NRSG 421 PEDIATRICS| NRSG 421 FINAL EXAM
PRACTICE QUESTIONS WITH CORRECT ANSWERS
NEW MODIFIED TESTED AND VERIFIED 2026 NEW
UPDATE
Which is best method for nurse to perform physical assessment on an 18 month
old (toddler) --CORRECT ANSWER--Least to most invasive
What age should children be able to sit unsupported? --CORRECT ANSWER--
3-4 months
What age should babies be eating solid food? --CORRECT ANSWER--6
months
9 year old patient waiting for appendectomy at noon/ Your AM assessment
findings show HR130, RR30, T39.2, and 8/10 on FACES scale and states "my
tummy hurts more than last night? What do you suspect the patient most likely
has? --CORRECT ANSWER--peritonitis
What is most common IV fluid ordered for a child with appendicitis? Why? --
CORRECT ANSWER--D5NS
sugar helps because of increased metabolism in children
Page 1 of 56
,Which respiratory condition is always considered a medical emergency? What
kind of condition is it? --CORRECT ANSWER--epiglottitis
higher up airway condition
T/F Always consider ABC and what is normal for that condition --CORRECT
ANSWER--T
What age group is most likely to view illness and hospitalization as a
punishment? --CORRECT ANSWER--preschoolers
Parents bring 7 year old son in to the ER for what appeared to be a febrile
seizurel The parents gave their son the correct dosage of Tylenol 3 hours prior
to coming in to hospital. After orders from MRP, what is the best action? --
CORRECT ANSWER--give the ordered Advil doses
T/F Systematically rotate injection sites for insulin for diabetes --CORRECT
ANSWER--T
What age can babies first eat sweetened food and sugar? --CORRECT
ANSWER--12 months
When a mother asks the nurse when she should start giving her infant solid
foods, the nurse should instruct her to introduce which solid food first? --
CORRECT ANSWER--rice cereal
Page 2 of 56
,T/F Children are more likely to have ruptured appendix --CORRECT
ANSWER--T
Sudden Infant Death Syndrome (SIDS) teaching
Baby should always be put on ____
If swaddling, use ____ blanket or sleep ____
Toys, stuffies, and pillows are not recommended until at least _____ months
Best to room share with baby in their own sleeping area (crib, bassinet) for
_____months
If smoking, avoid smoking in ______ --CORRECT ANSWER--back
velcro, sack
12
4
house
4 types of indrawing for babies --CORRECT ANSWER--Supersternal,
substernal, subcostal, intercostal
When should kids take rescue inhaler for sports? --CORRECT ANSWER--
before and during sometimes
8 S/S of appendicitis --CORRECT ANSWER--RLQ pain
Page 3 of 56
, guarding
rebound tenderness
low grade fever
diarrhea
chills
distension
vomiting/nausea
*What is first intervention for diabetic ketoacidosis (DKA) protocol? --
CORRECT ANSWER--fluids first
*6 steps of DKA protocol --CORRECT ANSWER--assess neurovitals
insert IV
rapid fluid resuscitation
stabilize fluid and electrolytes with NS and KCl
start 3 bug system
start SQ insulin when stable
What is 3 bag system for DKA? --CORRECT ANSWER--glucose
NS with potassium
insulin
Page 4 of 56
PRACTICE QUESTIONS WITH CORRECT ANSWERS
NEW MODIFIED TESTED AND VERIFIED 2026 NEW
UPDATE
Which is best method for nurse to perform physical assessment on an 18 month
old (toddler) --CORRECT ANSWER--Least to most invasive
What age should children be able to sit unsupported? --CORRECT ANSWER--
3-4 months
What age should babies be eating solid food? --CORRECT ANSWER--6
months
9 year old patient waiting for appendectomy at noon/ Your AM assessment
findings show HR130, RR30, T39.2, and 8/10 on FACES scale and states "my
tummy hurts more than last night? What do you suspect the patient most likely
has? --CORRECT ANSWER--peritonitis
What is most common IV fluid ordered for a child with appendicitis? Why? --
CORRECT ANSWER--D5NS
sugar helps because of increased metabolism in children
Page 1 of 56
,Which respiratory condition is always considered a medical emergency? What
kind of condition is it? --CORRECT ANSWER--epiglottitis
higher up airway condition
T/F Always consider ABC and what is normal for that condition --CORRECT
ANSWER--T
What age group is most likely to view illness and hospitalization as a
punishment? --CORRECT ANSWER--preschoolers
Parents bring 7 year old son in to the ER for what appeared to be a febrile
seizurel The parents gave their son the correct dosage of Tylenol 3 hours prior
to coming in to hospital. After orders from MRP, what is the best action? --
CORRECT ANSWER--give the ordered Advil doses
T/F Systematically rotate injection sites for insulin for diabetes --CORRECT
ANSWER--T
What age can babies first eat sweetened food and sugar? --CORRECT
ANSWER--12 months
When a mother asks the nurse when she should start giving her infant solid
foods, the nurse should instruct her to introduce which solid food first? --
CORRECT ANSWER--rice cereal
Page 2 of 56
,T/F Children are more likely to have ruptured appendix --CORRECT
ANSWER--T
Sudden Infant Death Syndrome (SIDS) teaching
Baby should always be put on ____
If swaddling, use ____ blanket or sleep ____
Toys, stuffies, and pillows are not recommended until at least _____ months
Best to room share with baby in their own sleeping area (crib, bassinet) for
_____months
If smoking, avoid smoking in ______ --CORRECT ANSWER--back
velcro, sack
12
4
house
4 types of indrawing for babies --CORRECT ANSWER--Supersternal,
substernal, subcostal, intercostal
When should kids take rescue inhaler for sports? --CORRECT ANSWER--
before and during sometimes
8 S/S of appendicitis --CORRECT ANSWER--RLQ pain
Page 3 of 56
, guarding
rebound tenderness
low grade fever
diarrhea
chills
distension
vomiting/nausea
*What is first intervention for diabetic ketoacidosis (DKA) protocol? --
CORRECT ANSWER--fluids first
*6 steps of DKA protocol --CORRECT ANSWER--assess neurovitals
insert IV
rapid fluid resuscitation
stabilize fluid and electrolytes with NS and KCl
start 3 bug system
start SQ insulin when stable
What is 3 bag system for DKA? --CORRECT ANSWER--glucose
NS with potassium
insulin
Page 4 of 56
