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“PEDS NCLEX STYLE EXAM 1 “ NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION) WELL
REVISED AND HIGHLY RECOMMENDALE
Peds Exam 1
A 7-year-old boy presents with a rash. He has had a mild headache, low-grade
fever, and upper respiratory symptoms for a few days; he then developed
bright red cheeks. Over the following 2 days, he develops a mildly pruritic rash
on his chest and upper arms. He now has a lacy-appearing rash on his arms.
According to his mother, he has been eating well and acting normally. His past
medical history is unremarkable, and he takes no medications. He has no
known allergies to food or drugs. What infectious agent is the cause of this
child's rash?
1 Group A Streptococcus
2 Paramyxovirus
3 Coxsackievirus A16
4 Human herpesvirus 6
5 Parvovirus B19
5. Parvovirus B19
An 8-year-old boy presents with his parents after his teacher recommend he
by seen by a physican. The child is attending first grade for the second time
and still seems to be unable to keep up in school, physically and mentally. He
is 110 cm tall and weighs 50 kg. A body composition test shows significantly
increased body fat with very little lean body mass. He has almond-shaped eyes
and a narrow forehead. Since the scrotum is hypoplastic and there are no
testicles palpable you order a hormone status. TSH 0.6 mU/l, fT3: 2.9 pg/ml, T4
1.1ng/dl, GnRH LH FSH, testosterone.
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What results do you expect of a chromosome analysis?
1 45,XO
2 47,XXY
3 Defect on chromosome 15
4 Defect on chromosome 5 cri du chat
5 Trisomy 21
3. Defect on chromosome 15
An 8-month old infant develops spasticity and episodic sudden contractions of
muscles. During such attacks, eyes converge and do not focus on an object
simultaneously. The tone of the masseter muscles is increased. Contraction of
the back muscles produces an arched back. Examination finds
hepatosplenomegaly and pancytopenia. Which of the following tests should be
performed to confirm the most likely diagnosis?
1 Bone marrow biopsy and enzyme analysis
2 Electroencephalography
3 Tetanus antitoxin level measurement
4 CBC and urinalysis
5 Serum acid phosphatase
1. Bone marrow biopsy and enzyme analysis
In the winter, an 11-month-old infant presents with a 2-day history of vomiting,
diarrhea, and fever. His temperature is 104° Fahrenheit. Clinically, he is
significantly dehydrated; his white blood cell count is 5400 cells/mm3 with a
normal differential. His stool and urine are negative for white blood cells.
What is the most likely cause of gastroenteritis in this child?
Answer Choices
1 Escherichia coli
2 Clostridium difficile
3 Norwalk virus
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4 Rotavirus
5 Shigella
4. Rotavirus
A 4-year-old boy presents with erratic movements of his left arm and leg.
These movements have been present since birth and occur on the left side.
They have not been getting worse. The boy's mother admits that he has been
using his right hand for almost all activities since the age of 1. Further
questioning reveals that the child exhibited delayed milestones, such as
rolling over at 6 months, sitting up at 1 year, and walking at 2 years. He does
not speak, and he does not respond to his mother's verbal commands. His
physical exam is noteworthy for spasticity, hyperreflexia, ataxia, involuntary
movements, and weakness of his left arm and leg. His left arm and left leg are
measured to be shorter and are atrophied in comparison to the right.
Additionally, the child does not respond to verbal stimuli.
What is the most likely diagnosis?
Answer Choices
1 Duchenne muscular dystrophy
2 Lesch-Nyhan syndrome
3 Cerebral palsy
4 Huntington's disease
5 Rett syndrome
3. Cerebral Palsy
A 2-month-old female infant was born after an uncomplicated pregnancy,
labor, and delivery. The baby was fed artificial formula rather than nursed by
her mother. She had an uncomplicated neonatal course and was well until
about 1 month of age. Since that time, she has had some vomiting every day
and has very loose, wet, runny yellow to green stools. In the last several days,
her parents have noted red flecks in her stools. She has had intermittent
periods of fussiness.
Your work-up would include which of the following?
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1 CBC, stool for leukocytes, rectal manometry
2 Stool for leukocytes, esophagoscopy and pH probe
3 Peripheral eosinophil count, esophageal manometry and pH probe, stool for
leukocytes
4 Colonic endoscopy with biopsy, CBC, stool for leukocytes, peripheral
eosinophil count
5 Rectal manometry, stool for leukocytes, esophageal manometry and pH
probe
4. Colonic endoscopy with biopsy, CBC, stool for leukocytes, peripheral eosinophil
count
A 9-year-old boy has 11 irregularly shaped, 2 X 3 cm, hyperpigmented lesions
on the skin of his trunk. He has freckles in his axilla. He recently developed
several cutaneous and subcutaneous masses and some visual disturbances.
What is the most likely diagnosis?
1 Tuberous sclerosis
2 McCune-Albright syndrome
3 Encephalotrigeminal angiomatosis (Sturge-Weber syndrome)
4 Spider angiomas
5 Neurofibromatosis
5. Neurofibromatosis
A 10-year-old child complains of anorexia, malaise, mild fever, and sore throat
for 2 days, then painful sore red spots some with blisters on the tongue, gum,
inside of the cheek, palms, and feet. What is the most probable diagnosis?
1 Hand foot and mouth disease
2 Kawasaki disease
3 Measles
4 Rubella
5 Scarlet fever
1. Hand foot and mouth disease
A healthy 29-year-old woman, gravida 2 para 1, now in her 8th week of
pregnancy, presents for advice. Her first pregnancy and delivery were without
“PEDS NCLEX STYLE EXAM 1 “ NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION) WELL
REVISED AND HIGHLY RECOMMENDALE
Peds Exam 1
A 7-year-old boy presents with a rash. He has had a mild headache, low-grade
fever, and upper respiratory symptoms for a few days; he then developed
bright red cheeks. Over the following 2 days, he develops a mildly pruritic rash
on his chest and upper arms. He now has a lacy-appearing rash on his arms.
According to his mother, he has been eating well and acting normally. His past
medical history is unremarkable, and he takes no medications. He has no
known allergies to food or drugs. What infectious agent is the cause of this
child's rash?
1 Group A Streptococcus
2 Paramyxovirus
3 Coxsackievirus A16
4 Human herpesvirus 6
5 Parvovirus B19
5. Parvovirus B19
An 8-year-old boy presents with his parents after his teacher recommend he
by seen by a physican. The child is attending first grade for the second time
and still seems to be unable to keep up in school, physically and mentally. He
is 110 cm tall and weighs 50 kg. A body composition test shows significantly
increased body fat with very little lean body mass. He has almond-shaped eyes
and a narrow forehead. Since the scrotum is hypoplastic and there are no
testicles palpable you order a hormone status. TSH 0.6 mU/l, fT3: 2.9 pg/ml, T4
1.1ng/dl, GnRH LH FSH, testosterone.
, Page 2 of 106
What results do you expect of a chromosome analysis?
1 45,XO
2 47,XXY
3 Defect on chromosome 15
4 Defect on chromosome 5 cri du chat
5 Trisomy 21
3. Defect on chromosome 15
An 8-month old infant develops spasticity and episodic sudden contractions of
muscles. During such attacks, eyes converge and do not focus on an object
simultaneously. The tone of the masseter muscles is increased. Contraction of
the back muscles produces an arched back. Examination finds
hepatosplenomegaly and pancytopenia. Which of the following tests should be
performed to confirm the most likely diagnosis?
1 Bone marrow biopsy and enzyme analysis
2 Electroencephalography
3 Tetanus antitoxin level measurement
4 CBC and urinalysis
5 Serum acid phosphatase
1. Bone marrow biopsy and enzyme analysis
In the winter, an 11-month-old infant presents with a 2-day history of vomiting,
diarrhea, and fever. His temperature is 104° Fahrenheit. Clinically, he is
significantly dehydrated; his white blood cell count is 5400 cells/mm3 with a
normal differential. His stool and urine are negative for white blood cells.
What is the most likely cause of gastroenteritis in this child?
Answer Choices
1 Escherichia coli
2 Clostridium difficile
3 Norwalk virus
, Page 3 of 106
4 Rotavirus
5 Shigella
4. Rotavirus
A 4-year-old boy presents with erratic movements of his left arm and leg.
These movements have been present since birth and occur on the left side.
They have not been getting worse. The boy's mother admits that he has been
using his right hand for almost all activities since the age of 1. Further
questioning reveals that the child exhibited delayed milestones, such as
rolling over at 6 months, sitting up at 1 year, and walking at 2 years. He does
not speak, and he does not respond to his mother's verbal commands. His
physical exam is noteworthy for spasticity, hyperreflexia, ataxia, involuntary
movements, and weakness of his left arm and leg. His left arm and left leg are
measured to be shorter and are atrophied in comparison to the right.
Additionally, the child does not respond to verbal stimuli.
What is the most likely diagnosis?
Answer Choices
1 Duchenne muscular dystrophy
2 Lesch-Nyhan syndrome
3 Cerebral palsy
4 Huntington's disease
5 Rett syndrome
3. Cerebral Palsy
A 2-month-old female infant was born after an uncomplicated pregnancy,
labor, and delivery. The baby was fed artificial formula rather than nursed by
her mother. She had an uncomplicated neonatal course and was well until
about 1 month of age. Since that time, she has had some vomiting every day
and has very loose, wet, runny yellow to green stools. In the last several days,
her parents have noted red flecks in her stools. She has had intermittent
periods of fussiness.
Your work-up would include which of the following?
, Page 4 of 106
1 CBC, stool for leukocytes, rectal manometry
2 Stool for leukocytes, esophagoscopy and pH probe
3 Peripheral eosinophil count, esophageal manometry and pH probe, stool for
leukocytes
4 Colonic endoscopy with biopsy, CBC, stool for leukocytes, peripheral
eosinophil count
5 Rectal manometry, stool for leukocytes, esophageal manometry and pH
probe
4. Colonic endoscopy with biopsy, CBC, stool for leukocytes, peripheral eosinophil
count
A 9-year-old boy has 11 irregularly shaped, 2 X 3 cm, hyperpigmented lesions
on the skin of his trunk. He has freckles in his axilla. He recently developed
several cutaneous and subcutaneous masses and some visual disturbances.
What is the most likely diagnosis?
1 Tuberous sclerosis
2 McCune-Albright syndrome
3 Encephalotrigeminal angiomatosis (Sturge-Weber syndrome)
4 Spider angiomas
5 Neurofibromatosis
5. Neurofibromatosis
A 10-year-old child complains of anorexia, malaise, mild fever, and sore throat
for 2 days, then painful sore red spots some with blisters on the tongue, gum,
inside of the cheek, palms, and feet. What is the most probable diagnosis?
1 Hand foot and mouth disease
2 Kawasaki disease
3 Measles
4 Rubella
5 Scarlet fever
1. Hand foot and mouth disease
A healthy 29-year-old woman, gravida 2 para 1, now in her 8th week of
pregnancy, presents for advice. Her first pregnancy and delivery were without
