Review these RN Pediatrics Case Based Quiz nursing practice questions with answer choices and explanations.
A 6-year-old child presents with fever, stiff neck, and photophobia. What is the nurse’s priority action?
Correct answer:
Explanation: Suspected meningitis requires immediate droplet precautions to prevent spread.
A 4-year-old with asthma presents with wheezing and retractions. What is the first intervention?
Correct answer:
Explanation: Short-acting bronchodilator is first-line for acute asthma attack.
A 2-year-old with dehydration has tachycardia and dry mucous membranes. What is priority?
Correct answer:
Explanation: IV fluids are required for moderate to severe dehydration.
An infant with pyloric stenosis is vomiting projectile. What is priority nursing action?
Correct answer:
Explanation: Pyloric stenosis requires surgical correction.
A child with sickle cell crisis reports severe pain. What is priority?
Correct answer:
Explanation: Pain control is priority in sickle cell crisis.
A toddler presents with barking cough and stridor. What is the nurse’s priority action?
Correct answer:
Explanation: Croup requires airway support with humidified oxygen.
A child with suspected epiglottitis is drooling and sitting forward. What should the nurse do first?
Correct answer:
Explanation: Airway management is priority; do NOT inspect throat.
A 10-year-old with DKA has Kussmaul respirations. What is priority?
Correct answer:
Explanation: Fluid resuscitation is first priority in DKA.
A child post-tonsillectomy is swallowing frequently. What does this indicate?
Correct answer:
Explanation: Frequent swallowing indicates possible hemorrhage.
A child with Kawasaki disease has fever and rash. What is priority treatment?
Correct answer:
Explanation: IVIG prevents coronary artery complications.
A 6-year-old child presents with fever, stiff neck, and photophobia. What is the nurse’s priority action?
Correct answer:
Explanation: Suspected meningitis requires immediate droplet precautions to prevent spread.
A 4-year-old with asthma presents with wheezing and retractions. What is the first intervention?
Correct answer:
Explanation: Short-acting bronchodilator is first-line for acute asthma attack.
A 2-year-old with dehydration has tachycardia and dry mucous membranes. What is priority?
Correct answer:
Explanation: IV fluids are required for moderate to severe dehydration.
An infant with pyloric stenosis is vomiting projectile. What is priority nursing action?
Correct answer:
Explanation: Pyloric stenosis requires surgical correction.
A child with sickle cell crisis reports severe pain. What is priority?
Correct answer:
Explanation: Pain control is priority in sickle cell crisis.
A toddler presents with barking cough and stridor. What is the nurse’s priority action?
Correct answer:
Explanation: Croup requires airway support with humidified oxygen.
A child with suspected epiglottitis is drooling and sitting forward. What should the nurse do first?
Correct answer:
Explanation: Airway management is priority; do NOT inspect throat.
A 10-year-old with DKA has Kussmaul respirations. What is priority?
Correct answer:
Explanation: Fluid resuscitation is first priority in DKA.
A child post-tonsillectomy is swallowing frequently. What does this indicate?
Correct answer:
Explanation: Frequent swallowing indicates possible hemorrhage.
A child with Kawasaki disease has fever and rash. What is priority treatment?
Correct answer:
Explanation: IVIG prevents coronary artery complications.
A 6-year-old child presents with fever, stiff neck, and photophobia. What is the nurse’s priority action?
Correct answer:
Explanation: Suspected meningitis requires immediate droplet precautions to prevent spread.
A 4-year-old with asthma presents with wheezing and retractions. What is the first intervention?
Correct answer:
Explanation: Short-acting bronchodilator is first-line for acute asthma attack.
A 2-year-old with dehydration has tachycardia and dry mucous membranes. What is priority?
Correct answer:
Explanation: IV fluids are required for moderate to severe dehydration.
An infant with pyloric stenosis is vomiting projectile. What is priority nursing action?
Correct answer:
Explanation: Pyloric stenosis requires surgical correction.
A child with sickle cell crisis reports severe pain. What is priority?
Correct answer:
Explanation: Pain control is priority in sickle cell crisis.
A toddler presents with barking cough and stridor. What is the nurse’s priority action?
Correct answer:
Explanation: Croup requires airway support with humidified oxygen.
A child with suspected epiglottitis is drooling and sitting forward. What should the nurse do first?
Correct answer:
Explanation: Airway management is priority; do NOT inspect throat.
A 10-year-old with DKA has Kussmaul respirations. What is priority?
Correct answer:
Explanation: Fluid resuscitation is first priority in DKA.
A child post-tonsillectomy is swallowing frequently. What does this indicate?
Correct answer:
Explanation: Frequent swallowing indicates possible hemorrhage.
A child with Kawasaki disease has fever and rash. What is priority treatment?
Correct answer:
Explanation: IVIG prevents coronary artery complications.
A 6-year-old child presents with fever, stiff neck, and photophobia. What is the nurse’s priority action?
Correct answer:
Explanation: Suspected meningitis requires immediate droplet precautions to prevent spread.
A 4-year-old with asthma presents with wheezing and retractions. What is the first intervention?
Correct answer:
Explanation: Short-acting bronchodilator is first-line for acute asthma attack.
A 2-year-old with dehydration has tachycardia and dry mucous membranes. What is priority?
Correct answer:
Explanation: IV fluids are required for moderate to severe dehydration.
An infant with pyloric stenosis is vomiting projectile. What is priority nursing action?
Correct answer:
Explanation: Pyloric stenosis requires surgical correction.
A child with sickle cell crisis reports severe pain. What is priority?
Correct answer:
Explanation: Pain control is priority in sickle cell crisis.
A toddler presents with barking cough and stridor. What is the nurse’s priority action?
Correct answer:
Explanation: Croup requires airway support with humidified oxygen.
A child with suspected epiglottitis is drooling and sitting forward. What should the nurse do first?
Correct answer:
Explanation: Airway management is priority; do NOT inspect throat.
A 10-year-old with DKA has Kussmaul respirations. What is priority?
Correct answer:
Explanation: Fluid resuscitation is first priority in DKA.
A child post-tonsillectomy is swallowing frequently. What does this indicate?
Correct answer:
Explanation: Frequent swallowing indicates possible hemorrhage.
A child with Kawasaki disease has fever and rash. What is priority treatment?
Correct answer:
Explanation: IVIG prevents coronary artery complications.
A 6-year-old child presents with fever, stiff neck, and photophobia. What is the nurse’s priority action?
Correct answer:
Explanation: Suspected meningitis requires immediate droplet precautions to prevent spread.
A 4-year-old with asthma presents with wheezing and retractions. What is the first intervention?
Correct answer:
Explanation: Short-acting bronchodilator is first-line for acute asthma attack.
A 2-year-old with dehydration has tachycardia and dry mucous membranes. What is priority?
Correct answer:
Explanation: IV fluids are required for moderate to severe dehydration.
An infant with pyloric stenosis is vomiting projectile. What is priority nursing action?
Correct answer:
Explanation: Pyloric stenosis requires surgical correction.
A child with sickle cell crisis reports severe pain. What is priority?
Correct answer:
Explanation: Pain control is priority in sickle cell crisis.
A toddler presents with barking cough and stridor. What is the nurse’s priority action?
Correct answer:
Explanation: Croup requires airway support with humidified oxygen.
A child with suspected epiglottitis is drooling and sitting forward. What should the nurse do first?
Correct answer:
Explanation: Airway management is priority; do NOT inspect throat.
A 10-year-old with DKA has Kussmaul respirations. What is priority?
Correct answer:
Explanation: Fluid resuscitation is first priority in DKA.
A child post-tonsillectomy is swallowing frequently. What does this indicate?
Correct answer:
Explanation: Frequent swallowing indicates possible hemorrhage.
A child with Kawasaki disease has fever and rash. What is priority treatment?
Correct answer:
Explanation: IVIG prevents coronary artery complications.
A 6-year-old child presents with fever, stiff neck, and photophobia. What is the nurse’s priority action?
Correct answer:
Explanation: Suspected meningitis requires immediate droplet precautions to prevent spread.
A 4-year-old with asthma presents with wheezing and retractions. What is the first intervention?
Correct answer:
Explanation: Short-acting bronchodilator is first-line for acute asthma attack.
A 2-year-old with dehydration has tachycardia and dry mucous membranes. What is priority?
Correct answer:
Explanation: IV fluids are required for moderate to severe dehydration.
An infant with pyloric stenosis is vomiting projectile. What is priority nursing action?
Correct answer:
Explanation: Pyloric stenosis requires surgical correction.
A child with sickle cell crisis reports severe pain. What is priority?
Correct answer:
Explanation: Pain control is priority in sickle cell crisis.