NGN PEDIATRIC RN PROCTORED EXAM
COMPREHENSIVE TEST PAPER 2026
COMPLETE QUESTIONS AND ANSWERS
EXPERT VERIFIED GRADED A+
◉ A nurse is receiving change-of-shift report for four children.
Which of the following children should the nurse assess first?
An adolescent who was placed into halo traction 1 hr ago and
reports pain as 6 on a scale of 0 to 10
An adolescent who has infective endocarditis and reports having a
headache
A toddler who has a concussion and is experiencing an episode of
forceful vomiting
A school-age child who has acute glomerulonephritis and brown-
colored urine. Answer: A toddler who has a concussion and is
experiencing an episode of forceful vomiting
◉ For each assessment finding, click to specify if the finding is
consistent with nightmares, sleep terrors, or insomnia. Each finding
may support more than 1 disease process.
A. Timing of child's crying
B. Daytime alertness
C. child's concentration
,D. Impulsivity
E. Child's description of the dream
F. Child's return to sleeping
G. Child's responsiveness to guardian. Answer:
◉ A nurse is providing discharge teaching to the guardians of a
toddler who had a lower leg cast applied 24 hr ago. The nurse
should instruct the guardians to report which of the following
findings to the provider?
A. Capillary refill time less than 2 seconds
B. Restricted ability to move the toes
C. Swelling of the casted foot when the leg is dependent
D. Pedal pulse +3 bilateral. Answer: B. Restricted ability to move the
toes
◉ A nurse is providing discharge teaching to the parent of a school-
age child who has moderate persistent asthma. Which of the
following instructions should the nurse include?
A. "You should give your child their salmeterol inhaler every 4 hours
when they are having an acute episode of wheezing."
B. "You should monitor your child's weight weekly while they are
receiving inhaled corticosteroid therapy."
C. "Pulmonary function tests will be performed every 12 to 24
months to evaluate how your child is responding to therapy."
, D. "When using the peak expiratory flow meter, record your child's
average of three readings.". Answer: C. "Pulmonary function tests
will be performed every 12 to 24 months to evaluate how your child
is responding to therapy."
◉ A nurse is assessing an infant who has pneumonia. Which of the
following findings is the priority for the nurse to report to the
provider?
A. Nasal flaring
B. WBC count 18,000/mm3 (6,200 to 17,000/mm3)
C. Diarrhea
D. Abdominal distension. Answer: A. Nasal flaring
◉ A nurse is planning developmental activities for a newly admitted
10-year-old child who has neutropenia. Which of the following
actions should the nurse plan to take?
A. Provide the child with a book about adventure.
B. Arrange frequent visits from family members and peers.
C. Give the child a large-piece puzzle.
D. Use puppets to entertain the child.. Answer: A. Provide the child
with a book about adventure.
◉ A school nurse is caring for a child following a tonic-clonic
seizure. Which of the following actions should the nurse take first?
COMPREHENSIVE TEST PAPER 2026
COMPLETE QUESTIONS AND ANSWERS
EXPERT VERIFIED GRADED A+
◉ A nurse is receiving change-of-shift report for four children.
Which of the following children should the nurse assess first?
An adolescent who was placed into halo traction 1 hr ago and
reports pain as 6 on a scale of 0 to 10
An adolescent who has infective endocarditis and reports having a
headache
A toddler who has a concussion and is experiencing an episode of
forceful vomiting
A school-age child who has acute glomerulonephritis and brown-
colored urine. Answer: A toddler who has a concussion and is
experiencing an episode of forceful vomiting
◉ For each assessment finding, click to specify if the finding is
consistent with nightmares, sleep terrors, or insomnia. Each finding
may support more than 1 disease process.
A. Timing of child's crying
B. Daytime alertness
C. child's concentration
,D. Impulsivity
E. Child's description of the dream
F. Child's return to sleeping
G. Child's responsiveness to guardian. Answer:
◉ A nurse is providing discharge teaching to the guardians of a
toddler who had a lower leg cast applied 24 hr ago. The nurse
should instruct the guardians to report which of the following
findings to the provider?
A. Capillary refill time less than 2 seconds
B. Restricted ability to move the toes
C. Swelling of the casted foot when the leg is dependent
D. Pedal pulse +3 bilateral. Answer: B. Restricted ability to move the
toes
◉ A nurse is providing discharge teaching to the parent of a school-
age child who has moderate persistent asthma. Which of the
following instructions should the nurse include?
A. "You should give your child their salmeterol inhaler every 4 hours
when they are having an acute episode of wheezing."
B. "You should monitor your child's weight weekly while they are
receiving inhaled corticosteroid therapy."
C. "Pulmonary function tests will be performed every 12 to 24
months to evaluate how your child is responding to therapy."
, D. "When using the peak expiratory flow meter, record your child's
average of three readings.". Answer: C. "Pulmonary function tests
will be performed every 12 to 24 months to evaluate how your child
is responding to therapy."
◉ A nurse is assessing an infant who has pneumonia. Which of the
following findings is the priority for the nurse to report to the
provider?
A. Nasal flaring
B. WBC count 18,000/mm3 (6,200 to 17,000/mm3)
C. Diarrhea
D. Abdominal distension. Answer: A. Nasal flaring
◉ A nurse is planning developmental activities for a newly admitted
10-year-old child who has neutropenia. Which of the following
actions should the nurse plan to take?
A. Provide the child with a book about adventure.
B. Arrange frequent visits from family members and peers.
C. Give the child a large-piece puzzle.
D. Use puppets to entertain the child.. Answer: A. Provide the child
with a book about adventure.
◉ A school nurse is caring for a child following a tonic-clonic
seizure. Which of the following actions should the nurse take first?
