NRSG 421 PEDIATRICS EXAM QUESTIONS AND ANSWERS(V
u u u u u u u
ERIFIED AND WELL DETAILED ANSWERS) LATEST UPDATE 2
u u u u u u u
024/2025
What age group is most likely to view illness and hospitalization as a punishment?
u u u u u u u u u u u u u
- CORRECT ANSWER preschoolers
u u u
Parents bring 7 year old son in to the ER for what appeared to be a febrile seizurel The
u u u u u u u u u u u u u u u u u u
uparents gave their son the correct dosage of Tylenol 3 hours prior to coming into hosp
u u u u u u u u u u u u u u u u
ital. After orders from MRP, what is the best action? -
u u u u u u u u u u
uCORRECT ANSWER give the ordered Advil doses
u u u u u u
T/F Systematically rotate injection sites for insulin for diabetes -
u u u u u u u u u
CORRECTANSWER T
u u u
What age can babies first eat sweetened food and sugar? - CORRECT ANSWER
u u u u u u u u u u u u
12 months
u
When a mother asks the nurse when she should start giving her infant solid foods,the
u u u u u u u u u u u u u u u
nurse should instruct her to introduce which solid food first? -
u u u u u u u u u u u
CORRECT ANSWER rice cereal
u u u u
T/F Children are more likely to have ruptured appendix - CORRECT ANSWER
u u u u u u u u u u u
T
,Which is best method for nurse to perform physical assessment on an 18 month old(to
u u u u u u u u u u u u u u u
ddler) - CORRECT ANSWER Least to most invasive
u u u u u u u
What age should children be able to sit unsupported? - CORRECT ANSWER 3-
u u u u u u u u u u u u
4months
u
What age should babies be eating solid food? - CORRECT ANSWER 6 months
u u u u u u u u u u u u
9 year old patient waiting for appendectomy at noon/ Your AM assessment findingssh
u u u u u u u u u u u u u
ow HR130, RR30, T39.2, and 8/10 on FACES scale and states "my tummy hurtsmore
u u u u u u u u u u u u u u u
than last night? What do you suspect the patient most likely has? -
u u u u u u u u u u u u
CORRECT ANSWER peritonitis u u
What is most common IV fluid ordered for a child with appendicitis? Why? -
u u u u u u u u u u u u u
CORRECT ANSWER D5NS u u
sugar helps because of increased metabolism in children
u u u u u u u
Which respiratory condition is always considered a medical emergency? What kindof
u u u u u u u u u u u u
condition is it? - CORRECT ANSWER epiglottitis
u u u u u u
higher up airway condition u u u
T/F Always consider ABC and what is normal for that condition -
u u u u u u u u u u u
CORRECTANSWER T
u u u
Sudden Infant Death Syndrome (SIDS) teaching
u u u u u u
Baby should always be put on
u u u u u uu
If swaddling, use
u u blanket or sleep u u uu
Toys, stuffies, and pillows are not recommended until at least
u u u u u u u u u months
,Best to room share with baby in their own sleeping area (crib, bassinet) for
u u u u u u u u u u u u u
u months
If smoking, avoid smoking in
u u u u -
u CORRECT ANSWER backvelcro, sack u u u u
12
4
house
4 types of indrawing for babies -
u u u u u u
CORRECT ANSWER Supersternal, substernal,subcostal, intercostal
u u u u u u
When should kids take rescue inhaler for sports? -
u u u u u u u u
CORRECT ANSWER beforeand during sometimes
u u u u u u
8 S/S of appendicitis -
u u u u
u CORRECT ANSWER RLQ painguarding u u u u
rebound tenderness u u
low grade fever dia
u u u
rrhea
chills dist u
ension
vomiting/nausea
*What is first intervention for diabetic ketoacidosis (DKA) protocol? -
u u u u u u u u u
CORRECT ANSWER fluids first
u u u u
*6 steps of DKA protocol - CORRECT ANSWER assess neurovitals
u u u u u u u u u
, insert IV u
rapid fluid resuscitation
u u
stabilize fluid and electrolytes with NS and KClst
u u u u u u u u
art 3 bug system
u u u
start SQ insulin when stable
u u u u
What is 3 bag system for DKA? -
u u u u u u u
CORRECT ANSWER glucoseNS with potassium
u u u u u u
insulin
What is defining feature of sepsis? - CORRECT ANSWER Lactate acid levels
u u u u u u u u u u u
T/F Use simple language and understanding when talking to children -
u u u u u u u u u u
CORRECT ANSWER T
u u u
Fears of infants (0-12 months) (6) -
u u u u u u
CORRECT ANSWER loss of supportseparation anxiety
u u u u u u u
strangers b u
right lightlu u
oud noise
u
sudden movement u
T/F Toddlers can conceptualize punishments -
u u u u u
CORRECT ANSWER F, don'ttypically work until 2-3 years old
u u u u u u u u u u
Fears of toddlers (3) - CORRECT ANSWER strangers
u u u u u u u
u u u u u u u
ERIFIED AND WELL DETAILED ANSWERS) LATEST UPDATE 2
u u u u u u u
024/2025
What age group is most likely to view illness and hospitalization as a punishment?
u u u u u u u u u u u u u
- CORRECT ANSWER preschoolers
u u u
Parents bring 7 year old son in to the ER for what appeared to be a febrile seizurel The
u u u u u u u u u u u u u u u u u u
uparents gave their son the correct dosage of Tylenol 3 hours prior to coming into hosp
u u u u u u u u u u u u u u u u
ital. After orders from MRP, what is the best action? -
u u u u u u u u u u
uCORRECT ANSWER give the ordered Advil doses
u u u u u u
T/F Systematically rotate injection sites for insulin for diabetes -
u u u u u u u u u
CORRECTANSWER T
u u u
What age can babies first eat sweetened food and sugar? - CORRECT ANSWER
u u u u u u u u u u u u
12 months
u
When a mother asks the nurse when she should start giving her infant solid foods,the
u u u u u u u u u u u u u u u
nurse should instruct her to introduce which solid food first? -
u u u u u u u u u u u
CORRECT ANSWER rice cereal
u u u u
T/F Children are more likely to have ruptured appendix - CORRECT ANSWER
u u u u u u u u u u u
T
,Which is best method for nurse to perform physical assessment on an 18 month old(to
u u u u u u u u u u u u u u u
ddler) - CORRECT ANSWER Least to most invasive
u u u u u u u
What age should children be able to sit unsupported? - CORRECT ANSWER 3-
u u u u u u u u u u u u
4months
u
What age should babies be eating solid food? - CORRECT ANSWER 6 months
u u u u u u u u u u u u
9 year old patient waiting for appendectomy at noon/ Your AM assessment findingssh
u u u u u u u u u u u u u
ow HR130, RR30, T39.2, and 8/10 on FACES scale and states "my tummy hurtsmore
u u u u u u u u u u u u u u u
than last night? What do you suspect the patient most likely has? -
u u u u u u u u u u u u
CORRECT ANSWER peritonitis u u
What is most common IV fluid ordered for a child with appendicitis? Why? -
u u u u u u u u u u u u u
CORRECT ANSWER D5NS u u
sugar helps because of increased metabolism in children
u u u u u u u
Which respiratory condition is always considered a medical emergency? What kindof
u u u u u u u u u u u u
condition is it? - CORRECT ANSWER epiglottitis
u u u u u u
higher up airway condition u u u
T/F Always consider ABC and what is normal for that condition -
u u u u u u u u u u u
CORRECTANSWER T
u u u
Sudden Infant Death Syndrome (SIDS) teaching
u u u u u u
Baby should always be put on
u u u u u uu
If swaddling, use
u u blanket or sleep u u uu
Toys, stuffies, and pillows are not recommended until at least
u u u u u u u u u months
,Best to room share with baby in their own sleeping area (crib, bassinet) for
u u u u u u u u u u u u u
u months
If smoking, avoid smoking in
u u u u -
u CORRECT ANSWER backvelcro, sack u u u u
12
4
house
4 types of indrawing for babies -
u u u u u u
CORRECT ANSWER Supersternal, substernal,subcostal, intercostal
u u u u u u
When should kids take rescue inhaler for sports? -
u u u u u u u u
CORRECT ANSWER beforeand during sometimes
u u u u u u
8 S/S of appendicitis -
u u u u
u CORRECT ANSWER RLQ painguarding u u u u
rebound tenderness u u
low grade fever dia
u u u
rrhea
chills dist u
ension
vomiting/nausea
*What is first intervention for diabetic ketoacidosis (DKA) protocol? -
u u u u u u u u u
CORRECT ANSWER fluids first
u u u u
*6 steps of DKA protocol - CORRECT ANSWER assess neurovitals
u u u u u u u u u
, insert IV u
rapid fluid resuscitation
u u
stabilize fluid and electrolytes with NS and KClst
u u u u u u u u
art 3 bug system
u u u
start SQ insulin when stable
u u u u
What is 3 bag system for DKA? -
u u u u u u u
CORRECT ANSWER glucoseNS with potassium
u u u u u u
insulin
What is defining feature of sepsis? - CORRECT ANSWER Lactate acid levels
u u u u u u u u u u u
T/F Use simple language and understanding when talking to children -
u u u u u u u u u u
CORRECT ANSWER T
u u u
Fears of infants (0-12 months) (6) -
u u u u u u
CORRECT ANSWER loss of supportseparation anxiety
u u u u u u u
strangers b u
right lightlu u
oud noise
u
sudden movement u
T/F Toddlers can conceptualize punishments -
u u u u u
CORRECT ANSWER F, don'ttypically work until 2-3 years old
u u u u u u u u u u
Fears of toddlers (3) - CORRECT ANSWER strangers
u u u u u u u
