NSG3600- PEDS (EXAM 3) PQ (PRE &
POST QUIZ QUESTIONS FOR UNITS 5-7
GI, GU, AND NEURO) QUESTIONS WITH
100% CORRECT ANSWERS!!
Question 1: What are the correct steps, in order, for assessing a
child's gastrointestinal system?
A) Palpation, Percussion, Auscultation, Inspection
B) Inspection, Auscultation, Percussion, Palpation
C) Auscultation, Inspection, Palpation, Percussion
D) Inspection, Palpation, Auscultation, Percussion
Correct ,,,,answer,,,: B) Inspection, Auscultation, Percussion,
Palpation
Rationale: The correct order for GI assessment is: First inspect the
child, then auscultate, then percuss, and finally palpate through the
clothing (due to children being ticklish). This order prevents
altering bowel sounds before auscultation.
Question 2: Why is it important to palpate through the clothing
when assessing a child's abdomen?
,A) To prevent the spread of infection
B) Because children are often ticklish and this reduces discomfort
C) To maintain modesty at all times
D) To improve the accuracy of percussion sounds
Correct ,,,,answer,,,: B) Because children are often ticklish and this
reduces discomfort
Rationale: Children are frequently ticklish, which can interfere with
an accurate abdominal assessment. Palpating through the clothing
helps reduce this response and makes the child more comfortable
during the examination.
Question 3: A nurse is assessing a 4-month-old infant's fontanels.
Which finding would indicate possible increased intracranial
pressure?
A) Flat and soft anterior fontanel
B) Bulging, tense anterior fontanel when the infant is calm and
upright
C) Posterior fontanel that is palpably open
D) Slight pulsation visible in the anterior fontanel
Correct ,,,,answer,,,: B) Bulging, tense anterior fontanel when the
infant is calm and upright
Rationale: A bulging, tense fontanel when the infant is calm and in
an upright position is a sign of increased intracranial pressure.
Fontanels should be flat and soft. Pulsations are normal. The
posterior fontanel typically closes by 2-3 months of age.
,Question 4: What is the normal range for Blood Urea Nitrogen
(BUN) in a child?
A) 0-5 mg/dL
B) 5-18 mg/dL
C) 18-25 mg/dL
D) 25-35 mg/dL
Correct ,,,,answer,,,: B) 5-18 mg/dL
Rationale: The normal BUN range for children is 5-18 mg/dL.
Elevated BUN may indicate dehydration or kidney dysfunction.
Question 5: What is the normal serum sodium (Na) range for a
child?
A) 110-125 mEq/L
B) 125-135 mEq/L
C) 135-145 mEq/L
D) 145-155 mEq/L
Correct ,,,,answer,,,: C) 135-145 mEq/L
Rationale: The normal sodium range for children is 135-145 mEq/L,
the same as adults. Hyponatremia or hypernatremia can indicate
fluid and electrolyte imbalances.
, Question 6: What is the normal serum potassium (K) range for a
child?
A) 2.5-3.0 mEq/L
B) 3.4-4.7 mEq/L
C) 4.8-5.5 mEq/L
D) 5.6-6.5 mEq/L
Correct ,,,,answer,,,: B) 3.4-4.7 mEq/L
Rationale: The normal potassium range for children is 3.4-4.7
mEq/L. Hypokalemia is a common concern in children with
vomiting, diarrhea, or other GI losses.
Question 7: What is the normal creatinine range for a child?
A) 0.1-0.2 mg/dL
B) 0.3-0.7 mg/dL
C) 1.0-1.5 mg/dL
D) 2.0-3.0 mg/dL
Correct ,,,,answer,,,: B) 0.3-0.7 mg/dL
Rationale: The normal creatinine range for children is 0.3-0.7
mg/dL. Creatinine levels are generally lower in children than adults
due to lower muscle mass.
POST QUIZ QUESTIONS FOR UNITS 5-7
GI, GU, AND NEURO) QUESTIONS WITH
100% CORRECT ANSWERS!!
Question 1: What are the correct steps, in order, for assessing a
child's gastrointestinal system?
A) Palpation, Percussion, Auscultation, Inspection
B) Inspection, Auscultation, Percussion, Palpation
C) Auscultation, Inspection, Palpation, Percussion
D) Inspection, Palpation, Auscultation, Percussion
Correct ,,,,answer,,,: B) Inspection, Auscultation, Percussion,
Palpation
Rationale: The correct order for GI assessment is: First inspect the
child, then auscultate, then percuss, and finally palpate through the
clothing (due to children being ticklish). This order prevents
altering bowel sounds before auscultation.
Question 2: Why is it important to palpate through the clothing
when assessing a child's abdomen?
,A) To prevent the spread of infection
B) Because children are often ticklish and this reduces discomfort
C) To maintain modesty at all times
D) To improve the accuracy of percussion sounds
Correct ,,,,answer,,,: B) Because children are often ticklish and this
reduces discomfort
Rationale: Children are frequently ticklish, which can interfere with
an accurate abdominal assessment. Palpating through the clothing
helps reduce this response and makes the child more comfortable
during the examination.
Question 3: A nurse is assessing a 4-month-old infant's fontanels.
Which finding would indicate possible increased intracranial
pressure?
A) Flat and soft anterior fontanel
B) Bulging, tense anterior fontanel when the infant is calm and
upright
C) Posterior fontanel that is palpably open
D) Slight pulsation visible in the anterior fontanel
Correct ,,,,answer,,,: B) Bulging, tense anterior fontanel when the
infant is calm and upright
Rationale: A bulging, tense fontanel when the infant is calm and in
an upright position is a sign of increased intracranial pressure.
Fontanels should be flat and soft. Pulsations are normal. The
posterior fontanel typically closes by 2-3 months of age.
,Question 4: What is the normal range for Blood Urea Nitrogen
(BUN) in a child?
A) 0-5 mg/dL
B) 5-18 mg/dL
C) 18-25 mg/dL
D) 25-35 mg/dL
Correct ,,,,answer,,,: B) 5-18 mg/dL
Rationale: The normal BUN range for children is 5-18 mg/dL.
Elevated BUN may indicate dehydration or kidney dysfunction.
Question 5: What is the normal serum sodium (Na) range for a
child?
A) 110-125 mEq/L
B) 125-135 mEq/L
C) 135-145 mEq/L
D) 145-155 mEq/L
Correct ,,,,answer,,,: C) 135-145 mEq/L
Rationale: The normal sodium range for children is 135-145 mEq/L,
the same as adults. Hyponatremia or hypernatremia can indicate
fluid and electrolyte imbalances.
, Question 6: What is the normal serum potassium (K) range for a
child?
A) 2.5-3.0 mEq/L
B) 3.4-4.7 mEq/L
C) 4.8-5.5 mEq/L
D) 5.6-6.5 mEq/L
Correct ,,,,answer,,,: B) 3.4-4.7 mEq/L
Rationale: The normal potassium range for children is 3.4-4.7
mEq/L. Hypokalemia is a common concern in children with
vomiting, diarrhea, or other GI losses.
Question 7: What is the normal creatinine range for a child?
A) 0.1-0.2 mg/dL
B) 0.3-0.7 mg/dL
C) 1.0-1.5 mg/dL
D) 2.0-3.0 mg/dL
Correct ,,,,answer,,,: B) 0.3-0.7 mg/dL
Rationale: The normal creatinine range for children is 0.3-0.7
mg/dL. Creatinine levels are generally lower in children than adults
due to lower muscle mass.