NR 328 Pediatric Nursing Exam 6 Study Guide 2026 |Chamberlain
College
1. A school-age child with Type 1 Diabetes Mellitus presents to the school nurse
with tremors, palpitations, and sweating. What is the priority nursing action?
A. Administer a dose of rapid-acting insulin
B. Call 911 immediately
C. Provide 15 grams of simple carbohydrates
D. Ask the child to lie down and rest
Answer: C
Rationale: The child is exhibiting signs of hypoglycemia (tremors, palpitations,
diaphoresis). The priority is to provide 15 grams of simple carbs, such as 4 oz of juice, to
raise blood glucose levels quickly.
2. Which assessment finding is most characteristic of a child with Acute
Glomerulonephritis?
A. Massive proteinuria and hypoalbuminemia
B. Polyuria and hypotension
C. Tea-colored or smoky-colored urine
D. Generalized edema starting in the lower extremities
Answer: C
Rationale: Acute Glomerulonephritis is characterized by hematuria, which typically gives
the urine a smoky or tea-colored appearance due to the breakdown of red blood cells.
,3. A nurse is educating the parents of a child with a new diagnosis of Growth
Hormone deficiency. When should the nurse instruct the parents to administer
the GH injections?
A. Immediately upon waking up in the morning
B. In the evening or before bedtime
C. Right before lunch
D. Every other day at noon
Answer: B
Rationale: Growth hormone is naturally secreted in the highest concentrations during the
early stages of sleep; therefore, injections are most effective when given at night.
4. A 10-year-old child is scheduled for an Adams Forward Bend Test. This test is
used to screen for which condition?
A. Hip Dysplasia
B. Legg-Calve-Perthes Disease
C. Kyphosis
D. Scoliosis
Answer: D
Rationale: The Adams Forward Bend Test is a standard screening tool for scoliosis where
the provider looks for rib hump asymmetry while the child bends forward.
5. During a tonic-clonic seizure, which nursing intervention is the highest
priority?
A. Inserting a padded tongue blade into the mouth
B. Turning the child to a side-lying position
C. Restraining the child’s limbs to prevent injury
D. Administering oral diazepam immediately
Answer: B
, Rationale: The priority is maintaining a patent airway and preventing aspiration. Turning
the child to a side-lying position allows secretions to drain. Objects should never be placed
in the mouth during a seizure.
6. What is the hallmark clinical manifestation of Nephrotic Syndrome?
A. Hyperkalemia and metabolic acidosis
B. Severe periorbital and generalized edema
C. High fever and flank pain
D. Bilateral costovertebral angle tenderness
Answer: B
Rationale: Nephrotic syndrome is characterized by massive proteinuria, which leads to
hypoalbuminemia and a subsequent shift of fluid into the interstitial space, causing severe
edema.
7. A nurse is caring for an infant with a suspected diagnosis of Developmental
Dysplasia of the Hip (DDH). Which finding would support this diagnosis?
A. Symmetrical gluteal folds
B. Negative Ortolani maneuver
C. Limited abduction of the affected hip
D. Lengthening of the affected limb
Answer: C
Rationale: Limited abduction of the hip and asymmetrical gluteal folds are classic signs of
DDH. Shortening of the limb (Galeazzi sign) may also be present.
College
1. A school-age child with Type 1 Diabetes Mellitus presents to the school nurse
with tremors, palpitations, and sweating. What is the priority nursing action?
A. Administer a dose of rapid-acting insulin
B. Call 911 immediately
C. Provide 15 grams of simple carbohydrates
D. Ask the child to lie down and rest
Answer: C
Rationale: The child is exhibiting signs of hypoglycemia (tremors, palpitations,
diaphoresis). The priority is to provide 15 grams of simple carbs, such as 4 oz of juice, to
raise blood glucose levels quickly.
2. Which assessment finding is most characteristic of a child with Acute
Glomerulonephritis?
A. Massive proteinuria and hypoalbuminemia
B. Polyuria and hypotension
C. Tea-colored or smoky-colored urine
D. Generalized edema starting in the lower extremities
Answer: C
Rationale: Acute Glomerulonephritis is characterized by hematuria, which typically gives
the urine a smoky or tea-colored appearance due to the breakdown of red blood cells.
,3. A nurse is educating the parents of a child with a new diagnosis of Growth
Hormone deficiency. When should the nurse instruct the parents to administer
the GH injections?
A. Immediately upon waking up in the morning
B. In the evening or before bedtime
C. Right before lunch
D. Every other day at noon
Answer: B
Rationale: Growth hormone is naturally secreted in the highest concentrations during the
early stages of sleep; therefore, injections are most effective when given at night.
4. A 10-year-old child is scheduled for an Adams Forward Bend Test. This test is
used to screen for which condition?
A. Hip Dysplasia
B. Legg-Calve-Perthes Disease
C. Kyphosis
D. Scoliosis
Answer: D
Rationale: The Adams Forward Bend Test is a standard screening tool for scoliosis where
the provider looks for rib hump asymmetry while the child bends forward.
5. During a tonic-clonic seizure, which nursing intervention is the highest
priority?
A. Inserting a padded tongue blade into the mouth
B. Turning the child to a side-lying position
C. Restraining the child’s limbs to prevent injury
D. Administering oral diazepam immediately
Answer: B
, Rationale: The priority is maintaining a patent airway and preventing aspiration. Turning
the child to a side-lying position allows secretions to drain. Objects should never be placed
in the mouth during a seizure.
6. What is the hallmark clinical manifestation of Nephrotic Syndrome?
A. Hyperkalemia and metabolic acidosis
B. Severe periorbital and generalized edema
C. High fever and flank pain
D. Bilateral costovertebral angle tenderness
Answer: B
Rationale: Nephrotic syndrome is characterized by massive proteinuria, which leads to
hypoalbuminemia and a subsequent shift of fluid into the interstitial space, causing severe
edema.
7. A nurse is caring for an infant with a suspected diagnosis of Developmental
Dysplasia of the Hip (DDH). Which finding would support this diagnosis?
A. Symmetrical gluteal folds
B. Negative Ortolani maneuver
C. Limited abduction of the affected hip
D. Lengthening of the affected limb
Answer: C
Rationale: Limited abduction of the hip and asymmetrical gluteal folds are classic signs of
DDH. Shortening of the limb (Galeazzi sign) may also be present.
