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Pediatric Nursing Flashcards

6 cards from real ANCC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 Pediatric Nursing flashcards as text

  1. A 6-year-old presents with barking cough, inspiratory stridor, and low-grade fever. The child is alert and not drooling. Which nursing intervention is the priority?

    Answer: Place in cool mist environment and administer racemic epinephrine per order

    The presentation describes croup. For mild-to-moderate croup with maintained airway, cool mist and racemic epinephrine for moderate cases are the priority interventions. Dexamethasone is also standard.

  2. A child weighing 44 lbs requires amoxicillin 40 mg/kg/day divided every 8 hours. Available suspension is 250 mg/5 mL. How many mL per dose?

    Answer: 5.3 mL

    44 lbs divided by 2.2 = 20 kg. Total daily dose = 40 mg/kg x 20 kg = 800 mg/day. Per dose (q8h) = 800/3 = 267 mg. Volume = (267/250) x 5 mL = 5.3 mL.

  3. A 3-year-old presents with suspected epiglottitis. Which nursing action is the absolute priority?

    Answer: Avoid any agitation; keep child calm with parent; do NOT examine the throat

    Epiglottitis is a life-threatening emergency. Throat examination or any agitation can precipitate complete airway obstruction. The child must be kept calm with the parent while an emergent airway team is assembled.

  4. A 28-week gestation newborn in the NICU — which finding is most consistent with respiratory distress syndrome (RDS)?

    Answer: Expiratory grunting, nasal flaring, subcostal retractions, and cyanosis on room air

    RDS in preterm neonates presents with expiratory grunting, nasal flaring, intercostal/subcostal retractions, and cyanosis — classic signs of surfactant deficiency.

  5. A 10-year-old with sickle cell disease has fever 38.9 C, SpO2 94%, chest pain, and bilateral pulmonary infiltrates. Which complication does this represent?

    Answer: Acute chest syndrome (ACS)

    Acute chest syndrome is defined by new pulmonary infiltrate on CXR plus fever, chest pain, cough, hypoxia, or wheezing in a sickle cell patient. It is the leading cause of death in sickle cell disease.

  6. A 2-year-old weighing 13 kg needs acetaminophen 15 mg/kg every 4-6 hours. Available concentration is 160 mg/5 mL. How many mL per dose?

    Answer: 6.1 mL

    Dose = 15 mg/kg x 13 kg = 195 mg. Volume = (195/160) x 5 mL = 6.09 mL, approximately 6.1 mL.

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Sources & references

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  1. nursingworld.org — Fees, exam format, test dates, score validity, retake policy, test delivery, passing score, exam information · verified Oct 2026