PRINCIPLES OF PEDIATRIC NURSING CARING
FOR CHILDREN 7TH EDITION 2026 MOCK
EXAM PRACTICE SET WITH SOLUTIONS A+
◉ A nurse is counseling parents of a 7-year-old boy with leukemia
regarding the goals of the chemotherapy program for their son.
What should she mention as the first goal?
a) Prevention of leukemia cells from invading or growing in the CNS
b) Administration of delayed intensive therapy
c) Maintaining the original remission
d) Complete absence of leukemia cells Answer: Complete absence of
leukemia cells
◉ The nurse is assessing a school-aged child with sickle-cell anemia.
Which assessment finding is consistent with this child's diagnosis?
Enlarged mandibular growth
Slightly yellow sclera
Increased growth of long bones
Depigmented areas on the abdomen Answer: Slightly yellow sclera
◉ The nurse is teaching the parents of a 15-year-old boy who is
being treated for acute myelogenous leukemia about the side effects
,of chemotherapy. For which symptoms should the parents seek
medical care immediately?
Difficulty or pain when swallowing
Blisters, ulcers, or a rash appear
Temperature of 101° F (38.3° C) or greater
Earache, stiff neck, or sore throat Answer: Temperature of 101° F
(38.3° C) or greater
◉ The nurse is caring for a child admitted to the hospital for an open
fracture of the femur following a motor vehicle accident. The nurse
notes the following lab values: white blood cells 10,000mm3,
hemoglobin 7.9 g/dL (79 g/L), hematocrit 28%, platelets 151,000
mm3. Which nursing action is priority?
Ask the child to rate pain on a scale 0 to 10.
Transfuse 1 unit of packed red blood cells.
Administer antibiotics intravenously stat.
Provide the family with preop instructions. Answer: Transfuse 1 unit
of packed red blood cells.
◉ A mother asks the nurse why her infant who was born at 34
weeks' gestation is being prescribed ferrous sulfate. Which response
by the nurse is most appropriate? Answer: "Preterm infants are at
risk for iron-deficiency anemia."
, ◉ An adolescent is recovering from surgery, radiation, and
chemotherapy following a diagnosis of Ewing sarcoma. Which
statement by the family indicates that reteaching is needed?
"We will watch for signs of infection and report it to our health care
provider."
"Our child's friends shaved their heads in solidarity to show their
support."
"We will remind our child to care for the skin following radiation."
"Our child is looking forward to playing football again." Answer:
"Our child is looking forward to playing football again."
◉ A nurse is conducting a class to a group of parents on sickle cell
anemia. Which statement by a parent indicates teaching has been
effective?
"The sickle shape of red blood cells decreases oxygen to tissues."
"This is a hereditary disease that is transmitted by one affected
gene."
"Fluid restriction is necessary to control sickle cell anemia."
"Sickle cell anemia is common in people of Asian descent." Answer:
"The sickle shape of red blood cells decreases oxygen to tissues."
◉ The nurse is talking with a 9-year-old child diagnosed with acute
leukemia who will soon begin chemotherapy. The child expresses
worry that when her hair falls out friends won't like her or want to
play with her anymore. Which response by the nurse would be best?
FOR CHILDREN 7TH EDITION 2026 MOCK
EXAM PRACTICE SET WITH SOLUTIONS A+
◉ A nurse is counseling parents of a 7-year-old boy with leukemia
regarding the goals of the chemotherapy program for their son.
What should she mention as the first goal?
a) Prevention of leukemia cells from invading or growing in the CNS
b) Administration of delayed intensive therapy
c) Maintaining the original remission
d) Complete absence of leukemia cells Answer: Complete absence of
leukemia cells
◉ The nurse is assessing a school-aged child with sickle-cell anemia.
Which assessment finding is consistent with this child's diagnosis?
Enlarged mandibular growth
Slightly yellow sclera
Increased growth of long bones
Depigmented areas on the abdomen Answer: Slightly yellow sclera
◉ The nurse is teaching the parents of a 15-year-old boy who is
being treated for acute myelogenous leukemia about the side effects
,of chemotherapy. For which symptoms should the parents seek
medical care immediately?
Difficulty or pain when swallowing
Blisters, ulcers, or a rash appear
Temperature of 101° F (38.3° C) or greater
Earache, stiff neck, or sore throat Answer: Temperature of 101° F
(38.3° C) or greater
◉ The nurse is caring for a child admitted to the hospital for an open
fracture of the femur following a motor vehicle accident. The nurse
notes the following lab values: white blood cells 10,000mm3,
hemoglobin 7.9 g/dL (79 g/L), hematocrit 28%, platelets 151,000
mm3. Which nursing action is priority?
Ask the child to rate pain on a scale 0 to 10.
Transfuse 1 unit of packed red blood cells.
Administer antibiotics intravenously stat.
Provide the family with preop instructions. Answer: Transfuse 1 unit
of packed red blood cells.
◉ A mother asks the nurse why her infant who was born at 34
weeks' gestation is being prescribed ferrous sulfate. Which response
by the nurse is most appropriate? Answer: "Preterm infants are at
risk for iron-deficiency anemia."
, ◉ An adolescent is recovering from surgery, radiation, and
chemotherapy following a diagnosis of Ewing sarcoma. Which
statement by the family indicates that reteaching is needed?
"We will watch for signs of infection and report it to our health care
provider."
"Our child's friends shaved their heads in solidarity to show their
support."
"We will remind our child to care for the skin following radiation."
"Our child is looking forward to playing football again." Answer:
"Our child is looking forward to playing football again."
◉ A nurse is conducting a class to a group of parents on sickle cell
anemia. Which statement by a parent indicates teaching has been
effective?
"The sickle shape of red blood cells decreases oxygen to tissues."
"This is a hereditary disease that is transmitted by one affected
gene."
"Fluid restriction is necessary to control sickle cell anemia."
"Sickle cell anemia is common in people of Asian descent." Answer:
"The sickle shape of red blood cells decreases oxygen to tissues."
◉ The nurse is talking with a 9-year-old child diagnosed with acute
leukemia who will soon begin chemotherapy. The child expresses
worry that when her hair falls out friends won't like her or want to
play with her anymore. Which response by the nurse would be best?
