Pediatric Nursing Practice Questions Part 1
1. What is the recommended serving size of vegetables for a toddler?
a. 1 tablespoon.
b. 1 teaspoon.
c. 1/2 teaspoon.
d. 1/2 tablespoon.
a. 1 tablespoon.
2. The nurse is providing emergency care for an unconscious child who presents with a head
injury sustained in a fall. Which is the highest nursing priority?
a. Establish an airway.
b. Assess neurological status.
c. Stabilize the spine.
d. Obtain vital signs.
a. Establish an airway.
, 3. The vital signs of a 4-year-old child with polyuria are: BP 80/40, Pulse 118, and Respirations 24.
The child's pedal pulses are present with a volume of +1, and no edema is observed. What
action should the nurse implement first?
a. Insert an indwelling urinary catheter.
b. Start an IV infusion of normal saline.
c. Send a specimen to the lab for urinalysis.
d. Document the child's vital signs and pulses.
b. Start an IV infusion of normal saline.
4. The nurse is assessing a 2-year-old child. What behavior indicates that the child's language
development is within normal limits?
a. Is able to name four colors.
b. Can count five blocks.
c. Is capable of making a three word sentence.
d. Half of child's speech is understandable.
,c. Is capable of making a three word sentence.
5. At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a female
adolescent client with acute glomerulonephritis has a blood pressure of 210/110. The 4 a.m.
blood pressure reading was 170/88. The client reports to the UAP that she is upset because
her boyfriend did not visit last night. What action should the nurse take first?
a. Give the client her 9 a.m. prescription for an oral diuretic early.
b. Administer PRN prescription of nifedipine (Procardia) sublingually.
c. Notify the healthcare provider and inform the nursing supervisor of the client's condition.
d. Attempt to calm the client and retake the blood pressure in thirty minutes.
b.. Administer PRN prescription of nifedipine (Procardia) sublingually.
6. During administration of a blood transfusion, a child complains of chills, headache, and nausea.
Which action should the nurse implement?
a. Start another IV of dextrose solution and stay with the child.
b. Continue the transfusion and monitor the child's vital signs.
c. Stop the infusion immediately and notify the healthcare provider.
, d. Slow the transfusion and assess for cessation of symptoms.
c. Stop the infusion immediately and notify the healthcare provider.
7. The nurse is preparing a health teaching program for parents of toddlers and preschoolers and
plans to include information about prevention of accidental poisonings. It is most important
for the nurse to include which instruction?
a. Tell children they should not taste anything but food.
b. Store all toxic agents and medicines in locked cabinets.
c. Provide special play areas in the house and restrict play in other areas.
d. Punish children if they open cabinets that contain household chemicals.
b. Store all toxic agents and medicines in locked cabinets.
8. What preoperative nursing intervention should be included in the plan of care for an infant
with pyloric stenosis?
a. Monitor for signs of metabolic acidosis.
b. Estimate the quantity of diarrhea stools.
c. Place in a supine position after feeding.
1. What is the recommended serving size of vegetables for a toddler?
a. 1 tablespoon.
b. 1 teaspoon.
c. 1/2 teaspoon.
d. 1/2 tablespoon.
a. 1 tablespoon.
2. The nurse is providing emergency care for an unconscious child who presents with a head
injury sustained in a fall. Which is the highest nursing priority?
a. Establish an airway.
b. Assess neurological status.
c. Stabilize the spine.
d. Obtain vital signs.
a. Establish an airway.
, 3. The vital signs of a 4-year-old child with polyuria are: BP 80/40, Pulse 118, and Respirations 24.
The child's pedal pulses are present with a volume of +1, and no edema is observed. What
action should the nurse implement first?
a. Insert an indwelling urinary catheter.
b. Start an IV infusion of normal saline.
c. Send a specimen to the lab for urinalysis.
d. Document the child's vital signs and pulses.
b. Start an IV infusion of normal saline.
4. The nurse is assessing a 2-year-old child. What behavior indicates that the child's language
development is within normal limits?
a. Is able to name four colors.
b. Can count five blocks.
c. Is capable of making a three word sentence.
d. Half of child's speech is understandable.
,c. Is capable of making a three word sentence.
5. At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a female
adolescent client with acute glomerulonephritis has a blood pressure of 210/110. The 4 a.m.
blood pressure reading was 170/88. The client reports to the UAP that she is upset because
her boyfriend did not visit last night. What action should the nurse take first?
a. Give the client her 9 a.m. prescription for an oral diuretic early.
b. Administer PRN prescription of nifedipine (Procardia) sublingually.
c. Notify the healthcare provider and inform the nursing supervisor of the client's condition.
d. Attempt to calm the client and retake the blood pressure in thirty minutes.
b.. Administer PRN prescription of nifedipine (Procardia) sublingually.
6. During administration of a blood transfusion, a child complains of chills, headache, and nausea.
Which action should the nurse implement?
a. Start another IV of dextrose solution and stay with the child.
b. Continue the transfusion and monitor the child's vital signs.
c. Stop the infusion immediately and notify the healthcare provider.
, d. Slow the transfusion and assess for cessation of symptoms.
c. Stop the infusion immediately and notify the healthcare provider.
7. The nurse is preparing a health teaching program for parents of toddlers and preschoolers and
plans to include information about prevention of accidental poisonings. It is most important
for the nurse to include which instruction?
a. Tell children they should not taste anything but food.
b. Store all toxic agents and medicines in locked cabinets.
c. Provide special play areas in the house and restrict play in other areas.
d. Punish children if they open cabinets that contain household chemicals.
b. Store all toxic agents and medicines in locked cabinets.
8. What preoperative nursing intervention should be included in the plan of care for an infant
with pyloric stenosis?
a. Monitor for signs of metabolic acidosis.
b. Estimate the quantity of diarrhea stools.
c. Place in a supine position after feeding.
