PEDIATRIC EXAM 4 REVIEW WITH
CORRECT ANSWERS 2025
Chapter
37
A 3-year-old boy has been on chemotherapy for cancer. He complains about a
throat, is experiencing malaise, and has a temperature of 99.8∞F orally. His
sore
mother
calls the child's physician. What is the appropriate information for the nurse to tell
his
mother at this
time?
A) Continue to watch the child, giving him aspirin and cool fluids for the
fever.
B) Plan to bring the child into the physician's office
C) Monitor the temperature, but not to worry unless it gets above
today.
104∞F.
D) Keep the child warm and as comfortable as possible. ( Correct answers ) B) Plan
bring the child into the physician's office
to
today.
A nurse is conducting a health history for a 1-month-old with an infectious
disorder.
Which segment of the health history would be most helpful for the nurse
determining if the infant developed the infection from the
when
A) Family
mother?
history
B) Past medical
C) Home
history
treatments
D) Present illness history ( Correct answers ) B) Past medical
history
While reviewing various studies about the use of antipyretics possibly
prolonging
illness, the nurse notes that there are benefits to their use for the child with
fever.
Which of the following would the nurse identify as the best explanation related to
the
benefit of
antipyretics?
A) They slow the growth of
B) They increase neutrophil
bacteria.
C) They encourage T-cell
production.
D) They help decrease fluid requirements. ( Correct answers ) D) They help
proliferation.
fluid requirements.
decrease
The nurse is caring for a neonate who is suspected of having sepsis. Which of
following assessment findings would the nurse interpret as most indicative of
the
A) Rash on
sepsis?
B) Edematous
face
C)
neck
D) Coughing ( Correct answers ) C)
Hypothermia
Hypothermia
,The nurse is preparing a plan of care for a 5-year-old boy with chickenpox. Which
the following nursing interventions should be
of
A) Administer antipyretics as
questioned?
B) Keep the child's fingernails
ordered.
C) Monitor fluid intake and
short.
D) Provide alcohol baths as needed. ( Correct answers ) C) Monitor fluid intake
output.
output.
and
The nurse is developing a teaching plan for the mother of a 4-year-old girl with
and
coldfever. Which of the following would the nurse include in this teaching
A) Keeping the child covered and
plan?
B) Calling the doctor if the child's fever lasts more than 36
warm
C) Ensuring fluid intake to prevent
hours
D) Observing for changes in alertness resulting from brain damage ( Correct
dehydration
) C) Ensuring fluid intake to prevent dehydration
answers
After teaching a mother how to remove a tick from her 6-year-old boy's arm, the
nurse determines that additional teaching is needed when the mother states which of
the following?
A) ìI'll protect my fingers with a paper towel.î
B) ìI'll grasp the tick and pull it away quickly.î
C) ìI should put the tick in a plastic bag in the freezer.î
D)ìI need to grasp the tick close to the child's skin.î ( Correct answers ) B) I'll
grasp the tick and pull it away quickly.
The nurse is performing a physical examination of an 8-year-old girl who was
her kitten.
bitten by Which of the following assessments would lead the nurse to suspect
scratch
cat-
A) Swollen lymph
disease?
B) Strawberry
nodes
C) Infected
tongue
D) Swollen neck ( Correct answers ) A) Swollen lymph nodes
tonsils
A group of nursing students are reviewing the six links in the chain of infection and
nursing implications for each. The students demonstrate understanding of
the
information when they identify which precaution as helping to break the chain
the
infection to the susceptible
of
A) Keeping linens dry and
host?
clean
B) Maintaining skin
integrity
C) Washing hands
frequently
D) Coughing into a handkerchief ( Correct answers ) B) Maintaining skin
integrity
, The nurse is performing a physical examination on a 9-year-old boy who
experienced a tick bite on his lower leg and is suspected of having Lyme
has
Which assessment finding would the nurse expect to
disease.
A) Swelling in the
find?
B) Confusion and
neck
C) Ring-like rash on lower
anxiety
D) Hypersalivation ( Correct answers ) C) Ring-like rash on lower leg
leg
The nurse determines that it is necessary to implement airborne precautions
children with which of the following
for
A)
infections?
B) Streptococcus group
Measles
C) Rubella
A
D) Scarlet fever ( Correct answers ) A) Measles
A child is diagnosed with scarlet fever. The nurse is reviewing the child's
record, expecting which medication to be prescribed for this
medical
child?
A) Ibuprofen
B)
Acyclovir
C) Penicillin
D) Doxycycline ( Correct answers ) C) Penicillin V
V
A mother brings her 8-year-old son for evaluation because of a rash on his lower
Which finding would support the suspicion that the child has Lyme
leg.
disease?
A) Playing in the woods about a week
ago
B) Rash is papular and
vesicular
C) High fever occurring about 4 days before the
rash
D) Complaints of extreme pruritus with visible nits ( Correct answers ) A) Playing
the woods about a week ago
in
Which of the following would be most important to include in the teaching plan
parents of a child with
for
A) ìSeal the child's clothing in a plastic bag for at least 10
pinworm?
B) ìBe sure your child wears shoes at all
days.î
C) ìMake sure the child washes his hands after using the
times.î
D) ìAfter applying this special cream, leave it on for about 8 to 10 hours.î
bathroom.î
( Correct ) C) ìMake sure the child washes his hands after using the bathroom.î
answers
After teaching the parents of a child with varicella zoster, the nurse determines
the parents have understood the teaching when they state that their child can return
that
to
school at which
time?
A) After day 5 of the
rash
B) When the rash is completely
healed
C) Once the rash
appears
CORRECT ANSWERS 2025
Chapter
37
A 3-year-old boy has been on chemotherapy for cancer. He complains about a
throat, is experiencing malaise, and has a temperature of 99.8∞F orally. His
sore
mother
calls the child's physician. What is the appropriate information for the nurse to tell
his
mother at this
time?
A) Continue to watch the child, giving him aspirin and cool fluids for the
fever.
B) Plan to bring the child into the physician's office
C) Monitor the temperature, but not to worry unless it gets above
today.
104∞F.
D) Keep the child warm and as comfortable as possible. ( Correct answers ) B) Plan
bring the child into the physician's office
to
today.
A nurse is conducting a health history for a 1-month-old with an infectious
disorder.
Which segment of the health history would be most helpful for the nurse
determining if the infant developed the infection from the
when
A) Family
mother?
history
B) Past medical
C) Home
history
treatments
D) Present illness history ( Correct answers ) B) Past medical
history
While reviewing various studies about the use of antipyretics possibly
prolonging
illness, the nurse notes that there are benefits to their use for the child with
fever.
Which of the following would the nurse identify as the best explanation related to
the
benefit of
antipyretics?
A) They slow the growth of
B) They increase neutrophil
bacteria.
C) They encourage T-cell
production.
D) They help decrease fluid requirements. ( Correct answers ) D) They help
proliferation.
fluid requirements.
decrease
The nurse is caring for a neonate who is suspected of having sepsis. Which of
following assessment findings would the nurse interpret as most indicative of
the
A) Rash on
sepsis?
B) Edematous
face
C)
neck
D) Coughing ( Correct answers ) C)
Hypothermia
Hypothermia
,The nurse is preparing a plan of care for a 5-year-old boy with chickenpox. Which
the following nursing interventions should be
of
A) Administer antipyretics as
questioned?
B) Keep the child's fingernails
ordered.
C) Monitor fluid intake and
short.
D) Provide alcohol baths as needed. ( Correct answers ) C) Monitor fluid intake
output.
output.
and
The nurse is developing a teaching plan for the mother of a 4-year-old girl with
and
coldfever. Which of the following would the nurse include in this teaching
A) Keeping the child covered and
plan?
B) Calling the doctor if the child's fever lasts more than 36
warm
C) Ensuring fluid intake to prevent
hours
D) Observing for changes in alertness resulting from brain damage ( Correct
dehydration
) C) Ensuring fluid intake to prevent dehydration
answers
After teaching a mother how to remove a tick from her 6-year-old boy's arm, the
nurse determines that additional teaching is needed when the mother states which of
the following?
A) ìI'll protect my fingers with a paper towel.î
B) ìI'll grasp the tick and pull it away quickly.î
C) ìI should put the tick in a plastic bag in the freezer.î
D)ìI need to grasp the tick close to the child's skin.î ( Correct answers ) B) I'll
grasp the tick and pull it away quickly.
The nurse is performing a physical examination of an 8-year-old girl who was
her kitten.
bitten by Which of the following assessments would lead the nurse to suspect
scratch
cat-
A) Swollen lymph
disease?
B) Strawberry
nodes
C) Infected
tongue
D) Swollen neck ( Correct answers ) A) Swollen lymph nodes
tonsils
A group of nursing students are reviewing the six links in the chain of infection and
nursing implications for each. The students demonstrate understanding of
the
information when they identify which precaution as helping to break the chain
the
infection to the susceptible
of
A) Keeping linens dry and
host?
clean
B) Maintaining skin
integrity
C) Washing hands
frequently
D) Coughing into a handkerchief ( Correct answers ) B) Maintaining skin
integrity
, The nurse is performing a physical examination on a 9-year-old boy who
experienced a tick bite on his lower leg and is suspected of having Lyme
has
Which assessment finding would the nurse expect to
disease.
A) Swelling in the
find?
B) Confusion and
neck
C) Ring-like rash on lower
anxiety
D) Hypersalivation ( Correct answers ) C) Ring-like rash on lower leg
leg
The nurse determines that it is necessary to implement airborne precautions
children with which of the following
for
A)
infections?
B) Streptococcus group
Measles
C) Rubella
A
D) Scarlet fever ( Correct answers ) A) Measles
A child is diagnosed with scarlet fever. The nurse is reviewing the child's
record, expecting which medication to be prescribed for this
medical
child?
A) Ibuprofen
B)
Acyclovir
C) Penicillin
D) Doxycycline ( Correct answers ) C) Penicillin V
V
A mother brings her 8-year-old son for evaluation because of a rash on his lower
Which finding would support the suspicion that the child has Lyme
leg.
disease?
A) Playing in the woods about a week
ago
B) Rash is papular and
vesicular
C) High fever occurring about 4 days before the
rash
D) Complaints of extreme pruritus with visible nits ( Correct answers ) A) Playing
the woods about a week ago
in
Which of the following would be most important to include in the teaching plan
parents of a child with
for
A) ìSeal the child's clothing in a plastic bag for at least 10
pinworm?
B) ìBe sure your child wears shoes at all
days.î
C) ìMake sure the child washes his hands after using the
times.î
D) ìAfter applying this special cream, leave it on for about 8 to 10 hours.î
bathroom.î
( Correct ) C) ìMake sure the child washes his hands after using the bathroom.î
answers
After teaching the parents of a child with varicella zoster, the nurse determines
the parents have understood the teaching when they state that their child can return
that
to
school at which
time?
A) After day 5 of the
rash
B) When the rash is completely
healed
C) Once the rash
appears
