Pediatrics Final Exam Study Guide Questions
and Answers with Verified Solutions | Latest
Updated 2026
A nurse is administering a blood A. Discontinue the transfusion.
transfusion to a child. About 35
minutes after beginning
thetransfusion, the child develops
pruritus and urticaria. Some
wheezing is noted. Which action
would the nurse take first?
A. Discontinue the transfusion.
B. Obtain a blood culture.
C. Give an iron-chelating agent.
D. Ask the health care provide for
a prescription for a diuretic.
,A child develops treatment- B. Applying pressure to a puncture site for
related thrombocytopenia. When a full
preparing the plan of care for the 5 minutes
child, which would the nurse C. Limiting the use of adhesive tape on the
include? Select all that apply. child's skin
A. Allowing frequent blood- D. Administering medications orally or
drawing procedures for intravenously
laboratory testing
B. Applying pressure to a puncture
site for a full 5 minutes
C. Limiting the use of adhesive
tape on the child's skin
D. Administering medications
orally or intravenously
E. Obtaining extra amounts of
blood just in case when drawing
blood
A 3-year-old boy has been A. Removal or covering of flaking paint on
brought to the doctor's office with the
symptoms of anorexia walls of the home
andabdominal pain. A blood test
reveals a lead level of 20 ug/100
mL. The child is prescribed an oral
chelating agent. On discharge, the
nurse should counsel the parents
regarding:
A. removal or covering of flaking
paint on the walls of the home
B. putting child safety locks on
kitchen cabinets
C. putting medicine away where
children cannot reach it
D. placing house plants out of
reach of children
,The mother of Mary Jo, a 10-year- A. "Mary Jo's blood has developed
old who had a febrile reaction antibodies
following a transfusion, asksthe to the white blood cells, platelets orplasma
nurse: "Why did this happen to my protein antigens in the donor blood.
child?" Which response by the
nurse would be mostappropriate?
A. "Mary Jo's blood has developed
antibodies to the white blood
cells, platelets orplasma protein
antigens in the donor blood."
B. "Mary Jo's blood was not
compatible with the blood
product, causing the red
bloodcells to destruct."
C. "The donor blood contained
plasma proteins or other antigens
to which Mary Joewas
hypersensitive."
D. "Too much of the blood
product was transfused at too
rapid a rate."
The nurse is reviewing information A. Christmas factor
about hemophilia with an B. Factor IX
adolescent client. The
clientdemonstrates understanding
of the information when
identifying hemophilia B as a
deficiencyof which factor? Select
all that apply.
A. Christmas factor
B. Factor IX
C. Stuart's factor
D. Antihemophilic factor
E. Factor VIII
, A 9-year-old child is diagnosed A. Type I
with von Willebrand's Disease
(vWD) with the
followingcharacteristics:
decreased quantities of all sizes of
von Willebrand's factor multimers
anddecreased activity of von
Willebrand's factor. The nurse
identifies this as which type of
vWDas being involved?
A. Type I
B. Type II
C. Type III
D. Type IIIB
The nurse preparing a child for A. Increased D-Dimer asay
diagnostic testing to diagnose
disseminated
intravascularcoagulation (DIC).
Which results would the nurse
identify as indicating this
condition?
A. Increased D-Dimer assay
B. Increased antithrombin III
C. Decreased fibrogen/fibrin
degradation products
D. Decreased fibrinopeptide A
level
and Answers with Verified Solutions | Latest
Updated 2026
A nurse is administering a blood A. Discontinue the transfusion.
transfusion to a child. About 35
minutes after beginning
thetransfusion, the child develops
pruritus and urticaria. Some
wheezing is noted. Which action
would the nurse take first?
A. Discontinue the transfusion.
B. Obtain a blood culture.
C. Give an iron-chelating agent.
D. Ask the health care provide for
a prescription for a diuretic.
,A child develops treatment- B. Applying pressure to a puncture site for
related thrombocytopenia. When a full
preparing the plan of care for the 5 minutes
child, which would the nurse C. Limiting the use of adhesive tape on the
include? Select all that apply. child's skin
A. Allowing frequent blood- D. Administering medications orally or
drawing procedures for intravenously
laboratory testing
B. Applying pressure to a puncture
site for a full 5 minutes
C. Limiting the use of adhesive
tape on the child's skin
D. Administering medications
orally or intravenously
E. Obtaining extra amounts of
blood just in case when drawing
blood
A 3-year-old boy has been A. Removal or covering of flaking paint on
brought to the doctor's office with the
symptoms of anorexia walls of the home
andabdominal pain. A blood test
reveals a lead level of 20 ug/100
mL. The child is prescribed an oral
chelating agent. On discharge, the
nurse should counsel the parents
regarding:
A. removal or covering of flaking
paint on the walls of the home
B. putting child safety locks on
kitchen cabinets
C. putting medicine away where
children cannot reach it
D. placing house plants out of
reach of children
,The mother of Mary Jo, a 10-year- A. "Mary Jo's blood has developed
old who had a febrile reaction antibodies
following a transfusion, asksthe to the white blood cells, platelets orplasma
nurse: "Why did this happen to my protein antigens in the donor blood.
child?" Which response by the
nurse would be mostappropriate?
A. "Mary Jo's blood has developed
antibodies to the white blood
cells, platelets orplasma protein
antigens in the donor blood."
B. "Mary Jo's blood was not
compatible with the blood
product, causing the red
bloodcells to destruct."
C. "The donor blood contained
plasma proteins or other antigens
to which Mary Joewas
hypersensitive."
D. "Too much of the blood
product was transfused at too
rapid a rate."
The nurse is reviewing information A. Christmas factor
about hemophilia with an B. Factor IX
adolescent client. The
clientdemonstrates understanding
of the information when
identifying hemophilia B as a
deficiencyof which factor? Select
all that apply.
A. Christmas factor
B. Factor IX
C. Stuart's factor
D. Antihemophilic factor
E. Factor VIII
, A 9-year-old child is diagnosed A. Type I
with von Willebrand's Disease
(vWD) with the
followingcharacteristics:
decreased quantities of all sizes of
von Willebrand's factor multimers
anddecreased activity of von
Willebrand's factor. The nurse
identifies this as which type of
vWDas being involved?
A. Type I
B. Type II
C. Type III
D. Type IIIB
The nurse preparing a child for A. Increased D-Dimer asay
diagnostic testing to diagnose
disseminated
intravascularcoagulation (DIC).
Which results would the nurse
identify as indicating this
condition?
A. Increased D-Dimer assay
B. Increased antithrombin III
C. Decreased fibrogen/fibrin
degradation products
D. Decreased fibrinopeptide A
level
