NURS 307 Pediatric Nursing Quiz 6, West
Chester University Department of Nursing,
2026/2027 – 50-Question Practice Quiz with
Verified Answers
Part 1: Respiratory & Chronic Conditions (Q1–Q8)
Q1. A child with cystic fibrosis (CF) has pancreatic insufficiency.
Which finding would the nurse expect?
A. Steatorrhea (fatty, foul-smelling stools) and failure to thrive
B. Polyuria and polydipsia
C. Constipation and ribbon-like stools
D. Bloody diarrhea
Answer: A
Rationale: CF causes thick secretions that block pancreatic ducts, preventing
digestive enzymes from reaching the intestines. This leads to malabsorption
of fats and proteins, causing steatorrhea, poor weight gain, and deficiencies
of fat-soluble vitamins (A, D, E, K).
Q2. A child with sickle cell disease presents with severe pain in the
hands and feet, fever, and swelling (dactylitis). This is most likely:
A. Aplastic crisis
B. Vaso-occlusive crisis (early manifestation in infants)
,C. Sequestration crisis
D. Stroke
Answer: B
Rationale: Dactylitis (hand-foot syndrome) is often the first vaso-occlusive
crisis in infants and young children with sickle cell disease. Sickled cells block
small vessels in the hands and feet, causing painful swelling. Aplastic crisis
(A) is a sudden drop in hemoglobin due to infection (parvovirus B19).
Sequestration crisis (C) involves pooling of blood in the spleen, leading to
shock.
Q3. The nurse is teaching a child with type 1 diabetes and their
family about exercise. Which statement indicates understanding?
A. “I should skip insulin on days I play soccer.”
B. “I will check my blood glucose before, during, and after exercise and may
need a snack.”
C. “Exercise always raises my blood sugar.”
D. “I should not exercise if my blood sugar is above 250 mg/dL with
ketones.”
Answer: B
Rationale: Blood glucose monitoring before and during activity is essential. A
snack may be needed if glucose is falling. Skipping insulin (A) is dangerous.
Exercise can lower (not always raise) blood sugar (C). D is partially correct
(exercise is contraindicated if ketones present, but the question asks for
understanding. B is the most complete answer.)
, Q4. An adolescent with juvenile idiopathic arthritis (JIA) is
prescribed methotrexate. Which statement by the adolescent
indicates understanding?
A. “I will take my methotrexate every day.”
B. “I will avoid alcohol and will have regular blood tests to monitor my liver
function.”
C. “Methotrexate is a pain reliever.”
D. “I can stop methotrexate when my joints feel better.”
Answer: B
Rationale: Methotrexate is a disease-modifying antirheumatic drug (DMARD)
given weekly (not daily, A). It can cause hepatotoxicity; therefore, alcohol
must be avoided, and liver function tests are monitored. It is not a pain
reliever (C) and should not be stopped without provider guidance (D).
Q5. A school-age child with asthma is prescribed a dry powder
inhaler (DPI). The nurse teaches the child to:
A. Shake the inhaler before each use (not needed for DPIs)
B. Breathe out fully, then inhale quickly and deeply through the mouthpiece,
then hold breath for 5-10 seconds
C. Use a spacer with a mask (spacers are usually for MDIs with children)
D. Avoid rinsing the mouth after use (rinse mouth after corticosteroid MDI,
but DPI also may leave residue)
Answer: B
Chester University Department of Nursing,
2026/2027 – 50-Question Practice Quiz with
Verified Answers
Part 1: Respiratory & Chronic Conditions (Q1–Q8)
Q1. A child with cystic fibrosis (CF) has pancreatic insufficiency.
Which finding would the nurse expect?
A. Steatorrhea (fatty, foul-smelling stools) and failure to thrive
B. Polyuria and polydipsia
C. Constipation and ribbon-like stools
D. Bloody diarrhea
Answer: A
Rationale: CF causes thick secretions that block pancreatic ducts, preventing
digestive enzymes from reaching the intestines. This leads to malabsorption
of fats and proteins, causing steatorrhea, poor weight gain, and deficiencies
of fat-soluble vitamins (A, D, E, K).
Q2. A child with sickle cell disease presents with severe pain in the
hands and feet, fever, and swelling (dactylitis). This is most likely:
A. Aplastic crisis
B. Vaso-occlusive crisis (early manifestation in infants)
,C. Sequestration crisis
D. Stroke
Answer: B
Rationale: Dactylitis (hand-foot syndrome) is often the first vaso-occlusive
crisis in infants and young children with sickle cell disease. Sickled cells block
small vessels in the hands and feet, causing painful swelling. Aplastic crisis
(A) is a sudden drop in hemoglobin due to infection (parvovirus B19).
Sequestration crisis (C) involves pooling of blood in the spleen, leading to
shock.
Q3. The nurse is teaching a child with type 1 diabetes and their
family about exercise. Which statement indicates understanding?
A. “I should skip insulin on days I play soccer.”
B. “I will check my blood glucose before, during, and after exercise and may
need a snack.”
C. “Exercise always raises my blood sugar.”
D. “I should not exercise if my blood sugar is above 250 mg/dL with
ketones.”
Answer: B
Rationale: Blood glucose monitoring before and during activity is essential. A
snack may be needed if glucose is falling. Skipping insulin (A) is dangerous.
Exercise can lower (not always raise) blood sugar (C). D is partially correct
(exercise is contraindicated if ketones present, but the question asks for
understanding. B is the most complete answer.)
, Q4. An adolescent with juvenile idiopathic arthritis (JIA) is
prescribed methotrexate. Which statement by the adolescent
indicates understanding?
A. “I will take my methotrexate every day.”
B. “I will avoid alcohol and will have regular blood tests to monitor my liver
function.”
C. “Methotrexate is a pain reliever.”
D. “I can stop methotrexate when my joints feel better.”
Answer: B
Rationale: Methotrexate is a disease-modifying antirheumatic drug (DMARD)
given weekly (not daily, A). It can cause hepatotoxicity; therefore, alcohol
must be avoided, and liver function tests are monitored. It is not a pain
reliever (C) and should not be stopped without provider guidance (D).
Q5. A school-age child with asthma is prescribed a dry powder
inhaler (DPI). The nurse teaches the child to:
A. Shake the inhaler before each use (not needed for DPIs)
B. Breathe out fully, then inhale quickly and deeply through the mouthpiece,
then hold breath for 5-10 seconds
C. Use a spacer with a mask (spacers are usually for MDIs with children)
D. Avoid rinsing the mouth after use (rinse mouth after corticosteroid MDI,
but DPI also may leave residue)
Answer: B
