PEDS b

PEDS: FINAL EXAM NCLEX
QUESTIONS WITH CORRECT
ANSWERS 2025/2026
WhenAperformingAaAprocedureArelatedAtoAaAgenitourinaryA(GU)Aproblem,AtheAnurseAwouldAant
icipateAthatAwhichAofAtheAfollowingAageAgroupsAwouldAfindAitAespeciallyAstressful?


1.AInfants

2.AToddlers

3.APreschoolers

4.ASchool-ageAchildrenA-AcorrectAanswers3.APreschoolers



InAgeneral,ApreschoolersAhaveAmoreAfearsAbecauseAofAtheirAfantasies,AcontributingAtoAfearsAofAt
heAsimplestAprocedures.ACastrationAfearsAalsoAareAprominentAatAthisAageAandAmayAbeAheighten
edAbyAproceduresArelatedAtoAGUAproblems.ATypically,AGUAproceduresAdoAnotAcreateAgreaterAstr
essAinAinfants,Atoddlers,AandAschool-ageAchildren.

WhenAdevelopingAaAteachingAplanAtoApreventAurinaryAtractAinfection,AwhichAofAtheAfollowingAs
houldAbeAincluded?A(SelectAallAthatAapply.)



1.AWearingAunderwearAmadeAofAsyntheticAmaterialAsuchAasAnylon

2.AMaintainingAadequateAfluidAintake

3.AKeepingAurineAalkalineAbyAavoidingAacidicAbeverages

4.AAvoidingAurinationAbeforeAandAafterAintercourse

5.AAvoidingAbubbleAbathsAandAtightAclothing

6.AEmptyingAbladderAwithAeachAurinationA-
AcorrectAanswers2.AMaintainingAadequateAfluidAintake



5.AAvoidingAbubbleAbathsAandAtightAclothing

6.AEmptyingAbladderAwithAeachAurination



FluidAintakeAhelpsAdiluteAurineAandAminimizeAinfectionApotential,AbubbleAbathsAandAtightAcloth
ingAmayAactAasAirritants,AandAemptyingAtheAbladderAfullyAwithAeachAurinationApreventsAstasis.A

,ChildrenAandAteensAshouldAwearAcottonAunderwear,AkeepAtheirAurineAacidic,AandAvoidAbeforeAa
ndAafterAintercourseA(ifAsexuallyAactive).

WhichAofAtheAfollowingAorganismsAisAtheAmostAcommonAcauseAofAurinaryAtractAinfectionA(UTI)Ai
nAchildren?



1.AStaphylococcus

2.AKlebsiella

3.APseudomonas

4.AEscherichiaAcoliA-AcorrectAanswers4.AEscherichiaAcoli



E.AcoliAisAtheAmostAcommonAorganismAassociatedAwithAtheAdevelopmentAofAUTI.AAlthoughASta
phylococcus,AKlebsiella,AandAPseudomonasAspeciesAmayAcauseAUTIs,AtheAincidenceAofAUTIsArel
atedAtoAeachAisAlessAthanAthatAforAE.Acoli.

WhichAofAtheAfollowingAwouldAtheAnurseAexpectAwhenAassessingAaAchildAwithAcystitis?



1.AHighAfever

2.AFlankApain

3.ACostovertebralAtenderness

4.ADysuriaA-AcorrectAanswers4.ADysuria



DysuriaAisAaAsymptomAofAaAlowerAurinaryAtractAinfectionA(UTI)AsuchAasAcystitis.AHighAfever,Aflank
Apain,AandAcostovertebralAtendernessAareAsignsAandAsymptomsAofApyelonephritis,AanAupperAUT


I.

WhichAofAtheAfollowingAinstructionsAwouldAbeAincludedAinAaAsexuallyAactiveAadolescent'sApreve
ntiveAteachingAplanAaboutAurinaryAtractAinfections?



1.AWipingAbackAtoAfront

2.AWearingAnylonAunderwear

3.AAvoidingAurinatingAbeforeAintercourse

4.ADrinkingAacidicAjuicesA-AcorrectAanswers4.ADrinkingAacidicAjuices

,DrinkingAacidicAjuices,AsuchAasAcranberryAjuice,AhelpsAkeepAtheAurineAatAitsAdesiredAacidApHAan
dAreducesAtheAchanceAofAinfection.ATheAclientAshouldAwipeAfromAfrontAtoAback,AwearAcottonAun
derwear,AandAvoidAbeforeAandAafterAintercourse.

WhatAisAtheAmostAlikelyAunderlyingApathophysiologyAofAprimaryAenuresis?



1.AUrinaryAtractAinfection

2.APsychogenicAstress

3.AVesicoureteralAreflux

4.ADelayedAbladderAmaturationA-AcorrectAanswers4.ADelayedAbladderAmaturation



TheAmostAlikelyAcauseAofAPEAisAdelayedAorAincompleteAmaturationAofAtheAbladder.AUTIsAmayAca
useAeitherAprimaryAorAsecondaryAenuresis,AbutAtheyAareAnotAtheAleadingAcauseAofAPE.APsychog
enicAstressAmayAcauseAeitherAprimaryAorAsecondaryAenuresis,AbutAitAisAnotAtheAleadingAcauseAof
APE.AVesicoureteralArefluxAmayAcauseAeitherAprimaryAorAsecondaryAenuresis,AbutAitAisAnotAtheAle


adingAcauseAofAPE.

SecondaryAvesicoureteralArefluxAusuallyAresultsAfromAwhichAofAtheAfollowing?



1.ACongenitalAdefects

2.AInfection

3.AAcidicAurine

4.AHydronephrosisA-AcorrectAanswers2.AInfection



InfectionAisAtheAmostAcommonAcauseAofAsecondaryAvesicoureteralAreflux.ACongenitalAdefectsAc
auseAprimaryAvesicoureteralAreflux.AAcidicAurineAisAnormalAandAhelpsAtoApreventAinfection.AHy
dronephrosisAmayAresultAfromAvesicoureteralAreflux.

WhichAofAtheAfollowingAsignsAandAsymptomsAareAcharacteristicAofAminimal-
changeAnephroticAsyndrome?



1.AGrossAhematuria,Aproteinuria,Afever

2.AHypertension,Aedema,Ahematuria

, 3.APoorAappetite,Aproteinuria,Aedema

4.AHypertension,Aedema,AproteinuriaA-AcorrectAanswers3.APoorAappetite,Aproteinuria,Aedema



ClinicalAmanifestationsAofAnephroticAsyndromeAincludeAlossAofAappetiteAdueAtoAedemaAofAintes
tinalAmucosa,Aproteinuria,AandAedema.AGrossAhematuriaAisAnotAassociatedAwithAnephroticAsyn
drome.AFeverAwouldAoccurAonlyAifAinfectionAalsoAexisted.AHypertensionAaloneAorAaccompanied
AbyAhematuriaAisAassociatedAwithAglomerulonephritis.



ForAaAchildAwithArecurringAnephroticAsyndrome,AwhichAofAtheAfollowingAareasAofApotentialAdist
urbancesAshouldAbeAaAprimeAconsiderationAwhenAplanningAongoingAnursingAcare?



1.AMuscleAcoordination

2.ASexualAmaturation

3.AIntellectualAdevelopment

4.ABodyAimageA-AcorrectAanswers4.ABodyAimage



BecauseAofAtheAedemaAassociatedAwithAnephroticAsyndrome,ApotentialAself-
conceptAandAbodyAimageAdisturbancesArelatedAtoAchangesAinAappearanceAandAsocialAisolationA
shouldAbeAconsidered.AMuscleAcoordination,AsexualAmaturation,AandAintellectualAfunctionAareA
notAaffected.

WhenAteachingAparentsAaboutAknownAantecedentAinfectionsAinAacuteAglomerulonephritis,Awhi
chAofAtheAfollowingAshouldAtheAnurseAcover?



1.AHerpesAsimplex

2.AScabies

3.AVaricella

4.AImpetigoA-AcorrectAanswers4.AImpetigo



Impetigo,AaAbacterialAinfectionAofAtheAskin,AmayAbeAcausedAbyAstreptococciAandAmayAprecedeAa
cuteAglomerulonephritis.AAlthoughAmostAstreptococcalAinfectionsAdoAnotAcauseAacuteAglomer
ulonephritis,AwhenAtheyAdo,AaAlatentAperiodAofA10AtoA14AdaysAoccursAbetweenAtheAinfection,Au
suallyAofAtheAskinA(impetigo)AorAupperArespiratoryAtract,AandAtheAonsetAofAclinicalAmanifestatio
ns.AHerpes,Ascabies,AandAvaricellaAareAnotAassociatedAwithAacuteAglomerulonephritis.