Last Updated: Aug 01, 2026
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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Planning and Implementation | 43% | - Leadership and Education
|
| Topic 2: Assessment and Diagnosis | 27% | - Clinical Assessment
|
| Topic 3: Evaluation | 30% | - Outcome Evaluation
|
1. A pediatric nurse has received a report from the previous shift. Which of the following patients should the
nurse attend to first?
A) A four-month-old baby girl with ventricular septal defect with heart murmurs
B) A three-year-old baby girl with Tetralogy of Fallot with blue lips when crying
C) A twelve-month-old baby boy with coarctation of the aorta who has weakness on the right extremity
D) A ten-month-old baby boy with patent ductus arteriosus with positive babinski
2. Which of the following behaviors by a three-year-old patient supports a nursing diagnosis of delayed
growth and development?
A) Walks holding onto furniture
B) Throws a ball overhead
C) Sits down from a standing position
D) Can push and pull toys
3. A mother expresses the desire to breastfeed her baby who is preterm and is admitted at the neonatal
intensive care unit. The nurse should:
A) Support the mother's decision and explain that even if her baby is able to breastfeed, the baby may
easily be exhausted
B) Tell the patient that this is not permissible because the baby is being fed by gavage
C) Instruct the mother that breast milk is inadequate for a preterm infant because it does not contain all the
necessary nutrients
D) Discourage the mother because of the time and effort it will take to pump her breasts
4. A child ingested twenty maximum strength acetaminophen tablets thirty minutes ago and is seen at the
emergency department. The ER nurse calls one of the staff nurses at the NICU to identify which
physician's order should be done first. The NICU nurse should state that it must be:
A) Acetylcesteine for age per pharmacy
B) Activated charcoal per pharmacy
C) Start IV dextrose 5% with 0.33% normal saline KVO
D) Gastric lavage PRN
5. What is the most appropriate toy that a nurse should give to a 12-week-old infant?
A) Colorful stuffed toy
B) Rattle
C) Metallic mirror
D) Balls made of safe plastic
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: A | Question # 3 Answer: A | Question # 4 Answer: D | Question # 5 Answer: C |
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