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Pediatric Health Nursing-II

200 questions found

Practice Questions

18. A 6-year-old child is undergoing a tonsillectomy. Post-operatively, what is the critical clinical sign of hemorrhage that the nurse must urgently assess for?

A. Complaints of mild throat pain.

B. Frequent swallowing, restlessness, or bright red emesis. ✓

C. Increased urine output.

D. Decreased heart rate.

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nmdcat.online BS Nursing

Jun 6, 2026

19. A 1-month-old infant with pyloric stenosis presents with projectile vomiting after feeding. What technical pathophysiological reason explains this clinical finding?

A. Impaired esophageal motility.

B. Hypertrophy of the pyloric muscle, obstructing gastric outflow. ✓

C. Gastric ulceration.

D. Immature digestive enzymes.

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nmdcat.online BS Nursing

Jun 6, 2026

20. A 10-year-old child with ADHD is prescribed methylphenidate. What medicinal education is critical for the nurse to provide to the parents regarding administration time?

A. Administer at bedtime to promote sleep.

B. Administer in the morning with breakfast to minimize appetite suppression and insomnia. ✓

C. Administer only when the child is feeling hyperactive.

D. Administer on an empty stomach twice a day.

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nmdcat.online BS Nursing

Jun 6, 2026

21. A 4-year-old child with a new diagnosis of acute lymphoblastic leukemia (ALL) is about to start chemotherapy. The nurse is discussing potential side effects with the parents. What clinical nursing implication is critical regarding immunosuppression?

A. Encouraging large gatherings.

B. Stressing meticulous hand hygiene and avoiding exposure to sick individuals. ✓

C. Recommending raw fruits and vegetables.

D. Encouraging swimming in public pools.

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nmdcat.online BS Nursing

Jun 6, 2026

22. A 3-month-old infant with heart failure is prescribed digoxin. The nurse needs to administer the medication. What technical medicinal nursing action is critical before administering digoxin to an infant?

A. Checking the infant's temperature.

B. Counting the apical pulse for a full minute and withholding the dose if the heart rate is below parameters (e.g., 90-110 bpm, depending on age and institutional policy). ✓

C. Assessing the infant's weight.

D. Checking the infant's blood pressure.

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nmdcat.online BS Nursing

Jun 6, 2026

23. A 7-year-old child is admitted with a severe head injury after a fall. The nurse notes a Glasgow Coma Scale (GCS) score of 8 and sluggish pupil reaction. What is the urgent critical nursing intervention?

A. Providing a warm blanket.

B. Immediately notifying the healthcare provider, assisting with intubation, and preparing for emergent neuroimaging. ✓

C. Offering oral fluids.

D. Encouraging the child to sleep.

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nmdcat.online BS Nursing

Jun 6, 2026

24. A 1-year-old infant with gastroesophageal reflux (GER) is experiencing frequent spitting up and poor weight gain. What technical nursing intervention is critical to teach the parents to manage GER?

A. Placing the infant in a car seat after feeding.

B. Maintaining the infant in an upright position for 30 minutes after feeding, and offering smaller, more frequent feeds. ✓

C. Offering large volumes of formula.

D. Encouraging immediate playtime after feeding.

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nmdcat.online BS Nursing

Jun 6, 2026

25. A 13-year-old adolescent with asthma uses a long-acting beta-agonist (LABA) for maintenance. What medicinal education is critical for the nurse to provide regarding its use?

A. Use for acute asthma attacks.

B. Use for long-term control, not for acute relief of asthma symptoms. ✓

C. Use only when feeling breathless.

D. Use only before exercise.

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nmdcat.online BS Nursing

Jun 6, 2026

26. A 5-year-old child with a cast on their arm after a fracture complains of severe pain unrelieved by analgesia, paresthesia, and pallor of the fingers. What is the critical situational nursing concern?

A. Normal post-fracture pain.

B. Compartment syndrome, requiring urgent notification of the healthcare provider and potential cast removal/fasciotomy. ✓

C. Allergic reaction to the cast material.

D. Nerve impingement.

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nmdcat.online BS Nursing

Jun 6, 2026

27. A 6-month-old infant presents with a history of poor feeding, diaphoresis during feeds, and increased respiratory effort. Physical exam reveals a murmur. What technical finding is critical to assess in a child with suspected congenital heart disease leading to heart failure?

A. Temperature.

B. Weight gain patterns, feeding tolerance, and signs of respiratory distress. ✓

C. Skin turgor.

D. Presence of rash.

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nmdcat.online BS Nursing

Jun 6, 2026

28. A 10-year-old child with sickle cell anemia is admitted with a vaso-occlusive crisis. The child is complaining of severe pain in their legs. What is the clinical nursing priority?

A. Restricting fluid intake.

B. Administering opioids for pain management and providing adequate hydration. ✓

C. Encouraging vigorous exercise.

D. Limiting physical activity completely.

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nmdcat.online BS Nursing

Jun 6, 2026

29. A 2-year-old child is admitted with febrile seizures. The nurse is educating the parents on management. What medicinal recommendation might be made for fever reduction?

A. Aspirin.

B. Acetaminophen or ibuprofen. ✓

C. Cough syrup.

D. Antiemetics.

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nmdcat.online BS Nursing

Jun 6, 2026

30. A 8-year-old child with a new diagnosis of Type 1 Diabetes Mellitus is learning to self-administer insulin. What critical technical education is essential for the nurse to provide for safe injection technique?

A. Inserting the needle at a 45-degree angle.

B. Cleaning the site with alcohol, pinching up the skin, inserting the needle at a 90-degree angle (or 45 for thin children), and pressing the plunger slowly. ✓

C. Massaging the site after injection.

D. Reusing needles for convenience.

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nmdcat.online BS Nursing

Jun 6, 2026

31. A 1-month-old infant is diagnosed with an inguinal hernia. The parents are concerned about strangulation. What technical clinical sign should the nurse instruct the parents to watch for as an urgency?

A. Mild redness of the skin.

B. Inconsolable crying, abdominal distension, vomiting, or a firm, non-reducible lump. ✓

C. Increased urine output.

D. Increased appetite.

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nmdcat.online BS Nursing

Jun 6, 2026

1. A 3-year-old child presents to the emergency department with a sudden onset of barking cough, inspiratory stridor, and mild respiratory distress. The child was afebrile last night. What is the critical initial nursing assessment to determine the urgency of intervention?

A. Assessing the child's level of consciousness and responsiveness.

B. Asking the parents about the last time the child ate.

C. Determining the exact onset and progression of symptoms, and assessing respiratory effort for signs of impending respiratory failure. ✓

D. Checking the child's weight.

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nmdcat.online BS Nursing

Jun 6, 2026

2. A 6-month-old infant with a history of prematurity presents with recurrent episodes of wheezing, cough, and increased work of breathing. Parents report difficulty feeding due to respiratory effort. What technical nursing intervention is critical in managing bronchiolitis in this infant?

A. Administering antibiotics immediately.

B. Providing humidified oxygen, ensuring adequate hydration, and frequent suctioning to clear secretions. ✓

C. Placing the infant in Trendelenburg position.

D. Encouraging vigorous play.

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nmdcat.online BS Nursing

Jun 6, 2026

3. A 10-year-old child with newly diagnosed Type 1 Diabetes Mellitus is admitted for initial education. The nurse is teaching the child and parents about insulin administration. What clinical aspect is critical for the nurse to emphasize regarding site rotation?

A. To prevent infection at the injection site.

B. To ensure proper absorption and prevent lipohypertrophy. ✓

C. To make the injections less painful.

D. To reduce the cost of insulin.

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nmdcat.online BS Nursing

Jun 6, 2026

4. A 2-year-old child is admitted with severe dehydration due to gastroenteritis. The child is lethargic, has sunken fontanelles, and decreased urine output. What urgent medicinal intervention is the nurse most likely to prepare for first?

A. Oral rehydration solution (ORS) administration.

B. Intravenous (IV) fluid bolus of isotonic solution (e.g., normal saline). ✓

C. Administration of an antiemetic.

D. Administration of an antipyretic.

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nmdcat.online BS Nursing

Jun 6, 2026

5. A 7-year-old child with asthma presents with an acute exacerbation, characterized by severe wheezing, dyspnea, and pulsus paradoxus. What is the critical initial nursing intervention in this situational scenario?

A. Administering oral corticosteroids.

B. Immediately administering a short-acting beta-agonist (SABA) via nebulizer or metered-dose inhaler with spacer. ✓

C. Encouraging the child to lie down.

D. Taking a detailed history of the child's allergies.

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nmdcat.online BS Nursing

Jun 6, 2026

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Pediatric Health Nursing-II

Practice Questions

18. A 6-year-old child is undergoing a tonsillectomy. Post-operatively, what is the critical clinical sign of hemorrhage that the nurse must urgently assess for?

19. A 1-month-old infant with pyloric stenosis presents with projectile vomiting after feeding. What technical pathophysiological reason explains this clinical finding?

20. A 10-year-old child with ADHD is prescribed methylphenidate. What medicinal education is critical for the nurse to provide to the parents regarding administration time?

21. A 4-year-old child with a new diagnosis of acute lymphoblastic leukemia (ALL) is about to start chemotherapy. The nurse is discussing potential side effects with the parents. What clinical nursing implication is critical regarding immunosuppression?

22. A 3-month-old infant with heart failure is prescribed digoxin. The nurse needs to administer the medication. What technical medicinal nursing action is critical before administering digoxin to an infant?

23. A 7-year-old child is admitted with a severe head injury after a fall. The nurse notes a Glasgow Coma Scale (GCS) score of 8 and sluggish pupil reaction. What is the urgent critical nursing intervention?

24. A 1-year-old infant with gastroesophageal reflux (GER) is experiencing frequent spitting up and poor weight gain. What technical nursing intervention is critical to teach the parents to manage GER?

25. A 13-year-old adolescent with asthma uses a long-acting beta-agonist (LABA) for maintenance. What medicinal education is critical for the nurse to provide regarding its use?

26. A 5-year-old child with a cast on their arm after a fracture complains of severe pain unrelieved by analgesia, paresthesia, and pallor of the fingers. What is the critical situational nursing concern?

27. A 6-month-old infant presents with a history of poor feeding, diaphoresis during feeds, and increased respiratory effort. Physical exam reveals a murmur. What technical finding is critical to assess in a child with suspected congenital heart disease leading to heart failure?

28. A 10-year-old child with sickle cell anemia is admitted with a vaso-occlusive crisis. The child is complaining of severe pain in their legs. What is the clinical nursing priority?

29. A 2-year-old child is admitted with febrile seizures. The nurse is educating the parents on management. What medicinal recommendation might be made for fever reduction?

30. A 8-year-old child with a new diagnosis of Type 1 Diabetes Mellitus is learning to self-administer insulin. What critical technical education is essential for the nurse to provide for safe injection technique?

31. A 1-month-old infant is diagnosed with an inguinal hernia. The parents are concerned about strangulation. What technical clinical sign should the nurse instruct the parents to watch for as an urgency?

1. A 3-year-old child presents to the emergency department with a sudden onset of barking cough, inspiratory stridor, and mild respiratory distress. The child was afebrile last night. What is the critical initial nursing assessment to determine the urgency of intervention?

2. A 6-month-old infant with a history of prematurity presents with recurrent episodes of wheezing, cough, and increased work of breathing. Parents report difficulty feeding due to respiratory effort. What technical nursing intervention is critical in managing bronchiolitis in this infant?

3. A 10-year-old child with newly diagnosed Type 1 Diabetes Mellitus is admitted for initial education. The nurse is teaching the child and parents about insulin administration. What clinical aspect is critical for the nurse to emphasize regarding site rotation?

4. A 2-year-old child is admitted with severe dehydration due to gastroenteritis. The child is lethargic, has sunken fontanelles, and decreased urine output. What urgent medicinal intervention is the nurse most likely to prepare for first?

5. A 7-year-old child with asthma presents with an acute exacerbation, characterized by severe wheezing, dyspnea, and pulsus paradoxus. What is the critical initial nursing intervention in this situational scenario?

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