VATI GREENLIGHT NURSING CARE OF CHILDREN &
PEDIATRIC EMERGENCIES EXAM (RN) COMPLETE
QUESTIONS AND VERIFIED ANSWERS WITH
RATIONALE
1. A nurse is caring for a 4-year-old child who is admitted to the hospital. The
child is crying and clinging to the parent. Which of the following actions should
the nurse take to support the parent-child relationship?
Allow the parent to stay with the child during the admission process
Ask the parent to leave so the child can adjust to the unit
Tell the child that big children do not cry
Ignore the crying behavior until the child stops
Correct Answer: Allow the parent to stay with the child during the admission
process
Rationale: Parent presence reduces a child's anxiety and supports coping. The
nurse should encourage parental involvement in care throughout hospitalization.
2. A nurse is collecting data from a 2-month-old infant during a well-child visit.
Which of the following findings should the nurse report to the provider?
Head lag when pulled to a sitting position
Unable to roll over from back to front
Responds to loud sounds by startling
,Social smile in response to parent's face
Correct Answer: Head lag when pulled to a sitting position
Rationale: Head lag should be present at 2 months and gradually disappears by 4
to 6 months. This is an expected finding, not requiring reporting.
3. A nurse is reinforcing teaching with the parent of a child who has a new
diagnosis of asthma. Which of the following statements by the parent indicates
understanding of the use of a peak flow meter?
I will have my child use the peak flow meter every morning and evening
I will have my child use the peak flow meter only during an asthma attack
A peak flow meter measures the amount of oxygen in my child's blood
I will clean the peak flow meter with soap and water after each use
Correct Answer: I will have my child use the peak flow meter every morning and
evening
Rationale: Peak flow monitoring is done daily (morning and evening) to establish a
personal best and detect early changes in lung function.
4. A nurse is caring for a 10-year-old child who has a new diagnosis of type 1
diabetes mellitus. The child asks the nurse, Why do I need to check my blood
sugar so many times? Which of the following responses by the nurse is most
appropriate?
Checking your blood sugar helps us know how much insulin you need to stay
healthy
You have to check it because the doctor ordered it
You will not have to check it when you get older
Checking your blood sugar is painful but you have to do it
Correct Answer: Checking your blood sugar helps us know how much insulin you
need to stay healthy
,Rationale: The nurse should provide an age-appropriate, honest explanation that
connects blood glucose monitoring to insulin dosing and health maintenance.
5. A nurse is reinforcing teaching with the parent of an infant about the
introduction of solid foods. Which of the following statements by the parent
indicates understanding of the teaching?
I will start with rice cereal mixed with formula or breast milk
I will start with honey mixed with water
I will introduce peanut butter at 2 months of age
I will add cereal to my baby's bottle at bedtime
Correct Answer: I will start with rice cereal mixed with formula or breast milk
Rationale: Iron-fortified rice cereal is the recommended first solid food, mixed to a
thin consistency. Honey is avoided until 12 months due to botulism risk.
6. A nurse is collecting data from a 9-month-old infant. Which of the following
findings indicates a developmental delay?
The infant sits without support
The infant babbles single syllables (ba, ma, da)
The infant transfers objects from one hand to the other
The infant does not crawl
Correct Answer: The infant does not crawl
Rationale: Crawling typically emerges between 8 and 10 months. Lack of crawling
by 9 months may be within normal range, but should be monitored.
7. A nurse is caring for a child who has a diagnosis of bacterial meningitis. Which
of the following isolation precautions should the nurse initiate?
Droplet precautions for the first 24 hours after antibiotics are started
Contact precautions for the entire hospitalization
, Airborne precautions for the first 48 hours
Standard precautions only
Correct Answer: Droplet precautions for the first 24 hours after antibiotics are
started
Rationale: Bacterial meningitis requires droplet precautions for 24 hours after
initiating appropriate antibiotic therapy, after which standard precautions are
adequate.
8. A nurse is reinforcing teaching with the parent of a child who has a new
prescription for methylphenidate for attention deficit hyperactivity disorder
(ADHD). Which of the following statements by the parent indicates
understanding of the teaching?
I will give this medication in the morning before school
I will give this medication at bedtime to help my child sleep
I will stop the medication if my child loses weight
I will give this medication only on school days
Correct Answer: I will give this medication in the morning before school
Rationale: Methylphenidate is a stimulant that can cause insomnia. It should be
given in the morning, and sometimes at noon, but not at bedtime.
9. A nurse is collecting data from a 12-month-old infant. Which of the following
findings should the nurse report to the provider?
The infant pulls up to a standing position
The infant says mama and dada specifically
The infant uses a pincer grasp
The infant does not have any teeth
Correct Answer: The infant does not have any teeth
PEDIATRIC EMERGENCIES EXAM (RN) COMPLETE
QUESTIONS AND VERIFIED ANSWERS WITH
RATIONALE
1. A nurse is caring for a 4-year-old child who is admitted to the hospital. The
child is crying and clinging to the parent. Which of the following actions should
the nurse take to support the parent-child relationship?
Allow the parent to stay with the child during the admission process
Ask the parent to leave so the child can adjust to the unit
Tell the child that big children do not cry
Ignore the crying behavior until the child stops
Correct Answer: Allow the parent to stay with the child during the admission
process
Rationale: Parent presence reduces a child's anxiety and supports coping. The
nurse should encourage parental involvement in care throughout hospitalization.
2. A nurse is collecting data from a 2-month-old infant during a well-child visit.
Which of the following findings should the nurse report to the provider?
Head lag when pulled to a sitting position
Unable to roll over from back to front
Responds to loud sounds by startling
,Social smile in response to parent's face
Correct Answer: Head lag when pulled to a sitting position
Rationale: Head lag should be present at 2 months and gradually disappears by 4
to 6 months. This is an expected finding, not requiring reporting.
3. A nurse is reinforcing teaching with the parent of a child who has a new
diagnosis of asthma. Which of the following statements by the parent indicates
understanding of the use of a peak flow meter?
I will have my child use the peak flow meter every morning and evening
I will have my child use the peak flow meter only during an asthma attack
A peak flow meter measures the amount of oxygen in my child's blood
I will clean the peak flow meter with soap and water after each use
Correct Answer: I will have my child use the peak flow meter every morning and
evening
Rationale: Peak flow monitoring is done daily (morning and evening) to establish a
personal best and detect early changes in lung function.
4. A nurse is caring for a 10-year-old child who has a new diagnosis of type 1
diabetes mellitus. The child asks the nurse, Why do I need to check my blood
sugar so many times? Which of the following responses by the nurse is most
appropriate?
Checking your blood sugar helps us know how much insulin you need to stay
healthy
You have to check it because the doctor ordered it
You will not have to check it when you get older
Checking your blood sugar is painful but you have to do it
Correct Answer: Checking your blood sugar helps us know how much insulin you
need to stay healthy
,Rationale: The nurse should provide an age-appropriate, honest explanation that
connects blood glucose monitoring to insulin dosing and health maintenance.
5. A nurse is reinforcing teaching with the parent of an infant about the
introduction of solid foods. Which of the following statements by the parent
indicates understanding of the teaching?
I will start with rice cereal mixed with formula or breast milk
I will start with honey mixed with water
I will introduce peanut butter at 2 months of age
I will add cereal to my baby's bottle at bedtime
Correct Answer: I will start with rice cereal mixed with formula or breast milk
Rationale: Iron-fortified rice cereal is the recommended first solid food, mixed to a
thin consistency. Honey is avoided until 12 months due to botulism risk.
6. A nurse is collecting data from a 9-month-old infant. Which of the following
findings indicates a developmental delay?
The infant sits without support
The infant babbles single syllables (ba, ma, da)
The infant transfers objects from one hand to the other
The infant does not crawl
Correct Answer: The infant does not crawl
Rationale: Crawling typically emerges between 8 and 10 months. Lack of crawling
by 9 months may be within normal range, but should be monitored.
7. A nurse is caring for a child who has a diagnosis of bacterial meningitis. Which
of the following isolation precautions should the nurse initiate?
Droplet precautions for the first 24 hours after antibiotics are started
Contact precautions for the entire hospitalization
, Airborne precautions for the first 48 hours
Standard precautions only
Correct Answer: Droplet precautions for the first 24 hours after antibiotics are
started
Rationale: Bacterial meningitis requires droplet precautions for 24 hours after
initiating appropriate antibiotic therapy, after which standard precautions are
adequate.
8. A nurse is reinforcing teaching with the parent of a child who has a new
prescription for methylphenidate for attention deficit hyperactivity disorder
(ADHD). Which of the following statements by the parent indicates
understanding of the teaching?
I will give this medication in the morning before school
I will give this medication at bedtime to help my child sleep
I will stop the medication if my child loses weight
I will give this medication only on school days
Correct Answer: I will give this medication in the morning before school
Rationale: Methylphenidate is a stimulant that can cause insomnia. It should be
given in the morning, and sometimes at noon, but not at bedtime.
9. A nurse is collecting data from a 12-month-old infant. Which of the following
findings should the nurse report to the provider?
The infant pulls up to a standing position
The infant says mama and dada specifically
The infant uses a pincer grasp
The infant does not have any teeth
Correct Answer: The infant does not have any teeth
