B.
“It is important to monitor the weight of
1. You are working in a daycare center as a
school nurse and seen two 3-year-old girl
fighting for a
toy. Which of the following will be the best
management for such conflicts?
*
1/1
A. Give then separate but duplicate toys
B. Subjecting both to time out
C. Reprimand for their behavior
D. Tell them to stop by shouting loudly
2. While interviewing a 5-year-old girl due for
appendectomy, it suddenly uttered, "You know
nurse, I love my father and we will get married
after my surgery". The nurse at this point can
conclude which of the following?
*
1/1
A. The child is probably suffering from sexual
abuse
B. The child should seek psychiatric advice
C. Is developmentally normal for age
D. Is now ready for the pending operation
3. The nurse is caring for newborns in the
neonatal intensive care unit. Which of the
following
teaching, if given by the nurse to the mothers of
their patients will mean an inaccurate
information
regarding the principles of growth and
development?
*
1/1
A. “You need to consistently care for your
child and cuddle them when they cry”
your child as it indicates their brain growth”
C. “Your child is our utmost priority so do not
leave any plastic near the child when
sleeping”
D. “Your child’s weight will more likely double
at 6 months”
4. A nurse is teaching a mother’s class and is
discussing the different considerations in caring
for
infants. One of the mothers inquired about the
perfect time to introduce solid food to her child,
the
nurse will answer accurately by saying which of
the following?
*
1/1
A. 6 months
B. 1 y/o
C. 8 months
D. 3 months
5. One of the primary reasons for the
introduction of solid food to infants is which of
the following?
*
1/1
A. Infants lose their iron stores that need to
be replenished by iron-rich food
B. Infants need increased iron for the
development of their bones
C. Infants’ withdrawal to maternal hormone
causes decrease in body weight
D. Infants need to train the gums for the
eruption of the teeth
6. Which of the following food should be
questioned by the nurse if included in the tray
of an infant
for complementary feeding? A. Offering help
B. Taking picture of the act
* C. Giving the child a coloring pad
1/1
D. Turning off the lights
A. Mashed potato
B. Rice cereal
C. Pureed carrots
10. In dealing with children in school age,
D. Grapes
which of the following teaching should be
included to
prevent inferiority complex?
7. The nurse included in her teaching that the
*
correct interval on the introduction of food for
1/1
infants is
5-7 days per food. This is for which reason? A. Ensure positive reinforcements on
accomplished tasks
*
1/1 B. Answer all questions in a tactful manner
C. Give the child whatever they want
A. To determine the infant’s food preferences D. Only the needs in the school should be
B. To train the infant to not be picky in food provided
selection
C. To determine the presence of allergy to
different food
11. A school nurse is reviewing her notes
D. To increase the infant’s stomach capacity regarding the common injuries of school age
for food children. She
knows that which of the following is the most
8. Which of the following toys is recommended common fracture among this age group?
for a 2-year old child hospitalized due to *
pneumonia? 1/1
* A. Comminuted fracture of the carpal bones
B. Greenstick fracture of the long bones of
1/1
the arm
A. A toy computer
C. Compound fracture of the spine
B. A ringing toy telephone D. Depressed skull fracture
C. Lego bricks
D. Yoyo
12. A 15-year-old female is set for an
abdominal surgery. Based on the client’s
9. Nurse Lira while on the hallway saw Michael,
developmental stage,
a 5 – year old patient masturbating in his room.
which of the following receives the highest
The
priority?
nurse will intervene in the situation tactfully by:
*
*
1/1
1/1
A. Anxiety r/t impending operation
B. Risk for injury r/t reckless behavior expect which laboratory parameters to be
C. Hopelessness r/t condition’s prognosis
D. Disturbed body image r/t potential post- checked?
operative scar *
1/1
A. Biophysical scoring
13. On the assessment of a neonate after B. L/S ratio
delivery, the nurse noted the following findings:
C. Intrauterine fetal monitoring
Inability to D. Transvaginal ultrasound
hold the nurse's finger, Heel easily brought to
ears, ears do not recoil after folding, and the
16. In assessing a neonate with Meconium
neonate's extremities are flaccid. The nurse will
Aspiration Syndrome, a prudent nurse will
document that the newborn is probably:
correctly
*
correlate fast breathing as triggered by which of
1/1
the following?
A. Premature *
B. Postmature 1/1
C. Full term A. Accumulation of acid in the blood
D. Post term B. Decreased oxygenation
C. Both acidemia and hypoxemia

14. A nurse is assessing a newborn with D. Neither acidemia nor hypoxemia

Respiratory Distress Syndrome (RDS). Which
of the following
17. A neonate with Apnea of prematurity is
manifestations will be consistent with the
receiving caffeine citrate as ordered by the
patient's condition? Select all that apply.
neonatologist.
*
Which parameter will the nurse be more vigilant
1/1
to check and monitor relative to the mentioned
A. Flaring of Nares drug?
*
B. Bibasilar crackles on auscultation of the
lungs 1/1
A. Oxygen saturation
C. Wheezing all over the chest on B. Blood pressure
auscultation C. Sucking reflex
D. The neonate appears sick D. Urine output

E. RR of 25 cpm

18. Nurse Mika is about to discharge Nico, a 3-

15. In order to ascertain fetal lung maturity for a year-old patient admitted for dengue
mother who is having preterm labor, the nurse hemorrhagic fever.
can Before discharging the patient, Nurse Mika
explained the discharge plan to the
patient's mother
emphasizing the different pharmacologic
considerations for toddlers. Nurse Mika is
exemplifying
what pediatric nursing role?
*
1/1
A. Nurse Advocate
B. Health Educator
C. Nurse Consultant
D. Primary Caregiver
19. Which of the following is/are true about the
respiratory system? Select all that apply.
* E. Bronchial breath sound is best heard over
0/1
A. The mast cells produce mucus that traps
offending microorganism in the lower
respiratory tract’
B. In time of acidosis, the medulla oblongata
increases the respiratory rate as a
compensation
C. The pleural space contain fluid to help
lubricate the pleurae during inhalation
D. Exchange of gases happen when the lower
pressure atmosphere enters the higher-
pressure lungs
E. Deep breathing increases the ciliary
escalator activity that helps expel mucus
Correct answer
B. In time of acidosis, the medulla oblongata
increases the respiratory rate as a
compensation
C. The pleural space contain fluid to help
lubricate the pleurae during inhalation
20. Which of the following options is/are true
about lung sounds? Select all that apply.
*
0/1
A. Vesicular breath sounds are best heard
over the apex of the lungs
B. Bronchovesicular breath sounds are best
heard in between the scapula
C. For a patient with pulmonary edema, the
nurse should anticipate hearing crackles over
the affected lung area
D. A bronchial breath sound is anticipated to
be heard over the lung area with pleural
effusion
the chest area
Correct answer
B. Bronchovesicular breath sounds are best
heard in between the scapula
C. For a patient with pulmonary edema, the
nurse should anticipate hearing crackles over
the affected lung area
21. A nurse received a patient from the OR
after tonsillectomy. All are TRUE about the care
of patients
post-tonsillectomy. Select all that apply.
*
0/1
A. Champorado is prohibited in the
immediate post-operative period
B. Patient should be placed flat on bed until
fully conscious
C. Vigorous suctioning of the mouth and
throat is imperative to prevent aspiration
D. Deep breathing, coughing, and turning
exercises should be encouraged post-
operative
E. Check the child for frequent swallowing
during the post-operative period
Correct answer
A. Champorado is prohibited in the
immediate post-operative period
E. Check the child for frequent swallowing
during the post-operative period
22. Which of the following options give
accurate information about the medications
used in the
treatment of asthma? Select all that apply:
* age
0/1
A. Cromolyn blocks leukotriene thereby
opening the smaller airways
B. Terbutaline acts by stimulating beta 2
receptors in the lungs thereby causing
bronchodilation
C. Hydrocortisone has an anti-inflammatory
effect that tames down the inflammatory
process in the bronchi
D. Ipratropium acts by blocking the
parasympathetic nervous system thereby
opening the airway
E. Patients taking aminophylline should be
assessed for signs of toxicity such as
frequent urination and vomiting
Correct answer
B. Terbutaline acts by stimulating beta 2
receptors in the lungs thereby causing
bronchodilation
C. Hydrocortisone has an anti-inflammatory
effect that tames down the inflammatory
process in the bronchi
D. Ipratropium acts by blocking the
parasympathetic nervous system thereby
opening the airway
E. Patients taking aminophylline should be
assessed for signs of toxicity such as
frequent urination and vomiting
23. In reviewing the chart of the patient with
cystic fibrosis, the nurse anticipates seeing
which of the
following entries as consistent with the
diagnosis of a 5-year-old child with the
mentioned disease?
Select all that apply.
*
0/1
A. The child’s weight is below expected for
B. Frequent respiratory tract infection is
prominent in patient's history
C. The patient has an African American
descent
D. The child often complains of blood in the
stool
E. The child's stool is bulky and greasy
Correct answers
A. The child’s weight is below expected for
age
B. Frequent respiratory tract infection is
prominent in patient's history
E. The child's stool is bulky and greasy
24. A nurse is auscultating the lung fields of a
patient with bronchiolitis, she noted a high-
pitched
musical sound on the base of the lungs when
the patient breathes. She will document this as:
*
1/1
A. Wheezing
B. Crackles
C. Vesicular
D. Stridor 27. When suspecting Acute Streptococcal
Pharyngitis, the nurse will anticipate which
25. A nurse just counselled a 2-year-old child laboratory test to
with Acute Viral Nasopharyngitis. Which of the be ordered by the pediatrician to strengthen the
following diagnosis?
responses of the mother, if asks by the nurse to *
repeat her instructions in caring for the child 1/1
will A. Enzyme-linked immunosorbent assay
mean a misunderstanding of the teaching? B. Chest x-ray
C. Sputum analysis
*
D. Antistreptolysin O titer
1/1
A. "I will continue giving my child the
antibiotic prescribed to her last summer
when she had the same symptoms" 28. Which of the following food should be
removed from the tray of a patient post-
B. "I can give decongestants as prescribed by tonsillectomy?
the pediatrician whenever my child
experiences clogged nose" *
C. "Dextromethorphan syrup should not be 1/1
given to my child in an extended period of
time" A. Cherry flavored Kool-aid
D. "I should give my child fruit juices"
B. Clear cold jell-o
C. Plain vanilla ice cream
26. A nurse is talking to a mother being D. Milk popsicles
discharged from the emergency department
with a diagnosis 29. All are true in caring for a patient suspected
of Acute Streptococcal Pharyngitis. Which of having acute epiglotitis, except:
responses of the mother will mean that she *
understood
1/1
the discharge teaching?
A. Let the child assume a tripod position
* B. Throat should be frequently checked with
1/1 a tongue depressor for any disease
progression
A. "I should stop giving the antibiotics
prescribed once the symptoms subside" C. Refer the case immediately to the
B. "Any report of chest discomforts are physician
usually due to frequent coughing" D. Intubation set should be prepared on the
C. "I should report any change in urine color bedside
for my child and development of edema"

D. "My children are still safe to be near each 30. Which of the following is TRUE about
other and share utensils"
albuterol as a bronchodilator?
*
1/1
A. It stimulates the beta 2 receptor causing all that apply.
opening of the airway
*
B. Patient's heart rate should be checked 1/1
when giving albuterol as it can cause
bradycardia A. Peeled apple
C. Albuterol stimulates beta 1 receptor that
activates the parasympathetic nervous B. Banana milkshake
system easing airway constriction C. Oatmeal with milk
D. It is given as a maintenance medication
and should be taken everyday D. Mashed potato
E. Bread toast

31. A nurse is caring for a patient with cystic F. Rice porridge

fibrosis who has an unrelenting cough due to
tenacious
mucus production. Which nursing diagnosis
should be prioritized by the nurse to deal on?
* Syndrome will
1/1
A. Impaired gas exchange
B. Ineffective breathing pattern
C. Ineffective airway clearance
D. Ineffective tissue perfusion
32. All are TRUE about Hirschsprung Disease.
Select all that apply.
* C. "I must add soluble fiber to my diet now
1/1
A. Unopposed parasympathetic stimulation
leads into increase intestinal tone
B. Infants with this disorder often fail to pass
meconium on the first 48 hours of life
C. Enlargement of the abdomen can be seen
in infants with this disorder
34. Which patient responses after dietary
counselling for patients with Irritable Bowel
mean an understanding of the concepts?
Select all that apply.
*
1/1
A. "As long as I keep my mind pre-occupied
with work, my tummy will be just fine"
B. "I should not consume cola and sparkling
water"
and take away high roughage diet"
D. "I should start practicing to eat at a slower
rate"
E. "When I am having episodes of
diarrhea, greens and fruits are good to
consume"

D. Vomiting is frequently noted for patients 35. A prudent nurse will select which among
with large intestinal affectation the choices as accurate in the care of patients
with Acute
Appendicitis? Select all that apply.
33. Which food selection is advisable for a *
patient with Irritable Bowel Syndrome? Select 0/1
A. An elevated WBC is expected for patients
with Acute Appendicitis
B. Administration of enema is
contraindicated for patients with Acute
Appendicitis
C. Hot compress on the Right Lower
Quadrant is advisable to relieve pain
D. Relief of pain may mean spontaneous
resolution of the Appendicitis
E. Administration of analgesics are
contraindicated for patients with Acute
Appendicitis
Correct answer
A. An elevated WBC is expected for patients
with Acute Appendicitis
B. Administration of enema is
contraindicated for patients with Acute
Appendicitis
E. Administration of analgesics are
contraindicated for patients with Acute
Appendicitis
36. An infant with congenital aganglionic
megacolon is to undergo Lower GI Series
(LGIS). Which of
the following should be included in the teaching
for the infant's caregivers? Select all that apply.
*
0/1
A. "Expect a pale or whitish stool after the
procedure as the solution used in this
procedure is color white"
B. "The infant will be sedated the entire
procedure"
C. "The infant's feeding should be
withheld for 24 hours after the procedure"
D. "Blood-tinged stool is normal within 24
hours"
E. "I need to encourage my child to drink
more water after the procedure"
F. "Any abdominal pain should be reported to
the nurse or the physician"
Correct answer
A. "Expect a pale or whitish stool after the
procedure as the solution used in this
procedure is color white"
E. "I need to encourage my child to drink
more water after the procedure"
F. "Any abdominal pain should be reported to
the nurse or the physician"
37. All are TRUE about the care of patients
with cleft lip and cleft palate. Select all that
apply.
*
0/1
A. Place the infant in prone position post
cheiloplasty
B. Place the infant in prone position post
palatoplasty
C. Elbow restrains should be checked
regularly every 2 hours
D. Regularly check the suture line post
palatoplasty using a tongue depressor for
possible bleeding
E. Check for any ear discharges as these
infants are prone to develop middle ear
infection
Correct answer
B. Place the infant in prone position post
palatoplasty
C. Elbow restrains should be checked
regularly every 2 hours
E. Check for any ear discharges as these
infants are prone to develop middle ear
infection
38. In assessing a patient with Hypertrophic D. Costovertebral point

Pyloric Stenosis, which manifestations are

expected to be 41. The nurse is evaluating the laboratory
seen? Select all that apply. results of a patient with Meckel Diverticulum.
* Which lab
1/1 values will alert the nurse that the patient is
A. Yellowish vomitus suffering from anemia?
B. Sunken fontanelle *
1/1
C. Moist mouth
A. RBC 9000 mm3
D. Stunted growth B. WBC 7000 mm3
C. Hematocrit of 33%
E. Palpable sausage-shaped mass on the D. Hemoglobin of 10 mg/dL
epigastrium
F. Weight gain

42. In assessing an infant with suspected

39. Which of the following is TRUE about the Intussusception, what hallmark manifestations
effect of NSAIDs in the gastrointestinal tract? is/are
* anticipated to be noted?
1/1 *
A. NSAIDs increases gastric motility and 1/1
helps in cases of dyspepsia
B. NSAIDs blocks prostaglandin which is a A. Currant-jelly stool and olive-shaped mass
key ingredient for the production of mucus on the abdomen
by the mucoid cell making the stomach lining B. Bloody mucoid stool and sausage-shaped
vulnerable to HCl and ulceration mass on the abdomen

C. NSAIDs decreases the surface tension of C. Blood in the stool and non-bilious vomiting
bubbles in the GI tract for easy release D. Black tarry stool and inconsolable crying
D. NSAIDs blocks the cholinergic pathways
thereby halting the peristaltic movement
43. An infant is about to undergo hydrostatic
reduction procedure for the treatment of
40. The nurse is about to assess Blumberg
intussusception.
Sign to a patient suspected of having acute
Which assessment finding will alert the nurse
appendicitis.
that a possible intestinal perforation is
Which abdominal landmark should the nurse
happening to
locate?
the patient?
*
*
1/1
1/1
A. Erb's point
A. Inconsolable crying
B. McDonald's point
B. Non-bilious vomiting
C. McBurney's point
C. Projectile vomiting
D. Rigid, board-like abdomen

44. Which of the following snacks is
recommended for a patient with Celiac
Disease?
* I will put into my cart in the market”
1/1
A. Corn kernels
B. Whole wheat cookies
C. Oatmeal crackers
D. Strawberry cheesecake
45. The nurse is counseling the mother of
Zenki, a 7-year-old patient diagnosed of Celiac
Disease
regarding diet modifications to help manage the
disease. Which of the following food selection if
stated by the parents would mean an
ineffective teaching?
*
1/1
A. “My son is allowed to eat rice cake if we
have occasions in our house”
B. “I will prepare an oatmeal with fruits for
breakfast to detoxify my son’s intestines”
C. “My son can still enjoy his favorite corn
flakes that we are buying in the
supermarket”
D. “If my child is sick, I can prepare a rice
soup for him”
46. As the nurse continuously evaluates the
learning of the parents about diet modifications
for a
patient with Celiac Disease, which among the
statements of the parents would mean that the
teaching has been effective?
* D. Lethargy, increased respiratory rate and
1/1
A. “Raw vegetables and fruits are highly
recommended when my child is having
diarrheal attack to
help lessen the number of bowel
movements”
B. “Rice and hotdogs are allowed to be
consumed when diarrhea subsides”
C. “I will read all labels of the food items that
D. “Crackers are healthy and recommended
snacks for my son to prevent vomiting”
47. The nurse is preparing a 10-year-old child
for an emergency appendectomy. She should
clarify
which written preoperative order to the
surgeon?
*
1/1
A. Insert an IV access and infuse normal
saline solution at KVO rate
B. Maintain an NPO status at least 8-12 hours
C. Give a Fleet enema until return flow is
clear
D. Administer Cefuroxime 750 mg IV 30
minutes prior to operation
48. The child is diagnosed with early
hypovolemic shock due to bleeding Meckel
Diverticulum. Which
assessment findings best support early
hypovolemic shock?
*
1/1
A. Irritability and anxiousness, capillary refill
>2 seconds, and absent distal pulses
B. Bradycardia, hypotension, mottled skin
coloring, cyanosis, and weak distal pulse
C. Tachycardia, capillary refill >2 seconds,
cold extremities, and weak distal pulses
urine output, and BP low for child’s age
49. A nurse is reviewing the chart of a patient
with Aganglionic Megacolon. Which hallmark
manifestation should the nurse anticipate in the
chief complaint part portion of the admitting
history?
*
1/1
A. Presence of Currant-jelly stool
B. Presence of bloody mucoid stool
C. Presence of palpable sausage-shaped
mass
D. Presence of malodorous spaghetti-like
stool

50. A patient with hypertrophic pyloric stenosis

with profuse projectile vomiting is being
admitted in
the pediatric surgical ward. While reviewing the
patient’s laboratory results, the nurse will
anticipate which findings?
*
1/1
A. Metabolic Alkalosis in Capillary Blood Gas
Analysis

B. Hyperkalemia in Blood Chemistry

C. Mucosal Atrophy in intestinal tissue
pathology
D. Severe Anemia as manifested by
decreased hemoglobin levels