Pediatric Nursing Practice Test
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- Based on 2021 National Nurse Aide Assessment Program
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Question 1 of 50
1. Question
Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When obtaining the child’s history, the nurse considers which information to be most important?
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Question 2 of 50
2. Question
The nurse is aware that the most common assessment finding in a child with ulcerative colitis is:
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Question 3 of 50
3. Question
When developing a plan of care for a hospitalized child, nurse Mica knows that children in which age group is most likely to view illness as a punishment for misdeeds?
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Question 4 of 50
4. Question
A female child, age 6, is brought to the health clinic for a routine checkup. To assess the child’s vision, the nurse should ask:
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Question 5 of 50
5. Question
Hannah, age 12, is 7 months pregnant. When teaching parenting skills to an adolescent, the nurse knows that which teaching strategy is least effective?
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Question 6 of 50
6. Question
A 5-year-old girl Hannah is recently diagnosed with Kawasaki disease. Apart from the identified symptoms of the disease, she may also likely develop which of the following?
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Question 7 of 50
7. Question
When creating a teaching program for the parents of Jessica who is diagnosed with pulmonic stenosis (PS), Nurse Alex would keep in mind that this disorder involves which of the following?
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Question 8 of 50
8. Question
Which of the following would Nurse Tony suppose to regard as a cardinal manifestation or symptom of digoxin toxicity to his patient Clay diagnosed with heart failure?
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Question 9 of 50
9. Question
It is considered as the bluntly rounded portion of the heart.
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Question 10 of 50
10. Question
Which of the following disorders leads to cyanosis from deoxygenated blood entering the systemic arterial circulation?
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Question 11 of 50
11. Question
Betty is a 9-year-old girl diagnosed with cystic fibrosis. Which of the following must Nurse Archie keep in mind when developing a care plan for the child?
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Question 12 of 50
12. Question
Alice is rushed to the emergency department during an acute, severe prolonged asthma attack and is unresponsive to usual treatment. The condition is referred to as which of the following?
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Question 13 of 50
13. Question
Baby Melody is a neonate who has a very-low-birth-weight. Nurse Josie carefully monitors inspiratory pressure and oxygen (O2) concentration to prevent which of the following?
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Question 14 of 50
14. Question
Which of the following instructions should Nurse Cheryl include in her teaching plan for the parents of Reggie with otitis media?
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Question 15 of 50
15. Question
When assessing a child’s cultural background, the nurse in charge should keep in mind that:
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Question 16 of 50
16. Question
Dustin who was diagnosed with Hirschsprung’s disease has a fever and watery explosive diarrhea. Which of the following would Nurse Joyce do first?
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Question 17 of 50
17. Question
Which of the following applies to the defect emerging from residual peritoneal fluid confined within the lower segment of the processus vaginalis?
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Question 18 of 50
18. Question
Mr. and Ms. Byers’ child failed to pass meconium within the first 24 hours after birth; this may indicate which of the following?
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Question 19 of 50
19. Question
Steve is diagnosed with celiac disease and experiences celiac crisis secondary to upper respiratory tract infection; which of the following would Nurse Nancy expect to assess?
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Question 20 of 50
20. Question
In pediatric gastroesophageal reflux disease (GERD), the immaturity of lower esophageal sphincter function is manifested by frequent transient lower esophageal relaxations, which result in retrograde flow of gastric contents into the esophagus. Which statement about the esophagus is TRUE? Select all that apply.
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Question 21 of 50
21. Question
7-year-old Damon has cystitis; which of the following would Nurse Elena expect when assessing the child?
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Question 22 of 50
22. Question
When educating parents regarding known antecedent infections in acute glomerulonephritis, which of the following should the nurse cover?
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Question 23 of 50
23. Question
Which of the following organisms is the most common cause of urinary tract infection (UTI) in children?
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Question 24 of 50
24. Question
Which of the following should be included when developing a teaching plan to prevent urinary tract infection? Select all that apply.
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Question 25 of 50
25. Question
Nurse Jeremy is evaluating a client’s fluid intake and output record. Fluid intake and urine output should relate in which way?
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Question 26 of 50
26. Question
A child diagnosed with intellectual disability (ID) is under the supervision of Nurse Tasha. The nurse is aware that the signs and symptoms of mild ID include which of the following?
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Question 27 of 50
27. Question
Nurse Lorna is assessing infantile reflexes in a 9-month-old baby; which of the following would she identify as normal?
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Question 28 of 50
28. Question
The American Association on Mental Deficiency (AAMD), now American Association on Intellectual and Developmental Disabilities (AAIDD) definition of mental retardation emphasizes which of the following?
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Question 29 of 50
29. Question
After explaining to the parents about their child’s unique psychological needs related to a seizure disorder and possible stressors, which of the following interests uttered by them would indicate further teaching?
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Question 30 of 50
30. Question
Angie is an adolescent who has seizure disorder; which of the following would not be a focus of a teaching program?
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Question 31 of 50
31. Question
The 6-year-old son of Mr. and Mrs. Peters is admitted to the healthcare facility with the diagnosis of idiopathic hypopituitarism. His height is measured below the third percentile and weight at the 40th percentile. Which of the following would be the first action of his attending nurse?
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Question 32 of 50
32. Question
While Andres is being assessed at the clinic, Nurse Shiela observed that the child appears to be small, with an immature face and chubby body build. Her parents stated that their child’s rate of growth of all body parts is somewhat slow, but her proportions and intelligence remain normal. As a knowledgeable nurse, you know that the child has a deficiency of which of the following?
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Question 33 of 50
33. Question
In growing children, growth hormone deficiency results in short stature and very slow growth rates. Short stature may result from which of the following?
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Question 34 of 50
34. Question
Mr. Lopez has a 7-year-old son with growth hormone (GH) deficiency. He shares to the nurse the desire of his son to play ball games. However, his wife feels the child will be in danger since he is smaller than the other children. In planning anticipatory guidance for these parents, the nurse should keep in mind which of the following?
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Question 35 of 50
35. Question
A child newly diagnosed with diabetes mellitus has been stabilized with insulin injections daily. A nurse prepares a discharge teaching plan regarding the insulin. The teaching plan should reinforce which of the following concepts?
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Question 36 of 50
36. Question
Mr. and Mrs. Andrews’ child was diagnosed with Duchenne’s muscular dystrophy; which of the following usually is the first indication of the condition?
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Question 37 of 50
37. Question
Which of the following is the most common permanent disability in childhood?
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Question 38 of 50
38. Question
When a child injures the epiphyseal plate from a fracture, the damage may result in which of the following?
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Question 39 of 50
39. Question
Mrs. Cooper is concerned about her 4-month-old son’s unusual condition; which of the following statements made by her would indicate that the child may have cerebral palsy?
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Question 40 of 50
40. Question
Reggie is a teenager suffering from osteomyelitis; the nurse would expect which of the following symptoms? Select all that apply.
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Question 41 of 50
41. Question
Nurse Katriz is planning a client education program for sickle cell disease (SCD); what topics should be included in the plan of care?
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Question 42 of 50
42. Question
In children diagnosed with sickle cell disease (SCD), tissue damage results from which of the following?
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Question 43 of 50
43. Question
Which of the following tests is most effective in diagnosing hemophilia?
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Question 44 of 50
44. Question
A child with thalassemia was given deferoxamine (Desferal); which of the following should alert the nurse to notify the physician?
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Question 45 of 50
45. Question
Mr. and Mrs. Robertson’s son was diagnosed with idiopathic thrombocytopenic purpura. They should be aware that the drug to be avoided is:
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Question 46 of 50
46. Question
A nurse provides medication instructions to a first-time mother. Which statement made by the mother indicates a need for further instructions?
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Question 47 of 50
47. Question
A physician prescribes an IV solution of 500 ml 0.45% Saline with an incorporation of 20mEq potassium chloride for a child with dehydration. The nurse should check which of the following before administering this IV prescription?
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Question 48 of 50
48. Question
An infant with a patent ductus arteriosus is admitted to the pediatric unit ward. The nurse anticipates which of the following medications will be given to the infant?
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Question 49 of 50
49. Question
A child with Kawasaki disease is admitted to the pediatric ward. Which of the following medications will you expect to be a part of the treatment? Select all that apply.
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Question 50 of 50
50. Question
A 6-year-old child is scheduled to have measles, mumps, and rubella (MMR) vaccine. Which of the following routes will you expect the nurse to administer the vaccine?
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