Title REF - POST TEST - AB PEDIA (Ms. Bacani) SC ✅

TOP RANK REVIEW ACADEMY, INC. Page 1 | 1 REFRESHER PHASE POST TEST ABNORMAL PEDIA Prepared By: Ms, Haydee S. Bacani, MAN, RN, RM FEBRUARY 2026 Philippine Nurse Licensure Examination Review RESPIRATORY- The upper respiratory tract warms, humidifies, and filters the air that enters the body . Because the structures of the upper respiratory tract constantly come into contact with a barrage of foreign organisms, including pathogens, this can lead to airway irritation and infection. Congenital malformations of respiratory structures also cause some upper respiratory tract disorders. 1. Coughs that are 5 to 10 short, rapid coughs, followed by a rapid inspiration, which causes the hallmark “whoop” or high- pitched crowing sound of whooping cough appears in what stage in Pertussis? A. Catarrhal stage B. Paroxysmal stage C. convalescent stage D. performance stage 2. A child with Pertussis will be placed at what precaution? A. Droplet precautions B. Airborne Precaution C. Fomite Precaution D. Vector Precaution 3. A 6-year-old child, has had two recent streptococcal pharyngitis infections. Education on the importance of completing the full course of prescribed antibiotics is necessary to prevent which complication? A. Epiglottitis B. Dental abscesses C. Rheumatic fever D. Emphysema 4. A 4-year-old child is scheduled for a tonsillectomy later today. The caregiver wants to know what types of food they can have at home after the tonsillectomy. Which of the following would be appropriate? A. Grilled cheese sandwich and applesauce B. Lemonade and soft pretzels C. Carrots and dip D. An ice pop and gelatin 5. The child (age 2) has a barking cough, sore throat, and fever. The nurse wants to see whether the throat looks sore and swollen. What is the safest and most accurate way of performing this assessment? A. Use a tongue depressor so you can inspect their tonsils. B. Ask the child to press down on their tongue with one finger. C. Elicit a gag reflex using only one gloved finger. D. Ask the child to open their mouth and then visually inspect the throat. 6. The most sensitive test for Pertussis in children is: A. sputum culture B. Serology test C. direct fluorescent antibody (DFA) testing D. polymerase chain reaction (PCR) CARDIOVASCULAR- Many cardiac disorders, including congenital heart defects, or acquired disorders such as cardiomyopathy or Kawasaki disease can manifest with either very subtle physical symptoms or symptoms of HF with varying degrees of severity. It is important to understand the physiology behind the concept of HF and how children present when they are experiencing HF. 7. In listening to pediatric heart sounds, which is correct? A. Use the diaphragm of the stethoscope B. Use the bell C. Use the diaphragm first then listen again using bell D. Use the bell first then listen again using the diaphragm 8. Children with HF are often prescribed digoxin. Knowing that this drug possesses a high risk of adverse effects if given incorrectly, the nurse provides educational materials to the parents. Which statement by the parent would alert the nurse that the parent requires additional education/instructions? A. “I know the drug is thought to help my child’s heart pump better.” B. “It’s important I give the exact dose every time.” C. “If I happen to miss a dose, I will not give double the dose at the next time.” D. “Nausea and vomiting are expected side effects for the first few weeks of treatment.” 9. A 5 year-old child arrives with “scarlatiniform rash”, fever and refusal to eat. The child is suspected to have: A. Kawasaki disease B. Rheumatic Fever C. Dengue Fever D. Sore Throat 10. Tetralogy of Fallot is a cyanotic defect defined by SATA: I. PS II. VSD III. overriding aorta IV. right ventricular hypertrophy V. ToGA VI. CoAo A. I, II, III, IV B. I, II, IV, V C. I, II, III, V D. I, II, IV, VI 11. This defect is typically located at the level of the ductus arteriosus insertion more common in males than females causing elevated blood pressure in the right arm, unequal upper and lower extremity pulses A. CoAo B. VSD C. ASD D. PDA 12. Pediatric management for AVSD are as follows, which is not included? A. ACE inhibitors B. pulmonary artery band placed around the pulmonary artery C. surgical closure of septum D. calcium Channel blockers 13. Kawasaki syndrome is a diagnosis of exclusion. If diagnosed, it is imperative that the child receive IVIG and high- dose aspirin therapy within 10 days of fever in an effort to prevent : * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH