DAVIS ADVANTAGE FOR PEDIATRIC NURSING:
CHAPTER 20 COMPREHENSIVE EXAM 2026
FULL QUESTIONS AND CORRECT ANSWERS
ALREADY PASSED
◉ A school-age child has been diagnosed with nasopharyngitis. The
parent is
concerned because the child has had little or no appetite for the last
24 hours.
Which is the nurse ' s best response?
1. "Do not be concerned; it is common for children to have a
decreased appetite
during a respiratory illness."
2. "Be sure your child is taking an adequate amount of fl uids. The
appetite should
return soon."
3. "Try offering the child some favorite foods. Maybe that will
improve the
appetite."
4. "You need to force your child to eat whatever you can; adequate
nutrition is
essential."
,Answer: 2
It is common for children to have a
decreased appetite when they have
a respiratory illness. The nurse is
appropriately instructing the parent that
the child will be fi ne by taking in an
adequate amount of fl uid which will keep
the child hydrated.
◉ A child ' s parent asks the nurse what treatment the child will
need for the diagnosis
of strep throat. Which is the nurse ' s best response?
1. "Your child will be sent home on bedrest and should recover in a
few days
without any intervention."
2. "Your child will need to have the tonsils removed to prevent future
strep
infections."
3. "Your child will need oral penicillin for 10 days and should feel
better in a few
days."
,4. "Your child will need to be admitted to the hospital for 5 days of
intravenous
antibiotics."
Answer: 3
The child will need a 10-day course of
penicillin/amoxicillin to treat the strep
infection. It is essential that the nurse
always tell the family that, although
the child will feel better in a few days,
the entire course of antibiotics must be
completed.
◉ A child is complaining of throat pain. Which statement by the
mother indicates
that she needs more education regarding the care and treatment of
her child ' s
pharyngitis?
1. "I will have my child gargle with salt water three times a day."
2. "I will offer my child ice chips several times a day."
3. "I will give my child Tylenol every 4 to 6 hours as needed."
4. "I will ask the nurse practitioner for some amoxicillin."
, Answer: 4
Pharyngitis is a self-limiting viral illness
that does not require antibiotic therapy.
Pharyngitis should be treated with
rest and comfort measures, including
acetaminophen (Tylenol), throat sprays,
cold liquids, and Popsicles.
◉ A school-age child has been diagnosed with strep throat. The
parent asks the nurse
when the child can return to school. Which is the nurse ' s best
response?
1. "Forty-eight hours after the fi rst documented normal
temperature."
2. "Twenty-four hours after the fi rst dose of antibiotics."
3. "Forty-eight hours after the fi rst dose of antibiotics."
4. "Twenty-four hours after the fi rst documented normal
temperature."
Answer: 2
Children with strep throat are no longer
contagious 24 hours after initiation of
antibiotic therapy.
CHAPTER 20 COMPREHENSIVE EXAM 2026
FULL QUESTIONS AND CORRECT ANSWERS
ALREADY PASSED
◉ A school-age child has been diagnosed with nasopharyngitis. The
parent is
concerned because the child has had little or no appetite for the last
24 hours.
Which is the nurse ' s best response?
1. "Do not be concerned; it is common for children to have a
decreased appetite
during a respiratory illness."
2. "Be sure your child is taking an adequate amount of fl uids. The
appetite should
return soon."
3. "Try offering the child some favorite foods. Maybe that will
improve the
appetite."
4. "You need to force your child to eat whatever you can; adequate
nutrition is
essential."
,Answer: 2
It is common for children to have a
decreased appetite when they have
a respiratory illness. The nurse is
appropriately instructing the parent that
the child will be fi ne by taking in an
adequate amount of fl uid which will keep
the child hydrated.
◉ A child ' s parent asks the nurse what treatment the child will
need for the diagnosis
of strep throat. Which is the nurse ' s best response?
1. "Your child will be sent home on bedrest and should recover in a
few days
without any intervention."
2. "Your child will need to have the tonsils removed to prevent future
strep
infections."
3. "Your child will need oral penicillin for 10 days and should feel
better in a few
days."
,4. "Your child will need to be admitted to the hospital for 5 days of
intravenous
antibiotics."
Answer: 3
The child will need a 10-day course of
penicillin/amoxicillin to treat the strep
infection. It is essential that the nurse
always tell the family that, although
the child will feel better in a few days,
the entire course of antibiotics must be
completed.
◉ A child is complaining of throat pain. Which statement by the
mother indicates
that she needs more education regarding the care and treatment of
her child ' s
pharyngitis?
1. "I will have my child gargle with salt water three times a day."
2. "I will offer my child ice chips several times a day."
3. "I will give my child Tylenol every 4 to 6 hours as needed."
4. "I will ask the nurse practitioner for some amoxicillin."
, Answer: 4
Pharyngitis is a self-limiting viral illness
that does not require antibiotic therapy.
Pharyngitis should be treated with
rest and comfort measures, including
acetaminophen (Tylenol), throat sprays,
cold liquids, and Popsicles.
◉ A school-age child has been diagnosed with strep throat. The
parent asks the nurse
when the child can return to school. Which is the nurse ' s best
response?
1. "Forty-eight hours after the fi rst documented normal
temperature."
2. "Twenty-four hours after the fi rst dose of antibiotics."
3. "Forty-eight hours after the fi rst dose of antibiotics."
4. "Twenty-four hours after the fi rst documented normal
temperature."
Answer: 2
Children with strep throat are no longer
contagious 24 hours after initiation of
antibiotic therapy.
