NURS PEDS EXAM QUESTIONS WITH ANSWERS 2023 A+ GUARANTEED SUCCESS
100%
NURS PEDS EXAM QUESTIONS
WITH ANSWERS 2025 A+
GUARANTEED SUCCESS
Origin: Chapter 1, 1
Origin: Chapter 14, 9
1. The nurse is using the acronym QUESTT to assess the pain of a child.
Which is an accurate descriptor of this process?
A) Question the child's parents.
B) Understand the child's pain level.
C) Establish a caring relationship with the child.
D) Take the cause of pain into account when
intervening. Ans: D
Feedback:
The acronym QUESTT stands for the following: Question the child. Use a
reliable and valid pain scale. Evaluate the child's behavior and physiologic
changes to establish a baseline and determine the effectiveness of the
intervention. The child's behavior and motor activity may include irritability
and protection as well as withdrawal of the affected painful area. Secure the
parent's involvement. Take the cause of pain into account when intervening.
Take action.
Page 1
,NURS PEDS EXAM QUESTIONS WITH ANSWERS 2023 A+ GUARANTEED SUCCESS
100%
Origin: Chapter 14, 10
2. When the nurse is assessing a child's pain, which is most important?
A) Obtaining a pain rating from the child with each assessment
B) Using the same tool to assess the child's pain each time
C) Documenting the child's pain assessment
D) Asking the parents about the child's pain
tolerance Ans: B
Feedback:
Although obtaining a pain rating, documenting the assessment, and asking
the child's parents about the pain are important, the most important aspect
of pain assessment is to use the same tool each time so that appropriate
comparisons can be made and effective interventions can be planned and
implemented. Consistency allows the most accurate assessment of the
child's pain.
Origin: Chapter 14, 11
3. Which tool would be the least appropriate scale for the nurse to use when
assessing a 4- year-old child's pain?
A) FACES pain rating scale
B) Oucher pain rating scale
C) Poker chip tool
D) Numeric pain intensity
scale Ans: D
Feedback:
The numeric pain intensity scale can be used with children as young as 5
years of age, but the preferred minimum age for using this tool is 7 years.
The FACES and Oucher pain rating scales and the poker chip tool are
appropriate pain assessment tools for a 4- year-old.
Origin: Chapter 14, 12
4. The nurse uses the FLACC behavioral scale to assess a 6-year-old's level of
postoperative pain and obtains a score of 9. The nurse interprets this to
indicate that the child is experiencing:
A) little to no pain.
B) mild pain.
C) moderate pain.
D) severe pain.
Page 2
,NURS PEDS EXAM QUESTIONS WITH ANSWERS 2023 A+ GUARANTEED SUCCESS
100%
Ans: D
Feedback:
With the FLACC behavioral scale, five parameters are measured and scored as 0,
1, or
2. They are then totaled to achieve a maximum score of 10. The higher the
score, the greater the pain. A score of 9 indicates severe pain.
Origin: Chapter 14, 13
5. The nurse is assessing the pain of a postoperative newborn. The nurse
measures the infant's facial expression, body movement, sleep, verbal or
vocal ability, consolability, and response to movements and touch. Which
behavioral assessment tool is being used by the nurse?
A) Riley Infant Pain Scale
B) Pain Observation Scale for Young Children
C) CRIES Scale for Neonatal Postoperative Pain Assessment
D) FLACC Behavioral Scale for Postoperative Pain in Young
Children Ans: A
Feedback:
The Riley Infant Pain Scale measures six parameters: facial expression,
body movement, sleep, verbal or vocal ability, consolability, and response to
movements and touch. The Pain Observation Scale for Young Children
(POCIS) measures seven parameters: facial expression, cry, breathing, torso,
arms and fingers, legs and toes, and state of arousal. The CRIES tool
assesses five parameters: cry, oxygen required for saturation levels less
than 95%, increased vital signs, facial expression, and sleeplessness. The
FLACC tool measures five parameters: facial expression, legs, activity, cry,
and consolability.
Origin: Chapter 14, 14
6. The nurse tells a joke to a 12-year-old to distract him from a painful
procedure. What pain management technique is the nurse using?
A) Relaxation
B) Distraction
C) Imagery
D) Thought
stopping Ans: B
Page 3
, NURS PEDS EXAM QUESTIONS WITH ANSWERS 2023 A+ GUARANTEED SUCCESS
100%
Feedback:
Distraction involves having the child focus on another stimulus, thereby
attempting to shield him from pain. Humor has been demonstrated to be an
effective distracting technique for pain management.
Origin: Chapter 14, 15
7. The nurse is providing instructions to a mother on how to use thought
stopping to help her child deal with anxiety and fear associated with
frequent painful injections. Which statement indicates the mother
understands the technique?
A) "We will imagine that we are on the beach in Florida."
B) "We can talk about our favorite funny movie and laugh."
C) "She can let her body parts go limp, working from head to toe."
D) "We'll repeat 'quick stick, feel better, go home soon'
several times." Ans: D
Feedback:
Thought stopping is a technique that involves the use of short, concise
phrases of positive ideas. Doing so helps to promote the child's sense of
control. Imagining a favorite beach in Florida is using imagery. Talking about
a favorite funny movie involves humor. Letting body parts go limp is a
relaxation technique.
Origin: Chapter 14, 16
8. The student nurse is learning about the effects of heat and cold when
used in a pain management plan. What accurately describes one of
these effects?
A) Cold results in vasodilation.
B) Cold alters capillary permeability.
C) Heat results in vasoconstriction.
D) Heat decreases blood flow to the
area. Ans: B
Feedback:
Cold results in vasoconstriction and alters capillary permeability, leading to
a decrease in edema at the site of the injury. Heat results in vasodilation
and increases blood flow to the area.
Page 4
100%
NURS PEDS EXAM QUESTIONS
WITH ANSWERS 2025 A+
GUARANTEED SUCCESS
Origin: Chapter 1, 1
Origin: Chapter 14, 9
1. The nurse is using the acronym QUESTT to assess the pain of a child.
Which is an accurate descriptor of this process?
A) Question the child's parents.
B) Understand the child's pain level.
C) Establish a caring relationship with the child.
D) Take the cause of pain into account when
intervening. Ans: D
Feedback:
The acronym QUESTT stands for the following: Question the child. Use a
reliable and valid pain scale. Evaluate the child's behavior and physiologic
changes to establish a baseline and determine the effectiveness of the
intervention. The child's behavior and motor activity may include irritability
and protection as well as withdrawal of the affected painful area. Secure the
parent's involvement. Take the cause of pain into account when intervening.
Take action.
Page 1
,NURS PEDS EXAM QUESTIONS WITH ANSWERS 2023 A+ GUARANTEED SUCCESS
100%
Origin: Chapter 14, 10
2. When the nurse is assessing a child's pain, which is most important?
A) Obtaining a pain rating from the child with each assessment
B) Using the same tool to assess the child's pain each time
C) Documenting the child's pain assessment
D) Asking the parents about the child's pain
tolerance Ans: B
Feedback:
Although obtaining a pain rating, documenting the assessment, and asking
the child's parents about the pain are important, the most important aspect
of pain assessment is to use the same tool each time so that appropriate
comparisons can be made and effective interventions can be planned and
implemented. Consistency allows the most accurate assessment of the
child's pain.
Origin: Chapter 14, 11
3. Which tool would be the least appropriate scale for the nurse to use when
assessing a 4- year-old child's pain?
A) FACES pain rating scale
B) Oucher pain rating scale
C) Poker chip tool
D) Numeric pain intensity
scale Ans: D
Feedback:
The numeric pain intensity scale can be used with children as young as 5
years of age, but the preferred minimum age for using this tool is 7 years.
The FACES and Oucher pain rating scales and the poker chip tool are
appropriate pain assessment tools for a 4- year-old.
Origin: Chapter 14, 12
4. The nurse uses the FLACC behavioral scale to assess a 6-year-old's level of
postoperative pain and obtains a score of 9. The nurse interprets this to
indicate that the child is experiencing:
A) little to no pain.
B) mild pain.
C) moderate pain.
D) severe pain.
Page 2
,NURS PEDS EXAM QUESTIONS WITH ANSWERS 2023 A+ GUARANTEED SUCCESS
100%
Ans: D
Feedback:
With the FLACC behavioral scale, five parameters are measured and scored as 0,
1, or
2. They are then totaled to achieve a maximum score of 10. The higher the
score, the greater the pain. A score of 9 indicates severe pain.
Origin: Chapter 14, 13
5. The nurse is assessing the pain of a postoperative newborn. The nurse
measures the infant's facial expression, body movement, sleep, verbal or
vocal ability, consolability, and response to movements and touch. Which
behavioral assessment tool is being used by the nurse?
A) Riley Infant Pain Scale
B) Pain Observation Scale for Young Children
C) CRIES Scale for Neonatal Postoperative Pain Assessment
D) FLACC Behavioral Scale for Postoperative Pain in Young
Children Ans: A
Feedback:
The Riley Infant Pain Scale measures six parameters: facial expression,
body movement, sleep, verbal or vocal ability, consolability, and response to
movements and touch. The Pain Observation Scale for Young Children
(POCIS) measures seven parameters: facial expression, cry, breathing, torso,
arms and fingers, legs and toes, and state of arousal. The CRIES tool
assesses five parameters: cry, oxygen required for saturation levels less
than 95%, increased vital signs, facial expression, and sleeplessness. The
FLACC tool measures five parameters: facial expression, legs, activity, cry,
and consolability.
Origin: Chapter 14, 14
6. The nurse tells a joke to a 12-year-old to distract him from a painful
procedure. What pain management technique is the nurse using?
A) Relaxation
B) Distraction
C) Imagery
D) Thought
stopping Ans: B
Page 3
, NURS PEDS EXAM QUESTIONS WITH ANSWERS 2023 A+ GUARANTEED SUCCESS
100%
Feedback:
Distraction involves having the child focus on another stimulus, thereby
attempting to shield him from pain. Humor has been demonstrated to be an
effective distracting technique for pain management.
Origin: Chapter 14, 15
7. The nurse is providing instructions to a mother on how to use thought
stopping to help her child deal with anxiety and fear associated with
frequent painful injections. Which statement indicates the mother
understands the technique?
A) "We will imagine that we are on the beach in Florida."
B) "We can talk about our favorite funny movie and laugh."
C) "She can let her body parts go limp, working from head to toe."
D) "We'll repeat 'quick stick, feel better, go home soon'
several times." Ans: D
Feedback:
Thought stopping is a technique that involves the use of short, concise
phrases of positive ideas. Doing so helps to promote the child's sense of
control. Imagining a favorite beach in Florida is using imagery. Talking about
a favorite funny movie involves humor. Letting body parts go limp is a
relaxation technique.
Origin: Chapter 14, 16
8. The student nurse is learning about the effects of heat and cold when
used in a pain management plan. What accurately describes one of
these effects?
A) Cold results in vasodilation.
B) Cold alters capillary permeability.
C) Heat results in vasoconstriction.
D) Heat decreases blood flow to the
area. Ans: B
Feedback:
Cold results in vasoconstriction and alters capillary permeability, leading to
a decrease in edema at the site of the injury. Heat results in vasodilation
and increases blood flow to the area.
Page 4
