PEDIATRIC NURSING | FROM QUESTION TO PERFECTION|
STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027
Duration: 2 Hours
Total Marks: 70%
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, An 18-Month-Old is discharged from the hospital after having a febrile seizure secondary to
exanthem subitum (Roseola). On discharge, the mother asks the nurse if her 6-year-old twins
will get sick. Which teaching about the transmission of roseola would be most accurate?
1. The child should be isolated at home until the vesicles have dried.
2. The child does not need to be isolated from the older siblings.
3. Administer acetaminophen to the older siblings to prevent seizures.
4. Monitor older children for seizure development. Answer: . 2. The route of roseola
transmission is unkown, and the disease is more commonly seen in children 6 months to 3 years
of age, so siblings do not need to be isolated.
Which would be the priority intervention for a child suspected of having varicella (chickenpox)?
1. Contact Precautions
2. Contact and Droplet Respiratory Precautions?
3. Droplet respiratory precautions?
4. Universal Precautions and standard precautions. Answer: 2. Varicella (Chickenpox) is highly
contagious. Contact & Droplet respiratory precautions should be started immediately because
the primary source of transmission is secretions of the respiratory tract (droplet) and also by
contaminated objects.
Caladryl Answer: A lotion containing diphenhydramine. Should not be applied if child has
already been given benadryl (diphenhydramine) because it can cause toxicity.
Which s&s would the nurse expect with rheumatic fever?
1. Ankle and Knee Joint Pain.
2. Negative group A beta strep culture.
3. Large, red "bulls eye" - appearing rash.
4. stiff neck with photophobia. Answer: Ankle and knee joint pain.
The parents of a 12-month old with HIV are concerned about him receiving routine
immunizations. What will the nurse tell them about immunizations? Answer: "You are
concerned about your child receiving immunizations. Let me explain why your child will NOT
receive routine immunizations today"
The nurse acknowledges a client's fears and then discusses the concerns to clarify any
misconceptions. Immunizations and influenza vaccine are recommended to prevent infection.
Immunocompromised HIV-infected children should not receive MMR and varicella live
vaccines.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027
Duration: 2 Hours
Total Marks: 70%
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, An 18-Month-Old is discharged from the hospital after having a febrile seizure secondary to
exanthem subitum (Roseola). On discharge, the mother asks the nurse if her 6-year-old twins
will get sick. Which teaching about the transmission of roseola would be most accurate?
1. The child should be isolated at home until the vesicles have dried.
2. The child does not need to be isolated from the older siblings.
3. Administer acetaminophen to the older siblings to prevent seizures.
4. Monitor older children for seizure development. Answer: . 2. The route of roseola
transmission is unkown, and the disease is more commonly seen in children 6 months to 3 years
of age, so siblings do not need to be isolated.
Which would be the priority intervention for a child suspected of having varicella (chickenpox)?
1. Contact Precautions
2. Contact and Droplet Respiratory Precautions?
3. Droplet respiratory precautions?
4. Universal Precautions and standard precautions. Answer: 2. Varicella (Chickenpox) is highly
contagious. Contact & Droplet respiratory precautions should be started immediately because
the primary source of transmission is secretions of the respiratory tract (droplet) and also by
contaminated objects.
Caladryl Answer: A lotion containing diphenhydramine. Should not be applied if child has
already been given benadryl (diphenhydramine) because it can cause toxicity.
Which s&s would the nurse expect with rheumatic fever?
1. Ankle and Knee Joint Pain.
2. Negative group A beta strep culture.
3. Large, red "bulls eye" - appearing rash.
4. stiff neck with photophobia. Answer: Ankle and knee joint pain.
The parents of a 12-month old with HIV are concerned about him receiving routine
immunizations. What will the nurse tell them about immunizations? Answer: "You are
concerned about your child receiving immunizations. Let me explain why your child will NOT
receive routine immunizations today"
The nurse acknowledges a client's fears and then discusses the concerns to clarify any
misconceptions. Immunizations and influenza vaccine are recommended to prevent infection.
Immunocompromised HIV-infected children should not receive MMR and varicella live
vaccines.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
