Peds Exam 4 Questions with Complete
Solutions (Latest 2025)
(NCLEX book - ch. 38) The nurse is monitoring a child for
bleeding after surgery for removal of a brain tumor. The nurse
checks the head dressing for the presence of blood and notes
a colorless drainage on the back of the dressing. Which
interventions should the nurse perform immediately?
1. Reinforce the dressing
2. Notify the HCP
3. Document the findings and continue to monitor
4. Circle the area of drainage and continue to monitor -
Correct Answers ✅2. Notify the HCP
(NCLEX book - ch. 38) A child undergoes surgical removal of a
brain tumor. During the postop period the nurse is monitoring
the child and notes that the child is restless, the pulse is
elevated, and the BP has decreased significantly from the
baseline. The nurse suspects that the child is in shock. Which
is the most appropriate nursing action?
1. Notify the HCP
2. Place the child in supine position.
3. Place the child in trendelenburg's.
4. Increase the flow rate of the IV fluids. - Correct Answers
✅1. Notify the HCP
,Peds Exam 4 Questions with Complete
Solutions (Latest 2025)
(NCLEX book - ch. 38) The mother of a 4 year old child tells
the pediatric nurse that the child's abdomen seems to be
swollen. During further assessment of subjective data, the
mother tells the nurse that the child is eating well, and that
the activity level of the child is unchanged. The nurse
suspecting the possibility of Wilm's tumor should avoid which
during the physical assessment?
1. Palpate the abdomen for a mass
2. Assessing the urine for the presence of hematuria.
3. Monitor the temp for the presence of fever
4. Monitor the BP for the presence of HTN. - Correct
Answers ✅1. Palpate the abdomen for a mass
(NCLEX book - Ch. 38) The pediatric nurse specialist provides
a teaching session to the nursing staff regarding
osteosarcoma. Which statement by a member of the nursing
staff indicates a need for information.
1. "The femur is most common site of the sarcoma."
2. "The child does not experience pain at the primary tumor
site."
3. "Limping if a weight bearing leg is affected is a clinical
manifestation."
4. "The symptoms of the disease in the early stage are
almost always attributed to normal growing pains." - Correct
,Peds Exam 4 Questions with Complete
Solutions (Latest 2025)
Answers ✅2. "The child does not experience pain at the
primary tumor site."
(NCLEX book - ch. 38) The nurse analyzes the lab values of a
child with leukemia, who is receiving chemo. The nurse notes
that the platelet count is 19,500. On the basis of the lab
result, which intervention should the nurse include in the plan
of care?
1. Initiate bleeding precautions
2. Monitor closely for signs of infection.
3. Monitor the temp every 4 hrs.
4. Initiate protective isolation precautions. - Correct
Answers ✅1. Initiate bleeding precautions
(NCLEX book - ch. 38) The nurse is montioring a 3 year old
child for signs and symtpoms of increased ICP after a
crainiotomy. The nurse plans to monitor for which early sign
or symptom of increased ICP?
1. Vomiting
2. Bulging anterior fontanel
3. Increasing head circumference.
4. Complaints of a frontal headache. - Correct Answers ✅1.
Vomiting
, Peds Exam 4 Questions with Complete
Solutions (Latest 2025)
(NCLEX book - ch. 38) A four year old is admitted to the
hospital for abdominal pain. The mother reports that the child
has been pale and excessively tired and is bruising easily. On
physical examination, lymphadenopathy and
hepatosplenomegaly diagnostic studies are being preformed
on the child, because ALL is suspected. The nurse
understands that which diagnostic study should confirm the
diagnosis?
1. Platelet coutn
2. Lumbar puncture.
3. Bone marrow biopsy
4. WBC count - Correct Answers ✅3. Bone marrow biopsy
(NCLEX book - ch. 38) A six year old with leukemia is
hospitalized and is receiving combination chemotherapy. Lab
results indicate that the child is neutropenic and protective
isolation procedures are initiated. The grandmother of the
child visits and brings a fresh bouquet of flowers picked from
her garden and asks the nurse for a vase for the flowers.
Which response should the nurse provide to the
grandmother?
1. "I have a vase in the utility room and I will get it for you."
2. "I will get the vase and wash it well before you put the
flowers in it."
Solutions (Latest 2025)
(NCLEX book - ch. 38) The nurse is monitoring a child for
bleeding after surgery for removal of a brain tumor. The nurse
checks the head dressing for the presence of blood and notes
a colorless drainage on the back of the dressing. Which
interventions should the nurse perform immediately?
1. Reinforce the dressing
2. Notify the HCP
3. Document the findings and continue to monitor
4. Circle the area of drainage and continue to monitor -
Correct Answers ✅2. Notify the HCP
(NCLEX book - ch. 38) A child undergoes surgical removal of a
brain tumor. During the postop period the nurse is monitoring
the child and notes that the child is restless, the pulse is
elevated, and the BP has decreased significantly from the
baseline. The nurse suspects that the child is in shock. Which
is the most appropriate nursing action?
1. Notify the HCP
2. Place the child in supine position.
3. Place the child in trendelenburg's.
4. Increase the flow rate of the IV fluids. - Correct Answers
✅1. Notify the HCP
,Peds Exam 4 Questions with Complete
Solutions (Latest 2025)
(NCLEX book - ch. 38) The mother of a 4 year old child tells
the pediatric nurse that the child's abdomen seems to be
swollen. During further assessment of subjective data, the
mother tells the nurse that the child is eating well, and that
the activity level of the child is unchanged. The nurse
suspecting the possibility of Wilm's tumor should avoid which
during the physical assessment?
1. Palpate the abdomen for a mass
2. Assessing the urine for the presence of hematuria.
3. Monitor the temp for the presence of fever
4. Monitor the BP for the presence of HTN. - Correct
Answers ✅1. Palpate the abdomen for a mass
(NCLEX book - Ch. 38) The pediatric nurse specialist provides
a teaching session to the nursing staff regarding
osteosarcoma. Which statement by a member of the nursing
staff indicates a need for information.
1. "The femur is most common site of the sarcoma."
2. "The child does not experience pain at the primary tumor
site."
3. "Limping if a weight bearing leg is affected is a clinical
manifestation."
4. "The symptoms of the disease in the early stage are
almost always attributed to normal growing pains." - Correct
,Peds Exam 4 Questions with Complete
Solutions (Latest 2025)
Answers ✅2. "The child does not experience pain at the
primary tumor site."
(NCLEX book - ch. 38) The nurse analyzes the lab values of a
child with leukemia, who is receiving chemo. The nurse notes
that the platelet count is 19,500. On the basis of the lab
result, which intervention should the nurse include in the plan
of care?
1. Initiate bleeding precautions
2. Monitor closely for signs of infection.
3. Monitor the temp every 4 hrs.
4. Initiate protective isolation precautions. - Correct
Answers ✅1. Initiate bleeding precautions
(NCLEX book - ch. 38) The nurse is montioring a 3 year old
child for signs and symtpoms of increased ICP after a
crainiotomy. The nurse plans to monitor for which early sign
or symptom of increased ICP?
1. Vomiting
2. Bulging anterior fontanel
3. Increasing head circumference.
4. Complaints of a frontal headache. - Correct Answers ✅1.
Vomiting
, Peds Exam 4 Questions with Complete
Solutions (Latest 2025)
(NCLEX book - ch. 38) A four year old is admitted to the
hospital for abdominal pain. The mother reports that the child
has been pale and excessively tired and is bruising easily. On
physical examination, lymphadenopathy and
hepatosplenomegaly diagnostic studies are being preformed
on the child, because ALL is suspected. The nurse
understands that which diagnostic study should confirm the
diagnosis?
1. Platelet coutn
2. Lumbar puncture.
3. Bone marrow biopsy
4. WBC count - Correct Answers ✅3. Bone marrow biopsy
(NCLEX book - ch. 38) A six year old with leukemia is
hospitalized and is receiving combination chemotherapy. Lab
results indicate that the child is neutropenic and protective
isolation procedures are initiated. The grandmother of the
child visits and brings a fresh bouquet of flowers picked from
her garden and asks the nurse for a vase for the flowers.
Which response should the nurse provide to the
grandmother?
1. "I have a vase in the utility room and I will get it for you."
2. "I will get the vase and wash it well before you put the
flowers in it."
