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 caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?
Answer Choices:
🖤 Preschoolers typically have a limited understanding of death, often perceiving it as a punishment for something they did wrong.
🖤 Egocentrism in preschool-aged children leads them to believe that their actions directly influence life and death.
🖤 Magical thinking in this age group may make them think they can undo death or bring someone back.
🖤 They are not fully aware that death is permanent, and their emotional responses are more linked to fear of loss than comprehension.
🖤 It’s essential to provide reassurance and explain death in a simple, non-threatening manner appropriate to their developmental level.
Q2: A nurse is contributing to the plan of care for a school-age child who has autism and is scheduled for surgery. Which of the following interventions should the nurse include in the plan?
Answer Choices:
✨ Children with autism may experience sensory sensitivities, where physical touch can overwhelm or increase anxiety.
✨ Minimizing physical contact allows the child to feel safe and avoid sensory overload, which can exacerbate agitation.
✨ Social interactions may be challenging for children with autism, and forcing eye contact can increase distress and dysregulation.
✨ Providing a structured, calm environment with minimal sensory stimuli can help reduce anxiety and make the child feel more secure.
✨ Sensory overload is best managed by understanding individual triggers and adapting care to minimize stressful interactions.
Q3: A nurse is collecting data from an infant who has respiratory syncytial virus (RSV). Which of the following findings should the nurse expect?
Answer Choices:
💎 Respiratory syncytial virus (RSV) typically starts with cold-like symptoms, including rhinorrhea (runny nose).
💎 Wheezing and coughing are also common in RSV, especially as it progresses to the lower respiratory tract.
💎 Vesicles on the trunk are more characteristic of chickenpox than RSV.
💎 Clubbing of the fingers is generally associated with chronic respiratory conditions like cystic fibrosis, but not acute RSV.
💎 The first symptoms of RSV often mimic a common cold, starting with nasal congestion and rhinorrhea, before progressing to wheezing and respiratory distress.
Q4: A nurse is caring for a toddler who has been vomiting for the past 8 hr. Which of the following findings indicates to the nurse that the child is dehydrated?
Answer Choices:
⚫ Tachycardia (increased heart rate) is a common indicator of dehydration in toddlers.
⚫ Vomiting for prolonged periods leads to fluid loss, which compensates by increasing the heart rate to maintain adequate circulation.
⚫ Hypotension, often associated with dehydration, can result in decreased blood pressure, not increased blood pressure.
⚫ Flat anterior fontanels and distended jugular veins are more indicative of fluid overload or heart failure, not dehydration.
⚫ Increased pulse is a compensatory mechanism in response to dehydration, and it helps maintain perfusion.
Q5: A nurse is reinforcing teaching with the parent of a preschooler who has a hip fracture and is in a spica cast. Which of the following findings should the nurse identify as an indication of infection?
Answer Choices:
🖤 A hot spot on the cast indicates a localized infection, which could be a sign that the skin underneath the cast is infected.
🖤 Infection under the cast can lead to warmth, redness, and pain at the site. Immediate attention is necessary to prevent further complications like osteomyelitis.
🖤 General edema and pruritus (itching) are common post-cast, but not typically signs of infection.
🖤 Pain at the fracture site is expected as the bone heals, but it should not be associated with local warmth indicating infection.
🖤 Hot spots should be assessed immediately and addressed to avoid the progression of infection.
