Page 1 of 95
PEDIATRICS - TEST BANK FOR FINAL QUESTIONS NEWEST
2026 EXAM LATEST VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
The nurse is assessing a child's capillary refill time. This can be accomplished
by doing what?
a. Inspect the chest.
b. Auscultate the heart.
c. Palpate the apical pulse.
d. Palpate the nail bed with pressure to produce a slight blanching.
d. Palpate the nail bed with pressure to produce a slight blanching.
Which heart sound is produced by vibrations within the heart chambers or in
the major arteries from the back-and-forth flow of blood?
a. S1 and S2
b. S3 and S4
c. Murmur
d. Physiologic splitting
c. Murmur
Examination of the abdomen is performed correctly by the nurse in which
order?
a. Inspection, palpation, percussion, and auscultation
b. Inspection, percussion, auscultation, and palpation
c. Palpation, percussion, auscultation, and inspection
d. Inspection, auscultation, percussion, and palpation
d. Inspection, auscultation, percussion, and palpation
, Page 2 of 95
During examination of a toddler's extremities, the nurse notes that the child is
bowlegged. The nurse should recognize that this finding is which?
a. Abnormal and requires further investigation.
b. Abnormal unless it occurs in conjunction with knock-knee.
c. Normal if the condition is unilateral or asymmetric.
d. Normal because the lower back and leg muscles are not yet well developed.
d. Normal because the lower back and leg muscles are not yet well developed.
The nurse is performing an otoscopic examination on a child. Which are
normal findings the nurse should expect? (Select all that apply.)
a. Ashen gray areas
b. A well-defined light reflex
c. A small, round, concave spot near the center of the drum
d. The tympanic membrane is a nontransparent grayish color
e. A whitish line extending from the umbo upward to the margin of the
membrane
b. A well-defined light reflex
c. A small, round, concave spot near the center of the drum
e. A whitish line extending from the umbo upward to the margin of the membrane
The nurse is assessing breath sounds on a child. Which are expected
auscultated breath sounds? (Select all that apply.)
a. Wheezes
b. Crackles
c. Vesicular
d. Bronchial
e. Bronchovesicular
c. Vesicular
d. Bronchial
e. Bronchovesicular
The nurse is performing an oral examination on a preschool child. Which
strategies should the nurse use to encourage the child to open the mouth for
the examination? (Select all that apply.)
a. Lightly brush the palate with a cotton swab.
b. Perform the examination in front of a mirror.
c. Let the child examine someone else's mouth first.
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d. Have the child breathe deeply and hold his or her breath.
e. Use a tongue blade to help the child open his or her mouth.
a. Lightly brush the palate with a cotton swab.
b. Perform the examination in front of a mirror.
c. Let the child examine someone else's mouth first.
d. Have the child breathe deeply and hold his or her breath.
The nurse is assessing heart sounds on a school-age child. Which should the
nurse document as abnormal findings if found on the assessment? (Select all
that apply.)
a. S4 heart sound
b. S3 heart sound
c. Grade II murmur
d. S1 louder at the apex of the heart
e. S2 louder than S1 in the aortic area
a. S4 heart sound
c. Grade II murmur
e. S2 louder than S1 in the aortic area
The nurse understands that blocks to therapeutic communication include
what? (Select all that apply.)
a. Socializing
b. Use of silence
c. Using clichés
d. Defending a situation
e. Using open-ended questions
a. Socializing
c. Using clichés
d. Defending a situation
Which is the most consistent and commonly used data for assessment of pain
in infants?
a. Self-report
b. Behavioral
c. Physiologic
d. Parental report
b. Behavioral
, Page 4 of 95
Children as young as age 3 years can use facial scales for discrimination.
What are some suggested anchor words for the preschool age-group?
a. "No hurt."
b. "Red pain."
c. "Zero hurt."
d. "Least pain."
a. "No hurt."
What is an important consideration when using the FACES pain rating scale
with children?
a. Children color the face with the color they choose to best describe their
pain.
b. The scale can be used with most children as young as 3 years.
c. The scale is not appropriate for use with adolescents.
d. The FACES scale is useful in pain assessment but is not as accurate as
physiologic responses.
b. The scale can be used with most children as young as 3 years.
What describes nonpharmacologic techniques for pain management?
a. They may reduce pain perception.
b. They usually take too long to implement.
c. They make pharmacologic strategies unnecessary.
d. They trick children into believing they do not have pain.
a. They may reduce pain perception.
Which nonpharmacologic intervention appears to be effective in decreasing
needlestick pain?
a. Tactile stimulation
b. Commercial warm packs
c. Doing procedure during infant sleep
d. Oral sucrose
d. Oral sucrose
A 6-year-old child has patient-controlled analgesia (PCA) for pain management
after orthopedic surgery. The parents are worried that their child will be in
pain. What should your explanation to the parents include?
a. The child will continue to sleep and be pain free.
b. Parents cannot administer additional medication with the button.
PEDIATRICS - TEST BANK FOR FINAL QUESTIONS NEWEST
2026 EXAM LATEST VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
The nurse is assessing a child's capillary refill time. This can be accomplished
by doing what?
a. Inspect the chest.
b. Auscultate the heart.
c. Palpate the apical pulse.
d. Palpate the nail bed with pressure to produce a slight blanching.
d. Palpate the nail bed with pressure to produce a slight blanching.
Which heart sound is produced by vibrations within the heart chambers or in
the major arteries from the back-and-forth flow of blood?
a. S1 and S2
b. S3 and S4
c. Murmur
d. Physiologic splitting
c. Murmur
Examination of the abdomen is performed correctly by the nurse in which
order?
a. Inspection, palpation, percussion, and auscultation
b. Inspection, percussion, auscultation, and palpation
c. Palpation, percussion, auscultation, and inspection
d. Inspection, auscultation, percussion, and palpation
d. Inspection, auscultation, percussion, and palpation
, Page 2 of 95
During examination of a toddler's extremities, the nurse notes that the child is
bowlegged. The nurse should recognize that this finding is which?
a. Abnormal and requires further investigation.
b. Abnormal unless it occurs in conjunction with knock-knee.
c. Normal if the condition is unilateral or asymmetric.
d. Normal because the lower back and leg muscles are not yet well developed.
d. Normal because the lower back and leg muscles are not yet well developed.
The nurse is performing an otoscopic examination on a child. Which are
normal findings the nurse should expect? (Select all that apply.)
a. Ashen gray areas
b. A well-defined light reflex
c. A small, round, concave spot near the center of the drum
d. The tympanic membrane is a nontransparent grayish color
e. A whitish line extending from the umbo upward to the margin of the
membrane
b. A well-defined light reflex
c. A small, round, concave spot near the center of the drum
e. A whitish line extending from the umbo upward to the margin of the membrane
The nurse is assessing breath sounds on a child. Which are expected
auscultated breath sounds? (Select all that apply.)
a. Wheezes
b. Crackles
c. Vesicular
d. Bronchial
e. Bronchovesicular
c. Vesicular
d. Bronchial
e. Bronchovesicular
The nurse is performing an oral examination on a preschool child. Which
strategies should the nurse use to encourage the child to open the mouth for
the examination? (Select all that apply.)
a. Lightly brush the palate with a cotton swab.
b. Perform the examination in front of a mirror.
c. Let the child examine someone else's mouth first.
, Page 3 of 95
d. Have the child breathe deeply and hold his or her breath.
e. Use a tongue blade to help the child open his or her mouth.
a. Lightly brush the palate with a cotton swab.
b. Perform the examination in front of a mirror.
c. Let the child examine someone else's mouth first.
d. Have the child breathe deeply and hold his or her breath.
The nurse is assessing heart sounds on a school-age child. Which should the
nurse document as abnormal findings if found on the assessment? (Select all
that apply.)
a. S4 heart sound
b. S3 heart sound
c. Grade II murmur
d. S1 louder at the apex of the heart
e. S2 louder than S1 in the aortic area
a. S4 heart sound
c. Grade II murmur
e. S2 louder than S1 in the aortic area
The nurse understands that blocks to therapeutic communication include
what? (Select all that apply.)
a. Socializing
b. Use of silence
c. Using clichés
d. Defending a situation
e. Using open-ended questions
a. Socializing
c. Using clichés
d. Defending a situation
Which is the most consistent and commonly used data for assessment of pain
in infants?
a. Self-report
b. Behavioral
c. Physiologic
d. Parental report
b. Behavioral
, Page 4 of 95
Children as young as age 3 years can use facial scales for discrimination.
What are some suggested anchor words for the preschool age-group?
a. "No hurt."
b. "Red pain."
c. "Zero hurt."
d. "Least pain."
a. "No hurt."
What is an important consideration when using the FACES pain rating scale
with children?
a. Children color the face with the color they choose to best describe their
pain.
b. The scale can be used with most children as young as 3 years.
c. The scale is not appropriate for use with adolescents.
d. The FACES scale is useful in pain assessment but is not as accurate as
physiologic responses.
b. The scale can be used with most children as young as 3 years.
What describes nonpharmacologic techniques for pain management?
a. They may reduce pain perception.
b. They usually take too long to implement.
c. They make pharmacologic strategies unnecessary.
d. They trick children into believing they do not have pain.
a. They may reduce pain perception.
Which nonpharmacologic intervention appears to be effective in decreasing
needlestick pain?
a. Tactile stimulation
b. Commercial warm packs
c. Doing procedure during infant sleep
d. Oral sucrose
d. Oral sucrose
A 6-year-old child has patient-controlled analgesia (PCA) for pain management
after orthopedic surgery. The parents are worried that their child will be in
pain. What should your explanation to the parents include?
a. The child will continue to sleep and be pain free.
b. Parents cannot administer additional medication with the button.
