2024/2025 FINAL PAEDIATRIC NURSING
PRACTICE QUESTIONS. COMPLETE WITH
ANSWERS AND EXPLANATIONS
1 . A nurse is admitting a child who has acute lymphocytic
leukemia. Which of the following laboratory values should the
nurse expect?
A. Platelets 500,000 mm A 3
B. RBCs 2.5 million/uL
C. WBCs 4,000/mm A 3
D. Hct 60%: Correct answer B
An RBC count of 2.5 million/uL is below the expected reference range. A
child who has acute lymphocytic leukemia has a low RBC count.
2. A nurse is planning care for a toddler who has acute
gastroenteritis and was recently admitted. Which of the
following should the nurse plan to provide for the child?
A. Oral rehydration solution
B. Bananas or applesauce
C. Chicken or beef broth
D. Hypertonic IV solution: Correct answer A
The nurse should plan to provide an oral rehydration solution (ORS) to
this child who has acute gastroenteritis. ORS promotes the body's
reabsorption of water and sodium and is more effective and less
traumatic than the administration of IV fluids for the treatment of
dehydration due to diarrhea and emesis.
3. A nurse is caring for a school-age child who has
glomerulonephritis. The child has decreased urinary output and
a blood pressure of 160/78 mmHg and is receiving hydralazine.
1/24
, 2024/2025 FINAL PAEDIATRIC NURSING
PRACTICE QUESTIONS. COMPLETE WITH
ANSWERS AND EXPLANATIONS
Which of the following lunch choices should the nurse
recommend?
A. 1 hot dog, 22 potato chips, and 120 mL (4 oz) of orange
juice
B. 1 sandwich with lettuce, tomato, and 4 slices of bacon; a
small apple; and 240 mL (8 oz) of milk
C. 3 oz grilled chicken, 1 cup of pear slices, and 120 mL (4 oz)
of apple juice D. 1 cup of cottage cheese, a small banana,
and 240 mL (8 oz) of soda: Correct answer C
A child who has glomerulonephritis has moderate sodium restriction,
and further restriction is given to foods that are high in potassium for
children who have decreased urinary output. These restrictions are
because the kidneys of these children are not functioning appropriately.
This menu option consists of 571 g of potassium and 268 g of sodium.
4. A nurse is providing teaching to a parent of a preschooler who
has tinea capitis. Which of the following instructions should the
nurse include in the teaching?
A. Apply aluminum acetate solution compresses to the lesions
B. Apply hydrocortisone cream to the lesions twice daily
C. Seal nonwashable toys in a plastic bag for 2 weeks
D. Leave the medicated shampoo on the scalp for 5 to 10
minutes: Correct answer D
The nurse should instruct the parent to use a shampoo made of 2%
ketoconazole or 1% selenium sulfide for the treatment of tinea
capitis. For the shampoo to be effective, the parent should leave it
on the child's scalp for 5 to 10 minutes prior to rinsing.
2/24
, 2024/2025 FINAL PAEDIATRIC NURSING
PRACTICE QUESTIONS. COMPLETE WITH
ANSWERS AND EXPLANATIONS
5. A nurse is preparing to obtain an antistreptolysin O (ASO) titer
from a child who has acute glomeruIonephritis.The child's parent
asks the nurse to explain the purpose of the test. Which of the
following responses should the nurse provide?
A. "The test determines the level of antibiotics in your child's
blood."
B. "The test tells us if your child ever had measles."
C. "The test verifies the amount of albumin in your child's
blood."
D. "The test shows us if your child had a recent strep infection.":
Correct answer
D
An ASO titer indicates the child had a recent strep infection. When
determining a definitive diagnosis for acute glomerulonephritis, this
must be documented because the condition is usually the result of this
type of infection.
6. A nurse is caring for a school-aged child who has acute post-
streptococcal glomerulonephritis. Which of the following
manifestations should the nurse expect?
A. Hypotension
B. Elevated serum lipid levels
C. Decreased serum potassium levels
D. Hematuria: Correct answer D
3/24
PRACTICE QUESTIONS. COMPLETE WITH
ANSWERS AND EXPLANATIONS
1 . A nurse is admitting a child who has acute lymphocytic
leukemia. Which of the following laboratory values should the
nurse expect?
A. Platelets 500,000 mm A 3
B. RBCs 2.5 million/uL
C. WBCs 4,000/mm A 3
D. Hct 60%: Correct answer B
An RBC count of 2.5 million/uL is below the expected reference range. A
child who has acute lymphocytic leukemia has a low RBC count.
2. A nurse is planning care for a toddler who has acute
gastroenteritis and was recently admitted. Which of the
following should the nurse plan to provide for the child?
A. Oral rehydration solution
B. Bananas or applesauce
C. Chicken or beef broth
D. Hypertonic IV solution: Correct answer A
The nurse should plan to provide an oral rehydration solution (ORS) to
this child who has acute gastroenteritis. ORS promotes the body's
reabsorption of water and sodium and is more effective and less
traumatic than the administration of IV fluids for the treatment of
dehydration due to diarrhea and emesis.
3. A nurse is caring for a school-age child who has
glomerulonephritis. The child has decreased urinary output and
a blood pressure of 160/78 mmHg and is receiving hydralazine.
1/24
, 2024/2025 FINAL PAEDIATRIC NURSING
PRACTICE QUESTIONS. COMPLETE WITH
ANSWERS AND EXPLANATIONS
Which of the following lunch choices should the nurse
recommend?
A. 1 hot dog, 22 potato chips, and 120 mL (4 oz) of orange
juice
B. 1 sandwich with lettuce, tomato, and 4 slices of bacon; a
small apple; and 240 mL (8 oz) of milk
C. 3 oz grilled chicken, 1 cup of pear slices, and 120 mL (4 oz)
of apple juice D. 1 cup of cottage cheese, a small banana,
and 240 mL (8 oz) of soda: Correct answer C
A child who has glomerulonephritis has moderate sodium restriction,
and further restriction is given to foods that are high in potassium for
children who have decreased urinary output. These restrictions are
because the kidneys of these children are not functioning appropriately.
This menu option consists of 571 g of potassium and 268 g of sodium.
4. A nurse is providing teaching to a parent of a preschooler who
has tinea capitis. Which of the following instructions should the
nurse include in the teaching?
A. Apply aluminum acetate solution compresses to the lesions
B. Apply hydrocortisone cream to the lesions twice daily
C. Seal nonwashable toys in a plastic bag for 2 weeks
D. Leave the medicated shampoo on the scalp for 5 to 10
minutes: Correct answer D
The nurse should instruct the parent to use a shampoo made of 2%
ketoconazole or 1% selenium sulfide for the treatment of tinea
capitis. For the shampoo to be effective, the parent should leave it
on the child's scalp for 5 to 10 minutes prior to rinsing.
2/24
, 2024/2025 FINAL PAEDIATRIC NURSING
PRACTICE QUESTIONS. COMPLETE WITH
ANSWERS AND EXPLANATIONS
5. A nurse is preparing to obtain an antistreptolysin O (ASO) titer
from a child who has acute glomeruIonephritis.The child's parent
asks the nurse to explain the purpose of the test. Which of the
following responses should the nurse provide?
A. "The test determines the level of antibiotics in your child's
blood."
B. "The test tells us if your child ever had measles."
C. "The test verifies the amount of albumin in your child's
blood."
D. "The test shows us if your child had a recent strep infection.":
Correct answer
D
An ASO titer indicates the child had a recent strep infection. When
determining a definitive diagnosis for acute glomerulonephritis, this
must be documented because the condition is usually the result of this
type of infection.
6. A nurse is caring for a school-aged child who has acute post-
streptococcal glomerulonephritis. Which of the following
manifestations should the nurse expect?
A. Hypotension
B. Elevated serum lipid levels
C. Decreased serum potassium levels
D. Hematuria: Correct answer D
3/24
