Peds CMS Practice Questions AND ANSWERS GRADED
A( UPDATED 2022/23)
A nurse is teaching a parent of a child with hemophilia how to control a minor bleeding episode.
Which of the following statements by the parent indicates a need for further teaching? Correct
Answer: "I will apply heat"
A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting
and an elevated temperature. Which of the following should the nurse recognize as the most
reliable indicator of fluid loss? Correct Answer: Body weight
Which of the following children should the nurse identify as a potential action of abuse? Correct
Answer: A child whose parents answer questions for the child.
A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for
pancreatic enzymes three times per day. Which of the following statements indicates that the
mother understands the teaching? Correct Answer: "My child will take the enzymes to help
digest the fat in foods"
A nurse is assessing a 3 month old. Which of the following findings should he report to the
provider? Correct Answer: Unable to raise head when in prone position.
A nurse is admitting a 6 month old infant who has dehydration. Which of the following amounts
of urinary output should indicate to the nurse that the treatment has confirmed the fluid
imbalance? Correct Answer: 0.5 mL/kg/hr
A nurse is planning care for an infant who has spina bifida and is to undergo surgical? Which of
the following interventions should the nurse include in the plan of care? Correct Answer:
Provide a latex free environment
A nurse is caring for a child who has just died. The parents ask to be left alone so that they ? The
nurse should: Correct Answer: Grant their request
A nurse is educating new parents on risk factors for sudden infant death syndrome (SIDS).
Which of the following statements by a parent would indicate a need for additional teaching?
Correct Answer: "Our baby will sleep in my bed because I am breastfeeding"
A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down.
Which of the following statements by the client would indicate to the nurse a need for further
teaching? Correct Answer: "I only need to catheterize myself twice every day"
A parent tells a nurse that her toddler drink a quart of milk a day and has a poor appetite for solid
foods. The nurse should explain that the toddler is at risk for which of the following disorders?
Correct Answer: Iron deficiency anemia
, A toddler weighs 77 pounds. What is the appropriate maintenance IV fluid rate? Correct Answer:
75 mL/hr
A nurse is caring for a toddler admitted to a pediatric unit. Which of the following statements
should the nurse use when preparing to check the child's vital signs? Correct Answer: "I an
going to listen to your heart"
A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should
include which of the following food choices for this child? Correct Answer: Rice
A nurse is planning care for a 5 month old infant who is scheduled for a lumbar puncture to rule
out meningitis. Which of the following actions should the nurse include in the plan of care?
Correct Answer: Hold the infant's chin to his chest and knees to his abdomen during the
procedure.
A nurse is assessing a toddler who has acute nephrotic syndrome. Which of the following
findings should the nurse report to the provider? Correct Answer: Facial edema
A parent calls a clinic and reports to a nurse that his 2 month old infant is hungry more than
usual but is projectile vomiting immediately after eating. Which of the following responses
should the nurse make? Correct Answer: "Bring your baby in to the clinic today"
A nurse is planning home care for a 9 year old child who is discharged following an acute
asthma attack. Which of the following growth and developmental stages according to Erikson
should the nurse consider in the planning? Correct Answer: Industry vs. Inferiority
A nurse is caring for a child who has been physically abused by a family member. Which of the
following is an appropriate statement for the nurse to say to the child? Correct Answer: "It is not
your fault that this happened"
A nurse is assessing an infant with Trisomy 21 (Down's Syndrome). Which of the following are
common characteristics? Correct Answer: Protruding tongue, Hyper-flexibility, Transverse
palmar ceases
A nurse in an emergency is assessing a 3 year old child who has a high fever, severe dyspnea,
and is drooling. Which of the following interventions is the nurse's priority? Correct Answer:
Prepare for nasotracheal intubation
A nurse is assessing a client who sustained a basal skull fracture and notes a thin stream of clear
drainage coming from the client's right nostril. Which of the following actions should the nurse
take first? Correct Answer: Test the drainage for glucose.
A nurse at the pediatric hotline receives a call from a mother who plans to administer aspirin to a
toddler for a fever and wants to know the dosage. Which of the following statements by the nurse
is an appropriate response? Correct Answer: "Give her acetaminophen, not aspirin."
A( UPDATED 2022/23)
A nurse is teaching a parent of a child with hemophilia how to control a minor bleeding episode.
Which of the following statements by the parent indicates a need for further teaching? Correct
Answer: "I will apply heat"
A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting
and an elevated temperature. Which of the following should the nurse recognize as the most
reliable indicator of fluid loss? Correct Answer: Body weight
Which of the following children should the nurse identify as a potential action of abuse? Correct
Answer: A child whose parents answer questions for the child.
A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for
pancreatic enzymes three times per day. Which of the following statements indicates that the
mother understands the teaching? Correct Answer: "My child will take the enzymes to help
digest the fat in foods"
A nurse is assessing a 3 month old. Which of the following findings should he report to the
provider? Correct Answer: Unable to raise head when in prone position.
A nurse is admitting a 6 month old infant who has dehydration. Which of the following amounts
of urinary output should indicate to the nurse that the treatment has confirmed the fluid
imbalance? Correct Answer: 0.5 mL/kg/hr
A nurse is planning care for an infant who has spina bifida and is to undergo surgical? Which of
the following interventions should the nurse include in the plan of care? Correct Answer:
Provide a latex free environment
A nurse is caring for a child who has just died. The parents ask to be left alone so that they ? The
nurse should: Correct Answer: Grant their request
A nurse is educating new parents on risk factors for sudden infant death syndrome (SIDS).
Which of the following statements by a parent would indicate a need for additional teaching?
Correct Answer: "Our baby will sleep in my bed because I am breastfeeding"
A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down.
Which of the following statements by the client would indicate to the nurse a need for further
teaching? Correct Answer: "I only need to catheterize myself twice every day"
A parent tells a nurse that her toddler drink a quart of milk a day and has a poor appetite for solid
foods. The nurse should explain that the toddler is at risk for which of the following disorders?
Correct Answer: Iron deficiency anemia
, A toddler weighs 77 pounds. What is the appropriate maintenance IV fluid rate? Correct Answer:
75 mL/hr
A nurse is caring for a toddler admitted to a pediatric unit. Which of the following statements
should the nurse use when preparing to check the child's vital signs? Correct Answer: "I an
going to listen to your heart"
A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should
include which of the following food choices for this child? Correct Answer: Rice
A nurse is planning care for a 5 month old infant who is scheduled for a lumbar puncture to rule
out meningitis. Which of the following actions should the nurse include in the plan of care?
Correct Answer: Hold the infant's chin to his chest and knees to his abdomen during the
procedure.
A nurse is assessing a toddler who has acute nephrotic syndrome. Which of the following
findings should the nurse report to the provider? Correct Answer: Facial edema
A parent calls a clinic and reports to a nurse that his 2 month old infant is hungry more than
usual but is projectile vomiting immediately after eating. Which of the following responses
should the nurse make? Correct Answer: "Bring your baby in to the clinic today"
A nurse is planning home care for a 9 year old child who is discharged following an acute
asthma attack. Which of the following growth and developmental stages according to Erikson
should the nurse consider in the planning? Correct Answer: Industry vs. Inferiority
A nurse is caring for a child who has been physically abused by a family member. Which of the
following is an appropriate statement for the nurse to say to the child? Correct Answer: "It is not
your fault that this happened"
A nurse is assessing an infant with Trisomy 21 (Down's Syndrome). Which of the following are
common characteristics? Correct Answer: Protruding tongue, Hyper-flexibility, Transverse
palmar ceases
A nurse in an emergency is assessing a 3 year old child who has a high fever, severe dyspnea,
and is drooling. Which of the following interventions is the nurse's priority? Correct Answer:
Prepare for nasotracheal intubation
A nurse is assessing a client who sustained a basal skull fracture and notes a thin stream of clear
drainage coming from the client's right nostril. Which of the following actions should the nurse
take first? Correct Answer: Test the drainage for glucose.
A nurse at the pediatric hotline receives a call from a mother who plans to administer aspirin to a
toddler for a fever and wants to know the dosage. Which of the following statements by the nurse
is an appropriate response? Correct Answer: "Give her acetaminophen, not aspirin."
