeding is diagnosed with galactosemia. What action should the nurse implement?
• Which analgesic regimen is appropriate for postoperative pain management after scoliosis surgery?
• Which clinical finding should the nurse expect in a child with nephrosis?
• What is a common presenting symptom of iron deficiency anemia in children?
• Which vaccine is not part of the routine immunizations by age 6 months?
• When is amoxicillin-clavulanate preferred over high-dose amoxicillin for uncomplicated AOM?
• During the well-child assessment, the parents of a 4-year-old express concern that their child often chatters while playing alone. What information should the nurse provide the parents?
• Which statement best describes adolescent identity exploration in a healthy development context?
• Which site should be assessed to obtain the pulse rate for a 1-year-old child?
• During diazepam overdose management in a child, which action should be performed immediately to secure the airway?
• Which action should the nurse take first when a family requests oral feeding for a tube-fed child?
• What imaging finding is characteristic of pyloric stenosis on ultrasound?
• What is the priority nursing intervention for a 12-year-old client newly diagnosed with bacterial meningitis?
• Which statement reflects understanding of fluoride's role in preventing dental caries?
• A father wants his 8-year-old to succeed in soccer, but the child loves chess and feels like a failure. How should the nurse respond?
• The nurse is caring for a premature infant who needs an IV access restarted. What action should the nurse take when using adhesive tape?
• The parents of a toddler brought to the clinic for a well-child visit tell the nurse that their child becomes upset if even the smallest things change in the environment. What information should the nurse provide the parents?
• How should the nurse measure the length of a 14-month-old child?
• Which factor most strongly influences prognosis in adolescent cancer?
• In caring for a newborn with a colostomy after anal agenesis, which nursing diagnosis has the highest priority?
• The initial empiric treatment for suspected bacterial meningitis in a neonate includes which antibiotics?
• Which pediatric syndrome is characterized by edema, heavy proteinuria, and hypoalbuminemia?
• When plotting a 20-week-old infant's weight on a standardized growth chart, the weight is between the 2nd and 3rd percentile. What is the appropriate next step?
• A healthy term infant typically achieves independent sitting without support by approximately which age?
• When assessing parents coping with a newly diagnosed chronic illness in their child, which reaction is considered positive?
• Kawasaki disease diagnostic criteria require fever lasting at least how many days and how many of the principal features?
• Which of the following is a common cause of bronchiolitis in infants?
• In suspected neonatal sepsis, initial management?
• What is the imaging modality of choice to diagnose pyloric stenosis?
• A febrile child with neck stiffness and photophobia—what diagnosis should be considered urgently?
• At what ages is newborn hearing screening typically performed?