Pediatric Comat Exam
Pediatric Comat Exam Test Bank 2025-2026
With Complete Verified Questions And Correct
Answers with Detailed Rationales |Already
Graded A+||Brand New Guaranteed Pass
A 14 year-old patient has an acute, painless groin swelling. What tool would yield the most
information to identify the etiology of the swelling?
Abdominal radiographs
Ultrasound of the abdomen
Ultrasound of the scrotum
MRI of the scrotum
- Correct Answer :Ultrasound of the scrotum
Explanation:
The patient has an acute swelling of the groin. Since the etiology could include several scrotal
problems (inguinal hernia, hydrocele, or varicocele), an ultrasound will yield quick reliable
information with a diagnostic accuracy of 93% for acute groin problems. The definitive treatment
for inguinal hernia is surgical repair.
Most hypertension in pre-adolescents and children is:
related to elevated BMI.
primary hypertension.
secondary hypertension.
endocrine related.
- Correct Answer :secondary hypertension.
Explanation:
Most hypertension in children and pre-adolescents is secondary hypertension. 60-70% is due to
renal parenchymal disease. Rarely does primary hypertension exist in this age group. However,
85-90% of adolescents have primary hypertension. General obesity is often associated with
hypertension but is not the primary cause.
hen does a child's vision approximate 20/20?
2 years
3 years
A+ TEST BANK 1
, Pediatric Comat Exam
4 years
5-6 years
- Correct Answer :5-6 years
Explanation:
A child's vision should be screened beginning at age 3 years if he is cooperative. The vision of a 3
year-old should be about 20/50. A 4 year-old's vision is usually 20/40. By 5 years of age, vision is
usually 20/30. By 6 years of age, a child's vision should be approximately normal, 20/20.
An adolescent athlete has sprained his ankle. What instruction should be given to him regarding
activity?
He can resume regular activities in about one week.
He should be able to walk pain-free before he starts to run.
His ankle should be taped prior to competition.
He can resume activity when the edema has resolved. –
Correct Answer :He should be able to walk pain-free before he starts to run.
Explanation:
A sprained ankle is a common orthopedic injury in athletes. Resumption of regular activities can
take place when he is able to walk pain-free. His ankle does not necessarily need taping prior to
competition but it may need support with an orthotic device. The edema may take weeks to
completely resolve. In fact, edema after resumption of athletic activities is common.
A 9 year-old female has presented to your clinic because of a rash on the left, upper area of her
anterior trunk. She is embarrassed and very reticent to lift her blouse because her nipple will be
exposed. How should the NP proceed?
Examine the patient with the area covered as much as possible
The NP should lift the blouse to expose the area for exam
Ask the accompanying caregiver to expose the area for exam
Examine all other areas of the trunk, then ask the child to lift her blouse
- Correct Answer :Examine all other areas of the trunk, then ask the child to lift her blouse
Correct
Explanation:
The NP must visualize the area during exam so that an appropriate diagnosis can be made. Since
the child is 9 years old, she should be given the opportunity to remove her blouse before
allowing another adult to do this. Allowing the child to do this will put "control" in her hands.
Hand-foot-and-mouth disease and herpangina:
A+ TEST BANK 2
, Pediatric Comat Exam
both produce pustules on oral mucous membranes.
potentially can cause orchitis in infected males.
are viral infections caused by Coxsackie viruses.
will only occur in the spring and summe
- Correct Answer :are viral infections caused by Coxsackie viruses.
Explanation:
These two common viral exanthems are caused by Coxsackie A viruses. Sometimes herpangina is
caused by Coxsackie A or B. Ulcerations are produced on the mucous membranes, not pustules.
Orchitis can occur in males infected with mumps. Herpangina typically occurs during summer
and fall; hand-foot-and-mouth disease (HFM) occurs in late summer and fall. Both produce oral
symptoms, but only HFM produces blisters on the palms of the hands and/or soles of the feet.
Both are self-limiting viral illnesses.
A 3 year-old has been recently treated for an upper respiratory infection (URI) but drainage from
the right nostril persists. What should the NP suspect?
Allergic rhinitis
Presence of a foreign body
Unresolved URI
Dental caries
- Correct Answer :Presence of a foreign body
Explanation:
Two clinical clues should make the examiner suspect a foreign body. First, the patient has
continued drainage despite treatment. Second, the drainage is unilateral. Unilateral drainage
from a nostril should prompt the examiner to visualize the turbinates. In this case, a foreign body
could probably be visualized.
Head circumference should be measured until a child has attained:
12 months of age.
18 months of age.
24 months of age.
36 months of age.
- Correct Answer :36 months of age.
Explanation:
A child's head is usually measured at each periodic well child visit until he has attained the age of
3 years old. During the first three years of life, the head grows and its growth should be
monitored for adequacy. The tape measure should encircle the head at the largest point above
A+ TEST BANK 3
, Pediatric Comat Exam
the ears. These measurements are recorded on a growth chart so that changes in head
circumference can be followed and percentile for age and rate of growth can be determined.
The initial step in the management of encopresis is:
client and family education.
bowel cleansing.
dietary changes.
psychosocial evaluation
. - Correct Answer :client and family education.
Explanation:
Encopresis is repetitive soiling of stool by a child who is 4 years of age or older who should be
potty trained. The patient and caregivers of a child with encopresis need education about the
underlying cause, usually chronic constipation. The initial step is to remove negative attributions
regarding soiling. The caregivers should be educated about changing the child's chronic behavior
patterns. The child should not be scolded. The next step after education is to relieve the
constipation with a goal of one soft bowel movement daily.
A 6 year-old patient with sore throat has coryza, hoarseness, and diarrhea. What is the likely
etiology?
Group A Streptococcus
H. parainfluenzae
Viral etiology
Mycoplasma
- Correct Answer :Viral etiology
Explanation:
This constellation of symptoms is typical of a viral infection. Group A Streptococcus is usually not
accompanied by coryza. H. parainfluenzae is not a common cause of pharyngitis. Mycoplasma
usually is associated with lower respiratory tract infections.
A child who can stack a maximum of 5 blocks is probably:
1 year.
15 months.
2 years.
3 years - Correct Answer :2 years
xplanation:
A+ TEST BANK 4
Pediatric Comat Exam Test Bank 2025-2026
With Complete Verified Questions And Correct
Answers with Detailed Rationales |Already
Graded A+||Brand New Guaranteed Pass
A 14 year-old patient has an acute, painless groin swelling. What tool would yield the most
information to identify the etiology of the swelling?
Abdominal radiographs
Ultrasound of the abdomen
Ultrasound of the scrotum
MRI of the scrotum
- Correct Answer :Ultrasound of the scrotum
Explanation:
The patient has an acute swelling of the groin. Since the etiology could include several scrotal
problems (inguinal hernia, hydrocele, or varicocele), an ultrasound will yield quick reliable
information with a diagnostic accuracy of 93% for acute groin problems. The definitive treatment
for inguinal hernia is surgical repair.
Most hypertension in pre-adolescents and children is:
related to elevated BMI.
primary hypertension.
secondary hypertension.
endocrine related.
- Correct Answer :secondary hypertension.
Explanation:
Most hypertension in children and pre-adolescents is secondary hypertension. 60-70% is due to
renal parenchymal disease. Rarely does primary hypertension exist in this age group. However,
85-90% of adolescents have primary hypertension. General obesity is often associated with
hypertension but is not the primary cause.
hen does a child's vision approximate 20/20?
2 years
3 years
A+ TEST BANK 1
, Pediatric Comat Exam
4 years
5-6 years
- Correct Answer :5-6 years
Explanation:
A child's vision should be screened beginning at age 3 years if he is cooperative. The vision of a 3
year-old should be about 20/50. A 4 year-old's vision is usually 20/40. By 5 years of age, vision is
usually 20/30. By 6 years of age, a child's vision should be approximately normal, 20/20.
An adolescent athlete has sprained his ankle. What instruction should be given to him regarding
activity?
He can resume regular activities in about one week.
He should be able to walk pain-free before he starts to run.
His ankle should be taped prior to competition.
He can resume activity when the edema has resolved. –
Correct Answer :He should be able to walk pain-free before he starts to run.
Explanation:
A sprained ankle is a common orthopedic injury in athletes. Resumption of regular activities can
take place when he is able to walk pain-free. His ankle does not necessarily need taping prior to
competition but it may need support with an orthotic device. The edema may take weeks to
completely resolve. In fact, edema after resumption of athletic activities is common.
A 9 year-old female has presented to your clinic because of a rash on the left, upper area of her
anterior trunk. She is embarrassed and very reticent to lift her blouse because her nipple will be
exposed. How should the NP proceed?
Examine the patient with the area covered as much as possible
The NP should lift the blouse to expose the area for exam
Ask the accompanying caregiver to expose the area for exam
Examine all other areas of the trunk, then ask the child to lift her blouse
- Correct Answer :Examine all other areas of the trunk, then ask the child to lift her blouse
Correct
Explanation:
The NP must visualize the area during exam so that an appropriate diagnosis can be made. Since
the child is 9 years old, she should be given the opportunity to remove her blouse before
allowing another adult to do this. Allowing the child to do this will put "control" in her hands.
Hand-foot-and-mouth disease and herpangina:
A+ TEST BANK 2
, Pediatric Comat Exam
both produce pustules on oral mucous membranes.
potentially can cause orchitis in infected males.
are viral infections caused by Coxsackie viruses.
will only occur in the spring and summe
- Correct Answer :are viral infections caused by Coxsackie viruses.
Explanation:
These two common viral exanthems are caused by Coxsackie A viruses. Sometimes herpangina is
caused by Coxsackie A or B. Ulcerations are produced on the mucous membranes, not pustules.
Orchitis can occur in males infected with mumps. Herpangina typically occurs during summer
and fall; hand-foot-and-mouth disease (HFM) occurs in late summer and fall. Both produce oral
symptoms, but only HFM produces blisters on the palms of the hands and/or soles of the feet.
Both are self-limiting viral illnesses.
A 3 year-old has been recently treated for an upper respiratory infection (URI) but drainage from
the right nostril persists. What should the NP suspect?
Allergic rhinitis
Presence of a foreign body
Unresolved URI
Dental caries
- Correct Answer :Presence of a foreign body
Explanation:
Two clinical clues should make the examiner suspect a foreign body. First, the patient has
continued drainage despite treatment. Second, the drainage is unilateral. Unilateral drainage
from a nostril should prompt the examiner to visualize the turbinates. In this case, a foreign body
could probably be visualized.
Head circumference should be measured until a child has attained:
12 months of age.
18 months of age.
24 months of age.
36 months of age.
- Correct Answer :36 months of age.
Explanation:
A child's head is usually measured at each periodic well child visit until he has attained the age of
3 years old. During the first three years of life, the head grows and its growth should be
monitored for adequacy. The tape measure should encircle the head at the largest point above
A+ TEST BANK 3
, Pediatric Comat Exam
the ears. These measurements are recorded on a growth chart so that changes in head
circumference can be followed and percentile for age and rate of growth can be determined.
The initial step in the management of encopresis is:
client and family education.
bowel cleansing.
dietary changes.
psychosocial evaluation
. - Correct Answer :client and family education.
Explanation:
Encopresis is repetitive soiling of stool by a child who is 4 years of age or older who should be
potty trained. The patient and caregivers of a child with encopresis need education about the
underlying cause, usually chronic constipation. The initial step is to remove negative attributions
regarding soiling. The caregivers should be educated about changing the child's chronic behavior
patterns. The child should not be scolded. The next step after education is to relieve the
constipation with a goal of one soft bowel movement daily.
A 6 year-old patient with sore throat has coryza, hoarseness, and diarrhea. What is the likely
etiology?
Group A Streptococcus
H. parainfluenzae
Viral etiology
Mycoplasma
- Correct Answer :Viral etiology
Explanation:
This constellation of symptoms is typical of a viral infection. Group A Streptococcus is usually not
accompanied by coryza. H. parainfluenzae is not a common cause of pharyngitis. Mycoplasma
usually is associated with lower respiratory tract infections.
A child who can stack a maximum of 5 blocks is probably:
1 year.
15 months.
2 years.
3 years - Correct Answer :2 years
xplanation:
A+ TEST BANK 4
