ESSENTIALS OF PEDIATRIC NURSING ACTUAL
EXAM PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ A toddler who is beginning to walk has fallen and hit his head on the
corner of a low table. The caregiver has been unable to stop the bleeding
and brings the child to the pediatric clinic. The nurse is gathering data
during the admission process and notes several bruises and swollen
joints. A diagnosis of hemophilia is confirmed. This child most likely
has a deficiency of which blood factor?
Factor X
Factor XIII
Factor VIII
Factor V. Answer: Factor VIII
◉ The nurse is caring for a child with leukemia. Which nursing
intervention would be the highest priority for this child?
Providing age-appropriate activities
Following guidelines for protective isolation
Encouraging the child to share feelings
Grouping nursing care. Answer: Following guidelines for protective
isolation
,◉ The nurse is planning care for a child with idiopathic
thrombocytopenic purpura. Which client education should be included?
Not to pick or irritate the nose
What foods are high in folic acid
To use mainly cold water to wash
To apply a soothing cream to lesions. Answer: Not to pick or irritate the
nose
◉ A high-school football player has been diagnosed as having
osteosarcoma of the femur. The parents are angry because they told the
adolescent not to play football. Which health teaching points would the
nurse include in the teaching plan for the adolsecent and parents?
Tumor growth is related to your dislike of milk.
Football injuries do not contribute to the development of a tumor.
Osteosarcoma often follows trauma, such as a football injury.
You can expect some discoloration of the leg following chemotherapy.
Answer: Football injuries do not contribute to the development of a
tumor.
◉ The nurse is caring for a 10-year-old boy with hemophilia. He asks
the nurse for suggestions about appropriate physical activities. Which
activity would the nurse most likely recommend?
Soccer
,Wrestling
Baseball
Football. Answer: Baseball
◉ A nurse is reviewing the medical records of several children who have
undergone lead screening. The nurse would identify the child with which
lead level as requiring no further action?
26 mcg/dL
20 mcg/dL
14 mcg/dL
8 mcg/dL. Answer: 8 mcg/dL
◉ A 4-year-old child diagnosed with Wilms tumor is admitted for
surgery. What information would be most important for the nurse to
include in the child's preoperative plan of care?
Administering analgesics for pain
Avoiding further abdominal palpation
Performing dressing changes to the affected area
Preparing the child for amputation. Answer: Avoiding further abdominal
palpation
◉ A child receiving chemotherapy is experiencing significant reduction
in red blood cells secondary to myelosuppression. Which agent would
the nurse most likely expect to be ordered?
, Gamma interferon
Sargramostim
Filgrastim
Epoetin alfa. Answer: Epoetin alfa
◉ Why do nurses teach childhood cancer survivors to inform adult
health care providers of their prior disease and treatments?
To participate in cancer research
To obtain health insurance
To monitor for late effects
To access community support groups. Answer: To monitor for late
effects
◉ Antiemetics are ordered to control nausea and vomiting in the child
undergoing chemotherapy. How can the nurse most effectively use these
medications?
Use the antiemetic after it is clear that nonpharmacologic methods are
not effective
Start the antiemetic on a scheduled basis when the chemotherapy begins
to cause nausea
Provide the antiemetic as needed (PRN) when nausea and vomiting are
reported
Administer the antiemetic before starting chemotherapy. Answer:
Administer the antiemetic before starting chemotherapy
EXAM PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ A toddler who is beginning to walk has fallen and hit his head on the
corner of a low table. The caregiver has been unable to stop the bleeding
and brings the child to the pediatric clinic. The nurse is gathering data
during the admission process and notes several bruises and swollen
joints. A diagnosis of hemophilia is confirmed. This child most likely
has a deficiency of which blood factor?
Factor X
Factor XIII
Factor VIII
Factor V. Answer: Factor VIII
◉ The nurse is caring for a child with leukemia. Which nursing
intervention would be the highest priority for this child?
Providing age-appropriate activities
Following guidelines for protective isolation
Encouraging the child to share feelings
Grouping nursing care. Answer: Following guidelines for protective
isolation
,◉ The nurse is planning care for a child with idiopathic
thrombocytopenic purpura. Which client education should be included?
Not to pick or irritate the nose
What foods are high in folic acid
To use mainly cold water to wash
To apply a soothing cream to lesions. Answer: Not to pick or irritate the
nose
◉ A high-school football player has been diagnosed as having
osteosarcoma of the femur. The parents are angry because they told the
adolescent not to play football. Which health teaching points would the
nurse include in the teaching plan for the adolsecent and parents?
Tumor growth is related to your dislike of milk.
Football injuries do not contribute to the development of a tumor.
Osteosarcoma often follows trauma, such as a football injury.
You can expect some discoloration of the leg following chemotherapy.
Answer: Football injuries do not contribute to the development of a
tumor.
◉ The nurse is caring for a 10-year-old boy with hemophilia. He asks
the nurse for suggestions about appropriate physical activities. Which
activity would the nurse most likely recommend?
Soccer
,Wrestling
Baseball
Football. Answer: Baseball
◉ A nurse is reviewing the medical records of several children who have
undergone lead screening. The nurse would identify the child with which
lead level as requiring no further action?
26 mcg/dL
20 mcg/dL
14 mcg/dL
8 mcg/dL. Answer: 8 mcg/dL
◉ A 4-year-old child diagnosed with Wilms tumor is admitted for
surgery. What information would be most important for the nurse to
include in the child's preoperative plan of care?
Administering analgesics for pain
Avoiding further abdominal palpation
Performing dressing changes to the affected area
Preparing the child for amputation. Answer: Avoiding further abdominal
palpation
◉ A child receiving chemotherapy is experiencing significant reduction
in red blood cells secondary to myelosuppression. Which agent would
the nurse most likely expect to be ordered?
, Gamma interferon
Sargramostim
Filgrastim
Epoetin alfa. Answer: Epoetin alfa
◉ Why do nurses teach childhood cancer survivors to inform adult
health care providers of their prior disease and treatments?
To participate in cancer research
To obtain health insurance
To monitor for late effects
To access community support groups. Answer: To monitor for late
effects
◉ Antiemetics are ordered to control nausea and vomiting in the child
undergoing chemotherapy. How can the nurse most effectively use these
medications?
Use the antiemetic after it is clear that nonpharmacologic methods are
not effective
Start the antiemetic on a scheduled basis when the chemotherapy begins
to cause nausea
Provide the antiemetic as needed (PRN) when nausea and vomiting are
reported
Administer the antiemetic before starting chemotherapy. Answer:
Administer the antiemetic before starting chemotherapy
