NR 328 Pediatric Nursing Exam 3 Practice Questions 2026
|Chamberlain College
1. A child with Type 1 Diabetes is planning to participate in a soccer game. What
instruction should the nurse provide to the parents?
A. Provide an extra carbohydrate snack before the exercise.
B. Decrease fluid intake during the activity.
C. Administer an extra dose of insulin before the game.
D. Restrict activity if blood glucose is 150 mg/dL.
Answer: A
Rationale: Exercise lowers blood glucose levels by increasing glucose uptake in muscles.
An extra carbohydrate snack helps prevent hypoglycemia during physical activity.
2. A nurse is assessing a child with suspected bacterial meningitis. Which clinical
finding is most indicative of this condition?
A. Nuchal rigidity
B. Negative Kernig sign
C. Increased appetite
D. Hypotension
Answer: A
Rationale: Nuchal rigidity (stiff neck) is a classic sign of meningeal irritation common in
bacterial meningitis.
,3. Which electrolyte imbalance is a child with Nephrotic Syndrome most at risk
for due to massive proteinuria?
A. Hypernatremia
B. Hypoalbuminemia
C. Hypercalcemia
D. Hypokalemia
Answer: B
Rationale: Nephrotic Syndrome is characterized by massive protein loss in the urine,
leading to low serum albumin levels (hypoalbuminemia) and subsequent edema.
4. The nurse is caring for an infant with Hydrocephalus who just had a
ventriculoperitoneal (VP) shunt placed. In which position should the nurse place
the infant post-operatively?
A. In a high-Fowler position
B. Flat on the non-operative side
C. On the operative side to provide pressure
D. In a Trendelenburg position
Answer: B
Rationale: After a VP shunt, the infant is placed flat on the non-operative side to prevent
rapid drainage of CSF and pressure on the valve site.
5. A child is diagnosed with Sickle Cell Anemia. What is the primary nursing
intervention during a vaso-occlusive crisis?
A. Cold compresses to painful joints
B. Fluid restriction
C. Aspirin for pain management
D. Administration of IV fluids and oxygen
Answer: D
, Rationale: Hydration (IV fluids) is crucial to reduce blood viscosity, and oxygen prevents
further sickling of red blood cells during a crisis.
6. Which of the following findings is considered a late sign of increased
intracranial pressure (ICP) in a child?
A. Bradycardia
B. Irritability
C. Headache
D. Nausea
Answer: A
Rationale: Cushing’s triad (bradycardia, hypertension with widening pulse pressure, and
irregular respirations) is a late sign of increased ICP.
7. A child is being treated for Acute Glomerulonephritis. Which finding should
the nurse expect to see in the urinalysis?
A. Ketones
B. Low specific gravity
C. Glucose
D. Hematuria and proteinuria
Answer: D
Rationale: Acute Glomerulonephritis typically presents with tea-colored or smoky urine
due to hematuria, along with proteinuria.
8. A 10-year-old child with Scoliosis is prescribed a Boston brace. What should
the nurse include in the teaching?
A. The brace is only worn while sleeping.
B. Wear the brace directly against the skin.
C. The brace should be worn for 23 hours a day.
D. Loosen the brace if the child complains of discomfort.
Answer: C
|Chamberlain College
1. A child with Type 1 Diabetes is planning to participate in a soccer game. What
instruction should the nurse provide to the parents?
A. Provide an extra carbohydrate snack before the exercise.
B. Decrease fluid intake during the activity.
C. Administer an extra dose of insulin before the game.
D. Restrict activity if blood glucose is 150 mg/dL.
Answer: A
Rationale: Exercise lowers blood glucose levels by increasing glucose uptake in muscles.
An extra carbohydrate snack helps prevent hypoglycemia during physical activity.
2. A nurse is assessing a child with suspected bacterial meningitis. Which clinical
finding is most indicative of this condition?
A. Nuchal rigidity
B. Negative Kernig sign
C. Increased appetite
D. Hypotension
Answer: A
Rationale: Nuchal rigidity (stiff neck) is a classic sign of meningeal irritation common in
bacterial meningitis.
,3. Which electrolyte imbalance is a child with Nephrotic Syndrome most at risk
for due to massive proteinuria?
A. Hypernatremia
B. Hypoalbuminemia
C. Hypercalcemia
D. Hypokalemia
Answer: B
Rationale: Nephrotic Syndrome is characterized by massive protein loss in the urine,
leading to low serum albumin levels (hypoalbuminemia) and subsequent edema.
4. The nurse is caring for an infant with Hydrocephalus who just had a
ventriculoperitoneal (VP) shunt placed. In which position should the nurse place
the infant post-operatively?
A. In a high-Fowler position
B. Flat on the non-operative side
C. On the operative side to provide pressure
D. In a Trendelenburg position
Answer: B
Rationale: After a VP shunt, the infant is placed flat on the non-operative side to prevent
rapid drainage of CSF and pressure on the valve site.
5. A child is diagnosed with Sickle Cell Anemia. What is the primary nursing
intervention during a vaso-occlusive crisis?
A. Cold compresses to painful joints
B. Fluid restriction
C. Aspirin for pain management
D. Administration of IV fluids and oxygen
Answer: D
, Rationale: Hydration (IV fluids) is crucial to reduce blood viscosity, and oxygen prevents
further sickling of red blood cells during a crisis.
6. Which of the following findings is considered a late sign of increased
intracranial pressure (ICP) in a child?
A. Bradycardia
B. Irritability
C. Headache
D. Nausea
Answer: A
Rationale: Cushing’s triad (bradycardia, hypertension with widening pulse pressure, and
irregular respirations) is a late sign of increased ICP.
7. A child is being treated for Acute Glomerulonephritis. Which finding should
the nurse expect to see in the urinalysis?
A. Ketones
B. Low specific gravity
C. Glucose
D. Hematuria and proteinuria
Answer: D
Rationale: Acute Glomerulonephritis typically presents with tea-colored or smoky urine
due to hematuria, along with proteinuria.
8. A 10-year-old child with Scoliosis is prescribed a Boston brace. What should
the nurse include in the teaching?
A. The brace is only worn while sleeping.
B. Wear the brace directly against the skin.
C. The brace should be worn for 23 hours a day.
D. Loosen the brace if the child complains of discomfort.
Answer: C
