ob/peds final EXAM QUESTIONS
VERIFIED ANSWERS LATEST UPDATE
2025/2026 RATED A+
The nurse reviews orders on a newly admitted child diagnosed with cystic fibrosis and pneumonia. What
order will the nurse question?
1. High-protein diet
2. Chest physiotherapy q4h
3. Diphenhydramine 25 mg q4h prn
4. Encourage fluids - CORRECT ANSWERS 3
Children with cystic fibrosis should not take antihistamines due to their drying effects, which could
worsen the child's ability to clear secretions from the airway.
The 8-month-old infant born 9 weeks premature is brought to the ER with a rule/out diagnosis of RSV
bronchiolitis. What assessment findings increase the nurse's suspicion of RSV? Select all that apply.
1. Cough
2. Wheezing
3. Retractions
4. Rhinitis
5. Low-grade fever - CORRECT ANSWERS 1,2,3
Feedback 1: Cough is one of the triad of symptoms predicting a diagnosis of RSV in this age group.
Feedback 2: Wheezing is one of the triad of symptoms predicting a diagnosis of RSV in this age group.
Feedback 3: Retractions is one of the triad of symptoms predicting a diagnosis of RSV in this age group.
,Feedback 4: Rhinitis could occur with flu, colds, or sinusitis.
Feedback 5: Low-grade fever is not a predictive symptom of RSV.
The nurse admits a 6-year-old to the ER who looks extremely ill. His mother says he went to school
feeling fine but came home saying he didn't feel well. An hour later he had a high fever, a severe sore
throat, and then started having trouble breathing and drooling. What does the nurse suspect?
1. Epiglottitis
2. Croup
3. Influenza
4. Acute laryngitis - CORRECT ANSWERS 1
The child's symptoms are classic for epiglottitis, which can be life threatening if treatment is not initiated
quickly.
4.The parent of a 3-year-old with a history of frequent ear infections asks the nurse, "Why does he get
an ear infection every time he catches a cold?" What anatomical feature will the nurse describe to
answer the parent's question?
1. Eustachian tube
2. Inner ear
3. Nasal pharynx
4. Bronchi - CORRECT ANSWERS 1
The eustachian tube connects the pharynx to the middle ear, allowing secretions to move from the
throat to the ear, causing ear infections when the child contracts a URI.
The nurse working in the pediatric office sees a child exhibiting the classic whooping of pertussis. The
mother asks how long the symptoms will last. What is the nurse's best response?
1. 7-10 days
2. 2-3 weeks
, 3. 1 month
4. 3-4 months - CORRECT ANSWERS 4
Whooping cough, or pertussis, is often called the 100-day cough because the cough can last for 10
weeks after the first and second stage is over.
The nurse is caring for an infant diagnosed with bronchopulmonary dysplasia (BPD). When planning
care, what is the priority outcome?
1. Patient will meet oxygen demands without mechanical ventilation
2. Patient will avoid complications secondary to use of mechanical ventilator
3. Patient will demonstrate improvement after administration of medications
4. Patient will oxygenate tissues adequately to meet metabolic needs within 24 hours - CORRECT
ANSWERS 2
This is the priority outcome because sustained mechanical ventilation can cause pulmonary damage.
The nurse is caring for a child diagnosed with TB. What is the priority nursing diagnosis for this child and
family?
1. Impaired gas exchange
2. Risk for delayed development
3. Deficient knowledge
4. Caregiver role strain - CORRECT ANSWERS 3
It is important for the child and family to understand how to prevent the spread of the infection, take
medications as ordered, and the need for other family members to be tested.
The nurse is preparing a class for peers on cystic fibrosis. What teaching points would the nurse
accurately include in the class? Select all that apply.
1. Children with cystic fibrosis have a deletion on the seventh chromosome.
2. Chloride-ion and water transport is altered at the cellular level.
3. Cystic fibrosis is marked by increased mucus production.
VERIFIED ANSWERS LATEST UPDATE
2025/2026 RATED A+
The nurse reviews orders on a newly admitted child diagnosed with cystic fibrosis and pneumonia. What
order will the nurse question?
1. High-protein diet
2. Chest physiotherapy q4h
3. Diphenhydramine 25 mg q4h prn
4. Encourage fluids - CORRECT ANSWERS 3
Children with cystic fibrosis should not take antihistamines due to their drying effects, which could
worsen the child's ability to clear secretions from the airway.
The 8-month-old infant born 9 weeks premature is brought to the ER with a rule/out diagnosis of RSV
bronchiolitis. What assessment findings increase the nurse's suspicion of RSV? Select all that apply.
1. Cough
2. Wheezing
3. Retractions
4. Rhinitis
5. Low-grade fever - CORRECT ANSWERS 1,2,3
Feedback 1: Cough is one of the triad of symptoms predicting a diagnosis of RSV in this age group.
Feedback 2: Wheezing is one of the triad of symptoms predicting a diagnosis of RSV in this age group.
Feedback 3: Retractions is one of the triad of symptoms predicting a diagnosis of RSV in this age group.
,Feedback 4: Rhinitis could occur with flu, colds, or sinusitis.
Feedback 5: Low-grade fever is not a predictive symptom of RSV.
The nurse admits a 6-year-old to the ER who looks extremely ill. His mother says he went to school
feeling fine but came home saying he didn't feel well. An hour later he had a high fever, a severe sore
throat, and then started having trouble breathing and drooling. What does the nurse suspect?
1. Epiglottitis
2. Croup
3. Influenza
4. Acute laryngitis - CORRECT ANSWERS 1
The child's symptoms are classic for epiglottitis, which can be life threatening if treatment is not initiated
quickly.
4.The parent of a 3-year-old with a history of frequent ear infections asks the nurse, "Why does he get
an ear infection every time he catches a cold?" What anatomical feature will the nurse describe to
answer the parent's question?
1. Eustachian tube
2. Inner ear
3. Nasal pharynx
4. Bronchi - CORRECT ANSWERS 1
The eustachian tube connects the pharynx to the middle ear, allowing secretions to move from the
throat to the ear, causing ear infections when the child contracts a URI.
The nurse working in the pediatric office sees a child exhibiting the classic whooping of pertussis. The
mother asks how long the symptoms will last. What is the nurse's best response?
1. 7-10 days
2. 2-3 weeks
, 3. 1 month
4. 3-4 months - CORRECT ANSWERS 4
Whooping cough, or pertussis, is often called the 100-day cough because the cough can last for 10
weeks after the first and second stage is over.
The nurse is caring for an infant diagnosed with bronchopulmonary dysplasia (BPD). When planning
care, what is the priority outcome?
1. Patient will meet oxygen demands without mechanical ventilation
2. Patient will avoid complications secondary to use of mechanical ventilator
3. Patient will demonstrate improvement after administration of medications
4. Patient will oxygenate tissues adequately to meet metabolic needs within 24 hours - CORRECT
ANSWERS 2
This is the priority outcome because sustained mechanical ventilation can cause pulmonary damage.
The nurse is caring for a child diagnosed with TB. What is the priority nursing diagnosis for this child and
family?
1. Impaired gas exchange
2. Risk for delayed development
3. Deficient knowledge
4. Caregiver role strain - CORRECT ANSWERS 3
It is important for the child and family to understand how to prevent the spread of the infection, take
medications as ordered, and the need for other family members to be tested.
The nurse is preparing a class for peers on cystic fibrosis. What teaching points would the nurse
accurately include in the class? Select all that apply.
1. Children with cystic fibrosis have a deletion on the seventh chromosome.
2. Chloride-ion and water transport is altered at the cellular level.
3. Cystic fibrosis is marked by increased mucus production.
