Pediatrics Final Exam Study Guide 2026 | Complete Review
| Graded A+
1. What is one recommended action for a nurse to take when preparing a young
child for a medical exam?
Remove all toys from the examination room
Encourage the child to play with medical instruments
Allow the child to sit on parent's lap
Tell the child to be quiet during the exam
2. You are a nurse at a local family practice clinic. A father brings in his 8 year
old son for a checkup and has concerns about his son's growth: he wants to
know if he should be concerned about his son gaining about 6 lbs per year.
What would you tell him?
He should be concerned because his son is gaining weight slower
than average
No need to be concerned. This is normal development
He should be concerned because his son is gaining weight faster than
average
3. Describe the significance of head lag in a 7-month-old child and its
implications for development.
Head lag is unrelated to developmental milestones.
Head lag is a normal finding at this age and does not require
intervention.
Head lag indicates a delay in motor development and may require
further evaluation.
Head lag suggests the child is developing advanced motor skills.
,4. What is the condition suspected in a 3-month-old infant with subdural and
retinal hemorrhages and no external signs of trauma?
Congenital neurologic problem
Sudden infant death syndrome (SIDS)
Shaken-baby syndrome
Unintentional injury
5. Why is the incompatibility between the history provided and the observed
injuries considered a critical factor in reporting suspected child abuse?
It suggests that the child may be exaggerating their injuries.
It raises concerns about the validity of the explanation for the child's
injuries.
It indicates that the parents are not involved in the child's care.
It shows that the child is not responding appropriately to the situation.
6. If a nurse encounters a 3-year-old child who is anxious about an upcoming
exam, what strategy should the nurse implement to ease the child's fears?
Instruct the child to remain alone in the examination room.
Encourage the child to sit on a parent's lap during the exam.
Use complex medical terms to explain the procedure.
Ask the child to leave their favorite toy outside.
7. Why might a sibling of a child with sickle cell disease express fear about
causing their sibling's illness?
They are trying to get attention from their parents.
, They may not understand the nature of the disease and feel
responsible for their sibling's health.
They are unaware of their sibling's condition.
They have been taught that emotions can cause physical illness.
8. In a pediatric nursing assessment, how might understanding the structure of a
blended family influence the approach to care for the children involved?
It would not affect the care approach since all families are treated the
same.
It may require tailored communication and support strategies to
address the unique dynamics and relationships within the family.
It would simplify care as there are fewer family members to consider.
It would necessitate a focus solely on the biological parents'
perspectives.
9. Which group of adolescents is identified as being at a higher risk for suicide
according to pediatric nursing guidelines?
Gay and lesbian adolescents
Adolescents with high academic performance
Adolescents from single-parent families
Athletic adolescents
10. Why is it important for the nurse to reassure the family of a child with
encopresis?
It implies that medication is the only solution.
It suggests that the child will never recover.
It encourages the family to ignore the problem.
, It helps alleviate anxiety and provides realistic expectations about
the child's condition.
11. Which drug is usually the best choice for a hospitalized child receiving a
patient-controlled analgesia (PCA) in the immediate postoperative period?
Methadon
Morphine
Codeine
Meperidine
12. An 8-year-old has a 3-day history of vomiting and diarrhea. He is difficult to
arouse. Blood pressure is 76/48. This would be classified as?
Bradycardia
Hypotension
Hypertension
Normal blood pressure
13. A nurse is caring for a preschooler. Which of the following is an experienced
behavior of a preschool-age child?
Understanding cause of illness
Describing manifestations of illness
Relating fears to magical thinking
Awareness of body functioning
| Graded A+
1. What is one recommended action for a nurse to take when preparing a young
child for a medical exam?
Remove all toys from the examination room
Encourage the child to play with medical instruments
Allow the child to sit on parent's lap
Tell the child to be quiet during the exam
2. You are a nurse at a local family practice clinic. A father brings in his 8 year
old son for a checkup and has concerns about his son's growth: he wants to
know if he should be concerned about his son gaining about 6 lbs per year.
What would you tell him?
He should be concerned because his son is gaining weight slower
than average
No need to be concerned. This is normal development
He should be concerned because his son is gaining weight faster than
average
3. Describe the significance of head lag in a 7-month-old child and its
implications for development.
Head lag is unrelated to developmental milestones.
Head lag is a normal finding at this age and does not require
intervention.
Head lag indicates a delay in motor development and may require
further evaluation.
Head lag suggests the child is developing advanced motor skills.
,4. What is the condition suspected in a 3-month-old infant with subdural and
retinal hemorrhages and no external signs of trauma?
Congenital neurologic problem
Sudden infant death syndrome (SIDS)
Shaken-baby syndrome
Unintentional injury
5. Why is the incompatibility between the history provided and the observed
injuries considered a critical factor in reporting suspected child abuse?
It suggests that the child may be exaggerating their injuries.
It raises concerns about the validity of the explanation for the child's
injuries.
It indicates that the parents are not involved in the child's care.
It shows that the child is not responding appropriately to the situation.
6. If a nurse encounters a 3-year-old child who is anxious about an upcoming
exam, what strategy should the nurse implement to ease the child's fears?
Instruct the child to remain alone in the examination room.
Encourage the child to sit on a parent's lap during the exam.
Use complex medical terms to explain the procedure.
Ask the child to leave their favorite toy outside.
7. Why might a sibling of a child with sickle cell disease express fear about
causing their sibling's illness?
They are trying to get attention from their parents.
, They may not understand the nature of the disease and feel
responsible for their sibling's health.
They are unaware of their sibling's condition.
They have been taught that emotions can cause physical illness.
8. In a pediatric nursing assessment, how might understanding the structure of a
blended family influence the approach to care for the children involved?
It would not affect the care approach since all families are treated the
same.
It may require tailored communication and support strategies to
address the unique dynamics and relationships within the family.
It would simplify care as there are fewer family members to consider.
It would necessitate a focus solely on the biological parents'
perspectives.
9. Which group of adolescents is identified as being at a higher risk for suicide
according to pediatric nursing guidelines?
Gay and lesbian adolescents
Adolescents with high academic performance
Adolescents from single-parent families
Athletic adolescents
10. Why is it important for the nurse to reassure the family of a child with
encopresis?
It implies that medication is the only solution.
It suggests that the child will never recover.
It encourages the family to ignore the problem.
, It helps alleviate anxiety and provides realistic expectations about
the child's condition.
11. Which drug is usually the best choice for a hospitalized child receiving a
patient-controlled analgesia (PCA) in the immediate postoperative period?
Methadon
Morphine
Codeine
Meperidine
12. An 8-year-old has a 3-day history of vomiting and diarrhea. He is difficult to
arouse. Blood pressure is 76/48. This would be classified as?
Bradycardia
Hypotension
Hypertension
Normal blood pressure
13. A nurse is caring for a preschooler. Which of the following is an experienced
behavior of a preschool-age child?
Understanding cause of illness
Describing manifestations of illness
Relating fears to magical thinking
Awareness of body functioning
