Comprehensive Pediatric Nursing Exam
Prep: Child Development, Chronic
Illness, Acute Care, Medications, and
Family Education Verified Questions
Provided with A+ Graded Rationales
Latest Updated 2026
A nurse is providing discharge teaching to the parents of a child who has a new diagnosis of
diabetes mellitus. Which of the following statements by the parents indicates an
understanding of the teaching?
"The onset of low blood glucose usually occurs slowly."
"My son might complain of feeling shaky when he has a low blood glucose level."
"Sweating can occur with hyperglycemia."
"My son might have nausea and vomiting with hypoglycemia."
"My son might complain of feeling shaky when he has a low blood glucose level."
A shaky feeling is a consistent finding of hypoglycemia.
A nurse in an emergency department is caring for an adolescent following a suicide attempt.
After reviewing the client's history, the nurse should determine that which of the following is
the priority risk factor for suicide completion?
Active psychiatric disorder
Previous suicide attempt
Loss of a parent
History of substance abuse
Previous suicide attempt
A prior suicide attempt is found in as many as half of the adolescents who attempt suicide.
A nurse is providing anticipatory guidance about child development to the parents of a
toddler. Which of the following developmental tasks should the nurse include as expected of
a toddler?
,Explains the difference between right and wrong
Prints letters and numbers
Separates easily from primary care giver for short periods of time
Cooperates in doing simple chores
Separates easily from primary care giver for short periods of time
By 3 years of age, a toddler's psychosocial development should include the ability to accept
separating from a primary care giver for short periods of time. A toddler should also be able to
express likes and dislikes and begin to play with children and others outside the family.
A nurse has accepted a position on a pediatric unit and is learning about psychosocial
development. Place Erikson's stages of psychosocial development in order from birth to
adolescence. (Move the steps into the box on the right, placing them in the selected order of
performance. Use all the steps.)
Autonomy vs. shame and doubt
Industry vs. inferiority
Identity vs. role confusion
Initiative vs. guilt
Trust vs. mistrust
Trust vs. mistrust is the first stage of psychosocial development, and is typically experienced
between birth and one year of age. Between the ages of 1 and 3 years, children experience the
stage of autonomy vs. shame and doubt. Initiative vs. guilt is the stage of psychosocial
development experienced between the ages of 3 and 6 years. School-age children experience
the industry vs. inferiority stage. Finally, between the ages of 12 and 18 years, the identity vs.
role confusion stage of psychosocial development occurs.
A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following
vaccines should the nurse give? (Select all that apply.)
Measles, mumps rubella (MMR)
Diphtheria, tetanus and acellular pertussis (DTaP)
Varicella (VAR)
Rotavirus (RV)
Human papillomavirus (HPV4)
,Measles, mumps rubella (MMR) is correct. A 1-year-old child should receive the first of two
doses of the MMR vaccine.
Varicella (VAR) is correct. A 1-year-old child should receive the first of two doses of the VAR
vaccine.
A nurse is preparing to administer a vaccine to a 4-year-old child. Which of the following
vaccines should the nurse administer?
Haemophilus influenza type b (Hib)
Hepatitis B (HepB)
Varicella (VAR)
Meningococcal (MCV4)
Varicella (VAR)
The child should have received the first dose between 12 to 15 months of age. The child should
then receive a second dose between 4 and 6 years of age.
A nurse is caring for a preschooler.
Medical History
Child was diagnosed with standard risk Acute Lymphoblastic Leukemia (ALL)
last month and is in consolidation phase of treatment. Last chemotherapy was
cyclophosphamide 10 days ago. Child struggling to adapt to hospitalization, has shown some
developmental regression.
Diagnostic Results
White blood cell count: 2,000/mm³ (5,000 to 10,000/ mm³)
Absolute Neutrophil Count (ANC): 1,000/mm³ (less than 1,000/mm³)
Hemoglobin: 11 g/dL (9.5 to 14 g/dL)
Platelets: 120,000/mm³ (150,000 to 400,000/mm³)
Urine dipstick: + scant RBCs
Physical Examination
Neurological: Awake and alert
Cardiac: Regular rate and rhythm, no murmur
, Respiratory: Lung sounds clear in all fields, no work of breathing
Gastrointestinal: Emesis x2 last evening. Loss of appetite for past 3 days.
Genitourinary: Adequate output, complains of mild burning when voiding
Integumentary: Clear, no rashes
Musculoskeletal: Moves all extremities without difficulty
Psychosocial: Family involved in care and at bedside. Child's life therapist providing services
3x/week. Child asking for fluids in bottle, clinging to stuffed animal when providers enter room.
Vital Signs
Temperature: 37.8°C (100°F)
Heart rate:110/min
Respiratory rate: 22/min
Blood Pressure: 96/51 mm Hg
Which of the following findings should the nurse report to the health care provider
immediately? (select all that apply.)
Hemoglobin
Urine dipstick
Platelet count
Loss of appetite
Developmental regression
Emesis
Slight burning on urination
Absolute neutrophil count
Emesis is correct. Children are at risk for nutritional compromise during treatment for cancer.
Nausea and vomiting may prevent the child from taking in adequate calories.
Loss of appetite is correct. Children are at risk for nutritional compromise during treatment for
cancer. Decreased appetite needs to be further investigated to prevent weight loss and
nutritional intake that is less than required.
Prep: Child Development, Chronic
Illness, Acute Care, Medications, and
Family Education Verified Questions
Provided with A+ Graded Rationales
Latest Updated 2026
A nurse is providing discharge teaching to the parents of a child who has a new diagnosis of
diabetes mellitus. Which of the following statements by the parents indicates an
understanding of the teaching?
"The onset of low blood glucose usually occurs slowly."
"My son might complain of feeling shaky when he has a low blood glucose level."
"Sweating can occur with hyperglycemia."
"My son might have nausea and vomiting with hypoglycemia."
"My son might complain of feeling shaky when he has a low blood glucose level."
A shaky feeling is a consistent finding of hypoglycemia.
A nurse in an emergency department is caring for an adolescent following a suicide attempt.
After reviewing the client's history, the nurse should determine that which of the following is
the priority risk factor for suicide completion?
Active psychiatric disorder
Previous suicide attempt
Loss of a parent
History of substance abuse
Previous suicide attempt
A prior suicide attempt is found in as many as half of the adolescents who attempt suicide.
A nurse is providing anticipatory guidance about child development to the parents of a
toddler. Which of the following developmental tasks should the nurse include as expected of
a toddler?
,Explains the difference between right and wrong
Prints letters and numbers
Separates easily from primary care giver for short periods of time
Cooperates in doing simple chores
Separates easily from primary care giver for short periods of time
By 3 years of age, a toddler's psychosocial development should include the ability to accept
separating from a primary care giver for short periods of time. A toddler should also be able to
express likes and dislikes and begin to play with children and others outside the family.
A nurse has accepted a position on a pediatric unit and is learning about psychosocial
development. Place Erikson's stages of psychosocial development in order from birth to
adolescence. (Move the steps into the box on the right, placing them in the selected order of
performance. Use all the steps.)
Autonomy vs. shame and doubt
Industry vs. inferiority
Identity vs. role confusion
Initiative vs. guilt
Trust vs. mistrust
Trust vs. mistrust is the first stage of psychosocial development, and is typically experienced
between birth and one year of age. Between the ages of 1 and 3 years, children experience the
stage of autonomy vs. shame and doubt. Initiative vs. guilt is the stage of psychosocial
development experienced between the ages of 3 and 6 years. School-age children experience
the industry vs. inferiority stage. Finally, between the ages of 12 and 18 years, the identity vs.
role confusion stage of psychosocial development occurs.
A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following
vaccines should the nurse give? (Select all that apply.)
Measles, mumps rubella (MMR)
Diphtheria, tetanus and acellular pertussis (DTaP)
Varicella (VAR)
Rotavirus (RV)
Human papillomavirus (HPV4)
,Measles, mumps rubella (MMR) is correct. A 1-year-old child should receive the first of two
doses of the MMR vaccine.
Varicella (VAR) is correct. A 1-year-old child should receive the first of two doses of the VAR
vaccine.
A nurse is preparing to administer a vaccine to a 4-year-old child. Which of the following
vaccines should the nurse administer?
Haemophilus influenza type b (Hib)
Hepatitis B (HepB)
Varicella (VAR)
Meningococcal (MCV4)
Varicella (VAR)
The child should have received the first dose between 12 to 15 months of age. The child should
then receive a second dose between 4 and 6 years of age.
A nurse is caring for a preschooler.
Medical History
Child was diagnosed with standard risk Acute Lymphoblastic Leukemia (ALL)
last month and is in consolidation phase of treatment. Last chemotherapy was
cyclophosphamide 10 days ago. Child struggling to adapt to hospitalization, has shown some
developmental regression.
Diagnostic Results
White blood cell count: 2,000/mm³ (5,000 to 10,000/ mm³)
Absolute Neutrophil Count (ANC): 1,000/mm³ (less than 1,000/mm³)
Hemoglobin: 11 g/dL (9.5 to 14 g/dL)
Platelets: 120,000/mm³ (150,000 to 400,000/mm³)
Urine dipstick: + scant RBCs
Physical Examination
Neurological: Awake and alert
Cardiac: Regular rate and rhythm, no murmur
, Respiratory: Lung sounds clear in all fields, no work of breathing
Gastrointestinal: Emesis x2 last evening. Loss of appetite for past 3 days.
Genitourinary: Adequate output, complains of mild burning when voiding
Integumentary: Clear, no rashes
Musculoskeletal: Moves all extremities without difficulty
Psychosocial: Family involved in care and at bedside. Child's life therapist providing services
3x/week. Child asking for fluids in bottle, clinging to stuffed animal when providers enter room.
Vital Signs
Temperature: 37.8°C (100°F)
Heart rate:110/min
Respiratory rate: 22/min
Blood Pressure: 96/51 mm Hg
Which of the following findings should the nurse report to the health care provider
immediately? (select all that apply.)
Hemoglobin
Urine dipstick
Platelet count
Loss of appetite
Developmental regression
Emesis
Slight burning on urination
Absolute neutrophil count
Emesis is correct. Children are at risk for nutritional compromise during treatment for cancer.
Nausea and vomiting may prevent the child from taking in adequate calories.
Loss of appetite is correct. Children are at risk for nutritional compromise during treatment for
cancer. Decreased appetite needs to be further investigated to prevent weight loss and
nutritional intake that is less than required.
