PEDS Final Ricci Test Bank UPDATED
ACTUAL Exam Questions and CORRECT
Answers
A 3-year-old boy has been on chemotherapy for cancer. He complains about a sore throat, is
experiencing malaise, and has a temperature of 99.8°F orally. His mother calls the child's
physician. What is the appropriate information for the nurse to tell his mother at this time?
A) "Continue to watch the child, giving him aspirin and cool fluids for the fever."
B) "Plan to bring the child into the physician's office today."
C) "Monitor the temperature, but not to worry unless it gets above 104°F."
D) "Keep the child warm and as comfortable as possible." - CORRECT ANSWER - B)
"Plan to bring the child into the physician's office today."
2. A nurse is conducting a health history for a 1-month-old with an infectious disorder.
Which segment of the health history would be most helpful for the nurse when
determining if the infant developed the infection from the mother?
A) Family history
B) Past medical history
C) Home treatments
D) Present illness history - CORRECT ANSWER - B) Past medical history
3. While reviewing various studies about the use of antipyretics possibly prolonging illness, the
nurse notes that there are benefits to their use for the child with fever. Which of the following
would the nurse identify as the best explanation related to the benefit of antipyretics?
A) They slow the growth of bacteria.
B) They increase neutrophil production.
C) They encourage T-cell proliferation.
,D) They help decrease fluid requirements. - CORRECT ANSWER - D) They help
decrease fluid requirements.
4. The nurse is caring for a neonate who is suspected of having sepsis. Which of the following
assessment findings would the nurse interpret as most indicative of sepsis?
A) Rash on face
B) Edematous neck
C) Hypothermia
D) Coughing - CORRECT ANSWER - C) Hypothermia
5. The nurse is preparing a plan of care for a 5-year-old boy with chickenpox. Which of the
following nursing interventions should be questioned?
A) Administer antipyretics as ordered.
B) Keep the child's fingernails short.
C) Monitor fluid intake and output.
D) Provide alcohol baths as needed. - CORRECT ANSWER - D) Provide alcohol baths as
needed.
6. The nurse is developing a teaching plan for the mother of a 4-year-old girl with cold and
fever. Which of the following would the nurse include in this teaching plan?
A) Keeping the child covered and warm
B) Calling the doctor if the child's fever lasts more than 36 hours
C) Ensuring fluid intake to prevent dehydration
D) Observing for changes in alertness resulting from brain damage - CORRECT
ANSWER - C) Ensuring fluid intake to prevent dehydration
7. After teaching a mother how to remove a tick from her 6-year-old boy's arm, the nurse
determines that additional teaching is needed when the mother states which of the following?
A) "I'll protect my fingers with a paper towel."
,B) "I'll grasp the tick and pull it away quickly."
C) "I should put the tick in a plastic bag in the freezer."
D) "I need to grasp the tick close to the child's skin." - CORRECT ANSWER - B) "I'll
grasp the tick and pull it away quickly."
8. The nurse is performing a physical examination of an 8-year-old girl who was bitten by her
kitten. Which of the following assessments would lead the nurse to suspect cat- scratch disease?
A) Swollen lymph nodes
B) Strawberry tongue
C) Infected tonsils
D) Swollen neck - CORRECT ANSWER - A) Swollen lymph nodes
9. A group of nursing students are reviewing the six links in the chain of infection and the
nursing implications for each. The students demonstrate understanding of the information when
they identify which precaution as helping to break the chain of infection to the susceptible host?
A) Keeping linens dry and clean
B) Maintaining skin integrity
C) Washing hands frequently
D) Coughing into a handkerchief - CORRECT ANSWER - B) Maintaining skin integrity
10. The nurse is performing a physical examination on a 9-year-old boy who has experienced a
tick bite on his lower leg and is suspected of having Lyme disease. Which assessment finding
would the nurse expect to find?
A) Swelling in the neck
B) Confusion and anxiety
C) Ring-like rash on lower leg
D) Hypersalivation - CORRECT ANSWER - C) Ring-like rash on lower leg
, 11. The nurse determines that it is necessary to implement airborne precautions for children with
which of the following infections?
A) Measles
B) Streptococcus group A
C) Rubella
D) Scarlet fever - CORRECT ANSWER - A) Measles
12. A child is diagnosed with scarlet fever. The nurse is reviewing the child's medical record,
expecting which medication to be prescribed for this child?
A) Ibuprofen
B) Acyclovir
C) Penicillin V
D) Doxycycline - CORRECT ANSWER - C) Penicillin V
13. A mother brings her 8-year-old son for evaluation because of a rash on his lower leg.
Which finding would support the suspicion that the child has Lyme disease?
A) Playing in the woods about a week ago
B) Rash is papular and vesicular
C) High fever occurring about 4 days before the rash
D) Complaints of extreme pruritus with visible nits - CORRECT ANSWER - A) Playing
in the woods about a week ago
14. Which of the following would be most important to include in the teaching plan for parents
of a child with pinworm?
A) "Seal the child's clothing in a plastic bag for at least 10 days."
B) "Be sure your child wears shoes at all times."
C) "Make sure the child washes his hands after using the bathroom."
D) "After applying this special cream, leave it on for about 8 to 10 hours." - CORRECT
ANSWER - C) "Make sure the child washes his hands after using the bathroom."
ACTUAL Exam Questions and CORRECT
Answers
A 3-year-old boy has been on chemotherapy for cancer. He complains about a sore throat, is
experiencing malaise, and has a temperature of 99.8°F orally. His mother calls the child's
physician. What is the appropriate information for the nurse to tell his mother at this time?
A) "Continue to watch the child, giving him aspirin and cool fluids for the fever."
B) "Plan to bring the child into the physician's office today."
C) "Monitor the temperature, but not to worry unless it gets above 104°F."
D) "Keep the child warm and as comfortable as possible." - CORRECT ANSWER - B)
"Plan to bring the child into the physician's office today."
2. A nurse is conducting a health history for a 1-month-old with an infectious disorder.
Which segment of the health history would be most helpful for the nurse when
determining if the infant developed the infection from the mother?
A) Family history
B) Past medical history
C) Home treatments
D) Present illness history - CORRECT ANSWER - B) Past medical history
3. While reviewing various studies about the use of antipyretics possibly prolonging illness, the
nurse notes that there are benefits to their use for the child with fever. Which of the following
would the nurse identify as the best explanation related to the benefit of antipyretics?
A) They slow the growth of bacteria.
B) They increase neutrophil production.
C) They encourage T-cell proliferation.
,D) They help decrease fluid requirements. - CORRECT ANSWER - D) They help
decrease fluid requirements.
4. The nurse is caring for a neonate who is suspected of having sepsis. Which of the following
assessment findings would the nurse interpret as most indicative of sepsis?
A) Rash on face
B) Edematous neck
C) Hypothermia
D) Coughing - CORRECT ANSWER - C) Hypothermia
5. The nurse is preparing a plan of care for a 5-year-old boy with chickenpox. Which of the
following nursing interventions should be questioned?
A) Administer antipyretics as ordered.
B) Keep the child's fingernails short.
C) Monitor fluid intake and output.
D) Provide alcohol baths as needed. - CORRECT ANSWER - D) Provide alcohol baths as
needed.
6. The nurse is developing a teaching plan for the mother of a 4-year-old girl with cold and
fever. Which of the following would the nurse include in this teaching plan?
A) Keeping the child covered and warm
B) Calling the doctor if the child's fever lasts more than 36 hours
C) Ensuring fluid intake to prevent dehydration
D) Observing for changes in alertness resulting from brain damage - CORRECT
ANSWER - C) Ensuring fluid intake to prevent dehydration
7. After teaching a mother how to remove a tick from her 6-year-old boy's arm, the nurse
determines that additional teaching is needed when the mother states which of the following?
A) "I'll protect my fingers with a paper towel."
,B) "I'll grasp the tick and pull it away quickly."
C) "I should put the tick in a plastic bag in the freezer."
D) "I need to grasp the tick close to the child's skin." - CORRECT ANSWER - B) "I'll
grasp the tick and pull it away quickly."
8. The nurse is performing a physical examination of an 8-year-old girl who was bitten by her
kitten. Which of the following assessments would lead the nurse to suspect cat- scratch disease?
A) Swollen lymph nodes
B) Strawberry tongue
C) Infected tonsils
D) Swollen neck - CORRECT ANSWER - A) Swollen lymph nodes
9. A group of nursing students are reviewing the six links in the chain of infection and the
nursing implications for each. The students demonstrate understanding of the information when
they identify which precaution as helping to break the chain of infection to the susceptible host?
A) Keeping linens dry and clean
B) Maintaining skin integrity
C) Washing hands frequently
D) Coughing into a handkerchief - CORRECT ANSWER - B) Maintaining skin integrity
10. The nurse is performing a physical examination on a 9-year-old boy who has experienced a
tick bite on his lower leg and is suspected of having Lyme disease. Which assessment finding
would the nurse expect to find?
A) Swelling in the neck
B) Confusion and anxiety
C) Ring-like rash on lower leg
D) Hypersalivation - CORRECT ANSWER - C) Ring-like rash on lower leg
, 11. The nurse determines that it is necessary to implement airborne precautions for children with
which of the following infections?
A) Measles
B) Streptococcus group A
C) Rubella
D) Scarlet fever - CORRECT ANSWER - A) Measles
12. A child is diagnosed with scarlet fever. The nurse is reviewing the child's medical record,
expecting which medication to be prescribed for this child?
A) Ibuprofen
B) Acyclovir
C) Penicillin V
D) Doxycycline - CORRECT ANSWER - C) Penicillin V
13. A mother brings her 8-year-old son for evaluation because of a rash on his lower leg.
Which finding would support the suspicion that the child has Lyme disease?
A) Playing in the woods about a week ago
B) Rash is papular and vesicular
C) High fever occurring about 4 days before the rash
D) Complaints of extreme pruritus with visible nits - CORRECT ANSWER - A) Playing
in the woods about a week ago
14. Which of the following would be most important to include in the teaching plan for parents
of a child with pinworm?
A) "Seal the child's clothing in a plastic bag for at least 10 days."
B) "Be sure your child wears shoes at all times."
C) "Make sure the child washes his hands after using the bathroom."
D) "After applying this special cream, leave it on for about 8 to 10 hours." - CORRECT
ANSWER - C) "Make sure the child washes his hands after using the bathroom."
