NURS 4331_ University Of Texas - Arlington -N4331 - Exam 1 Peds - UTA Questions With Complete Solutions |Sure Bet Answers|Revised Version| latest Release 2025/2026

1. A 9-year-old child with leukemia is scheduled to undergo an allogenic hematopoietic stem cell transplant. When teaching the child and parents, what information would the nurse include? - ANSWER "We'll need to have a match to a donor." 2. A preschooler who received chemotherapy in the pediatric oncology outpatient department 1 week ago now has a temperature of 101.5°F (38.6°C). Which is the most appropriate response by the nurse? - ANSWER Have the parent bring the child to the pediatric oncology clinic as soon as possible. 3. Antiemetics are ordered to control nausea and vomiting in the child undergoing chemotherapy. How can the nurse most effectively use these medications? - ANSWER Administer the antiemetic before starting chemotherapy 4. The nurse realizes that the chemotherapy agents and radiation that a child is receiving are likely to irritate the bladder. What are the best measures that the nurse can take to diminish this risk? - ANSWER Keep intravenous (IV) fluids running to maintain excellent hydration and frequent voids 2 5. A 16-year-old child suffering from alopecia related to chemotherapy treatment is refusing to let friends visit. Which action by the nurse is most appropriate? - ANSWER Provide opportunities for the child to discuss his or her body image changes 6. A nurse is providing care to a toddler with nephroblastoma and is being evaluated. Which nursing action would be most important? - ANSWER Placing a "no abdominal palpation" sign above the child's bed 7. The nurse is providing teaching to the parents of a child with varicella. Which statement indicates that the parents have understood the instructions? - ANSWER "We need to make sure that he washes his hands frequently." 8. The nurse is doing an in-service training on clinical manifestations seen in communicable diseases. Which skin condition best describes erythema? - ANSWER Redness of the skin produced by congestion of the capillaries 9. The nurse is doing an in-service training on clinical manifestations seen in communicable diseases. Which best describes a macule? - ANSWER Discolored skin spot not elevated at the surface 10. Parents usually ask when their child can return to school after having chickenpox. The correct answer would be - ANSWER as soon as all lesions are crusted. 11. The nurse is teaching a group of parents about head lice. Which statement is essential to include during the presentation? - ANSWER Head lice are becoming very resistant to treatment. 3 12. The parents of a 5-year-old have just found out that their child has head lice. Which statement by the parents would support the nursing diagnosis of deficient knowledge? - ANSWER "I can't believe it. We're not unclean, poor people." 13. A 6-month-old child has developed skin irritation due to an allergic reaction. He has been prescribed a topical skin ointment. The nurse will consider which of the following before administering the drug? - ANSWER That the infant's skin has greater permeability than that of an adult 14. A child in the clinic has a fever and reports a sore neck. Upon assessment the nurse finds a swollen parotid gland. The nurse suspects which infectious disease? - ANSWER Mumps 15. A 15-year-old boy visits his primary care physician's office with fever, headache, and malaise, along with complaints of pain on chewing and pain in the jawline just in front of the ear lobe. The boy asks his mother to leave the exam room for a minute and then tells the nurse that he is also experiencing testicular pain and swelling. The nurse recognizes that this client most likely has which condition? - ANSWER Mumps 16. The nurse is teaching the parents of a child with varicella about the disorder. The nurse determines that the teaching was successful when the parents state which of the following? - ANSWER "We will make sure to remind him not to scratch the lesions." 4 17. The nurse is caring for a school-age child with varicella. What should the nurse observe about the rash that is associated with this infection? - ANSWER Various stages of lesions present at the same time 18. The parent of a child with mumps on one side of the face is concerned that the disease can develop on the other side in the future. How should the nurse respond to the mother about this concern? - ANSWER The child is immune to further attacks of the disease. 19. The nurse is evaluating outcomes for teaching provided to the mother of a school-age child with an itchy rash. Which outcome indicates that teaching has been effective? - ANSWER Child drinks a glass of water every 1 to 2 hours throughout the day 20. The mother of a 10-year-old child diagnosed with rubella asks what can be done to help her child feel better during her illness. What information can be provided? - ANSWER Encourage rest and relaxation 21. The mother of a an 8-year-old boy with mumps tells the nurse that she does not understand how her son could have gotten mumps since he was immunized according to her physician's recommendations. What is the best response by the nurse? - ANSWER "While immunizations are highly effective they aren't 100% effective at preventing infectious diseases." 22. The nurse is educating parents of a child admitted to the hospital with rubella (German measles). Which statement by the parents indicates the further education is needed? - ANSWER "Antibiotics are needed to help our child recover from rubella." 5 23. A young client is admitted to the hospital directly from the clinic. The physician suspects a problem with the child's immune system. What test does the nurse anticipate the physician will order for this client? - ANSWER Blood analysis 24. Nursing students correctly label the group of cells whose job is to ingest, engulf, and neutralize pathogens as: - ANSWER macrophages 25. A 7-year-old child is rushed into the emergency room after being stung by a yellow jacket. The child is nauseated and vomiting and is experiencing itching and swelling on the arm where stung. The is having trouble breathing. Which type of hypersensitivity response is the child experiencing? - ANSWER Type I: anaphylaxis 26. A child with allergic rhinitis is prescribed a nasal antihistamine spray. When advising the parents about the use of the sprays, what should the nurse explain about the rebound phenomenon? - ANSWER It causes an increase in nasal secretions after an initial decrease 27. A nurse is conducting a physical examination of a 12-year-old girl with suspected systemic lupus erythematosus (SLE). How would the nurse best interview the girl? - ANSWER "Have you noticed any hair loss or redness on your face?" 28. The nurse is providing teaching about food substitutions when cooking for the child with an allergy to eggs. Which response indicates a need for further teaching? - ANSWER "I can use the egg white when baking, but not the yolk." 6 29. The nurse is monitoring the CD4 count of an infant who has contracted HIV from the mother in utero. The nurse is concerned that treatment with antiretroviral therapy is not effective when noting which CD4 level? - ANSWER 1300/mm3 30. An adolescent client has just been diagnosed with systemic lupus erythematosus (SLE). Following client education about the disease, which statement by the client demonstrates understanding of SLE? - ANSWER "SLE is an autoimmune disorder that I will always have, with times of flare- ups and times of minimal to no symptoms." 31. The nurse has completed an education session with parents of children diagnosed with food allergies. Which statement by a parent would indicate a need for additional education? - ANSWER "If we need to use the EpiPen® we will need to notify her physician's office the next business day." 32. The adoptive parents of a child who is 7 years old and HIV positive are concerned about telling their child about his condition. What information can be provided by the nurse? - ANSWER When providing health information to a child of this age it should be simplistic and at the child's level of understanding. 33. Which nursing intervention is priority when caring for a child with HIV? - ANSWER Administer prescribed medications. 34. The nurse is caring for a child and notes periorbital edema on the left eye with urticaria. Which action by the nurse is priority? - ANSWER Assess lung sounds bilaterally. 7 35. A 3-year-old child is brought to the emergency department after swallowing batteries taken from a grandparent's hearing aids. The parents believe that two batteries were swallowed. What should the nurse explain to the parents regarding the care that the child will need at this time? - ANSWER Preparation for an emergency endoscopy to remove the batteries 36. A 12-year-old boy has broken his arm and is showing signs and symptoms of shock. Which of the following would the nurse do first? - ANSWER Establish a suitable IV site. 37. A child is brought into the emergency department. After assessing a child's airway, breathing, and circulation (ABCs), which of the following would the nurse do next? - ANSWER Assess level of consciousness. 38. A nurse is conducting a secondary assessment of a child who has experienced multiple trauma. When inspecting the child's back, which of the following would be most appropriate to do? - ANSWER Logroll the child to the side. 39. A child presents to the emergency department via ambulance in critical condition following a traumatic motor vehicle crash. What would the first action of the nurse be? - ANSWER Assess the child's airway and manage airway patency 8 40. The nurse is caring for the family of a pediatric client during resuscitative efforts of their child following an accident. Which response by the nurse would be best? - ANSWER "I am here to answer your questions and be with you during this difficult time." 41. The nurse is performing CPR on a child who is a victim of a near drowning experience. How should the nurse open the child's airway to provide breaths? - ANSWER Jaw-thrust maneuver 42. The nurse is called into a toddler's room. The child's mother says "he's having trouble breathing." What should the nurse do first? - ANSWER Assess patency of the child's airway. 43. A 15-year-old male complains of persistent scrotal pain, edema, and nausea since being hit in the groin by a baseball 3 hours ago. Which is the priority action by the nurse? - ANSWER Ensuring that the teen is assessed by the physician immediately 44. A school health nurse is supporting a 15-year-old young woman with acne. What is a common myth related to acne in adolescent populations? - ANSWER Diet plays a significant role in acne production 45. Fosamax is used for - ANSWER osteogenesis imperfecta 46. When taking fosamax you should monitor - ANSWER hydration status 47. cerebral palsy - ANSWER paralysis caused by damage to the area of the brain responsible for movement 9 48. spina bifida - ANSWER a congenital defect that occurs during early pregnancy when the spinal canal fails to close completely around the spinal cord to protect it 49. muscular dystrophy - ANSWER group of hereditary diseases characterized by degeneration of muscle and weakness 50. Autonomic Dysreflexia - ANSWER patients with spinal cord injuries are at risk for developing autonomic dyreflexia (T-6 or above) 51. neuroblastoma - ANSWER highly malignant tumor of the sympathetic nervous system 52. wilms tumor - ANSWER malignant tumor of the kidney occurring in childhood 53. do not ________ abdomen if wilms tumor is present - ANSWER palpate 54. A 13-year-old girl has grown rapidly in height over the past 2 years and is taller than most of the boys in her class. She wonders when she will stop growing. What should the nurse tell her as a general guideline for the ages at which most girls stop growing? - ANSWER 16 to 17 years old