Pediatric Nursing final Exam - University of Massachusetts-Boston- ACTUAL
EXAM TEST BANK QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST VERSION 2026/2027
2026/2027 Frequently Most Tested Questions and 100%
Accurate From Past papers | Graded A+ , Reviewed and
Updated | 100% Guarantee Pass | Latest Exam and Newest
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Because children younger than 5 years are egocentric, the nurse should do which when
communicating with them?
a. Focus communication on the child.
b. Use easy analogies when possible.
c. Explain experiences of others to the child.
d. Assure the child that communication is private.
✔️ Correct Answer: A
Rationale:
Egocentrism in children under 5 years reflects Piaget's preoperational stage, where
children interpret information strictly from their own perspective. Communication must
therefore be direct, concrete, and centered on the child's immediate experience.
Focusing communication on the child improves understanding and reduces anxiety.
Abstract explanations (analogies or others' experiences) are too complex, and privacy
assurance is not developmentally meaningful at this stage.
The nurse is having difficulty communicating with a hospitalized 6-year-old child. Which
technique should be most helpful?
a. Recommend that the child keep a diary.
b. Provide supplies for the child to draw a picture.
c. Suggest that the parent read fairy tales to the child.
d. Ask the parent if the child is always uncommunicative.
,✔️ Correct Answer: B
Rationale:
School-age children often express emotions more effectively through play and creative
expression than through direct verbal communication, especially in stressful
environments such as hospitalization. Drawing allows projection of feelings in a safe,
non-threatening way. Diaries require higher literacy and emotional processing, fairy tales
are passive, and questioning parents does not facilitate therapeutic communication with
the child.
Pertussis vaccination should begin at which age?
a. Birth
b. 2 months
c. 6 months
d. 12 months
✔️ Correct Answer: B
Rationale:
The DTaP vaccine, which includes protection against pertussis, is initiated at 2 months of
age per standard immunization schedules. This timing is critical because infants are
highly vulnerable to severe respiratory complications and apnea from pertussis. Birth
vaccination does not include pertussis protection, and delaying immunization increases
infection risk during early infancy.
When giving instructions to a parent whose child has scabies, what should the nurse
include?
a. Treat all family members if symptoms develop.
b. Be prepared for symptoms to last 2 to 3 weeks.
c. Carefully treat only areas where there is a rash.
d. Notify practitioner so an antibiotic can be prescribed.
✔️ Correct Answer: B
Rationale:
Post-treatment pruritus is common due to ongoing hypersensitivity reaction to mite
,antigens, even after successful eradication. This does not indicate treatment failure.
Parents must understand that itching may persist for 2–3 weeks. Antibiotics are not
indicated unless secondary infection occurs, and treatment must include all skin surfaces,
not only visible lesions.
An infant with respiratory syncytial virus (RSV) is being admitted to the hospital. The
nurse should plan to place the infant on which precaution?
a. Enteric
b. Airborne
c. Droplet
d. Contact
✔️ Correct Answer: D
Rationale:
RSV is transmitted primarily through direct contact with respiratory secretions and
contaminated surfaces. Contact precautions (gloves and gown) are essential to prevent
spread in healthcare settings. Airborne and droplet precautions are not required as
primary measures for RSV transmission.
The nurse is preparing to administer a measles, mumps, rubella, and varicella (MMRV)
vaccine. Which is a contraindication associated with administering this vaccine?
a. The child has recently been exposed to an infectious disease.
b. The child has symptoms of a cold but no fever.
c. The child is having intermittent episodes of diarrhea.
d. The child has a disorder that causes a deficient immune system.
✔️ Correct Answer: D
Rationale:
MMRV is a live attenuated vaccine and is contraindicated in immunocompromised
patients due to the risk of uncontrolled viral replication and systemic infection. Mild
illness, exposure history, or gastrointestinal symptoms are not contraindications.
Immunodeficiency is the key absolute contraindication for live vaccines.
, The nurse is assessing a child suspected of having pinworms. Which is the most common
symptom the nurse expects to assess?
a. Restlessness
b. Distractibility
c. Rectal discharge
d. Intense perianal itching
✔️ Correct Answer: D
Rationale:
Enterobius vermicularis (pinworms) causes nocturnal perianal pruritus due to female
worms depositing eggs around the anus at night. This is the hallmark symptom and
primary clinical indicator. Restlessness may occur secondary to itching, but perianal
itching is the defining feature. Rectal discharge is not typical.
The nurse is observing flaring of nares in a newborn. What should this be interpreted as?
a. Nasal occlusion
b. Sign of respiratory distress
c. Snuffles of congenital syphilis
d. Appropriate newborn breathing
✔️ Correct Answer: B
Rationale:
Nasal flaring is an early compensatory sign of increased work of breathing in newborns. It
indicates respiratory distress and increased oxygen demand. It is not a normal finding
and requires immediate assessment for hypoxia or respiratory compromise.
The nurse is preparing to admit a child to the hospital with a diagnosis of minimal
change nephrotic syndrome. The nurse understands that the peak age at onset for this
disease is what?
EXAM TEST BANK QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST VERSION 2026/2027
2026/2027 Frequently Most Tested Questions and 100%
Accurate From Past papers | Graded A+ , Reviewed and
Updated | 100% Guarantee Pass | Latest Exam and Newest
Version!!!
Because children younger than 5 years are egocentric, the nurse should do which when
communicating with them?
a. Focus communication on the child.
b. Use easy analogies when possible.
c. Explain experiences of others to the child.
d. Assure the child that communication is private.
✔️ Correct Answer: A
Rationale:
Egocentrism in children under 5 years reflects Piaget's preoperational stage, where
children interpret information strictly from their own perspective. Communication must
therefore be direct, concrete, and centered on the child's immediate experience.
Focusing communication on the child improves understanding and reduces anxiety.
Abstract explanations (analogies or others' experiences) are too complex, and privacy
assurance is not developmentally meaningful at this stage.
The nurse is having difficulty communicating with a hospitalized 6-year-old child. Which
technique should be most helpful?
a. Recommend that the child keep a diary.
b. Provide supplies for the child to draw a picture.
c. Suggest that the parent read fairy tales to the child.
d. Ask the parent if the child is always uncommunicative.
,✔️ Correct Answer: B
Rationale:
School-age children often express emotions more effectively through play and creative
expression than through direct verbal communication, especially in stressful
environments such as hospitalization. Drawing allows projection of feelings in a safe,
non-threatening way. Diaries require higher literacy and emotional processing, fairy tales
are passive, and questioning parents does not facilitate therapeutic communication with
the child.
Pertussis vaccination should begin at which age?
a. Birth
b. 2 months
c. 6 months
d. 12 months
✔️ Correct Answer: B
Rationale:
The DTaP vaccine, which includes protection against pertussis, is initiated at 2 months of
age per standard immunization schedules. This timing is critical because infants are
highly vulnerable to severe respiratory complications and apnea from pertussis. Birth
vaccination does not include pertussis protection, and delaying immunization increases
infection risk during early infancy.
When giving instructions to a parent whose child has scabies, what should the nurse
include?
a. Treat all family members if symptoms develop.
b. Be prepared for symptoms to last 2 to 3 weeks.
c. Carefully treat only areas where there is a rash.
d. Notify practitioner so an antibiotic can be prescribed.
✔️ Correct Answer: B
Rationale:
Post-treatment pruritus is common due to ongoing hypersensitivity reaction to mite
,antigens, even after successful eradication. This does not indicate treatment failure.
Parents must understand that itching may persist for 2–3 weeks. Antibiotics are not
indicated unless secondary infection occurs, and treatment must include all skin surfaces,
not only visible lesions.
An infant with respiratory syncytial virus (RSV) is being admitted to the hospital. The
nurse should plan to place the infant on which precaution?
a. Enteric
b. Airborne
c. Droplet
d. Contact
✔️ Correct Answer: D
Rationale:
RSV is transmitted primarily through direct contact with respiratory secretions and
contaminated surfaces. Contact precautions (gloves and gown) are essential to prevent
spread in healthcare settings. Airborne and droplet precautions are not required as
primary measures for RSV transmission.
The nurse is preparing to administer a measles, mumps, rubella, and varicella (MMRV)
vaccine. Which is a contraindication associated with administering this vaccine?
a. The child has recently been exposed to an infectious disease.
b. The child has symptoms of a cold but no fever.
c. The child is having intermittent episodes of diarrhea.
d. The child has a disorder that causes a deficient immune system.
✔️ Correct Answer: D
Rationale:
MMRV is a live attenuated vaccine and is contraindicated in immunocompromised
patients due to the risk of uncontrolled viral replication and systemic infection. Mild
illness, exposure history, or gastrointestinal symptoms are not contraindications.
Immunodeficiency is the key absolute contraindication for live vaccines.
, The nurse is assessing a child suspected of having pinworms. Which is the most common
symptom the nurse expects to assess?
a. Restlessness
b. Distractibility
c. Rectal discharge
d. Intense perianal itching
✔️ Correct Answer: D
Rationale:
Enterobius vermicularis (pinworms) causes nocturnal perianal pruritus due to female
worms depositing eggs around the anus at night. This is the hallmark symptom and
primary clinical indicator. Restlessness may occur secondary to itching, but perianal
itching is the defining feature. Rectal discharge is not typical.
The nurse is observing flaring of nares in a newborn. What should this be interpreted as?
a. Nasal occlusion
b. Sign of respiratory distress
c. Snuffles of congenital syphilis
d. Appropriate newborn breathing
✔️ Correct Answer: B
Rationale:
Nasal flaring is an early compensatory sign of increased work of breathing in newborns. It
indicates respiratory distress and increased oxygen demand. It is not a normal finding
and requires immediate assessment for hypoxia or respiratory compromise.
The nurse is preparing to admit a child to the hospital with a diagnosis of minimal
change nephrotic syndrome. The nurse understands that the peak age at onset for this
disease is what?
