Page 1 of 146
“PEDS PRACTICE TEST QUIZZES FINAL EXAM “ NEWEST UPDATED EXAM 2025 –
2026 SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED AND HIGHLY RECOMMENDALE
Peds final exam
A group of nursing students are studying information about childhood cancers
in preparation for a class examination. They are reviewing how childhood
cancers differ from adult cancers. The group demonstrates understanding of
the information when they identify what location as an unlikely site for
childhood cancer?
-Kidney
-Bladder
-Brain
-Blood
Bladder
The most common sites for childhood cancer include the blood, lymph, brain, bone,
kidney, and muscle. Bladder is a common site for adult cancer.
A preschooler who received chemotherapy in the pediatric oncology
outpatient department 1 week ago now has a temperature of 101.5°F (38.6°C).
Which is the most appropriate response by the nurse?
-Ask whether any family members or other close associates are ill.
-Tell the parent to administer acetaminophen every 4 hours until the fever
dissipates.
-Instruct the parent to immediately obtain and give the antibiotic that the
oncologist will order.
, Page 2 of 146
-Have the parent bring the child to the pediatric oncology clinic as soon as
possible.
Have the parent bring the child to the pediatric oncology clinic as soon as possible.
The preschooler is considered immune suppressed following recent chemotherapy.
A fever can mean sepsis, which would require immediate investigation of blood and
other body fluids to identify the organism, plus prompt treatment with an IV antibiotic.
This can be accomplished only by seeing the pediatric oncologist and is likely to
result in hospitalization.
The toddler with a cancer diagnosis is seen for a well-child checkup. Which
health maintenance activity will the nurse exclude?
-Plotting height and weight on a growth chart
-Assessing dietary intake by addressing "picky eating" and "food jags"
-Administering the measles, mumps, rubella (MMR) vaccine
-Teaching the importance of taking water safety measures
Administering the measles, mumps, rubella (MMR) vaccine
Live vaccines (viral or bacterial) should not be administered to an immune
suppressed child because of the risk of causing disease. The other health
maintenance activities are important for the health maintenance of the toddler and
should be included during the well-child visit.
The nurse is assessing a school-aged child with sickle-cell anemia. Which
assessment finding is consistent with this child's diagnosis?
-Increased growth of long bones
-Depigmented areas on the abdomen
-Slightly yellow sclera
-Enlarged mandibular growth
Slightly yellow sclera
In sickle-cell anemia, eye scleras become icteric or yellowed from the release of
bilirubin from the destruction of the sickled cells. Mandibular and long bone growth
and depigmentation are not manifestations of this health problem.
, Page 3 of 146
The child has been prescribed chemotherapy. In order to properly calculate
the child's dose, the nurse must first figure the child's body surface area
(BSA). The child is 130 cm tall and weighs 27 kg. Calculate the child's BSA.
Record your answer using two decimal places.
0.99
Square root of (height [cm] x weight [kg] divided by 3,600) = BSA. The child is 130
cm tall and weighs 27 kg: 130 x 27 = 3,510; 3,510/3,600 = 0.975; and the square
root of 0.975 is 0.9874. The BSA would be 0.987, when rounded to the hundredths
place = 0.99.
A nurse is providing dietary interventions for a 5-year-old with an iron
deficiency. Which response indicates a need for further teaching?
-"There are many iron fortified cereals that he likes."
-"Red meat is a good option; he loves the hamburgers from the drive-thru."
-"I must encourage a variety of iron-rich foods that he likes."
-"He will enjoy tuna casserole and eggs."
"Red meat is a good option; he loves the hamburgers from the drive-thru."
While iron from red meat is the easiest for the body to absorb, the nurse must limit
fast food consumption from the drive-thru as it is also high in fat, fillers, and sodium.
The other statements are correct.
The nurse is caring for a child with aplastic anemia. The nurse is reviewing the
child's blood work and notes the granulocyte count is about 500, platelet count
is over 20,000, and the reticulocyte count is over 1%. The parents ask if these
values have any significance. Which response by the nurse is appropriate?
-"The doctor will discuss these findings with you when he comes to the
hospital."
-"I'm really not allowed to discuss these findings with you."
-"These labs are just common labs for children with this disease."
-"These values will help us monitor the disease."
"These values will help us monitor the disease."
, Page 4 of 146
This response answers the parent's questions. In the nonsevere form, the
granulocyte count remains about 500, the platelets are over 20,000, and the
reticulocyte count is over 1%. The other responses do not address what the parents
are asking and would block therapeutic communication.
The nurse is caring for a child admitted to the hospital for an open fracture of
the femur following a motor vehicle accident. The nurse notes the following
lab values: white blood cells 10,000mm3, hemoglobin 7.9 g/dL (79 g/L),
hematocrit 28%, platelets 151,000 mm3. Which nursing action is priority?
-Transfuse 1 unit of packed red blood cells.
-Administer antibiotics intravenously stat.
-Ask the child to rate pain on a scale 0 to 10.
-Provide the family with preop instructions.
Transfuse 1 unit of packed red blood cells.
In a situation where the child exhibits signs of anemia related to acute hemorrhage,
the nurse should anticipate administering a transfusion of packed red blood cells to
improve oxygenation and circulation. Administration of antibiotics, pain assessment,
and family education can be performed after the beginning the blood transfusion.
A mother asks the nurse why her infant who was born at 34 weeks' gestation is
being prescribed ferrous sulfate. Which response by the nurse is most
appropriate?
-"Infants with pyloric stenosis require ferrous sulfate."
-"Preterm infants are at risk for iron-deficiency anemia."
-"Your infant may have been having excessive diarrhea."
-"Ferrous sulfate helps improve red blood cell formation."
"Preterm infants are at risk for iron-deficiency anemia."
Infants born prematurely are at risk for iron-deficiency anemia because iron stores
are built during the last few weeks of gestation. Although some infants with pyloric
stenosis may require an iron supplement, such as ferrous sulfate, not all infants will.
Infants with excessive diarrhea may develop iron-deficiency anemia, and ferrous
“PEDS PRACTICE TEST QUIZZES FINAL EXAM “ NEWEST UPDATED EXAM 2025 –
2026 SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED AND HIGHLY RECOMMENDALE
Peds final exam
A group of nursing students are studying information about childhood cancers
in preparation for a class examination. They are reviewing how childhood
cancers differ from adult cancers. The group demonstrates understanding of
the information when they identify what location as an unlikely site for
childhood cancer?
-Kidney
-Bladder
-Brain
-Blood
Bladder
The most common sites for childhood cancer include the blood, lymph, brain, bone,
kidney, and muscle. Bladder is a common site for adult cancer.
A preschooler who received chemotherapy in the pediatric oncology
outpatient department 1 week ago now has a temperature of 101.5°F (38.6°C).
Which is the most appropriate response by the nurse?
-Ask whether any family members or other close associates are ill.
-Tell the parent to administer acetaminophen every 4 hours until the fever
dissipates.
-Instruct the parent to immediately obtain and give the antibiotic that the
oncologist will order.
, Page 2 of 146
-Have the parent bring the child to the pediatric oncology clinic as soon as
possible.
Have the parent bring the child to the pediatric oncology clinic as soon as possible.
The preschooler is considered immune suppressed following recent chemotherapy.
A fever can mean sepsis, which would require immediate investigation of blood and
other body fluids to identify the organism, plus prompt treatment with an IV antibiotic.
This can be accomplished only by seeing the pediatric oncologist and is likely to
result in hospitalization.
The toddler with a cancer diagnosis is seen for a well-child checkup. Which
health maintenance activity will the nurse exclude?
-Plotting height and weight on a growth chart
-Assessing dietary intake by addressing "picky eating" and "food jags"
-Administering the measles, mumps, rubella (MMR) vaccine
-Teaching the importance of taking water safety measures
Administering the measles, mumps, rubella (MMR) vaccine
Live vaccines (viral or bacterial) should not be administered to an immune
suppressed child because of the risk of causing disease. The other health
maintenance activities are important for the health maintenance of the toddler and
should be included during the well-child visit.
The nurse is assessing a school-aged child with sickle-cell anemia. Which
assessment finding is consistent with this child's diagnosis?
-Increased growth of long bones
-Depigmented areas on the abdomen
-Slightly yellow sclera
-Enlarged mandibular growth
Slightly yellow sclera
In sickle-cell anemia, eye scleras become icteric or yellowed from the release of
bilirubin from the destruction of the sickled cells. Mandibular and long bone growth
and depigmentation are not manifestations of this health problem.
, Page 3 of 146
The child has been prescribed chemotherapy. In order to properly calculate
the child's dose, the nurse must first figure the child's body surface area
(BSA). The child is 130 cm tall and weighs 27 kg. Calculate the child's BSA.
Record your answer using two decimal places.
0.99
Square root of (height [cm] x weight [kg] divided by 3,600) = BSA. The child is 130
cm tall and weighs 27 kg: 130 x 27 = 3,510; 3,510/3,600 = 0.975; and the square
root of 0.975 is 0.9874. The BSA would be 0.987, when rounded to the hundredths
place = 0.99.
A nurse is providing dietary interventions for a 5-year-old with an iron
deficiency. Which response indicates a need for further teaching?
-"There are many iron fortified cereals that he likes."
-"Red meat is a good option; he loves the hamburgers from the drive-thru."
-"I must encourage a variety of iron-rich foods that he likes."
-"He will enjoy tuna casserole and eggs."
"Red meat is a good option; he loves the hamburgers from the drive-thru."
While iron from red meat is the easiest for the body to absorb, the nurse must limit
fast food consumption from the drive-thru as it is also high in fat, fillers, and sodium.
The other statements are correct.
The nurse is caring for a child with aplastic anemia. The nurse is reviewing the
child's blood work and notes the granulocyte count is about 500, platelet count
is over 20,000, and the reticulocyte count is over 1%. The parents ask if these
values have any significance. Which response by the nurse is appropriate?
-"The doctor will discuss these findings with you when he comes to the
hospital."
-"I'm really not allowed to discuss these findings with you."
-"These labs are just common labs for children with this disease."
-"These values will help us monitor the disease."
"These values will help us monitor the disease."
, Page 4 of 146
This response answers the parent's questions. In the nonsevere form, the
granulocyte count remains about 500, the platelets are over 20,000, and the
reticulocyte count is over 1%. The other responses do not address what the parents
are asking and would block therapeutic communication.
The nurse is caring for a child admitted to the hospital for an open fracture of
the femur following a motor vehicle accident. The nurse notes the following
lab values: white blood cells 10,000mm3, hemoglobin 7.9 g/dL (79 g/L),
hematocrit 28%, platelets 151,000 mm3. Which nursing action is priority?
-Transfuse 1 unit of packed red blood cells.
-Administer antibiotics intravenously stat.
-Ask the child to rate pain on a scale 0 to 10.
-Provide the family with preop instructions.
Transfuse 1 unit of packed red blood cells.
In a situation where the child exhibits signs of anemia related to acute hemorrhage,
the nurse should anticipate administering a transfusion of packed red blood cells to
improve oxygenation and circulation. Administration of antibiotics, pain assessment,
and family education can be performed after the beginning the blood transfusion.
A mother asks the nurse why her infant who was born at 34 weeks' gestation is
being prescribed ferrous sulfate. Which response by the nurse is most
appropriate?
-"Infants with pyloric stenosis require ferrous sulfate."
-"Preterm infants are at risk for iron-deficiency anemia."
-"Your infant may have been having excessive diarrhea."
-"Ferrous sulfate helps improve red blood cell formation."
"Preterm infants are at risk for iron-deficiency anemia."
Infants born prematurely are at risk for iron-deficiency anemia because iron stores
are built during the last few weeks of gestation. Although some infants with pyloric
stenosis may require an iron supplement, such as ferrous sulfate, not all infants will.
Infants with excessive diarrhea may develop iron-deficiency anemia, and ferrous
