NR328
EXAM III
PEDIATRIC NURSING
100% Exam-Style Questions
Pediatric Nursing | NCLEX-Style | Exam-Focused
✔ NCLEX-style clinical judgment and prioritization questions
✔ Select-All-That-Apply (SATA) questions
✔ Complex pediatric medical–surgical conditions
✔ Cardiovascular disorders (congenital and acquired heart conditions)
✔ Neurologic disorders (seizure disorders, hydrocephalus, shunt complications,
neuromuscular conditions)
✔ Pediatric oncology management and treatment complications
✔ Chronic illness management and long-term pediatric care
✔ Multisystem disorders and complex disease processes
✔ Postoperative and intensive pediatric nursing care
✔ Emergency pediatric conditions and rapid clinical deterioration
✔ Advanced medication administration and safety
✔ Fluid, electrolyte, and acid–base imbalances
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam preparation
purposes only.
1
© 2026. All rights reserved. Unauthorized distribution is prohibited.
, _____1. A 4-year-old child is admitted to the pediatric unit with a suspected diagnosis of acute
lymphoblastic leukemia. Which of the following clinical manifestations would the nurse most
likely observe during the initial assessment?
A) Generalized edema and proteinuria
B) Bruising, pallor, and fatigue – Correct answer✅✅
C) Morning headaches and vomiting
D) Joint pain and a macular rash
_____2. The nurse is providing discharge teaching to the parents of a toddler who has
undergone surgical repair for hypospadias. Which of the following instructions should the nurse
include in the teaching plan?
A) Encourage the child to sit on a hard surface to promote healing
B) Administer tub baths daily to keep the surgical site clean
C) Avoid straddle toys such as riding tricycles for several weeks – Correct answer✅✅
D) Restrict fluid intake to decrease the frequency of urination
_____3. A school-age child is diagnosed with nephrotic syndrome. Which of the following
findings should the nurse expect to assess? Select-All-That-Apply.
A) Massive proteinuria – Correct answer✅✅
B) Hyperalbuminemia
C) Severe edema – Correct answer✅✅
D) Hypertension
E) Decreased serum lipids
F) Increased serum cholesterol – Correct answer✅✅
_____4. A 6-month-old infant is brought to the clinic by the mother who reports episodes of the
infant drawing the knees to the chest and crying out as if in severe pain. The infant is currently
resting quietly between episodes. Which of the following conditions should the nurse suspect?
A) Intussusception – Correct answer✅✅
B) Hirschsprung disease
C) Pyloric stenosis
D) Celiac disease
_____5. The nurse is caring for a child with acute glomerulonephritis. Which of the following
nursing interventions is most appropriate for this child?
A) Encourage a high-protein diet to promote tissue healing
B) Place the child on strict bed rest to reduce oxygen demands – Correct answer✅✅
C) Force fluids to prevent dehydration and flush the kidneys
D) Measure abdominal girth daily to assess for ascites
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam preparation
purposes only.
2
© 2026. All rights reserved. Unauthorized distribution is prohibited.
, _____6. When providing preoperative teaching to the parents of a 2-year-old child undergoing a
tonsillectomy, which of the following statements by the parent indicates a need for further
teaching?
A) We will give our child pain medication as prescribed for throat pain
B) We will let our child drink red popsicles and orange juice after surgery – Correct
answer✅✅
C) We will watch for any signs of bleeding such as frequent swallowing
D) We will encourage our child to blow the nose gently if needed
_____7. A 10-year-old child is newly diagnosed with type 1 diabetes mellitus. The nurse is
teaching the child and parents about insulin administration. Which of the following sites is
preferred for initial insulin injections in this child?
A) The abdomen – Correct answer✅✅
B) The deltoid muscle
C) The anterior thigh
D) The upper buttocks
_____8. The nurse is assessing a 3-year-old child with suspected developmental dysplasia of the
hip. Which of the following findings would the nurse anticipate?
A) Positive Ortolani and Barlow maneuvers – Correct answer✅✅
B) Asymmetrical gluteal and thigh skin folds
C) Limited abduction of the unaffected hip
D) A painless limp that worsens with activity
_____9. An infant is born with a myelomeningocele. Which of the following nursing
interventions should be implemented preoperatively to prevent infection and further damage to
the spinal cord?
A) Place the infant in a prone position with a sterile saline dressing over the defect –
Correct answer✅✅
B) Position the infant supine with the head elevated to reduce intracranial pressure
C) Apply a dry, sterile gauze dressing tightly around the sac to prevent leakage
D) Initiate passive range-of-motion exercises to the lower extremities
_____10. The nurse is caring for an 8-year-old child with sickle cell anemia who is experiencing a
vaso-occlusive crisis. Which of the following is the priority nursing intervention?
A) Administering prescribed analgesics and assessing pain relief – Correct answer✅✅
B) Encouraging increased fluid intake by mouth
C) Applying warm compresses to the affected joints
D) Restricting the child to complete bed rest
_____11. A 5-year-old child is admitted to the hospital with a diagnosis of acute post-
streptococcal glomerulonephritis. Which of the following historical findings is most commonly
associated with this condition?
A) A recent skin infection or streptococcal pharyngitis – Correct answer✅✅
B) A family history of renal calculi
C) Recent exposure to a sibling with a urinary tract infection
D) An incomplete immunization record
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam preparation
purposes only.
3
© 2026. All rights reserved. Unauthorized distribution is prohibited.
, _____12. The nurse is assessing a 4-month-old infant with suspected hydrocephalus. Which of
the following clinical manifestations would the nurse expect to find?
A) Bulging anterior fontanel and separated cranial sutures – Correct answer✅✅
B) Sunset eyes and a high-pitched cry
C) Depressed fontanel and increased head circumference
D) Shrill cry and generalized tonic-clonic seizures
_____13. A child with cerebral palsy exhibits spasticity in the lower extremities. Which of the
following nursing interventions is most appropriate to prevent contractures?
A) Performing passive range-of-motion exercises regularly – Correct answer✅✅
B) Applying ice packs to the affected muscles for 20 minutes daily
C) Restricting movement of the lower extremities to prevent injury
D) Encouraging vigorous physical activity to fatigue the muscles
_____14. The nurse is caring for a toddler with Kawasaki disease. Which of the following clinical
findings is a classic manifestation of this illness?
A) Peeling of the hands and feet – Correct answer✅✅
B) A maculopapular rash on the trunk that spreads to the extremities
C) Discrete vesicular lesions on the palms and soles
D) A desquamating rash limited to the diaper area
_____15. Parents of a 7-year-old child with juvenile idiopathic arthritis ask the nurse about the
long-term outlook for their child. Which of the following is the most accurate response?
A) Most children achieve complete remission without long-term joint damage
B) The disease frequently progresses to severe disability by early adulthood
C) Some children experience ongoing disease activity while others have remission –
Correct answer✅✅
D) Surgical joint replacement will be required before the child reaches adolescence
_____16. A 12-month-old infant is diagnosed with iron deficiency anemia. The nurse anticipates
that the pediatrician will prescribe which of the following treatments?
A) Intravenous iron infusions over several weeks
B) Oral ferrous sulfate supplementation – Correct answer✅✅
C) A diet high in cow's milk to provide necessary proteins
D) Monthly vitamin B12 intramuscular injections
_____17. The nurse is teaching the parents of a child with celiac disease about dietary
modifications. Which of the following foods should the nurse instruct the parents to eliminate
from the child's diet?
A) Rice and corn-based cereals
B) Wheat, barley, and rye products – Correct answer✅✅
C) Fresh fruits and vegetables
D) Dairy products and eggs
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam preparation
purposes only.
4
© 2026. All rights reserved. Unauthorized distribution is prohibited.
EXAM III
PEDIATRIC NURSING
100% Exam-Style Questions
Pediatric Nursing | NCLEX-Style | Exam-Focused
✔ NCLEX-style clinical judgment and prioritization questions
✔ Select-All-That-Apply (SATA) questions
✔ Complex pediatric medical–surgical conditions
✔ Cardiovascular disorders (congenital and acquired heart conditions)
✔ Neurologic disorders (seizure disorders, hydrocephalus, shunt complications,
neuromuscular conditions)
✔ Pediatric oncology management and treatment complications
✔ Chronic illness management and long-term pediatric care
✔ Multisystem disorders and complex disease processes
✔ Postoperative and intensive pediatric nursing care
✔ Emergency pediatric conditions and rapid clinical deterioration
✔ Advanced medication administration and safety
✔ Fluid, electrolyte, and acid–base imbalances
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam preparation
purposes only.
1
© 2026. All rights reserved. Unauthorized distribution is prohibited.
, _____1. A 4-year-old child is admitted to the pediatric unit with a suspected diagnosis of acute
lymphoblastic leukemia. Which of the following clinical manifestations would the nurse most
likely observe during the initial assessment?
A) Generalized edema and proteinuria
B) Bruising, pallor, and fatigue – Correct answer✅✅
C) Morning headaches and vomiting
D) Joint pain and a macular rash
_____2. The nurse is providing discharge teaching to the parents of a toddler who has
undergone surgical repair for hypospadias. Which of the following instructions should the nurse
include in the teaching plan?
A) Encourage the child to sit on a hard surface to promote healing
B) Administer tub baths daily to keep the surgical site clean
C) Avoid straddle toys such as riding tricycles for several weeks – Correct answer✅✅
D) Restrict fluid intake to decrease the frequency of urination
_____3. A school-age child is diagnosed with nephrotic syndrome. Which of the following
findings should the nurse expect to assess? Select-All-That-Apply.
A) Massive proteinuria – Correct answer✅✅
B) Hyperalbuminemia
C) Severe edema – Correct answer✅✅
D) Hypertension
E) Decreased serum lipids
F) Increased serum cholesterol – Correct answer✅✅
_____4. A 6-month-old infant is brought to the clinic by the mother who reports episodes of the
infant drawing the knees to the chest and crying out as if in severe pain. The infant is currently
resting quietly between episodes. Which of the following conditions should the nurse suspect?
A) Intussusception – Correct answer✅✅
B) Hirschsprung disease
C) Pyloric stenosis
D) Celiac disease
_____5. The nurse is caring for a child with acute glomerulonephritis. Which of the following
nursing interventions is most appropriate for this child?
A) Encourage a high-protein diet to promote tissue healing
B) Place the child on strict bed rest to reduce oxygen demands – Correct answer✅✅
C) Force fluids to prevent dehydration and flush the kidneys
D) Measure abdominal girth daily to assess for ascites
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam preparation
purposes only.
2
© 2026. All rights reserved. Unauthorized distribution is prohibited.
, _____6. When providing preoperative teaching to the parents of a 2-year-old child undergoing a
tonsillectomy, which of the following statements by the parent indicates a need for further
teaching?
A) We will give our child pain medication as prescribed for throat pain
B) We will let our child drink red popsicles and orange juice after surgery – Correct
answer✅✅
C) We will watch for any signs of bleeding such as frequent swallowing
D) We will encourage our child to blow the nose gently if needed
_____7. A 10-year-old child is newly diagnosed with type 1 diabetes mellitus. The nurse is
teaching the child and parents about insulin administration. Which of the following sites is
preferred for initial insulin injections in this child?
A) The abdomen – Correct answer✅✅
B) The deltoid muscle
C) The anterior thigh
D) The upper buttocks
_____8. The nurse is assessing a 3-year-old child with suspected developmental dysplasia of the
hip. Which of the following findings would the nurse anticipate?
A) Positive Ortolani and Barlow maneuvers – Correct answer✅✅
B) Asymmetrical gluteal and thigh skin folds
C) Limited abduction of the unaffected hip
D) A painless limp that worsens with activity
_____9. An infant is born with a myelomeningocele. Which of the following nursing
interventions should be implemented preoperatively to prevent infection and further damage to
the spinal cord?
A) Place the infant in a prone position with a sterile saline dressing over the defect –
Correct answer✅✅
B) Position the infant supine with the head elevated to reduce intracranial pressure
C) Apply a dry, sterile gauze dressing tightly around the sac to prevent leakage
D) Initiate passive range-of-motion exercises to the lower extremities
_____10. The nurse is caring for an 8-year-old child with sickle cell anemia who is experiencing a
vaso-occlusive crisis. Which of the following is the priority nursing intervention?
A) Administering prescribed analgesics and assessing pain relief – Correct answer✅✅
B) Encouraging increased fluid intake by mouth
C) Applying warm compresses to the affected joints
D) Restricting the child to complete bed rest
_____11. A 5-year-old child is admitted to the hospital with a diagnosis of acute post-
streptococcal glomerulonephritis. Which of the following historical findings is most commonly
associated with this condition?
A) A recent skin infection or streptococcal pharyngitis – Correct answer✅✅
B) A family history of renal calculi
C) Recent exposure to a sibling with a urinary tract infection
D) An incomplete immunization record
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam preparation
purposes only.
3
© 2026. All rights reserved. Unauthorized distribution is prohibited.
, _____12. The nurse is assessing a 4-month-old infant with suspected hydrocephalus. Which of
the following clinical manifestations would the nurse expect to find?
A) Bulging anterior fontanel and separated cranial sutures – Correct answer✅✅
B) Sunset eyes and a high-pitched cry
C) Depressed fontanel and increased head circumference
D) Shrill cry and generalized tonic-clonic seizures
_____13. A child with cerebral palsy exhibits spasticity in the lower extremities. Which of the
following nursing interventions is most appropriate to prevent contractures?
A) Performing passive range-of-motion exercises regularly – Correct answer✅✅
B) Applying ice packs to the affected muscles for 20 minutes daily
C) Restricting movement of the lower extremities to prevent injury
D) Encouraging vigorous physical activity to fatigue the muscles
_____14. The nurse is caring for a toddler with Kawasaki disease. Which of the following clinical
findings is a classic manifestation of this illness?
A) Peeling of the hands and feet – Correct answer✅✅
B) A maculopapular rash on the trunk that spreads to the extremities
C) Discrete vesicular lesions on the palms and soles
D) A desquamating rash limited to the diaper area
_____15. Parents of a 7-year-old child with juvenile idiopathic arthritis ask the nurse about the
long-term outlook for their child. Which of the following is the most accurate response?
A) Most children achieve complete remission without long-term joint damage
B) The disease frequently progresses to severe disability by early adulthood
C) Some children experience ongoing disease activity while others have remission –
Correct answer✅✅
D) Surgical joint replacement will be required before the child reaches adolescence
_____16. A 12-month-old infant is diagnosed with iron deficiency anemia. The nurse anticipates
that the pediatrician will prescribe which of the following treatments?
A) Intravenous iron infusions over several weeks
B) Oral ferrous sulfate supplementation – Correct answer✅✅
C) A diet high in cow's milk to provide necessary proteins
D) Monthly vitamin B12 intramuscular injections
_____17. The nurse is teaching the parents of a child with celiac disease about dietary
modifications. Which of the following foods should the nurse instruct the parents to eliminate
from the child's diet?
A) Rice and corn-based cereals
B) Wheat, barley, and rye products – Correct answer✅✅
C) Fresh fruits and vegetables
D) Dairy products and eggs
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam preparation
purposes only.
4
© 2026. All rights reserved. Unauthorized distribution is prohibited.
