Comprehensive Practice
Questions and Correct
Answers/ Peds Exam 1
Practice Test 2026-2027 Galen
(New!)
Pediatrics exam 1
,1. Which of the following is a major difference between a child’s
respiratory system and an adult’s respiratory system?
A) Children have larger airways
B) Children produce more respiratory mucus
C) Children have narrower airways, making them prone to obstruction
D) Children have fully developed alveoli by birth
2. When performing oxygen therapy on a child, which method of
monitoring oxygen saturation is most common?
A) Arterial blood gas (ABG)
B) Chest x-ray
C) Pulse oximetry
D) Capillary blood test
3. Which of the following is a common sign of respiratory distress in
an infant?
A) Decreased respiratory rate
B) Nasal flaring
C) Clear lung sounds
D) Increased urine output
4. Which condition is characterized by sneezing, itchy eyes, and
clear nasal discharge but without fever or purulent nasal discharge?
A) Nasopharyngitis
B) Croup
C) Allergic rhinitis
D) Bronchitis
5. Which of the following describes the primary concern in a child
diagnosed with acute croup (laryngotracheobronchitis)?
A) Inflammation of the bronchi
B) Obstruction of the airway due to swelling
C) Excess mucus production
D) Development of a peritonsillar abscess
6. Which respiratory condition is considered life-threatening and
requires immediate medical intervention due to rapid airway
obstruction?
A) Epiglottitis
B) Tonsillitis
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,C) Bronchiolitis
D) Nasopharyngitis
7. Which of the following signs and symptoms would a nurse expect
to find in a child with epiglottitis?
A) Barking cough and hoarseness
B) Drooling, high fever, and leaning forward
C) Productive cough and runny nose
D) Low-grade fever and nasal congestion
8. In caring for a child with epiglottitis, which piece of equipment
should always be kept at the bedside?
A) Oxygen mask
B) Chest tube kit
C) Tracheostomy kit
D) IV fluids
9. Respiratory Syncytial Virus (RSV) primarily affects which age
group?
A) Newborns to 3 months
B) Toddlers
C) School-age children
D) Adolescents
10. Which intervention is most appropriate for a child with
Respiratory Syncytial Virus (RSV)?
A) Administering antibiotics
B) Frequent suctioning to maintain airway patency
C) Administering bronchodilators as needed
D) Performing a throat culture
11. Tonsillitis is commonly caused by which of the following?
A) Bacterial infection, such as Streptococcus
B) Viral infection, such as the common cold
C) Fungal infection
D) Autoimmune disorder
12. Which symptom indicates that a child may need a tonsillectomy?
A) Recurrent ear infections
B) One episode of tonsillitis in the past year
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, C) Difficulty swallowing due to tonsillar hypertrophy
D) Cough and runny nose for 3 days
13. Which of the following is a primary concern after a
tonsillectomy?
A) Nausea
B) Excessive sleep
C) Bleeding
D) Weight loss
14. In a child with asthma, what is the purpose of administering
albuterol during an acute asthma attack?
A) Reduce airway inflammation
B) Increase the immune response
C) Dilate the airways to improve airflow
D) Suppress mucus production
15. Which condition is characterized by the inability to produce
adequate surfactant in the lungs, leading to alveolar collapse?
A) Cystic fibrosis
B) Epiglottitis
C) Bronchitis
D) Respiratory distress syndrome
16. Which diagnostic test is most reliable for diagnosing cystic
fibrosis?
A) Arterial blood gas
B) Pulmonary function test
C) Sweat chloride test
D) Chest x-ray
17. Which of the following interventions is most appropriate for a
child with cystic fibrosis?
A) Limiting fluid intake
B) Administering pancreatic enzymes with meals
C) Reducing dietary protein
D) Avoiding contact with other children
18. Which of the following is a common sign of cystic fibrosis in
infants?
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