Ultimate Pediatric Nursing Review:
Topics in Growth, Development,
Acute Care, Chronic Illness, and
Emergency Interventions – High-Yield
Exam Prep Verified Questions
Provided with A+ Graded Rationales
Latest Updated 2026
B. "I am really hot and thirsty."
The nurse should instruct the parents of an 8-year-old child who has sickle cell anemia to be
alert for which complaint from the child:
A. "I am shorter than everyone else"
B. "I am really hot and thirsty."
C. "I don't want to eat any vegetables."
D. "I have to urinate every few hours."
B. Pad side rails with available pillows and blankets.
D. Monitor duration and progress of the seizure.
E. Turn client to the side if possible
A hospitalized child stiffens and starts to seize as the nurse enters the room. What actions
should the nurse take? Select all that apply.
A. Instruct the parents to leave the room.
B. Pad side rails with available pillows and blankets.
C. Notify the emergency response team.
D. Monitor duration and progress of the seizure.
E. Turn client to the side if possible
C. Immunization status of the infant
The nurse is assessing an 8-month-old who has a cough, axillary temperature of 100°F, and
rhinorrhea. What information is most important for the nurse to obtain from this child's
mother?
1|Page
,A. Living conditions
B. Labor and delivery history of the infant.
C. Immunization status of the infant
D. Alcohol and drug intake of the mother
A. Milkshake
What snack is best to provide a 6-year-old child on prescribed bedrest while receiving treatment
for osteomyelitis?
A. Milkshake
B. Soup broth
C. Applesauce
D. Popsicle
D. Sit with the child in the bathroom with hot steam
A child with acute laryngotracheobronchitis (croup) received epinephrine 2 hours ago in the
emergency room, and is now being prepared for discharge to the home. The nurse should
instruct the parents to take which action if the child's uncontrolled coughing reoccurs.
A. Call for emergency transportation to the hospital.
B. Increase the fluid intake to liquefy the secretions.
C. Administer a dose of the prescribed cough medicine.
D. Sit with the child in the bathroom with hot steam
D. Growth failure is a concern, but developmental delays are not likely to occur
A 10-year-old girl is diagnosed with inflammatory bowel disease (IBD). Her mother is concerned
that she will experience developmental delays as the result of this disorder. How should the
nurse response?
A. She will only experience developmental delays if weight loss cannot be controlled.
B. Scheduling a private tutor can help to prevent developmental delays
C. She is at a high risk for a number of different problems, including developmental delays.
D. Growth failure is a concern, but developmental delays are not likely to occur
B. Metabolic Alkalosis
A child who has been vomiting for 3 days is admitted for correction of fluid and electrolyte
imbalances. What acid base imbalance is the child likely to exhibit?
2|Page
, A. Respiratory Acidosis
B. Metabolic Alkalosis
C. Respiratory Alkalosis
D. Metabolic Acidosis
D. Apply ice pack and compression dressing to knee
A child with hemophilia arrives at the clinic with a swollen knee after falling off a bicycle. What
action should the nurse implement first?
A. Initiate an IV site and begin infusing normal saline.
B. Type and cross for possible transfusion.
C. Monitor the child's vital signs frequently
D. Apply ice pack and compression dressing to knee
D. Offer reassurance that muscle soreness following this procedure is temporary and does not
indicate a problem
A child with possible Duchenne muscular dystrophy undergoes an electromyelogram. Following
the procedure, the child's parents tell the nurse that the child is complaining of sore muscles.
How should the nurse respond?
A. Explain that muscle aches and pain are commonly experienced by children with this form of
muscular dystrophy.
B. Advise the parents that children with chronic diseases may seek attention by reporting pain
or other unpleasant symptoms.
C. Encourage the parents to monitor the child's body temperature for the next 24 hours and
report a rise above 101°F.
D. Offer reassurance that muscle soreness following this procedure is temporary and does not
indicate a problem
C. Change to latex-free gloves when handling infant
A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4 hours to
prevent urinary retention. The home health nurse notes that the child has developed episodes
of sneezing, urticaria, watery eyes, and a rash in the diaper area. What action is most important
for the nurse to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
3|Page
Topics in Growth, Development,
Acute Care, Chronic Illness, and
Emergency Interventions – High-Yield
Exam Prep Verified Questions
Provided with A+ Graded Rationales
Latest Updated 2026
B. "I am really hot and thirsty."
The nurse should instruct the parents of an 8-year-old child who has sickle cell anemia to be
alert for which complaint from the child:
A. "I am shorter than everyone else"
B. "I am really hot and thirsty."
C. "I don't want to eat any vegetables."
D. "I have to urinate every few hours."
B. Pad side rails with available pillows and blankets.
D. Monitor duration and progress of the seizure.
E. Turn client to the side if possible
A hospitalized child stiffens and starts to seize as the nurse enters the room. What actions
should the nurse take? Select all that apply.
A. Instruct the parents to leave the room.
B. Pad side rails with available pillows and blankets.
C. Notify the emergency response team.
D. Monitor duration and progress of the seizure.
E. Turn client to the side if possible
C. Immunization status of the infant
The nurse is assessing an 8-month-old who has a cough, axillary temperature of 100°F, and
rhinorrhea. What information is most important for the nurse to obtain from this child's
mother?
1|Page
,A. Living conditions
B. Labor and delivery history of the infant.
C. Immunization status of the infant
D. Alcohol and drug intake of the mother
A. Milkshake
What snack is best to provide a 6-year-old child on prescribed bedrest while receiving treatment
for osteomyelitis?
A. Milkshake
B. Soup broth
C. Applesauce
D. Popsicle
D. Sit with the child in the bathroom with hot steam
A child with acute laryngotracheobronchitis (croup) received epinephrine 2 hours ago in the
emergency room, and is now being prepared for discharge to the home. The nurse should
instruct the parents to take which action if the child's uncontrolled coughing reoccurs.
A. Call for emergency transportation to the hospital.
B. Increase the fluid intake to liquefy the secretions.
C. Administer a dose of the prescribed cough medicine.
D. Sit with the child in the bathroom with hot steam
D. Growth failure is a concern, but developmental delays are not likely to occur
A 10-year-old girl is diagnosed with inflammatory bowel disease (IBD). Her mother is concerned
that she will experience developmental delays as the result of this disorder. How should the
nurse response?
A. She will only experience developmental delays if weight loss cannot be controlled.
B. Scheduling a private tutor can help to prevent developmental delays
C. She is at a high risk for a number of different problems, including developmental delays.
D. Growth failure is a concern, but developmental delays are not likely to occur
B. Metabolic Alkalosis
A child who has been vomiting for 3 days is admitted for correction of fluid and electrolyte
imbalances. What acid base imbalance is the child likely to exhibit?
2|Page
, A. Respiratory Acidosis
B. Metabolic Alkalosis
C. Respiratory Alkalosis
D. Metabolic Acidosis
D. Apply ice pack and compression dressing to knee
A child with hemophilia arrives at the clinic with a swollen knee after falling off a bicycle. What
action should the nurse implement first?
A. Initiate an IV site and begin infusing normal saline.
B. Type and cross for possible transfusion.
C. Monitor the child's vital signs frequently
D. Apply ice pack and compression dressing to knee
D. Offer reassurance that muscle soreness following this procedure is temporary and does not
indicate a problem
A child with possible Duchenne muscular dystrophy undergoes an electromyelogram. Following
the procedure, the child's parents tell the nurse that the child is complaining of sore muscles.
How should the nurse respond?
A. Explain that muscle aches and pain are commonly experienced by children with this form of
muscular dystrophy.
B. Advise the parents that children with chronic diseases may seek attention by reporting pain
or other unpleasant symptoms.
C. Encourage the parents to monitor the child's body temperature for the next 24 hours and
report a rise above 101°F.
D. Offer reassurance that muscle soreness following this procedure is temporary and does not
indicate a problem
C. Change to latex-free gloves when handling infant
A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4 hours to
prevent urinary retention. The home health nurse notes that the child has developed episodes
of sneezing, urticaria, watery eyes, and a rash in the diaper area. What action is most important
for the nurse to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
3|Page
