ESSENTIALS OF PEDIATRIC NURSING 4TH
EDITION BY KYLE AND CARMAN 2026
COMPLETE STUDY GUIDE A+
◉ A toddler who is beginning to walk has fallen and hit his head on
the corner of a low table. The caregiver has been unable to stop the
bleeding and brings the child to the pediatric clinic. The nurse is
gathering data during the admission process and notes several
bruises and swollen joints. A diagnosis of hemophilia is confirmed.
This child most likely has a deficiency of which blood factor?
Factor X
Factor XIII
Factor VIII
Factor V Answer: Factor VIII
◉ The nurse is caring for a child with leukemia. Which nursing
intervention would be the highest priority for this child?
Providing age-appropriate activities
Following guidelines for protective isolation
Encouraging the child to share feelings
Grouping nursing care Answer: Following guidelines for protective
isolation
,◉ The nurse is planning care for a child with idiopathic
thrombocytopenic purpura. Which client education should be
included?
Not to pick or irritate the nose
What foods are high in folic acid
To use mainly cold water to wash
To apply a soothing cream to lesions Answer: Not to pick or irritate
the nose
◉ A high-school football player has been diagnosed as having
osteosarcoma of the femur. The parents are angry because they told
the adolescent not to play football. Which health teaching points
would the nurse include in the teaching plan for the adolsecent and
parents?
Tumor growth is related to your dislike of milk.
Football injuries do not contribute to the development of a tumor.
Osteosarcoma often follows trauma, such as a football injury.
You can expect some discoloration of the leg following
chemotherapy. Answer: Football injuries do not contribute to the
development of a tumor.
◉ The nurse is caring for a 10-year-old boy with hemophilia. He asks
the nurse for suggestions about appropriate physical activities.
Which activity would the nurse most likely recommend?
Soccer
,Wrestling
Baseball
Football Answer: Baseball
◉ A nurse is reviewing the medical records of several children who
have undergone lead screening. The nurse would identify the child
with which lead level as requiring no further action?
26 mcg/dL
20 mcg/dL
14 mcg/dL
8 mcg/dL Answer: 8 mcg/dL
◉ A 4-year-old child diagnosed with Wilms tumor is admitted for
surgery. What information would be most important for the nurse to
include in the child's preoperative plan of care?
Administering analgesics for pain
Avoiding further abdominal palpation
Performing dressing changes to the affected area
Preparing the child for amputation Answer: Avoiding further
abdominal palpation
◉ A child receiving chemotherapy is experiencing significant
reduction in red blood cells secondary to myelosuppression. Which
agent would the nurse most likely expect to be ordered?
, Gamma interferon
Sargramostim
Filgrastim
Epoetin alfa Answer: Epoetin alfa
◉ Why do nurses teach childhood cancer survivors to inform adult
health care providers of their prior disease and treatments?
To participate in cancer research
To obtain health insurance
To monitor for late effects
To access community support groups Answer: To monitor for late
effects
◉ Antiemetics are ordered to control nausea and vomiting in the
child undergoing chemotherapy. How can the nurse most effectively
use these medications?
Use the antiemetic after it is clear that nonpharmacologic methods
are not effective
Start the antiemetic on a scheduled basis when the chemotherapy
begins to cause nausea
Provide the antiemetic as needed (PRN) when nausea and vomiting
are reported
Administer the antiemetic before starting chemotherapy Answer:
Administer the antiemetic before starting chemotherapy
EDITION BY KYLE AND CARMAN 2026
COMPLETE STUDY GUIDE A+
◉ A toddler who is beginning to walk has fallen and hit his head on
the corner of a low table. The caregiver has been unable to stop the
bleeding and brings the child to the pediatric clinic. The nurse is
gathering data during the admission process and notes several
bruises and swollen joints. A diagnosis of hemophilia is confirmed.
This child most likely has a deficiency of which blood factor?
Factor X
Factor XIII
Factor VIII
Factor V Answer: Factor VIII
◉ The nurse is caring for a child with leukemia. Which nursing
intervention would be the highest priority for this child?
Providing age-appropriate activities
Following guidelines for protective isolation
Encouraging the child to share feelings
Grouping nursing care Answer: Following guidelines for protective
isolation
,◉ The nurse is planning care for a child with idiopathic
thrombocytopenic purpura. Which client education should be
included?
Not to pick or irritate the nose
What foods are high in folic acid
To use mainly cold water to wash
To apply a soothing cream to lesions Answer: Not to pick or irritate
the nose
◉ A high-school football player has been diagnosed as having
osteosarcoma of the femur. The parents are angry because they told
the adolescent not to play football. Which health teaching points
would the nurse include in the teaching plan for the adolsecent and
parents?
Tumor growth is related to your dislike of milk.
Football injuries do not contribute to the development of a tumor.
Osteosarcoma often follows trauma, such as a football injury.
You can expect some discoloration of the leg following
chemotherapy. Answer: Football injuries do not contribute to the
development of a tumor.
◉ The nurse is caring for a 10-year-old boy with hemophilia. He asks
the nurse for suggestions about appropriate physical activities.
Which activity would the nurse most likely recommend?
Soccer
,Wrestling
Baseball
Football Answer: Baseball
◉ A nurse is reviewing the medical records of several children who
have undergone lead screening. The nurse would identify the child
with which lead level as requiring no further action?
26 mcg/dL
20 mcg/dL
14 mcg/dL
8 mcg/dL Answer: 8 mcg/dL
◉ A 4-year-old child diagnosed with Wilms tumor is admitted for
surgery. What information would be most important for the nurse to
include in the child's preoperative plan of care?
Administering analgesics for pain
Avoiding further abdominal palpation
Performing dressing changes to the affected area
Preparing the child for amputation Answer: Avoiding further
abdominal palpation
◉ A child receiving chemotherapy is experiencing significant
reduction in red blood cells secondary to myelosuppression. Which
agent would the nurse most likely expect to be ordered?
, Gamma interferon
Sargramostim
Filgrastim
Epoetin alfa Answer: Epoetin alfa
◉ Why do nurses teach childhood cancer survivors to inform adult
health care providers of their prior disease and treatments?
To participate in cancer research
To obtain health insurance
To monitor for late effects
To access community support groups Answer: To monitor for late
effects
◉ Antiemetics are ordered to control nausea and vomiting in the
child undergoing chemotherapy. How can the nurse most effectively
use these medications?
Use the antiemetic after it is clear that nonpharmacologic methods
are not effective
Start the antiemetic on a scheduled basis when the chemotherapy
begins to cause nausea
Provide the antiemetic as needed (PRN) when nausea and vomiting
are reported
Administer the antiemetic before starting chemotherapy Answer:
Administer the antiemetic before starting chemotherapy
