Comprehensive Exam Peds Questions
with Correct Answers 2025
The presence of which vitamin is most effective in enhancingZabsorption of iron?
a. Vitamin A
b. Vitamin B
c. Vitamin C
d. Vitamin D -Zcorrect answer-c. Vitamin C
Which of the following children with sickle cell anemia isZat greatest riskZfor exacerbation of theZdisease?
a. Anita, whoZlives in Pittsburgh and is visiting Denver, CO to go snow skiing
b. Jacques, who is spendingZa warm summer day swimming with his friends
c. Ed, who isZlearning how to rollerblade
d. Janessa, who is in a gymnastics class - correct answer-a.
Takisha, age 8, has been admitted tot he hospital in sickle cell crisis. She complains of pain all over her bo
dy. Which intervention by the new nurse requires the supervising nurse to intervene? The new nurse:
a. allows Takisha to determine the level of activity she can tolerate
b. provides Takisha passive range of motion exercises
c. administers fluids to maintain hydration status
d. applies ice packs to specific painful areas of the body - correct answer-d.
In a child with beta-
thalassemia major, the nurse would expect to find which of the following clinical manifestations?
a. long thin nose
b. malocclusion
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c. narrow set eyes
d. concave forehead - correct answer-b.
The first line of treatment for type I, or mild type II, von WIllebrand's diease is:
a. desmopressin
b. heparin
c. warfarin sodium
d. protamine - correct answer-a.
Which of hte following over-the-
counter medications should not be taken by a child who has immune thrombocytopenic purpura?
a. ibuprofen (Motrin)
b. asprin
c. acetaminophen (Tylenol)
d. ibuprofen (Advil) - correct answer-b.
The child with disseminated intravascular coagulation is at greatest risk for the development of which co
mplication?
a. infection
b. airway obstruciton
c. hemorrhage
d. impaired skin integrity - correct answer-c.
AZcaregiver of a child with a bleeding disorder has been taught the actions to take for treatment of a nose
bleed. Which statement by teh caregiver indicates that more teaching is needed? If the child experiences
a nosebleed I will:
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a. lie the child down
b. pinch the child's nose
c. hold the nose for at least 10 minutes
d. apply ice to the bridge of the nose - correct answer-a.
Which of the following is considered appropriate treatment for hemophilia B?
a. factor VIII concentrates
b. Desmopressin
c. aspirin
d. factor IX concentrates - correct answer-d.
Which of the following is a side effect associated with cyclosporine therapy fo rhte treatment of aplastic a
nemia?
a. decreased blood pressure
b. loss of body hair
c. gingival hyperplasia
d. decreased potassium - correct answer-c.
Which of the following are compensatory mechanisms for anemia? Select all that apply.
a. increased erythropoiesis
b. decreased heart rate
c. retention of sodium
d. increased respiratory rate
e. retention of water
f. leukocytosis - correct answer-a,c,d,e