NUR 208 PEDS FINAL PRACTICE EXAM
2026 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST |BRAND NEW
VERSION|JUST RELEASED!!
The nurse is caring for a 3-month-old with a VSD. The physicians have decided not to repair it
surgically. The parents express concern that this is not best for their child and ask why their
daughter will not have an operation. The nurse's best response to the parents is:
a. "It is always helpful to get a second opinion about any serious condition like this."
b. "Your daughter's defect is small and will likely close on its own by the time she is 2 years old."
c. "It is common for the physicians to wait until an infant develops respiratory distress before
they do the surgery because of the danger."
d. "With a small defect like this, we will wait until the child is 10 years old to do the surgery."
b. "Your daughter's defect is small and will likely close on its own by the time she is 2 years old."
A 5-month-old has been diagnosed with an ASD. The flow of blood through the heart with this
type of defect is:
a. Right to left.
b. Equal between the two chambers.
c. Left to right.
d. Bypassing the defect.
c. Left to right.
During play, a toddler with a history of TOF might assume which of the following positions?
a. Sitting.
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,b. Supine.
c. Squatting.
d. Left lateral recumbent.
c. Squatting.
A parent of a seven-year-old girl with a repaired ventricular septal defect (VSD) calls the
cardiology clinic and reports that the child is just not herself. Her appetite has decreased, she
has had intermittent fevers around 100-100.4 F oral, and now her muscles and joints ache.
Based on this information, how should the nurse advise the mother?
a. Come to the clinic next week on a scheduled appointment
b. Immediately bring the child to the clinic for evaluation
c. Recognize that the child is trying to manipulate the parent by complaining of vague symptoms
d. Treat the signs and symptoms with acetaminophen and fluid because it is most likely a viral
illness
b. Immediately bring the child to the clinic for evaluation
A toddler is receiving Digoxin for treatment of congenital heart defect. The nurse takes the
child's vital signs including an apical pulse before administering the medication. Which of the
following vital signs would indicate that the nurse should hold the medication and correct the
physician?
a. Temp 97.5, HR 95, Resp. 28, BP 104/62
b. Temp 100.4, HR 102, Resp. 42, BP 78/52
c. Temp 101.5, HR 120, Resp. 32, BP 90/54
d. Temp 99.3, HR 87, Resp. 36, BP 82/65
d. Temp 99.3, HR 87, Resp. 36, BP 82/65
The nurse is caring for an infant 24 hours post-op open heart surgery to repair a congenital
heart defect. Which of the following would be included in the nurse priority assessments? select
all that apply?
a. Asses for skin breakdown
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,b. Lung sounds, respiratory effort and peripheral edema
c. Heart rate and blood pressure
d. EKG on heart monitor
e. Asses pulses and cap refills
b. Lung sounds, respiratory effort and peripheral edema
c. Heart rate and blood pressure
d. EKG on heart monitor
e. Asses pulses and cap refills
A 10 year old comes to the hospital complaining of headaches and nosebleeds. His blood
pressure in the right arm is 145/92 and his radial pulse is bounding. On assessment the nurse
has difficulty assessing his femoral pulse and his feet are cool. This child most likely has which
heart defect?
a. Patent ductus arteriosus
b. Pulmonic stenosis
c. Atrial septal defect
d. Coarctation of the aorta
d. Coarctation of the aorta
An infant is suspected of having Tetralogy of Fallot. When reading the ECHO report, the nurse
would expect which of the following defects to be present? Select all that apply.
a. Atrial septal defect
b. Left Ventricular Hypertrophy
c. Pulmonic Stenosis
d. Overriding aorta
e. Right ventricular hypertrophy
c. Pulmonic Stenosis
d. Overriding aorta
e. Right ventricular hypertrophy
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, What would be an appropriate activity for a preschooler with the above defect?
a. Swimming classes at the YMCA
b. Playing T-ball
c. Piano lessons If you see this question Piano lessons is the Answer
d. Ridings their bike down the block
c. Piano lessons If you see this question Piano lessons is the Answer
What signs and symptoms could the nurse expect to see in a child with the following heart
defect? Picture
a. Periods of central cyanosis during increased activity
b. Rales auscultated in the bilateral bases of the lungs
c. Sudden loss of consciousness during periods of increase activity
d. A murmur heart at the left sternal border, 4th intercostal space
?
A 2-month-old is admitted with a second episode of pneumonia. On admission assessment the
nurse auscultates a loud continuous rumbling murmur heart best in the pulmonic area and
notifies the physician. The physician suspects a congenital heart defect and orders an ECHO of
the heart. Which of the following defects would this child most likely have?
a. Ventricular septal defect
b. Patent Ductus Arteriosus
c. Aortic stenosis
d. Pulmonic stenosis
d. Pulmonic stenosis
Which of the following symptoms assessed by the nurse would indicate heart failure in a child
with a ventricular septal defect?
a. Diaphoresis, nausea & vomiting and tingling in extremities
b. Hepatomegaly, jugular venous distension & peripheral edema
4|Page
2026 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST |BRAND NEW
VERSION|JUST RELEASED!!
The nurse is caring for a 3-month-old with a VSD. The physicians have decided not to repair it
surgically. The parents express concern that this is not best for their child and ask why their
daughter will not have an operation. The nurse's best response to the parents is:
a. "It is always helpful to get a second opinion about any serious condition like this."
b. "Your daughter's defect is small and will likely close on its own by the time she is 2 years old."
c. "It is common for the physicians to wait until an infant develops respiratory distress before
they do the surgery because of the danger."
d. "With a small defect like this, we will wait until the child is 10 years old to do the surgery."
b. "Your daughter's defect is small and will likely close on its own by the time she is 2 years old."
A 5-month-old has been diagnosed with an ASD. The flow of blood through the heart with this
type of defect is:
a. Right to left.
b. Equal between the two chambers.
c. Left to right.
d. Bypassing the defect.
c. Left to right.
During play, a toddler with a history of TOF might assume which of the following positions?
a. Sitting.
1|Page
,b. Supine.
c. Squatting.
d. Left lateral recumbent.
c. Squatting.
A parent of a seven-year-old girl with a repaired ventricular septal defect (VSD) calls the
cardiology clinic and reports that the child is just not herself. Her appetite has decreased, she
has had intermittent fevers around 100-100.4 F oral, and now her muscles and joints ache.
Based on this information, how should the nurse advise the mother?
a. Come to the clinic next week on a scheduled appointment
b. Immediately bring the child to the clinic for evaluation
c. Recognize that the child is trying to manipulate the parent by complaining of vague symptoms
d. Treat the signs and symptoms with acetaminophen and fluid because it is most likely a viral
illness
b. Immediately bring the child to the clinic for evaluation
A toddler is receiving Digoxin for treatment of congenital heart defect. The nurse takes the
child's vital signs including an apical pulse before administering the medication. Which of the
following vital signs would indicate that the nurse should hold the medication and correct the
physician?
a. Temp 97.5, HR 95, Resp. 28, BP 104/62
b. Temp 100.4, HR 102, Resp. 42, BP 78/52
c. Temp 101.5, HR 120, Resp. 32, BP 90/54
d. Temp 99.3, HR 87, Resp. 36, BP 82/65
d. Temp 99.3, HR 87, Resp. 36, BP 82/65
The nurse is caring for an infant 24 hours post-op open heart surgery to repair a congenital
heart defect. Which of the following would be included in the nurse priority assessments? select
all that apply?
a. Asses for skin breakdown
2|Page
,b. Lung sounds, respiratory effort and peripheral edema
c. Heart rate and blood pressure
d. EKG on heart monitor
e. Asses pulses and cap refills
b. Lung sounds, respiratory effort and peripheral edema
c. Heart rate and blood pressure
d. EKG on heart monitor
e. Asses pulses and cap refills
A 10 year old comes to the hospital complaining of headaches and nosebleeds. His blood
pressure in the right arm is 145/92 and his radial pulse is bounding. On assessment the nurse
has difficulty assessing his femoral pulse and his feet are cool. This child most likely has which
heart defect?
a. Patent ductus arteriosus
b. Pulmonic stenosis
c. Atrial septal defect
d. Coarctation of the aorta
d. Coarctation of the aorta
An infant is suspected of having Tetralogy of Fallot. When reading the ECHO report, the nurse
would expect which of the following defects to be present? Select all that apply.
a. Atrial septal defect
b. Left Ventricular Hypertrophy
c. Pulmonic Stenosis
d. Overriding aorta
e. Right ventricular hypertrophy
c. Pulmonic Stenosis
d. Overriding aorta
e. Right ventricular hypertrophy
3|Page
, What would be an appropriate activity for a preschooler with the above defect?
a. Swimming classes at the YMCA
b. Playing T-ball
c. Piano lessons If you see this question Piano lessons is the Answer
d. Ridings their bike down the block
c. Piano lessons If you see this question Piano lessons is the Answer
What signs and symptoms could the nurse expect to see in a child with the following heart
defect? Picture
a. Periods of central cyanosis during increased activity
b. Rales auscultated in the bilateral bases of the lungs
c. Sudden loss of consciousness during periods of increase activity
d. A murmur heart at the left sternal border, 4th intercostal space
?
A 2-month-old is admitted with a second episode of pneumonia. On admission assessment the
nurse auscultates a loud continuous rumbling murmur heart best in the pulmonic area and
notifies the physician. The physician suspects a congenital heart defect and orders an ECHO of
the heart. Which of the following defects would this child most likely have?
a. Ventricular septal defect
b. Patent Ductus Arteriosus
c. Aortic stenosis
d. Pulmonic stenosis
d. Pulmonic stenosis
Which of the following symptoms assessed by the nurse would indicate heart failure in a child
with a ventricular septal defect?
a. Diaphoresis, nausea & vomiting and tingling in extremities
b. Hepatomegaly, jugular venous distension & peripheral edema
4|Page
