ESSENTIALS OF PEDIATRIC NURSING TEST
BANK 2026 FULL SOLUTION EXAM REVIEW
GRADED A+
◉ A 1-year-old infant has just undergone surgery to correct
craniosynostosis. Which comment is the best psychosocial intervention
for the parents? Answer: "The surgery was successful. Do you have any
questions?"
Explanation:
Often what parents need most is someone to listen to their concerns.
Although this is a good time for education, the parents are more
concerned about the success of the surgery than their infant's
appearance. Watching the hemoglobin, hematocrit and swelling are
important nursing functions but they do not address the parents
psychosocial needs. The parents do not need to to be taught statistics
about their infant's condition. They more than likely know this from
health care provider visits, the internet and parent support groups.
Following surgery this knowledge is not what parents are concerned
about. Parents want to know their infant is safe and well.
◉ The nurse is educating the family of a 7-year-old with epilepsy about
care and safety for this child. What comment will be most valuable in
helping the parent and the child cope? Answer: "Use this information to
teach family and friends."
,Explanation:
Families need and want information they can share with relatives,
childcare providers, and teachers. Wearing a helmet and having a
monitor in the room are precautions that may need to be modified as the
child matures. The boy may be able to bike ride and swim with proper
precautions.
◉ The nurse is educating parents of a male infant with Chiari type II
malformation. Which statement about their child's condition is most
accurate? Answer: "Take your time feeding your baby."
Explanation:
One of the problems associated with Chiari type II malformation is poor
gag and swallowing reflexes, so the infant must be fed slowly. There is a
great risk of aspiration, requiring that the child be placed in an upright
position after feeding. The goal of surgery is to prevent further
symptoms, rather than to relieve existing ones. Infrequent urination is a
problem associated with type I malformations.
◉ A child has been diagnosed with a basilar skull fracture. The nurse
identifies ecchymosis behind the child's ear. This would be documented
as. Answer: Battle sign.
Explanation:
, Two signs of basilar skull fracture include Battle sign (bruising or
ecchymosis behind the ear) and "raccoon eyes" (blood leaking into the
frontal sinuses causing an edematous and bruised periorbital area).
Rhinorrhea is CSF leakage from the nose. Otorrhea is CSF leaking from
the ear.
◉ The nurse is discussing with a parent the difference between a breath-
holding spell and a seizure. The nurse would be correct in telling the
parent what information in regard to seizures? Answer: Convulsive
activity occurs.
Explanation:
During seizures convulsive activity is typically noted. During a breath-
holding spell, the child is bradycardiac, cyanosis occurs at the onset, and
the EEG is normal.
◉ A child is diagnosed with bacterial meningitis. The nurse would
suspect which abnormality of cerebrospinal fluid (CSF)? Answer:
Cloudy appearance
Explanation:
In the CSF of clients diagnosed with bacterial meningitis, the pressure is
elevated, the appearance is cloudy, and the leukocytes are elevated. A
decreased sugar content is noted.
BANK 2026 FULL SOLUTION EXAM REVIEW
GRADED A+
◉ A 1-year-old infant has just undergone surgery to correct
craniosynostosis. Which comment is the best psychosocial intervention
for the parents? Answer: "The surgery was successful. Do you have any
questions?"
Explanation:
Often what parents need most is someone to listen to their concerns.
Although this is a good time for education, the parents are more
concerned about the success of the surgery than their infant's
appearance. Watching the hemoglobin, hematocrit and swelling are
important nursing functions but they do not address the parents
psychosocial needs. The parents do not need to to be taught statistics
about their infant's condition. They more than likely know this from
health care provider visits, the internet and parent support groups.
Following surgery this knowledge is not what parents are concerned
about. Parents want to know their infant is safe and well.
◉ The nurse is educating the family of a 7-year-old with epilepsy about
care and safety for this child. What comment will be most valuable in
helping the parent and the child cope? Answer: "Use this information to
teach family and friends."
,Explanation:
Families need and want information they can share with relatives,
childcare providers, and teachers. Wearing a helmet and having a
monitor in the room are precautions that may need to be modified as the
child matures. The boy may be able to bike ride and swim with proper
precautions.
◉ The nurse is educating parents of a male infant with Chiari type II
malformation. Which statement about their child's condition is most
accurate? Answer: "Take your time feeding your baby."
Explanation:
One of the problems associated with Chiari type II malformation is poor
gag and swallowing reflexes, so the infant must be fed slowly. There is a
great risk of aspiration, requiring that the child be placed in an upright
position after feeding. The goal of surgery is to prevent further
symptoms, rather than to relieve existing ones. Infrequent urination is a
problem associated with type I malformations.
◉ A child has been diagnosed with a basilar skull fracture. The nurse
identifies ecchymosis behind the child's ear. This would be documented
as. Answer: Battle sign.
Explanation:
, Two signs of basilar skull fracture include Battle sign (bruising or
ecchymosis behind the ear) and "raccoon eyes" (blood leaking into the
frontal sinuses causing an edematous and bruised periorbital area).
Rhinorrhea is CSF leakage from the nose. Otorrhea is CSF leaking from
the ear.
◉ The nurse is discussing with a parent the difference between a breath-
holding spell and a seizure. The nurse would be correct in telling the
parent what information in regard to seizures? Answer: Convulsive
activity occurs.
Explanation:
During seizures convulsive activity is typically noted. During a breath-
holding spell, the child is bradycardiac, cyanosis occurs at the onset, and
the EEG is normal.
◉ A child is diagnosed with bacterial meningitis. The nurse would
suspect which abnormality of cerebrospinal fluid (CSF)? Answer:
Cloudy appearance
Explanation:
In the CSF of clients diagnosed with bacterial meningitis, the pressure is
elevated, the appearance is cloudy, and the leukocytes are elevated. A
decreased sugar content is noted.
