Essentials OF Pediatric Nursing 4TH
Exam Questions and Answers
Verified Solutions Latest Update
Question:
A toddler who is beginning to walk has fallen and hit his head on the corner of a low
table. The caregiver has been unable to stop the bleeding and brings the child to the
pediatric clinic. The nurse is gathering data during the admission process and notes
several bruises and swollen joints. A diagnosis of hemophilia is confirmed. This child
most likely has a deficiency of which blood factor? Factor X Factor XIII Factor VIII Factor
V
Answer:
Factor VIII
Question:
The nurse is caring for a child with leukemia. Which nursing intervention would be the
highest priority for this child? Providing age-appropriate activities Following guidelines
for protective isolation Encouraging the child to share feelings Grouping nursing care
Answer:
Following guidelines for protective isolation
Question:
The nurse is planning care for a child with idiopathic thrombocytopenic purpura. Which
client education should be included? Not to pick or irritate the nose What foods are
high in folic acid To use mainly cold water to wash To apply a soothing cream to lesions
Answer:
Not to pick or irritate the nose
,Question:
A high-school football player has been diagnosed as having osteosarcoma of the femur.
The parents are angry because they told the adolescent not to play football. Which
health teaching points would the nurse include in the teaching plan for the adolsecent
and parents? Tumor growth is related to your dislike of milk. Football injuries do not
contribute to the development of a tumor. Osteosarcoma often follows trauma, such as
a football injury. You can expect some discoloration of the leg following chemotherapy.
Answer:
Football injuries do not contribute to the development of a tumor.
Question:
The nurse is caring for a 10-year-old boy with hemophilia. He asks the nurse for
suggestions about appropriate physical activities. Which activity would the nurse most
likely recommend? Soccer Wrestling Baseball Football
Answer:
Baseball
Question:
A nurse is reviewing the medical records of several children who have undergone lead
screening. The nurse would identify the child with which lead level as requiring no
further action? 26 mcg/dL 20 mcg/dL 14 mcg/dL 8 mcg/dL
Answer:
8 mcg/dL
Question:
A 4-year-old child diagnosed with Wilms tumor is admitted for surgery. What
information would be most important for the nurse to include in the child's
preoperative plan of care? Administering analgesics for pain Avoiding further
abdominal palpation Performing dressing changes to the affected area Preparing the
child for amputation
Answer:
Avoiding further abdominal palpation
, Question:
A child receiving chemotherapy is experiencing significant reduction in red blood cells
secondary to myelosuppression. Which agent would the nurse most likely expect to be
ordered? Gamma interferon Sargramostim Filgrastim Epoetin alfa
Answer:
Epoetin alfa
Question:
Why do nurses teach childhood cancer survivors to inform adult health care providers
of their prior disease and treatments? To participate in cancer research To obtain
health insurance To monitor for late effects To access community support groups
Answer:
To monitor for late effects
Question:
Antiemetics are ordered to control nausea and vomiting in the child undergoing
chemotherapy. How can the nurse most effectively use these medications? Use the
antiemetic after it is clear that nonpharmacologic methods are not effective Start the
antiemetic on a scheduled basis when the chemotherapy begins to cause nausea
Provide the antiemetic as needed (PRN) when nausea and vomiting are reported
Administer the antiemetic before starting chemotherapy
Answer:
Administer the antiemetic before starting chemotherapy
Question:
A 3-year-old boy has been brought to the doctor's office with symptoms of anorexia
and abdominal pain. A blood test reveals a lead level of 20 μg/100 mL. The child is
prescribed an oral chelating agent. On discharge, the nurse should counsel the parents
regarding: placing house plants out of reach of children removal or covering of flaking
paint on the walls of the home putting child safety locks on kitchen cabinets putting
medicine away where children cannot reach it
Answer:
removal or covering of flaking paint on the walls of the home
Exam Questions and Answers
Verified Solutions Latest Update
Question:
A toddler who is beginning to walk has fallen and hit his head on the corner of a low
table. The caregiver has been unable to stop the bleeding and brings the child to the
pediatric clinic. The nurse is gathering data during the admission process and notes
several bruises and swollen joints. A diagnosis of hemophilia is confirmed. This child
most likely has a deficiency of which blood factor? Factor X Factor XIII Factor VIII Factor
V
Answer:
Factor VIII
Question:
The nurse is caring for a child with leukemia. Which nursing intervention would be the
highest priority for this child? Providing age-appropriate activities Following guidelines
for protective isolation Encouraging the child to share feelings Grouping nursing care
Answer:
Following guidelines for protective isolation
Question:
The nurse is planning care for a child with idiopathic thrombocytopenic purpura. Which
client education should be included? Not to pick or irritate the nose What foods are
high in folic acid To use mainly cold water to wash To apply a soothing cream to lesions
Answer:
Not to pick or irritate the nose
,Question:
A high-school football player has been diagnosed as having osteosarcoma of the femur.
The parents are angry because they told the adolescent not to play football. Which
health teaching points would the nurse include in the teaching plan for the adolsecent
and parents? Tumor growth is related to your dislike of milk. Football injuries do not
contribute to the development of a tumor. Osteosarcoma often follows trauma, such as
a football injury. You can expect some discoloration of the leg following chemotherapy.
Answer:
Football injuries do not contribute to the development of a tumor.
Question:
The nurse is caring for a 10-year-old boy with hemophilia. He asks the nurse for
suggestions about appropriate physical activities. Which activity would the nurse most
likely recommend? Soccer Wrestling Baseball Football
Answer:
Baseball
Question:
A nurse is reviewing the medical records of several children who have undergone lead
screening. The nurse would identify the child with which lead level as requiring no
further action? 26 mcg/dL 20 mcg/dL 14 mcg/dL 8 mcg/dL
Answer:
8 mcg/dL
Question:
A 4-year-old child diagnosed with Wilms tumor is admitted for surgery. What
information would be most important for the nurse to include in the child's
preoperative plan of care? Administering analgesics for pain Avoiding further
abdominal palpation Performing dressing changes to the affected area Preparing the
child for amputation
Answer:
Avoiding further abdominal palpation
, Question:
A child receiving chemotherapy is experiencing significant reduction in red blood cells
secondary to myelosuppression. Which agent would the nurse most likely expect to be
ordered? Gamma interferon Sargramostim Filgrastim Epoetin alfa
Answer:
Epoetin alfa
Question:
Why do nurses teach childhood cancer survivors to inform adult health care providers
of their prior disease and treatments? To participate in cancer research To obtain
health insurance To monitor for late effects To access community support groups
Answer:
To monitor for late effects
Question:
Antiemetics are ordered to control nausea and vomiting in the child undergoing
chemotherapy. How can the nurse most effectively use these medications? Use the
antiemetic after it is clear that nonpharmacologic methods are not effective Start the
antiemetic on a scheduled basis when the chemotherapy begins to cause nausea
Provide the antiemetic as needed (PRN) when nausea and vomiting are reported
Administer the antiemetic before starting chemotherapy
Answer:
Administer the antiemetic before starting chemotherapy
Question:
A 3-year-old boy has been brought to the doctor's office with symptoms of anorexia
and abdominal pain. A blood test reveals a lead level of 20 μg/100 mL. The child is
prescribed an oral chelating agent. On discharge, the nurse should counsel the parents
regarding: placing house plants out of reach of children removal or covering of flaking
paint on the walls of the home putting child safety locks on kitchen cabinets putting
medicine away where children cannot reach it
Answer:
removal or covering of flaking paint on the walls of the home
