Peds final exam, NUR-353 Final, ATI RN Nursing Care of Children, PEDS final,
Pediatrics Exam 1-Growth, Pediatric Cardiac Disorders & Procedures,
Pediatric emergencies, Pediatrics Exam
PEDS FINAL EXAM, NUR-353 FINAL, ATI RN NURSING CARE OF
CHILDREN, PEDS FINAL, PEDIATRICS EXAM 1-GROWTH, PEDIATRIC
CARDIAC DISORDERS & PROCEDURES, PEDIATRIC EMERGENCIES,
PEDIATRICS EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RTAIONALES |ALREADY GRADED
A+(NEWEST VERSION!)
What is the most important pre-operative nursing implication for a child
diagnosed with Wilms' Tumor (nephroblastoma)?
A. Administer diuretics before surgery
B. Avoid palpating the abdomen
C. Monitor for signs of hypoglycemia
D. Start high-protein TPN - Correct Answer-Answer: B. Avoid palpating the
abdomen
Rationale: Palpation of the abdomen could rupture the encapsulated tumor and
cause dissemination of cancer cells.
Which of the following findings is most characteristic of increased intracranial
pressure in an infant?
A. Positive Babinski reflex
B. High-pitched cry and bulging fontanel
C. Hyperreflexia and tremors
D. Dry mucous membranes and sunken fontanel - Correct Answer-Answer: B.
High-pitched cry and bulging fontanel
1|Page
, Peds final exam, NUR-353 Final, ATI RN Nursing Care of Children, PEDS final,
Pediatrics Exam 1-Growth, Pediatric Cardiac Disorders & Procedures,
Pediatric emergencies, Pediatrics Exam
Rationale: These are hallmark signs of increased ICP in infants, along with
irritability and increased head circumference.
Which intervention is appropriate for a child in sickle cell crisis experiencing vaso-
occlusive pain?
A. Administer oxygen and restrict fluids
B. Apply cold compresses and give aspirin
C. Administer IV fluids and opioids for pain
D. Limit movement and elevate extremities - Correct Answer-Answer: C.
Administer IV fluids and opioids for pain
Rationale: Vaso-occlusive episodes are managed with hydration and pain control
to improve circulation and relieve ischemic pain.
What is the most appropriate intervention for an infant diagnosed with
gastroesophageal reflux (GERD)?
A. Encourage large, infrequent feedings
B. Place infant in supine position immediately after feeding
C. Hold the infant upright for 20-30 minutes after feedings
D. Administer antacids before each feeding - Correct Answer-Answer: C. Hold the
infant upright for 20-30 minutes after feedings
Rationale: Upright positioning after feeding helps reduce reflux episodes and
promotes gastric emptying, which is critical for GERD management in infants.
*Remember It's only GER if under 1 years old*
2|Page
, Peds final exam, NUR-353 Final, ATI RN Nursing Care of Children, PEDS final,
Pediatrics Exam 1-Growth, Pediatric Cardiac Disorders & Procedures,
Pediatric emergencies, Pediatrics Exam
A child with pyloric stenosis is likely to present with which of the following
symptoms?
A. Foul-smelling diarrhea and bloating
B. Projectile vomiting and palpable olive-shaped mass
C. Bloody stools and abdominal tenderness
D. Pain relieved by eating - Correct Answer-Answer: B. Projectile vomiting and
palpable olive-shaped mass
Rationale: Pyloric stenosis causes gastric outlet obstruction leading to forceful
projectile vomiting and a palpable mass in the right upper abdomen.
What is the priority nursing action for a child experiencing severe dehydration?
A. Encourage oral rehydration with small sips of water
B. Administer antidiarrheal medication
C. Begin IV rehydration therapy with isotonic fluids
D. Offer sugary drinks to improve energy - Correct Answer-Answer: C. Begin IV
rehydration therapy with isotonic fluids
Rationale: Severe dehydration requires immediate IV fluid resuscitation with
isotonic solutions (e.g., NS or LR) to restore intravascular volume and prevent
shock.
Which child is at highest risk for developing Sudden Infant Death Syndrome
(SIDS)?
A. 5-month-old who sleeps on back with pacifier
B. 2-month-old who co-sleeps and sleeps prone
3|Page
, Peds final exam, NUR-353 Final, ATI RN Nursing Care of Children, PEDS final,
Pediatrics Exam 1-Growth, Pediatric Cardiac Disorders & Procedures,
Pediatric emergencies, Pediatrics Exam
C. 1-year-old who sleeps in crib with no toys
D. 6-month-old who sleeps with a fan on - Correct Answer-Answer: B. 2-month-old
who co-sleeps and sleeps prone
Rationale: Prone sleeping position and co-sleeping are major risk factors for
SIDS. Infants should be placed on their backs in a crib with a firm surface.
Which of the following are typical signs of digoxin toxicity in pediatric patients?
A. Hypertension, bradypnea, increased appetite
B. Nausea, vomiting, bradycardia
C. Hyperactivity, diarrhea, tachycardia
D. Edema, irritability, tachypnea - Correct Answer-Answer: B. Nausea, vomiting,
bradycardia
Rationale: Early signs of digoxin toxicity include GI disturbances
(nausea/vomiting), anorexia, and bradycardia. Always monitor apical HR before
administration.
What is the first nursing action when assessing a child suspected of having
compartment syndrome?
A. Elevate the affected extremity above the heart
B. Apply heat to the affected area
C. Assess neurovascular status (pain, pulses, pallor, paresthesia, paralysis)
D. Encourage range-of-motion exercises - Correct Answer-Answer: C. Assess
neurovascular status (pain, pulses, pallor, paresthesia, paralysis)
4|Page
Pediatrics Exam 1-Growth, Pediatric Cardiac Disorders & Procedures,
Pediatric emergencies, Pediatrics Exam
PEDS FINAL EXAM, NUR-353 FINAL, ATI RN NURSING CARE OF
CHILDREN, PEDS FINAL, PEDIATRICS EXAM 1-GROWTH, PEDIATRIC
CARDIAC DISORDERS & PROCEDURES, PEDIATRIC EMERGENCIES,
PEDIATRICS EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RTAIONALES |ALREADY GRADED
A+(NEWEST VERSION!)
What is the most important pre-operative nursing implication for a child
diagnosed with Wilms' Tumor (nephroblastoma)?
A. Administer diuretics before surgery
B. Avoid palpating the abdomen
C. Monitor for signs of hypoglycemia
D. Start high-protein TPN - Correct Answer-Answer: B. Avoid palpating the
abdomen
Rationale: Palpation of the abdomen could rupture the encapsulated tumor and
cause dissemination of cancer cells.
Which of the following findings is most characteristic of increased intracranial
pressure in an infant?
A. Positive Babinski reflex
B. High-pitched cry and bulging fontanel
C. Hyperreflexia and tremors
D. Dry mucous membranes and sunken fontanel - Correct Answer-Answer: B.
High-pitched cry and bulging fontanel
1|Page
, Peds final exam, NUR-353 Final, ATI RN Nursing Care of Children, PEDS final,
Pediatrics Exam 1-Growth, Pediatric Cardiac Disorders & Procedures,
Pediatric emergencies, Pediatrics Exam
Rationale: These are hallmark signs of increased ICP in infants, along with
irritability and increased head circumference.
Which intervention is appropriate for a child in sickle cell crisis experiencing vaso-
occlusive pain?
A. Administer oxygen and restrict fluids
B. Apply cold compresses and give aspirin
C. Administer IV fluids and opioids for pain
D. Limit movement and elevate extremities - Correct Answer-Answer: C.
Administer IV fluids and opioids for pain
Rationale: Vaso-occlusive episodes are managed with hydration and pain control
to improve circulation and relieve ischemic pain.
What is the most appropriate intervention for an infant diagnosed with
gastroesophageal reflux (GERD)?
A. Encourage large, infrequent feedings
B. Place infant in supine position immediately after feeding
C. Hold the infant upright for 20-30 minutes after feedings
D. Administer antacids before each feeding - Correct Answer-Answer: C. Hold the
infant upright for 20-30 minutes after feedings
Rationale: Upright positioning after feeding helps reduce reflux episodes and
promotes gastric emptying, which is critical for GERD management in infants.
*Remember It's only GER if under 1 years old*
2|Page
, Peds final exam, NUR-353 Final, ATI RN Nursing Care of Children, PEDS final,
Pediatrics Exam 1-Growth, Pediatric Cardiac Disorders & Procedures,
Pediatric emergencies, Pediatrics Exam
A child with pyloric stenosis is likely to present with which of the following
symptoms?
A. Foul-smelling diarrhea and bloating
B. Projectile vomiting and palpable olive-shaped mass
C. Bloody stools and abdominal tenderness
D. Pain relieved by eating - Correct Answer-Answer: B. Projectile vomiting and
palpable olive-shaped mass
Rationale: Pyloric stenosis causes gastric outlet obstruction leading to forceful
projectile vomiting and a palpable mass in the right upper abdomen.
What is the priority nursing action for a child experiencing severe dehydration?
A. Encourage oral rehydration with small sips of water
B. Administer antidiarrheal medication
C. Begin IV rehydration therapy with isotonic fluids
D. Offer sugary drinks to improve energy - Correct Answer-Answer: C. Begin IV
rehydration therapy with isotonic fluids
Rationale: Severe dehydration requires immediate IV fluid resuscitation with
isotonic solutions (e.g., NS or LR) to restore intravascular volume and prevent
shock.
Which child is at highest risk for developing Sudden Infant Death Syndrome
(SIDS)?
A. 5-month-old who sleeps on back with pacifier
B. 2-month-old who co-sleeps and sleeps prone
3|Page
, Peds final exam, NUR-353 Final, ATI RN Nursing Care of Children, PEDS final,
Pediatrics Exam 1-Growth, Pediatric Cardiac Disorders & Procedures,
Pediatric emergencies, Pediatrics Exam
C. 1-year-old who sleeps in crib with no toys
D. 6-month-old who sleeps with a fan on - Correct Answer-Answer: B. 2-month-old
who co-sleeps and sleeps prone
Rationale: Prone sleeping position and co-sleeping are major risk factors for
SIDS. Infants should be placed on their backs in a crib with a firm surface.
Which of the following are typical signs of digoxin toxicity in pediatric patients?
A. Hypertension, bradypnea, increased appetite
B. Nausea, vomiting, bradycardia
C. Hyperactivity, diarrhea, tachycardia
D. Edema, irritability, tachypnea - Correct Answer-Answer: B. Nausea, vomiting,
bradycardia
Rationale: Early signs of digoxin toxicity include GI disturbances
(nausea/vomiting), anorexia, and bradycardia. Always monitor apical HR before
administration.
What is the first nursing action when assessing a child suspected of having
compartment syndrome?
A. Elevate the affected extremity above the heart
B. Apply heat to the affected area
C. Assess neurovascular status (pain, pulses, pallor, paresthesia, paralysis)
D. Encourage range-of-motion exercises - Correct Answer-Answer: C. Assess
neurovascular status (pain, pulses, pallor, paresthesia, paralysis)
4|Page
