NUR 328 / NR 328 - PEDIATRIC NURSING CORE BLOCK | 100% VERIFIED OBJECTIVE
ASSESSMENT EXAM QUESTIONS AND ANSWERS | LATEST 2026/2027 VERSION TOP
RATED (PASS GUARANTEE)
1. A nurse is caring for a 4-year-old with suspected epiglottitis. Which action
is the nurse's priority?
A. Obtain a throat culture
B. Place the child supine for airway assessment
C. Avoid agitating the child and keep them calm
D. Administer oral fluids immediately
Answer: C
2. Which finding is most characteristic of pyloric stenosis in a 6-week-old
infant?
A. Bile-stained emesis
B. Projectile non-bilious vomiting
C. Bloody diarrhea
D. Abdominal distension with absence of bowel sounds
Answer: B
3. A child with sickle cell disease develops acute chest syndrome. What is the
most important nursing intervention?
A. Prepare for bone marrow biopsy
B. Administer supplemental oxygen and monitor respiratory status
C. Encourage vigorous ambulation
D. Restrict intravenous fluids
Answer: B
,4. When assessing a child for bacterial meningitis, the nurse notes the child
cries when the knee is extended after hip flexion. This is called:
A. Brudzinski's sign
B. Kernig's sign
C. Babinski's sign
D. Chvostek's sign
Answer: B
5. A 3-year-old is admitted with Kawasaki disease. Which assessment finding
requires immediate reporting to the physician?
A. Peeling skin on the fingertips
B. Strawberry tongue
C. Coronary artery aneurysm on echocardiogram
D. Cervical lymphadenopathy
Answer: C
6. A nurse is teaching parents of a child with cystic fibrosis. Which statement
by the parent indicates understanding?
A. 'My child needs a low-protein diet.'
B. 'I should give pancreatic enzymes with every meal and snack.'
C. 'Physical activity should be restricted.'
D. 'Chest physiotherapy is only needed when my child is sick.'
Answer: B
7. A 2-year-old presents with inspiratory stridor, a barking cough, and low-
grade fever. The nurse suspects:
A. Epiglottitis
B. Bronchiolitis
C. Laryngotracheobronchitis (croup)
D. Asthma
Answer: C
,8. Which of the following is the most common cause of death in children aged
1 to 4 years?
A. Congenital anomalies
B. Cancer
C. Unintentional injuries
D. Respiratory infections
Answer: C
9. A child with asthma has an oxygen saturation of 91% on room air. The
nurse should first:
A. Notify the physician immediately
B. Administer a short-acting beta-agonist via nebulizer
C. Prepare for intubation
D. Place the child in the Trendelenburg position
Answer: B
10. The nurse is teaching parents about febrile seizures. Which statement is
accurate?
A. Febrile seizures always indicate epilepsy.
B. Most febrile seizures last less than 15 minutes and are benign.
C. Rectal diazepam is routinely prescribed for all febrile seizures.
D. The child should be restrained during the seizure.
Answer: B
11. A newborn has a bilirubin level of 18 mg/dL on day 2 of life. The nurse
anticipates which treatment?
A. Exchange transfusion immediately
B. Phototherapy
C. Intravenous immunoglobulin (IVIG)
D. No treatment; this is a normal level
Answer: B
, 12. A child with nephrotic syndrome is at risk for infection due to:
A. Loss of immunoglobulins in the urine
B. Elevated white blood cell count
C. Increased complement levels
D. Hypertension causing immune suppression
Answer: A
13. Which developmental milestone is expected in a normal 12-month-old?
A. Speaking in full sentences
B. Walking independently without support
C. Riding a tricycle
D. Drawing circles
Answer: B
14. A 10-year-old is diagnosed with type 1 diabetes mellitus. The nurse teaches
the family that hypoglycemia is treated with:
A. 10 units of regular insulin subcutaneously
B. 15 grams of fast-acting carbohydrate followed by reassessment in 15 minutes
C. High-protein snack immediately
D. Withholding the next insulin dose
Answer: B
15. When performing a pain assessment on a 3-year-old, which scale is most
appropriate?
A. Numeric Rating Scale (0-10)
B. FACES Pain Scale
C. Visual Analogue Scale
D. McGill Pain Questionnaire
Answer: B
16. A child receiving chemotherapy develops a temperature of 38.5°C
(101.3°F). The nurse should:
ASSESSMENT EXAM QUESTIONS AND ANSWERS | LATEST 2026/2027 VERSION TOP
RATED (PASS GUARANTEE)
1. A nurse is caring for a 4-year-old with suspected epiglottitis. Which action
is the nurse's priority?
A. Obtain a throat culture
B. Place the child supine for airway assessment
C. Avoid agitating the child and keep them calm
D. Administer oral fluids immediately
Answer: C
2. Which finding is most characteristic of pyloric stenosis in a 6-week-old
infant?
A. Bile-stained emesis
B. Projectile non-bilious vomiting
C. Bloody diarrhea
D. Abdominal distension with absence of bowel sounds
Answer: B
3. A child with sickle cell disease develops acute chest syndrome. What is the
most important nursing intervention?
A. Prepare for bone marrow biopsy
B. Administer supplemental oxygen and monitor respiratory status
C. Encourage vigorous ambulation
D. Restrict intravenous fluids
Answer: B
,4. When assessing a child for bacterial meningitis, the nurse notes the child
cries when the knee is extended after hip flexion. This is called:
A. Brudzinski's sign
B. Kernig's sign
C. Babinski's sign
D. Chvostek's sign
Answer: B
5. A 3-year-old is admitted with Kawasaki disease. Which assessment finding
requires immediate reporting to the physician?
A. Peeling skin on the fingertips
B. Strawberry tongue
C. Coronary artery aneurysm on echocardiogram
D. Cervical lymphadenopathy
Answer: C
6. A nurse is teaching parents of a child with cystic fibrosis. Which statement
by the parent indicates understanding?
A. 'My child needs a low-protein diet.'
B. 'I should give pancreatic enzymes with every meal and snack.'
C. 'Physical activity should be restricted.'
D. 'Chest physiotherapy is only needed when my child is sick.'
Answer: B
7. A 2-year-old presents with inspiratory stridor, a barking cough, and low-
grade fever. The nurse suspects:
A. Epiglottitis
B. Bronchiolitis
C. Laryngotracheobronchitis (croup)
D. Asthma
Answer: C
,8. Which of the following is the most common cause of death in children aged
1 to 4 years?
A. Congenital anomalies
B. Cancer
C. Unintentional injuries
D. Respiratory infections
Answer: C
9. A child with asthma has an oxygen saturation of 91% on room air. The
nurse should first:
A. Notify the physician immediately
B. Administer a short-acting beta-agonist via nebulizer
C. Prepare for intubation
D. Place the child in the Trendelenburg position
Answer: B
10. The nurse is teaching parents about febrile seizures. Which statement is
accurate?
A. Febrile seizures always indicate epilepsy.
B. Most febrile seizures last less than 15 minutes and are benign.
C. Rectal diazepam is routinely prescribed for all febrile seizures.
D. The child should be restrained during the seizure.
Answer: B
11. A newborn has a bilirubin level of 18 mg/dL on day 2 of life. The nurse
anticipates which treatment?
A. Exchange transfusion immediately
B. Phototherapy
C. Intravenous immunoglobulin (IVIG)
D. No treatment; this is a normal level
Answer: B
, 12. A child with nephrotic syndrome is at risk for infection due to:
A. Loss of immunoglobulins in the urine
B. Elevated white blood cell count
C. Increased complement levels
D. Hypertension causing immune suppression
Answer: A
13. Which developmental milestone is expected in a normal 12-month-old?
A. Speaking in full sentences
B. Walking independently without support
C. Riding a tricycle
D. Drawing circles
Answer: B
14. A 10-year-old is diagnosed with type 1 diabetes mellitus. The nurse teaches
the family that hypoglycemia is treated with:
A. 10 units of regular insulin subcutaneously
B. 15 grams of fast-acting carbohydrate followed by reassessment in 15 minutes
C. High-protein snack immediately
D. Withholding the next insulin dose
Answer: B
15. When performing a pain assessment on a 3-year-old, which scale is most
appropriate?
A. Numeric Rating Scale (0-10)
B. FACES Pain Scale
C. Visual Analogue Scale
D. McGill Pain Questionnaire
Answer: B
16. A child receiving chemotherapy develops a temperature of 38.5°C
(101.3°F). The nurse should:
