Pediatric Comat Exam
Pediatric Comat Exam Test Bank 2025-2026
With Complete Verified Questions And Correct
Answers with Detailed Rationales |Already
Graded A+||Brand New Guaranteed Pass
A 3-year-old client with sickle cell anemia is admitted to the Emergency Department with
abdominal pain. The nurse palpates an enlarged, an x-ray reveals an enlarged spleen, and a CBC
reveals anemia. These findings indicate which type of crisis?
A Aplastic.
B Sequestratiom
C Hypernemolytic.
D Vaso-occlusive.
- Correct Answer :B
The findings support a sequestration crisis (B), where blood pools in the spleen, and is
characterized by abdominal pain and anemia. (A and C) crises produce anemia but no abdominal
pain or splenic enlargement (D) crisis may produce abdominal pain, but no splenic enlargement
or exacerbation of anemia.
To assess the effectiveness of an analgesic administered to a 4-year-old, what intervention is
best tor the nurse to implement?
A. Use a happy-face/sad-face pain scale.
B. Ask the mother it she thinks the analgesic is working.
C. Assess tor changes in the child's vital signs.
D. Teach the child to point to a numeric pain scale.
- Correct Answer :A
A 4-year-old can readily identity with simple pictures (A) to snow the nurse how he/she is feeling.
(B) could be used to validate what the child is telling the nurse via the "faces" pain scale, but it is
best to elicit the child's assessment of his/her pain level. (C) may not accurately reflect the
effectiveness of pain medication as they can also be affected by other variables, such as tear. (D)
requires abstract number skills beyond the level of a 4-year-old
In developing a teaching plan tor a 5-year-old child with diabetes, which component of diabetic
management should the nurse plan tor the child to manage first?
A+ TEST BANK 1
, Pediatric Comat Exam
A. Food planning and selection.
B. Administering insulin injections.
C. Process of glucose testing.
D. Drawing up the correct insulin dose.
- Correct Answer :C
Developmentally, a 5-year-old has the cognitive and psychomotor skills to use a glucometer (C)
and to read the number (it is especially helpful it the nurse presents this activity as a game). (A,
B, and D) require more advanced cognitive and psychomotor skills and have greater potential tor
errors.
A 17-year-old male student reports to the school clinic one morning tor a scheduled health
exam. He tells the nurse that he just finished football practice and is on his way to class. The
nurse assesses his vital signs: temperature 100 F, pulse 80, respirations 20, and blood pressure
122/82. What is the best action tor the nurse to take?
A Tell the student to proceed directly to his regularly scheduled class.
B Call the parent and suggest re-taking the student's temperature at home.
C Give the student a glass of cool fluids, then retake his temperature.
D Send the student to class, but re-verity his temperature after lunch.
- Correct Answer :A
This student has just completed football practice, and increased muscle activity increases body
neat production. A temperature of 100 F is normal for this student at this time. The student
should attend class (A) since no further nursing action is required. (3) would alarm the parents
unnecessarily. (C) would provide a false reading of body temperature. (D) is unnecessary since
these findings are within normal limits.
The vital signs of a A-year-old child with polyuria are: SP 80/40, Pulse 118, and Respirations 24.
The child's pedal pulses are present with a volume of +1, and no edema is observed. What action
should the nurse implement first?
A. Insert an indwelling urinary catheter.
B. Start an IV infusion of normal saline.
C. Send a specimen to the lab tor urinalysis.
D. Document the child's vital signs and pulses.
- Correct Answer :B
The current vital sign readings and the decreased peripheral pulse volume indicate that the child
experiencing fluid volume deficit due to the polyuria, so the priority action is to restore fluid
volume. (A) is useful in obtaining a precise urine output measure, but is a lower priority than
A+ TEST BANK 2
, Pediatric Comat Exam
restoring fluid volume at this time. (C) is not indicated based on the current assessment data,
and (D) does not recognize the need for action to combat the fluid volume deficit immediately.
A 3-week-old newborn is brought to the clinic tor follow-up after a home birth The mother
reports that her child bottle feeds tor 5 minutes ID: 6974861285 only and then falls asleep The
nurse auscultates a loud murmur characteristic of a ventricular septa' detect (VSD), and finds the
newborn is acyanotic with a respiratory rate of 64 breaths per minute. What Instruction should
the nurse provide the mother to ensure the infant is receiving adequate intake? (Select all that
apply.)
A. Monitor the infant's weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
C. Mix the dose of prophylactic antibiotic in a full bottle of formula
D. Allow the infant to rest and refeed on demand or every 2 hours
E. Use a softer nipple or increase the size of the nipple opening
- Correct Answer :A.B.D.E.
Correct responses are (A, B, D, and E). Neonates who have VSD may fatigue quickly during
feeding and ingest inadequate amounts. They should be monitored tor weight gain and at least 6
wet diapers per day (A). A one-month old infant should ingest 2 to 4 ounces of formula per
feeding and progress to about 30 ounces per day by 4-months of age Due to fatigue, the infant
should rest, but teed at least every 2 hours to ensure adequate intake (D). A softer (preemie)
nipple or a larger slit in the nipple (E) helps to reduce the sucking effort and energy expenditure,
thus allowing the infant to ingest more with less effort. Antibiotic prophylaxis is recommended
for infants with VSDs, but should not be mixed in a bottle of formula (C) because it is difficult to
ensure that the total dose is consumed.
When discussing discipline With the mother of a 4-year-old child, the nurse should include which
guideline?
A. Parental control should be consistent
B. Children as young as 4 years rarely need reprimand or punishment
C. Withdrawal of approval is effective
D. Parents should enforce rigid rules to be followed without question
- Correct Answer :A
Discipline should be a positive and necessary component of childrearing that is started in infancy
and should teach socially acceptable behavior, help children protect themselves from danger,
and channel undesirable behavior into constructive activity. Misbehavior may result from
inconsistent rules or messages, so parental attention should be clear, reasonable, and consistent
(A). (B and C) are not helpful to the child. Children need boundaries that are firm but not rigid
(D).
A+ TEST BANK 3
, Pediatric Comat Exam
Which action by the nurse is most helptul in communicating With a preschool-aged child?
A. Speak clearly and directly to the child.
B. Use a doll to play and communicate.
C. Approach when a parent is not present.
D. Play a board game with the child.
- Correct Answer :B
Communicating through play with a doll (B) or other toy gives time tor the child to feel
comfortable with a stranger. (A) may frighten some children and is usually not as effective as (B).
To provide security and comfort, preschool-aged children should be approached when a parent
is present, not (C). (D) is too advanced tor a preschooler
The nurse is having difficulty communicating with a hospitalized 6-year-old child. which approach
by the nurse is most helpful in establishing communication?
A. Engage the child through drawing pictures.
B. Suggest that the parent read a book to the child.
C. Provide paper and pencil for the child to keep a diary.
D. Ask the parent if the child is always uncommunicative.
- Correct Answer :A
Drawing pictures (A) is a valuable form of non-verbal communication. As the nurse and child look
at the drawings, a verbal story can be told that projects the child's thinking. (8) may distract the
child, but does not establish communication with the nurse. (C) is useful tor an older child who is
able to write. (D) is important, Out engaging the child is more effective in establishing
communication patterns.
A child falls on the playground and is brought to the school nurse with a small laceration on the
forearm. Which action should the nurse implement first?
A. Slowly pour hydrogen peroxide over the open wound.
B. Apply ice to the area before rinsing With cold water.
C. Wash the wound gently with mild soap and water.
D. Gently cleanse with a sterile pad using povidone-iodine.
- Correct Answer :C
A small, superficial laceration to the skin should be washed gently with mild soap and water (C)
for several minutes, followed by thorough rinsing. (A and D) are antiseptics that can be traumatic
(painful) when cleaning fresh, open wounds. Applying ice (3) may reduce or prevent further
edema, but the wound should be washed with mild soap and water first.
A+ TEST BANK 4
Pediatric Comat Exam Test Bank 2025-2026
With Complete Verified Questions And Correct
Answers with Detailed Rationales |Already
Graded A+||Brand New Guaranteed Pass
A 3-year-old client with sickle cell anemia is admitted to the Emergency Department with
abdominal pain. The nurse palpates an enlarged, an x-ray reveals an enlarged spleen, and a CBC
reveals anemia. These findings indicate which type of crisis?
A Aplastic.
B Sequestratiom
C Hypernemolytic.
D Vaso-occlusive.
- Correct Answer :B
The findings support a sequestration crisis (B), where blood pools in the spleen, and is
characterized by abdominal pain and anemia. (A and C) crises produce anemia but no abdominal
pain or splenic enlargement (D) crisis may produce abdominal pain, but no splenic enlargement
or exacerbation of anemia.
To assess the effectiveness of an analgesic administered to a 4-year-old, what intervention is
best tor the nurse to implement?
A. Use a happy-face/sad-face pain scale.
B. Ask the mother it she thinks the analgesic is working.
C. Assess tor changes in the child's vital signs.
D. Teach the child to point to a numeric pain scale.
- Correct Answer :A
A 4-year-old can readily identity with simple pictures (A) to snow the nurse how he/she is feeling.
(B) could be used to validate what the child is telling the nurse via the "faces" pain scale, but it is
best to elicit the child's assessment of his/her pain level. (C) may not accurately reflect the
effectiveness of pain medication as they can also be affected by other variables, such as tear. (D)
requires abstract number skills beyond the level of a 4-year-old
In developing a teaching plan tor a 5-year-old child with diabetes, which component of diabetic
management should the nurse plan tor the child to manage first?
A+ TEST BANK 1
, Pediatric Comat Exam
A. Food planning and selection.
B. Administering insulin injections.
C. Process of glucose testing.
D. Drawing up the correct insulin dose.
- Correct Answer :C
Developmentally, a 5-year-old has the cognitive and psychomotor skills to use a glucometer (C)
and to read the number (it is especially helpful it the nurse presents this activity as a game). (A,
B, and D) require more advanced cognitive and psychomotor skills and have greater potential tor
errors.
A 17-year-old male student reports to the school clinic one morning tor a scheduled health
exam. He tells the nurse that he just finished football practice and is on his way to class. The
nurse assesses his vital signs: temperature 100 F, pulse 80, respirations 20, and blood pressure
122/82. What is the best action tor the nurse to take?
A Tell the student to proceed directly to his regularly scheduled class.
B Call the parent and suggest re-taking the student's temperature at home.
C Give the student a glass of cool fluids, then retake his temperature.
D Send the student to class, but re-verity his temperature after lunch.
- Correct Answer :A
This student has just completed football practice, and increased muscle activity increases body
neat production. A temperature of 100 F is normal for this student at this time. The student
should attend class (A) since no further nursing action is required. (3) would alarm the parents
unnecessarily. (C) would provide a false reading of body temperature. (D) is unnecessary since
these findings are within normal limits.
The vital signs of a A-year-old child with polyuria are: SP 80/40, Pulse 118, and Respirations 24.
The child's pedal pulses are present with a volume of +1, and no edema is observed. What action
should the nurse implement first?
A. Insert an indwelling urinary catheter.
B. Start an IV infusion of normal saline.
C. Send a specimen to the lab tor urinalysis.
D. Document the child's vital signs and pulses.
- Correct Answer :B
The current vital sign readings and the decreased peripheral pulse volume indicate that the child
experiencing fluid volume deficit due to the polyuria, so the priority action is to restore fluid
volume. (A) is useful in obtaining a precise urine output measure, but is a lower priority than
A+ TEST BANK 2
, Pediatric Comat Exam
restoring fluid volume at this time. (C) is not indicated based on the current assessment data,
and (D) does not recognize the need for action to combat the fluid volume deficit immediately.
A 3-week-old newborn is brought to the clinic tor follow-up after a home birth The mother
reports that her child bottle feeds tor 5 minutes ID: 6974861285 only and then falls asleep The
nurse auscultates a loud murmur characteristic of a ventricular septa' detect (VSD), and finds the
newborn is acyanotic with a respiratory rate of 64 breaths per minute. What Instruction should
the nurse provide the mother to ensure the infant is receiving adequate intake? (Select all that
apply.)
A. Monitor the infant's weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
C. Mix the dose of prophylactic antibiotic in a full bottle of formula
D. Allow the infant to rest and refeed on demand or every 2 hours
E. Use a softer nipple or increase the size of the nipple opening
- Correct Answer :A.B.D.E.
Correct responses are (A, B, D, and E). Neonates who have VSD may fatigue quickly during
feeding and ingest inadequate amounts. They should be monitored tor weight gain and at least 6
wet diapers per day (A). A one-month old infant should ingest 2 to 4 ounces of formula per
feeding and progress to about 30 ounces per day by 4-months of age Due to fatigue, the infant
should rest, but teed at least every 2 hours to ensure adequate intake (D). A softer (preemie)
nipple or a larger slit in the nipple (E) helps to reduce the sucking effort and energy expenditure,
thus allowing the infant to ingest more with less effort. Antibiotic prophylaxis is recommended
for infants with VSDs, but should not be mixed in a bottle of formula (C) because it is difficult to
ensure that the total dose is consumed.
When discussing discipline With the mother of a 4-year-old child, the nurse should include which
guideline?
A. Parental control should be consistent
B. Children as young as 4 years rarely need reprimand or punishment
C. Withdrawal of approval is effective
D. Parents should enforce rigid rules to be followed without question
- Correct Answer :A
Discipline should be a positive and necessary component of childrearing that is started in infancy
and should teach socially acceptable behavior, help children protect themselves from danger,
and channel undesirable behavior into constructive activity. Misbehavior may result from
inconsistent rules or messages, so parental attention should be clear, reasonable, and consistent
(A). (B and C) are not helpful to the child. Children need boundaries that are firm but not rigid
(D).
A+ TEST BANK 3
, Pediatric Comat Exam
Which action by the nurse is most helptul in communicating With a preschool-aged child?
A. Speak clearly and directly to the child.
B. Use a doll to play and communicate.
C. Approach when a parent is not present.
D. Play a board game with the child.
- Correct Answer :B
Communicating through play with a doll (B) or other toy gives time tor the child to feel
comfortable with a stranger. (A) may frighten some children and is usually not as effective as (B).
To provide security and comfort, preschool-aged children should be approached when a parent
is present, not (C). (D) is too advanced tor a preschooler
The nurse is having difficulty communicating with a hospitalized 6-year-old child. which approach
by the nurse is most helpful in establishing communication?
A. Engage the child through drawing pictures.
B. Suggest that the parent read a book to the child.
C. Provide paper and pencil for the child to keep a diary.
D. Ask the parent if the child is always uncommunicative.
- Correct Answer :A
Drawing pictures (A) is a valuable form of non-verbal communication. As the nurse and child look
at the drawings, a verbal story can be told that projects the child's thinking. (8) may distract the
child, but does not establish communication with the nurse. (C) is useful tor an older child who is
able to write. (D) is important, Out engaging the child is more effective in establishing
communication patterns.
A child falls on the playground and is brought to the school nurse with a small laceration on the
forearm. Which action should the nurse implement first?
A. Slowly pour hydrogen peroxide over the open wound.
B. Apply ice to the area before rinsing With cold water.
C. Wash the wound gently with mild soap and water.
D. Gently cleanse with a sterile pad using povidone-iodine.
- Correct Answer :C
A small, superficial laceration to the skin should be washed gently with mild soap and water (C)
for several minutes, followed by thorough rinsing. (A and D) are antiseptics that can be traumatic
(painful) when cleaning fresh, open wounds. Applying ice (3) may reduce or prevent further
edema, but the wound should be washed with mild soap and water first.
A+ TEST BANK 4
