PN Pediatrics
See correct answers immediately with detailed explanations after each question.
Answer all questions, then review your results with feedback at the end.
Timed simulation that mimics real exam conditions. No feedback until completion.
Below are sample questions from this exam to help you understand the content and format.
Q1: A nurse is preparing to obtain the length and weight of a 6-month-old infant during a well-child visit. Which of the following actions should the nurse plan to take? (Select all that apply.)
Answer Choices:
🤎 Cover the scale with a clean sheet of paper
✔ Using a clean sheet of paper on the scale helps maintain infection control and ensures a clean, comfortable surface for the infant.
✔ It prevents cross-contamination between clients, an important standard in pediatric care.
🤎 Measure the infant's length from the crown of the head to the heels of the feet
✔ Infants under 2 years should have their length measured recumbently (lying down), not standing.
✔ Measuring from the crown to the heels provides the most accurate reflection of growth during early infancy.
🤎 Ensure the scale is balanced to "0" before weighing the infant
✔ Zeroing the scale before use guarantees measurement accuracy, avoiding false weight readings.
✔ An unbalanced scale can lead to incorrect documentation, potentially impacting clinical decisions regarding nutrition and growth tracking
Q2: A nurse is preparing to administer liquid ibuprofen to a school-age child. The prescription reads 200 mg every 8 hr. The amount available is 100 mg/5 mL. How many mL of ibuprofen should the nurse administer over a 24-hr period? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Answer Choices:
✨ Given: 1 dose every 8 hours
🤎 Calculation:
24 hours ÷ 8 hours/dose = 3 doses per day
✨ Given: 200 mg per dose
🤎 Calculation:
200 mg/dose × 3 dose s= 600 mg/day
✨ Given: 100 mg per 5 mL
🤎 Set up proportion:
100mg ÷ 5mL= 600mg ÷ X
✨ Cross-multiply and solve for X:
100X = 3000
X= 3000÷ 100
✍ = 30 mL
Q3: A nurse is reinforcing teaching with the parents of a 2-month-old infant who has gastroesophageal reflux. The parents are feeding the infant formula. Which of the following instructions should the nurse include in the teaching?
Answer Choices:
🔺 Positioning the infant at a 30° angle after feeding helps prevent reflux by using gravity.
🔺 This strategy is non-invasive and often recommended before considering medication changes.
🔺 Feeding immediately before sleep may worsen reflux during supine rest.
🔺 Changing to soy formula is not routine unless there's a documented cow’s milk allergy.
Q4: A nurse is collecting data from an adolescent who has hypocalcemia. Which of the following findings should the nurse expect?
Answer Choices:
⏩ Muscle tremors are linked to neuromuscular irritability caused by low calcium levels.
⏩ Calcium is crucial for muscle contraction and nerve transmission—deficiency leads to over-excitability.
⏩ Other signs may include tetany, paresthesias, and Chvostek’s sign.
⏩ The other options (tinnitus, high BP, constipation) are not indicative of hypocalcemia.
Q5: A nurse is assisting with the care of a 15-year-old adolescent who has Streptococcus pneumonia.
🔅 A reduced WBC count indicates resolving infection.
🔅 Oxygen need decreased from 2 L to 1 L, showing improved pulmonary function.
🔅 Steatorrhea and barrel chest are chronic signs of CF, not acute infection changes.
🔅 300 mL hemoptysis suggests worsening condition and potential hemorrhage.
🔅 Lower respiratory rate than baseline also implies better respiratory effort.
