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NURS 307 – Pediatric Nursing Quiz 6 (West Chester University / Department of Nursing) | Core
Domains: Respiratory Disorders, Cardiovascular Conditions, Gastrointestinal Disorders, Growth
& Development, Medication Administration, Pain Management, Family-Centered Care, and NGN
Clinical Judgment | WCU Nursing–Aligned Format
Exam Structure
• 30 multiple-choice questions (MCQ)
• Questions in bold
• Options (A, B, C, D) listed after each question
• Correct answers in bold and lime green, placed after options
• Rationales in italics, placed after answers
• Aligned with WCU curriculum and NGN standards
Introduction
This NURS 307 Pediatric Nursing Quiz 6 practice format provides 30 high-yield multiple-choice
questions designed to evaluate proficiency in pediatric nursing principles for pre-licensure
students at West Chester University.
Answer Format
Each question is followed by four options. The correct answer is presented in bold and green after
the options, and the rationale is written in italic font.
1. A 4-year-old child is admitted with suspected epiglottitis. Which of the following
nursing interventions is the priority?
A. Administer oral antibiotics immediately.
B. Obtain a throat culture to identify the pathogen.
C. Ensure emergency airway equipment is available at the bedside.
D. Encourage the child to drink fluids to soothe the throat.
Correct Answer: C. Ensure emergency airway equipment is available at the bedside.
Rationale: Epiglottitis is a life-threatening medical emergency. The priority is to maintain a
patent airway. Assessing the throat with a tongue blade or causing distress can lead to complete
airway obstruction.
2. Which assessment finding is most characteristic of a child with cystic fibrosis
(CF)?
, A. Bradycardia and hypertension.
B. Steatorrhea and a positive sweat chloride test.
C. Hyperglycemia and polyuria.
D. Clubbing of fingers and toes with normal growth.
Correct Answer: B. Steatorrhea and a positive sweat chloride test.
Rationale: Cystic fibrosis affects the exocrine glands, leading to thick mucus production.
Steatorrhea (fatty stools) occurs due to pancreatic enzyme deficiency, and the sweat chloride
test is the gold standard for diagnosis.
3. A nurse is caring for an infant with Tetralogy of Fallot who suddenly becomes
cyanotic and agitated. What should the nurse do first?
A. Administer oxygen via face mask.
B. Place the infant in a knee-chest position.
C. Prepare for immediate cardiac catheterization.
D. Provide a calming toy to distract the infant.
Correct Answer: B. Place the infant in a knee-chest position.
Rationale: A 'Tet spell' or hypercyanotic spell is managed by placing the infant in a knee-chest
position to increase systemic vascular resistance and improve pulmonary blood flow.
4. Which medication is typically used to maintain the patency of the ductus
arteriosus in a newborn with a cyanotic heart defect?
A. Indomethacin.
B. Furosemide.
C. Digoxin.
D. Alprostadil (Prostaglandin E1).
Correct Answer: D. Alprostadil (Prostaglandin E1).
Rationale: Prostaglandin E1 is administered to keep the ductus arteriosus open, allowing for
mixing of blood and improved oxygenation in certain congenital heart defects.
5. A 2-year-old child is diagnosed with laryngotracheobronchitis (croup). Which
sound is the nurse most likely to hear upon auscultation?
A. Fine crackles and wheezing.
B. Diminished breath sounds bilaterally.
C. Inspiratory stridor and a barking cough.