NR 328 Pediatric Nursing Exam 5 Practice Questions 2026
|Chamberlain College
1. A 7-year-old child with Type 1 Diabetes is found trembling and sweating in
the playroom. What is the nurse’s first action?
A. Provide 15 grams of fast-acting carbohydrates
B. Administer the scheduled dose of insulin
C. Check the child’s urine for ketones
D. Call the physician immediately
Answer: A
Rationale: Trembling and sweating are classic signs of hypoglycemia. The immediate
priority is to raise blood glucose levels with simple carbohydrates.
2. Which clinical manifestation is most characteristic of a child with Nephrotic
Syndrome?
A. Gross hematuria and hypertension
B. Increased energy levels and weight loss
C. Massive proteinuria and generalized edema
D. Urine output of 2 mL/kg/hr
Answer: C
Rationale: Nephrotic syndrome is characterized by massive proteinuria,
hypoalbuminemia, and severe edema due to increased glomerular permeability.
,3. A nurse is caring for a child with suspected bacterial meningitis. Which
diagnostic test is the priority?
A. Magnetic Resonance Imaging (MRI)
B. Computed Tomography (CT) scan
C. Blood cultures and CBC
D. Lumbar puncture for CSF analysis
Answer: D
Rationale: A lumbar puncture is the definitive diagnostic tool to confirm meningitis and
identify the causative organism.
4. In a child with Wilms tumor, what should the nurse avoid during the physical
assessment?
A. Auscultating bowel sounds
B. Checking blood pressure
C. Measuring head circumference
D. Palpating the abdomen
Answer: D
Rationale: Palpation of the abdomen in Wilms tumor must be avoided because it can cause
the tumor to rupture and metastasize.
5. What is the primary goal of treatment for a child in a Sickle Cell Vaso-
occlusive crisis?
A. Exercise to improve circulation
B. Restricting fluids to prevent edema
C. Aggressive hydration and pain management
D. Administering oral anticoagulants
Answer: C
Rationale: Hydration helps reduce blood viscosity to prevent further sickling, while pain
management is crucial for the severe pain of ischemia.
, 6. A child is diagnosed with Acute Glomerulonephritis. Which finding in the
health history is most relevant?
A. History of a recent bladder infection
B. Recent sore throat or skin infection
C. Family history of polycystic kidneys
D. Exposure to toxic chemicals
Answer: B
Rationale: Acute Glomerulonephritis often occurs 1-2 weeks after a Group A beta-
hemolytic streptococcal infection.
7. When teaching parents about Growth Hormone (GH) injections, when should
the nurse advise them to administer the dose?
A. Before breakfast each morning
B. At bedtime
C. Immediately after lunch
D. Only when the child feels tired
Answer: B
Rationale: Growth hormone is naturally secreted in the highest amounts during sleep, so
injections at bedtime mimic physiological release.
8. A toddler is hospitalized with laryngotracheobronchitis (Croup). Which sound
is expected during the assessment?
A. Barking cough and inspiratory stridor
B. Crackles in the bases
C. Expiratory wheezing
D. Silent chest upon auscultation
Answer: A
Rationale: Croup is characterized by subglottic inflammation, leading to a classic barking
cough and inspiratory stridor.
|Chamberlain College
1. A 7-year-old child with Type 1 Diabetes is found trembling and sweating in
the playroom. What is the nurse’s first action?
A. Provide 15 grams of fast-acting carbohydrates
B. Administer the scheduled dose of insulin
C. Check the child’s urine for ketones
D. Call the physician immediately
Answer: A
Rationale: Trembling and sweating are classic signs of hypoglycemia. The immediate
priority is to raise blood glucose levels with simple carbohydrates.
2. Which clinical manifestation is most characteristic of a child with Nephrotic
Syndrome?
A. Gross hematuria and hypertension
B. Increased energy levels and weight loss
C. Massive proteinuria and generalized edema
D. Urine output of 2 mL/kg/hr
Answer: C
Rationale: Nephrotic syndrome is characterized by massive proteinuria,
hypoalbuminemia, and severe edema due to increased glomerular permeability.
,3. A nurse is caring for a child with suspected bacterial meningitis. Which
diagnostic test is the priority?
A. Magnetic Resonance Imaging (MRI)
B. Computed Tomography (CT) scan
C. Blood cultures and CBC
D. Lumbar puncture for CSF analysis
Answer: D
Rationale: A lumbar puncture is the definitive diagnostic tool to confirm meningitis and
identify the causative organism.
4. In a child with Wilms tumor, what should the nurse avoid during the physical
assessment?
A. Auscultating bowel sounds
B. Checking blood pressure
C. Measuring head circumference
D. Palpating the abdomen
Answer: D
Rationale: Palpation of the abdomen in Wilms tumor must be avoided because it can cause
the tumor to rupture and metastasize.
5. What is the primary goal of treatment for a child in a Sickle Cell Vaso-
occlusive crisis?
A. Exercise to improve circulation
B. Restricting fluids to prevent edema
C. Aggressive hydration and pain management
D. Administering oral anticoagulants
Answer: C
Rationale: Hydration helps reduce blood viscosity to prevent further sickling, while pain
management is crucial for the severe pain of ischemia.
, 6. A child is diagnosed with Acute Glomerulonephritis. Which finding in the
health history is most relevant?
A. History of a recent bladder infection
B. Recent sore throat or skin infection
C. Family history of polycystic kidneys
D. Exposure to toxic chemicals
Answer: B
Rationale: Acute Glomerulonephritis often occurs 1-2 weeks after a Group A beta-
hemolytic streptococcal infection.
7. When teaching parents about Growth Hormone (GH) injections, when should
the nurse advise them to administer the dose?
A. Before breakfast each morning
B. At bedtime
C. Immediately after lunch
D. Only when the child feels tired
Answer: B
Rationale: Growth hormone is naturally secreted in the highest amounts during sleep, so
injections at bedtime mimic physiological release.
8. A toddler is hospitalized with laryngotracheobronchitis (Croup). Which sound
is expected during the assessment?
A. Barking cough and inspiratory stridor
B. Crackles in the bases
C. Expiratory wheezing
D. Silent chest upon auscultation
Answer: A
Rationale: Croup is characterized by subglottic inflammation, leading to a classic barking
cough and inspiratory stridor.
