Custom: Peds Quiz2 April 2026

Question 1

Custom: Peds Quiz2 April 2026. A nurse is caring for a child who has a suspected diagnosis of cystic fibrosis. Which of the following diagnostic tests will confirm the diagnosis?

• A stool fat content analysis
• A sputum culture
• Pulmonary function tests
• Sweat chloride test

---

Question 2

A nurse is preparing to administer amoxicillin to a 5-year-old client. The client weighs 14.5 kg (32 lb) and the prescribed dose of amoxicillin is 20 mg/kg/day for treatment of otitis media. What is the calculated dose of amoxicillin for this client?

• 290 mg/day
• 0.8 mg/day
• 580 mg/day
• 1.4 mg/day

---

Question 3

The nurse is preparing to administer an intramuscular injection to an 8-month-old infant. Which site would the nurse select? Custom: Peds Quiz2 April 2026

• Deltoid
• Rectus femoris
• Vastus lateralis
• Dorso gluteal

---

Question 4

A nurse is caring for a 6-month-old infant who is postoperative following a myringotomy. Which of the following pain scales should the nurse use to determine the infant’s pain level? Custom: Peds Quiz2 April 2026

• Oucher
• FLACC
• Visual Analog Scale
• FACES

---

Question 5

A nurse is caring for a child who is 2 hr postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time?

• crushed ice
• Vanilla milkshake
• Cranberry juice
• Orange juice

---

Question 6

A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis?

• Cardiovascular
• Respiratory
• Integumentary
• Gastrointestinal

Question 7

A nurse is providing education to the parents of a newborn who has Down syndrome. Which of the following actions should the nurse take?

• Suggesting the parents consider genetic testing to guide future reproductive decisions.
• Recommending early intervention services for developmental support within the first month after birth.
• Providing the parents with a list of local pediatricians for well-child check-ups and vaccinations.
• Encouraging the parents to research advancements in treatments for Down syndrome independently.

---

Question 8

A nurse is caring for a toddler who is having difficulty sleeping during hospitalization. Which of the following actions should the nurse take to promote sleep?

• Provide bedtime rituals.
• Turn off the room light.
• Explain the source of the toddler’s fears.
• Encourage play exercises in the evening.

---

Question 9

A nurse is completing an assessment of a newborn, including obtaining blood pressure measurements at each extremity. Which of the following findings suggests coarctation of the aorta?

• Elevated systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremities
• Low systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremities
• Elevated systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremities
• Low systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremities

---

Question 10

A 6-year-old child presents to the clinic with red eyes, thick purulent discharge, and matted eyelashes upon waking. The parent reports that symptoms started suddenly and there is no history of recent respiratory illness. Based on the assessment, which nursing action is the priority to manage this condition?

• Educate the parent on proper hand hygiene and avoiding touching the eyes to prevent spread of infection.
• Advise the parent to apply warm compresses and artificial tears to relieve symptoms, with no need for antibiotics.
• Recommend over-the-counter antihistamine eye drops to relieve itching and watery eyes.
• Instruct the parent to monitor for systemic symptoms like fever and provide antipyretics as needed.

---

Question 11

A nurse is assessing a 3-month-old infant. Which of the following findings should the nurse report to the provider?

• Inability to sit without support
• Inability to raise head when in prone position
• Inability to bring an object to her mouth
• Inability to pick up an object with her fingers

---

Question 12

A nurse is providing teaching to the caregiver of a 5-year-old child who has a new diagnosis of asthma. Which of the following statements by the caregiver indicates an understanding of the teaching?

• “There is one cause of asthma, so we need to address that as soon as possible.”
• “My child will grow out of their asthma problems and any other issues that go along with it.”
• “Asthma problems only affect the respiratory system.”
• “Asthma attacks can be life-threatening so we need to have an action plan in place.”

---

Question 13

When preparing to admit a patient for Respiratory Syncytial Virus (RSV) bronchiolitis, the nurse would anticipate doing all except which of the following actions?

• Preparing for bag/mask breathing
• Placing on cardiopulmonary monitor with continuous pulse oximetry
• Preparing for suctioning of the upper airway
• Administering antibiotics

---

Question 14

A nurse is caring for an infant who has acute otitis media (AOM). The provider’s plan of care mentions “watchful-waiting” and the child’s parent asks the nurse what the term means. Which of the following responses should the nurse make?

• “Watchful-waiting involves monitoring how your child responds their prescribed medication for a 5-day period.”
• “Watchful-waiting is when the provider monitors your child’s condition until a myringotomy with tympanoplasty tubes procedure can be scheduled.”
• “Watchful-waiting involves monitoring how your child does within 3 months.”
• “Watchful-waiting is when your child’s condition is being monitored closely and without prescribing treatment for an average of 3 days. If there is a change in your child’s condition, then the provider will update the plan of care to better accommodate your child’s needs.”

---

Question 15

A nurse is admitting a child who has suspected epiglottitis. Which of the following actions should the nurse take first?

• Initiate IV antibiotics.
• Administer 0.9% sodium chloride IV solution.
• Place the child on droplet precautions.
• Assist with obtaining an x-ray of the child’s neck. Custom: Peds Quiz2 April 2026

---

Question 16

A nurse is teaching an assistive personnel to measure a newborn’s respiratory rate. Which of the following statements indicates an understanding of why the respiratory rate should be counted for a complete minute?

• “Newborns are abdominal breathers.”
• “The rate and rhythm of breath are irregular in newborns.”
• “Activity will increase the respiratory rate.”
• “Newborns do not expand their lungs fully with each respiration.”

---

Question 17

A nurse is collaborating with an interdisciplinary team to optimize a plan of care for a client who has fragile X-syndrome. Which of the following actions should the nurse implement?

• Initiating speech therapy sessions without consulting the interdisciplinary team.
• Providing the child with sensory toys without considering the recommendations of the interdisciplinary team.
• Conducting a one-time assessment for signs of autism spectrum disorder (ASD) and ADHD and making referrals as necessary.
• Collaborating with the interdisciplinary team to develop a comprehensive care plan that addresses behavior management, speech therapy, sensory integration, and functional skills.

---

Question 18

A child diagnosed with CHARGE syndrome may have all of the following symptoms, except:

• Micropenis
• Neoplasms
• Heart anomalies Custom: Peds Quiz2 April 2026
• Narrowed passages from the nose to the throat

---

Question 19

A nurse is providing education to the family of a school aged child who has a history of atrial septal defect (ASD) with surgical repair. The child’s caregivers ask the nurse if their child can play sports. Which of the following statements made by the nurse is most appropriate?

• “Your child can participate in only individual sports, no team sports.”
• “Your child cannot participate in any sports.”
• “Your child can participate in activities like riding a bike, but they should not participate in sports.”
• “Your child can participate in team sports as tolerated.”

Question 19 of 50

A nurse is providing education to the family of a school aged child who has a history of atrial septal defect (ASD) with surgical repair. The child’s caregivers ask the nurse if their child can play sports. Which of the following statements made by the nurse is most appropriate?

• “Your child can participate in only individual sports, no team sports.”
• “Your child cannot participate in any sports.”
• “Your child can participate in activities like riding a bike, but they should not participate in sports.”
• “Your child can participate in team sports as tolerated.”

Question 20 of 50

A nurse is assessing a 4-year-old child who has a history of heart failure and is taking digoxin. Which of the following findings should the nurse identify as an indication of digoxin toxicity?

• Vomiting
• Polyuria
• Tachycardia
• Constipation

---

Question 21 of 50

A nurse is planning care for an infant who has heart failure. Which of the following interventions should the nurse include in the plan?

• Limit the length of feedings.
• Assist the infant to a supine position after feedings.
• Administer feedings every 4 hr.
• Weigh the infant once per week.

---

Question 22 of 50

A nurse is teaching a group of parents about the administration of pancreatic enzymes to a child who has cystic fibrosis. Which of the following information should the nurse include in the teaching?

• Administer the enzymes 30 min after meals.
• Store the enzymes in the refrigerator.
• Add the enzymes to a small amount of applesauce. Custom: Peds Quiz2 April 2026
• Increase the dosage of enzymes if the child has constipation.

---

Question 23 of 50

A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?

• Facial edema
• Polyuria
• Smoky-brown urine
• Hypertension

---

Question 24 of 50

The nurse finds that an infant has stronger pulses in the upper extremities than the lower extremities and higher blood-pressure readings in the arms than the legs. This could be indicative of what congenital heart defect?

• Transposition of the great vessels
• Coarctation of the aorta
• Tetralogy of Fallot
• Pulmonic stenosis

Question 25 of 50

A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow?

• Tetralogy of Fallot
• Coarctation of the aorta
• Tricuspid atresia
• Patent ductus arteriosus

---

Question 26 of 50

A pediatric nurse is assessing a 7-year-old child who has difficulty reading the blackboard at school, complains of headaches after reading, and often rubs their eyes. Which refractive error is most likely causing these symptoms and what is the priority nursing action?

• Myopia: refer the child for an eye examination and possible prescription of biconcave lenses.
• Astigmatism: advise the child to avoid reading for long periods to reduce symptoms.
• Hyperopia: educate the parents about age-related farsightedness and schedule routine follow-ups.
• Presbyopia: suggest reading glasses and reassure the child that vision will improve with age.

---

Question 27 of 50

A nurse in an emergency department is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer first?

• Montelukast
• Budesonide
• Albuterol
• Fluticasone

---

Question 28 of 50

What finding would lead the nurse to suspect that a child has Turner syndrome?

• Tall slender build
• Gynecomastia
• Microcephaly
• Webbed neck

---

Question 29 of 50

A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?

• “We will give our child pancreatic enzymes with snacks and meals.”
• “I will prepare low-fat meals with limited protein for my child.”
• “I will limit my child’s fluid intake.”
• “We will restrict the amount of salt in our child’s food.”

---

Question 30 of 50

A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse’s priority immediately after admission?

• Identifying the degree of parental anxiety related to the diagnosis
• Using a pain-rating tool to determine the severity of the joint pain
• Assessing the client’s erythematous rash Custom: Peds Quiz2 April 2026
• Auscultating the rate and characteristics of the child’s heart sounds

---

Question 31 of 50

A school-age child has had an upper respiratory tract infection for several days and then began having a persistent dry, hacking cough that was worse at night. The cough has become productive in the past 24 hours. This is most suggestive of which diagnosis?

• Viral induced asthma
• Bronchiolitis
• Acute spasmodic laryngitis
• Bronchitis

---

Question 32 of 50

A nurse is providing education regarding dental visits to the caregivers of a child who has a history of recurrent infectious endocarditis. Which of the following statements made by the caregivers indicates an understanding of the education provided?

• “My child only needs to take prophylactic antibiotics if they had infectious endocarditis within the 6 months preceding a dental visit.”
• “My child should take prophylactic antibiotics before dental visits or invasive oral procedures.”
• “My child should take antibiotics only after the dental visit.”
• “My child only needs to take antibiotics for dental visits if they actively have infectious endocarditis at the time of the visit.”

---

Question 33 of 50

A nurse is teaching new parents the proper way to use an infant safety seat. Which of the following should indicate to the nurse a need for further teaching?

• “I will place the infant safety seat in the middle of the back seat, away from the windows.”
• “I will dress my baby in a one piece outfit so I can use the harness to secure her in the car seat.”
• “We will need to go by the weight and height of the child when deciding to change to a booster seat.”
• “My baby will be able to watch me drive while sitting in the back seat.”

---

Question 34 of 50

A nurse in an emergency department is assessing a 3-year-old child who has a high fever, severe dyspnea, and is drooling. Which of the following actions is the nurse’s priority?

• Insert an IV catheter.
• Administer an antipyretic.
• Prepare for nasotracheal intubation.
• Obtain blood culture specimens.

---

Question 35 of 50

What is a primary challenge for parents of children with special health care needs when navigating the healthcare system?

• Understanding common childhood illnesses
• Accessing primary care services
• Finding general health information
• Navigating specialty services

---

Question 36 of 50

A nurse in a PACU is admitting a client who is postoperative following a tonsillectomy. Which of the following actions should the nurse plan to take to prevent aspiration?

• Perform chest physiotherapy.
• Place a bedside humidifier at the head of the client’s bed.
• Suction the nasopharynx as needed.
• Withhold fluids until the client demonstrates a gag reflex.

---

Question 37 of 50

A nurse is caring for a 16-year-old adolescent who just received rescue medication for an asthma exacerbation. Prior to the medication administration, nursing assessment revealed tearfulness, a respiratory rate of 32/min, wheezing in all lobes, oxygen saturation level of 91% on room air, inability to speak, and nasal flaring. The nurse should recognize that which of the following manifestations would indicate the client’s condition is improving?

• Downward trend of oxygen saturation level
• Upward trend in respiratory rate
• Changes positions frequently
• Is sitting calmly and able to answer questions

---

Question 38 of 50

A nurse is caring for a 13-year-old child who is experiencing an asthma exacerbation. The nurse is preparing to administer the prescribed metered dose inhaler rescue medication. Which of the following items would the nurse need to administer the medication? (Select All that Apply.)

• Nebulizer
• Mask
• Syringe Custom: Peds Quiz2 April 2026
• Spacer
• Intravenous access

Question 39

A nurse is assessing an infant in the cardiology clinic. Which of the following sets of clinical manifestations is consistent with a large ventricular septal defect?

• Murmur, excessive weight gain, and tachypnea
• Bradypnea, murmur, and fatigue with feeds
• Murmur, tachypnea, and fatigue with feeds
• Bradypnea, excessive weight gain, and fatigue with feeds

---

Question 40

A nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac catheterization. Which of the following instructions should the nurse include?

• Give the child acetaminophen for discomfort.
• Assist the child to take a tub bath for the first 3 days.
• Offer the child clear liquids for the first 24 hr.
• Keep the child home for 1 week.

---

Question 41

A nurse is providing care to an infant who has tetralogy of Fallot. The infant’s caregiver reports increased irritability and a bluish discoloration of the infant’s oral mucous membranes. Which of the following interventions is the nurse’s priority?

• Administering morphine
• Providing supplemental oxygen
• Placing the child in a knee-to-chest position
• Consoling the child

---

Question 42

A nurse is providing education to a school-age child who has a new diagnosis of asthma. Which of the following statements should the nurse include in the teaching?

• “Take cromolyn sodium at the first sign of breathing difficulty.”
• “Use the peak expiratory flow meter once per week.”
• “You should stop playing basketball, but you can swim instead.”
• “Avoid triggers that cause an attack.”

---

Question 43

A nurse is caring for an adolescent diagnosed with infectious mononucleosis who reports extreme fatigue and sore throat. The nurse notes the spleen is palpable below the costal margin. Which nursing action should the nurse prioritize to prevent a serious complication?

• Encourage the adolescent to complete a full course of antibiotics as prescribed.
• Limit the adolescent’s fluid intake to prevent fluid overload.
• Advise the adolescent to avoid contact sports and strenuous activity for 4 to 6 weeks.
• Recommend resuming normal physical activities once the fever subsides.

---

Question 44

A nurse is caring for an infant diagnosed with tetralogy of Fallot. The infant’s caregiver asks the nurse to explain this diagnosis. Which of the following is an accurate statement about this condition?

• “Tetralogy of Fallot is a group of four heart defects that impact circulation of blood in your child’s body. These are pulmonary stenosis, ventricular septal defect, right ventricular hypertrophy, and an overriding aorta.”
• “Tetralogy of Fallot is a heart defect that impacts circulation in your child’s body due to the atypical placement of the aorta.”
• “Tetralogy of Fallot is a heart defect that impacts the circulation in your child’s body due to an opening in the wall between the ventricles, causing mixing of oxygenated and deoxygenated blood.”
• “Tetralogy of Fallot is a group of three heart defects that impact the circulation of blood in your child’s body. These are aortic stenosis, atrial septal defect, and left ventricular hypertrophy.”

---

Question 45

A nurse is caring for a patient diagnosed with a hordeolum (stye) on the eyelid. Which nursing intervention should be prioritized to promote healing and prevent complications?

• Administer oral antibiotics immediately to prevent systemic infection.
• Instruct the patient to use eye makeup to cover the lesion and improve appearance.
• Apply cold compresses to reduce inflammation and swelling of the eyelid.
• Apply warm compresses to the affected eyelid several times a day.

---

Question 46

A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?

• Visualize the epiglottis with a tongue depressor.
• Obtain a throat culture.
• Transport the child to radiology for a throat x-ray.
• Place the child in an upright position.

---

Question 47

A nurse is obtaining a health history from a child who has suspected acute rheumatic fever. Which of the following questions should the nurse ask?

• “Has your son had a sore throat recently?”
• “Was your son born with this cardiac defect?”
• “Has your child had any injuries recently?”
• “Have you given your child aspirin in the past 2 weeks?”

---

Question 48

A nurse is teaching a parent of a child about the potential risk factors of strabismus. Which of the following statements given by the parent indicates that further teaching is needed?

• “Eye muscle abnormalities can be a risk factor for strabismus.”
• “Nerve palsies can be a risk factor for strabismus.”
• “Obesity can be a risk factor for strabismus.”
• “Family history can be a risk factor for strabismus.”

---

Question 49

A nurse is caring for an infant diagnosed with Tetralogy of Fallot who suddenly becomes cyanotic and irritable during feeding. Which nursing action is the priority to manage this acute tet spell?

• Place the infant in a knee-to-chest position to increase systemic vascular resistance.
• Give the infant a rapid IV fluid bolus to increase preload and cardiac output.
• Suction the infant’s airway to relieve any obstruction causing hypoxia.
• Administer supplemental oxygen via nasal cannula to improve oxygen saturation.

---

Question 50

A nurse is providing education to a family of a child who has Kawasaki disease. Which of the following statements made by the caregiver indicates an understanding of the education provided?

• “Kawasaki disease is an abnormal immune response that causes injury to the body’s muscles.”
• “Kawasaki disease is an abnormal immune response in which the body attacks the skin only.” Custom: Peds Quiz2 April 2026
• “Kawasaki disease is an abnormal immune response that only affects the liver.”
• “Kawasaki disease is an abnormal immune system response that can weaken the coronary arteries.”