Maternal child nursing Exam 2025–2026
Accurate Real Exam Questions and Verified
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Q1. A 10-year-old child with asthma is treated for acute exacerbation in the emergency department. The
nurse caring for the child should monitor for which sign, knowing that it indicates a worsening of the
condition?
1. Warm, dry skin
2. Decreased wheezing*
3. Pulse rate of 90 beats/minute
4. Respirations of 18 breaths/minute - answer>>>2. Decreased wheezing*
* Decreased wheezing in a child with asthma may be interpreted incorrectly as an improving sign when
it may actually signal an inability to move air. "A silence chest" is a worsening sign during an asthma
episode. With treatment, increased wheezing actually may signal that the child's condition is improving
Q2. The mother of an 8-year-old child being treated for right lower lobe pneumonia at home calls the
clinic nurse. The mother tells the nurse that the child complains of discomfort on the right side and that
ibuprofen (Motrin IB) is not effective. Which instruction should the nurse provide to the mother?
1. Increase the dose of ibuprofen.
2. Increase the frequency of ibuprofen.
3. Encourage the child to lie on the left side.
4. Encourage the child to lie on the right side. - answer>>>4. Encourage the child to lie on the right side.
（on the affected side）
Q3. A new parent expresses concern to the nurse regarding sudden infant death syndrome (SIDS). She
asks the nurse how to position her new infant for sleep. In which position should the nurse tell the
parent to place the infant?
1. Side or prone
2. Back or prone
3. Stomach with the face turned
4. Back rather than on the stomach - answer>>>4. Back rather than on the stomach
,Q4. The clinic nurse is providing instructions to a parent of a child with cystic fibrosis regarding the
immunization schedule for the child. Which statement should the nurse make to the parent?
1. "The immunization schedule will need to be altered."
2. "The child should not receive any hepatitis vaccines. "
3. "The child will receive all the immunizations except for the polio series."
4. "The child will receive the recommended basic series of immunizations along with a yearly influenza
vaccination." - answer>>>4. "The child will receive the recommended basic series of immunizations
along with a yearly influenza vaccination."
Q5. The emergency department nurse is caring for a child diagnosed with epiglottitis. In assessing the
child, the nurse should monitor for which indication that the child may be experiencing airway
obstruction?
1. The child exhibits nasal flaring and bradycardia.
2. The child is leaning forward, with the chin thrust out.
3. The child has a low-grade fever and complains of a sore throat.
4. The child is leaning backward, supporting himself or herself with the hands and arms. - answer>>>2.
The child is leaning forward, with the chin thrust out. (Tripod position)
Q6. A child with laryngotracheobronchitis (croup) is placed in a cool mist tent. The mother becomes
concerned because the child is frightened, consistently crying and trying to climb out of the tent. Which
is the most appropriate nursing action?
1. Tell the mother that the child must stay in the tent.
2. Place a toy in the tent to make the child feel more comfortable.
3. Call the health care provider and obtain a prescription for a mild sedative. 4. Let the mother hold the
child and direct the cool mist over the child's face. - answer>>>4. Let the mother hold the child and
direct the cool mist over the child's face.
Q7. The clinic nurse reads the results of a tuberculin skin test (TST) on a 3-year-old child. The results
indicate an area of induration measuring 10 mm. The nurse should interpret these results as which
finding?
1. Positive
2. Negative
3. Inconclusive
4. Definitive and requiring a repeat test - answer>>>1. Positive
,Q8. The mother of a hospitalized 2-year-old child with viral laryngotracheobronchitis (croup) asks the
nurse why the health care provider did not prescribe antibiotics. Which response should the nurse
make?
1. "The child may be allergic to antibiotics."
2. "The child is too young to receive antibiotics."
3. "Antibiotics are not indicated unless a bacterial infection is present."
4. "The child still has the maternal antibodies from birth and does not need antibiotics." - answer>>>3.
"Antibiotics are not indicated unless a bacterial infection is present."
Q9. The nurse is caring for an infant with bronchiolitis, and diagnostic tests have confirmed respiratory
syncytial virus (RSV). On the basis of this finding, which is the most appropriate nursing action?
1. Initiate strict enteric precautions.
2. Move the infant to a room with another child with RSV. *
3. Leave the infant in the present room because RSV is not contagious.
4. Inform the staff that they must wear a mask, gloves, and a gown when caring for the child. -
answer>>>2. Move the infant to a room with another child with RSV.*
*RSV is a highly communicable disorder and is not transmitted via the airborne route. The virus usually
is transferred by the hands so use of contact and standard precautions during care is necessary. Using
good hand washing techniques and wearing gloves and gowns are also necessary. Masks are not
required. An infant with RSV is isolated in a single room or placed in a room with another child with RSV.
Q10. The nurse is preparing for the admission of an infant with a diagnosis of bronchiolitis caused by
respiratory syncytial virus (RSV). Which interventions should the nurse include in the plan of care? Select
all that apply.
1. Place the infant in a private room.
2. Ensure that the infant's head is in a flexed position.
3. Wear a mask at all times when in contact with the infant.
4. Place the infant in a tent that delivers warm humidified air.
5. Position the infant on the side, with the head lower than the chest.
6. Ensure that nurses caring for the infant with RSV do not care for other high-risk children -
answer>>>1. Place the infant in a private room.
6. Ensure that nurses caring for the infant with RSV do not care for other high-risk children
, Q1. The nurse is monitoring an infant with congenital heart disease closely for signs of heart failure (HF).
The nurse should assess the infant for which early sign of HF?
1. Pallor
2. Cough
3. Tachycardia
4. Slow and shallow breathing - answer>>>3. Tachycardia
1.2.4-late sign of HF
Q2. The nurse reviews the laboratory results for a child with a suspected diagnosis of rheumatic fever,
knowing that which laboratory study would assist in confirming the diagnosis?
1. Immunoglobulin
2. Red blood cell count
3. White blood cell count
4. Anti-streptolysin O titer - answer>>>4. Anti-streptolysin O titer
Q3. On assessment of a child admitted with a diagnosis of acute-stage Kawasaki disease, the nurse
expects to note which clinical manifestation of the acute stage of the disease?
1. Cracked lips
2. Normal appearance
3. Conjunctival hyperemia
4. Desquamation of the skin - answer>>>3. Conjunctival hyperemia
Q4. The nurse provides home care instructions to the parents of a child with heart failure regarding the
procedure for administration of digoxin (Lanoxin). Which statement made by the parent indicates the
need for further instruction?
1. "I will not mix the medication with food."
2. "I will take my child's pulse before administering the medication."
3. "If more than one dose is missed, I will call the health care provider."
4. "If my child vomits after medication administration, I will repeat the dose." - answer>>>4. "If my child
vomits after medication administration, I will repeat the dose."
DO NOT MIX MEDICATION WITH FOOD TO KIDS
Accurate Real Exam Questions and Verified
Correct Answers JUST RELEASED
Q1. A 10-year-old child with asthma is treated for acute exacerbation in the emergency department. The
nurse caring for the child should monitor for which sign, knowing that it indicates a worsening of the
condition?
1. Warm, dry skin
2. Decreased wheezing*
3. Pulse rate of 90 beats/minute
4. Respirations of 18 breaths/minute - answer>>>2. Decreased wheezing*
* Decreased wheezing in a child with asthma may be interpreted incorrectly as an improving sign when
it may actually signal an inability to move air. "A silence chest" is a worsening sign during an asthma
episode. With treatment, increased wheezing actually may signal that the child's condition is improving
Q2. The mother of an 8-year-old child being treated for right lower lobe pneumonia at home calls the
clinic nurse. The mother tells the nurse that the child complains of discomfort on the right side and that
ibuprofen (Motrin IB) is not effective. Which instruction should the nurse provide to the mother?
1. Increase the dose of ibuprofen.
2. Increase the frequency of ibuprofen.
3. Encourage the child to lie on the left side.
4. Encourage the child to lie on the right side. - answer>>>4. Encourage the child to lie on the right side.
（on the affected side）
Q3. A new parent expresses concern to the nurse regarding sudden infant death syndrome (SIDS). She
asks the nurse how to position her new infant for sleep. In which position should the nurse tell the
parent to place the infant?
1. Side or prone
2. Back or prone
3. Stomach with the face turned
4. Back rather than on the stomach - answer>>>4. Back rather than on the stomach
,Q4. The clinic nurse is providing instructions to a parent of a child with cystic fibrosis regarding the
immunization schedule for the child. Which statement should the nurse make to the parent?
1. "The immunization schedule will need to be altered."
2. "The child should not receive any hepatitis vaccines. "
3. "The child will receive all the immunizations except for the polio series."
4. "The child will receive the recommended basic series of immunizations along with a yearly influenza
vaccination." - answer>>>4. "The child will receive the recommended basic series of immunizations
along with a yearly influenza vaccination."
Q5. The emergency department nurse is caring for a child diagnosed with epiglottitis. In assessing the
child, the nurse should monitor for which indication that the child may be experiencing airway
obstruction?
1. The child exhibits nasal flaring and bradycardia.
2. The child is leaning forward, with the chin thrust out.
3. The child has a low-grade fever and complains of a sore throat.
4. The child is leaning backward, supporting himself or herself with the hands and arms. - answer>>>2.
The child is leaning forward, with the chin thrust out. (Tripod position)
Q6. A child with laryngotracheobronchitis (croup) is placed in a cool mist tent. The mother becomes
concerned because the child is frightened, consistently crying and trying to climb out of the tent. Which
is the most appropriate nursing action?
1. Tell the mother that the child must stay in the tent.
2. Place a toy in the tent to make the child feel more comfortable.
3. Call the health care provider and obtain a prescription for a mild sedative. 4. Let the mother hold the
child and direct the cool mist over the child's face. - answer>>>4. Let the mother hold the child and
direct the cool mist over the child's face.
Q7. The clinic nurse reads the results of a tuberculin skin test (TST) on a 3-year-old child. The results
indicate an area of induration measuring 10 mm. The nurse should interpret these results as which
finding?
1. Positive
2. Negative
3. Inconclusive
4. Definitive and requiring a repeat test - answer>>>1. Positive
,Q8. The mother of a hospitalized 2-year-old child with viral laryngotracheobronchitis (croup) asks the
nurse why the health care provider did not prescribe antibiotics. Which response should the nurse
make?
1. "The child may be allergic to antibiotics."
2. "The child is too young to receive antibiotics."
3. "Antibiotics are not indicated unless a bacterial infection is present."
4. "The child still has the maternal antibodies from birth and does not need antibiotics." - answer>>>3.
"Antibiotics are not indicated unless a bacterial infection is present."
Q9. The nurse is caring for an infant with bronchiolitis, and diagnostic tests have confirmed respiratory
syncytial virus (RSV). On the basis of this finding, which is the most appropriate nursing action?
1. Initiate strict enteric precautions.
2. Move the infant to a room with another child with RSV. *
3. Leave the infant in the present room because RSV is not contagious.
4. Inform the staff that they must wear a mask, gloves, and a gown when caring for the child. -
answer>>>2. Move the infant to a room with another child with RSV.*
*RSV is a highly communicable disorder and is not transmitted via the airborne route. The virus usually
is transferred by the hands so use of contact and standard precautions during care is necessary. Using
good hand washing techniques and wearing gloves and gowns are also necessary. Masks are not
required. An infant with RSV is isolated in a single room or placed in a room with another child with RSV.
Q10. The nurse is preparing for the admission of an infant with a diagnosis of bronchiolitis caused by
respiratory syncytial virus (RSV). Which interventions should the nurse include in the plan of care? Select
all that apply.
1. Place the infant in a private room.
2. Ensure that the infant's head is in a flexed position.
3. Wear a mask at all times when in contact with the infant.
4. Place the infant in a tent that delivers warm humidified air.
5. Position the infant on the side, with the head lower than the chest.
6. Ensure that nurses caring for the infant with RSV do not care for other high-risk children -
answer>>>1. Place the infant in a private room.
6. Ensure that nurses caring for the infant with RSV do not care for other high-risk children
, Q1. The nurse is monitoring an infant with congenital heart disease closely for signs of heart failure (HF).
The nurse should assess the infant for which early sign of HF?
1. Pallor
2. Cough
3. Tachycardia
4. Slow and shallow breathing - answer>>>3. Tachycardia
1.2.4-late sign of HF
Q2. The nurse reviews the laboratory results for a child with a suspected diagnosis of rheumatic fever,
knowing that which laboratory study would assist in confirming the diagnosis?
1. Immunoglobulin
2. Red blood cell count
3. White blood cell count
4. Anti-streptolysin O titer - answer>>>4. Anti-streptolysin O titer
Q3. On assessment of a child admitted with a diagnosis of acute-stage Kawasaki disease, the nurse
expects to note which clinical manifestation of the acute stage of the disease?
1. Cracked lips
2. Normal appearance
3. Conjunctival hyperemia
4. Desquamation of the skin - answer>>>3. Conjunctival hyperemia
Q4. The nurse provides home care instructions to the parents of a child with heart failure regarding the
procedure for administration of digoxin (Lanoxin). Which statement made by the parent indicates the
need for further instruction?
1. "I will not mix the medication with food."
2. "I will take my child's pulse before administering the medication."
3. "If more than one dose is missed, I will call the health care provider."
4. "If my child vomits after medication administration, I will repeat the dose." - answer>>>4. "If my child
vomits after medication administration, I will repeat the dose."
DO NOT MIX MEDICATION WITH FOOD TO KIDS
