Pediatric Nursing Practice Questions with
Answers for 2024 Students
An 18-Month-Old is discharged from the hospital after having a febrile seizure
secondary to exanthema jubatum (Rosella). On discharge, the mother asks the nurse if
her 6-year-old twins will get sick. Which teaching about the transmission of rosella
would be most accurate?
1. The child should be isolated at home until the vesicles have dried.
2. The child does not need to be isolated from the older siblings.
3. Administer acetaminophen to the older siblings to prevent seizures.
4. Monitor older children for seizure development. - Correct Answer . 2. The route of
rosella transmission is unknown, and the disease is more commonly seen in children 6
months to 3 years of age, so siblings do not need to be isolated.
Which would be the priority intervention for a child suspected of having varicella
(chickenpox)?
1. Contact Precautions
2. Contact and Droplet Respiratory Precautions?
3. Droplet respiratory precautions?
4. Universal Precautions and standard precautions. - Correct Answer 2. Varicella
(Chickenpox) is highly contagious. Contact & Droplet respiratory precautions should be
started immediately because the primary source of transmission is secretions of the
respiratory tract (droplet) and also by contaminated objects.
Galadriel - Correct Answer A lotion containing diphenhydramine. Should not be applied
if child has already been given Benadryl (diphenhydramine) because it can cause
toxicity.
Which sass would the nurse expect with rheumatic fever?
1. Ankle and Knee Joint Pain.
2. Negative group A beta strep culture.
3. Large, red "bulls eye" - appearing rash.
4. stiff neck with photophobia. - Correct Answer Ankle and knee joint pain.
,The parents of a 12-month old with HIV are concerned about him receiving routine
immunizations. What will the nurse tell them about immunizations? - Correct Answer
"You are concerned about your child receiving immunizations. Let me explain why your
child will NOT receive routine immunizations today"
The nurse acknowledges a client's fears and then discusses the concerns to clarify any
misconceptions. Immunizations and influenza vaccine are recommended to prevent
infection. Immunocompromised HIV-infected children should not receive MMR and
varicella live vaccines.
Nursing Assessment suspects the newborn has cystic fibrosis. Which interventions
would the nurse begin.
1. Observe frequency and nature of stools.
2. Provide Chest PT
3. Observe for weight gain.
4. Assess parent's compliance with fluid restrictions.
5. Assess respiratory system frequently. - Correct Answer 1 & 3
Cystic fibrosis is an inherited autosomal trait, causing exocrine gland dysfunction. 7-
10% present meconium ileus, so assessing stool frequency and consistency is
important.
Assessing weight is important in newborns because they lose up to 10% of their birth
weight, and can take 2 weeks for them to regain their birth weight.
Assessing the newborn's respiratory system frequently would be monitored as
frequently as other infants if the newborn has no respiratory symptoms. Chest PT would
not be initiated in a newborn without a definitive diagnosis.
Can a mother breastfeed their infant if they have PKU? - Correct Answer Yes. Breast
milk has low amounts of phenylalanine, so the mother can breast as long as the infants
phenylalanine level is monitored.
Vaccines given routinely at 15 months. - Correct Answer Hob & Dap
Which priority intervention for the newborn of a mother positive for hepatitis antigen? -
Correct Answer The newborn should receive both hepatitis B vaccine and hepatitis B
immune globulin within 12 hours of birth to prevent hepatitis B infection.
signs of intussusception - Correct Answer bloody stools or "currant jelly stools",
diarrhea, Large palpable sausage shaped mass in the abdomen, abdominal distention,
grunting, dehydration Fever, and pain (legs pulled towards abdomen)!
Flat Ribbon Stools indicate - Correct Answer Hirsch sprung Disease
, Treatment for Intussusception - Correct Answer Barium or air enema
Nursing Care for Intussusception - Correct Answer Document I & O
Monitor for peritonitis & perforation
Monitor and record stools
Biggest complications of Intussusception - Correct Answer Peritonitis and Perforation
Risk factors for intussusception - Correct Answer Cystic Fibrosis
Ages 3 months to 3 years old.
Complication of Mal-Rotation & Volvulus - Correct Answer Pain related to rotation of
intestines around the mesenteric artery can cut off circulation, leading to potential septic
intestinal necrosis.
Which pediatric GI disorder presents with green bilious vomiting? - Correct Answer
Mal-Rotation and Volvulus
GI disorders that present with bloody stools? - Correct Answer Mal-Rotation/Volvulus
& Intussusception.
Obstructive GI disorders where a palpated sausage shaped mass is felt on the
abdomen. - Correct Answer Mal-Rotation and Volvulus. Symptoms for these disorders
are similar but Mal-Rotation requires surgical intervention.
Preoperative care for Mal-Rotation/Volvulus - Correct Answer Hydration, IV antibiotics,
NG tube.
Post-Operative Care for Intussusception - Correct Answer Bowel sounds should return
in four hours, progressive diet, hydration.
Priority nursing diagnosis for intussusception - Correct Answer Acute Pain!
Which response about safety measures is the most appropriate advice for the 2 year
Old’s mother who had her older home remodeled to reduce the lead level? Select all
that apply.
1. Wash & dry the child's hands and face before he eats.
2. it is best to use cold water to prepare the child's food to decrease lead level.
3. diet does not matter in reduce lead levels in the child.
4. Drinking two cups of milk per day helps decrease lead levels. - Correct Answer 1 &
3. Washing and drying hands and face especially before eating, decreases lead
ingestion. Hot water absorbs more lead readily than hot water. Diet does matter; regular
meals, adequate iron and calcium, and less fat help the child absorb less lead. Drinking
2 cups of milk per day is important for children but does not help decrease lead level.
Answers for 2024 Students
An 18-Month-Old is discharged from the hospital after having a febrile seizure
secondary to exanthema jubatum (Rosella). On discharge, the mother asks the nurse if
her 6-year-old twins will get sick. Which teaching about the transmission of rosella
would be most accurate?
1. The child should be isolated at home until the vesicles have dried.
2. The child does not need to be isolated from the older siblings.
3. Administer acetaminophen to the older siblings to prevent seizures.
4. Monitor older children for seizure development. - Correct Answer . 2. The route of
rosella transmission is unknown, and the disease is more commonly seen in children 6
months to 3 years of age, so siblings do not need to be isolated.
Which would be the priority intervention for a child suspected of having varicella
(chickenpox)?
1. Contact Precautions
2. Contact and Droplet Respiratory Precautions?
3. Droplet respiratory precautions?
4. Universal Precautions and standard precautions. - Correct Answer 2. Varicella
(Chickenpox) is highly contagious. Contact & Droplet respiratory precautions should be
started immediately because the primary source of transmission is secretions of the
respiratory tract (droplet) and also by contaminated objects.
Galadriel - Correct Answer A lotion containing diphenhydramine. Should not be applied
if child has already been given Benadryl (diphenhydramine) because it can cause
toxicity.
Which sass would the nurse expect with rheumatic fever?
1. Ankle and Knee Joint Pain.
2. Negative group A beta strep culture.
3. Large, red "bulls eye" - appearing rash.
4. stiff neck with photophobia. - Correct Answer Ankle and knee joint pain.
,The parents of a 12-month old with HIV are concerned about him receiving routine
immunizations. What will the nurse tell them about immunizations? - Correct Answer
"You are concerned about your child receiving immunizations. Let me explain why your
child will NOT receive routine immunizations today"
The nurse acknowledges a client's fears and then discusses the concerns to clarify any
misconceptions. Immunizations and influenza vaccine are recommended to prevent
infection. Immunocompromised HIV-infected children should not receive MMR and
varicella live vaccines.
Nursing Assessment suspects the newborn has cystic fibrosis. Which interventions
would the nurse begin.
1. Observe frequency and nature of stools.
2. Provide Chest PT
3. Observe for weight gain.
4. Assess parent's compliance with fluid restrictions.
5. Assess respiratory system frequently. - Correct Answer 1 & 3
Cystic fibrosis is an inherited autosomal trait, causing exocrine gland dysfunction. 7-
10% present meconium ileus, so assessing stool frequency and consistency is
important.
Assessing weight is important in newborns because they lose up to 10% of their birth
weight, and can take 2 weeks for them to regain their birth weight.
Assessing the newborn's respiratory system frequently would be monitored as
frequently as other infants if the newborn has no respiratory symptoms. Chest PT would
not be initiated in a newborn without a definitive diagnosis.
Can a mother breastfeed their infant if they have PKU? - Correct Answer Yes. Breast
milk has low amounts of phenylalanine, so the mother can breast as long as the infants
phenylalanine level is monitored.
Vaccines given routinely at 15 months. - Correct Answer Hob & Dap
Which priority intervention for the newborn of a mother positive for hepatitis antigen? -
Correct Answer The newborn should receive both hepatitis B vaccine and hepatitis B
immune globulin within 12 hours of birth to prevent hepatitis B infection.
signs of intussusception - Correct Answer bloody stools or "currant jelly stools",
diarrhea, Large palpable sausage shaped mass in the abdomen, abdominal distention,
grunting, dehydration Fever, and pain (legs pulled towards abdomen)!
Flat Ribbon Stools indicate - Correct Answer Hirsch sprung Disease
, Treatment for Intussusception - Correct Answer Barium or air enema
Nursing Care for Intussusception - Correct Answer Document I & O
Monitor for peritonitis & perforation
Monitor and record stools
Biggest complications of Intussusception - Correct Answer Peritonitis and Perforation
Risk factors for intussusception - Correct Answer Cystic Fibrosis
Ages 3 months to 3 years old.
Complication of Mal-Rotation & Volvulus - Correct Answer Pain related to rotation of
intestines around the mesenteric artery can cut off circulation, leading to potential septic
intestinal necrosis.
Which pediatric GI disorder presents with green bilious vomiting? - Correct Answer
Mal-Rotation and Volvulus
GI disorders that present with bloody stools? - Correct Answer Mal-Rotation/Volvulus
& Intussusception.
Obstructive GI disorders where a palpated sausage shaped mass is felt on the
abdomen. - Correct Answer Mal-Rotation and Volvulus. Symptoms for these disorders
are similar but Mal-Rotation requires surgical intervention.
Preoperative care for Mal-Rotation/Volvulus - Correct Answer Hydration, IV antibiotics,
NG tube.
Post-Operative Care for Intussusception - Correct Answer Bowel sounds should return
in four hours, progressive diet, hydration.
Priority nursing diagnosis for intussusception - Correct Answer Acute Pain!
Which response about safety measures is the most appropriate advice for the 2 year
Old’s mother who had her older home remodeled to reduce the lead level? Select all
that apply.
1. Wash & dry the child's hands and face before he eats.
2. it is best to use cold water to prepare the child's food to decrease lead level.
3. diet does not matter in reduce lead levels in the child.
4. Drinking two cups of milk per day helps decrease lead levels. - Correct Answer 1 &
3. Washing and drying hands and face especially before eating, decreases lead
ingestion. Hot water absorbs more lead readily than hot water. Diet does matter; regular
meals, adequate iron and calcium, and less fat help the child absorb less lead. Drinking
2 cups of milk per day is important for children but does not help decrease lead level.
