NUR2310C Pediatric Nursing
4.0 Credits
Complete Final Exam (Qns & Ans)
2025
Question 1 (Multiple Choice)
Case: A 4-month-old infant is admitted with viral bronchiolitis.
Nurses note increased work of breathing, intermittent
desaturation, and mild retractions.
Question: Which intervention is the most appropriate to
stabilize this infant’s respiratory status?
A. Immediate intubation and mechanical ventilation
B. Administration of high-flow nasal cannula oxygen
C. Nebulized beta-agonist therapy
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,D. Initiation of oral corticosteroids
Correct ANS: B. Administration of high-flow nasal cannula
oxygen
Rationale: High-flow nasal cannula oxygen improves
oxygenation by providing heated and humidified oxygen while
reducing the work of breathing. This noninvasive approach is
ideal for managing moderate bronchiolitis, whereas intubation is
reserved for more severe cases. Nebulized beta-agonists have not
shown consistent benefits, and corticosteroids are not routinely
indicated for viral bronchiolitis.
---
Question 2 (Fill in the Blank)
Statement:
In pediatric fluid management, the calculation of the maintenance
fluid rate is commonly based on the ______ rule .
Correct ANS: 4-2-1
Rationale: The 4-2-1 rule estimates maintenance fluid needs in
pediatric patients by assigning 4 mL/kg/hr for the first 10 kg of
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,body weight, 2 mL/kg/hr for the next 10 kg, and 1 mL/kg/hr for
each kilogram beyond 20 kg. This method helps ensure safe fluid
administration tailored to the child’s weight.
---
Question 3 (True/False)
Statement:
In pediatric patients, medication doses are typically calculated per
kilogram of body weight to ensure accuracy and safety.
Correct ANS: True
Rationale: Due to the differences in metabolism, organ
maturity, and body composition, pediatric dosing generally relies
on a weight-based approach. This ensures medications are given
within a safe therapeutic range for each individual child.
---
Question 4 (Multiple Response)
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, Case: A 10-year-old child with asthma is admitted for an
exacerbation. The nurse is tasked with evaluating the child's
response to therapy.
Question: Which of the following parameters should be
monitored to assess improvement? (Select all that apply.)
A. Peak expiratory flow rate (PEFR)
B. Respiratory rate
C. Blood pressure
D. Oxygen saturation
E. Blood glucose level
Correct ANSs: A, B, D
Rationale: Monitoring peak expiratory flow rate, respiratory
rate, and oxygen saturation provides direct information about
airway function and oxygenation. Blood pressure and blood
glucose levels are not primary indicators of asthma status.
---
Question 5 (Multiple Choice)
©2025
4.0 Credits
Complete Final Exam (Qns & Ans)
2025
Question 1 (Multiple Choice)
Case: A 4-month-old infant is admitted with viral bronchiolitis.
Nurses note increased work of breathing, intermittent
desaturation, and mild retractions.
Question: Which intervention is the most appropriate to
stabilize this infant’s respiratory status?
A. Immediate intubation and mechanical ventilation
B. Administration of high-flow nasal cannula oxygen
C. Nebulized beta-agonist therapy
©2025
,D. Initiation of oral corticosteroids
Correct ANS: B. Administration of high-flow nasal cannula
oxygen
Rationale: High-flow nasal cannula oxygen improves
oxygenation by providing heated and humidified oxygen while
reducing the work of breathing. This noninvasive approach is
ideal for managing moderate bronchiolitis, whereas intubation is
reserved for more severe cases. Nebulized beta-agonists have not
shown consistent benefits, and corticosteroids are not routinely
indicated for viral bronchiolitis.
---
Question 2 (Fill in the Blank)
Statement:
In pediatric fluid management, the calculation of the maintenance
fluid rate is commonly based on the ______ rule .
Correct ANS: 4-2-1
Rationale: The 4-2-1 rule estimates maintenance fluid needs in
pediatric patients by assigning 4 mL/kg/hr for the first 10 kg of
©2025
,body weight, 2 mL/kg/hr for the next 10 kg, and 1 mL/kg/hr for
each kilogram beyond 20 kg. This method helps ensure safe fluid
administration tailored to the child’s weight.
---
Question 3 (True/False)
Statement:
In pediatric patients, medication doses are typically calculated per
kilogram of body weight to ensure accuracy and safety.
Correct ANS: True
Rationale: Due to the differences in metabolism, organ
maturity, and body composition, pediatric dosing generally relies
on a weight-based approach. This ensures medications are given
within a safe therapeutic range for each individual child.
---
Question 4 (Multiple Response)
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, Case: A 10-year-old child with asthma is admitted for an
exacerbation. The nurse is tasked with evaluating the child's
response to therapy.
Question: Which of the following parameters should be
monitored to assess improvement? (Select all that apply.)
A. Peak expiratory flow rate (PEFR)
B. Respiratory rate
C. Blood pressure
D. Oxygen saturation
E. Blood glucose level
Correct ANSs: A, B, D
Rationale: Monitoring peak expiratory flow rate, respiratory
rate, and oxygen saturation provides direct information about
airway function and oxygenation. Blood pressure and blood
glucose levels are not primary indicators of asthma status.
---
Question 5 (Multiple Choice)
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