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RN Pediatrics Quiz 3

Question 1 of 52

A nurse is assessing a newborn’s thermoregulation. Which mechanism is primarily used to produce heat?

Select one answer.

Review all questions in this quiz

RN Pediatrics Quiz 3 Practice Questions

Review these RN Pediatrics Quiz 3 nursing practice questions with answer choices and explanations.

Question 1

A nurse is assessing a newborn’s thermoregulation. Which mechanism is primarily used to produce heat?

  1. Shivering
  2. Brown fat metabolism
  3. Sweating
  4. Muscle activity
View answer and explanation

Correct answer:

  1. Brown fat metabolism

Explanation: Newborns rely on brown fat metabolism for heat production.

Question 2

A nurse is caring for a child with cystic fibrosis. Which intervention is priority?

  1. High-fat diet
  2. Chest physiotherapy
  3. Fluid restriction
  4. Bed rest
View answer and explanation

Correct answer:

  1. Chest physiotherapy

Explanation: Chest physiotherapy helps clear thick secretions.

Question 3

A nurse is assessing a child with ADHD. Which behavior is expected?

  1. Impulsivity
  2. Bradycardia
  3. Weight loss
  4. Vision changes
View answer and explanation

Correct answer:

  1. Impulsivity

Explanation: Impulsivity is a core feature of ADHD.

Question 4

A nurse is caring for a child with Down syndrome. Which condition is commonly associated?

  1. Congenital heart defects
  2. Hypertension
  3. Hyperthyroidism
  4. Asthma
View answer and explanation

Correct answer:

  1. Congenital heart defects

Explanation: Down syndrome is associated with congenital heart defects.

Question 5

A nurse is assessing a child with lead poisoning. Which symptom is expected?

  1. Irritability
  2. Hypertension
  3. Hyperactivity
  4. Weight gain
View answer and explanation

Correct answer:

  1. Irritability

Explanation: Lead poisoning causes neurologic symptoms like irritability.

Question 6

A nurse is teaching about Reye syndrome. Which medication should be avoided?

  1. Ibuprofen
  2. Acetaminophen
  3. Aspirin
  4. Penicillin
View answer and explanation

Correct answer:

  1. Aspirin

Explanation: Aspirin is associated with Reye syndrome in children.

Question 7

A nurse is assessing a child with Kawasaki disease. Which finding is expected?

  1. Strawberry tongue
  2. Bradycardia
  3. Hypothermia
  4. Dry skin
View answer and explanation

Correct answer:

  1. Strawberry tongue

Explanation: Strawberry tongue is a classic sign.

Question 8

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

  1. Inspect throat
  2. Keep child calm
  3. Give fluids
  4. Position supine
View answer and explanation

Correct answer:

  1. Keep child calm

Explanation: Avoid agitation to prevent airway obstruction.

Question 9

A nurse is assessing a child with intussusception. Which finding is expected?

  1. Currant jelly stools
  2. Hematemesis
  3. Bradycardia
  4. Polyuria
View answer and explanation

Correct answer:

  1. Currant jelly stools

Explanation: Currant jelly stools are characteristic.

Question 10

A nurse is assessing a child with Hirschsprung disease. Which finding is expected?

  1. Chronic constipation
  2. Diarrhea
  3. Vomiting blood
  4. Polyuria
View answer and explanation

Correct answer:

  1. Chronic constipation

Explanation: Hirschsprung disease causes bowel obstruction and constipation.

Question 11

A nurse is caring for a child with scoliosis. What is used to assess severity?

  1. Cobb angle
  2. BMI
  3. Pulse rate
  4. Height
View answer and explanation

Correct answer:

  1. Cobb angle

Explanation: Cobb angle measures spinal curvature.

Question 12

A nurse is assessing a child with hemolytic anemia. Which finding is expected?

  1. Jaundice
  2. Hypothermia
  3. Bradycardia
  4. Weight gain
View answer and explanation

Correct answer:

  1. Jaundice

Explanation: Hemolysis leads to jaundice.

Question 13

A nurse is teaching about sudden infant death syndrome (SIDS). Which is correct?

  1. Place prone
  2. Use soft bedding
  3. Sleep on back
  4. Share bed
View answer and explanation

Correct answer:

  1. Sleep on back

Explanation: Back sleeping reduces SIDS risk.

Question 14

A nurse is assessing a child with autism. Which behavior is expected?

  1. Social withdrawal
  2. Hyperactivity
  3. Bradycardia
  4. Edema
View answer and explanation

Correct answer:

  1. Social withdrawal

Explanation: Autism includes social interaction difficulties.

Question 15

A nurse is caring for a child with burns. Which fluid is used initially?

  1. D5W
  2. Normal saline
  3. LR
  4. Half saline
View answer and explanation

Correct answer:

  1. LR

Explanation: Lactated Ringer’s is used for burn resuscitation.

Question 16

A nurse is assessing a child with leukemia. Which is common?

  1. Fatigue
  2. Weight gain
  3. Bradycardia
  4. Dry skin
View answer and explanation

Correct answer:

  1. Fatigue

Explanation: Fatigue results from anemia.

Question 17

A nurse is caring for a child with hemophilia. What should be avoided?

  1. IM injections
  2. Oral meds
  3. Rest
  4. Hydration
View answer and explanation

Correct answer:

  1. IM injections

Explanation: IM injections increase bleeding risk.

Question 18

A nurse is assessing a child with diabetes insipidus. Which is expected?

  1. Polyuria
  2. Oliguria
  3. Edema
  4. Weight gain
View answer and explanation

Correct answer:

  1. Polyuria

Explanation: DI causes excessive urination.

Question 19

A nurse is assessing a child with hypothyroidism. Which finding is expected?

  1. Weight gain
  2. Hyperactivity
  3. Diarrhea
  4. Tachycardia
View answer and explanation

Correct answer:

  1. Weight gain

Explanation: Hypothyroidism slows metabolism.

Question 20

A nurse is caring for a child with hyperbilirubinemia. Which treatment is used?

  1. Phototherapy
  2. Dialysis
  3. Antibiotics
  4. Insulin
View answer and explanation

Correct answer:

  1. Phototherapy

Explanation: Phototherapy reduces bilirubin levels.

Question 21

A nurse is assessing a newborn’s thermoregulation. Which mechanism is primarily used to produce heat?

  1. Shivering
  2. Brown fat metabolism
  3. Sweating
  4. Muscle activity
View answer and explanation

Correct answer:

  1. Brown fat metabolism

Explanation: Newborns rely on brown fat metabolism for heat production.

Question 22

A nurse is caring for a child with cystic fibrosis. Which intervention is priority?

  1. High-fat diet
  2. Chest physiotherapy
  3. Fluid restriction
  4. Bed rest
View answer and explanation

Correct answer:

  1. Chest physiotherapy

Explanation: Chest physiotherapy helps clear thick secretions.

Question 23

A nurse is assessing a child with ADHD. Which behavior is expected?

  1. Impulsivity
  2. Bradycardia
  3. Weight loss
  4. Vision changes
View answer and explanation

Correct answer:

  1. Impulsivity

Explanation: Impulsivity is a core feature of ADHD.

Question 24

A nurse is caring for a child with Down syndrome. Which condition is commonly associated?

  1. Congenital heart defects
  2. Hypertension
  3. Hyperthyroidism
  4. Asthma
View answer and explanation

Correct answer:

  1. Congenital heart defects

Explanation: Down syndrome is associated with congenital heart defects.

Question 25

A nurse is assessing a child with lead poisoning. Which symptom is expected?

  1. Irritability
  2. Hypertension
  3. Hyperactivity
  4. Weight gain
View answer and explanation

Correct answer:

  1. Irritability

Explanation: Lead poisoning causes neurologic symptoms like irritability.

Question 26

A nurse is teaching about Reye syndrome. Which medication should be avoided?

  1. Ibuprofen
  2. Acetaminophen
  3. Aspirin
  4. Penicillin
View answer and explanation

Correct answer:

  1. Aspirin

Explanation: Aspirin is associated with Reye syndrome in children.

Question 27

A nurse is assessing a child with Kawasaki disease. Which finding is expected?

  1. Strawberry tongue
  2. Bradycardia
  3. Hypothermia
  4. Dry skin
View answer and explanation

Correct answer:

  1. Strawberry tongue

Explanation: Strawberry tongue is a classic sign.

Question 28

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

  1. Inspect throat
  2. Keep child calm
  3. Give fluids
  4. Position supine
View answer and explanation

Correct answer:

  1. Keep child calm

Explanation: Avoid agitation to prevent airway obstruction.

Question 29

A nurse is assessing a child with intussusception. Which finding is expected?

  1. Currant jelly stools
  2. Hematemesis
  3. Bradycardia
  4. Polyuria
View answer and explanation

Correct answer:

  1. Currant jelly stools

Explanation: Currant jelly stools are characteristic.

Question 30

A nurse is assessing a child with Hirschsprung disease. Which finding is expected?

  1. Chronic constipation
  2. Diarrhea
  3. Vomiting blood
  4. Polyuria
View answer and explanation

Correct answer:

  1. Chronic constipation

Explanation: Hirschsprung disease causes bowel obstruction and constipation.

Question 31

A nurse is caring for a child with scoliosis. What is used to assess severity?

  1. Cobb angle
  2. BMI
  3. Pulse rate
  4. Height
View answer and explanation

Correct answer:

  1. Cobb angle

Explanation: Cobb angle measures spinal curvature.

Question 32

A nurse is assessing a child with hemolytic anemia. Which finding is expected?

  1. Jaundice
  2. Hypothermia
  3. Bradycardia
  4. Weight gain
View answer and explanation

Correct answer:

  1. Jaundice

Explanation: Hemolysis leads to jaundice.

Question 33

A nurse is teaching about sudden infant death syndrome (SIDS). Which is correct?

  1. Place prone
  2. Use soft bedding
  3. Sleep on back
  4. Share bed
View answer and explanation

Correct answer:

  1. Sleep on back

Explanation: Back sleeping reduces SIDS risk.

Question 34

A nurse is assessing a child with autism. Which behavior is expected?

  1. Social withdrawal
  2. Hyperactivity
  3. Bradycardia
  4. Edema
View answer and explanation

Correct answer:

  1. Social withdrawal

Explanation: Autism includes social interaction difficulties.

Question 35

A nurse is caring for a child with burns. Which fluid is used initially?

  1. D5W
  2. Normal saline
  3. LR
  4. Half saline
View answer and explanation

Correct answer:

  1. LR

Explanation: Lactated Ringer’s is used for burn resuscitation.

Question 36

A nurse is assessing a child with leukemia. Which is common?

  1. Fatigue
  2. Weight gain
  3. Bradycardia
  4. Dry skin
View answer and explanation

Correct answer:

  1. Fatigue

Explanation: Fatigue results from anemia.

Question 37

A nurse is caring for a child with hemophilia. What should be avoided?

  1. IM injections
  2. Oral meds
  3. Rest
  4. Hydration
View answer and explanation

Correct answer:

  1. IM injections

Explanation: IM injections increase bleeding risk.

Question 38

A nurse is assessing a child with diabetes insipidus. Which is expected?

  1. Polyuria
  2. Oliguria
  3. Edema
  4. Weight gain
View answer and explanation

Correct answer:

  1. Polyuria

Explanation: DI causes excessive urination.

Question 39

A nurse is assessing a child with hypothyroidism. Which finding is expected?

  1. Weight gain
  2. Hyperactivity
  3. Diarrhea
  4. Tachycardia
View answer and explanation

Correct answer:

  1. Weight gain

Explanation: Hypothyroidism slows metabolism.

Question 40

A nurse is caring for a child with hyperbilirubinemia. Which treatment is used?

  1. Phototherapy
  2. Dialysis
  3. Antibiotics
  4. Insulin
View answer and explanation

Correct answer:

  1. Phototherapy

Explanation: Phototherapy reduces bilirubin levels.

Question 41

A nurse is assessing a newborn’s thermoregulation. Which mechanism is primarily used to produce heat?

  1. Shivering
  2. Brown fat metabolism
  3. Sweating
  4. Muscle activity
View answer and explanation

Correct answer:

  1. Brown fat metabolism

Explanation: Newborns rely on brown fat metabolism for heat production.

Question 42

A nurse is caring for a child with cystic fibrosis. Which intervention is priority?

  1. High-fat diet
  2. Chest physiotherapy
  3. Fluid restriction
  4. Bed rest
View answer and explanation

Correct answer:

  1. Chest physiotherapy

Explanation: Chest physiotherapy helps clear thick secretions.

Question 43

A nurse is assessing a child with ADHD. Which behavior is expected?

  1. Impulsivity
  2. Bradycardia
  3. Weight loss
  4. Vision changes
View answer and explanation

Correct answer:

  1. Impulsivity

Explanation: Impulsivity is a core feature of ADHD.

Question 44

A nurse is caring for a child with Down syndrome. Which condition is commonly associated?

  1. Congenital heart defects
  2. Hypertension
  3. Hyperthyroidism
  4. Asthma
View answer and explanation

Correct answer:

  1. Congenital heart defects

Explanation: Down syndrome is associated with congenital heart defects.

Question 45

A nurse is assessing a child with lead poisoning. Which symptom is expected?

  1. Irritability
  2. Hypertension
  3. Hyperactivity
  4. Weight gain
View answer and explanation

Correct answer:

  1. Irritability

Explanation: Lead poisoning causes neurologic symptoms like irritability.

Question 46

A nurse is teaching about Reye syndrome. Which medication should be avoided?

  1. Ibuprofen
  2. Acetaminophen
  3. Aspirin
  4. Penicillin
View answer and explanation

Correct answer:

  1. Aspirin

Explanation: Aspirin is associated with Reye syndrome in children.

Question 47

A nurse is assessing a child with Kawasaki disease. Which finding is expected?

  1. Strawberry tongue
  2. Bradycardia
  3. Hypothermia
  4. Dry skin
View answer and explanation

Correct answer:

  1. Strawberry tongue

Explanation: Strawberry tongue is a classic sign.

Question 48

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

  1. Inspect throat
  2. Keep child calm
  3. Give fluids
  4. Position supine
View answer and explanation

Correct answer:

  1. Keep child calm

Explanation: Avoid agitation to prevent airway obstruction.

Question 49

A nurse is assessing a child with intussusception. Which finding is expected?

  1. Currant jelly stools
  2. Hematemesis
  3. Bradycardia
  4. Polyuria
View answer and explanation

Correct answer:

  1. Currant jelly stools

Explanation: Currant jelly stools are characteristic.

Question 50

A nurse is assessing a child with Hirschsprung disease. Which finding is expected?

  1. Chronic constipation
  2. Diarrhea
  3. Vomiting blood
  4. Polyuria
View answer and explanation

Correct answer:

  1. Chronic constipation

Explanation: Hirschsprung disease causes bowel obstruction and constipation.

Question 51

A nurse is caring for a child with scoliosis. What is used to assess severity?

  1. Cobb angle
  2. BMI
  3. Pulse rate
  4. Height
View answer and explanation

Correct answer:

  1. Cobb angle

Explanation: Cobb angle measures spinal curvature.

Question 52

A nurse is assessing a child with hemolytic anemia. Which finding is expected?

  1. Jaundice
  2. Hypothermia
  3. Bradycardia
  4. Weight gain
View answer and explanation

Correct answer:

  1. Jaundice

Explanation: Hemolysis leads to jaundice.