MEDSTUDY.COM
Peds final exam, lets go!!, NUR-353 Final, ATI RN
Nursing Care of Children, PEDS final, Pediatrics
Exam 1-Growth, Pediatric Cardiac Disorders &
Procedures, Pediatric emergencies, Pediatrics Exam
#1 practice questions
Which clinical manifestation is MOST characteristic of Fifth's disease
(Erythema Infectiosum)?
A. A vesicular rash starting on the trunk
B. Bright red cheeks with a lacy rash on the body
C. Honey-colored crusted lesions around the nose
D. A maculopapular rash starting at the hairline - ✔✔ANSWER ✔✔-
Answer: B. Bright red cheeks with a lacy rash on the body
Rationale: Fifth's disease presents with a "slapped cheek" appearance
followed by a lacy, reticular rash on the body. It is caused by Parvovirus
B19.
What is the primary nursing intervention for a child with
thrombocytopenia secondary to chemotherapy?
,MEDSTUDY.COM
A. Encourage frequent ambulation
B. Apply heat to painful joints
C. Avoid IM injections and monitor for bleeding
D. Increase dietary iron intake - ✔✔ANSWER ✔✔-Answer: C. Avoid IM
injections and monitor for bleeding
Rationale: Thrombocytopenia increases bleeding risk. Avoiding trauma
and minimizing invasive procedures like intramuscular injections helps
prevent hemorrhage.
Which pain scale is most appropriate for a non-verbal 6-month-old
infant?
A. Numeric Visual Analogue Scale
B. Wong-Baker FACES
C. FLACC scale
D. Numeric Rating Scale (0-10) - ✔✔ANSWER ✔✔-Answer: C. FLACC
scale
Rationale: The FLACC scale assesses pain in infants and non-verbal
children by observing facial expression, leg movement, activity, cry, and
consolability.
What electrolyte imbalance is most likely in a child with prolonged
vomiting?
A. Hypernatremia
B. Hyperkalemia
,MEDSTUDY.COM
C. Hypokalemia
D. Hypocalcemia - ✔✔ANSWER ✔✔-Answer: C. Hypokalemia
Rationale: Vomiting leads to potassium loss through gastric fluids,
resulting in hypokalemia. Monitoring and replacing electrolytes is
crucial in these patients.
Which is an appropriate intervention for a preschool-aged child during
hospitalization?
A. Provide structured learning activities
B. Encourage parallel play with others
C. Offer solitary play options
D. Engage in formal teaching sessions - ✔✔ANSWER ✔✔-Answer: B.
Encourage parallel play with others
Rationale: Preschoolers engage in parallel play—playing alongside other
children without direct interaction. This supports development and
reduces anxiety during hospitalization.
Which laboratory finding is most consistent with a diagnosis of acute
post-streptococcal glomerulonephritis (APSGN)?
A. Elevated potassium, decreased BUN
B. Elevated ASO titer, hematuria, proteinuria
C. Positive nitrites, elevated WBC
D. Low hematocrit, high reticulocyte count - ✔✔ANSWER ✔✔-Answer:
B. Elevated ASO titer, hematuria, proteinuria
, MEDSTUDY.COM
Rationale: APSGN typically occurs after a streptococcal infection and
presents with hematuria, proteinuria, hypertension, and a positive ASO
titer indicating recent strep exposure.
What is the most important pre-operative nursing implication for a
child diagnosed with Wilms' Tumor (nephroblastoma)?
A. Administer diuretics before surgery
B. Avoid palpating the abdomen
C. Monitor for signs of hypoglycemia
D. Start high-protein TPN - ✔✔ANSWER ✔✔-Answer: B. Avoid palpating
the abdomen
Rationale: Palpation of the abdomen could rupture the encapsulated
tumor and cause dissemination of cancer cells.
Which of the following findings is most characteristic of increased
intracranial pressure in an infant?
A. Positive Babinski reflex
B. High-pitched cry and bulging fontanel
C. Hyperreflexia and tremors
D. Dry mucous membranes and sunken fontanel - ✔✔ANSWER ✔✔-
Answer: B. High-pitched cry and bulging fontanel
Rationale: These are hallmark signs of increased ICP in infants, along
with irritability and increased head circumference.
Peds final exam, lets go!!, NUR-353 Final, ATI RN
Nursing Care of Children, PEDS final, Pediatrics
Exam 1-Growth, Pediatric Cardiac Disorders &
Procedures, Pediatric emergencies, Pediatrics Exam
#1 practice questions
Which clinical manifestation is MOST characteristic of Fifth's disease
(Erythema Infectiosum)?
A. A vesicular rash starting on the trunk
B. Bright red cheeks with a lacy rash on the body
C. Honey-colored crusted lesions around the nose
D. A maculopapular rash starting at the hairline - ✔✔ANSWER ✔✔-
Answer: B. Bright red cheeks with a lacy rash on the body
Rationale: Fifth's disease presents with a "slapped cheek" appearance
followed by a lacy, reticular rash on the body. It is caused by Parvovirus
B19.
What is the primary nursing intervention for a child with
thrombocytopenia secondary to chemotherapy?
,MEDSTUDY.COM
A. Encourage frequent ambulation
B. Apply heat to painful joints
C. Avoid IM injections and monitor for bleeding
D. Increase dietary iron intake - ✔✔ANSWER ✔✔-Answer: C. Avoid IM
injections and monitor for bleeding
Rationale: Thrombocytopenia increases bleeding risk. Avoiding trauma
and minimizing invasive procedures like intramuscular injections helps
prevent hemorrhage.
Which pain scale is most appropriate for a non-verbal 6-month-old
infant?
A. Numeric Visual Analogue Scale
B. Wong-Baker FACES
C. FLACC scale
D. Numeric Rating Scale (0-10) - ✔✔ANSWER ✔✔-Answer: C. FLACC
scale
Rationale: The FLACC scale assesses pain in infants and non-verbal
children by observing facial expression, leg movement, activity, cry, and
consolability.
What electrolyte imbalance is most likely in a child with prolonged
vomiting?
A. Hypernatremia
B. Hyperkalemia
,MEDSTUDY.COM
C. Hypokalemia
D. Hypocalcemia - ✔✔ANSWER ✔✔-Answer: C. Hypokalemia
Rationale: Vomiting leads to potassium loss through gastric fluids,
resulting in hypokalemia. Monitoring and replacing electrolytes is
crucial in these patients.
Which is an appropriate intervention for a preschool-aged child during
hospitalization?
A. Provide structured learning activities
B. Encourage parallel play with others
C. Offer solitary play options
D. Engage in formal teaching sessions - ✔✔ANSWER ✔✔-Answer: B.
Encourage parallel play with others
Rationale: Preschoolers engage in parallel play—playing alongside other
children without direct interaction. This supports development and
reduces anxiety during hospitalization.
Which laboratory finding is most consistent with a diagnosis of acute
post-streptococcal glomerulonephritis (APSGN)?
A. Elevated potassium, decreased BUN
B. Elevated ASO titer, hematuria, proteinuria
C. Positive nitrites, elevated WBC
D. Low hematocrit, high reticulocyte count - ✔✔ANSWER ✔✔-Answer:
B. Elevated ASO titer, hematuria, proteinuria
, MEDSTUDY.COM
Rationale: APSGN typically occurs after a streptococcal infection and
presents with hematuria, proteinuria, hypertension, and a positive ASO
titer indicating recent strep exposure.
What is the most important pre-operative nursing implication for a
child diagnosed with Wilms' Tumor (nephroblastoma)?
A. Administer diuretics before surgery
B. Avoid palpating the abdomen
C. Monitor for signs of hypoglycemia
D. Start high-protein TPN - ✔✔ANSWER ✔✔-Answer: B. Avoid palpating
the abdomen
Rationale: Palpation of the abdomen could rupture the encapsulated
tumor and cause dissemination of cancer cells.
Which of the following findings is most characteristic of increased
intracranial pressure in an infant?
A. Positive Babinski reflex
B. High-pitched cry and bulging fontanel
C. Hyperreflexia and tremors
D. Dry mucous membranes and sunken fontanel - ✔✔ANSWER ✔✔-
Answer: B. High-pitched cry and bulging fontanel
Rationale: These are hallmark signs of increased ICP in infants, along
with irritability and increased head circumference.
