PEDIATRICS FINAL EXAM CERTIFICATION TEST
PAPER 2026 COMPLETE SOLUTIONS GRADED
A PLUS
◉ diaper candidiasis.
Answer: Fiery red rash with satellite lesions. Causative organ:
candidiasis albicans
◉ atopic dermatitis (eczema).
Answer: Chronic hypersensitivity disorder. Characterized by
pruritus, new lesions form with scratching, no cure but can be
controlled.
Promote skin hydration: bathe child 2x a day with mild soaps. Pat
dry/do not rub*, apply moisturizers
◉ Diaper dermatitis.
Answer: Acute hypersensitivity reaction- non immunologic
Prolonged exposure to urine & feces may lead to skin breakdown
Assessment: red shiny rash with possible papules
◉ Tympanometry.
,Answer: A nurse is assisting with diagnostic tests to measure
movement of eardrunk to determine extent of effusion of middle ear
via insertion of probe into childs ear
◉ Macule.
Answer: A nurse is conducting a physical exam of 9 month old with
flat reddened area on skin
◉ 3 month old with fever 102.6, 5 month old fussy and pulling ear
with temp 101, 4 year old with severe ear pain temp 103.
Answer: A nurse in a pediatrician office is caring for several children
who have been diagnosed with acute otitis media. Which child
would the nurse expect the physical to treat with antibiotics?
◉ Photophobia.
Answer: Assessment of a child leads nurse to suspect viral
conjunctivitis based on?
◉ S/s infantile glaucoma.
Answer: photophobia, large prominent eyes, infant rubbing eyes, or
closed eyes most of the time.
◉ he can go back 24-48 hours after antibiotics and when there is no
discharge.
,Answer: Child is diagnosed with bacterial conjunctivitis and is
prescribed topical antibiotics. Child's mom asks when he can return
to school?
◉ shorter, wider, horizontal eustachian tubes of infant increase risk.
Answer: After teaching a group of parents about ear infections in
children, which statement indicates teaching was successful?
◉ Use his name before touching him to get attention.
Answer: Nurse is caring for a 6 y/o visually impaired boy and is
about to begin the physical exam. Which intervention would be most
appropriate to promote effective communication with the child?
◉ He should manually peel off flaking skin.
Answer: a nurse is providing parental teaching about home care for
a 8 y/o boy with widespread sunburn on back and shoulders. Which
needs further evaluation?
◉ clear delinations noted between burned and non-burned skin
areas.
Answer: A 4 y/o is brought to ER with burn. Which would alert the
nurse possibly of child abuse?
◉ Skin leathery, dry, with numbness.
, Answer: as part of clinical conference with group of student nurses,
instructor is describing burn classification. Successful teaching with
full thickness burns is made when
◉ Applying ice.
Answer: a nurse is preparing a presentation to local parents about
burn protection. Which is least likely to be included when caring for
a superficial burn?
◉ Managing dermatitis.
Answer: topical ointments with vitamin ADE, refrain from rubber
pants, change frequently diapers
◉ Avoid sun exposure from 10am-2pm.
Answer: Nurse is preparing class for a group of adolescents about
reducing the risk of skin cancer. Which would the nurse include
◉ A.
Answer: The nurse is developing a plan of care for a 5-year-old child
with a severe hearing impairment focusing on psychosocial
interventions based on assessment findings. Which behavior would
the nurse have most likely assessed?
A)
Immature emotional behavior
PAPER 2026 COMPLETE SOLUTIONS GRADED
A PLUS
◉ diaper candidiasis.
Answer: Fiery red rash with satellite lesions. Causative organ:
candidiasis albicans
◉ atopic dermatitis (eczema).
Answer: Chronic hypersensitivity disorder. Characterized by
pruritus, new lesions form with scratching, no cure but can be
controlled.
Promote skin hydration: bathe child 2x a day with mild soaps. Pat
dry/do not rub*, apply moisturizers
◉ Diaper dermatitis.
Answer: Acute hypersensitivity reaction- non immunologic
Prolonged exposure to urine & feces may lead to skin breakdown
Assessment: red shiny rash with possible papules
◉ Tympanometry.
,Answer: A nurse is assisting with diagnostic tests to measure
movement of eardrunk to determine extent of effusion of middle ear
via insertion of probe into childs ear
◉ Macule.
Answer: A nurse is conducting a physical exam of 9 month old with
flat reddened area on skin
◉ 3 month old with fever 102.6, 5 month old fussy and pulling ear
with temp 101, 4 year old with severe ear pain temp 103.
Answer: A nurse in a pediatrician office is caring for several children
who have been diagnosed with acute otitis media. Which child
would the nurse expect the physical to treat with antibiotics?
◉ Photophobia.
Answer: Assessment of a child leads nurse to suspect viral
conjunctivitis based on?
◉ S/s infantile glaucoma.
Answer: photophobia, large prominent eyes, infant rubbing eyes, or
closed eyes most of the time.
◉ he can go back 24-48 hours after antibiotics and when there is no
discharge.
,Answer: Child is diagnosed with bacterial conjunctivitis and is
prescribed topical antibiotics. Child's mom asks when he can return
to school?
◉ shorter, wider, horizontal eustachian tubes of infant increase risk.
Answer: After teaching a group of parents about ear infections in
children, which statement indicates teaching was successful?
◉ Use his name before touching him to get attention.
Answer: Nurse is caring for a 6 y/o visually impaired boy and is
about to begin the physical exam. Which intervention would be most
appropriate to promote effective communication with the child?
◉ He should manually peel off flaking skin.
Answer: a nurse is providing parental teaching about home care for
a 8 y/o boy with widespread sunburn on back and shoulders. Which
needs further evaluation?
◉ clear delinations noted between burned and non-burned skin
areas.
Answer: A 4 y/o is brought to ER with burn. Which would alert the
nurse possibly of child abuse?
◉ Skin leathery, dry, with numbness.
, Answer: as part of clinical conference with group of student nurses,
instructor is describing burn classification. Successful teaching with
full thickness burns is made when
◉ Applying ice.
Answer: a nurse is preparing a presentation to local parents about
burn protection. Which is least likely to be included when caring for
a superficial burn?
◉ Managing dermatitis.
Answer: topical ointments with vitamin ADE, refrain from rubber
pants, change frequently diapers
◉ Avoid sun exposure from 10am-2pm.
Answer: Nurse is preparing class for a group of adolescents about
reducing the risk of skin cancer. Which would the nurse include
◉ A.
Answer: The nurse is developing a plan of care for a 5-year-old child
with a severe hearing impairment focusing on psychosocial
interventions based on assessment findings. Which behavior would
the nurse have most likely assessed?
A)
Immature emotional behavior
