PEDS FINAL EXAM, 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 TEST BANK ALL
EXAMS 1100 QUESTIONS AND ANSWERS
TABLE OF CONTENT
PEDS FINAL EXAM [ANSWERED]
NUR-353 FINAL [ANSWERED]
ATI RN NURSING CARE OF CHILDREN [ANSWERED]
PEDS FINAL [ANSWERED]
PEDIATRICS EXAM 1-GROWTH, [ANSWERED]
PEDIATRIC CARDIAC DISORDERS & PROCEDURES [ANSWERED]
PEDIATRIC EMERGENCIES, [ANSWERED]
PEDIATRICS EXAM #1 PRACTICE QUESTIONS [ANSWERED]
AND MORE EXAM STUDY GUIDE
,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: 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?
A. Encourage frequent ambulation
B. Apply heat to painful joints
C. Avoid IM injections and monitor for bleeding
D. Increase dietary iron intake
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: 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
,C. Hypokalemia
D. Hypocalcemia
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: 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: B. Elevated ASO titer, hematuria, proteinuria
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: 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: B. High-pitched cry and bulging fontanel
Rationale: These are hallmark signs of increased ICP in infants, along with irritability and increased head
circumference.
, Which intervention is appropriate for a child in sickle cell crisis experiencing vaso-occlusive pain?
A. Administer oxygen and restrict fluids
B. Apply cold compresses and give aspirin
C. Administer IV fluids and opioids for pain
D. Limit movement and elevate extremities
Answer: C. Administer IV fluids and opioids for pain
Rationale: Vaso-occlusive episodes are managed with hydration and pain control to improve circulation
and relieve ischemic pain.
What is the most appropriate intervention for an infant diagnosed with gastroesophageal reflux (GERD)?
A. Encourage large, infrequent feedings
B. Place infant in supine position immediately after feeding
C. Hold the infant upright for 20-30 minutes after feedings
D. Administer antacids before each feeding
Answer: C. Hold the infant upright for 20-30 minutes after feedings
Rationale: Upright positioning after feeding helps reduce reflux episodes and promotes gastric
emptying, which is critical for GERD management in infants.
Remember It's only GER if under 1 years old
A child with pyloric stenosis is likely to present with which of the following symptoms?
A. Foul-smelling diarrhea and bloating
B. Projectile vomiting and palpable olive-shaped mass
C. Bloody stools and abdominal tenderness
D. Pain relieved by eating
Answer: B. Projectile vomiting and palpable olive-shaped mass
Rationale: Pyloric stenosis causes gastric outlet obstruction leading to forceful projectile vomiting and a
palpable mass in the right upper abdomen.
What is the priority nursing action for a child experiencing severe dehydration?
A. Encourage oral rehydration with small sips of water
B. Administer antidiarrheal medication
C. Begin IV rehydration therapy with isotonic fluids
D. Offer sugary drinks to improve energy
Answer: C. Begin IV rehydration therapy with isotonic fluids
Rationale: Severe dehydration requires immediate IV fluid resuscitation with isotonic solutions (e.g., NS
or LR) to restore intravascular volume and prevent shock.
Which child is at highest risk for developing Sudden Infant Death Syndrome (SIDS)?
A. 5-month-old who sleeps on back with pacifier
B. 2-month-old who co-sleeps and sleeps prone
C. 1-year-old who sleeps in crib with no toys
D. 6-month-old who sleeps with a fan on
NURSING CARE OF CHILDREN, PEDS FINAL,
PEDIATRICS EXAM 1-GROWTH, PEDIATRIC
CARDIAC DISORDERS & PROCEDURES,
PEDIATRIC EMERGENCIES, PEDIATRICS EXAM
#1 PRACTICE QUESTIONS TEST BANK ALL
EXAMS 1100 QUESTIONS AND ANSWERS
TABLE OF CONTENT
PEDS FINAL EXAM [ANSWERED]
NUR-353 FINAL [ANSWERED]
ATI RN NURSING CARE OF CHILDREN [ANSWERED]
PEDS FINAL [ANSWERED]
PEDIATRICS EXAM 1-GROWTH, [ANSWERED]
PEDIATRIC CARDIAC DISORDERS & PROCEDURES [ANSWERED]
PEDIATRIC EMERGENCIES, [ANSWERED]
PEDIATRICS EXAM #1 PRACTICE QUESTIONS [ANSWERED]
AND MORE EXAM STUDY GUIDE
,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: 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?
A. Encourage frequent ambulation
B. Apply heat to painful joints
C. Avoid IM injections and monitor for bleeding
D. Increase dietary iron intake
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: 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
,C. Hypokalemia
D. Hypocalcemia
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: 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: B. Elevated ASO titer, hematuria, proteinuria
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: 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: B. High-pitched cry and bulging fontanel
Rationale: These are hallmark signs of increased ICP in infants, along with irritability and increased head
circumference.
, Which intervention is appropriate for a child in sickle cell crisis experiencing vaso-occlusive pain?
A. Administer oxygen and restrict fluids
B. Apply cold compresses and give aspirin
C. Administer IV fluids and opioids for pain
D. Limit movement and elevate extremities
Answer: C. Administer IV fluids and opioids for pain
Rationale: Vaso-occlusive episodes are managed with hydration and pain control to improve circulation
and relieve ischemic pain.
What is the most appropriate intervention for an infant diagnosed with gastroesophageal reflux (GERD)?
A. Encourage large, infrequent feedings
B. Place infant in supine position immediately after feeding
C. Hold the infant upright for 20-30 minutes after feedings
D. Administer antacids before each feeding
Answer: C. Hold the infant upright for 20-30 minutes after feedings
Rationale: Upright positioning after feeding helps reduce reflux episodes and promotes gastric
emptying, which is critical for GERD management in infants.
Remember It's only GER if under 1 years old
A child with pyloric stenosis is likely to present with which of the following symptoms?
A. Foul-smelling diarrhea and bloating
B. Projectile vomiting and palpable olive-shaped mass
C. Bloody stools and abdominal tenderness
D. Pain relieved by eating
Answer: B. Projectile vomiting and palpable olive-shaped mass
Rationale: Pyloric stenosis causes gastric outlet obstruction leading to forceful projectile vomiting and a
palpable mass in the right upper abdomen.
What is the priority nursing action for a child experiencing severe dehydration?
A. Encourage oral rehydration with small sips of water
B. Administer antidiarrheal medication
C. Begin IV rehydration therapy with isotonic fluids
D. Offer sugary drinks to improve energy
Answer: C. Begin IV rehydration therapy with isotonic fluids
Rationale: Severe dehydration requires immediate IV fluid resuscitation with isotonic solutions (e.g., NS
or LR) to restore intravascular volume and prevent shock.
Which child is at highest risk for developing Sudden Infant Death Syndrome (SIDS)?
A. 5-month-old who sleeps on back with pacifier
B. 2-month-old who co-sleeps and sleeps prone
C. 1-year-old who sleeps in crib with no toys
D. 6-month-old who sleeps with a fan on
