Page 1 of 58
PEDS EXAM 2 TEST QUESTIONS NEWEST 2026 EXAM
LATEST VERSION SOLVED QUESTIONS & ANSWERS
VERIFIED 100 %
The nurse is providing education to parents of a child with a blood pressure in
the 90th
percentile. What would be included in the intervention strategies?
A. The nurse would review the child's 24-hour diet recall.
B. The child should not be allowed to participate in sports.
C. Blood pressures should be measured daily.
D. Beta blocker education should be given to the parents.
ANS: A
Rationale: With a child in the 90th percentile for blood pressure, diet and physical
activity
should be the main focus. Blood pressures should be measured, but daily
measurement is not
necessary. Children are not routinely put on beta blockers, and the child should be
allowed to
participate in sports if monitored.
An infant with poor feeding is suspected of having a congenital heart defect.
The parents are
asking why a chest x-ray is necessary in their infant. What is the best
response from the
nurse?
A. It will determine if the heart is enlarged.
B. It will determine disturbances in heart conduction.
C. It will show if blood is being shunted.
D. This image will clarify the structures within the heart.
, Page 2 of 58
ANS: A
Rationale: Chest x-rays are performed to see if the heart is enlarged. This will
determine if the
heart muscle is increasing in size. Disturbances in heart conduction are detected by
an EKG.
Visualizing where blood is being shunted is through the echocardiogram. The image
used to
clarify the structures of the heart is the MRI.
The nurse is caring for a child diagnosed with rheumatic fever. When
addressing the child's
pain, the nurse should perform which intervention(s)? Select all that apply.
A. Carefully handle the child's knees, ankles, elbows and wrists when moving
the
child.
B. Administer salicylates after meals or with milk.
C. Teach the child how to use a patient-controlled analgesia system.
D. Administer intravenous morphine as prescribed.
E. Prioritize nonpharmacologic interventions over pharmacologic
interventions.
ANS: A, B
Rationale: Pain control and relief are the highest priorities for the child with rheumatic
fever.
Position the child to relieve joint pain. Large joints, including the knees, ankles,
wrists, and
elbows, are usually involved. Carefully handle the joints when moving the child to
help
minimize pain. Salicylates are administered in the form of aspirin to reduce fever but
primarily to relieve joint inflammation and pain.They are also used as a heart
protective. They
are prescribed in high dosages. These are more commonly administered instead of
opioids.
Patient-controlled anesthesia is not typically used. Nonpharmacologic interventions
can be
used as an adjunct to pain medications.
, Page 3 of 58
In developing a plan of care for the child diagnosed with rheumatic fever, the
nursing
intervention that takes highest priority for this child is to:
A. position the child to relieve joint pain.
B. monitor the C-reactive protein and ESR levels.
C. provide age-appropriate diversional activities.
D. promote rest periods and bed rest.
ANS: D
Rationale: As long as the rheumatic process is active, progressive heart damage is
possible.
To prevent heart damage, bed rest is essential to reduce the heart's workload.
Laboratory tests
for ESR and C-reactive protein can be used to evaluate disease activity and guide
treatment,
but they do not improve the child's health itself. The child's comfort is important, so it
is
essential to relieve joint pain and prevent injury with padded bed rails. But these
measures are
less important than rest when it comes to preventing long-term complications such
as residual
heart disease.
The nurse is reviewing the health history and physical examination of a child
diagnosed with
heart failure. What would the nurse expect to find? Select all that apply.
A. Tiring easily when eating
B. Shortness of breath when playing
C. Crackles on lung auscultation
D. Bradycardia
E. Hypertension
ANS: A, B, C
Rationale: Manifestations of heart failure include difficulty feeding or eating or
becoming
tired easily when feeding or eating, shortness of breath with exercise intolerance,
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crackles and
wheezes on lung auscultation, tachycardia, and hypotension.
The nurse is administering digoxin as ordered and the child vomits the dose.
What should the
nurse do next?
A. Contact the physician.
B. Offer a snack and administer another dose.
C. Immediately administer another dose.
D. Administer next dose as ordered in 12 hours.
ANS: D
Rationale: Digoxin should be administered at regular intervals, every 12 hours, 1
hour before
or 2 hours after feeding. If the child vomits digoxin, the nurse should not give a
second dose
and should wait until the next scheduled dose. It is not necessary to contact the
physician.
The nurse is assessing a child with suspected infective endocarditis. Which
assessment finding
would the nurse interpret as a sign of extracardiac emboli?
A. Pruritus
B. Roth spots
C. Delayed capillary refill
D. Erythema marginatum
ANS: B
Rationale: Roth spots are splinter hemorrhages with pale centers on the sclerae,
palate, buccal
mucosa, chest, fingers, or toes, and are signs of extracardiac emboli. Delayed
capillary refill
time does not point to extracardiac emboli. Wheezing and pruritus are indicative of a
hypersensitivity reaction. Erythema marginatum is a classic rash associated with
acute
rheumatic fever.
A child is diagnosed with Kawasaki disease and is in the acute phase of the
disorder. What
PEDS EXAM 2 TEST QUESTIONS NEWEST 2026 EXAM
LATEST VERSION SOLVED QUESTIONS & ANSWERS
VERIFIED 100 %
The nurse is providing education to parents of a child with a blood pressure in
the 90th
percentile. What would be included in the intervention strategies?
A. The nurse would review the child's 24-hour diet recall.
B. The child should not be allowed to participate in sports.
C. Blood pressures should be measured daily.
D. Beta blocker education should be given to the parents.
ANS: A
Rationale: With a child in the 90th percentile for blood pressure, diet and physical
activity
should be the main focus. Blood pressures should be measured, but daily
measurement is not
necessary. Children are not routinely put on beta blockers, and the child should be
allowed to
participate in sports if monitored.
An infant with poor feeding is suspected of having a congenital heart defect.
The parents are
asking why a chest x-ray is necessary in their infant. What is the best
response from the
nurse?
A. It will determine if the heart is enlarged.
B. It will determine disturbances in heart conduction.
C. It will show if blood is being shunted.
D. This image will clarify the structures within the heart.
, Page 2 of 58
ANS: A
Rationale: Chest x-rays are performed to see if the heart is enlarged. This will
determine if the
heart muscle is increasing in size. Disturbances in heart conduction are detected by
an EKG.
Visualizing where blood is being shunted is through the echocardiogram. The image
used to
clarify the structures of the heart is the MRI.
The nurse is caring for a child diagnosed with rheumatic fever. When
addressing the child's
pain, the nurse should perform which intervention(s)? Select all that apply.
A. Carefully handle the child's knees, ankles, elbows and wrists when moving
the
child.
B. Administer salicylates after meals or with milk.
C. Teach the child how to use a patient-controlled analgesia system.
D. Administer intravenous morphine as prescribed.
E. Prioritize nonpharmacologic interventions over pharmacologic
interventions.
ANS: A, B
Rationale: Pain control and relief are the highest priorities for the child with rheumatic
fever.
Position the child to relieve joint pain. Large joints, including the knees, ankles,
wrists, and
elbows, are usually involved. Carefully handle the joints when moving the child to
help
minimize pain. Salicylates are administered in the form of aspirin to reduce fever but
primarily to relieve joint inflammation and pain.They are also used as a heart
protective. They
are prescribed in high dosages. These are more commonly administered instead of
opioids.
Patient-controlled anesthesia is not typically used. Nonpharmacologic interventions
can be
used as an adjunct to pain medications.
, Page 3 of 58
In developing a plan of care for the child diagnosed with rheumatic fever, the
nursing
intervention that takes highest priority for this child is to:
A. position the child to relieve joint pain.
B. monitor the C-reactive protein and ESR levels.
C. provide age-appropriate diversional activities.
D. promote rest periods and bed rest.
ANS: D
Rationale: As long as the rheumatic process is active, progressive heart damage is
possible.
To prevent heart damage, bed rest is essential to reduce the heart's workload.
Laboratory tests
for ESR and C-reactive protein can be used to evaluate disease activity and guide
treatment,
but they do not improve the child's health itself. The child's comfort is important, so it
is
essential to relieve joint pain and prevent injury with padded bed rails. But these
measures are
less important than rest when it comes to preventing long-term complications such
as residual
heart disease.
The nurse is reviewing the health history and physical examination of a child
diagnosed with
heart failure. What would the nurse expect to find? Select all that apply.
A. Tiring easily when eating
B. Shortness of breath when playing
C. Crackles on lung auscultation
D. Bradycardia
E. Hypertension
ANS: A, B, C
Rationale: Manifestations of heart failure include difficulty feeding or eating or
becoming
tired easily when feeding or eating, shortness of breath with exercise intolerance,
, Page 4 of 58
crackles and
wheezes on lung auscultation, tachycardia, and hypotension.
The nurse is administering digoxin as ordered and the child vomits the dose.
What should the
nurse do next?
A. Contact the physician.
B. Offer a snack and administer another dose.
C. Immediately administer another dose.
D. Administer next dose as ordered in 12 hours.
ANS: D
Rationale: Digoxin should be administered at regular intervals, every 12 hours, 1
hour before
or 2 hours after feeding. If the child vomits digoxin, the nurse should not give a
second dose
and should wait until the next scheduled dose. It is not necessary to contact the
physician.
The nurse is assessing a child with suspected infective endocarditis. Which
assessment finding
would the nurse interpret as a sign of extracardiac emboli?
A. Pruritus
B. Roth spots
C. Delayed capillary refill
D. Erythema marginatum
ANS: B
Rationale: Roth spots are splinter hemorrhages with pale centers on the sclerae,
palate, buccal
mucosa, chest, fingers, or toes, and are signs of extracardiac emboli. Delayed
capillary refill
time does not point to extracardiac emboli. Wheezing and pruritus are indicative of a
hypersensitivity reaction. Erythema marginatum is a classic rash associated with
acute
rheumatic fever.
A child is diagnosed with Kawasaki disease and is in the acute phase of the
disorder. What
