PEDS Exam 3 Questions and Answers
(Latest Update 2024)
A young child with leukemia has anorexia and severe
stomatitis. What approach should the nurse suggest that the
parents try?
a. Relax any eating pressures.
b. Firmly insist that the child eat normally.
c. Serve foods that are either hot or cold.
d. Provide only liquids because chewing is painful. - Correct
Answer ✅ a. Relax any eating pressures.
What childhood cancer may demonstrate patterns of
inheritance that suggest a familial basis?
a. Leukemia
b. Retinoblastoma
c. Rhabdomyosarcoma
d. Osteogenic sarcoma - Correct Answer ✅ b.
Retinoblastoma
The absence of the retinoblastoma gene allows for abnormal
cell growth and the development of retinoblastoma
,PEDS Exam 3 Questions and Answers
(Latest Update 2024)
After chemotherapy is begun for a child with acute leukemia,
prophylaxis to prevent acute tumor lysis syndrome includes
which therapeutic intervention?
a. Hydration
b. Oxygenation
c. Corticosteroids
d. Pain management - Correct Answer ✅ a. Hydration
Acute tumor lysis syndrome results from the release of
intracellular metabolites during the initial treatment of
leukemia. Hyperuricemia, hypocalcemia, hyperphosphatemia,
and hyperkalemia can result. Hydration is used to reduce the
metabolic consequences of the tumor lysis
A newborn assessment shows a separated sagittal suture,
oblique palpebral fissures, a depressed nasal bridge, a
protruding tongue, and transverse palmar creases. These
findings are most suggestive of which condition?
a. Microcephaly
b. Cerebral palsy
c. Down syndrome
,PEDS Exam 3 Questions and Answers
(Latest Update 2024)
d. Fragile X syndrome - Correct Answer ✅ c. down
syndrome
A 2-week-old infant with Down syndrome is being seen in the
clinic. His mother tells the nurse that he is difficult to hold,
that "he's like a rag doll. He doesn't cuddle up to me like my
other babies did." What is the nurse's best interpretation of
this lack of clinging or molding?
a. Sign of detachment and rejection
b. Indicative of maternal deprivation
c. A physical characteristic of Down syndrome
d. Suggestive of autism associated with Down syndrome -
Correct Answer ✅ c. A physical characteristic of Down
syndrome
Many of the clinical features of Down syndrome present
challenges to caregivers. Based on these features, what
intervention should be included in the child's care?
, PEDS Exam 3 Questions and Answers
(Latest Update 2024)
a. Delay feeding solid foods until the tongue thrust has
stopped.
b. Modify the diet as necessary to minimize the diarrhea that
often occurs.
c. Provide calories appropriate to the child's mental age.
d. Use a cool-mist vaporizer to keep the mucous membranes
moist and secretions liquefied. - Correct Answer ✅ d. Use a
cool-mist vaporizer to keep the mucous membranes moist
and secretions liquefied.
The constant stuffy nose forces the child to breathe by
mouth, drying the mucous membranes and increasing the
susceptibility to upper respiratory tract infections. A cool-mist
vaporizer will keep the mucous membranes moist and liquefy
secretions. Respiratory tract infections combined with cardiac
anomalies are the primary cause of death in the first years
The nurse is teaching feeding strategies to a parent of a 12-
month-old infant with Down syndrome. What statement made
by the parent indicates a need for further teaching?
(Latest Update 2024)
A young child with leukemia has anorexia and severe
stomatitis. What approach should the nurse suggest that the
parents try?
a. Relax any eating pressures.
b. Firmly insist that the child eat normally.
c. Serve foods that are either hot or cold.
d. Provide only liquids because chewing is painful. - Correct
Answer ✅ a. Relax any eating pressures.
What childhood cancer may demonstrate patterns of
inheritance that suggest a familial basis?
a. Leukemia
b. Retinoblastoma
c. Rhabdomyosarcoma
d. Osteogenic sarcoma - Correct Answer ✅ b.
Retinoblastoma
The absence of the retinoblastoma gene allows for abnormal
cell growth and the development of retinoblastoma
,PEDS Exam 3 Questions and Answers
(Latest Update 2024)
After chemotherapy is begun for a child with acute leukemia,
prophylaxis to prevent acute tumor lysis syndrome includes
which therapeutic intervention?
a. Hydration
b. Oxygenation
c. Corticosteroids
d. Pain management - Correct Answer ✅ a. Hydration
Acute tumor lysis syndrome results from the release of
intracellular metabolites during the initial treatment of
leukemia. Hyperuricemia, hypocalcemia, hyperphosphatemia,
and hyperkalemia can result. Hydration is used to reduce the
metabolic consequences of the tumor lysis
A newborn assessment shows a separated sagittal suture,
oblique palpebral fissures, a depressed nasal bridge, a
protruding tongue, and transverse palmar creases. These
findings are most suggestive of which condition?
a. Microcephaly
b. Cerebral palsy
c. Down syndrome
,PEDS Exam 3 Questions and Answers
(Latest Update 2024)
d. Fragile X syndrome - Correct Answer ✅ c. down
syndrome
A 2-week-old infant with Down syndrome is being seen in the
clinic. His mother tells the nurse that he is difficult to hold,
that "he's like a rag doll. He doesn't cuddle up to me like my
other babies did." What is the nurse's best interpretation of
this lack of clinging or molding?
a. Sign of detachment and rejection
b. Indicative of maternal deprivation
c. A physical characteristic of Down syndrome
d. Suggestive of autism associated with Down syndrome -
Correct Answer ✅ c. A physical characteristic of Down
syndrome
Many of the clinical features of Down syndrome present
challenges to caregivers. Based on these features, what
intervention should be included in the child's care?
, PEDS Exam 3 Questions and Answers
(Latest Update 2024)
a. Delay feeding solid foods until the tongue thrust has
stopped.
b. Modify the diet as necessary to minimize the diarrhea that
often occurs.
c. Provide calories appropriate to the child's mental age.
d. Use a cool-mist vaporizer to keep the mucous membranes
moist and secretions liquefied. - Correct Answer ✅ d. Use a
cool-mist vaporizer to keep the mucous membranes moist
and secretions liquefied.
The constant stuffy nose forces the child to breathe by
mouth, drying the mucous membranes and increasing the
susceptibility to upper respiratory tract infections. A cool-mist
vaporizer will keep the mucous membranes moist and liquefy
secretions. Respiratory tract infections combined with cardiac
anomalies are the primary cause of death in the first years
The nurse is teaching feeding strategies to a parent of a 12-
month-old infant with Down syndrome. What statement made
by the parent indicates a need for further teaching?
