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RN Pediatrics Mixed Adaptive Exam

Question 1 of 55

A nurse is assessing a child with respiratory distress. Which finding requires immediate intervention?

Select one answer.

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RN Pediatrics Mixed Adaptive Exam Practice Questions

Review these RN Pediatrics Mixed Adaptive Exam nursing practice questions with answer choices and explanations.

Question 1

A nurse is assessing a child with respiratory distress. Which finding requires immediate intervention?

  1. Mild wheezing
  2. Nasal flaring
  3. Oxygen saturation 85%
  4. Cough
View answer and explanation

Correct answer:

  1. Oxygen saturation 85%

Explanation: Low oxygen saturation is a critical sign requiring immediate intervention.

Question 2

A child with dehydration has dry mucous membranes and tachycardia. What is the nurse’s priority action?

  1. Encourage oral fluids
  2. Start IV fluids
  3. Monitor weight
  4. Educate parents
View answer and explanation

Correct answer:

  1. Start IV fluids

Explanation: IV fluids are required for moderate dehydration.

Question 3

A nurse is caring for a child with meningitis. Which finding indicates worsening condition?

  1. Fever
  2. Headache
  3. Altered level of consciousness
  4. Vomiting
View answer and explanation

Correct answer:

  1. Altered level of consciousness

Explanation: Altered LOC is a late and serious sign.

Question 4

A child with asthma is not responding to bronchodilators. What is next?

  1. Discharge home
  2. Administer corticosteroids
  3. Encourage rest
  4. Give fluids
View answer and explanation

Correct answer:

  1. Administer corticosteroids

Explanation: Steroids reduce inflammation.

Question 5

A child with burns has decreased urine output. What is priority?

  1. Pain control
  2. Increase fluids
  3. Dress wound
  4. Monitor temperature
View answer and explanation

Correct answer:

  1. Increase fluids

Explanation: Low urine output indicates hypovolemia.

Question 6

A nurse is caring for a child with seizure activity. What is the priority intervention?

  1. Insert object in mouth
  2. Protect airway
  3. Restrain limbs
  4. Give oral medication
View answer and explanation

Correct answer:

  1. Protect airway

Explanation: Airway protection is priority.

Question 7

A child with DKA has blood glucose of 300 mg/dL. What is the first intervention?

  1. Administer insulin
  2. Start IV fluids
  3. Give potassium
  4. Monitor
View answer and explanation

Correct answer:

  1. Start IV fluids

Explanation: Fluids are first-line treatment.

Question 8

A nurse is assessing a child with increased ICP. Which finding is most concerning?

  1. Headache
  2. Vomiting
  3. Bradycardia
  4. Irritability
View answer and explanation

Correct answer:

  1. Bradycardia

Explanation: Bradycardia is a late sign.

Question 9

A child with pneumonia has labored breathing. What is priority?

  1. Antibiotics
  2. Oxygen therapy
  3. Fluids
  4. Rest
View answer and explanation

Correct answer:

  1. Oxygen therapy

Explanation: Airway and oxygenation come first.

Question 10

A nurse is caring for a child with sickle cell crisis. What is priority?

  1. Encourage activity
  2. Administer pain medication
  3. Restrict fluids
  4. Give iron
View answer and explanation

Correct answer:

  1. Administer pain medication

Explanation: Pain control is essential.

Question 11

A child post-tonsillectomy is swallowing frequently. What should the nurse do?

  1. Give fluids
  2. Assess for bleeding
  3. Administer analgesics
  4. Reassure
View answer and explanation

Correct answer:

  1. Assess for bleeding

Explanation: Frequent swallowing indicates bleeding.

Question 12

A nurse is assessing a newborn. Which finding requires immediate intervention?

  1. Acrocyanosis
  2. Grunting
  3. Molding
  4. Vernix
View answer and explanation

Correct answer:

  1. Grunting

Explanation: Grunting indicates respiratory distress.

Question 13

A child with hypoglycemia is unconscious. What is priority?

  1. Give insulin
  2. Administer glucose
  3. Give fluids
  4. Monitor
View answer and explanation

Correct answer:

  1. Administer glucose

Explanation: Glucose must be given immediately.

Question 14

A nurse is caring for a child with nephrotic syndrome. Which is priority?

  1. Monitor weight
  2. Assess for infection
  3. Give diuretics
  4. Restrict fluids
View answer and explanation

Correct answer:

  1. Assess for infection

Explanation: Infection risk is high.

Question 15

A child with croup has stridor at rest. What is priority?

  1. Give fluids
  2. Administer epinephrine
  3. Observe
  4. Encourage cough
View answer and explanation

Correct answer:

  1. Administer epinephrine

Explanation: Severe airway obstruction.

Question 16

A nurse is caring for a child with appendicitis. Which finding indicates rupture?

  1. Fever
  2. Nausea
  3. Sudden pain relief
  4. Vomiting
View answer and explanation

Correct answer:

  1. Sudden pain relief

Explanation: Pain relief may indicate rupture.

Question 17

A child with heart failure shows tachycardia and fatigue. What is priority?

  1. Encourage activity
  2. Administer medication
  3. Educate parents
  4. Monitor weight
View answer and explanation

Correct answer:

  1. Administer medication

Explanation: Medication improves cardiac output.

Question 18

A nurse is caring for a child with hemophilia. What is priority?

  1. Encourage sports
  2. Administer factor
  3. Give aspirin
  4. Restrict fluids
View answer and explanation

Correct answer:

  1. Administer factor

Explanation: Factor replacement prevents bleeding.

Question 19

A child with UTI has fever and pain. What is priority?

  1. Encourage fluids
  2. Administer antibiotics
  3. Monitor
  4. Educate
View answer and explanation

Correct answer:

  1. Administer antibiotics

Explanation: Treat infection.

Question 20

A nurse is assessing a child with dehydration. Which is earliest sign?

  1. Hypotension
  2. Tachycardia
  3. Dry mucous membranes
  4. Sunken eyes
View answer and explanation

Correct answer:

  1. Dry mucous membranes

Explanation: Dry mucous membranes appear early.

Question 21

A nurse is assessing a child with respiratory distress. Which finding requires immediate intervention?

  1. Mild wheezing
  2. Nasal flaring
  3. Oxygen saturation 85%
  4. Cough
View answer and explanation

Correct answer:

  1. Oxygen saturation 85%

Explanation: Low oxygen saturation is a critical sign requiring immediate intervention.

Question 22

A child with dehydration has dry mucous membranes and tachycardia. What is the nurse’s priority action?

  1. Encourage oral fluids
  2. Start IV fluids
  3. Monitor weight
  4. Educate parents
View answer and explanation

Correct answer:

  1. Start IV fluids

Explanation: IV fluids are required for moderate dehydration.

Question 23

A nurse is caring for a child with meningitis. Which finding indicates worsening condition?

  1. Fever
  2. Headache
  3. Altered level of consciousness
  4. Vomiting
View answer and explanation

Correct answer:

  1. Altered level of consciousness

Explanation: Altered LOC is a late and serious sign.

Question 24

A child with asthma is not responding to bronchodilators. What is next?

  1. Discharge home
  2. Administer corticosteroids
  3. Encourage rest
  4. Give fluids
View answer and explanation

Correct answer:

  1. Administer corticosteroids

Explanation: Steroids reduce inflammation.

Question 25

A child with burns has decreased urine output. What is priority?

  1. Pain control
  2. Increase fluids
  3. Dress wound
  4. Monitor temperature
View answer and explanation

Correct answer:

  1. Increase fluids

Explanation: Low urine output indicates hypovolemia.

Question 26

A nurse is caring for a child with seizure activity. What is the priority intervention?

  1. Insert object in mouth
  2. Protect airway
  3. Restrain limbs
  4. Give oral medication
View answer and explanation

Correct answer:

  1. Protect airway

Explanation: Airway protection is priority.

Question 27

A child with DKA has blood glucose of 300 mg/dL. What is the first intervention?

  1. Administer insulin
  2. Start IV fluids
  3. Give potassium
  4. Monitor
View answer and explanation

Correct answer:

  1. Start IV fluids

Explanation: Fluids are first-line treatment.

Question 28

A nurse is assessing a child with increased ICP. Which finding is most concerning?

  1. Headache
  2. Vomiting
  3. Bradycardia
  4. Irritability
View answer and explanation

Correct answer:

  1. Bradycardia

Explanation: Bradycardia is a late sign.

Question 29

A child with pneumonia has labored breathing. What is priority?

  1. Antibiotics
  2. Oxygen therapy
  3. Fluids
  4. Rest
View answer and explanation

Correct answer:

  1. Oxygen therapy

Explanation: Airway and oxygenation come first.

Question 30

A nurse is caring for a child with sickle cell crisis. What is priority?

  1. Encourage activity
  2. Administer pain medication
  3. Restrict fluids
  4. Give iron
View answer and explanation

Correct answer:

  1. Administer pain medication

Explanation: Pain control is essential.

Question 31

A child post-tonsillectomy is swallowing frequently. What should the nurse do?

  1. Give fluids
  2. Assess for bleeding
  3. Administer analgesics
  4. Reassure
View answer and explanation

Correct answer:

  1. Assess for bleeding

Explanation: Frequent swallowing indicates bleeding.

Question 32

A nurse is assessing a newborn. Which finding requires immediate intervention?

  1. Acrocyanosis
  2. Grunting
  3. Molding
  4. Vernix
View answer and explanation

Correct answer:

  1. Grunting

Explanation: Grunting indicates respiratory distress.

Question 33

A child with hypoglycemia is unconscious. What is priority?

  1. Give insulin
  2. Administer glucose
  3. Give fluids
  4. Monitor
View answer and explanation

Correct answer:

  1. Administer glucose

Explanation: Glucose must be given immediately.

Question 34

A nurse is caring for a child with nephrotic syndrome. Which is priority?

  1. Monitor weight
  2. Assess for infection
  3. Give diuretics
  4. Restrict fluids
View answer and explanation

Correct answer:

  1. Assess for infection

Explanation: Infection risk is high.

Question 35

A child with croup has stridor at rest. What is priority?

  1. Give fluids
  2. Administer epinephrine
  3. Observe
  4. Encourage cough
View answer and explanation

Correct answer:

  1. Administer epinephrine

Explanation: Severe airway obstruction.

Question 36

A nurse is caring for a child with appendicitis. Which finding indicates rupture?

  1. Fever
  2. Nausea
  3. Sudden pain relief
  4. Vomiting
View answer and explanation

Correct answer:

  1. Sudden pain relief

Explanation: Pain relief may indicate rupture.

Question 37

A child with heart failure shows tachycardia and fatigue. What is priority?

  1. Encourage activity
  2. Administer medication
  3. Educate parents
  4. Monitor weight
View answer and explanation

Correct answer:

  1. Administer medication

Explanation: Medication improves cardiac output.

Question 38

A nurse is caring for a child with hemophilia. What is priority?

  1. Encourage sports
  2. Administer factor
  3. Give aspirin
  4. Restrict fluids
View answer and explanation

Correct answer:

  1. Administer factor

Explanation: Factor replacement prevents bleeding.

Question 39

A child with UTI has fever and pain. What is priority?

  1. Encourage fluids
  2. Administer antibiotics
  3. Monitor
  4. Educate
View answer and explanation

Correct answer:

  1. Administer antibiotics

Explanation: Treat infection.

Question 40

A nurse is assessing a child with dehydration. Which is earliest sign?

  1. Hypotension
  2. Tachycardia
  3. Dry mucous membranes
  4. Sunken eyes
View answer and explanation

Correct answer:

  1. Dry mucous membranes

Explanation: Dry mucous membranes appear early.

Question 41

A nurse is assessing a child with respiratory distress. Which finding requires immediate intervention?

  1. Mild wheezing
  2. Nasal flaring
  3. Oxygen saturation 85%
  4. Cough
View answer and explanation

Correct answer:

  1. Oxygen saturation 85%

Explanation: Low oxygen saturation is a critical sign requiring immediate intervention.

Question 42

A child with dehydration has dry mucous membranes and tachycardia. What is the nurse’s priority action?

  1. Encourage oral fluids
  2. Start IV fluids
  3. Monitor weight
  4. Educate parents
View answer and explanation

Correct answer:

  1. Start IV fluids

Explanation: IV fluids are required for moderate dehydration.

Question 43

A nurse is caring for a child with meningitis. Which finding indicates worsening condition?

  1. Fever
  2. Headache
  3. Altered level of consciousness
  4. Vomiting
View answer and explanation

Correct answer:

  1. Altered level of consciousness

Explanation: Altered LOC is a late and serious sign.

Question 44

A child with asthma is not responding to bronchodilators. What is next?

  1. Discharge home
  2. Administer corticosteroids
  3. Encourage rest
  4. Give fluids
View answer and explanation

Correct answer:

  1. Administer corticosteroids

Explanation: Steroids reduce inflammation.

Question 45

A child with burns has decreased urine output. What is priority?

  1. Pain control
  2. Increase fluids
  3. Dress wound
  4. Monitor temperature
View answer and explanation

Correct answer:

  1. Increase fluids

Explanation: Low urine output indicates hypovolemia.

Question 46

A nurse is caring for a child with seizure activity. What is the priority intervention?

  1. Insert object in mouth
  2. Protect airway
  3. Restrain limbs
  4. Give oral medication
View answer and explanation

Correct answer:

  1. Protect airway

Explanation: Airway protection is priority.

Question 47

A child with DKA has blood glucose of 300 mg/dL. What is the first intervention?

  1. Administer insulin
  2. Start IV fluids
  3. Give potassium
  4. Monitor
View answer and explanation

Correct answer:

  1. Start IV fluids

Explanation: Fluids are first-line treatment.

Question 48

A nurse is assessing a child with increased ICP. Which finding is most concerning?

  1. Headache
  2. Vomiting
  3. Bradycardia
  4. Irritability
View answer and explanation

Correct answer:

  1. Bradycardia

Explanation: Bradycardia is a late sign.

Question 49

A child with pneumonia has labored breathing. What is priority?

  1. Antibiotics
  2. Oxygen therapy
  3. Fluids
  4. Rest
View answer and explanation

Correct answer:

  1. Oxygen therapy

Explanation: Airway and oxygenation come first.

Question 50

A nurse is caring for a child with sickle cell crisis. What is priority?

  1. Encourage activity
  2. Administer pain medication
  3. Restrict fluids
  4. Give iron
View answer and explanation

Correct answer:

  1. Administer pain medication

Explanation: Pain control is essential.

Question 51

A child post-tonsillectomy is swallowing frequently. What should the nurse do?

  1. Give fluids
  2. Assess for bleeding
  3. Administer analgesics
  4. Reassure
View answer and explanation

Correct answer:

  1. Assess for bleeding

Explanation: Frequent swallowing indicates bleeding.

Question 52

A nurse is assessing a newborn. Which finding requires immediate intervention?

  1. Acrocyanosis
  2. Grunting
  3. Molding
  4. Vernix
View answer and explanation

Correct answer:

  1. Grunting

Explanation: Grunting indicates respiratory distress.

Question 53

A child with hypoglycemia is unconscious. What is priority?

  1. Give insulin
  2. Administer glucose
  3. Give fluids
  4. Monitor
View answer and explanation

Correct answer:

  1. Administer glucose

Explanation: Glucose must be given immediately.

Question 54

A nurse is caring for a child with nephrotic syndrome. Which is priority?

  1. Monitor weight
  2. Assess for infection
  3. Give diuretics
  4. Restrict fluids
View answer and explanation

Correct answer:

  1. Assess for infection

Explanation: Infection risk is high.

Question 55

A child with croup has stridor at rest. What is priority?

  1. Give fluids
  2. Administer epinephrine
  3. Observe
  4. Encourage cough
View answer and explanation

Correct answer:

  1. Administer epinephrine

Explanation: Severe airway obstruction.