NUR 253 Pediatrics Exam 3 Galen College 2026 | Real
Exam Questions & Verified Answers | Complete Nursing
Prep
1. What is Positioning?
Back supported by supportive device
Helping residents into positions that promote comfort and health
Moving the resident from one place to another
Walking client to help strengthen resident feet.
Raising the bed to a comfortable height
2. What is a common clinical presentation of tracheoesophageal fistula?
Seizures
Hematuria
Hyperactivity
Coughing, choking, and respiratory distress during feeding
Constipation
3. What is the general guideline regarding a cold as a contraindication for
vaccination?
No, a cold indicates the need for additional vaccinations.
No, a cold is not a contraindication for vaccination.
Yes, a cold is a contraindication for vaccination.
Yes, a cold requires postponing vaccination.
,4. A child presents with inflammation at the TDAP vaccination site two days
post-injection. What is the best course of action for the nurse to take?
Administer a dose of ibuprofen and document the event.
Apply a cool compress and monitor for any signs of infection.
Ignore the inflammation as it is a common reaction.
Refer the child to a specialist for immediate evaluation.
5. A patient is experiencing diarrhea or frequent, loose, foul-smelling stools
that are often gray in color. Their labs suggest vitamin and mineral deficiency.
What are these symptoms of?
Liver Dysfunction
Malabsorption
Crohn's Disease
C. Difficile infection
6. The parents of a newborn ask the nurse to identify the chief danger
associated with a tracheoesophageal fistula. What should the nurse tell
them?
Gastroesophageal reflux
Aspiration into the lungs
Difficulty in maintaining suction
Esophageal dilatation
7. Discuss the role of over-the-counter PPIs in pediatric nursing care.
Over-the-counter PPIs are primarily used for pain management in
children.
, Over-the-counter PPIs are used exclusively for treating infections in
children.
Over-the-counter PPIs help manage gastric acid-related conditions
in children, providing relief from symptoms like heartburn and
gastroesophageal reflux.
Over-the-counter PPIs are not recommended for children under any
circumstances.
8. If a pediatric patient has not developed incisoral teeth by 12 months, what
should a nurse consider in their assessment?
Normal variation in growth
Potential developmental delays
Increased risk of dental caries
Need for immediate dental intervention
9. What can occur if Hirschsprung Disease is left untreated?
Enterocolitis
Vomiting
Colitis
Acid reflux
10. For a school-aged child who is concerned about maintaining friendships
while hospitalized, what nursing intervention could best support their
psychosocial health?
Suggest focusing on health and forgetting about friends for the time
being
, Discourage any form of communication with friends to prevent
infection risk
Advise the child that true friends will remain regardless of the
hospitalization
Limit visitations to family members only to keep the environment calm
Arrange for a controlled environment where the child can safely
interact with friends
11. What developmental milestone is typically reached when children can drink
from a cup?
Around 1 to 2 years
Around 2 to 3 years
Around 6 to 12 months
Around 4 to 5 years
12. Describe the primary concerns parents should have when managing a child
diagnosed with RSV.
Parents should avoid all physical activity.
Parents should not administer any medications without consulting a
doctor.
Parents should focus solely on hydration and nutrition.
Parents should be cautious about the risk of severe respiratory
distress and the need for monitoring breathing patterns.
13. Describe the significance of recognizing the symptoms of Kawasaki Disease
in pediatric nursing.
Kawasaki Disease symptoms are only relevant for adults.
Exam Questions & Verified Answers | Complete Nursing
Prep
1. What is Positioning?
Back supported by supportive device
Helping residents into positions that promote comfort and health
Moving the resident from one place to another
Walking client to help strengthen resident feet.
Raising the bed to a comfortable height
2. What is a common clinical presentation of tracheoesophageal fistula?
Seizures
Hematuria
Hyperactivity
Coughing, choking, and respiratory distress during feeding
Constipation
3. What is the general guideline regarding a cold as a contraindication for
vaccination?
No, a cold indicates the need for additional vaccinations.
No, a cold is not a contraindication for vaccination.
Yes, a cold is a contraindication for vaccination.
Yes, a cold requires postponing vaccination.
,4. A child presents with inflammation at the TDAP vaccination site two days
post-injection. What is the best course of action for the nurse to take?
Administer a dose of ibuprofen and document the event.
Apply a cool compress and monitor for any signs of infection.
Ignore the inflammation as it is a common reaction.
Refer the child to a specialist for immediate evaluation.
5. A patient is experiencing diarrhea or frequent, loose, foul-smelling stools
that are often gray in color. Their labs suggest vitamin and mineral deficiency.
What are these symptoms of?
Liver Dysfunction
Malabsorption
Crohn's Disease
C. Difficile infection
6. The parents of a newborn ask the nurse to identify the chief danger
associated with a tracheoesophageal fistula. What should the nurse tell
them?
Gastroesophageal reflux
Aspiration into the lungs
Difficulty in maintaining suction
Esophageal dilatation
7. Discuss the role of over-the-counter PPIs in pediatric nursing care.
Over-the-counter PPIs are primarily used for pain management in
children.
, Over-the-counter PPIs are used exclusively for treating infections in
children.
Over-the-counter PPIs help manage gastric acid-related conditions
in children, providing relief from symptoms like heartburn and
gastroesophageal reflux.
Over-the-counter PPIs are not recommended for children under any
circumstances.
8. If a pediatric patient has not developed incisoral teeth by 12 months, what
should a nurse consider in their assessment?
Normal variation in growth
Potential developmental delays
Increased risk of dental caries
Need for immediate dental intervention
9. What can occur if Hirschsprung Disease is left untreated?
Enterocolitis
Vomiting
Colitis
Acid reflux
10. For a school-aged child who is concerned about maintaining friendships
while hospitalized, what nursing intervention could best support their
psychosocial health?
Suggest focusing on health and forgetting about friends for the time
being
, Discourage any form of communication with friends to prevent
infection risk
Advise the child that true friends will remain regardless of the
hospitalization
Limit visitations to family members only to keep the environment calm
Arrange for a controlled environment where the child can safely
interact with friends
11. What developmental milestone is typically reached when children can drink
from a cup?
Around 1 to 2 years
Around 2 to 3 years
Around 6 to 12 months
Around 4 to 5 years
12. Describe the primary concerns parents should have when managing a child
diagnosed with RSV.
Parents should avoid all physical activity.
Parents should not administer any medications without consulting a
doctor.
Parents should focus solely on hydration and nutrition.
Parents should be cautious about the risk of severe respiratory
distress and the need for monitoring breathing patterns.
13. Describe the significance of recognizing the symptoms of Kawasaki Disease
in pediatric nursing.
Kawasaki Disease symptoms are only relevant for adults.
