PEDS EXAM 1 (TESTBANK), EXAM 1; COMPLETE STUDY
GUIDE; ACTUAL 226+ ACCURATE QUIZZES WITH
DETAILED, VERIFIED ANSWERS; A GRADE; 2026
Which nursing role is not directly involved when providing family-centered approach to the pediatric
population?
1. Advocacy
2. Case management
3. Patient education
4. Researcher - ANS-4. Researcher
A child diagnosed with a Wilms tumor is prescribed chemotherapy. Which laboratory test will the nurse
monitor prior to administering the chemotherapy to determine the childs infection-fighting capability?
1. Hemoglobin
2. Red-blood-cell count
3. Absolute neutrophil count (ANC)
4. Platelets - ANS-3. Absolute neutrophil count (ANC)
The nurse in the long-termcare clinic is reviewing the charts of a group of children with chronic physical,
psychological, functional, and/or social limitations. Which conditions are most likely to lead to chronic
limitations?
Standard Text: Select all that apply.
1. Near drowning
2. Congenital heart defect
3. Sinusitis
4. Fetal insult when the mother contracted rubella in the first trimester of pregnancy
5. Sepsis contracted as a neonate - ANS-1. Near drowning
2. Congenital heart defect
4. Fetal insult when the mother contracted rubella in the first trimester of pregnancy
5. Sepsis contracted as a neonate
A school-age client diagnosed with diabetes insipidus (DI) is admitted to the pediatric unit. Which
laboratory value does the nurse anticipate for this client based on the diagnosis?
1. Hyperglycemia
,2. Hypernatremia
3. Hypercalcemia
4. Hypoglycemia - ANS-2. Hypernatremia
(Chapter 11) The parents of a critically injured child wish to stay in the room while the child is receiving
emergency care. Which action by the nurse is the most appropriate?
1. Escort the parents to the waiting room and assure them that they can see their child soon.
2. Allow the parents to stay with the child.
3. Ask the physician if the parents can stay with the child.
4. Tell the parents that they do not need to stay with the child. - ANS-2
Parents should be allowed to stay with their child if they wish to do so. This position is supported by the
Emergency Nurses Association and is a key aspect of family-centered care
(pretest 5)A baby, 12 hours old, in the neonatal ICU, has been diagnosed with esophageal atresia with
trachoesophageal fistula. Which of the following assessments is the highest priority for the nurse to
make?
1. Quantity of nasogastric secretions
2. oxygen saturation levels
3. Apical heart rate
4. weight of wet diapers - ANS-2. O2 saturation
gender identity - ANS-how you feel and see yourself
woman - gender queer/others - male
(18) A nurse is taking care of four different pediatric clients. Which client poses the great risk for
dehydration?
1. 15-year-old working out in a weight room for an hour before football practice
2. 10-year-old playing baseball outdoors in 85 degree heat
3. 5-year-old refusing to eat because of a virus
4. A newborn under a radiant warmer for an hour after the first bath - ANS-2
A condition that increases the risk of insensible fluid loss places the child at risk for dehydration. Any of
these situations can place the child at risk for dehydration but the child at greatest risk is the child
,playing baseball in direct heat, which will increase utilization of extracellular fluids more rapidly than the
other situations.
A child diagnosed with cancer is prescribed chemotherapy. The latest lab value indicates the whiteblood-
cell count is very low. Which medication order does the nurse anticipate?
1. Filgrastim (Neupogen)
2. Ondansetron (Zofran)
3. Oprelvekin (Neumega)
4. Epoetin alfa (human recombinant erythropoietin) - ANS-1. Filgrastim (Neupogen)
(18) A 1-month-old client is admitted to the emergency room with severe diarrhea. Which assessment
suggests the client is severely dehydrated?
1. Skin moist and flushed; mucous membranes dry
2. Low specific gravity of urine; skin color pale
3. Fontanels depressed; capillary refill greater than three seconds
4. High specific gravity of urine; moist mucous membranes - ANS-3
Two signs of severe dehydration are depressed fontanels and capillary refill time greater than three
seconds. Moist, flushed skin; moist mucous membranes; and low specific gravity of urine are not signs of
dehydration. Dry mucous membranes and pale skin color are signs of mild dehydration, not severe.
The school nurse completes an assessment of a school-age client to determine the services this child will
need in the classroom. The client is a newly diagnosed with type I diabetes mellitus. Based on this
information, which special healthcare need category is the most appropriate?
1. Dependent on medication or special diet
2. Dependent on medical technology
3. Increase use of healthcare services
4. Functional limitations - ANS-1. Dependent on medication or special diet
A nurse is working with pediatric clients in a research facility. The nurse recognizes that federal
guidelines are in place that delineate which pediatrics clients must give assent for participation in
research trials. Based upon the clients age, the nurse would seek assent from which children? Select all
that apply.
1. The precocious 4-year-old starting as a cystic fibrosis research-study participant.
2. The 7-year-old leukemia client electing to receive a newly developed medication, now being
researched.
3. The 10-year-old starting in an investigative study for clients with precocious puberty.
4. The 13-year-old client beginning participation in a research program for ADHD treatments. - ANS-2.
The 7-year-old leukemia client electing to receive a newly developed medication, now being researched.
3. The 10-year-old starting in an investigative study for clients with precocious puberty.
4. The 13-year-old client beginning participation in a research program for ADHD treatments.
, sexual orientation - ANS-who are you attracted to sexually and/or emotionally?
woman-gender queer/others-male
(pretest 5) A baby is admitted with a diagnosis of intussusception. Which of the following s/s would the
nurse expect to see?
1. Projective vomiting
2. acute constipation
3. explosive flatus
4. Currant jelly stools - ANS-4. Currant jelly stools
A nurse is conducting a daily weight on a pediatric client diagnosed with diabetes insipidus and notes the
child has lost two pounds in 24 hours. Which action by the nurse is the most appropriate?
1. Continue to monitor the child.
2. Notify the healthcare provider regarding the weight loss.
3. Chart the weight and report the loss to the next shift.
4. Do nothing more than chart the weight, as this would be a normal finding. - ANS-2. Notify the
healthcare provider regarding the weight loss.
(Chapter 11) The charge nurse on a hospital unit is developing plans of care related to separation anxiety.
The charge nurse recognizes that which hospitalized child at highest risk to experience separation
anxiety when parents cannot stay?
1. 6-month-old
2. 18-month-old
3. 3-year-old
4. 4-year-old - ANS-2
While all of these children can experience separation anxiety, the young toddler is at highest risk.
Toddlers are the group most at risk for a stressful experience when hospitalized. Separation from parents
increases this risk greatly.
seX - ANS-sex assigned at birth
female - intersex - male
A preschool child is seen in the clinic, and the nurse anticipates a diagnosis of leukemia. Which reaction
does the nurse anticipate this child will exhibit upon diagnosis?
1. Acceptance, especially if able to discuss the disease with children their own age
GUIDE; ACTUAL 226+ ACCURATE QUIZZES WITH
DETAILED, VERIFIED ANSWERS; A GRADE; 2026
Which nursing role is not directly involved when providing family-centered approach to the pediatric
population?
1. Advocacy
2. Case management
3. Patient education
4. Researcher - ANS-4. Researcher
A child diagnosed with a Wilms tumor is prescribed chemotherapy. Which laboratory test will the nurse
monitor prior to administering the chemotherapy to determine the childs infection-fighting capability?
1. Hemoglobin
2. Red-blood-cell count
3. Absolute neutrophil count (ANC)
4. Platelets - ANS-3. Absolute neutrophil count (ANC)
The nurse in the long-termcare clinic is reviewing the charts of a group of children with chronic physical,
psychological, functional, and/or social limitations. Which conditions are most likely to lead to chronic
limitations?
Standard Text: Select all that apply.
1. Near drowning
2. Congenital heart defect
3. Sinusitis
4. Fetal insult when the mother contracted rubella in the first trimester of pregnancy
5. Sepsis contracted as a neonate - ANS-1. Near drowning
2. Congenital heart defect
4. Fetal insult when the mother contracted rubella in the first trimester of pregnancy
5. Sepsis contracted as a neonate
A school-age client diagnosed with diabetes insipidus (DI) is admitted to the pediatric unit. Which
laboratory value does the nurse anticipate for this client based on the diagnosis?
1. Hyperglycemia
,2. Hypernatremia
3. Hypercalcemia
4. Hypoglycemia - ANS-2. Hypernatremia
(Chapter 11) The parents of a critically injured child wish to stay in the room while the child is receiving
emergency care. Which action by the nurse is the most appropriate?
1. Escort the parents to the waiting room and assure them that they can see their child soon.
2. Allow the parents to stay with the child.
3. Ask the physician if the parents can stay with the child.
4. Tell the parents that they do not need to stay with the child. - ANS-2
Parents should be allowed to stay with their child if they wish to do so. This position is supported by the
Emergency Nurses Association and is a key aspect of family-centered care
(pretest 5)A baby, 12 hours old, in the neonatal ICU, has been diagnosed with esophageal atresia with
trachoesophageal fistula. Which of the following assessments is the highest priority for the nurse to
make?
1. Quantity of nasogastric secretions
2. oxygen saturation levels
3. Apical heart rate
4. weight of wet diapers - ANS-2. O2 saturation
gender identity - ANS-how you feel and see yourself
woman - gender queer/others - male
(18) A nurse is taking care of four different pediatric clients. Which client poses the great risk for
dehydration?
1. 15-year-old working out in a weight room for an hour before football practice
2. 10-year-old playing baseball outdoors in 85 degree heat
3. 5-year-old refusing to eat because of a virus
4. A newborn under a radiant warmer for an hour after the first bath - ANS-2
A condition that increases the risk of insensible fluid loss places the child at risk for dehydration. Any of
these situations can place the child at risk for dehydration but the child at greatest risk is the child
,playing baseball in direct heat, which will increase utilization of extracellular fluids more rapidly than the
other situations.
A child diagnosed with cancer is prescribed chemotherapy. The latest lab value indicates the whiteblood-
cell count is very low. Which medication order does the nurse anticipate?
1. Filgrastim (Neupogen)
2. Ondansetron (Zofran)
3. Oprelvekin (Neumega)
4. Epoetin alfa (human recombinant erythropoietin) - ANS-1. Filgrastim (Neupogen)
(18) A 1-month-old client is admitted to the emergency room with severe diarrhea. Which assessment
suggests the client is severely dehydrated?
1. Skin moist and flushed; mucous membranes dry
2. Low specific gravity of urine; skin color pale
3. Fontanels depressed; capillary refill greater than three seconds
4. High specific gravity of urine; moist mucous membranes - ANS-3
Two signs of severe dehydration are depressed fontanels and capillary refill time greater than three
seconds. Moist, flushed skin; moist mucous membranes; and low specific gravity of urine are not signs of
dehydration. Dry mucous membranes and pale skin color are signs of mild dehydration, not severe.
The school nurse completes an assessment of a school-age client to determine the services this child will
need in the classroom. The client is a newly diagnosed with type I diabetes mellitus. Based on this
information, which special healthcare need category is the most appropriate?
1. Dependent on medication or special diet
2. Dependent on medical technology
3. Increase use of healthcare services
4. Functional limitations - ANS-1. Dependent on medication or special diet
A nurse is working with pediatric clients in a research facility. The nurse recognizes that federal
guidelines are in place that delineate which pediatrics clients must give assent for participation in
research trials. Based upon the clients age, the nurse would seek assent from which children? Select all
that apply.
1. The precocious 4-year-old starting as a cystic fibrosis research-study participant.
2. The 7-year-old leukemia client electing to receive a newly developed medication, now being
researched.
3. The 10-year-old starting in an investigative study for clients with precocious puberty.
4. The 13-year-old client beginning participation in a research program for ADHD treatments. - ANS-2.
The 7-year-old leukemia client electing to receive a newly developed medication, now being researched.
3. The 10-year-old starting in an investigative study for clients with precocious puberty.
4. The 13-year-old client beginning participation in a research program for ADHD treatments.
, sexual orientation - ANS-who are you attracted to sexually and/or emotionally?
woman-gender queer/others-male
(pretest 5) A baby is admitted with a diagnosis of intussusception. Which of the following s/s would the
nurse expect to see?
1. Projective vomiting
2. acute constipation
3. explosive flatus
4. Currant jelly stools - ANS-4. Currant jelly stools
A nurse is conducting a daily weight on a pediatric client diagnosed with diabetes insipidus and notes the
child has lost two pounds in 24 hours. Which action by the nurse is the most appropriate?
1. Continue to monitor the child.
2. Notify the healthcare provider regarding the weight loss.
3. Chart the weight and report the loss to the next shift.
4. Do nothing more than chart the weight, as this would be a normal finding. - ANS-2. Notify the
healthcare provider regarding the weight loss.
(Chapter 11) The charge nurse on a hospital unit is developing plans of care related to separation anxiety.
The charge nurse recognizes that which hospitalized child at highest risk to experience separation
anxiety when parents cannot stay?
1. 6-month-old
2. 18-month-old
3. 3-year-old
4. 4-year-old - ANS-2
While all of these children can experience separation anxiety, the young toddler is at highest risk.
Toddlers are the group most at risk for a stressful experience when hospitalized. Separation from parents
increases this risk greatly.
seX - ANS-sex assigned at birth
female - intersex - male
A preschool child is seen in the clinic, and the nurse anticipates a diagnosis of leukemia. Which reaction
does the nurse anticipate this child will exhibit upon diagnosis?
1. Acceptance, especially if able to discuss the disease with children their own age
