NSG222 Paediatric Exam All Questions and Answers
Latest Version 2023
1. A child is diagnosed with Kawasaki disease and is in the acute phase of the
disorder. What would the nurse expect the healthcare provider to prescribe? Select
all that apply.
a. Intravenous immunoglobulin
b. Ibuprofen
c. Acetaminophen
d. Aspirin
e. Alprostadil - ANSWER--. Intravenous immunoglobulin
. Aspirin
1. The nurse is caring for a newborn diagnosed with an atrial septal defect (ASD).
The parents voice concern and state, "I can't believe this is happening. Will our
child be okay?" What is the nurse's best response?
a. "If the defect isn't treated it can cause problems such as pulmonary hypertension,
heart failure, atrial arrhythmias, or stroke."
b. "While each case is different, the majority of these defects correct on their own.
Let's see what the tests show, then speak with the healthcare provider."
c. "Since there are no symptoms being exhibited right now, your child will likely
not require surgery until the age of 3 years."
d. "Most children have no symptoms of this defect." - ANSWER--While each case
is different, the majority of these defects correct on their own. Let's see what the
tests show, then speak with the healthcare provider."
1. The nurse is taking a health history of an 11-year-old girl with recurrent
abdominal pain. Which response would lead the nurse to suspect irritable bowel
syndrome?
a. "I always feel better after I have a bowel movement."
b. "I don't take any medicine right now."
, NSG222 Paediatric Exam All Questions and Answers
Latest Version 2023
c. "The pain comes and goes."
d. "The pain doesn't wake me up in the middle of the night." - ANSWER--"I
always feel better after I have a bowel movement."
1. The nurse has developed a plan of care for a 12-month-old hospitalized with
dehydration as a result of rotavirus. Which intervention would the nurse include in
the plan of care?
a. Encouraging consumption of fruit juice
b. Offering Kool-Aid or popsicles as tolerated
c. Encouraging milk products to boost caloric intake
d. Maintaining the intravenous (IV) fluid rate as ordered - ANSWER--Maintaining
the intravenous (IV) fluid rate as ordered
1. The parents of a child diagnosed with celiac disease ask the nurse what types of
food they can offer their child. What recommendation would the nurse include in
the teaching plan?
a. Frozen yogurt
b. Rye bread
c. Creamed spinach
d. Fruit juice - ANSWER--Fruit juice
1. The nurse is providing care to a child with an intussusception. The child has a
bowel movement and the nurse inspects the stool. The nurse would most likely
document the stool's appearance as having what quality?
a. Greasy
b. Clay-colored
c. Currant jelly-like
, NSG222 Paediatric Exam All Questions and Answers
Latest Version 2023
d. Bloody - ANSWER--Currant jelly-like
1. The mother of a 3-week-old infant old brings her daughter in for an evaluation.
During the visit, the mother tells the nurse that her baby is spitting up after
feedings. Which response by the nurse would be most appropriate?
a. "We need to tell the healthcare provider about this."
b. "Infants this age commonly spit up."
c. "Your daughter might have an allergy."
d. "Don't worry; you're just feeding her too much." - ANSWER--"Infants this age
commonly spit up."
1. The parents of a 6-week-old boy come to the clinic for evaluation because the
infant has been vomiting. The parents report that the vomiting has been increasing
in frequency and forcefulness over the last week. The mother says, "Sometimes, it
seems like it just bursts out of his mouth." A diagnosis of hypertrophic pyloric
stenosis is suspected. When performing the physical examination, what would the
nurse most likely find?
a. Sausage-shaped mass in the upper mid-abdomen
b. Hard, moveable, olive-shaped mass in the right upper quadrant
c. Tenderness over the McBurney point in the right lower quadrant
d. Abdominal pain in the epigastric or umbilical region - ANSWER--Hard,
moveable, olive-shaped mass in the right upper quadrant
1. The mother of a child with end-stage renal disease asks the nurse why her son is
getting an injection of erythropoietin. When responding to the mother, the nurse
explains that the rationale is:
a. To treat low calcium levels
b. To stimulate growth in stature
, NSG222 Paediatric Exam All Questions and Answers
Latest Version 2023
c. To stimulate red blood cell growth
d. To correct acidosis - ANSWER--To stimulate red blood cell growth
1. After teaching the parents of a child with a hydrocele about this condition,
which statement indicates that the teaching was successful?
a. "If this gets worse and we don't treat it, our son could become infertile."
b. "This condition should gradually go away on its own."
c. "The surgeon is going to operate on him immediately."
d. "It's going to be difficult putting ice packs on his scrotum." - ANSWER--"This
condition should gradually go away on its own."
Scarlet fever - ANSWER--Scarlet fever is an infection resulting from group A
streptococci.
Penicillin and amoxicillin are the antibiotics of choice
When evaluating a child in an emergency situation, what are the 3 components of
the assessment? - ANSWER--What are Airway, Breathing, and Circulation?
Infants & small children are at risk for respiratory emergencies what reason? -
ANSWER--What are smaller airways, lack of coordination making them
susceptible to choking?
This is the most effective intervention to prevent nosocomial infection? -
ANSWER--Hand washing
Scarlet fever is caused by this organism? - ANSWER--What is group A
streptococci (group A beta-hemolytic strep)?
Latest Version 2023
1. A child is diagnosed with Kawasaki disease and is in the acute phase of the
disorder. What would the nurse expect the healthcare provider to prescribe? Select
all that apply.
a. Intravenous immunoglobulin
b. Ibuprofen
c. Acetaminophen
d. Aspirin
e. Alprostadil - ANSWER--. Intravenous immunoglobulin
. Aspirin
1. The nurse is caring for a newborn diagnosed with an atrial septal defect (ASD).
The parents voice concern and state, "I can't believe this is happening. Will our
child be okay?" What is the nurse's best response?
a. "If the defect isn't treated it can cause problems such as pulmonary hypertension,
heart failure, atrial arrhythmias, or stroke."
b. "While each case is different, the majority of these defects correct on their own.
Let's see what the tests show, then speak with the healthcare provider."
c. "Since there are no symptoms being exhibited right now, your child will likely
not require surgery until the age of 3 years."
d. "Most children have no symptoms of this defect." - ANSWER--While each case
is different, the majority of these defects correct on their own. Let's see what the
tests show, then speak with the healthcare provider."
1. The nurse is taking a health history of an 11-year-old girl with recurrent
abdominal pain. Which response would lead the nurse to suspect irritable bowel
syndrome?
a. "I always feel better after I have a bowel movement."
b. "I don't take any medicine right now."
, NSG222 Paediatric Exam All Questions and Answers
Latest Version 2023
c. "The pain comes and goes."
d. "The pain doesn't wake me up in the middle of the night." - ANSWER--"I
always feel better after I have a bowel movement."
1. The nurse has developed a plan of care for a 12-month-old hospitalized with
dehydration as a result of rotavirus. Which intervention would the nurse include in
the plan of care?
a. Encouraging consumption of fruit juice
b. Offering Kool-Aid or popsicles as tolerated
c. Encouraging milk products to boost caloric intake
d. Maintaining the intravenous (IV) fluid rate as ordered - ANSWER--Maintaining
the intravenous (IV) fluid rate as ordered
1. The parents of a child diagnosed with celiac disease ask the nurse what types of
food they can offer their child. What recommendation would the nurse include in
the teaching plan?
a. Frozen yogurt
b. Rye bread
c. Creamed spinach
d. Fruit juice - ANSWER--Fruit juice
1. The nurse is providing care to a child with an intussusception. The child has a
bowel movement and the nurse inspects the stool. The nurse would most likely
document the stool's appearance as having what quality?
a. Greasy
b. Clay-colored
c. Currant jelly-like
, NSG222 Paediatric Exam All Questions and Answers
Latest Version 2023
d. Bloody - ANSWER--Currant jelly-like
1. The mother of a 3-week-old infant old brings her daughter in for an evaluation.
During the visit, the mother tells the nurse that her baby is spitting up after
feedings. Which response by the nurse would be most appropriate?
a. "We need to tell the healthcare provider about this."
b. "Infants this age commonly spit up."
c. "Your daughter might have an allergy."
d. "Don't worry; you're just feeding her too much." - ANSWER--"Infants this age
commonly spit up."
1. The parents of a 6-week-old boy come to the clinic for evaluation because the
infant has been vomiting. The parents report that the vomiting has been increasing
in frequency and forcefulness over the last week. The mother says, "Sometimes, it
seems like it just bursts out of his mouth." A diagnosis of hypertrophic pyloric
stenosis is suspected. When performing the physical examination, what would the
nurse most likely find?
a. Sausage-shaped mass in the upper mid-abdomen
b. Hard, moveable, olive-shaped mass in the right upper quadrant
c. Tenderness over the McBurney point in the right lower quadrant
d. Abdominal pain in the epigastric or umbilical region - ANSWER--Hard,
moveable, olive-shaped mass in the right upper quadrant
1. The mother of a child with end-stage renal disease asks the nurse why her son is
getting an injection of erythropoietin. When responding to the mother, the nurse
explains that the rationale is:
a. To treat low calcium levels
b. To stimulate growth in stature
, NSG222 Paediatric Exam All Questions and Answers
Latest Version 2023
c. To stimulate red blood cell growth
d. To correct acidosis - ANSWER--To stimulate red blood cell growth
1. After teaching the parents of a child with a hydrocele about this condition,
which statement indicates that the teaching was successful?
a. "If this gets worse and we don't treat it, our son could become infertile."
b. "This condition should gradually go away on its own."
c. "The surgeon is going to operate on him immediately."
d. "It's going to be difficult putting ice packs on his scrotum." - ANSWER--"This
condition should gradually go away on its own."
Scarlet fever - ANSWER--Scarlet fever is an infection resulting from group A
streptococci.
Penicillin and amoxicillin are the antibiotics of choice
When evaluating a child in an emergency situation, what are the 3 components of
the assessment? - ANSWER--What are Airway, Breathing, and Circulation?
Infants & small children are at risk for respiratory emergencies what reason? -
ANSWER--What are smaller airways, lack of coordination making them
susceptible to choking?
This is the most effective intervention to prevent nosocomial infection? -
ANSWER--Hand washing
Scarlet fever is caused by this organism? - ANSWER--What is group A
streptococci (group A beta-hemolytic strep)?
