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Peds final exam, lets go!!, 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
M
Which clinical manifestation is MOST characteristic of Fifth's disease
ED
(Erythema Infectiosum)?
A. A vesicular rash starting on the trunk
B. Bright red cheeks with a lacy rash on the body
ST
C. Honey-colored crusted lesions around the nose
D. A maculopapular rash starting at the hairline - ✔✔ANSWER ✔✔-
Answer: B. Bright red cheeks with a lacy rash on the body
U
Rationale: Fifth's disease presents with a "slapped cheek" appearance
D
followed by a lacy, reticular rash on the body. It is caused by Parvovirus
B19.
Y
What is the primary nursing intervention for a child with
thrombocytopenia secondary to chemotherapy?
,MEDSTUDY.COM
A. Encourage frequent ambulation
B. Apply heat to painful joints
C. Avoid IM injections and monitor for bleeding
D. Increase dietary iron intake - ✔✔ANSWER ✔✔-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.
M
ED
Which pain scale is most appropriate for a non-verbal 6-month-old
infant?
A. Numeric Visual Analogue Scale
ST
B. Wong-Baker FACES
C. FLACC scale
D. Numeric Rating Scale (0-10) - ✔✔ANSWER ✔✔-Answer: C. FLACC
U
scale
D
Rationale: The FLACC scale assesses pain in infants and non-verbal
children by observing facial expression, leg movement, activity, cry, and
Y
consolability.
What electrolyte imbalance is most likely in a child with prolonged
vomiting?
A. Hypernatremia
B. Hyperkalemia
,MEDSTUDY.COM
C. Hypokalemia
D. Hypocalcemia - ✔✔ANSWER ✔✔-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?
M
A. Provide structured learning activities
ED
B. Encourage parallel play with others
C. Offer solitary play options
D. Engage in formal teaching sessions - ✔✔ANSWER ✔✔-Answer: B.
ST
Encourage parallel play with others
Rationale: Preschoolers engage in parallel play—playing alongside other
children without direct interaction. This supports development and
U
reduces anxiety during hospitalization.
D
Which laboratory finding is most consistent with a diagnosis of acute
Y
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 ✔✔-Answer:
B. Elevated ASO titer, hematuria, proteinuria
, MEDSTUDY.COM
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
M
C. Monitor for signs of hypoglycemia
ED
D. Start high-protein TPN - ✔✔ANSWER ✔✔-Answer: B. Avoid palpating
the abdomen
Rationale: Palpation of the abdomen could rupture the encapsulated
ST
tumor and cause dissemination of cancer cells.
Which of the following findings is most characteristic of increased
U
intracranial pressure in an infant?
A. Positive Babinski reflex
D
B. High-pitched cry and bulging fontanel
Y
C. Hyperreflexia and tremors
D. Dry mucous membranes and sunken fontanel - ✔✔ANSWER ✔✔-
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.
Peds final exam, lets go!!, 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
M
Which clinical manifestation is MOST characteristic of Fifth's disease
ED
(Erythema Infectiosum)?
A. A vesicular rash starting on the trunk
B. Bright red cheeks with a lacy rash on the body
ST
C. Honey-colored crusted lesions around the nose
D. A maculopapular rash starting at the hairline - ✔✔ANSWER ✔✔-
Answer: B. Bright red cheeks with a lacy rash on the body
U
Rationale: Fifth's disease presents with a "slapped cheek" appearance
D
followed by a lacy, reticular rash on the body. It is caused by Parvovirus
B19.
Y
What is the primary nursing intervention for a child with
thrombocytopenia secondary to chemotherapy?
,MEDSTUDY.COM
A. Encourage frequent ambulation
B. Apply heat to painful joints
C. Avoid IM injections and monitor for bleeding
D. Increase dietary iron intake - ✔✔ANSWER ✔✔-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.
M
ED
Which pain scale is most appropriate for a non-verbal 6-month-old
infant?
A. Numeric Visual Analogue Scale
ST
B. Wong-Baker FACES
C. FLACC scale
D. Numeric Rating Scale (0-10) - ✔✔ANSWER ✔✔-Answer: C. FLACC
U
scale
D
Rationale: The FLACC scale assesses pain in infants and non-verbal
children by observing facial expression, leg movement, activity, cry, and
Y
consolability.
What electrolyte imbalance is most likely in a child with prolonged
vomiting?
A. Hypernatremia
B. Hyperkalemia
,MEDSTUDY.COM
C. Hypokalemia
D. Hypocalcemia - ✔✔ANSWER ✔✔-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?
M
A. Provide structured learning activities
ED
B. Encourage parallel play with others
C. Offer solitary play options
D. Engage in formal teaching sessions - ✔✔ANSWER ✔✔-Answer: B.
ST
Encourage parallel play with others
Rationale: Preschoolers engage in parallel play—playing alongside other
children without direct interaction. This supports development and
U
reduces anxiety during hospitalization.
D
Which laboratory finding is most consistent with a diagnosis of acute
Y
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 ✔✔-Answer:
B. Elevated ASO titer, hematuria, proteinuria
, MEDSTUDY.COM
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
M
C. Monitor for signs of hypoglycemia
ED
D. Start high-protein TPN - ✔✔ANSWER ✔✔-Answer: B. Avoid palpating
the abdomen
Rationale: Palpation of the abdomen could rupture the encapsulated
ST
tumor and cause dissemination of cancer cells.
Which of the following findings is most characteristic of increased
U
intracranial pressure in an infant?
A. Positive Babinski reflex
D
B. High-pitched cry and bulging fontanel
Y
C. Hyperreflexia and tremors
D. Dry mucous membranes and sunken fontanel - ✔✔ANSWER ✔✔-
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.
