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PEDS EXAM 3 WONG EVOLVE QUESTIONS NEWEST 2026
EXAM LATEST VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Nursing interventions for the child following a venous cardiac catheterization
would include which actions? (SATA)
A) Allow ambulation as tolerated
B) Monitor vital signs as frequently as every 15 minutes
C) Assess the affected extremity for temperature and color
D) Check pulses below the catheterization site for equality and symmetry
E) Remove pressure dressing after 4 hours
F) Keep affected extremity straight for 10-12 hours
B) Monitor vital signs as frequently as every 15 minutes
C) Assess the aff ected extremity for temperature and color
D) Check pulses below the catheterization site for equality and symmetry
Answer: B,C,D
Which clinical manifestation would the nurse expect to see as shock
progresses in a child and becomes decompensated shock? (SATA)
A) High blood pressure
B) Irritability
C) Cool extremities
D) Confusion
E) Narrowing pulse pressure
F) Tachypnea
C) Cool extremities
D) Confusion
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E) Narrowing pulse pressure
F) Tachypnea
Answer: C,D,E,F
The nurse is conducting discharge teaching about signs and symptoms of
heart failure to parents of an infant with cardiomyopathy. Which signs and
symptoms would the nurse include? (SATA)
A) Warm flushed extremities
B) Poor feeding
C) Rapid weight gain
D) Tachypnea
E) Abnormally slow pulse rate
B) Poor feeding
C) Rapid weight gain
D) Tachypnea
Answer: B,C,D
Which interventions would the nurse implement for an infant experiencing a
hypercyanotic spell? Place in order the highest priority intervention to the
lowest priority intervention.
A) Administer 100 % oxygen by blow by
B) Place the infant in knee chest position
C) Begin volume expansion if needed
D) Give morphine subcutaneously or by an existing intravenous line
B) Place the infant in knee chest position (1)
A) Administer 100 % oxygen by blow by (2)
D) Give morphine subcutaneously or by an existing intraneous line (3)
C) Begin volume expansion if needed (4)
Answer: B,A,D,C
An inpatient with an IV access is experiencing an anaphylactic reaction to a
snack brought by a friend containing peanut products. Prioritize the actions
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that follow (Place in the correct sequence)
A) Administer IV epinephrine
B) Administer fluids to restore blood volume
C) Establish an airway
D) Monitor child for biphasic reaction
C) Establish an airway (1)
A) Administer IV epinephrine (2)
B) Administer fluids to restore blood volume (3)
D) Monitor child for biphasic reaction (4)
Answer: C,A,B,D
A child who needs several blood tests is crying and upset because of
memories of the venipuncture done at the clinic 2 days ago. What would the
nurse explain?
A) The venipuncture discomfort is very brief
B) Only one venipuncture will be needed
C) A topical application of local anesthetic can be used to numb the area
D) Most blood test on children require only a finger puncture because a small
amount of blood is needed
C) A topical application of local anesthetic can be used to numb the area
Which statement best describes iron defi ciency anemia in infants?
A) It is caused by depression of the hematopoietic system
B) It is easily diagnosed because of an infant's emaciated appearance
C) Preterm infants are particularly at risk
D) Clinical manifestations result from a decreased intake of milk and the
preterm addition of solid foods
C) Preterm infants are particularly at risk
Which would the nurse include when teaching the mother of a 9 month old
infant about administering liquid iron preparations?
A) They should be given with meals
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B) Give iron with milk or milk substances
C) Adequate dosage will turn the stools a tarry green color
D) Do not administer iron through a straw
C) Adequate dosage will turn the stools a tarry green color
When both parents have sickle cell trait, which is the chance their children will
have sickle cell anemia?
A) 25 %
B) 50 %
C) 75 %
D) 100 %
A) 25 %
Which clinical manifestation would the nurse expect when a child with sickle
cell anemia experiences an acute vasoocclusive crisis?
A) Hepatomegaly
B) Cardiomegaly
C) Circulatory collapse
D) Painful swelling of hands and feet
D) Painful swelling of hands and feet
Why is meperidine (Demerol) not recommended for children in sickle cell
crisis?
A) May induce seizures
B) Is easily addictive
C) Not adequate for pain relief
D) Given by intramuscular injection
A) May induce seizures
What is the purpose of chelation therapy in the treatment of beta-thalassemia?
A) Treats the disease
B) Eliminates excess iron
C) Decreases risk of hypoxia
D) Manages nausea and vomiting
PEDS EXAM 3 WONG EVOLVE QUESTIONS NEWEST 2026
EXAM LATEST VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Nursing interventions for the child following a venous cardiac catheterization
would include which actions? (SATA)
A) Allow ambulation as tolerated
B) Monitor vital signs as frequently as every 15 minutes
C) Assess the affected extremity for temperature and color
D) Check pulses below the catheterization site for equality and symmetry
E) Remove pressure dressing after 4 hours
F) Keep affected extremity straight for 10-12 hours
B) Monitor vital signs as frequently as every 15 minutes
C) Assess the aff ected extremity for temperature and color
D) Check pulses below the catheterization site for equality and symmetry
Answer: B,C,D
Which clinical manifestation would the nurse expect to see as shock
progresses in a child and becomes decompensated shock? (SATA)
A) High blood pressure
B) Irritability
C) Cool extremities
D) Confusion
E) Narrowing pulse pressure
F) Tachypnea
C) Cool extremities
D) Confusion
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E) Narrowing pulse pressure
F) Tachypnea
Answer: C,D,E,F
The nurse is conducting discharge teaching about signs and symptoms of
heart failure to parents of an infant with cardiomyopathy. Which signs and
symptoms would the nurse include? (SATA)
A) Warm flushed extremities
B) Poor feeding
C) Rapid weight gain
D) Tachypnea
E) Abnormally slow pulse rate
B) Poor feeding
C) Rapid weight gain
D) Tachypnea
Answer: B,C,D
Which interventions would the nurse implement for an infant experiencing a
hypercyanotic spell? Place in order the highest priority intervention to the
lowest priority intervention.
A) Administer 100 % oxygen by blow by
B) Place the infant in knee chest position
C) Begin volume expansion if needed
D) Give morphine subcutaneously or by an existing intravenous line
B) Place the infant in knee chest position (1)
A) Administer 100 % oxygen by blow by (2)
D) Give morphine subcutaneously or by an existing intraneous line (3)
C) Begin volume expansion if needed (4)
Answer: B,A,D,C
An inpatient with an IV access is experiencing an anaphylactic reaction to a
snack brought by a friend containing peanut products. Prioritize the actions
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that follow (Place in the correct sequence)
A) Administer IV epinephrine
B) Administer fluids to restore blood volume
C) Establish an airway
D) Monitor child for biphasic reaction
C) Establish an airway (1)
A) Administer IV epinephrine (2)
B) Administer fluids to restore blood volume (3)
D) Monitor child for biphasic reaction (4)
Answer: C,A,B,D
A child who needs several blood tests is crying and upset because of
memories of the venipuncture done at the clinic 2 days ago. What would the
nurse explain?
A) The venipuncture discomfort is very brief
B) Only one venipuncture will be needed
C) A topical application of local anesthetic can be used to numb the area
D) Most blood test on children require only a finger puncture because a small
amount of blood is needed
C) A topical application of local anesthetic can be used to numb the area
Which statement best describes iron defi ciency anemia in infants?
A) It is caused by depression of the hematopoietic system
B) It is easily diagnosed because of an infant's emaciated appearance
C) Preterm infants are particularly at risk
D) Clinical manifestations result from a decreased intake of milk and the
preterm addition of solid foods
C) Preterm infants are particularly at risk
Which would the nurse include when teaching the mother of a 9 month old
infant about administering liquid iron preparations?
A) They should be given with meals
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B) Give iron with milk or milk substances
C) Adequate dosage will turn the stools a tarry green color
D) Do not administer iron through a straw
C) Adequate dosage will turn the stools a tarry green color
When both parents have sickle cell trait, which is the chance their children will
have sickle cell anemia?
A) 25 %
B) 50 %
C) 75 %
D) 100 %
A) 25 %
Which clinical manifestation would the nurse expect when a child with sickle
cell anemia experiences an acute vasoocclusive crisis?
A) Hepatomegaly
B) Cardiomegaly
C) Circulatory collapse
D) Painful swelling of hands and feet
D) Painful swelling of hands and feet
Why is meperidine (Demerol) not recommended for children in sickle cell
crisis?
A) May induce seizures
B) Is easily addictive
C) Not adequate for pain relief
D) Given by intramuscular injection
A) May induce seizures
What is the purpose of chelation therapy in the treatment of beta-thalassemia?
A) Treats the disease
B) Eliminates excess iron
C) Decreases risk of hypoxia
D) Manages nausea and vomiting
