ESSENTIALS OF PEDIATRIC NURSING
CERTIFICATION EVALUATION 2026 EXAM
SCRIPT FULLY SOLVED QUESTIONS
◉A nurse is conducting a class to a group of parents on sickle cell
anemia. Which statement by a parent indicates teaching has been
effective?
"The sickle shape of red blood cells decreases oxygen to tissues."
"This is a hereditary disease that is transmitted by one affected
gene."
"Fluid restriction is necessary to control sickle cell anemia."
"Sickle cell anemia is common in people of Asian descent." Answer:
"The sickle shape of red blood cells decreases oxygen to tissues."
◉The nurse is talking with a 9-year-old child diagnosed with acute
leukemia who will soon begin chemotherapy. The child expresses
worry that when her hair falls out friends won't like her or want to
play with her anymore. Which response by the nurse would be best?
Answer: Talk with her and her family about wearing a wig, cap, or
scarf.
,◉A nurse caring for an 8-year-old with a bleeding disorder
documents the following nursing diagnosis: ineffective tissue
perfusion related to intravascular thrombosis and hemorrhage. This
diagnosis is most appropriate for a client with:
von Willebrand disease
Disseminated intravascular coagulation
Iron-deficiency anemia
Hemophilia Answer: Disseminated intravascular coagulation
◉After teaching a group of students about hemophilia, the
instructor determines that the students have understood the
information when they identify hemophilia A as involving a problem
with:
Factor IX
Plasmin
Platelets
Factor VIII Answer: Factor VIII
◉The nurse is reinforcing teaching with a group of caregivers of
children diagnosed with iron-deficiency anemia. One of the
caregivers tells the group, "I give my child ferrous sulfate." Which
statement made by the caregivers is correct regarding giving ferrous
sulfate?
"My husband gives our daughter orange juice when she takes her
ferrous sulfate, so she gets Vitamin C."
, "I always give the ferrous sulfate with meals."
"When I give my son ferrous sulfate I know he also needs potassium
supplements."
"We watch closely for any diarrhea since that usually happens when
he takes ferrous sulfate." Answer: "My husband gives our daughter
orange juice when she takes her ferrous sulfate, so she gets Vitamin
C."
◉The nurse is teaching an in-service program to a group of nurses
on the topic of children diagnosed with sickle cell anemia. The
nurses in the group make the following statements. Which statement
is most accurate regarding sickle cell anemia?
"If the trait is inherited from both parents the child will have the
disease."
"The disease is most often seen in individuals of Asian decent."
"The trait or the disease is seen in one generation and skips the next
generation."
"Males are much more likely to have the disease than females."
Answer: "If the trait is inherited from both parents the child will
have the disease."
◉Which nursing diagnosis would be most appropriate for a child
with idiopathic thrombocytopenic purpura?
Risk for infection related to abnormal immune system
Ineffective tissue perfusion related to poor platelet formation
CERTIFICATION EVALUATION 2026 EXAM
SCRIPT FULLY SOLVED QUESTIONS
◉A nurse is conducting a class to a group of parents on sickle cell
anemia. Which statement by a parent indicates teaching has been
effective?
"The sickle shape of red blood cells decreases oxygen to tissues."
"This is a hereditary disease that is transmitted by one affected
gene."
"Fluid restriction is necessary to control sickle cell anemia."
"Sickle cell anemia is common in people of Asian descent." Answer:
"The sickle shape of red blood cells decreases oxygen to tissues."
◉The nurse is talking with a 9-year-old child diagnosed with acute
leukemia who will soon begin chemotherapy. The child expresses
worry that when her hair falls out friends won't like her or want to
play with her anymore. Which response by the nurse would be best?
Answer: Talk with her and her family about wearing a wig, cap, or
scarf.
,◉A nurse caring for an 8-year-old with a bleeding disorder
documents the following nursing diagnosis: ineffective tissue
perfusion related to intravascular thrombosis and hemorrhage. This
diagnosis is most appropriate for a client with:
von Willebrand disease
Disseminated intravascular coagulation
Iron-deficiency anemia
Hemophilia Answer: Disseminated intravascular coagulation
◉After teaching a group of students about hemophilia, the
instructor determines that the students have understood the
information when they identify hemophilia A as involving a problem
with:
Factor IX
Plasmin
Platelets
Factor VIII Answer: Factor VIII
◉The nurse is reinforcing teaching with a group of caregivers of
children diagnosed with iron-deficiency anemia. One of the
caregivers tells the group, "I give my child ferrous sulfate." Which
statement made by the caregivers is correct regarding giving ferrous
sulfate?
"My husband gives our daughter orange juice when she takes her
ferrous sulfate, so she gets Vitamin C."
, "I always give the ferrous sulfate with meals."
"When I give my son ferrous sulfate I know he also needs potassium
supplements."
"We watch closely for any diarrhea since that usually happens when
he takes ferrous sulfate." Answer: "My husband gives our daughter
orange juice when she takes her ferrous sulfate, so she gets Vitamin
C."
◉The nurse is teaching an in-service program to a group of nurses
on the topic of children diagnosed with sickle cell anemia. The
nurses in the group make the following statements. Which statement
is most accurate regarding sickle cell anemia?
"If the trait is inherited from both parents the child will have the
disease."
"The disease is most often seen in individuals of Asian decent."
"The trait or the disease is seen in one generation and skips the next
generation."
"Males are much more likely to have the disease than females."
Answer: "If the trait is inherited from both parents the child will
have the disease."
◉Which nursing diagnosis would be most appropriate for a child
with idiopathic thrombocytopenic purpura?
Risk for infection related to abnormal immune system
Ineffective tissue perfusion related to poor platelet formation
