PEDIATRIC LATEST EXAM PREP
QUESTIONS AND ANSWERS PDF 2026
▶ What is true about cognitive changes observed in adolescents? Answer:
consider themselves invincible and consider their parents materialistic
▶ Which herbal therapies can be recommended to a client with breast
pain? Answer: chamomile, bugleweed, and chaste tree fruit
▶ What is the minimum respiratory rate in a normal adolescent? Answer:
16
▶ The parents of a 15-year-old adolescent who is being treated for
allergies privately tell a nurse that they suspect that their child is a
hypochondriac. What is the most therapeutic response by the nurse?
Answer: Discussing developmental behaviors of adolescents
▶ What is the maximum heart rate of a 16 year old? Answer: 90 bpm
▶ What is gynecomastia? Answer: Gynecomastia is a bilateral or unilateral
enlargement of breast seen in adolescent boys. It is an unusual change
during growth and development and subsides on its own. Gynecomastia is
caused by a hormone imbalance of testosterone and estrogen.
,▶ What is the average diastolic pressure recorded in a 16 year old?
Answer: 75 mmHg
▶ Which complication of anaphylactic shock in the adolescent client is
most important for the nurse to detect early? Answer: *Laryngeal edema*
with severe acute upper airway obstruction may be life threatening in
anaphylactic shock and requires rapid intervention. The reaction may also
involve symptoms of irritability, cutaneous signs of urticaria, tachycardia,
and increasing restlessness, but these are not as life threatening as
laryngeal edema.
▶ A preschool-aged child visits the health clinic with his mother. The
mother is concerned about the child's interaction with "imaginary friends."
What is the best response by the nurse? Answer: Imaginary friends and
imaginary play are normal for children at the preschool developmental
level. Their thinking is influenced by role fantasy. Children believe that their
wishes are real and that dreams come to life. They believe that inanimate
objects have feelings and thoughts. It is important for the mother to know
that this form of thinking is normal for a child of this age and that there is no
need for a psychiatrist, medication, or a developmental assessment.
▶ What is the current minimum level of lead in the blood used to identify
children associated with exposure to lead hazards, according to the
Centers for Disease Control and Prevention, 2012? Answer: 5 mcg/dL
▶ A 4-year-old child with nephrotic syndrome is admitted to the pediatric
unit. What clinical finding does the nurse expect when assessing this child?
Answer: *Dark, frothy urine* is characteristic of a child with nephrotic
syndrome; large amounts of protein in the urine cause it to take this
appearance
, ▶ A 4-year-old child is admitted to the pediatric unit with a diagnosis of
Wilms tumor. Considering the unique needs of a child with this diagnosis,
the nurse should place a sign on the child's bed that states what? Answer:
*Do not palpate the abdomen.* -- increases risk of tumor rupture
▶ A student nurse is assessing socialization skills in 3-year-old and 4-year-
old children. Which similar characteristics may be seen in the children of
the two different ages? Answer: Both have fear.
▶ Which areas are sources of stress in four-year-old children? Answer:
Attention, insecurity, and activity level
▶ What does the nurse state the average weight of a preschooler at the
age of 5 years old? Answer: 41 pounds (18.59 kg)
▶ According to Erikson's theory, what behavior would the nurse explain a
preschooler exhibits? Answer: According to Erikson's theory, a
preschooler develops superego or conscience during the initiative versus
guilt stage.
▶ When preparing a child with asthma for discharge, what instructions
must the nurse emphasize to the family? Answer: Parents should be
taught to limit allergens in the home that can precipitate asthma attacks
(e.g., no carpets, no down pillows, no scented products; wet-mopping
floors, vacuuming when the child is not in the home). Medications to control
inflammation, including inhaled corticosteroids and long-acting β2-agonists,
must be continued to suppress exacerbations of asthma. Environmental
moisture is necessary for these children; in addition, cold environments
QUESTIONS AND ANSWERS PDF 2026
▶ What is true about cognitive changes observed in adolescents? Answer:
consider themselves invincible and consider their parents materialistic
▶ Which herbal therapies can be recommended to a client with breast
pain? Answer: chamomile, bugleweed, and chaste tree fruit
▶ What is the minimum respiratory rate in a normal adolescent? Answer:
16
▶ The parents of a 15-year-old adolescent who is being treated for
allergies privately tell a nurse that they suspect that their child is a
hypochondriac. What is the most therapeutic response by the nurse?
Answer: Discussing developmental behaviors of adolescents
▶ What is the maximum heart rate of a 16 year old? Answer: 90 bpm
▶ What is gynecomastia? Answer: Gynecomastia is a bilateral or unilateral
enlargement of breast seen in adolescent boys. It is an unusual change
during growth and development and subsides on its own. Gynecomastia is
caused by a hormone imbalance of testosterone and estrogen.
,▶ What is the average diastolic pressure recorded in a 16 year old?
Answer: 75 mmHg
▶ Which complication of anaphylactic shock in the adolescent client is
most important for the nurse to detect early? Answer: *Laryngeal edema*
with severe acute upper airway obstruction may be life threatening in
anaphylactic shock and requires rapid intervention. The reaction may also
involve symptoms of irritability, cutaneous signs of urticaria, tachycardia,
and increasing restlessness, but these are not as life threatening as
laryngeal edema.
▶ A preschool-aged child visits the health clinic with his mother. The
mother is concerned about the child's interaction with "imaginary friends."
What is the best response by the nurse? Answer: Imaginary friends and
imaginary play are normal for children at the preschool developmental
level. Their thinking is influenced by role fantasy. Children believe that their
wishes are real and that dreams come to life. They believe that inanimate
objects have feelings and thoughts. It is important for the mother to know
that this form of thinking is normal for a child of this age and that there is no
need for a psychiatrist, medication, or a developmental assessment.
▶ What is the current minimum level of lead in the blood used to identify
children associated with exposure to lead hazards, according to the
Centers for Disease Control and Prevention, 2012? Answer: 5 mcg/dL
▶ A 4-year-old child with nephrotic syndrome is admitted to the pediatric
unit. What clinical finding does the nurse expect when assessing this child?
Answer: *Dark, frothy urine* is characteristic of a child with nephrotic
syndrome; large amounts of protein in the urine cause it to take this
appearance
, ▶ A 4-year-old child is admitted to the pediatric unit with a diagnosis of
Wilms tumor. Considering the unique needs of a child with this diagnosis,
the nurse should place a sign on the child's bed that states what? Answer:
*Do not palpate the abdomen.* -- increases risk of tumor rupture
▶ A student nurse is assessing socialization skills in 3-year-old and 4-year-
old children. Which similar characteristics may be seen in the children of
the two different ages? Answer: Both have fear.
▶ Which areas are sources of stress in four-year-old children? Answer:
Attention, insecurity, and activity level
▶ What does the nurse state the average weight of a preschooler at the
age of 5 years old? Answer: 41 pounds (18.59 kg)
▶ According to Erikson's theory, what behavior would the nurse explain a
preschooler exhibits? Answer: According to Erikson's theory, a
preschooler develops superego or conscience during the initiative versus
guilt stage.
▶ When preparing a child with asthma for discharge, what instructions
must the nurse emphasize to the family? Answer: Parents should be
taught to limit allergens in the home that can precipitate asthma attacks
(e.g., no carpets, no down pillows, no scented products; wet-mopping
floors, vacuuming when the child is not in the home). Medications to control
inflammation, including inhaled corticosteroids and long-acting β2-agonists,
must be continued to suppress exacerbations of asthma. Environmental
moisture is necessary for these children; in addition, cold environments
