CHILDREN 12TH- EDITION 2024/2025 WITH A+ GRADED
CORRECT ANSWERS
1. The nurse is preparing a community outreach program about the prevention of iron-
deficiency anemia in
infants. What statement should the nurse include in the program?
a. Whole milk can be introduced into the infants diet in small amounts at 6 months.
b. Iron supplements cannot be given until the infant is older than 1 year of age.
c. Iron-fortified cereal should be introduced to the infant at 2 months of age.
d. Breast milk or iron-fortified formula should be used for the first 12 months. -
CORRECT ANSWER d. Breast milk or iron-fortified formula should be used for the first
12 months.
2. A child with hemophilia A will have which abnormal laboratory result?
a. PT (ProTime)
b. Platelet count
c. Fibrinogen level
d. PTT (partial thromboplastin time) - CORRECT ANSWER d. PTT (partial
thromboplastin time)
3. What rationale explains why prolonged use of oxygen should be discouraged in a
child with anemia?
a. Prolonged use of oxygen can decrease erythropoiesis.
b. Prolonged use of oxygen can interfere with iron production.
c. Prolonged use of oxygen interferes with a childs appetite.
d. Prolonged use of oxygen can affect the synthesis of hemoglobin. - CORRECT
ANSWER a. Prolonged use of oxygen can decrease erythropoiesis.
4. A child with sickle cell disease is in a vasoocclusive crisis. What nonpharmacologic
pain intervention
should the nurse plan?
a. Exercise as a distraction
b. Heat to the affected area
c. Elevation of the extremity
d. Cold compresses to the affected area - CORRECT ANSWER b. Heat to the affected
area
5. What are signs and symptoms of anemia? (Select all that apply.)
a. Pallor
b. Fatigue
c. Dilute urine
d. Bradycardia
e. Muscle weakness - CORRECT ANSWER a. Pallor
,b. Fatigue
e. Muscle weakness
6. What childhood cancer may demonstrate patterns of inheritance that suggest a
familial basis?
a. Leukemia
b. Retinoblastoma
c. Rhabdomyosarcoma
d. Osteogenic sarcoma - CORRECT ANSWER b. Retinoblastoma
7. What side effect commonly occurs with corticosteroid (prednisone) therapy?
a. Alopecia
b. Anorexia
c. Nausea and vomiting
d. Susceptibility to infection - CORRECT ANSWER d. Susceptibility to infection
8. What immunization should not be given to a child receiving chemotherapy for
cancer?
a. Tetanus vaccine
b. Inactivated poliovirus vaccine
c. Diphtheria, pertussis, tetanus (DPT)
d. Measles, mumps, rubella (MMR) - CORRECT ANSWER d. Measles, mumps, rubella
(MMR)
9. What description identifies the pathophysiology of leukemia?
a. Increased blood viscosity
b. Abnormal stimulation of the first stage of coagulation process
c. Unrestricted proliferation of immature white blood cells (WBCs)
d. Thrombocytopenia from an excessive destruction of platelets - CORRECT ANSWER
c. Unrestricted proliferation of immature white blood cells (WBCs)
10. A child with leukemia is receiving intrathecal chemotherapy to prevent which
condition?
a. Infection
b. Brain tumor
c. Central nervous system (CNS) disease
d. Drug side effects - CORRECT ANSWER c. Central nervous system (CNS) disease
11. A child with osteosarcoma is experiencing phantom limb pain after an amputation.
What prescribed
medication is effective for short-term phantom pain relief?
a. Phenytoin (Dilantin)
b. Gabapentin (Neurontin)
c. Valproic Acid (Depakote)
d. Phenobarbital (Phenobarbital) - CORRECT ANSWER b. Gabapentin (Neurontin)
,1. An injury to which part of the brain will cause a coma?
a. Brainstem
b. Cerebrum
c. Cerebellum
d. Occipital lobe - CORRECT ANSWER a. Brainstem
2. What finding is a clinical manifestation of increased intracranial pressure (ICP) in
children?
a. Low-pitched cry
b. Sunken fontanel
c. Diplopia, blurred vision
d. Increased blood pressure - CORRECT ANSWER c. Diplopia, blurred vision
12. What is a nursing intervention to reduce the risk of increasing intracranial pressure
(ICP) in an unconscious
child?
a. Suction the child frequently.
b. Turn the childs head side to side every hour.
c. Provide environmental stimulation.
d. Avoid activities that cause pain or crying. - CORRECT ANSWER d. Avoid activities
that cause pain or crying
13. What intervention should be beneficial in reducing the risk of Reye syndrome?
a. Immunization against the disease
b. Medical attention for all head injuries
c. Prompt treatment of bacterial meningitis
d. Avoidance of aspirin for children with varicella or those suspected of having influenza
- CORRECT ANSWER d. Avoidance of aspirin for children with varicella or those
suspected of having influenza
14. A child has been seizure free for 2 years. A father asks the nurse how much longer
the child will need to
take the ant seizure medications. How should the nurse respond?
a. Medications can be discontinued at this time.
b. The child will need to take the drugs for 5 years after the last seizure.
c. A step-wise approach will be used to reduce the dosage gradually.
d. Seizure disorders are a lifelong problem. Medications cannot be discontinued. -
CORRECT ANSWER c. A step-wise approach will be used to reduce the dosage
gradually.
15. The nurse is teaching the parents of a 3-year-old child who has been diagnosed
with tonic-clonic seizures. What statement by the parent should indicate a correct
understanding of the teaching?
a. I should attempt to restrain my child during a seizure.
b. My child will need to avoid contact sports until adulthood.
c. I should place a pillow under my child’s head during a seizure.
, d. My child will need to be taken to the emergency department [ED] after each seizure. -
CORRECT ANSWER c. I should place a pillow under my child’s head during a seizure.
16. When taking the history of a child hospitalized with Reye syndrome, the nurse
should not be surprised if a
week ago the child had recovered from what?
a. Measles
b. Influenza
c. Meningitis
d. Hepatitis - CORRECT ANSWER b. Influenza
17. If an intramuscular (IM) injection is administered to a child who has Reye syndrome,
the nurse should
monitor for what?
a. Bleeding
b. Infection
c. Poor absorption
d. Itching at the injection site - CORRECT ANSWER a. Bleeding
18. The nurse is caring for a child with increased intracranial pressure (ICP). What
interventions should the
nurse plan for this child? (Select all that apply.)
a. Avoid jarring the bed.
b. Keep the room brightly lit.
c. Keep the bed in a flat position.
d. Administer prescribed stool softeners.
e. Administer a prescribed antiemetic for nausea. - CORRECT ANSWER a. Avoid
jarring the bed.
d. Administer prescribed stool softeners.
e. Administer a prescribed antiemetic for nausea.
19. A child will start treatment for central precocious puberty. What synthetic hormone
will be injected?
a. Thyrotropin
b. Gonadotropins
c. Somatotropin hormone
d. Luteinizing hormone releasing hormone - CORRECT ANSWER d. Luteinizing
hormonereleasing hormone
20. Glucocorticoids, mineralocorticoids, and sex steroids are secreted by which gland?
a. Thyroid gland
b. Adrenal cortex
c. Anterior pituitary
d. Parathyroid glands - CORRECT ANSWER b. Adrenal cortex