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