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1. 1. Question
Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When
obtaining the child’s history, the nurse considers which information to
be most important?
o A. A fever that started 3 days ago
o B. Lack of interest in food
o C. A recent episode of pharyngitis
o D. Vomiting for 2 days
Incorrect
Correct Answer: C. A recent episode of pharyngitis
o Option C: A recent episode of pharyngitis is the most important factor
in establishing the diagnosis of rheumatic fever.
o Options A, B, & D: Although the child may have a history of fever or
vomiting or lack of interest in food, these findings are not specific to
rheumatic fever.
2. 2. Question
The nurse is aware that the most common assessment finding in a child with
ulcerative colitis is:
o A. Intense abdominal cramps
o B. Profuse diarrhea
o C. Anal fissures
o D. Abdominal distention
Incorrect
Correct Answer: B. Profuse diarrhea
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o Option B: The most common assessment finding in a child with
ulcerative colitis is profuse diarrhea. Other symptoms include blood in the
toilet, on toilet paper, or in the stool.
o Options A, C, & D: Ulcerative colitis causes profuse diarrhea, intense
abdominal cramps, anal fissures, and abdominal distensions are more
common in Crohn’s disease.
3. 3. Question
When developing a plan of care for a hospitalized child, nurse Mica knows that
children in which age group is most likely to view illness as a punishment for
misdeeds?
o A. Infancy
o B. Preschool age
o C. School age
o D. Adolescence
Incorrect
Correct Answer: B. Preschool age
o Option B: Preschool-age children are most likely to view illness as a
punishment for misdeeds.
o Option A: Separation anxiety, although seen in all age groups, is most
common in older infants.
o Options C & D: Fear of death is typical of older school-age children
and adolescents. Adolescents also fear mutilation.
4. 4. Question
A female child, age 6, is brought to the health clinic for a routine checkup. To assess
the child’s vision, the nurse should ask:
o A. “Do you have any problems seeing different colors?”
o B. “Do you have trouble seeing at night?”
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o C. “Do you have problems with glare?”
o D. “How are you doing in school?”
Incorrect
Correct Answer: D. “How are you doing in school?”
o Option D: A child’s poor progress in school may indicate a visual
disturbance.
o Options A, B, & C: The other options are more appropriate questions
to ask when assessing vision in a geriatric patient.
5. 5. Question
Hannah, age 12, is 7 months pregnant. When teaching parenting skills to an
adolescent, the nurse knows that which teaching strategy is least effective?
o A. Providing a one-on-one demonstration and requesting a return
demonstration, using a live infant model
o B. Initiating a teenage parent support group with first and second-
time mothers
o C. Using audiovisual aids that show discussions of feelings and
skills
o D. Providing age-appropriate reading materials
Incorrect
Correct Answer: D. Providing age-appropriate reading materials
o Option D: Because adolescents absorb less information through
reading, providing age-appropriate reading materials is the least effective
way to teach parenting skills to an adolescent.
o Options A, B, & C: The other options engage more than one of the
senses and therefore serve as effective teaching strategies.
6. 6. Question
A 5-year-old girl Hannah is recently diagnosed with Kawasaki disease. Apart from
the identified symptoms of the disease, she may also likely develop which of the
following?
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o A. Sepsis
o B. Meningitis
o C. Mitral valve disease
o D. Aneurysm formation
Incorrect
Correct Answer: D. Aneurysm formation
o Option D: Kawasaki disease is a rare childhood illness that affects the
blood vessels. 20% to 25% of children can develop aneurysm formation if
not intervened. Treatment depends on the degree of the disease, but is
often immediate treatment with IV gamma globulin or aspirin.
Corticosteroids can sometimes lessen impending complications. Children
who experience the disease usually need lifelong follow-up appointments
to keep an eye on heart health.
7. 7. Question
When creating a teaching program for the parents of Jessica who is diagnosed with
pulmonic stenosis (PS), Nurse Alex would keep in mind that this disorder involves
which of the following?
o A. A single vessel arising from both ventricles
o B. Obstruction of blood flow from the left ventricle
o C. Obstruction of blood flow from the right ventricle
o D. Return of blood to the heart without entry to the left atrium
Incorrect
Correct Answer: C. Obstruction of blood flow from the right ventricle
o Option C: PS refers to an obstruction of blood flow from the right
ventricle.
o Option A: Truncus arteriosus involves a single vessel arising from both
ventricles.
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1. 1. Question
Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When
obtaining the child’s history, the nurse considers which information to
be most important?
o A. A fever that started 3 days ago
o B. Lack of interest in food
o C. A recent episode of pharyngitis
o D. Vomiting for 2 days
Incorrect
Correct Answer: C. A recent episode of pharyngitis
o Option C: A recent episode of pharyngitis is the most important factor
in establishing the diagnosis of rheumatic fever.
o Options A, B, & D: Although the child may have a history of fever or
vomiting or lack of interest in food, these findings are not specific to
rheumatic fever.
2. 2. Question
The nurse is aware that the most common assessment finding in a child with
ulcerative colitis is:
o A. Intense abdominal cramps
o B. Profuse diarrhea
o C. Anal fissures
o D. Abdominal distention
Incorrect
Correct Answer: B. Profuse diarrhea
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o Option B: The most common assessment finding in a child with
ulcerative colitis is profuse diarrhea. Other symptoms include blood in the
toilet, on toilet paper, or in the stool.
o Options A, C, & D: Ulcerative colitis causes profuse diarrhea, intense
abdominal cramps, anal fissures, and abdominal distensions are more
common in Crohn’s disease.
3. 3. Question
When developing a plan of care for a hospitalized child, nurse Mica knows that
children in which age group is most likely to view illness as a punishment for
misdeeds?
o A. Infancy
o B. Preschool age
o C. School age
o D. Adolescence
Incorrect
Correct Answer: B. Preschool age
o Option B: Preschool-age children are most likely to view illness as a
punishment for misdeeds.
o Option A: Separation anxiety, although seen in all age groups, is most
common in older infants.
o Options C & D: Fear of death is typical of older school-age children
and adolescents. Adolescents also fear mutilation.
4. 4. Question
A female child, age 6, is brought to the health clinic for a routine checkup. To assess
the child’s vision, the nurse should ask:
o A. “Do you have any problems seeing different colors?”
o B. “Do you have trouble seeing at night?”
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o C. “Do you have problems with glare?”
o D. “How are you doing in school?”
Incorrect
Correct Answer: D. “How are you doing in school?”
o Option D: A child’s poor progress in school may indicate a visual
disturbance.
o Options A, B, & C: The other options are more appropriate questions
to ask when assessing vision in a geriatric patient.
5. 5. Question
Hannah, age 12, is 7 months pregnant. When teaching parenting skills to an
adolescent, the nurse knows that which teaching strategy is least effective?
o A. Providing a one-on-one demonstration and requesting a return
demonstration, using a live infant model
o B. Initiating a teenage parent support group with first and second-
time mothers
o C. Using audiovisual aids that show discussions of feelings and
skills
o D. Providing age-appropriate reading materials
Incorrect
Correct Answer: D. Providing age-appropriate reading materials
o Option D: Because adolescents absorb less information through
reading, providing age-appropriate reading materials is the least effective
way to teach parenting skills to an adolescent.
o Options A, B, & C: The other options engage more than one of the
senses and therefore serve as effective teaching strategies.
6. 6. Question
A 5-year-old girl Hannah is recently diagnosed with Kawasaki disease. Apart from
the identified symptoms of the disease, she may also likely develop which of the
following?
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, CLASSROOM CLASSROOM CLASSROOM
o A. Sepsis
o B. Meningitis
o C. Mitral valve disease
o D. Aneurysm formation
Incorrect
Correct Answer: D. Aneurysm formation
o Option D: Kawasaki disease is a rare childhood illness that affects the
blood vessels. 20% to 25% of children can develop aneurysm formation if
not intervened. Treatment depends on the degree of the disease, but is
often immediate treatment with IV gamma globulin or aspirin.
Corticosteroids can sometimes lessen impending complications. Children
who experience the disease usually need lifelong follow-up appointments
to keep an eye on heart health.
7. 7. Question
When creating a teaching program for the parents of Jessica who is diagnosed with
pulmonic stenosis (PS), Nurse Alex would keep in mind that this disorder involves
which of the following?
o A. A single vessel arising from both ventricles
o B. Obstruction of blood flow from the left ventricle
o C. Obstruction of blood flow from the right ventricle
o D. Return of blood to the heart without entry to the left atrium
Incorrect
Correct Answer: C. Obstruction of blood flow from the right ventricle
o Option C: PS refers to an obstruction of blood flow from the right
ventricle.
o Option A: Truncus arteriosus involves a single vessel arising from both
ventricles.
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